Showing papers in "Journal of Counseling Psychology in 2020"

Motion energy analysis (MEA): A primer on the assessment of motion from video.

Abstract: Nonverbal behavior is a central factor influencing the therapeutic relationship. Despite broad agreement on its importance, empirical studies assessing nonverbal behavior in counseling and psychotherapy are relatively scarce and often limited to few cases. One restraining factor may be the resources needed when assessing nonverbal behavior. Movement dynamics are an exemplary aspect of nonverbal behavior that can be captured with computer vision-a discipline concerned with the automated analysis of footage captured on video. One of the simplest methods requiring no special detectors, devices, or markers on patients or therapists is based on the assessment of differences in sequences of pictures (frames) found in video recordings. Algorithms of so-called frame-differencing methods may be implemented on commonly available computers, and they provide a good, straightforward assessment of, for example, patients' and therapists' movement dynamics in counseling and therapy sessions. Frame-differencing methods in psychology date back 36 years, but their use in counseling and psychotherapy research is only recently gaining momentum. In this introductory article, the use of one specific application suitable for the assessment of human motion from archival video material is presented. Motion energy analysis (MEA) is a procedure particularly appropriate for clinicians and researchers who have access to recordings of sessions or who wish to record their own video material. Focusing on the phenomenon of nonverbal synchrony-the coordination of movement between patient and therapist-a step-by-step demonstration of the stages involved in a successful application of MEA in psychotherapy research is provided. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

Machine learning and natural language processing in psychotherapy research: Alliance as example use case.

Abstract: Artificial intelligence generally and machine learning specifically have become deeply woven into the lives and technologies of modern life. Machine learning is dramatically changing scientific research and industry and may also hold promise for addressing limitations encountered in mental health care and psychotherapy. The current paper introduces machine learning and natural language processing as related methodologies that may prove valuable for automating the assessment of meaningful aspects of treatment. Prediction of therapeutic alliance from session recordings is used as a case in point. Recordings from 1,235 sessions of 386 clients seen by 40 therapists at a university counseling center were processed using automatic speech recognition software. Machine learning algorithms learned associations between client ratings of therapeutic alliance exclusively from session linguistic content. Using a portion of the data to train the model, machine learning algorithms modestly predicted alliance ratings from session content in an independent test set (Spearman's ρ = .15, p < .001). These results highlight the potential to harness natural language processing and machine learning to predict a key psychotherapy process variable that is relatively distal from linguistic content. Six practical suggestions for conducting psychotherapy research using machine learning are presented along with several directions for future research. Questions of dissemination and implementation may be particularly important to explore as machine learning improves in its ability to automate assessment of psychotherapy process and outcome. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

Assessing the alliance–outcome association adjusted for patient characteristics and treatment processes: A meta-analytic summary of direct comparisons.

Abstract: The alliance is widely recognized as a robust predictor of posttreatment outcomes. However, there is a debate regarding whether the alliance is an epiphenomenon of intake characteristics and/or treatment processes occurring over the course of treatment. This meta-analysis aimed to synthesize the evidence on this issue. We identified 125 effect sizes in 60 independent samples (6,061 participants) of studies that reported alliance-outcome correlations as well as parallel intake or process characteristics. We examined the impact of these potential confounds on the alliance-outcome correlations. We meta-analyzed the studies estimates by computing omnibus effects models as well as multivariate models. We identified 3 variable types that were used to adjust the alliance-outcome correlations: (a) intake characteristics (k = 35); (b) simultaneous processes, such as adherence or competence (k = 13); and (c) both intake and simultaneous processes (k = 24). We found moderate alliance-outcome correlations with or without adjustments for intake and simultaneous processes (range from r = .23 to r = .31). Our results provide robust empirical evidence for the assertion that the alliance-outcome association is an independent process-based factor. Findings suggest that alliance is positively related to outcome above and beyond the studied patient intake characteristics and treatment processes. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

Women attaining decent work: The important role of workplace climate in Psychology of Working Theory.

Abstract: Grounded in Psychology of Working Theory (PWT), the current study investigated predictors of decent work among a sample of employed women (N = 528). A structural equation model was examined finding that women's experiences of marginalization, work volition, and career adaptability all directly predicted the attainment of decent work, and economic constraints and marginalization experiences indirectly predicted decent work via work volition. Additionally, workplace climate for women employees was examined as both a predictor and moderator variable to explore best positioning of this additive construct. Workplace climate did not significantly moderate any model paths; however, it was a unique predictor of work volition and decent work, suggesting that this construct may be better positioned as a predictor variable in understanding the work experiences of women. These results highlight the importance of further investigating the role of workplace climate in PWT as well as the need for refining our understanding of how marginalized employees achieve decent work. Implications of the present study's results are discussed. (PsycINFO Database Record (c) 2020 APA, all rights reserved).

Development and evaluation of a new short form of the Conformity to Masculine Norms Inventory (CMNI-30).

Abstract: The Conformity to Masculine Norms Inventory (CMNI) has been an important tool in researching masculinity. With the original measure at 94 items (Mahalik et al., 2003), there have been several abbreviated forms developed from 11 to 55 items. However, in confirmatory factor analyses (CFA's) testing 13 common factors, bifactor, hierarchical, and unidimensional models, only 4 models demonstrated adequate fit to the data, and most of these were for the still quite long 46-item version. As a result, there was no psychometrically strong truly short form of the CMNI. In the present study, data from 1561 community and university men were used to develop a short form. First an exploratory factor analysis using a portion of the data was conducted, which resulted in a 10-subscale dimensionality, followed by CFA estimating a common factors model. The results of the CFA were used to create two candidate models for a 30-item short form of the CMNI, based on Classical test theory (CTT) and optimized CTT. The best-fitting candidate model for the CMNI-30 was CTT. Next, the fit of the 29, 46, and 94 item models were compared to the 30-item version, which had the superior fit. Then, measurement invariance between White men and men of color was assessed, choosing this comparison because hegemonic masculinity is theorized to marginalize men of color. Evidence was found for full configural and metric, and partial scalar and residuals invariance. Finally, significant relationships between CMNI-30 scores and indicators of depression and anxiety provides preliminary concurrent evidence for its validity. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

Does practice quality mediate the relationship between practice time and outcome in mindfulness-based stress reduction?

Abstract: Interventions based on mindfulness meditation are increasingly common and evidence exists supporting their use. However, questions remain regarding treatment mechanisms accounting for beneficial effects. The current study examined 1 candidate mechanism-mindfulness practice quality-as a mediator of the link between practice time and outcome within mindfulness-based stress reduction (MBSR). Participants (n = 96) completed measures of mindfulness and psychological symptoms at baseline and posttreatment. A weekly questionnaire assessed practice time and quality over the 8 weeks of MBSR. Multilevel models accounted for nesting within participants, MBSR groups, and instructors. Results generally supported the reliability and validity of a weekly single-item practice quality measure. Greater practice time was associated with improved practice quality (r = .48). Increases in practice quality predicted improvements in self-report mindfulness and psychological symptoms (βs = .35, .30, and -.19, ps < .05), but not behavioral mindfulness (β = -.02, p = .879). In multilevel mediation models, improved practice quality mediated the link between practice time and changes in self-report mindfulness, suggesting improved practice quality functions as a mechanism linking practice time and outcome in MBSR. Future research evaluating practice quality in clinical samples, in tandem with intensive sampling paradigms (e.g., experience sampling) and objective (behavioral, physiological) outcomes may be warranted. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

Trans adolescents' perceptions and experiences of their parents' supportive and rejecting behaviors.

Abstract: Transgender (trans) adolescents consistently report higher rates of adverse mental health outcomes compared to their cisgender peers. Parental support is a recognized adolescent protective factor; however, little is known about the specific parental behaviors that trans adolescents perceive as most or least supportive. To address this gap, we analyzed data from qualitative interviews conducted with an ethnically diverse, urban-based sample of trans adolescents (N = 24; 16-20 years old) to describe (a) the spectrum of specific parental behaviors across 3 categories-rejecting, supportive, and mixed (i.e., simultaneous supportive and rejecting behaviors)-and (b) the perceived psychosocial consequences across these 3 categories of parental behaviors. Qualitative data were gathered through lifeline interviews (i.e., visual representations from birth to present) and photo elicitation (i.e., photographs representing parental support and/or rejection). Supportive behaviors included instances where parents made independent efforts to learn about trans issues or help their child obtain gender-affirming health care. Rejecting behaviors included instances when parents refused to use their child's name or pronouns or failed to show empathy when their child struggled with gender-identity-related challenges. Mixed behaviors included examples when parents expressed support of their child's gender identity, but not of their sexual orientation (or vice versa). Overall, participants reported that rejecting and mixed parental behaviors contributed to a range of psychosocial problems (e.g., depression and suicidal ideation), while supportive behaviors increased positive wellbeing. These findings expand upon descriptions of parental support and rejection within the trans adolescent literature and can help practitioners target specific behaviors for interventions. (PsycINFO Database Record (c) 2020 APA, all rights reserved).

The suicide crisis syndrome: A network analysis.

Abstract: Recent studies introduced the suicide crisis syndrome (SCS), a condition associated with imminent suicidal behavior and characterized by (a) a pervasive feeling of entrapment in which the escape from an unbearable life situation is perceived as both urgent and impossible (Criterion A) and (b) affective disturbance, loss of cognitive control, hyperarousal, and social withdrawal (Criterion B). The goal of the present study was to use some of the analytic tools provided by network analyses to further the understanding of the psychological, emotional, cognitive, behavioral, and physiological processes involved in the SCS by testing (a) whether the different symptoms of the proposed syndrome are related to each other, (b) whether symptoms form meaningful clusters, and (c) whether certain symptoms are more central than others. The study included 500 outpatient and 223 inpatient participants. A network analysis of the participants' scores on the various symptoms of the SCS was conducted. The network analysis suggested that most SCS symptoms are linked by strong connections and that entrapment and ruminative flooding are highly correlated with the other SCS symptoms. Three clusters of symptoms were identified, suggesting the existence of several interdependent psychological processes potentially involved in SCS phenomenology. Our findings support both the suggested symptoms of the SCS and the central role of entrapment in the proposed criteria for the syndrome. Emotional pain appears to be closely linked to entrapment and may belong in Criterion A. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

What "good outcome" means to patients: Understanding recovery and improvement in psychotherapy for major depression from a mixed-methods perspective.

Abstract: This study explored the meaning of "good outcome" within and beyond the much-used statistical indices of clinical significance in standard outcome research as developed by Jacobson and Truax (1991). Specifically, we examined the experiences of patients marked as "recovered" and "improved" following cognitive-behavioral therapy and psychodynamic therapy for major depression. A mixed-methods study was conducted using data gathered in an RCT, including patients' pre-post outcome scores on the Beck Depression Inventory-II and posttreatment client change interviews. We selected 28 patients who showed recovery and 19 patients who showed improvement in self-reported depression symptoms. A grounded theory analysis was performed on patients' interviews, ultimately resulting in a conceptual model of "good outcome." From patients' perspectives, good outcome can be understood as feeling empowered, finding personal balance and encountering ongoing struggle, indicating an ongoing process and variation in experience. The Jacobson-Truax classification of "good outcome" could not account for the (more pessimistic) nuances in outcome experiences, especially for "improved" patients, and did not grasp the multidimensional nature of outcome as experienced by patients. It is recommended that statistical indications of clinical meaningfulness are interpreted warily and ideally contextualized within personal narratives. Further research on the phenomenon of change and good outcome is required, aiming at integrating multiple perspectives and methods accordingly the multidimensional phenomenon under study. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

Physiological synchronization in the clinical process: A research primer.

Abstract: Physiological synchronization is the study of how individuals in interaction coregulate their physiology. The topic has sparked increasing interest in counseling and psychotherapy research, where it has been found to be associated with the therapeutic alliance, clinicians' empathy and patients' outcome. Physiological synchronization allows researcher to investigate subtle but fundamental aspects of the clinical process through objective measures. In this article, we aim to offer a guide to researchers and clinicians to explore this growing field of study. We begin by reviewing the existing literature of physiological synchronization in clinical relationships, and then we provide practical guidelines for research. We discuss the various aspects involved in synchronization studies: study design, selection of physiological signals, data analytic approaches, and interpretation of results. To better illustrate how to implement these types of design, we provide a running example describing the data collection and analysis of a single-case study. In the example we discuss both how to conduct a longitudinal nomothetic analysis, as well as a moment-to-moment idiographic exploration of the clinical content. In this latter analysis, in particular, we show how physiological synchronization can be used in combination with 2 transcripts analysis tools, the Patient Attachment Coding System, and the Therapist Attunement Scales to reach a deeper understanding of the ongoing processes. We conclude by arguing that research in counseling and psychotherapy has much to gain from and contribute to the overall development of our understanding of physiological synchronization in human interaction. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

Patterns of early change in interpersonal problems and their relationship to nonverbal synchrony and multidimensional outcome.

Abstract: Early change is an increasing area of investigation in psychotherapy research. In this study, we analyzed patterns of early change in interpersonal problems and their relationship to nonverbal synchrony and multiple outcome measures for the first time. We used growth mixture modeling to identify different latent classes of early change in interpersonal problems with 212 patients who underwent cognitive-behavioral treatment including interpersonal and emotion-focused elements. Furthermore, videotaped sessions were analyzed using motion energy analysis, providing values for the calculation of nonverbal synchrony to predict early change in interpersonal problems. The relationship between early change patterns and symptoms as well as overall change in interpersonal problems was also investigated. Three latent subgroups were identified: 1 class with slow improvement (n = 145), 1 class with fast improvement (n = 12), and 1 early deterioration class (n = 55). Lower levels of early nonverbal synchrony were significantly related to fast improvement in interpersonal change patterns. Furthermore, such patterns predicted treatment outcome in symptoms and interpersonal problems. The results suggest that nonverbal synchrony is associated with early change patterns in interpersonal problems, which are also predictive of treatment outcome. Limitations of the applied methods as well as possible applications in routine care are discussed. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

From pain to power: An exploration of activism, the #Metoo movement, and healing from sexual assault trauma.

Abstract: In this qualitative study, we explored the role that social activism and #MeToo and other large scale antiviolence activist movements may play in sexual assault survivors' healing process and how they navigate and make sense of their sexual assault experience. We interviewed 16 adult sexual assault survivors (13 women, 2 genderqueer/nonconforming individuals, and 1 identifying as a man and genderqueer) who were engaged in anti-sexual assault activism and analyzed their data using thematic analysis. Participants were predominately White and highly educated. We found that activism helped participants find their voice and regain their power. They described a process of moving from silence and shame around their sexual assault to freedom and empowerment. Their involvement in activism and/or connection to larger scale antiviolence activist movements (a) helped increase their understanding of themselves and their sexual assault experience, (b) served as a useful coping mechanism, (c) improved their self-confidence and relationships, (d) allowed them to stand up and speak out against attitudes and behaviors that foster rape culture, (e) provided support, validation, and connection to others, and (f) provided a source of meaning and fulfillment in their lives. Helping other survivors through their activist work also contributed to participants' healing process. Participants also described challenges associated with anti-sexual assault activism and #MeToo and related movements. These included being triggered, being inundated with media coverage and public narratives about sexual assault, burning out, and feeling disillusioned and frustrated. Finally, participants noted the importance of mainstream movements in increasing awareness. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

Decent and meaningful work: A longitudinal study.

Abstract: A fundamental proposition of the psychology of working theory is that for work to be meaningful, it must first be decent. The psychology of working theory also suggests that decent work leads to meaningful work partly by helping workers meet their needs for social connection. Therefore, the purpose of the current study was to contribute to both the meaningful work and psychology of working theory literatures by longitudinally examining the relation between decent and meaningful work and investigating 3 social connection mediators of this relation. We recruited a large online sample of working adults and surveyed them 4 times over a 9-month period. To test our hypotheses, we examined whether social contact, helping others, and community belonging explained the relation between decent and meaningful work at both the between-person and within-person levels. We found that overall levels of decent work were positively associated with overall levels of meaningful work and that positive changes in decent work were associated with positive changes in meaningful work. Moreover, we found that between-person community belonging and within-person helping others mediated the relation between decent work and meaningful work. These results have implications for identifying predictors of meaningful work and advancing the psychology of working theory by identifying specific social connection mediators of decent and meaningful work. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

It's like herding cats: Atheist minority stress, group involvement, and psychological outcomes.

Abstract: Using minority stress theory with a sample of 522 atheist people from the United States, the present study examined the associations of discrimination, proximal minority stressors (stigma consciousness, internalized antiatheism, outness as atheist), and atheist group involvement with psychological distress and self-esteem. Atheist group involvement was associated positively with outness and self-esteem, and negatively with discrimination. Structural equation modeling indicated that discrimination and stigma consciousness yielded significant positive direct relations with distress, whereas outness yielded a significant negative direct relation with distress. Relatedly, discrimination yielded a significant negative direct relation with self-esteem and outness yielded a significant positive direct relation with self-esteem. There was a significant positive unique indirect relation of antiatheist discrimination with distress via the mediating role of stigma consciousness, but no other proximal variables. Multigroup invariance testing of this model did not yield evidence that the pattern of relations of the minority stressors with mental health outcomes differed significantly between participants who were and who were not involved in an atheist group. Implications of these findings for research, practice, and advocacy are discussed. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

Language style matching in psychotherapy: An implicit aspect of alliance.

Abstract: In an attempt to operationalize an implicit aspect of the therapeutic alliance, this article proposes the use of the innovative, objective, and time-efficient analysis of language style matching (LSM; Niederhoffer & Pennebaker, 2002) LSM, defined as the degree of similarity in rates of function words in dyadic interactions, is thought to reflect the extent to which conversational partners are automatically coordinating language styles to achieve a common goal Although LSM has often been researched in the context of everyday conversations, little is known about the matching of clients and therapists' language style in the psychotherapy process To demonstrate the clinical usefulness of the LSM approach in psychotherapy, 2 exploratory examples of the application of LSM in long-term psychoanalytic treatments are provided First, LSM analyses per session and per speaking-turn are described for psychotherapy data of 140 sessions of 7 long-term psychoanalytic treatments in relation to outcome measures Then, a case study is described in which LSM is triangulated with an observer-rated measure of working alliance in relation to outcome measures These 2 demonstrative empirical examples were explorative in character and illustrate how LSM might tap into an implicit aspect of the therapeutic relationship, different from the working alliance measured by observers, and relevant for treatment outcome Future larger-scale psychotherapy studies into the relationship between these implicit aspects of the alliance and treatment outcome and relevant clients and therapists' variables are warranted (PsycInfo Database Record (c) 2020 APA, all rights reserved)

Suicide among college students in psychotherapy: Individual predictors and latent classes.

Abstract: This study sought to identify predictors of suicidal behavior among college students who are psychotherapy clients, as well as to determine underlying classes of clients with suicidal ideation. Data were gathered from 101,570 clients, 391 of whom engaged in suicide behavior during treatment. Regression analyses revealed that suicide behavior was positively associated with 3 pretreatment variables: depression, prior suicide behavior, and prior nonsuicidal self-injury. Four latent classes of clients with suicidal ideation were identified that were named "prior ideation," "extensive risk," "prior treatment," and "circumscribed depression." The number of clients in each class varied widely, as did the relative risk of suicide behavior. Implications for treatment, suicide assessment, and suicide prevention are discussed. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

Seeking help despite the stigma: Experiential avoidance as a moderated mediator.

Abstract: The help-seeking literature identifies a model wherein public stigma of seeking help is internalized as self-stigma of seeking help, which, in turn, decreases help-seeking outcomes. The current study considered whether experiential avoidance, or a tendency to avoid painful thoughts or emotions, moderates how strongly these stigmata relate to help-seeking intentions among university students. Specifically, this study tested whether experiential avoidance moderates (a) the direct relationship between self-stigma of seeking psychological help and help-seeking intentions and (b) the indirect relationship between public stigma and help-seeking intentions. Conditional process modeling in a university student sample (N = 235) supported these hypotheses. The direct relationship between self-stigma and help-seeking intentions was nonsignificant and weaker for those who reported low experiential avoidance than for those who reported high experiential avoidance. Results also demonstrated a moderated indirect effect wherein the relationship between self-stigma and intentions was nonsignificant among those reporting low levels of experiential avoidance. This suggests that self-stigma may predict help-seeking intentions when avoidance of therapy functions as a means for avoiding unpleasant emotions. These findings suggest that interventions designed to decrease experiential avoidance by increasing openness to unpleasant emotions may offer a novel avenue to attenuate the impact of self-stigma on help-seeking intentions without requiring the difficult task of reducing stigma altogether. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

Change processes related to long-term outcomes in eating disorders with childhood trauma: An explorative qualitative study.

Abstract: To date, eating disorder (ED) treatments are lacking for ED patients with psychiatric sequelae of childhood trauma, and successful outcomes are scarce. Therefore, the aim of this study was to explore therapeutic change processes from a patient perspective in relation to good versus poor long-term ED outcome at 1-year follow-up. Outcome categories were based on clinician assessment of ED behavior and diagnoses, body mass index, and Eating Disorder Examination Questionnaire scores. Eleven White, cisgendered female ED patients with childhood trauma were interviewed after a 3-month inpatient treatment: data was analyzed with elements from grounded theory and interpretative phenomenological analysis. The qualitative analysis rendered change-related descriptions (9 subcategories) and obstacles to change (6 subcategories), and 3 process-related domains differentiated good from poor long-term outcome: trauma exposure (4 subcategories), patient agency (6 subcategories), and patient-therapist dynamics (3 subcategories). First, sensory and emotional trauma exposure in good outcome informants was contrasted with avoiding or not addressing trauma and body in poor outcome informants. Second, promotion of patient agency while receiving support in the good outcome group was contrasted to an orientation toward others' needs, distrust in own abilities, and difficulties showing vulnerability in the poor outcome group. Third, poor outcome informants described either a distanced or immersed/idealizing relationship to their therapist, as opposed to more balanced between self-assertion and vulnerability in good outcome informants. Our findings raise new hypotheses that trauma work, fostering patient agency, and focusing on relational dynamics in patient-therapist dyad may be important in producing enduring ED outcomes for these patients. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

Perceived discrimination and academic distress among Latinx college students: A cross-lagged longitudinal investigation.

Abstract: Although the empirical link between experience of racism and academic concerns has been documented, researchers have not used a cross-lagged longitudinal design to disentangle the temporal relations between perceived discrimination and academic outcomes among Latinx college students. It is important to identify whether perceived discrimination predicts greater academic concerns or whether academic concerns predict higher levels of sensitivity to rejection and, therefore, increased self-reports of discrimination. To address this gap in the empirical literature, the present study tested a cross-lagged model to investigate the temporal relations between Latinx college students' perceived discrimination and academic distress while controlling for the effects of depression. Participants were 203 Latinx college students from a Southwestern U.S. public university who completed the same questionnaires at 2 time points, 1 year apart. The authors found that a cross-lagged model exhibited superior fit to a model with only autoregressive paths (e.g., Time 1 academic distress predicting Time 2 academic distress). Only one cross-lagged effect was significant: Time 1 perceived discrimination positively predicted academic distress at Time 2, although the reverse was not true. The practical implications of these findings for the prevention of discrimination and academic distress on college campuses are discussed. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

Investigating coregulation of emotional arousal during exposure-based CBT using vocal encoding and actor-partner interdependence models.

Abstract: High patient emotional arousal during rationale development for in vivo exposure in CBT for panic disorder with agoraphobia might endanger comprehension of the exposure rationale. Since therapists are supposed to coregulate patients' emotions, this study investigated whether there was evidence of coregulation of vocally encoded emotional arousal, assessed by fundamental frequency (f0), during rationale development. Furthermore, the association of patient f0 stability and therapist coregulation with patients' perceived rationale plausibility was analyzed. N = 197 therapy videos-used to deduct f0-from a multicenter randomized controlled trial evaluating therapist-guided exposure on CBT outcome were analyzed post hoc. Plausibility of the exposure rationale was assessed by patients after its development. This trial-specific rating aggregates plausibility ratings for every manual component in the development of the exposure rationale and showed good internal consistency (Cronbach's alpha = .85). Stability in f0 and its coregulation were calculated using cross-lagged Actor-Partner Interdependence Models (APIMs), and APIM dyad estimates were associated with plausibility using linear regression analyses. Analyses indicated a relative stability in emotional arousal within both patients and therapists. Therapists' f0 had a significant effect on patients in that with therapist covariation, patients' f0 departed from their equilibrium level, while patients' f0 had no effect on therapists. Therapists' f0 covariation was positively associated with rationale plausibility. This study sheds light on interpersonal regulation mechanisms of patients' and therapists' emotional arousal during development of the exposure rationale. It suggests that coregulation of patients' emotional arousal supports patients' perceived rationale plausibility. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

College environment and basic psychological needs: Predicting academic major satisfaction.

Abstract: The authors aimed to extend the literature in self-determination theory (SDT) to understand the relations between college environmental variables (faculty and peer support) and academic major satisfaction. The study was disseminated via an online platform to 320 students attending a large midwestern university. Based on SDT, it was hypothesized that student perceptions of their volitional autonomy, competence, and relatedness in their academic major would fully mediate the relations between perceived faculty and peer supports and major satisfaction. This hypothesized model was tested against a partially mediated model and an alternate model that further tested the directionality of the argument. Results from structural equation modeling partially supported the hypotheses. Faculty and peer support, respectively, significantly contributed to students' experience of volitional autonomy in their major (βs = .23 and .39), perceived competence in their major (βs = .31 and .37), and relatedness in their major (βs = .29 and .56). Volitional autonomy in a major fully mediated the relationship between faculty support and major satisfaction (M = .14, SE = .05, p < .01, 95% confidence interval CI [.04, .24]) and the relationship between peer support and academic major satisfaction (M = .22, SE = .02, p < .05, 95% CI [.10, .34]). The hypothesized model was found to be superior than the partially mediated and alternate models. Thus, the authors concluded that SDT is a useful framework for understanding the relationship between faculty and peer supports, psychological needs, and major satisfaction. (PsycINFO Database Record (c) 2020 APA, all rights reserved).

Distinguishing "I don't see color" from "Racism is a thing of the past": Psychological correlates of avoiding race and denying racism.

Abstract: Scholars have proposed 2 separable dimensions of racial colorblind ideology: the first is centered on "not seeing color" (i.e., color evasion), and the second is centered on denying racism (i.e., power evasion). Yet, to date, there is no psychometric evidence for this distinction. In this article, we aim to fill this gap by establishing the presence of and characterizing differences between these 2 dimensions using both variable-centered and person-centered approaches. Study 1A (n = 707) provides exploratory factor analytic evidence supporting the separability of power and color evasion. Study 1B (n = 710) provides confirmatory evidence of this factor structure and evidence of discriminant validity. In Study 1B, 3 latent profiles based on power and color evasion were identified: acknowledgers (low color evasion, low power evasion), evaders (high color evasion, average power evasion), and deniers (average color evasion, average power evasion), which differed on relevant variables (e.g., modern racism, support for affirmative-action). In Study 2 (n = 546), these profiles were replicated and extended by examining differences in attitudes and desire to engage in campus diversity activities. Implications for racial colorblind ideology theory and practical applications are discussed. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

Incorporating physiology into the study of psychotherapy process.

Abstract: Increasing evidence indicates that psychological factors important to therapy effectiveness are associated with physiological activity. Knowledge of the physiological correlates of therapy process variables has the potential to provide unique insights into how and why therapy works, but little is currently known about the physiological underpinnings of specific therapy processes that facilitate client growth and change. The goal of this article is to introduce therapy process researchers to the use of physiological methods for studying therapy process variables. We do this by (a) presenting a conceptual framework for the study of therapy process variables, (b) providing an introductory overview of physiological systems with particular promise for the study of therapy process variables, (c) introducing the primary methods and methodological decisions involved in physiological research, and (d) demonstrating these principles and methods in a case of therapeutic presence during couple therapy. We close with a discussion of the promise and challenges in the study of physiological correlates of therapy process variables and consideration of future challenges and open questions in this line of research. Online supplemental materials include additional resources for therapy process researchers interested in getting started with physiological research. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

Can we agree we just had a rupture? Patient-therapist congruence on ruptures and its effects on outcome in brief relational therapy versus cognitive-behavioral therapy.

Abstract: To draw clinically meaningful evidence-supported implications about the alliance-outcome association, recent studies have investigated patient-therapist congruence on ruptures in alliance. The present study investigated patient-therapist congruence on ruptures and its consequences on subsequent session outcome in 2 types of treatments that differ in the training therapists receive to identify ruptures: brief relational therapy (BRT), in which therapists receive alliance-focused training, and cognitive-behavioral therapy (CBT), in which no training specifically focused on the alliance is provided. We implemented polynomial regression and response surface analysis, and the truth and bias model on data of 162 dyads reporting weekly on their levels of ruptures, for 30 sessions, during either CBT or BRT. Therapists and patients exhibited substantial temporal congruence in their session-by-session rupture ratings. Therapists showed a tendency to detect more ruptures than did their patients. This tendency correlated with higher levels of congruence and was more evident in BRT than in CBT. Agreement and disagreement between patients and therapists on the question of whether a rupture had occurred was found to have a greater effect on subsequent session outcomes in BRT than in CBT. These findings may suggest that therapists who are more attuned to their patients may demonstrate greater vigilance in identifying ruptures than their patients do. This vigilant stance may be taught. Greater congruence may result in better subsequent session outcome throughout treatment in BRT than in CBT. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

Oxytocin as a biomarker of the formation of therapeutic alliance in psychotherapy and counseling psychology.

Abstract: The therapeutic alliance is one of the most consistent predictors of therapeutic change, including symptom reduction and improvement in wellbeing and quality of life, across a variety of mental health interventions Yet, little is known about its biological mechanisms Oxytocin (OT) has been suggested as a biological mechanism by which bonds are formed and strengthened across species This article is intended to demonstrate the potential of OT as a biomarker of therapeutic change in psychotherapy and counseling psychology, especially of the therapeutic alliance We delineate three main potential paths of investigation based on the most recent research on OT in parent-child and romantic partner dyads For each path, we provide a detailed explanation for whom, when, and how OT should be measured Each path is illustrated using data collected in a randomized controlled trial of psychotherapy for major depressive disorder These illustrations demonstrate the great potential of OT as a biomarker of (a) trait-like characteristics of the patients and the therapists, (b) the processes of therapeutic change, and (c) the dyadic synchrony between patients and their therapists The potential clinical contribution of OT as a biomarker for each of these three paths is further demonstrated using a case study Practical suggestions and directions for future research are discussed (PsycInfo Database Record (c) 2020 APA, all rights reserved)

Dyadic, longitudinal associations among outcome expectation and alliance, and their indirect effects on patient outcome.

Abstract: Research indicates that patient outcome expectation (OE) correlates with improvement, and that this association may be mediated by better patient-therapist alliances. However, despite OE and alliance being dyadic and dynamic constructs, most research on these direct and indirect associations has assessed these variables from only one dyad member's perspective and at single time points. Addressing these gaps, we used a longitudinal actor-partner interdependence model to first examine OE-alliance associations. Namely, we assessed "actor" effects (relation between each member's OE at 1 session and his or her own next session alliance) and "partner" effects (relation between each member's partner's OE at 1 session and his or her own next session alliance). Second, we tested whether significant actor or partner effects of OE on alliance translated into better patient outcomes (indirect effects). Analyses were conducted at within- and between-dyad levels. Data derived from a generalized anxiety disorder trial in which 85 patients received 15 sessions of either cognitive-behavioral therapy (CBT) or CBT integrated with motivational interviewing. After every session, patients and therapists rated OE and alliance, and patients rated their worry. At the within-dyad level, there were OE-alliance actor effects for both patients and therapists. There was also a within-dyad partner effect; when patients had greater OE at one session their therapists reported better next-session alliances. Finally, all within-dyad effects in turn related to lower subsequent worry. Results reveal ways in which session-by-session fluctuations in both patient and therapist OE translate into better outcomes through their influence on alliance quality. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

A cross-cultural comparison of psychology of working theory among U.S. and Korean college students.

Abstract: The cross-cultural validity of a modified version of psychology of working theory (PWT; Duffy, Blustein, Diemer, & Autin, 2016) was tested in samples of United States (n = 346) and Korean (n = 319) undergraduates. Participants completed measures of economic resources, work volition, career adaptability, occupational engagement, and future decent work perceptions. The results illustrated measurement invariance between the two samples. Thus, the hypothesized models were tested separately in the two samples and the results were compared regarding parameter significance, direction, and magnitude. Overall, the modified model generally fit well with both samples. However, there were notable cross-cultural differences: economic resources significantly predicted work volition, occupational engagement, and future decent work perceptions only in the United States sample and the future decent work perceptions and occupational engagement were negatively associated in the Korean sample. Explanations about the cross-cultural differences and invariances were provided and practical and research implications were discussed. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

The ripple prediction of ambiguity aversion in career decision-making.

Abstract: While previous research has supported the role of ambiguity aversion in the career decision-making process, little is known about the relation between ambiguity aversion and the outcomes of career decision-making. Using a sample of U.S. employees (n = 288), the current study examined the prediction of ambiguity aversion for job and life satisfaction and the mediation of these relations through career decision-making style and perceived person-environment fit. The results support a sequential dual mediator model in which ambiguity aversion negatively predicts job and life satisfaction sequentially through a rational decision-making style and perceived person-environment fit. Additionally, the results support a single mediator model in which ambiguity aversion negatively predicts job and life satisfaction only in perceived person-environment fit. Therefore, the current study demonstrates a ripple prediction of managing ambiguity for the distal outcomes of job and life satisfaction and suggests a relational mechanism. The theoretical and practical implications of this study are discussed together with the limitations and suggestions for future research. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

Self-critical perfectionism and lower daily perceived control predict depressive and anxious symptoms over four years.

Abstract: This study of 152 community adults examined whether perfectionism interacts with daily perceived control to predict depressive and anxious symptoms over 4 years. Participants completed measures of higher-order perfectionism dimensions [self-critical (SC), personal standards (PS)] and neuroticism at time 1, daily diaries for 14 consecutive days to assess perceived control over most bothersome events at time 2 three years later, and measures of depressive and anxious symptoms at time 1, time 2, and time 3 four years after baseline. Hierarchical regression analyses of moderator effects demonstrated that individuals with higher SC perfectionism at time 1 and lower perceived control across daily stressors at time 2 had higher levels of depressive symptoms at time 3 than others, adjusting for the effects of time 1 and time 2 depressive and anxious symptoms. Higher SC perfectionism also interacted with lower perceived control to predict time 3 anxious symptoms. PS perfectionism and neuroticism did not interact with perceived control to predict time 3 depressive or anxious symptoms. These findings highlight the importance of addressing cognitive appraisals of one's control over handling daily stressors for the prevention and treatment of depressive and anxious symptoms in individuals with higher SC perfectionism. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

Career-related parental behaviors, adolescents' consideration of future consequences, and career adaptability: A three-wave longitudinal study.

Abstract: Career adaptability is a critical psychological resource for adolescents during their transition from secondary to postsecondary education. Based on prospective data from 451 Chinese adolescents (M = 16.87, SD = 0.63; 46.3% female), this study examined the mediating role of adolescents' consideration of future consequences (CFCS) in the association between career-related parental behaviors and adolescents' career adaptability. Results demonstrated that career-related parental support at Wave 1 was associated positively with adolescents' career adaptability and its subdimensions (i.e., career concern, control, curiosity, and confidence) at Wave 3 (i.e., 10 months later). Adolescents' CFCS at Wave 2 (i.e., 5 months later after Wave 1) served as a mediator linking career-related parental support at Wave 1 and career concern, control, and curiosity, but not confidence at Wave 3. Neither parental lack of engagement nor interference at Wave 1 predicted adolescents' career adaptability at Wave 3. These results suggest that interventions assisting parents in performing supportive behaviors, such as engaging in adolescents' career exploration activities and offering information about various kinds of jobs, might be useful strategies to foster adolescents' curiosity and confidence in choosing future career paths. Additionally, counselors and parents may offer adolescents strategies to strengthen their abilities to consider the potential influences of their current behaviors on future career paths (e.g., prioritizing behaviors and activities related to their future career paths over activities that only provide immediate or short-term gratification) to promote their capabilities of coping with challenges during the career transition period. (PsycINFO Database Record (c) 2020 APA, all rights reserved).