Counseling Psychology Training Research Articles

Effect of older adult health and age on psychology doctoral trainees’ expectations of clinical work with older adult clients

ABSTRACT This experimental, repeated-measures study investigated the effects of client health and client age on doctoral psychology students’ clinical expectations for their work with older adult clients. Doctoral clinical and counseling psychology trainees (N = 223) completed measures assessing clinical expectations for three older adult clients of varying health status (healthy, recent Alzheimer’s Disease (AD) diagnosis, heart disease) who all presented with depressive symptoms. Trainees were randomly assigned to the 71-year-old or 81-year-old condition. Trainees perceived a depressed client with a recent AD diagnosis as a less appropriate candidate for therapy, less motivated and less responsible for therapy, and less able to develop a therapeutic relationship. Additional health-based differences in prognosis, comfort, and competence were moderated by client age. Although age did have a small effect, the health of the older adult client had a stronger influence on trainees’ clinical expectations for work with older adults. Cognitive health concerns were perceived as a greater barrier to clinical work with older adults than were physical health concerns. Health biases for clinical work with older adults could impact the quality of mental healthcare provided.

Counselling Psychology training: Implications for ‘Self’

Counselling Psychology training: Implications for ‘Self’

Tick-boxes and technologisation: Concerns for counselling psychology training

Tick-boxes and technologisation: Concerns for counselling psychology training

Facilitating Faculty Development for Training in Multicultural Competence in Health Service Psychology Graduate Programs Through an International Collaboration

Abstract: A critical aspect of strengthening graduate-level clinical and counseling psychology training in cultural competence is to build capacity among faculty teaching in these programs to provide effective training. We addressed this need through an international collaboration between a university in India and another in the United States that included faculty travel to another country, peer mentoring groups, and review of curricula. This article describes faculty perceptions of this program and its perceived impact on their professional development and outlines curricular and research outcomes that resulted from the program. Across 4 years, a total of eight faculty visits took place with Indian faculty ( n = 13) visiting the United States and US faculty ( n = 11) visiting India. After each visit, faculty at both institutions responded to open-ended questions about the usefulness of these visits and completed a rating scale at the end of the program through an online survey. Faculty from both countries indicated that the visits contributed to enhanced cultural awareness and sensitivity by broadening their perspectives and learning about cultural similarities and differences. Indian faculty described learning about new pedagogical methods and enhanced motivation to engage in research and publish, along with new collaborative opportunities. US faculty described incorporating cultural competence more centrally in their teaching and clinical supervision through increased commitment, as well as inclusion of more global and diverse content and assignments aimed to increase students’ cultural competence. These responses provide preliminary support for the usefulness of cultural immersion experiences for faculty professional development.

Supervising trainee counselling psychologists of colour in doctoral research: A theoretical review and practice implications

Context & focusThe Division of Counselling Psychology (DCoP) states a commitment to diversity, inclusion and non-discriminatory practice throughout the counselling psychology profession, and towards ensuring topics of culture and diversity are ‘mainstream discourse’ within the division (DCoP, 2021). The current paper explores diversity and inclusion, within the context of counselling psychology training; specifically, with regards to the relational aspects of doctoral research supervision, with trainees of colour. Existing evidence regarding the experiences of trainee counselling psychologists of colour are explored and considered against existing models for the task of research supervision. Personal reflections from the author’s own academic practice have been considered to illustrate points raised and to invite the reader to further self-reflection.ConclusionAnne Lee’s (2008) model, outlining five ‘tasks’ for doctoral research supervision, has been expanded upon, to incorporate a reflective response to issues highlighted within the literature described above. Recommendations are made for future research supervision practice, for educators on counselling psychology training programmes.

Development and evaluation of a national careers in aging webinar series for psychology trainees

ABSTRACT Trainees may be interested in careers in aging but unfamiliar with career options, leading to a shortage in the geriatric workforce. In response to needs identified at a national geropsychology training conference, a multisite faculty group developed a six-session webinar series about careers in geropsychology, detailing career options in six unique settings. Each webinar session featured a moderated discussion with a panel of four professionals currently employed in the career of interest. The webinar was advertised to clinical and counseling psychology trainees with a potential interest in age-related careers, with evaluation of the series primarily including trainees from graduate programs, clinical internships, and postdoctoral fellowships. Participants rated their attitudes and beliefs about each career option at pre- and post-discussion. On average, each webinar session was attended by 48 individuals (SD = 12, range = 33–60). At baseline, attendees reported significantly more interest in careers in clinical practice compared to other careers, and interest in university settings increased from pre- to post-discussion. Across all six sessions, participants reported increased understanding of training experiences that would be helpful in pursuing that specific career. Findings point to the feasibility and utility of webinars for enhancing interest and confidence in pursuing careers in aging.

Beyond the individual: Sexual minority help-seeking and the consequences of structural barriers.

Sexual minorities report more psychological distress, unmet mental health needs, and barriers to mental health care compared with heterosexuals, yet little is known about their barriers to seeking out mental health care. The present study reports the factors that influence intentions to seek out mental health care of a national survey of 398 sexual minorities. Structural equation modeling identified structural barriers, such as cost, time, and knowing how to access services, as the strongest predictor of sexual minorities' help-seeking intentions. Latent moderators indicated sexual minorities' help-seeking intentions varied depending upon their degree of psychological distress. This revealed a pattern where the most vulnerable participants (i.e., those with high structural barriers and negative help-seeking attitudes) were willing to pursue mental health care only when they were experiencing significant distress. Furthermore, nearly 40% of participants reported unmet mental health needs, and structural barriers were the primary reasons for this deficit. Findings from this study contrast with previous mental health help-seeking research by emphasizing the importance of structural vulnerability, which refers to the external forces that frame and constrain choices, thereby impeding decision-making and limiting life options for those who are in systemically disadvantaged social positions. These findings are discussed in terms of counseling psychology training, practice, social justice advocacy, and future health care research. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

Answering the Call for Systems Change

There is much agreement within counseling psychology on the importance of social justice, yet social justice education and training remain limited in counseling psychology programs (Beerman et al., 2012; Pieterse et al., 2009; Singh et al., 2010). Critical components to social justice education and training include an emphasis on systems theories that could inform interventions (i.e. advocacy and activism) at the exosystem and mesosystem levels as well as learning about the breadth of activism and advocacy skills. Assessment, diagnosis, and conceptualization are considered core functional competencies in professional psychology (Fouad, 2009), yet these processes are often only taught at the individual level. If the goal of advocacy and activism are to foster systems change, considered a functional competency in counseling psychology (CCPTP, 2012), then it is crucial to provide systems-level theories and skills in counseling psychology education and training. We describe how we have attended to the provision of systems-level education and training in our respective programs. We will provide recommendations about the inclusion of systems-level theories, classroom formats, assignments, and mentorship designed to foster trainees’ development of a systems-level theoretical orientation, as well as skills to engage in social justice research, leadership, and both micro- and macro-level advocacy interventions.

Clinical and counseling psychology doctoral trainees’ attitudes toward and interest in working with older adult clients

ABSTRACT The small percentage of psychologists specializing in geropsychology will be increasingly insufficient to meet projected mental health needs of the growing older adult population in the United States. The current study examined contact with older adults, empathy, and multicultural competence as predictors of counseling and clinical psychology doctoral trainees’ attitudes toward and interest in working with older adults. A sample of 311 doctoral trainees in clinical (n = 234) and counseling (n = 78) psychology were surveyed online. A structural equation model testing hypothesized interrelationships between study variables showed good fit. Greater contact with older adults was significantly related to less ageist attitudes, greater interest in work with older adults, and more empathy. Less ageist attitudes were significantly related to greater interest in clinical work with older adults. Greater empathy was significantly related to less ageist attitudes and greater multicultural competence, but to less interest in working with older adults. Empathy mediated the relation of contact to attitudes. Increasing positive contact with older adults as part of doctoral training in counseling and clinical psychology may enhance trainees’ empathy, attitudes toward older adults, and interest in work with older adults.

Drinking from an empty glass: A mixed-method analysis of counselling psychology trainees’ stress and barriers to self-care

Results from a recent BPS and NSP survey (2020) confirmed psychological practitioners are an at-risk group for their overall wellbeing. While most research to date focuses on clinical psychologists, limited research exists on counselling psychologists (CP), and more specifically trainee CP who are at an optimal time in their career to learn stress management and explore self-care strategies before entering the professional world. A mixed-methods study was therefore conducted with (n= 45) U.K. based CP trainees to explore 3 main objectives; (1) to measure trainees’ current levels of stress, (2) to understand trainees’ experience of using self-care tools in their own lives, and (3) to explore specific facilitators and barriers to support for trainees, if any.Initially, the Perceived Stress Scale-10 item (PSS-10), was used to measure current levels of trainee stress. 71.1 per cent of the sample scored in the moderate stress range. Following this (n= 10) trainees participated in follow-up semi-structured interviews. Using thematic analysis 4 main themes emerged; 1. Practising what we preach, 2. Individual differences, 3. Training Structure, and 4. Competing demands. In this article, we focus on the most prominent subthemes which are key barriers as noted by the majority of participants: from Theme 3-Placement hours, and from Theme 4-Influence of finances. Overall, this paper concludes that despite the moderate stress level amongst this population, there is still an attempt by trainees to apply self-care to their own lives but with key facilitators and barriers in this respect.

Predictors of dissertation publication in clinical and counseling psychology.

A doctoral dissertation constitutes a student's original research and a novel contribution to scientific knowledge. Yet, few psychology dissertations, particularly in professional subfields, are published in the peer-reviewed literature, and the reasons for this are unclear. The present study investigated student, advisor, and doctoral program variables that might predict dissertation publication in professional psychology. Using a stratified random cohort sample of 169 Ph.D. dissertations in clinical and counseling psychology, we conducted exhaustive searches to determine whether dissertation studies were published in peer-reviewed journals within 0-7 years following their completion. Logistic regression models were estimated to test whether dissertation publication was predicted by student and advisor prior research productivity, dissertation length, and doctoral program's training emphasis, accreditation status, and subfield. Results indicated that dissertations that were supervised by more research-productive advisors and that were relatively brief (<180 pages) were significantly more likely to be published in peer-reviewed journals. No other predictors were significant. Results are discussed with regard to implications for training and mentorship. Faculty advisors who publish frequently might be more likely to attract research-oriented students, to mentor students in preparing a publishable dissertation, and/or to encourage students to publish their dissertation research. By systematically promoting research dissemination as part of doctoral research training, graduate programs and faculty mentors in clinical and counseling psychology could help facilitate students' sharing their dissertation findings with the scientific community.

Priorities in 21st century career counselling: Implications for counselling psychology training

Background: The call to decolonise and transform the curriculum for social responsiveness in South African higher education is seen as a priority.Objectives: This study explores revising the career assessment and counselling curriculum on the professional masters (MA Counselling Psychology) programme.Method: Utilising a qualitative design and exploratory approach, the research aimed to address the objectives through gauging master’s students’ perceptions of the applicability of the course, through thematically analysing evaluation transcripts received during and 2021, were thematically analysed. Patterns and themes that emerged indicate how the revised curriculum can support intervention at the individual and systemic levels.Results: Themes identified were the influence of traditional career counselling theory, accessibility to assessments, a need to expand theory to include social constructivism and post modernism at the individual level. At the systems level, engaging trainees as socio-ecological advocates, integration of mental health to intervene with ‘at risk’ groups, post the coronavirus disease 2019 (COVID-19) pandemic intervention and the 4th industrial revolution (IR) highlighted a need to adopt a public health agenda.Conclusion: Critical consciousness raising at the systems was highlighted as paramount to informing intervention and to strengthening Counselling Psychologist trainees’ identity to develop a sense of agency in promoting social responsiveness.Contribution: The role of the training course to address transformation priorities, intervene with post-modern realities, such as the unstable job market in the 4th IR, in the aftermath of the COVID-19 pandemic, and assert the uniqueness of career counselling and assessment as a specialisation area of Counselling Psychology forms the basis of the study contribution.

Sexuality training in counseling psychology: A mixed-methods study of student perspectives.

Counseling psychologists are a cogent fit to lead the movement toward a sex-positive professional psychology (Burnes et al., 2017a). Though centralizing training in human sexuality (HS; Mollen & Abbott, 2021) and sexual and reproductive health (Grzanka & Frantell, 2017) is congruent with counseling psychologists' values, training programs rarely require or integrate comprehensive sexuality training for their students (Mollen et al., 2020). We employed a critical mixed-methods design in the interest of centering the missing voices of doctoral-level graduate students in counseling psychology in the discussion of the importance of human sexuality competence for counseling psychologists. Using focus groups to ascertain students' perspectives on their human sexuality training (HST) in counseling psychology, responses yielded five themes: (a) HST is integral to counseling psychology training, (b) few opportunities to gain human sexuality competence, (c) inconsistent training and self-directed learning, (d) varying levels of human sexuality comfort and competence, and (e) desire for integration of HST. Survey responses suggested students were trained on the vast majority of human sexuality topics at low levels, consistent with prior studies surveying training directors in counseling psychology and at internship training sites (Abbott et al., 2021; Mollen et al., 2020). Taken together, results suggested students see HST as aligned with the social justice emphasis in counseling psychology but found their current training was inconsistent, incidental rather than intentional, and lacked depth. Recommendations, contextualized within counseling psychology values, are offered to increase opportunities for and strengthen HST in counseling psychology training programs. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

Counseling psychology and participatory justice: “sharing the university”

ABSTRACT What is a participatory justice approach to counseling psychology, and what actions would express its inclusive intentions? We propose that a participatory justice framework for counseling psychology practice and training would complement social justice perspectives by emphasizing university-community collaborations and resource-sharing; it also privileges public, community-based knowledge creation as exemplified by participatory action research. In this way, a participatory justice approach offers a counterbalance to current political trends toward private ownership of social assets and resources. This article 1) expands upon these theoretical foundations, and then 2) presents three current practice-related project examples to show how these foundations can tangibly translate to academic and professional activities. Finally, the article 3) relates these activities to the training of students by concluding with suggested curricula by which to prepare graduate students and others for participatory undertakings.

Enhancing multicultural and social justice competencies in Canadian counselling psychology training.

Enhancing multicultural and social justice competencies in Canadian counselling psychology training.

The experiences of Black and Minority Ethnic trainee counselling psychologists: An interpretative phenomenological analysis

Background:The aim of the study was to capture the training experiences of Black and Minority Ethnic (BME) trainee counselling psychologists in the United Kingdom (UK). To date there is a lack of research and literature looking at the experiences of BME trainee counselling psychologist in the UK.Methodology:A qualitative approach was adopted; semi-structured interviews were conducted with five self-identified BME trainees. The accounts were analysed using Interpretative Phenomenological Analysis (IPA).Findings:The analytic procedure highlighted five main superordinate themes which were constructed from participants’ accounts. All five participants contributed to every superordinate theme generated, which were: The need to belong; Lack of diversity; The impact of support on the self; Versatile BME trainee identity; and Managing a range of challenges. Each superordinate theme featured two related subordinate themes.Conclusion: Insights from the analysis indicate the experiences of UK BME trainee counselling psychologists consist of experiences including a sense of a lack of belonging on the training programme which in turn made the BME trainees feel lonely and isolated. The challenges experienced by the BME trainees included not feeling understood and supported. The lack of diversity was reflected in the Eurocentric bias in the training, lack of BME representation and the hardship of not being white. However, the participants reflected on their positive experience of connecting with BME clients by using their BME identity and experience.

Only Human: Mental-Health Difficulties Among Clinical, Counseling, and School Psychology Faculty and Trainees

How common are mental-health difficulties among applied psychologists? This question is paradoxically neglected, perhaps because disclosure and discussion of these experiences remain taboo within the field. This study documented high rates of mental-health difficulties (both diagnosed and undiagnosed) among faculty, graduate students, and others affiliated with accredited doctoral and internship programs in clinical, counseling, and school psychology. More than 80% of respondents (n = 1,395 of 1,692) reported a lifetime history mental-health difficulties, and nearly half (48%) reported a diagnosed mental disorder. Among those with diagnosed and undiagnosed mental-health difficulties, the most common reported concerns were depression, generalized anxiety disorder, and suicidal thoughts or behaviors. Participants who reported diagnosed mental disorders endorsed, on average, more specific mental-health difficulties and were more likely to report current difficulties than were undiagnosed participants. Graduate students were more likely to endorse both diagnosed and undiagnosed mental-health difficulties than were faculty, and they were more likely to report ongoing difficulties. Overall, rates of mental disorders within clinical, counseling, and school-psychology faculty and trainees were similar to or greater than those observed in the general population. We discuss the implications of these results and suggest specific directions for future research on this heretofore neglected topic.

The Cross-Cultural Practicum Training Experiences of Asian International Counseling Students

Despite the call to internationalize counseling psychology and calls for improved mentoring to Asian international students enrolled in counseling psychology training programs, there is a dearth of literature to help trainers understand this population’s clinical training experiences. The present study explored the practicum experiences of Asian international students ( N = 10) in counseling psychology programs using the consensual qualitative research method. Data analysis yielded five domains: Learning Outcomes, Challenges, Resources, Behavioral Strategies, and Suggestions. Participants described how they navigated their cross-cultural practicum training in the face of unique challenges and how they adapted, as well as relied on support systems. As our participants reflected on their cross-cultural clinical training experiences, they shared the lessons they learned and provided suggestions for current and future international students, supervisors, and programs. Scholarly and practical implications for this population are discussed.

Linguistic Minority International Counseling Psychology Trainees’ Experiences in Clinical Supervision

The present study discusses clinical supervision from the perspectives of 20 international counseling psychology trainees with a focus on English-specific experiences in training. Using concept mapping, we identified four clusters of sociolinguistic experiences in clinical settings: Growth and Strength Through Embracing Vulnerability, Barriers to Showing Clinical Potential, Fear of Being Seen as Incompetent, and Self-Doubt About Therapeutic Performance and Relationships. Helpful supervisory events included seven clusters: Genuine Curiosity and Understanding, Exploration and Validation Regarding Linguistic Identity, Affirmation and Illumination of Strengths, Facilitation of Clinical Communication, Multicultural Awareness and Cultural Humility, Humanity and Compassion, and Externalization and De-emphasis of the Act of Language use Itself. Lastly, unhelpful supervisory events fell into seven clusters: Seeking Understanding From a Deficits-Lens, Lack of Self-Awareness and Cultural Humility, Acts of Disrespect, Disregard and Lack of Interest, Judgment and Over-Correction, Disempowerment, and Superficial Fixes. Implications for practice and advocacy and suggestions for future research are discussed.

Trust, acceptance, and power: a person-centered client case study

ABSTRACT This case study examines the author’s therapeutic experience with one client presenting with anxiety, whilst working remotely due to the COVID-19 pandemic. Specifically, this work shows the interrelation between theory, practice, and research in the author’s counseling psychology training with a person-centered/experiential approach. Firstly, the beginning of therapy contextualizes the work with a formulation and presents the initial phase of the therapeutic relationship. Secondly, the development of therapy explores how empathic understanding was fostered with a focus on the themes of trust, acceptance, and power to illustrate the client’s process of change and the therapeutic alliance. Thirdly, a prospective ending is outlined as therapy was still ongoing at the time of writing. Finally, the therapeutic experience is evaluated within an understanding of counseling psychology practice as an ethical enterprise.