For counseling psychology to realize its commitments uprooting anti-Black racism and white supremacy, we must shift from an individual a structural frame of reference. We expand on prior calls build upon the competencies approach that has been detailed in medical literature integrated into education. Whereas our existing “cultural” approaches orient us toward differences characteristics, compels deeply understand, ground interventions in, how community-level outcomes result determinants...

Despite growing evidence that a greater number of students are seeking counseling in college and university centers throughout the United States, there is dearth empirical information about (a) presenting concerns for which seek treatment (b) how these differ according to client demographic factors. The purpose this descriptive exploratory study was explore center clinicians categorize concerns, vary demographics. Given importance suicide within field counseling, frequency suicidality as an...

This article introduces a special section that addresses the need for culturally and structurally responsive training in psychotherapy. Nine articles explore how to prepare psychotherapists address cultural structural factors, addition individual interpersonal their practice. Key themes include fostering more critical form of humility, building consciousness, addressing oppressive systems within psychotherapy, supervision, environment, accreditation. The also highlight importance advocacy...

We examined the effectiveness of Hill model helping skills training for 191 undergraduate students in six sections a semester-long course. Students completed self-report, performance, and nonverbal measures at beginning; they conducted one 20-min session beginning another toward end semester; self-efficacy semester. Students’ improved over course semester, as evidenced by higher helper- volunteer client–rated quality, reduced proportion words spoken sessions, increased exploration used using...

We employed a convergent mixed methods design to examine therapist and counseling center effects on international student clients' (ISCs) outcomes. Using the Center for Collegiate Mental Health (CCMH) data set (2015-2017), we conducted three-level hierarchical linear model with clients (N = 85,110) nested in therapists 1,267), centers 111), status predicting distress (DI) their last sessions while controlling initial DI. Compared domestic students, average session DI was significantly higher...

The development and initial validation of a client-rated measure therapist cultural comfort (the Therapist Cultural Comfort Scale [TCCS]) is reported. first phase the study involved content pool items via consultation with (a) focus groups doctoral student therapists (b) experts in field multicultural counseling psychotherapy. A 56-item generated during this phase, together instruments used to gauge convergent incremental validity, were administered community adult sample current...

Anti-Black racism is often overlooked in predominantly White spaces such as psychotherapy. This pervasive disregard and dehumanization reflects the perpetuation of ongoing racial trauma that can influence psychological health Black people seeking Therapists, therefore, ought to be equipped comfortable have conversations about anti-Blackness anti-Black sessions, though evidence suggests they are uncomfortable discussing race practice. To understand therapists' comfort when clients discuss...

There has been a growing recognition of the role that various aspects culture play in theory and practice psychotherapy. One aspect received little attention, however, is language. Specifically, we lack comprehensive understanding value bilingual clients find expressing thoughts, feelings, experiences two languages. Research enhances bilingualism plays psychotherapy may thus help improve quality services receive. To this end, interviewed eight Latinx people (seven Mexican descent one Puerto...

In the present study, we used a large, national data set to examine psychotherapy outcomes from 9,515 Latinx clients seeking treatment in 71 college or university counseling centers United States, 13 of which were Hispanic-serving institutions (HSIs) and 58 predominantly White (PWIs). We examined hypothesis that HSIs, compared PWIs, would experience greater relief symptoms depression, generalized anxiety, academic distress over course psychotherapy. Results multilevel modeling offered...

Objective: To explore the relationship between international students' social support at intake and student distress end of treatment. Participants: Data was collected from participants (n = 40,085) 90 United States universities using Center for Collegiate Mental Health (CCMH) database. Methods: Participants completed measures psychological perceived support. Using multilevel modeling, we predicted participants' treatment by status, support, race, length therapy. Results: We found that...

Psychotherapy science and the practice of psychotherapy do not always co-exist. Rather, tension has developed overtime between researchers practitioners. This tension, however, eroded all links practice. In fact, many therapists pursue careers in which they can engage research. phenomenological study was undertaken to understand meaning ascribe being a part research while full-time clinicians. To accomplish this task, we interviewed ten who work college counseling center where intersection...

Mental Health Disorders (MHDs) are an increasingly pervasive issue on college campuses. The aim of the present investigators was to identify differences in frequency attendance counseling, recognition warning signs, and awareness resources for mental distress between within students enrolled Science Technology Engineering Math (STEM) majors health majors. Significant emerged students' by academic major, gender, past counseling. Our findings both complement extend extant literature importance...

The extent to which therapists are comfortable discussing clients' cultural identities in psychotherapy has been considered a valuable component of how integrate cultures into treatment. Cultural comfort specifically reflects therapist's way being at ease, relaxed, and open when Some initial research demonstrated the relationships between clinical outcomes, yet this work relied largely on cross-sectional designs. purpose preliminary study was use longitudinal data explore perceptions their...

We examined two structural equation models of international students’ suicidal ideation using data from 595 students in public universities the United States. The represented competing hypotheses about relationships among discrimination, cross-cultural loss, academic distress, thwarted belongingness, perceived burdensomeness, and ideation. findings indicated there were direct, positive links between distress to burdensomeness; a link burdensomeness ideation; indirect, via burdensomeness....

Countertransference is an important aspect of the therapeutic relationship that exists in therapies all theoretical orientations, and depending on how it managed, can either help or hinder treatment. Management countertransference has been measured almost exclusively with Factors Inventory (Van Wagoner, Gelso, Hayes, & Diemer, 1991) its variations, which focus 5 therapist qualities theorized to facilitate management: self-insight, conceptualizing ability, empathy, self-integration, anxiety...

Much research has highlighted the salience of acculturation to experiences international students, yet very little examined whether and how factors influence counseling students and, in turn, their with U.S. clients. In present study, self-report data were gathered from 104 enrolled training programs accredited by American Psychological Association Council for Accreditation Counseling Related Educational Programs across Two reflecting (acculturative stress cultural distance) as potential...

Abstract Objectives Our aim was to explore rates of prior counseling experiences as well pretreatment stressors and supports among transgender university students seeking psychotherapy services in centers. Methods We used regression models relationships between gender identity mental health experiences, risk‐related traumatic support clients (cisgender: n = 162,305; transgender: 545) treatment at 136 Results demonstrate more previous service utilization greater frequency some clients....

In 2019-2020, 1,075,496 international students pursued higher education in the United States. Many of these endure unique experiences psychological distress that accompanies their shared experience studying abroad Researchers have explored clinical within this diverse group, with some suggesting are at greater risk than from States for dropping out psychotherapy. This issue is underexplored extant psychotherapy literature. Therefore, we used a large, national data set and multilevel analyses...

International students attending universities in the United States may encounter psychological distress related to their adjustment and experiences studying a new context seek services from university counseling centers. Many centers use Counseling Center Assessment of Psychological Symptoms (CCAPS) measure college However, this scale has not been tested for measurement invariance with international students. Our purpose was explore CCAPS-62 -34 students.We both versions using data over...

In the present study, we examined whether clients' perceptions of similarity to their therapists in terms Big Five personality traits were associated with real relationship and, indirectly through relationship, treatment progress. Data collected an online crowdsource platform from 212 adult clients individual psychotherapy analyzed using polynomial regression and response surface analysis. Results indicated that who perceived greater at higher (vs. lower) levels Conscientiousness Openness...

This study compared pre-treatment distress and the changes in that over course of therapy between sexual trauma clients non-sexual clients. Reasons for ending were also examined. Data this collected at 139 university counseling centers. Psychological was measured using Counseling Center Assessment Symptoms; presenting concerns determined Clinician Index Client Concerns; reason end treatment a standardized Termination Form. MANOVA utilized to test differences psychological start MANCOVA used...

Young adulthood, experienced by many during college, is a prime time for students to foster personal growth and development. Throughout this time, friendships serve as important relationships that help them shape their identities develop community. Thus, the stress resulting from these can be extremely distressing, especially they build life away home. This study thus examined role of friendship its impact on psychological distress. To what manage stressor mental health, we also social...