Showing papers in "Journal of Counseling Psychology in 2021"

Critical consciousness of anti-Black racism: A practical model to prevent and resist racial trauma.

Abstract: The negative impacts of racism, including experiences of racial trauma, are well documented (e.g., Bryant-Davis & Ocampo, 2006; Carter, 2007). Because of the deleterious effects of racial trauma on Black people, interventions that facilitate the resistance and prevention of anti-Black racism are needed. Critical consciousness is one such intervention, as it is often seen as a prerequisite of resistance and liberation (Prilleltensky, 2003, 2008). To understand how individuals advance from being aware of anti-Black racism to engaging in actions to prevent and resist racial trauma, nonconfidential interviews with 12 Black Lives Matter activists were conducted. Using constructivist grounded theory (Charmaz, 2014) under critical-ideological and Black feminist-womanist lenses, a model of Critical Consciousness of Anti-Black Racism (CCABR) was co-constructed. The 3 processes involved in developing CCABR include: witnessing anti-Black racism, processing anti-Black racism, and acting critically against anti-Black racism. This model, including each of the categories and subcategories, are detailed herein and supported with quotations. The findings and discussion provide context-rich and practical approaches to help Black people, and counseling psychologists who serve them, prevent and resist racial trauma. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

A mindfulness-based mobile health (mHealth) intervention among psychologically distressed university students in quarantine during the COVID-19 pandemic: A randomized controlled trial.

Abstract: This randomized controlled trial evaluated the effect of a mindfulness-based mobile health (mHealth) intervention, tailored to the pandemic context, among young adult students (N = 114) with elevated anxiety and/or depressive symptoms during quarantine in China, compared to a time- and attention-matched social support-based mHealth control. At baseline, postintervention (1 month), and 2-month follow-up, participants completed self-reports of primary outcomes (anxiety and depression), secondary outcomes (mindfulness and social support), and emotional suppression as a culturally relevant mechanism of change. Feasibility and acceptability were also evaluated. Using intent-to-treat (ITT) analysis, linear mixed effects models showed that compared to social support mHealth, mindfulness mHealth had a superior effect on anxiety (p = .024, between-group d = 0.72). Both conditions improved on depression (baseline-to-FU ds > 1.10, between-group difference not significant, d = 0.36 favoring mindfulness). There was an interaction of Emotional suppression reduction × Condition in the improvement of anxiety and depression. Further, mindfulness mHealth was demonstrated to be more feasible and acceptable in program engagement, evaluation, skills improvement, and perceived benefit. Retention was high in both conditions (>80%). The difference in self-reported adverse effect was nonsignificant (3.9% in mindfulness and 8.7% in social support). Results of this pilot trial suggest that both mindfulness and social support, delivered via mHealth, show promise in reducing distress among young adults in quarantine, with mindfulness being particularly effective in addressing anxiety. Successful implementation and dissemination of this mHealth intervention approach have the potential for addressing the psychological consequences of the pandemic. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

Cultural context matters: Testing the minority stress model among Chinese sexual minority men.

Abstract: Minority stress theory (e.g., Meyer, 2003b), a model for understanding mental health disparities affecting sexual minorities, has primarily been tested in Western samples yet has not been carefully applied to the experiences of sexual minorities in a global context, including in East Asian countries. Combining minority stress theory with considerations of Chinese culture, the current study tested the associations among norm conformity, distal minority stressor (enacted stigma), proximal minority stressors (sexual identity concerns and concealment), lesbian, gay, and bisexual (LGB) family support, and psychological distress among Chinese sexual minority men (n = 748). Structural equation modeling showed that sexual identity concerns mediated the associations of norm conformity, enacted stigma, and lower family support with concealment. Psychological distress was associated with enacted stigma and lower family support, but not with proximal stressors (sexual identity concerns and concealment). Alternative model testing found sexual identity acceptance concerns predicted psychological distress and mediated the associations of norm conformity and LGB family support with distress. Findings provide partial support for the minority stress model in a Chinese context and suggest the importance of incorporating cultural considerations into minority stress conceptualizations. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

Racism's effect on depressive symptoms: Examining perseverative cognition and Black Lives Matter activism as moderators

Abstract: Additional research is needed on the link between racial discrimination and depressive symptoms over time as well as the risk and resilience moderators that influence this link. One understudied factor that may exacerbate this link is perseverative cognition-chronic activation of stress-related cognitive representations. However, race-specific activism, like Black Lives Matter (BLM) activism, may attenuate this association. Given this, the current study investigated autoregressive and cross-lagged associations between racial discrimination and depressive symptoms across two time points over 6 months. We also tested if perseverative cognition and two domains of Black Lives Matter activism-support and behavior-moderated the cross-lagged associations between racial discrimination and depressive symptoms. Using data from 232 African Americans, findings revealed a significant cross-lagged effect of Time 1 racial discrimination on Time 2 depressive symptoms (but no cross-lagged effect of T1 depressive symptoms on T2 racial discrimination). This cross-lagged effect was moderated by both perseverative cognition and support for BLM activism such that the association between Time 1 racial discrimination was only associated with Time 2 depressive symptoms at lower levels of perseverative cognition and lower levels of BLM support. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

The methodological integrity of critical qualitative research: Principles to support design and research review.

Abstract: This article articulates principles and practices that support methodological integrity in relation to critical qualitative research. We begin by describing 2 changes that have occurred in psychological methods over the last 15 years. (a) Building on foundational work advocating for epistemological pluralism, guidelines on how to design, review, and report qualitative and mixed methods have been advanced to support methodological integrity in keeping with a diversity of researchers' aims and approaches. (b) There has been an increased use of critical epistemological perspectives and critical methods. In light of these changes, the current article puts forward principles to support critical qualitative researchers when considering methodological rigor and when formulating rationales to support their methods in the journal article review process. Illustrating the principles with an example of critical research, the article describes common problems and issues in the research design process that can be considered in order to strengthen the returns of critical studies. Recommendations are made for editors and reviewers on how to conduct reviews of critical qualitative research, and pressing concerns for publishing critical qualitative research are detailed. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

Critical participatory action research: Methods and praxis for intersectional knowledge production.

Abstract: Building on the conceptual foundation of articles published in the 2005 volume of the Journal of Counseling Psychology on the qualitative turn in Counseling Psychology, we write to introduce and reflect on Critical Participatory Action Research (CPAR) as an intersectional approach to knowledge production by psychologists researching alongside individuals, communities, and movements dedicated to social justice We open with a brief review of the origins of CPAR and the epistemological commitments of this approach to inquiry We then explore why and how participation matters, and the delicate dynamics of CPAR through various phases of research: putting together a research team, crafting research questions and design, selecting methods, sampling, participatory analyses of qualitative and quantitative material, and figuring out how to produce and circulate findings in ways accountable to the community/movement of interest The second half of the article offers a slow journey into one CPAR project, What's Your Issue?, a multigenerational, national, participatory survey designed by and for LGBTQIA+ youth, with an emphasis on the participation and representation of youth of color We write this article for scholars, practitioners, activists, educators, and students to make visible why participation is so crucial to social justice research; that "no research on us, without us" is both scientifically and ethically valid, and how mixed methods research with LGBTQIA+ and gender-expansive youth can open new horizons for theory, methods, and action (PsycInfo Database Record (c) 2021 APA, all rights reserved)

Qualitative Story Completion for Counseling Psychology Research: A creative method to interrogate dominant discourses

Abstract: Qualitative story completion (SC) research involves the novel qualitative application of a technique previously used in quantitative research and clinical assessment, in which participants write stories in response to a story “stem” designed by the researcher. The resulting stories are analysed to identify patterns of meaning using conventional qualitative analytic approaches such as thematic analysis. In place of the more typical self-report methods used in qualitative research, such as interviews or focus groups, the method provides a categorically different way to explore a topic, one which can offer new understandings to counseling psychology researchers. In particular, SC’s capacity to illuminate social discourses makes it particularly useful for understanding the potential ways in which socially marginalized populations are understood in therapeutic spaces as well as for understanding how clients of all kinds may make sense of therapeutic interactions. This paper provides an introduction to qualitative SC, explaining the method and its origins, and offering practical guidance about how to use it. The method is illustrated with examples from the existing SC literature and a hypothetical study focussed on understandings of mental health difficulties in the workplace.

Decolonization as methodological innovation in counseling psychology: Method, power, and process in reclaiming American Indian therapeutic traditions.

Abstract: Decolonization harbors great potential as a transformative methodological innovation for advancing social justice in counseling psychology. One domain of colonized knowledge with relevance for the field is therapeutic expertise in American Indian communities. In this article, I draw extensively on vignettes from the life narrative of a historical Aaniiih-Gros Ventre medicine man to reveal various facets of his healing practices. I do so as an illustrative case example of a decolonial reclamation of Indigenous therapeutic traditions for the discipline. In discussing method, power, and process in association with decolonization, I first summarize emergent divergences between Indigenous traditional healing and modern counseling based on excerpted vignettes. Then, I observe that method in pursuing decolonization through Indigenous therapeutic reclamation is currently open to various forms of qualitative inquiry, that power in pursuit of Indigenous therapeutic reclamation must appraise the role of therapeutic regimes in the creation of modern subjects, and that process in pursuit of Indigenous therapeutic reclamation must allow for decolonization to extend to the repatriation of Indigenous relationships to land. Finally, I gesture beyond the consideration of Indigenous therapeutic traditions to trace the profound implications of a decolonization agenda for knowledge, practice, and training in counseling psychology. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

Profiles of decent work: General trends and group differences.

Abstract: Recent trends in the labor market-marked by instability and insecurity-have further ignited a discourse on the significance of decent work in people's lives. Scholars have mostly studied the multidimensional decent work construct using the composite scores of the Decent Work Scale (DWS; Duffy et al., 2017). However, there may be different combinations of decent work beyond the simple continuum of composite scores. Thus, we employed latent profile analysis to identify profiles of decent work using the 5 subscales of the DWS as indicators. As a result, 5 different groups with distinct profiles emerged: (a) average, (b) low health care, (c) indecent work, (d) only health care, and (e) decent work. Subsequent analyses comparing each group on demographics (gender, employment, education), theoretical predictors (economic constraints, marginalization, work volition), and theoretical outcomes (job satisfaction, life satisfaction) revealed notable differences across the 5 groups. Implications, limitations, and future directions of the results are discussed. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

A daily diary study of minority stress and negative and positive affect among racially diverse sexual minority adolescents.

Abstract: We conducted an intensive longitudinal study of sexual minority adolescents to address gaps in the literature, limitations in retrospective reporting, and test tenets of the minority stress model. We examined the frequency of daily minority stressors and their within-person associations with negative and positive affect. We also tested the moderating effects of depressive symptomology on these associations. Sexual minority adolescents (N = 94; 35.1% were bisexual; 31.9% were gender minority; 45.2% were racial/ethnic minority), ages 12-18 years old (M = 16.1, SD = 1.5), were recruited from the community and completed a baseline questionnaire and then a 21-day daily dairy (82.5% response rate). Participants experienced at least one minority stressor, with an average of 16.96 minority stressors (SD = 18.7, Range: 0-83), over the 21-day monitoring period. Some minority stressors were more commonly experienced than others (e.g., vicarious minority stress) and most participants attributed their sexual orientation to these stressors. Participants also attributed other marginalized identities to these stressors (e.g., gender identity, race). Daily minority stressors were associated with greater negative affect but not positive affect. Participants had greater negative affect on days where sexual-orientation-specific minority stressors were endorsed compared to days where minority stressors were not reported. These associations were not moderated by depression symptomology. The results underscore that minority stressors are pervasive experiences of sexual minority adolescents' daily life and natural environment and they are associated with daily emotions. The findings have implications for the minority stress model and future research and interventions. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

The role of mental health counseling in college students' academic success: An interrupted time series analysis.

Abstract: Retention remains a problem for postsecondary institutions and college students. To address these issues, researchers have sought to identify factors of college success and retention. Findings have consistently shown the importance of psychosocial factors and mental health on college students' academic success. As such, university and college counseling centers are well positioned to enhance students' academic success by addressing psychosocial distress. However, existing literature on the effect of counseling on college students' academic success is mixed, and limitations exist. To address previous limitations of the literature, this study utilized an interrupted time series design to examine differences in students' postcounseling academic success compared to their precounseling academic success. Additionally, we examined the association between changes in students' psychological distress and academic distress for students who endorsed clinical distress at the onset of counseling and changes in their grade point average (GPA) over time. Data for this study consisted of 1,231 clients seen by 49 therapists at a university counseling center. As hypothesized, students' GPAs increased at a greater rate postcounseling compared to precounseling. Additionally, for students who were clinically distressed at the onset of counseling, reductions in their psychological distress were associated with positive changes in their GPA over time, but the relationship between changes in their academic distress and changes in their GPA was not significant. This study suggests that counseling can be beneficial for college students' academic success, in part due to changes in students' psychological distress, but not their academic distress, specifically for clinically distressed students. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

The role of goal-related autonomy: A self-determination theory analysis of perfectionism, poor goal progress, and depressive symptoms.

Abstract: Adopting a self-determination theory perspective, this 3-wave longitudinal study explores the role of perfectionism in goal pursuit and the experience of depressive symptoms. The findings highlight the role of goal-related autonomy in mediating the opposite effects of self-critical and personal standards perfectionism on goal progress and depressive symptoms over the course of an academic year. The results suggest a way of understanding the pathway to depressive symptoms and poor goal progress in perfectionists. They point to a number of implications for clinical practice when working with self-critical perfectionists. Specifically, they indicate that interventions aimed at promoting autonomous motivation, may not only bolster goal progress but also act as a protective factor against depressive symptoms. Together, the results indicate that autonomous motivation is central to goal progress and suggest that low goal-related autonomy can be linked to negative outcomes. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

Using computerized text analysis to examine associations between linguistic features and clients' distress during psychotherapy.

Abstract: Raw linguistic data within psychotherapy sessions may provide important information about clients' progress and well-being. In the current study, computerized text analytic techniques were applied to examine whether linguistic features were associated with clients' experiences of distress within and between clients and whether changes in linguistic features were associated with changes in treatment outcome. Transcripts of 729 psychotherapy sessions from 58 clients treated by 52 therapists were analyzed. Prior to each session, clients reported their distress level. Linguistic features were extracted automatically by using natural language parser for first-person singular identification and using positive and negative emotion words lexicon. The association between linguistic features and levels of distress was examined using multilevel models. At the within-client level, fewer first-person singular words, fewer negative emotional words and more positive emotional words were associated with lower distress in the same session; and fewer negative emotion words were associated with lower next session distress (rather small f2 effect sizes = 0.011 < f2 < 0.022). At the between-client level, only first session use of positive emotion words was associated with first session distress (ηp2 effect size = 0.08). A drop in the use of first-person singular words was associated with improved outcome from pre- to posttreatment (small ηp2 effect size = 0.05). The findings provide preliminary support for the association between clients' linguistic features and their fluctuating experience of distress. They point to the potential value of computerized linguistic measures to track therapeutic outcomes. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

Development and initial validation of the Queer People of Color Identity Affirmation Scale.

Abstract: Despite growing literature on sexual minority (SM; e.g., lesbian, gay, bisexual, queer, asexual) people of Color (PoC), there is a dearth of research examining positive aspects of SM-PoC identity. This article presents the development and initial validation of the Queer People of Color Identity Affirmation Scale (QPIAS). First, items were developed through interviews with SM-PoC (N = 10) and then pilot-tested (N = 293). We then administered the scale to a second sample of SM-PoC (N = 703), which was randomly divided for exploratory and confirmatory factor analyses. The final QPIAS consists of 12 items and 2 subscales: Identity-Based Growth and Identity Cohesion. Participant performance on the final QPIAS was compared to other constructs of identity and psychosocial wellbeing to assess convergent validity. As predicted, the QPIAS was significantly positively associated with resilience, empowerment, sexual identity affirmation, and ethnoracial identity affirmation, and negatively associated with depression and sexual and ethnoracial identity conflict. Results also suggest that this scale may be useful in predicting resilience and empowerment beyond existing measures of sexual and ethnoracial identity affirmation. Use of this scale may provide new information on factors contributing to wellbeing in this population and be a beneficial tool in multiculturally competent assessment. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

Patterns of racial-ethnic socialization in Asian American families: Associations with racial-ethnic identity and social connectedness.

Abstract: As Asian Americans continue to be one of the fastest growing populations in a rapidly diversifying United States (Lee, 2015), understanding how Asian American parents socialize their children about race and racism and how this contributes to development remains an important question (Chang, 2016; Garcia Coll et al., 1996). Using a sample of 228 Asian American emerging adults (70% female, Mage = 20.23), we examined profiles of parental racial-ethnic socialization messages and their relationships with racial-ethnic identity and social connectedness outcomes. Results suggested 3 profiles. The guarded separation socialization group reported receiving the most frequent messages about maintaining their heritage culture and avoiding outgroups. The passive and active integration socialization groups also received frequent messages about maintaining heritage culture, but very few messages about avoiding outgroups or minimizing the significance of race. The active integration socialization group received the most messages about becoming American, treating everyone equally, and respecting diverse cultures, compared to the passive integration socialization group, which reported receiving few of these messages. Participants in the active integration profile reported significantly higher levels of cognitive clarity and affective pride regarding their racial-ethnic identity compared to the other two profiles, while individuals in the passive and active integration profiles reported significantly higher levels of social connectedness than those in guarded separation profile. These findings highlight the importance of using a holistic lens to understand Asian American youths' perceptions of how their parents engage in racial-ethnic socialization across multiple domains. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

Intersectional experiences: A mixed methods experience sampling approach to studying an elusive phenomenon.

Abstract: Social scientists are increasingly interested in methodological advances that can illuminate the distinct experiences and health outcomes produced by various systems of inequality (e.g., race, gender, religion, sexual orientation). However, innovative methodological strategies are needed to (a) capture the breadth, complexity, and dynamic nature of moments co-constructed by multiple axes of power and oppression (i.e., intersectional experiences) and (b) keep pace with the increasing interest in testing links between such events and health among underresearched groups. Mixed methods designs may be particularly well suited for these needs, but are seldom adopted. In light of this, we describe a new mixed methods experience sampling approach that can aid researchers in detecting and understanding intersectional experiences, as well as testing their day-to-day associations with aspects of health. Drawn from two separate experience sampling studies examining day-to-day links between intersectional experiences and psychological health-one focusing on Black American LGBQ individuals and another on Muslim American LGBQ individuals-we provide quantitative and qualitative data examples to illustrate how mixed methods investigations can advance the assessment, interpretation, and analysis of everyday experiences constructed by multiple systems of power. Limitations, possible future adaptations, implications for research, and relevance to the clinical context are discussed. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

"We are our own community": Immigrant Latinx transgender people community experiences.

Abstract: Little is known about how immigrant Latinx transgender people experience support from their communities in the U.S. and back in their country of origin. The present study aimed to understand how immigrant Latinx transgender people reported support within their communities. A community sample of 18 immigrant Latinx transgender people in a large metropolitan city in Florida participated in semi-structured interviews. Thematic analysis revealed four themes depicting the varying levels of support that participants received within their communities in the U.S., including: (a) neighborhood belonging, (b) organizations as a source of well-being, (c) friends as a source of protection and safety, and (d) supporting undocumented individuals. In addition, three themes emerged about participants' experiences of discrimination and oppression within their communities, including: (a) discrimination and violence, (b) police profiling and restriction of public space, and (c) lack of safety for undocumented individuals. Participants also shared narratives about the perceived level of community support they received in the U.S. versus in their countries of origin. Drawing on gender minority stress and intersectionality, the community experiences of immigrant Latinx transgender people are examined and interpreted to provide important research, advocacy, and practice implications. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

Exploring human action in counseling psychology: The action-project research method.

Abstract: Qualitative research in counseling psychology in the last 2 decades has been characterized by the introduction and use of a range of methods and corresponding paradigms and conceptual frameworks. The action-project research method, described and updated in this article, is based on an understanding of human action as goal-directed and enacted in context: contextual action theory. We summarize this framework, prior to describing the method's procedures for conceptualizing research problems and questions, collecting and analyzing data from dyads of participants, and presenting research findings. We also discuss recent adaptations to the procedures and how the method addresses core issues in counseling psychology; that is, methodological integrity, culture, ethics, and power. We proceed to describe how the method relates to other qualitative methods and the kinds of research questions asked by the discipline and how the action-project method connects to professional practice issues. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

Second-generation Asian American women's gendered racial socialization.

Abstract: Utilizing an intersectional framework (Crenshaw, 1989) and socioecological theory (Bronfenbrenner, 1979), we investigated the gendered racialized messages Asian American women receive growing up, otherwise known as gendered racial socialization, from their family, peers, and mass media. Consensual Qualitative Research was used to analyze interview data from 12 second-generation Asian American women. The results demonstrated that (a) family socialization messages included gendered racial discrimination, body image and physical appearance, marital/dating attitudes, role responsibilities and expectations, and academic/work expectations, (b) peer socialization included oppressive messages (e.g., physical objectification, denial of identity, lack of presence) and affirming messages (e.g., positive self-concept messages), and (c) mass media socialization included oppressive messages (e.g., lack of representation, stereotypical depictions), and affirming messages (e.g., messages about empowerment). These messages impacted Asian American women's views on their body image and physical appearance, self-esteem, career/work, mental health, and critical consciousness. Implications and findings of the need to dismantle interlocking oppressive forces are discussed. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

A systematic review and meta-analysis of the good-enough level (GEL) literature.

Abstract: The “good-enough level” (GEL) model proposes that people respond differentially to psychotherapy, and that the typical curvilinear “dose-response” shape of change may be an artifact of aggregation. We conducted a systematic review and meta-analysis of the GEL literature to examine (a) whether different subgroups of adults accessing psychotherapy respond to therapy at different rates and (b) whether the shape of change is linear or nonlinear. This review was preregistered on PROSPERO. Fifteen studies were synthesized (n = 114,123), with 10 included across two meta-analyses (n = 46,921; n = 41,515). Systematic searches took place using Medline, APA PsycInfo and Scopus databases. A key inclusion criterion was that cases must be stratified by treatment length to examine the GEL. In support of the GEL, there was no overall association between treatment duration and outcomes (r = −0.24, 95% confidence interval [CI: −0.70, 0.36], p = .27). Longer treatments were associated with higher baseline symptom scores (r = 0.15, 95% CI [0.08, 0.22], p < .001) and slower rates of change. Different shapes of change were also evidenced: Curvilinear responses were more often found in shorter treatments, while linear shapes were more often found in longer treatments. However, findings varied depending on methodological criteria used. Although rates of change varied in line with the GEL, most people nonetheless responded within defined boundaries as described in the dose-response literature. We therefore refer to the notion of “boundaried responsive regulation” to describe the relationship between treatment duration and outcomes.

The hurdles are high: Women of color leaders in counseling psychology.

Abstract: Counseling psychologists value cultural diversity and, as a field, include many Women of Color (WoC) in leadership spaces However, researchers have yet to explore the experiences of WoC leaders within the Society of Counseling Psychology (SCP; Division 17 of the American Psychological Association) Specifically, we sought to identify how WoC leaders engage culturally relevant leadership styles and what barriers (if any) WoC leaders experience within leadership in SCP We utilized a semistructured interview protocol with 10 WoC who have held and/or currently hold a leadership position within SCP We sought to construct a narrative of the development of leadership spaces for WoC, understand the culturally relevant leadership styles of WoC leaders and the barriers to engaging their leadership styles in SCP, and create recommendations for SCP to broaden and deepen leadership pathways for WoC We coded the data using the Consensual Qualitative Research method and identified two major thematic sections: Becoming a WoC Leader (with themes of Identity, Role of Sponsorship, Mentorship from WoC Leaders, and Hurdles of Service Leadership) and Leadership Styles of WoC (with themes of Self-Awareness in Leadership, Intentionality, and Engaging Critical Conversations) We conclude with recommendations from the leaders and implications for SCP and leadership spaces broadly (PsycInfo Database Record (c) 2020 APA, all rights reserved)

Digital storytelling methodologies: Recommendations for a participatory approach to engaging underrepresented communities in counseling psychology research.

Abstract: While counseling psychologists made substantial proposals to advance qualitative research since the special issue on related methods was published 15-years ago (Haverkamp, Morrow, & Ponterotto, 2005), the field continues to demonstrate an overreliance on quantitative methods. Though important for producing knowledge we can depend on, excessive use of these methods poses a barrier for counseling psychologists to address the needs of the communities that are at the core of our discipline's values-those who are marginalized and underserved in society. In alignment with our values of social justice, advocacy, and empowerment, we propose counseling psychologists adopt a methodology within a critical paradigm to better address issues of inequality and inequity when working with underrepresented communities, such as digital storytelling. Rooted in a movement to increase access to art for marginalized communities in the 1970s and 1980s, digital storytelling is an arts-based research methodology that captures first-person narrated accounts of peoples' lives through the use of stories, photos, and videos, and empowers communities to be a part of research to create social change. We provide recommendations for using digital storytelling in counseling psychology research as outlined through 5 phases, including Phase I) digital storytelling's critical paradigm, Phase II) project development, Phase III) implementation, Phase IV) data analysis, and Phase V) dissemination. While doing so, we draw on examples from 2 digital storytelling projects we are familiar with, Immigrant Stories and OrigiNatives, providing a framework for a digital frontier in counseling psychology research. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

Insight as a mechanism of change in dynamic therapy for major depressive disorder.

Abstract: This study aimed to investigate change in insight into maladaptive interpersonal patterns over the course of psychotherapy, as well as the specificity of insight as a change mechanism in dynamic treatments. A total of 100 patients received up to 16 sessions of either cognitive or dynamic therapy for major depressive disorder in a randomized clinical trial. Assessments of insight (Insight into Conflictual Relationship Patterns scale) and depression severity (Hamilton Depression Inventory) took place at the beginning of treatment, at month 2, and month 5. Patient insight significantly improved over the course of dynamic treatments. Gains in insight from the beginning to month 2 of treatment were a significant predictor of decreases of depressive symptoms from month 2 to month 5 of treatment in the dynamic, but not in the cognitive treatment group, despite a nonsignificant interaction. Results provide support for insight as a change factor in dynamic therapies. Better self-understanding of dysfunctional interaction patterns could help patients to find more adaptive ways of behaving, to form more satisfying relationships, and to improve their depression. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

The qualitative imagination in counseling psychology: Enhancing methodological rigor across methods.

Abstract: Fifteen years have passed since the publication of a landmark issue of the Journal of Counseling Psychology on qualitative and mixed methods research (Haverkamp et al, 2005), which signaled a methodological shift in counseling psychology and related fields At the time, qualitative research was certainly less popular in the field and arguably less respected than it is now This special issue charts advances in qualitative and mixed methods research since the publication of that issue, reflects on how these diverse approaches are conducted today, and points toward new methodological frontiers The articles in this special issue include a range of methodological tools and theoretical perspectives that extend thinking about the ethics, practice, evaluation, and implications of psychological research Notably, the articles are linked by a shared commitment to conducting psychological research critically-that is, to both critique dominant norms in the discipline and to sensitize psychological methods to power and inequality-and to advancing social justice In this introduction, the guest editors survey authors' contributions and synthesize their insights to offer recommendations for future qualitative and mixed methods work in the field, particularly in terms of interdisciplinarity, methodological rigor, critical psychology, and social justice They propose that counseling psychologists should cultivate a "qualitative imagination" with respect to all forms of empirical research (qualitative and quantitative) and offer specific guidance for enhancing methodological sophistication and sensitivity to power Accordingly, this special issue is an important opportunity to set an agenda for the next decade-plus of critical inquiry in counseling psychology (PsycInfo Database Record (c) 2021 APA, all rights reserved)

Attending to the intersectionality and saliency of clients' identities: A further investigation of therapists' multicultural orientation.

Abstract: Psychotherapy clients often hold multiple and varied cultural identities, and it is important for therapists to attend to the intersectionality of clients' cultural identities, as well as the saliency of these identities. However, to date, few studies have considered the saliency of clients' multiple identities and how this may impact clients' perceptions of cultural processes in therapy. Therefore, this study utilized polynomial regression and response surface analysis to operationalize and examine congruent and discrepant effects between the saliency of clients' multiple identities and their perceptions of their therapists' cultural humility and cultural missed opportunities. Data for this study consisted of 87 clients who received individual counseling services at either a university counseling center or training clinic at two large universities in the United States. As hypothesized, results indicated significant discrepant effects between the saliency of clients' first and second most important cultural identities and perceptions of their therapists' cultural humility and cultural missed opportunities. Specifically, clients' ratings of their therapist's cultural missed opportunities were lowest when they reported either a) high saliency of cultural identity one and low saliency of cultural identity two, or b) low saliency of cultural identity one and high saliency of cultural identity two. Similarly, clients' ratings of their therapist's cultural humility were highest when they reported either a) high saliency of cultural identity one and low saliency of cultural identity two, or b) low saliency of cultural identity one and high saliency of cultural identity two. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

Congruence about working alliance in Chinese context: The moderating effect of therapists' self-efficacy and the relationship between congruence and psychotherapy outcome.

Abstract: The present study was conducted to (a) identify the clients and therapists' perceptual directional discrepancy and temporal congruence in different aspects of working alliance (i.e., goals/tasks and bond), (b) examine the moderating effect of therapists' client-specific self-efficacy on the directional discrepancy and congruence, (c) clarify the relationship between specific working alliance aspects congruence and the next-session symptom, and (d) test the relationship between the congruence of goals/tasks or bond and the psychotherapy outcome under different levels of therapists' self-efficacy. Clients (n = 87, 80.9% female, average age = 21.78 [1.90]) and therapists (n = 43, 65% female) in a Chinese university mental health center evaluated the working alliance session by session. Clients self-reported session-level symptom severity were assessed at the beginning of every session and therapists' self-efficacy for a specific client were assessed at the end of the first session. The truth-and-bias approach was used to analyze the perceptual directional discrepancy and temporal congruence in goals/tasks and bond, and examine the moderating effect of therapists' self-efficacy. Multilevel polynomial regression and response surface analysis were used to clear the relationship between congruence/incongruence and client symptom level in the next session. (a) Clients and therapists temporally agreed on both the goals/tasks and bond dimensions of the working alliance. Averagely, therapists tended to rate goals/tasks agreement lower than clients but did not rate more or less intense bond than clients. (b) Therapists with low or medium self-efficacy for specific client underrated goals/tasks and bond more than therapists with high client-specific efficacy, and among the therapist-client dyads, the higher therapists' client-specific self-efficacy, the higher temporal congruence in bond rather than goals/tasks. (c) For both goals/tasks and bond, when clients and therapists were in agreement, client symptoms decreased as the congruent combinations of therapists' and clients' goals/tasks increased. Clients' symptom level increased more sharply as the degree of discrepancy increases for goals/tasks, not affected by the direction. (d) However, for therapists with high client-specific self-efficacy, their underestimations were more associated with the less severe next-session symptoms of their clients than their overestimations. This association was not found among clients whose therapists' self-efficacies for them were low. The findings provide a deeper insight into the congruence of the working alliance. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

Does person-group fit matter? A further examination of hope and belongingness in academic enhancement groups.

Abstract: Efforts have been made to support the academic success and address the retention of low academically performing college students; however, little is known about how these interventions are effective. This study builds upon recent findings that the hope and belongingness of college students in a group-based academic enhancement intervention were important factors in their academic success. Applying person-environment fit theory, this study assessed changes in an individual's hope and belongingness, changes in the group's hope and belongingness, and the interaction between changes in both an individual's hope and belongingness and the group's hope and belongingness (i.e., person-group fit) on the academic outcomes of 145 college students participating in 11 academic enhancement seminars. Results indicated that changes in a student's hope and belongingness were positively associated with changes in their academic self-efficacy, but not their academic performance, as measured by grade point average (GPA). However, the changes in the group's hope and belongingness moderated the relationship between students' changes in hope and belongingness and their academic performance, such that these relationships were stronger when the student fit with their group in regard to their perceived changes in hope and belongingness (i.e., high individual-high group change). This study provides further support for the importance of instilling hope and a sense of belongingness in students within academic enhancement groups, and the complex influence of group-level processes within these interventions. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

Association between therapist attunement to patient outcome expectation and worry reduction in two therapies for generalized anxiety disorder.

Abstract: Patients' higher psychotherapy outcome expectation (OE) correlates with improvement. Thus, it seems important that therapists attune to this belief, both in the moment and over time, to capitalize on its value when higher or respond to its potential risk when lower. Conceptually, attunement can have different guises, including the extent to which therapists (a) accurately estimate their patients' momentary OE level (low directional discrepancy), (b) become more accurate in estimating OE over time (convergence), (c) accurately track shifts in their patients' OE (temporal congruence), and (d) become more temporally congruent over time (alignment). To date, though, little is known empirically about therapist attunement to patient OE. Thus, we examined the presence of attunement indices and their relation to posttreatment outcome. Data derived from a randomized trial that compared cognitive-behavioral therapy (CBT; n = 43) to CBT plus motivational interviewing (n = 42) for patients with generalized anxiety disorder. After each session, patients rated their OE, and therapists estimated their patients' OE. Patients rated worry at baseline and posttreatment. Dyadic multilevel modeling revealed that across both treatments, therapists were directionally discrepant in that they underestimated patients' OE (p < .001), which did not change over time (no average convergence/divergence pattern; p = .43). Additionally, therapists exhibited temporal congruence with patients' OE (p < .001) and became more aligned with this rating over time (p = .008). Only greater OE convergence, when it occurred, predicted lower worry (p = .04). A therapist's increasingly accurate empathy about their patients' OE may be therapeutic. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

Effects of patient-therapist interpersonal complementarity on alliance and outcome in cognitive-behavioral therapies for depression: Moving toward interpersonal responsiveness.

Abstract: This study analyzed patient-therapist in-session interpersonal complementarity effects on the therapeutic alliance and depression severity during the initial and working phase of cognitive-behavioral therapy for depression. It also explored whether patients' interpersonal problems moderate those complementarity effects. We drew on a sample of 90 dyads derived from a randomized controlled trial of two cognitive-behavioral therapies for depression. Using an observer-based measure, we assessed patients' and therapists' interpersonal behavior in Sessions 1, 5, 9, and 13 and computed their complementarity regarding interpersonal affiliation (i.e., correspondence) and dominance (i.e., reciprocity). Patients completed measures of interpersonal problems at baseline and session-by-session measures of depression severity and quality of the therapeutic alliance. Response surface analyses based on polynomial regressions showed that patient-therapist complementarity in higher affiliative behaviors was associated with a stronger alliance. Interpersonal problems regarding agency moderated the complementarity effects of the dominance dimensions on depression severity. Overly dominant patients benefited more from a nonreciprocal relationship in the dominance dimension, whereas submissive patients benefited more from complementarity in that dimension. Furthermore, interpersonal problems of communion significantly moderated the effects of complementarity in affiliative behaviors on both the alliance and outcome. These results suggest the relevance of both interpersonal correspondence and reciprocity for the psychotherapy process, informing clinical practice in terms of interpersonal responsiveness. The moderation effects of interpersonal problems provide preliminary evidence, which should be replicated in future research, to determine relevant markers indicating for whom a complementary approach would be beneficial in cognitive therapy for depression. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

The shape of knowledge: Situational analysis in counseling psychology research.

Abstract: Situational analysis (SA) is a powerful method for visually mapping qualitative data. As an extension of constructivist grounded theory developed by Charmaz and others, Clarke's situational analysis encourages researchers to transform qualitative data into various visual maps that can illuminate dynamics that may be obscured by more traditional analytic approaches. Fifteen years since Fassinger's landmark article on grounded theory in counseling psychology research, I make an argument for SA's potential uses in counseling psychology using data from a mixed-methods dissertation on White racial affect. I outline the exigency of SA and its epistemological and methodological underpinnings in detail, with a focus on SA as a critical, structural analysis. Each primary mapping procedure-situational, positional, and social worlds/arenas maps-is introduced and examples are provided that illustrate SA's unique analytic capacities and insights. By way of SA, I argue for a "critical-cartographic" turn in counseling psychology along four axes: promoting systems-level research and advocacy, deepening consideration of intersectionality, cultivating alternative epistemologies beyond post-positivism, and invigorating qualitative research on counseling and psychotherapy. (PsycInfo Database Record (c) 2021 APA, all rights reserved).