Working alliance after transferring from one therapist to another in a training clinic: Influence of therapist attachment style.
This study investigated how client working alliance changed after transferring from one therapist to another: (a) When pre- and post-transfer therapists’ attachment anxiety/avoidance were congruently higher or lower and (b) when the pretransfer therapists’ attachment anxiety/avoidance were more or less discrepant from the posttransfer therapists. A Tau-U analysis and a multilevel polynomial regression and response surface analysis were used to analyze longitudinal data about 23 transferred clients in open-ended psychodynamic psychotherapy with doctoral-level therapist trainees (n = 29). When first and second therapists...
Source: Journal of Counseling Psychology - September 8, 2022 Category: Psychiatry & Psychology Source Type: research

Parental perception matters: Reciprocal relations between adolescents’ depressive symptoms and parental perceptions.
Journal of Counseling Psychology, Vol 70(1), Jan 2023, 103-118; doi:10.1037/cou0000632A large body of research has shown that parents play a vital role in the development of adolescents’ depression. However, previous research has overlooked the effects of a potentially critical factor, namely, parental perceptions, and beliefs about adolescents’ depression. The present study examined whether parental perceptions of an adolescent’s depressive symptoms predict longitudinal changes in adolescents’ symptoms (i.e., the parental perception effect). The longitudinal relationship between adolescents’ depressive symptoms ...
Source: Journal of Counseling Psychology - September 1, 2022 Category: Psychiatry & Psychology Source Type: research

Decent work among women workers: An intersectional approach.
Journal of Counseling Psychology, Vol 69(6), Nov 2022, 775-785; doi:10.1037/cou0000634The present study sought to apply an intersectional lens in predicting decent work (i.e., work that meets minimum standards for supporting worker dignity and livelihood). With a racially diverse sample of 302 women workers, we tested a moderated mediation model predicting decent work from economic constraints, experiences of sexism, experiences of racism, and the interaction of racism and sexism. Following psychology of working theory (PWT), we positioned work volition and career adaptability as mediators. Main effects were consistent wit...
Source: Journal of Counseling Psychology - September 1, 2022 Category: Psychiatry & Psychology Source Type: research

“Tuned into a different channel”: Autistic transgender adults’ experiences of intersectional stigma.
Journal of Counseling Psychology, Vol 69(6), Nov 2022, 761-774; doi:10.1037/cou0000639In this critical-constructivist grounded theory study, we interviewed 13 autistic-transgender, nonbinary, and/or gender diverse (TNG) individuals on the intersection of their autistic-TNG identities and how they resisted marginalization related to these experiences. Analysis revealed the experiences of living in a world that “doesn’t seem quite set up the right way” and situated autistic-TNG experiences in complex set of intersectional processes that require navigating relationships, health care systems, and safety challenges living...
Source: Journal of Counseling Psychology - September 1, 2022 Category: Psychiatry & Psychology Source Type: research

Decent work among women workers: An intersectional approach.
Journal of Counseling Psychology, Vol 69(6), Nov 2022, 775-785; doi:10.1037/cou0000634The present study sought to apply an intersectional lens in predicting decent work (i.e., work that meets minimum standards for supporting worker dignity and livelihood). With a racially diverse sample of 302 women workers, we tested a moderated mediation model predicting decent work from economic constraints, experiences of sexism, experiences of racism, and the interaction of racism and sexism. Following psychology of working theory (PWT), we positioned work volition and career adaptability as mediators. Main effects were consistent wit...
Source: Journal of Counseling Psychology - September 1, 2022 Category: Psychiatry & Psychology Source Type: research

“Tuned into a different channel”: Autistic transgender adults’ experiences of intersectional stigma.
Journal of Counseling Psychology, Vol 69(6), Nov 2022, 761-774; doi:10.1037/cou0000639In this critical-constructivist grounded theory study, we interviewed 13 autistic-transgender, nonbinary, and/or gender diverse (TNG) individuals on the intersection of their autistic-TNG identities and how they resisted marginalization related to these experiences. Analysis revealed the experiences of living in a world that “doesn’t seem quite set up the right way” and situated autistic-TNG experiences in complex set of intersectional processes that require navigating relationships, health care systems, and safety challenges living...
Source: Journal of Counseling Psychology - September 1, 2022 Category: Psychiatry & Psychology Source Type: research

Decent work among women workers: An intersectional approach.
The present study sought to apply an intersectional lens in predicting decent work (i.e., work that meets minimum standards for supporting worker dignity and livelihood). With a racially diverse sample of 302 women workers, we tested a moderated mediation model predicting decent work from economic constraints, experiences of sexism, experiences of racism, and the interaction of racism and sexism. Following psychology of working theory (PWT), we positioned work volition and career adaptability as mediators. Main effects were consistent with previous PWT theory and research, indicating that experiences of sexism and racism w...
Source: Journal of Counseling Psychology - September 1, 2022 Category: Psychiatry & Psychology Source Type: research

“Tuned into a different channel”: Autistic transgender adults’ experiences of intersectional stigma.
In this critical-constructivist grounded theory study, we interviewed 13 autistic-transgender, nonbinary, and/or gender diverse (TNG) individuals on the intersection of their autistic-TNG identities and how they resisted marginalization related to these experiences. Analysis revealed the experiences of living in a world that “doesn’t seem quite set up the right way” and situated autistic-TNG experiences in complex set of intersectional processes that require navigating relationships, health care systems, and safety challenges living in a heterosexist, cissexist, and ableist society. Participants had to constantly ass...
Source: Journal of Counseling Psychology - September 1, 2022 Category: Psychiatry & Psychology Source Type: research

Early response as a prognostic indicator in person-centered experiential therapy for depression.
This study investigated the prognostic value of early response on posttreatment outcomes in person-centered experiential therapy (PCET) for depression within the English Improving Access to Psychological Therapies program. The design of the study was a retrospective observational cohort study. Routine clinical data were drawn from N = 3,321 patients with depression symptoms. The primary outcome was reliable and clinically significant improvement (RCSI) on the Patient Health Questionnaire-9 (PHQ-9) self-report depression measure at the end of treatment. Early response was operationalized as reliable improvement, defined as ...
Source: Journal of Counseling Psychology - August 29, 2022 Category: Psychiatry & Psychology Source Type: research

Early response as a prognostic indicator in person-centered experiential therapy for depression.
This study investigated the prognostic value of early response on posttreatment outcomes in person-centered experiential therapy (PCET) for depression within the English Improving Access to Psychological Therapies program. The design of the study was a retrospective observational cohort study. Routine clinical data were drawn from N = 3,321 patients with depression symptoms. The primary outcome was reliable and clinically significant improvement (RCSI) on the Patient Health Questionnaire-9 (PHQ-9) self-report depression measure at the end of treatment. Early response was operationalized as reliable improvement, defined as ...
Source: Journal of Counseling Psychology - August 29, 2022 Category: Psychiatry & Psychology Source Type: research

The within-client alliance-outcome relationship: A response surface analysis.
Journal of Counseling Psychology, Vol 69(6), Nov 2022, 812-822; doi:10.1037/cou0000630The authors examined how stability/change in working alliance predicted subsequent symptoms, and how stability/change in symptoms predicted subsequent alliance in a sample of 188 adult clients with 44 doctoral student therapists over the course of 893 eight-session time periods of individual psychodynamic psychotherapy. Clients completed the Working Alliance Inventory–Short Revised (WAI-SR; Hatcher & Gillaspy, 2006) after every session and the Outcome Questionnaire–45 (OQ; Lambert et al., 1996) before intake and every eighth session. ...
Source: Journal of Counseling Psychology - August 18, 2022 Category: Psychiatry & Psychology Source Type: research

The within-client alliance-outcome relationship: A response surface analysis.
The authors examined how stability/change in working alliance predicted subsequent symptoms, and how stability/change in symptoms predicted subsequent alliance in a sample of 188 adult clients with 44 doctoral student therapists over the course of 893 eight-session time periods of individual psychodynamic psychotherapy. Clients completed the Working Alliance Inventory–Short Revised (WAI-SR; Hatcher & Gillaspy, 2006) after every session and the Outcome Questionnaire–45 (OQ; Lambert et al., 1996) before intake and every eighth session. The authors used multilevel polynomial regression and response surface analyses to exa...
Source: Journal of Counseling Psychology - August 18, 2022 Category: Psychiatry & Psychology Source Type: research

Passing patients’ tests—But how? An analysis of therapists’ helping skills in response to patient testing.
Journal of Counseling Psychology, Vol 69(6), Nov 2022, 845-852; doi:10.1037/cou0000631According to control mastery theory, patients in psychotherapy try to master their problems by disconfirming their pathogenic beliefs. This can be done by testing the therapist. So far, there is hardly any evidence on what concrete interventions or statements of therapists are specifically helpful in passing those tests. In our study, we analyzed the verbal utterances of therapists in test situations to determine whether there is a difference in statements used for passing or failing tests. A total of 168 session transcripts of 21 patient...
Source: Journal of Counseling Psychology - August 4, 2022 Category: Psychiatry & Psychology Source Type: research