Multicultural education in counselor education is a popular topic among counselor educators and scholars. To date, scholars have focused on understanding the experiences of counselor educators who teach dedicated multicultural courses. However, less attention has been given to other counselor educators who are required by ethical and training standards to address multicultural issues across the curriculum. The purpose of this study was to understand counselor educators’ experiences addressing multicultural issues in courses that do not have a specific multicultural or diversity focus. I used phenomenological methodology to explore the experiences of counselor educators who hold doctoral degrees in counseling or a related field, have taken a multicultural/diversity course in their graduate training, are full-time clinical or tenure-line faculty members in CACREP-accredited programs, and have never taught courses dedicated to multicultural or diversity issues. Twelve participants (six men and six women), ranging in age ranged from 31 to 65, participated in the study. Ten participants identified as White, one African-American, and one Hispanic. The research team identified eight themes: (1) reasons for avoidance, (2) constraints, (3) qualities and practices, (4) educator as a factor in student development, (5) infusion, (6) personal background, (7) awareness of biases and assumptions, and (8) counselor educator responsibility/gatekeeping. Findings from this study will add to the literature regarding infusion of multicultural issues across the curriculum. Additionally, the implications offered will serve as a resource for counselor educators as they experience unique personal and professional challenges when addressing multicultural issues in classrooms beyond the main multicultural or diversity course offered in counseling programs. Implications for this study may lead to development of more focused guidelines on how to increase the increase the comfort of counselor educators as they facilitate multicultural discussions and assist counselors-in-training in working toward cultural competence.
Approximately 20% of children experience serious mental health problems severe enough to meet diagnosis criteria, and less than one third of these children receive the services they need. Identifying effective school-based counseling interventions provides a viable and accessible solution, especially for families with financial barriers. This randomized, controlled outcome study examined the effectiveness of Adlerian play therapy (AdPT) compared to reading mentoring (RM) with 58 kindergarten through third grade students who qualified with clinical levels of disruptive behavior in the classroom. Participants were identified as 48% Latino, 33% European American, and 19% African American. Approximately four-fifths of participants were male. Children were randomly assigned to AdPT (experimental group) or RM (active control group) for 16 sessions of treatment. Children in both groups participated in twice weekly, individual, 30-minute interventions that took place in their schools. Results from a two (group) by two (repeated measures) split plot ANOVA indicated that, compared to the RM group over time, the AdPT group demonstrated statistically significant improvement on (a) disruptive behaviors in the classroom, as directly observed by objective raters and as reported by teachers, and (b) stress in the teacher-child relationship, as reported by teachers. Teachers and observers were blinded to children's treatment group assignment. AdPT demonstrated moderate to large effect sizes on all measures, indicating the practical significance of treatment. Further, 72% of children receiving AdPT improved from clinical/borderline levels of disruptive behavior problems to more normative functioning post-intervention, demonstrating the clinical significance of results. Whereas further research is warranted, results from this preliminary study are promising and support the use of AdPT in elementary schools to meet the needs of children exhibiting disruptive classroom behavior.
The purpose of this study was to examine the impact of ABC on adaptive functioning in high school males. Specifically, a pretest/posttest, experimental design (N = 46; Caucasian = 26, Hispanic = 20) was used to examine the changes in adaptive and maladaptive functioning in ABC participants (n = 21) compared to those in a control/waitlist group (n = 25) as measured by the Behavior Assessment System for Children, second edition (BASC-2). Participants randomly assigned to the treatment group engaged in 10 ABC sessions. In order to better understand group process in ABC, I had experimental group participants complete the Group Climate Question Short form (GCQ-S) three times during the intervention. A mixed between/within subjects ANOVA of the BASC-2 scores revealed a statistically significant increase in adaptive functioning for both groups, F(1, 33) = 8.58, p < .01, with a partial eta squared of .21 indicating a large effect. There was no statistically significant difference between the experimental and control/waitlist groups, F(1, 33) = .064, p = .80, and a very small effect size (partial eta squared < .01). A repeated measures ANOVA of the GCQ-S scores revealed a statistically significant increase in engagement, F(2, 38) = 4.067, p = .025, with an eta squared of .21, indicating a large effect. Limitations of the study, implications of the results for practice, and recommendations for future research are presented.
The purpose of this study was to explore the role and impact of adventure therapy (AT) on student development and to identify the greatest challenges to the implementation of AT in schools. The Delphi method was used to generate consensus of opinion within a group of experts in the field of adventure therapy and school counseling. Purposive sampling was used to identify the members of the expert panel and the definition of consensus was set at 80% for each item. Content and descriptive analysis were used to develop representative statements from participant responses between rounds. Ten Caucasian respondents, 6 men and 4 women, having met at least one of the expert criteria for the study, completed three rounds of participation which resulted in the attainment of consensus on 36 items addressing the role of adventure therapy in school counseling and the impact of AT in the areas of academic/career and social/emotional development. Twelve challenges to the implementation of AT in schools were identified and put in rank order. According to the results, experts believe adventure therapy has the greatest impact on social connectedness, problem solving, and student engagement in schools. Access to appropriate training in AT, administrative support, and funding were identified as the three greatest challenges to the implementation of adventure therapy in schools.
Mental health courts (MHCs) are part of an umbrella of specialty courts in which court officials, law enforcement, and treatment providers work together to seek alternative solutions to failed traditional approaches to justice. Researchers investigating MHCs indicated that the courts may be helpful in reducing recidivism and introducing offenders with mental health disorders to treatment services. I used the qualitative method of phenomenology to understand the experiences of young adult Black male clients' perceptions of mental health treatment in MHCs. Twelve participants ranged in age from 21-40 years. The research team identified three themes -- (a) helpful treatment factors, (b) relational growth, (c) treatment barriers – and five subthemes: (a) internal growth, (b) relational growth, (c) behavioral growth, (d) factors of marginalization, and (e) interpersonal barriers. Meaning pertaining to findings and implications for research and practice are discussed.
To date, researchers who have explored the complexity of childhood bereavement have utilized unstandardized assessment instruments and/or have independently evaluated specific constructs rather than factoring in the dimensionality of loss. The purpose of this study was to use parents' completion of established instruments--the Child Behavior Checklist and the Parenting Stress Index--to examine the multivariate shared relationship between characteristics of bereaved children referred for counseling--their ages, genders, ethnicities, types of loss, and life stressors--and their behavioral manifestations as well as the relationship between these characteristics and levels of parent-child relational stress. Utilizing archival clinical files, I examined these characteristics from bereaved children (N = 98) whose parents sought counseling services from two university-based counseling clinics. The sample consisted of 67 boys and 31 girls between the ages 3 and 11 years old (M = 6.28). The majority of participants (67%, n = 66) identified as Caucasian, 10% (n = 10) as African American, 10% (n = 10) as Hispanic/Latino, 6% as Bi-racial (n = 6), 4% as Native American (n = 4), and 2% as Asian (n = 2). A canonical correlational analyses (CCA) was conducted to examine relationship between characteristics of children and their subsequent behavioral manifestations. The full model was found to be statistically significant using the Wilks’s λ = .611 criterion, F(25, 328.41) = 1.862, p = .008. The R2 type effect size was .389, which indicates the full model explains about 39% of the variance shared between the two variable sets. A second CCA was conducted to explore the relationship between characteristics of bereaved children and levels of parent-child relational stress. The full model was found statistically to be significant using the Wilks’s λ = .790 criterion, F(10, 154) = 1.926, p = .045. The R2 type effect size was .210, which indicates the full model explains …
Pre-tenured faculty in higher education and as well as mothers have reportedly struggled with low wellness levels, high demands, little social support, and an imbalance of work and home life. Mothers in higher education and in counselor education have reported struggling with work-life balance, high scholarly productivity, and long hours as well as the emotional and physical energy demands of working with counselors-in-training. A search of the professional literature revealed a paucity of quantitative research regarding demographic characteristics, wellness levels, and social support levels of mothers among counselor education faculty (MCEs). Participants for this study were faculties of counselor education programs recruited from the Holland List of Counseling Programs and from the Council for Accreditation of Counseling and Related Educational Programs online directory. A total of 180 MCEs participated (aged 29-63, with mean age 40.6 years; 83% Caucasian, 8% other, 5% African American, 3% Hispanic, <1% Asian). Results showed that faculty rank did not account for a significant difference among wellness scores of MCEs and that reported social support, tenure or non-tenure track, number of children in the care of MCEs, number of children under age 8, number of publications, and teaching workload accounted for 14% of the variance in wellness levels of MCEs. Specifically, reported higher teaching workload (β = -.194, rs2 = .35, p = .012) and higher social support (β = -.258, rs2 = .36, p = <.001) were found to be significant predictors of lower wellness levels among MCEs, both with small effects. Based on these results, MCEs may benefit from advocating that their departments and universities adapt to their unique needs to improve their levels of wellness and social support through mentoring, which, in turn, may result in not only their own increased productivity but also their students' increased wellness levels.
Play therapy and animal-assisted therapy are two specialized modalities within the field of counseling. Child-centered play therapy (CCPT) is a specific theoretical approach to play therapy that regards the therapeutic relationship as the primary healing factor. With much empirical support, CCPT is considered an effective mental health treatment option for working with children. Animal-assisted therapy in counseling (AAT-C) is acknowledged in the literature as a supplemental treatment modality to an existing counseling practice. Although past researchers have shown support for AAT-C as well as CCPT, there is a current dearth of literature examining the integration of these approaches. The present study sought to understand the approach of incorporating a therapy dog into child-centered play therapy while maintaining theoretical consistency. Using a constructivist grounded theory approach, I facilitated child-centered canine-assisted play therapy (C3APT) services for four children and reviewed the sessions with expert supervisors in AAT-C and CCPT. Three major themes emerged from the data: (a) principles of C3APT, (b) procedures of C3APT, and (c) relational dynamics. Implications for clinical practice and training of both therapy dogs and C3APT practitioners are also discussed.
This phenomenological study examined the experiences and perceptions of child-centered play therapists who deliver shortened sessions in the clinic setting. Using the phenomenological analysis procedures based on Moustakas' modified Stevick-Colaizzi-Keen method, a coding team of three doctoral students found 10 themes related to child-centered play therapists' (N = 5) experiences delivering shortened session lengths. Each theme is defined and further described using verbatim transcript examples. This study has practical and clinical implications for child-centered play therapist development and training. The results of this study point to the need for further research in child-centered play therapists' experiences delivering play therapy-as-usual. Finally, future research regarding the change process in child-centered play therapy theory is also implicated.
Adverse childhood experiences (ACEs) are a certain set of abuse household dysfunction experiences that many children in the United States experience. Children who experience multiple ACEs are more likely to have negative mental and physical health issues as they grow older. These outcomes include ADHD, depression, cancer, heart disease, and early death. In this study, I examined the effectiveness of child centered play therapy (CCPT), a developmentally appropriate treatment modality, with children who have experienced two or more ACEs and who are also demonstrating inattention and impulsivity symptoms. Participants were 34 students from five Title 1 elementary schools in the southwest United States (28 males and 6 females; age range 5-8 years old with a mean age of 6.12). In the sample, participants were comprised of 29.4% African American (n = 10), 38.2% Caucasian (n = 13), 17.6% Hispanic/Latino (n = 6), and 14.7% identified as biracial (n = 5). Participants were randomly assigned to a treatment group that received 16 CCPT 30-minute sessions twice a week (n = 17) or a waitlist control group (n = 17) that received treatment at the conclusion of the study. Using a factorial ANOVA, results indicated statistically significant improvement of CCPT treatment group over waitlist control group on the ADDES-4 School Total and the DOF Attention Deficit/Hyperactivity Problems scale indicating that CCPT was an appropriate treatment model for children who have experienced ACEs and inattention and impulsivity symptoms.
The shortage of bilingual counselors is one barrier to young Latina/o children receiving mental health services. Child-centered play therapy (CCPT) is a developmentally responsive intervention based on the premise that play is children's natural means of communication across cultures. This randomized controlled study examined the effects of CCPT with young Spanish-speaking Latina/o children exhibiting clinical levels of school behavior problems. Participants were 57 pre-K to kindergarten Latina/o children (72% male; mean age = 4.0) randomly assigned to three treatment groups: CCPT with Spanish-speaking, bilingual counselors; CCPT with English-speaking, monolingual counselors; or active control (bilingual mentoring). Monolingual counselors participated in cultural competency training and supervision with bilingual counselors and supervisors. According to independent observers and teachers blinded to children's group assignment, both the bilingual CCPT group and the monolingual CCPT group demonstrated moderate treatment effects over bilingual mentoring, yet between-group differences were not statistically significant. Analysis of within-group change over time indicated that children in both CCPT interventions demonstrated statistically significant improvement, while the mentoring group did not. The percentage of children in each treatment group who improved from clinical to normal behavioral functioning suggests the clinical significance of the findings: 80% bilingual CCPT, 70% monolingual CCPT, 15% bilingual mentoring. Overall, findings indicate that CCPT, whether delivered by bilingual counselors or culturally-competent, monolingual counselors, is a promising intervention for young Latina/o children exhibiting behavior problems.
Child-centered play therapy (CCPT) is an empirically supported and developmentally appropriate counseling intervention for young children. Despite the clinical effectiveness of CCPT with children, no known study has been conducted in which parents were surveyed or interviewed regarding the services they have received as a part of their children’s participation in CCPT. Therefore, this study was designed to gain a better understanding of parents’ reported needs and expectations in CCPT. This study utilized Q-methodology in which participants completed a Q-sort by actively sorting 40 items on a continuum of least important to most important. Items included services and processes regarded by CCPT scholars and child therapy practitioners as being important to working with parents. Data was collected from 19 parents of children receiving CCPT services in a community-based counseling clinic. Participants included 16 females and 3 males; 15 Caucasian and 4 Hispanic; and 14 biological parents, 2 adoptive parents, and 3 other biological caregivers. Data was analyzed using centroid factor analysis, and results revealed a one factor solution representing 18 of the 19 participants. Eighteen parents reported similar beliefs regarding the processes they consider most and least important to their experience in working with child-centered play therapists. In general, parents’ beliefs aligned with CCPT philosophy, particularly in regards to respecting children’s natural pace of development and healing. Furthermore, parents shared preferences for play therapists who demonstrate expert knowledge and training and who understand the individual needs of their children. Discussion includes implications for the practice of CCPT and training of future play therapists, limitations of the study, and implications for future research.
Child centered play therapy (CCPT) is a therapeutic intervention that provides the environment for children to work through and heal from difficult experiences through expression of play and therapeutic relationship. It has been demonstrated effective with multiple types of disruptive behaviors. I conducted single-case research to explore CCPT's influence on children who had four or more adverse childhood experiences (ACEs) and provided analysis of data collected from one assessment administered weekly and one assessment at pre-, mid-, and post-intervention: the Strength and Difficulties Questionnaire and the Trauma Symptoms Checklist for Young Children. The two participants (one 8-year-old White American male and one 9-year-old White American female) demonstrated significant improvement in total difficulties and prosocial behaviors. The study revealed potential therapeutic benefits for utilizing CCPT with children who had four or more ACEs. Encompassed in discussion of study results are implications for practice, suggestions for future research, and limitations.
Aggressive behaviors in childhood currently serve as the leading cause of counselor referrals within the United States. Children exhibiting maladaptive aggressive symptomology are at an increased risk for highly externalized and problematic behaviors across the lifespan. Emotional self-regulation and empathy are two constructs currently believed to be closely related to aggression, but a lack of research exploring these variables currently exists in the counseling literature. In this study I examined the effect of child-centered play therapy (CCPT), is a manualized, developmentally responsive, and nondirective intervention, on these variables. Participants were 71 students from four Title 1 elementary schools in the southwest U.S. referred by teachers for aggressive behavior (12 females, 59 males; age range 5-10 years with mean age 6.28. The sample consisted of 52.1% (n = 37) children identified as African American, 21.1% (n = 15) as Latina/Latino, 19.7% (n = 14) as Caucasian, and 7% as multiracial (n = 5). Participants were randomly assigned to 8 weeks of a twice-weekly CCPT experimental group (n = 36) or a waitlist control group (n = 35). Results of descriptive discriminant analyses (DDA) of the Social Emotional Assets and Resilience Scale and the Children’s Aggression Scale scores revealed that parents perceived children’s group membership in CCPT as significant and reasonably predictive of improvement in children’s aggression, self-regulation, and empathy. However, teachers did not perceive a statistically significant difference between the two groups with respect to these variables. These results suggest the relevancy of CCPT for parents in providing children with a developmentally responsive intervention to reduce aggressive behaviors and support their healthy development.
For the past 40 years, one southwestern US university counseling program has sponsored two mental health training clinics in which master's and doctoral level students have learned to provide child parent relationship therapy (CPRT) services to community parents. In their training, students learn about the positive effects of CPRT, particularly on parental stress. To date, however, no program evaluation has been conducted at these clinics focusing specifically on parental stress outcomes after the completion of CPRT or to determine the demographics and characteristics of parents who pursue CPRT. The purpose of this study was to conduct such an evaluation of archival data spanning 7 years. Participants were 129 parents (70% female, 30% male; 80% Caucasian, 35% Hispanic/ Latino, 6% African American, and 4% Asian; 62% married, 9% separated, 16% divorced). Results from a t-test indicated a statistically significant decrease in self-reported parental stress, with a moderate effect size. Multiple regression revealed that women and those who attended with a co-parent reported greater stress reduction. This study confirmed the benefit of CPRT, provided by counselors-in-training, on reducing parental stress and indicated clientele for which and conditions in which those benefits might be optimized.
This randomized controlled study is a preliminary investigation on the effects of Child-Parent Relationship Therapy (CPRT) with 61 adoptive parents. The participants in this study identified themselves as the following: 54 European American, 3 Black American, 3 Hispanic/Latino, and 1 individual who chose not to indicate ethnicity. The study included 23 couples and 15 individual mothers. The CPRT is a structured, time limited approach that trains caregivers to be an active participant as a therapeutic change agent in their child's life. Results from a two (group) by two (measures) split plot ANOVA indicated that adoptive parents who participated in 10 weeks of CPRT reported statistically significant decreases in child behavior problems and parent child-relationship stress. Statistically significant increases in parent empathy were also reported by raters blinded to the study. CPRT demonstrated a medium to large treatment effect on reducing children's behavior problems and parent-child relationship stress. In addition, CPRT demonstrated a large treatment effect on increasing parental empathy. The results of the study provide preliminary support for CPRT as a responsive intervention for adoptive parents and their children.
This exploratory study examined the effectiveness of child teacher relationship training (CTRT) with at-risk preschool children exhibiting disruptive behavior. The participants included a total of 23 Head Start teachers and their aides, and children identified by their teachers as exhibiting clinical or borderline levels of externalizing behavior problems. Teacher participants included 22 females and 1 male; demographics were reported as 56% Hispanic ethnicity, 17% Black American, and 22% European American. Child participants included 15 males and 5 females; demographics were reported as 60% Hispanic, 30% Black American, and 10% European American. A 2 by 3 (Group x Repeated Measures) split plot ANOVA was used to analyze the data. According to teacher reports using the Teacher Report Form (C-TRF) and blinded raters’ reports using the Direct Observation Form (DOF) to assess disruptive behaviors, children whose teachers received the CTRT intervention demonstrated statistically significant decreases (p < .05) in externalizing behaviors on the C-TRF and total problems on the DOF from pre- to mid- to post-test, compared to children whose teachers participated in the active control group. The CTRT intervention demonstrated large treatment effects on both measures (C-TRF: ?p2 =.173; DOF: ?p2=.164) when compared to CD, revealing the practical significance of the findings on reducing disruptive behaviors. According to independent raters on the DOF, 90% of children receiving the CTRT intervention moved from clinical levels of behavioral concern to more normative levels of functioning following treatment, establishing the clinical significance of CTRT as an early mental health intervention for preschool children in Head start exhibiting disruptive behavior.
This study investigated the impact of child teacher relationship training (CTRT) on teachers’ ability to provide emotional support in the classroom, teachers’ use of relationship-building skills, and teachers’ level of stress related to the student-child relationship. Teachers and aides from one Head Start school were randomly assigned to the experimental group CTRT (n = 11) or an active control Conscious Discipline group (CD; n = 12). Overall, 21 females, 11 (CTRT) and 11 (CD), and one male (CD) participated in the study. Participating teachers and aides identified themselves as the following: 13 Hispanic/Latino, 5 Black American, and 5 European American. Teachers and aides identified children with clinical levels of disruptive behavior problems for the purpose of selecting children of focus for the study. The children’s mean age was 3.63 for CTRT group and 3.36 for CD group. Overall, 9 females, 2 (CTRT) and 7 (CD), and 10 males, 6 (CTRT) and 4 (CD) participated in the study. Teachers reported children’s ethnicity: 13 Hispanic/Latino, 5 African American, and 1 other. A two-factor (Treatment x Group) repeated measures split plot ANOVA was utilized to analyze the data with an alpha level of .05. According to objective raters blinded to the study using the Classroom Assessment Scoring System (CLASS) and the Child Teacher Relationship Skills Checklist (CTRT-SC) and teacher reports using Index of Teaching Stress (ITS), results revealed a statistically significant interaction effect for the experimental teachers’ use of child-teacher relationship skills (CTRT-SC: p = .036), a non-statistically significant interaction effect for the experimental teachers’ ability to provide emotional support (CLASS: p = .50), and a non-statistically significant interaction effect on teacher stress (ITS: p = .997). Partial eta squared effect sizes were calculated to determine the practical significance of the findings. Compared to the active control, CTRT demonstrated large treatment effects over …
Most counselors agree that the therapeutic relationship is essential in counseling. However, the current evidence-based treatment movement has resulted in a focus on treatment protocols and techniques in outcome research. Researchers have called for the inclusion of relationship variables in future outcome research. Child-centered play therapy (CCPT) is an empirically-supported, developmentally responsive intervention for children that emphasizes building a therapeutic relationship based on the philosophy of person-centered theory. Exploring the impact of the relationship on CCPT outcomes would be beneficial, but no current quantitative measure exists for obtaining the child’s view of the therapeutic relationship. The purpose of this study was to create a developmentally appropriate instrument to measure children’s perceptions of the therapeutic relationship. Established instrument development procedures were followed to create the Relationship Inventory for Children (RIC), a 15-item instrument for use in outcome research that measures the child’s perspective of the therapeutic relationship. Participants were 33 child experts who participated in interviews and preliminary testing of the instrument as well as 100 children whose scores on the 31-item pilot instrument were submitted to exploratory factor analysis (EFA). Children (62% male) ranged in age from 6 to 9 years (M = 6.92) and 53% identified as Caucasian, 14% as Hispanic, 14% as African American, 2% as Asian American, 0.8% as Native American, 8% as Multiracial, and 9% unreported. The EFA resulted in three factors: Positive Regard, Unconditional Acceptance, and Empathy. Implications for further development of the RIC, for use of the RIC in research, and for application of the RIC to person-centered theory are discussed.
This non-experimental field study examined the relationship between participant reported experiences of relational depth (RD) with their individual counselors in substance use disorder (SUD) treatment and participant reported motivation to change substance use. Participants in the study were clients enrolled in inpatient and outpatient levels of substance use disorder treatment. A total of 78 clients (aged 18-77, with mean age 35.97, 80.1% Caucasian, 11.5% African-American, 3.8% Hispanic, 1.3% Asian, 1.3% multiracial, 1.3% other) with SUDs participated in the study. Results demonstrated that treatment process variables explained approximately 42% of the variance in participant recognition scores. Specifically, substance abuse community support involvement (β = .598, rs2 = .908, p < .001) and relational depth (β = .184, rs2 = .178, p = .045) were found to be significant predictors of participant recognition of a substance use problem. From these results, one may tentatively conclude that community support and the development of relational depth in SUD treatment are valuable additions to standard SUD treatment. Extended results are described and summarized using text, tables, and figures. The study has practical and clinical implications for counselors working with clients in substance use disorder treatment particularly concerning the length of individual counseling.
Resilience implies the concept of buoyancy. Specifically, it denotes an individual's capacity to persevere and even do well in the face of adversity. Service-learning is pedagogy often used to enable students to apply classroom learning in a real world context. The goal of this study was to examine the effects of service-learning upon college student resilience. The study utilized a convenience sample of undergraduate students (N = 172) across three disciplines including counseling, social work and kinesiology. In a pre-post test design, the CD-RISC was employed to measure resilience of the experimental and control groups. Factor analysis of the CD-RISC was also conducted in order to explore interrelationship of the variables among the data. One undergraduate sample (N = 210) was used to conduct the EFA before determining a best fit factor structure for this study's population. A repeated measures analysis of variance was employed to detect any differences between pre-post test groups. No statistical significance was found across pre and post-test among the two groups (p=.49, η2=.00). However significant results were found between the experimental and control groups (p=.00, η2 =.09). Examination of mean score differences among demographic variable yielded interesting findings across the three disciplines as well as between age and gender of the participants. Findings indicated students given freedom of choice within service-learning logistics scored greatest gains in resilience.
This mixed-methods study’s purpose was a systematic comparison of contents and aftereffects of near-death experiences (NDEs) occurring in a variety of circumstances with those occurring in combat. They completed an online survey: a demographic questionnaire, the Near-Death Experience Scale, the Life Changes Inventory-Revised (LCI-R), and four narrative response items. Survey completers were 68 participants: 20 combat near-death experiencers (cNDErs) and 48 non-NDErs (nNDErs). The 29% of participants who met NDE Scale criterion for an NDE was comparable to NDE incidence findings from previous retrospective studies. For statistical analyses, significance was set at p < .05, and effect size (Cohen’s d) was calculated. Mean total NDE Scale scores were significantly lower for cNDErs than variety-of-circumstance NDErs from one of two comparable studies (t = 5.083, p < .0001, d = -1.26), possibly suggesting cNDEs may have “less depth” than other-variety NDEs. Regarding cNDE aftereffects, absence of previous LCI-R data made comparison impossible. Cronbach’s alpha analysis yielded acceptable reliability on the total scale and seven of nine subscales, a finding that matched Schneeberger’s (2010); however, factor analytic results did not support the hypothesized subscale structure of the LCI-R. Although cNDErs did not score significantly higher than nNDErs on the total scale or subscales after Bonferroni correction, results indicated a possible trend toward greater absolute changes (p = 0.02, d = 0.74) and spirituality (p = 0.02, d = 0.67) with the latter finding substantiated by narrative responses. Informal analysis of narrative responses yielded several themes.
The purpose of this phenomenological study was to explore how LGB college students created meaning out of their coming out process to their parents. I recruited LGB college students who perceived support from their parents during their coming out process and asked the following research question: What are the lived experiences of LGB college students who have experienced support from their parents during the coming out process? Seven White (n = 4), African American (n = 2), and Hispanic (n = 1) college students, three men and four women aged 18-24 years, shared narratives that included time periods before, during, and after their coming out disclosures to their parents. Using an adapted phenomenological analysis, I identified nine major themes: awareness of feeling different, positive relationship with parents prior to coming out, college impacting the coming out process, feeling unsure of how parents would respond to disclosure, parents assuring continued loved and acceptance, parents affirming LGB identity, increased relational depth with parents, increased sense of authenticity, and an appreciation for family's response and support. The findings provide insight into how counselors might work most beneficially with LGB college students and their parents around the coming out process. Opportunities for future research and limitations of the study are discussed.
The primary purpose of this study was to confirm the four-factor structure of the 30-item Adlerian Personality Priority Assessment (APPA) using a split-sample cross-validation confirmatory factor analysis (CFA). The APPA is an assessment, grounded in Adlerian theory, used to conceptualize clients based on the four personality priorities most commonly used in the Adlerian literature: superiority, pleasing, control, and comfort. The secondary purpose of this study was to provide evidence for discriminant validity, examine predictive qualities of demographics, and explore the prevalence of the four priorities across demographics. For the cross validation CFA, I randomly divided the sample, 1210 undergraduates, at a large public research university (53% Caucasian, 13.1% Hispanic/Latino(a), 21.4% African American, 5.4% American Indian, and 5.8% biracial; mean age =19.8; 58.9% females), into two equal subsamples. I used Subsample 1 (n = 605) to conduct the initial CFA. I held out Subsample 2 (n = 605) to test any possible model changes resulting from Subsample 1 results and to provide further confirmation of the APPA's construct validity. Findings from the split-sample cross-validation CFA confirmed the four-factor structure of the APPA and provided support for the factorial/structure validity of the APPA's scores. Results also present initial evidence of discriminant validity and support the applicability of the instrument across demographics. Overall, these findings suggest Adlerian counselors can confidently use the APPA as a tool to conceptualize clients.
The purpose of this study was to confirm the four-factor model of the Child Interpersonal Relationship and Attitudes Assessment (CIRAA) in order to establish the instrument’s factor/structure validity using a sample different than that used in instrument development. The CIRAA was the first parent-report instrument based on child-centered theory and designed to measure play therapy outcomes. Its four factors are Self-Regulation (formerly Self-Control), Interpersonal Relationships, Coping Skills, and Internal Locus of Evaluation. For this study, the CIRAA was administered to 206 parents; their children were 75 females and 131 males aged 3 to 10 years old. The distributions of children’s genders and ages in this study were similar to the distributions of the sample used to develop the CIRAA. Based on confirmatory factor analysis results of overall goodness-of-fit indices; localized areas of strain; and interpretability, size, and statistical significance (p < .001) of the model's parameter estimate, the four-factor model of the CIRAA was confirmed with both theoretical and empirical support. Internal consistency reliability for the subscales and total score were acceptable, with an overall reliability coefficient of .928. A medium negative correlation (r = -.417, n = 47, p < .01) was found between the CIRAA total scores and Child Behavior Checklist Total Problems scores, a result in the expected direction. All subscales and total scores, except the Internal Locus of Evaluation score, distinguished differences between non-clinical and clinical samples. Altogether, results indicated that the CIRAA is appropriate for making clinical decisions about individuals. Limitations, additional implications, and future research are discussed.
The purpose of this study was to explore how the therapist-provided conditions of congruence, unconditional positive regard, and empathic understanding were experienced and conveyed in child-centered play therapy (CCPT). Although the therapist-provided conditions are considered essential to the therapeutic process in CCPT, a gap exists between child-centered theory and empirical exploration of the process and dynamics of these relational variables in CCPT. Due to the limited research in this area, a grounded theory approach was utilized to explore how the three variables emerge in CCPT. Participants included four advanced doctoral students, all Caucasian females with extensive training in CCPT, and 12 children ranging from 4 to 8 years of age receiving weekly, individual CCPT. One individual CCPT session was observed and video-recorded for each therapist-child dyad (n = 12). Following each observation, play therapists were interviewed regarding the observed play session (n = 12). During each interview, the researcher and therapist watched the recorded play session in its entirety and discussed noteworthy interactions between the child and therapist. The video-recorded play therapy sessions and therapist interviews were analyzed using a multiphasic, constant comparative method. Results of the analysis included a process-model of the therapist-provided conditions in CCPT, examples of play therapists’ internal experiences and external behaviors associated with the presence and absence of the therapist-provided conditions, and a model of the process play therapists utilize to respond to breaks and barriers to congruence, unconditional positive regard, empathic understanding, and unconditional positive self-regard in CCPT. Implications for clinical practice, training, supervision, and research are discussed.
The present meta-analytic study estimated the overall effectiveness of child therapy interventions using CCPT methodology and explored the relationships between study characteristics and treatment effects. Fifty-two studies between 1995 and the present were included based on the following criteria: (a) the use of CCPT methodology, (b) the use of control or comparison repeated measure design, (c) the use of standardized psychometric assessment, and (d) clear reports of effect sizes or sufficient information for effect size calculation. Hierarchical linear modeling (HLM) techniques were utilized to estimate the overall effect size for the collected studies and explore relationships between effect sizes and study characteristics. Dependent variable included 239 effect sizes, and independent variables included 22 study characteristics. The mean age of all child participants in the collected studies was 6.7. In 15 studies, the majority of participants were Caucasian. An equal number of studies were made up of non-Caucasian participants, including 3 with majority African American, 4 with majority Hispanic/Latino participants, 5 with majority Asian/Asian American participants, and 3 with other ethnic populations. Study collection included 33 studies with majority of boys and 11 studies with majority of girls. HLM analysis estimated a statistically significant overall effect size of 0.47 for the collected studies (p < 0.001). This result indicated that the overall improvement from pre to post treatment demonstrated by children in experimental groups was approximately 1/2 standard deviation better than by children in control groups. A statistically significant amount (49.2%) of between-study variance was found (p < 0.001), indicating the heterogeneity among the 52 studies Statistically significant relationships were found between effect sizes and study characteristics including child age, child ethnicity, clinical level of referral, treatment integrity, presenting issue, source of data, population, and caregiver involvement. Effect size findings for CCPT and its moderators should be interpreted in light of …
This study explored participants' experiences of being interviewed with the Adult Attachment Interview as a means of supporting counselor self-awareness and fostering effective counselor-client working alliances. A sample of first-year counselor education doctoral students (n = 7) completed an AAI interview and feedback session. Participants completed five reflective journals over three weeks and explored their experiences in individual, semi-structured interviews. Data were analyzed according to interpretative phenomenological analysis protocol. Four superordinate themes emerged from the analysis: (a) reactions to the AAI interview process, (b) process with AAI feedback, (c) AAI and intrapersonal process, and (d) AAI and interpersonal process. Additionally, there were eight subordinate themes: (a) surprised by AAI interview process, (b) interview process sparked reflection, (c) initial reaction to AAI feedback, (d) evolving process of integrating AAI feedback, (e) AAI process increased awareness, (f) increased self-awareness increased self-efficacy, (g) awareness from AAI process prompted relational shifts, (h) impact of AAI on clinical work, (i) importance of relationships, (j) importance of self-awareness, and (k) mutual influence of personal and professional. Findings in this study suggest that the AAI is an effective tool in supporting counselor self-awareness regarding attachment strategies. Additionally, findings suggest multiple personal and professional benefits, such as increased awareness of conflict and stress management strategies. Limitations to the study and further discussion of the results are presented. Implications for clinical practice, counselor education, and future research are also included.
Objectification theory (Fredrickson & Roberts, 1997) has been used to explain how mechanisms related to socialization, sexual objectification, and psychological variables interact to predict mental health difficulties. Among a sample of 626 undergraduate women (age 18-24), this study empirically tested components of Moradi and Huang’s (2008) model and extended it by including additional socialization experiences (i.e., sexual abuse, societal pressures regarding weight and body size). Structural equation modeling analyses suggested that the model provided a good fit to the data and the model was tested in the confirmatory sample. Across the two samples, high levels of Body Shame and low levels of Internal Bodily Awareness directly led and high levels of Societal Pressures Regarding Weight and Body Size, Internalization of Cultural Standards of Beauty, and Self-objectification indirectly led to increased Bulimic Symptomatology and accounted for 65 to 73% of the variance in Bulimic Symptomatology. A history of sexual abuse and sexual objectification were not consistently supported within the model and do not appear to be as salient as the experience of societal pressures regarding weight and body size in understanding women’s experience of bulimic symptomatology. Implications for practice and future research are discussed.
The purpose of this study was to develop a parent report form instrument congruent with the philosophy of child-centered play therapy. The study sought to develop an instrument with acceptable levels of construct validity, reliability, sensitivity to clinical attitudes and relationships, and responsiveness to intervention. The Child Interpersonal Relationships and Attitudes Assessment (CIRAA) and the Child Behavior Checklist (CBC) and the Parenting Stress Index (PSI) were administered to 136 parents of children aged 3 to 10. The children of the parents sample consisted of 90 males and 46 females. Exploratory factor analysis was conducted for construct validity. Parallel analysis was conducted to determine the number of factors to retain. The factor solution explained 53.86% of the variance, which is an acceptable amount of the variance. Cronbach's alpha was conducted for total scale and all subscales. Reliability scores for the total score and subscales were acceptable, with an overall reliability coefficient of .93. A Pearson's r was conducted for concurrent validity between the instrument, the CBC, and the PSI, with Pearsons' r of .75 and .74 respectively. Paired-sample t-tests using the pretest and posttest scores of the instrument in development examined the responsiveness of the instrument to play therapy intervention at the same level as the CBC and PSI. ROC curve analysis, indicated acceptable discrimination of clinical scores and adaptive scores, with a clinical score being generated from the analysis. It is the first parent-report form developed for child-centered play therapy, and provides an efficient and philosophically consistent instrument for child centered play therapists to use in clinical and research settings.
The purpose of this study was to develop an instrument to measure healthcare professionals’ knowledge and attitudes about near-death experiences (NDEs) that would demonstrate acceptable psychometric properties. In consultation with a focus group of six NDE experts, I developed the 50-item Knowledge and Attitudes toward Near-Death Experiences Scale (KANDES), including the 24-item KANDES–Attitude subscale (KANDES-A) and the 26-item KANDES–Knowledge subscale (KANDES-K). Including a pilot administration in which feedback indicated no need for revision, a total of 256 professional and student counselors completed the KANDES. Separate reliability and validity analyses were conducted for each subscale. For the KANDES–A, Cronbach’s alpha was .909, and Pearson’s r for test-retest was .748, both indicating acceptable reliability. An exploratory factor analysis indicated four factors to retain and yielded a factor solution that explained 54.87% of the variance, an acceptable amount of variance to substantiate construct validity. For the KANDES–K, Cronbach’s alpha was .816, indicating acceptable reliability. For each of the scale’s three domains, Cronbach’s alpha was .816 for Domain 1: NDE Content, .817 for Domain 2: NDE Aftereffects, and .631 for Domain 3: Experiencer Characteristics, indicating acceptable reliability. Pearson’s r for test-retest on the total KANDES–K was .812, further demonstrating acceptable reliability.
Learning community literature supports the use of student cohorts to enhance learning through increased peer interaction and common course work. Researchers employed the qualitative method of phenomenography to identify various ways doctoral counseling students conceptualize and experience learning in a cohort over the course of a single academic year. Participants were all 10 members of a single southwestern U.S. university counseling program doctoral cohort of full-time students between 20 and 59 years of age with 5 members 20-29, 4 members 30-39, 1 member 50-59; 8 female, 2 male; 9 White non-Hispanic, 1 African-American. Data were transcripts from 30 one-hour interviews, three for each participant over the course of their first year of study. The research team that analyzed the data consisted of three advanced counseling program doctoral students, each with research methods coursework. Results revealed nine dynamic structural aspects of learning: dialogue, diversity, knowledge, motivation, support, shared experience, relationship development, interpersonal awareness, and conflict. Findings support the use of learning communities in doctoral level counselor education programs. Cohort members demonstrated increasing awareness of the potential learning benefits of cohort interaction and developed more in depth strategies over time to utilize the cohort to enhance learning. Future counselor educators may now with greater confidence design learning communities and curriculum to facilitate doctoral cohort development for optimal student interaction.
Older adopted children and their families often express high need for support for attachment and trauma related concerns. Post-adoption mental health intervention focused on enhancing the parent-child relationship among adoptive parents and adoptees is essential for fostering placement permanency among these families. This single group pilot study explored the effect of Child-Parent Relationship Therapy (CPRT) for adoptive parents of preadolescents who reported attachment related concerns, stress in the parent-child relationship, and child behavior problems. Participants were 11 adoptive parents ages 25 to 64 (55% male; 91% couples; 100% married; 56% European American, 27% Asian, 9% Hispanic, and 9% Black American) with adoptees between the ages of 8 to 14 (56% male; 56% Hispanic, 33% European American, and 11% Black American). All child participants were adopted out of foster care. Data was collected at baseline, pretest, midtest, and posttest. Results from non-parametric Friedman test of differences across 4 points of measure indicated that CPRT demonstrated statistically significant improvement for the 3 outcome variables: parental empathy, child behavior, and parent child relationship stress. Specifically, results indicated that prior to receiving CPRT (baseline to pretest), parents demonstrated no change or worsening in functioning across all variables, whereas during the intervention phase findings showed a large treatment effect for parental empathy, a medium effect for parenting stress, and a small effect for child behavior problems. Findings from this pilot study support CPRT as a promising mental health intervention for adoptive parents and preadolescent children. Clinical implications and recommendations for working with adoptive parents of preadolescents are explored within the context of these findings.
High levels of quality father involvement in childhood are associated with children's socio-emotional, cognitive, and behavioral wellbeing. However, fathers can experience difficulty in building positive relationships with their kids due to work-life balance, lack of relational experience, and other life stressors. The purpose of this study was to assess the effectiveness of child-parent relationship therapy (CPRT) on fathers' parental empathy, parental stress, and child behavior problems. Though an abundance of literature exists to support the efficacy of CPRT, this was the first study to include a randomized controlled design with an all-male sample. This was also the first CPRT study to include both English and Spanish speaking fathers with intervention offered in both languages. Participants were 30 fathers (22 English, 8 Spanish; 53% Latino, 40% Caucasian, 7% Asian) with children between the ages of 3 and 10 (60% male, 40% female; 57% Latino/a, 37% Caucasian, 6% Asian). Fathers were randomly assigned to the experimental group (CPRT) (n = 14) or waitlist control group (n = 16). Results from 2 (Group) by 2 (Time) repeated measures ANOVAs did not yield statistically significant interaction effects on the dependent variables. However, results indicated a statistically significant main effect for time on each dependent variable with large effect sizes. Results of the paired samples t-test post hoc analyses indicated a statistically significant change over time for the experimental (CPRT) group and a non-statistically significant change over time for the control group on all dependent variables. Findings of this study support previous studies on the effectiveness of CPRT, but also indicate a need for future research to more accurately determine the effectiveness of CPRT for fathers compared to a waitlist control group.
This pilot study investigated the impact of group activity play therapy (GAPT) on displaced orphans aged 10 to 12 years living in a large children.s village in Uganda. Teachers and housemothers identified 60 preadolescents exhibiting clinical levels of internalizing and externalizing behavior problems. The participants ethnicity was African and included an equal number of females and males. Participants were randomly assigned to GAPT (n = 30) or reading mentoring (RM; n = 30), which served as an active control. Preadolescents in both treatment groups participated in an average of 16 sessions, twice weekly with each session lasting 50 minutes. Sessions were held in the school located within the village complex. A two (group) by two (repeated measures) split plot ANOVA was used to analyze the data. According to teacher reports using the Teacher Report Form (TRF) and housemother reports using the Child Behavior Checklist (CBCL), children receiving the GAPT intervention demonstrated statistically significant decreases (p < .025) in internalizing behaviors (TRF: p < .001; CBCL: p < .001 ) and externalizing behaviors (TRF: p = .006; CBCL: p < .001) from pretest to posttest compared to children who received RM. The GAPT intervention demonstrated a large treatment effect on reducing orphaned childrenÆs internalizing problems (TRF: ?p2= .213; CBCL: ?p2 = . 244) and a moderate to large treatment effect on reducing externalizing problems (TRF: ?p2= .121; CBCL: ?p2 = .217). The statistical, practical, and clinical significance of the findings provided strong, preliminary support for using GAPT as a developmentally and culturally responsive school-based intervention for troubled Ugandan orphans.
This randomized, controlled study examined the effectiveness of two mentoring programs, child mentor relationship training (CMRT) and peer assistance and leadership (PAL®), on high school mentor empathic behaviors and child mentee behavior problems. Participants were 60 young, at-risk students (61.7% male; 38.3% Hispanic/Latino/a, 31.7% Caucasian, 21.7% African American, 8.3% biracial) and 30 high school students (53.3% male; 66.7% Caucasian, 26.7% Hispanic/Latino/a, 0.03% African American, 0.03% Asian). Mentors and mentees were randomly assigned to CMRT or PAL®, which was treatment as usual in the participating school district. Results from 2 (group) by 2 (time) repeated measures ANOVAs indicated compared to the PAL® treatment group over time, mentors in the CMRT group demonstrated statistically significant improvement in empathic behaviors with a large treatment effect, as rated by independent observers. Analysis revealed a moderate treatment effect with CMRT group mentee behavior problems, but the difference was not statistically significant between treatment groups over time. Further analysis revealed the CMRT group demonstrated statistically significant reductions in behavior problems from pre- to post-test with a very large treatment effect. Overall, findings support CMRT as a promising school-based intervention for at-risk young children that potentially increases school counselor efficiency.
A growing disparity between the mental health needs of children and their lack of treatment served as the basis of this study. To address this existent gap, I proposed that child-centered play therapy (CCPT), a holistic treatment that fosters children's emotional, developmental, and social growth would serve as a viable treatment. The purpose of this study was to examine the effect of CCPT on problem behaviors among children identified with an intellectual disability. Specifically, a single case, A-B-A design (N = 2) was used to examine changes in participant's problem behaviors as measured on the Aberrant Behavior Checklist (ABC) across conditions. Trained raters used the ABC to rate participant's problem behaviors 3 times per week during the course of this study. Participants completed 2 weeks of a no-intervention phase, 5 weeks of play therapy 3 times per week, and 2 weeks of a no-intervention maintenance phase. Additionally, participants were administered the Gesell Developmental Observation to assess their maturational age during the baseline and maintenance phases. Parents also completed the ABC during two intervals: baseline phase, and maintenance phase. Analysis of results indicated that problem behaviors decreased for both participants. Results from the percent of non-overlapping data (PND), an indice for effect size further revealed that play therapy was a very effective treatment for participants. Follow-up interviews suggested that play therapy is a viable intervention for children with intellectual disabilities and problem behaviors. Clinical observations and implications for future research are presented.
There is currently a crisis in military veteran mental health care. At 5-30% of veterans receive a PTSD diagnosis. Veterans face a large gap that exists in accessing and receiving high quality care. One intervention that is becoming more popular is equine assisted counseling (EAC). The purpose of the present study was to examine the effectiveness of Relational Equine-Partnered Counseling (REPC) in reducing symptoms of PTSD in military veterans. I also examined specific PTSD symptom clusters including intrusion, avoidance, negative alterations in cognitions and mood, and alterations in arousal and reactivity. The present study utilized a single-case design consisting of a baseline phase, intervention phase, and post-intervention phase. Participants included four military veterans presenting for war zone-related PTSD: four males and one female, aged 32-67 years, two White/European non-Hispanic, one African American non-Hispanic, and one mixed ethnicity. Symptoms were assessed weekly using the Clinician-Administered PTSD Scale and the PTSD Checklist (PCL-5). The data were analyzed by visual analysis and statistical effect size. The results were mixed across the participants. All participants experienced decreased means between the baseline and intervention phases. However, interpretation of the results indicated that the intervention was effective in some areas for some of the participants. All participants reported that the intervention was beneficial in targeting specific symptoms. Overall, the results indicated that REPC may have some benefit in reducing distress related to PTSD. More research is needed to further explore the effectiveness of REPC on the reduction of PTSD-related distress.
Anxiety is one of the most pervasive childhood disorders, with a poor prognosis if left untreated. Traditional methods of treating anxiety have been less effective with young children. Based on theoretical assumptions regarding the potential effectiveness of child-centered play therapy (CCPT) as a treatment approach, I sought to explore the effects and mediating factors of CCPT on young children with symptoms of anxiety. Fifty-three participants between the ages of 6 to 8 years old were recruited from four elementary schools, including 36 males and 17 females. Of participants, 11 were African American, 24 were Caucasian, 10 were Hispanic/Latino, one was Asian, and seven were biracial. Twenty-five participants were randomly assigned to an experimental group receiving a mean of 15 sessions of individual CCPT, and 28 participants were assigned to an 8-session active control group. Five factorial analyses of variance (ANOVA) were conducted applying an alpha level of .05 for interpretation of statistical significance and Cohen’s d to assess practical significance. ANOVA results indicated a statistically significant interaction with a large effect size on Total Anxiety score of the Revised Children’s Manifest Anxiety Scale-2nd edition (p = .013, d = .715). Subscale ANOVA results indicated a statistically significant interaction effect with large effect size on the Worry subscale (p = .006, d = .795), no statistically significant interaction on the Defensiveness subscale (p = .710, d = .110), no statistically significant interaction but moderate effect size on the Physiological subscale (p = .076, d = .506), and no statistically significant interaction but moderate effect size on the Social Anxiety subscale (p = .162, d = .398). Statistically significant differences with large practical effects were found in total anxiety and worry, suggesting that children who received CCPT decreased their overall levels of anxiety and worry whereas children who were in the active …
The researcher examined the effectiveness of a near-death experience (NDE) learning module on reducing distressing aspects and enhancing a growth aspect of grief among bereaved adults. Participants were 22 females and 2 males; 2 identified as African American, 3 as Asian, 2 as Latina/o, and 17 as White; aged 20 to 71 years with mean age 35.3 years. In this experimental design, the researcher randomly assigned 12 participants to the experimental group and 12 participants to the waitlist no treatment control group. Participants in the experimental group received the NDE learning module intervention, which consisted of 3 sessions over consecutive weeks. Six research questions were explored. A two-factor repeated measures analysis of variance was performed on five dependent variables to determine if the two groups performed differently across time according to the pretest and posttest results of the Despair, Panic Behavior, Personal Growth, Detachment, and Disorganization subscales of the Hogan Grief Reaction Checklist (HGRC). A one-way analysis of covariance was performed on one dependent variable to determine if the groups were statistically different according to the posttest results of the Blame and Anger subscale of the HGRC. Additionally, univariate eta squared was hand calculated to determine practical significance. Findings indicated that bereaved adults who participated in the NDE learning module showed small effect size for interaction on Panic Behavior (η2 = .05) and Personal Growth (η2 = .05), large effect size for interaction on Detachment (η2 = .15), large effect size for treatment type on Blame and Anger (η2 = .15), and negligible effect size for interaction on Despair (η2 < .01) and Disorganization (η2 < .01). Although no statistically significant results were found for any of the dependent variables (p > .05), effect size findings indicated modest to substantial benefits of the NDE learning module intervention for bereaved adults …
The purpose of this study was to examine the effectiveness of a play-based teacher consultation (PBTC) program on individual teachers’ interpersonal classroom behaviors and teacher-child relationships. The research questions addressed the application of child-centered play therapy principles and PBTC increasing teacher responsiveness, decreasing teacher criticism, and enhancing teachers‟ perceptions of the teacher-child relationship in elementary school classrooms. Single-case design was utilized to examine eight teachers‟ perceptions over 16 weeks. The sample included 8 White female teachers from three local elementary schools. Teacher ages ranged from 28 to 59 years old. There were 5 kindergarten, 1 first grade, and 2 second grade teachers. The teachers participated in one educational training session followed by play sessions with children of focus and interactive modeling sessions. Trained observers, blind to the study’s purpose, utilized the Interaction Analysis System in classroom observations of the teachers, three times per week, to examine teachers’ interpersonal skills. Additionally, the teachers completed the Student Teacher Relationship Scale for the children of focus before and after the play session phase to examine change in the teacher-child relationship. Visual analysis of the data indicated the PBTC’s overall positive impact. 5 out of 8 teachers demonstrated increases in teacher responding scores at mildly to very effective criteria levels. All 8 teachers demonstrated decreases teacher criticism at effective to very effective criteria levels. The teacher-child relationships indicated mixed results, with 5 out of 8 teachers indicating positive changes in teacher-child relationships. Discussion includes implications for future research regarding single-case design, measurement of teacher change, and modifications of the PBTC model.
This study investigated the impact of a psychoeducational and experiential structured counselor self-care curriculum, developed by Drs. Charles and Kathleen Figley, on compassion fatigue and the prevention of professional impairment as measured by the Professional Quality of Life (ProQOL), Version 5. Volunteer licensed professional counselors, supervisors, and interns from four children's advocacy centers in Texas were assigned to treatment group (n = 21; 20 females, 1 male; mean age 34.4 years) or waitlist control group (n = 21; 19 females, 2 males; mean age 34.6 years). Participating counselors identified themselves ethnically as 64% Caucasian, 26% Hispanic, 7% African-American, and 2% Native-American. Employing a quasi-experimental design, three reliability-corrected analysis of covariance (ANCOVA) were utilized to analyze the data with an alpha level of .05 to assess statistical significance and partial eta squared to assess effect size. With pre-test scores as the covariate, results revealed in the experimental group a statistically significant reduction with large treatment effect for burnout (p = .01; partial ?2 = .15), a statistically nonsignificant reduction with a medium effect for secondary traumatic stress (p = .18; partial ?2 = .05), and a statistically nonsignificant increase with a medium effect for compassion satisfaction (p = .06; partial ?2= .09). Findings supported the use of this curriculum to train counselors on self-care as required of professional counselors by the American Counseling Association code of ethics and listed as a necessary skill in the standards of the Council for Accreditation of Counseling and Related Educational Programs.
I used singlecase A-B-A experimental design to examine the effectiveness of Adlerian play therapy (AdPT) for children identified with clinical levels of perfectionism on the Conners Parent Rating Scale-Revised and Conners Teacher Rating Scale-Revised. Participants were 2 children, a 10 year-old Hispanic male and a 7 year-old Caucasian female. To examine the effect of AdPT on maladaptive perfectionism and anxiety, the Child-Adolescent Perfectionism Scale and the Revised Children’s Manifest Anxiety Scale were administered to the children twice weekly over 3 phases of the study: baseline (6 administrations), intervention (12-16 administrations), and maintenance (6 administrations) for a total of 24 to 29 data points. Additionally, parents and teachers completed the Conners Rating Scales-Revised5 times: (1) prior to study, (2) following baseline/prior to treatment, (3) midpoint of treatment, (4) following treatment, and (5) following maintenance phase.During the intervention phase, the male and female participants attended 21 and 16 play therapy sessions, their mothers attended 6 and 5 parent consultations, and their teachers attended 6 and 3 teacher consultations, respectively. Analysis of the child self-report assessments indicated mixed and inconclusive results regarding the effects of AdPT on target behaviors. However, results of the parent and teacher reports indicated clinically significant reductionsin maladaptive perfectionism and anxiety over the five points of measurement for both participants. The participants’ maladaptive perfectionism moved from the clinical to the normal range. Implications for practice and future research are indicated.
Adoptive parents often struggle to understand and meet the social-emotional behavioral needs of their adopted child, particularly when the child's pre-adoption experience lacked a secure relationship with an attuned and responsive caregiver. This randomized controlled study, a replication of Carnes-Holt and Bratton's 2014 research, investigated the effects of child parent relationship therapy (CPRT) for adoptive families who reported attached-related concerns such as difficulties establishing a mutually satisfying parent-child relationship as well as concerns about the adopted child's behavior and parental stress. Participants were 49 adoptive parents (61% female; 7% couples; 86% European American, 6% Latino, 6% Asian, and 2% Black American) with adoptees between the ages of 2.5 to 9 (50% female; 35% European American, 22% Asian, 12% Latino, 10% Black American, and 21% Biracial or other). Eighty-four percent of children were adopted internationally or from the foster care system. Parents were randomly assigned to CPRT or treatment as usual (TAU). Results from 2 (group) by 2 (time) repeated measures ANOVAs indicated that compared to the TAU control group, parents who participated in CPRT reported statistically significant improvement in child behavior problems, parent-child relationship stress, and parental empathy, with a large treatment effects on all measures. Findings confirmed results from Carnes-Holt and Bratton's study and provided strong support for CPRT as a responsive intervention for adoptive parents and their children.
The purpose of this study was to assess the emotional support needs of mothers of multiple birth children based on administration of a survey the researcher developed. The survey consisted of 25 demographic items, six 6-point Likert scale items, and three open-ended questions. Likert scale items were based on amount of perceived emotional support mothers received in their environments at the time of survey administration. Open-ended questions addressed negative and positive aspects of parenting multiples and emotional support needs. The sample consisted of 171 mothers of multiple birth children from 23 states in the United States. Participants ranged in age from 20-50 years old with 38% not reporting age. Participants were 95.3% Caucasian, 0% African-American, 1.8% Asian, 0% Native American and 1.2% other; of these, 5.8% were Hispanic. We used demographic statistics and constant comparison to determine basic demographic characteristics of this sample and to identify emotional support needs of mothers of multiple birth children. We used Pearson product moment correlation to determine potential relationships between variables. Results indicated a statistically significant positive correlation between overall life satisfaction and partner satisfaction (r = .420, n = 170, p < 0.01). Therefore, mothers of multiples experience increased satisfaction with their lives when they receive greater support from partners. Also, results indicated a statistically significant positive correlation between partner satisfaction and partner caretaking responsibilities (r = .305, n = 169, p < 0.01). As partners of mothers of multiples increase contribution to caretaking of children, mothers demonstrate greater relationship fulfillment. Implications for mental health professionals working with mothers of multiple birth children are discussed.
The goal of this study was to establish empirical benchmarks for Cohen's d in child counseling research. After initial review of over 1,200 child intervention research studies published from 1990 to 2016, 41 randomized clinical trials were identified in which intervention and control groups were compared with children 3-12 years old (N = 3,586). Upon identification or calculation of a Cohen's d for each study, I calculated a weighted mean d by multiplying the effect size of each study by the number of participants in that study then dividing by total number of effect sizes. The weighted mean accounted for study sample size and served as the suggested medium effect size benchmark. Results indicated effect size is impacted in large part by type of reporter, with parents apparently most sensitive to improvement and yielding higher effect sizes overall; teachers relatively less sensitive, perhaps due to difficulty observing change in a classroom setting; and children self-reporting lowest levels of improvement, perhaps reflecting a lack of sufficient measures of child development. Suggested medium benchmarks for Cohen's d in child counseling literature are .70. for parent report, .50 for teacher report, and .36 for child self-report. Small and large benchmarks are suggested based on the use of standard deviations of the mean Cohen's d for each reporter.
Mental health disparity is an emerging national concern with evidence suggesting individuals from non-dominant populations are less likely to seek and persist in mental health services compared to their dominant culture peers. In particular, African Americans may underutilize professional counseling services due to factors such as stigma, healthy cultural mistrust, and cultural values. To date, researchers have paid limited attention to ways to break through barriers to mental health equity. The purpose of this phenomenological study was to explore African Americans’ experiences and decision-making seeking professional counseling services. I addressed the following questions: How do African Americans make meaning of their decision to seek counselor services? What considerations are involved in decision- making with African Americans who decide to seek professional counseling services? Participants included 10 African American women who had attended counseling with a licensed professional counselor (LPC) or LPC Intern in the past three years. I identified six emergent themes through adapted classic phenomenological analysis: feelings prior to attending counseling, coping mechanisms utilized prior to counseling, barriers to treatment, motivation to attend counseling, characteristics of counselor, and post counseling experiences. Participants reported increased personal growth, insight, and desire to recommend counseling to others. Findings inform communities about what counseling is (and is not) as well as different types of support that can be obtained from a professional counselor. Limitations and future research directions are discussed.
The purpose of this study was to examine parent preferences for school counselor professional activities. The primary focus of research was to determine if any relationship exists between (1) parents' demographic factors - gender, age, socioeconomic status, ethnicity - and their preferences for school counselors' professional activities; (2) educational factors - parents' level of education and grade level of their student (9-12) - and parents' preferences for professional activities; and (3) parents' experience parenting high school students and their preferences for school counselors' professional activities. I utilized a 7-item demographic questionnaire and an adapted version of the School Counselor Activity Rating Scale (SCARS; Scarborough, 2005). The SCARS is a 48-item standardized instrument that measures how school counselors actually spend their time engaged in professional activities compared to how they would prefer to spend that time. The format was adapted from a verbal frequency scale to a 5-point Likert-type scale. In the current study, parents indicated their preference for school counselors to enact certain tasks, with higher scores indicating greater endorsement of the task. Cronbach's alpha for each of the SCARS subscales indicated good internal consistency: Counseling .879; Consultation .831; Curriculum .933; Coordination .867; and "other" .828. The sample was composed of 250 parents from a school district in the southwestern United States. The study population consisted of 198 female and 52 male participants ranging in age from 31 to 66 years old and included 6.4% African American, 1.6% Asian/Pacific Islander, 8.0% Hispanic, 4% Native American, and 83.6% White. Results indicated that parents overall preferred counselors to engage, from most to least, in Coordination, Counseling, "other," Curriculum, and Consultation activities and that they most strongly endorsed counselors providing students with academic advising and counseling for school related behavior. Regarding the primary focus of this study, the Pearson product moment correlation coefficient …
Utilizing the theory of planned behavior, I examined the variables that affect Chinese individuals' help-seeking intention. A total of 251 Chinese individuals participated in this study. Results showed that the variables in the theory of planned behavior accounted for 16% of the variance in help-seeking intention. Specifically, attitude (r = .22, p < .001) and perceived behavioral control (r = .22, p < .001) were found to be significant predictors of help-seeking intention. Based on these results, mental health professionals can design outreach interventions, such as psychoeducational programs, to improve Chinese individuals' help-seeking attitude and perceived behavioral control in an attempt to increase mental health service utilization. Additionally, counselors can discuss with clients' their attitude and perceived behavioral control regarding seeking counseling in an attempt to assist clients in being committed to the counseling process.
There is a paucity of research regarding language use among bilingual clients, particularly with Latino children. In order to provide culturally sensitive counseling for bilingual, Spanish-speaking, Latino children it is important to understand their experience of language use. The purpose of this study was to investigate how second generation, bilingual, Mexican American, 5th grade students experience language use in the two languages with which they communicate. I employed a phenomenological method to data collection and analysis and conducted semi-structured individual and group interviews with three boys and five girls (N = 8). Analysis of the individual and group interviews yielded four main structures: (a) dominant language determined perception of developing dual selves, (b) speaking two languages useful in language brokering and upward mobility, (c) dominant language determined experience of language use, and (d) language use and aspects of the complementarity principle. Findings from this study suggest that bilingual Latino children experience language brokering for their parents as difficult, speaking two languages as useful regarding upward mobility, and that their dominant language influences various aspects of their daily experiences such as with whom and where they use each language. Limitations to this research include insufficient time building rapport with participants and challenges related to unexplored dimensions of bilingualism in the counseling research literature. An overarching implication for future research, clinical practice, and counselor education is that bilingualism, language use, and the depth of experience of Latino children are largely understudied topics.
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