Journal of Counseling Psychology最新文献

{"title":"Effectiveness of an intellectual humility intervention for interpersonal spiritual struggles: A pragmatic randomized controlled trial.","authors":"Elizabeth J Krumrei-Mancuso, Rosemond T Lorona, Arcadia K Lee, Brandon M Wong, Carol Ann Caprini","doi":"10.1037/cou0000905","DOIUrl":"https://doi.org/10.1037/cou0000905","url":null,"abstract":"<p><p>Interpersonal struggles regarding religious and/or spiritual matters are associated with poorer mental health. To date, specialized interventions for addressing this issue have been lacking in clinical and community settings. We examined the effectiveness of a 4-week, theory-based, online intellectual humility intervention under real-world conditions for adults experiencing distressing interpersonal spiritual struggles. Intellectual humility involves awareness that one's knowledge is imperfect, including that one's thoughts and beliefs could be inaccurate or incomplete. This preregistered, randomized controlled trial assigned 447 adults (<i>M</i>_age = 30.0, <i>SD</i>_age = 6.8; 63% male; 82.2% Christian) to either the intervention or a waitlist control. Measures were administered at baseline, immediately postintervention, and 1 month later. Generalized linear mixed models with robust covariance estimation and intent-to-treat principle revealed a Time × Condition interaction for most outcomes. The intervention and waitlist control groups did not differ on any variables at baseline. Immediately postintervention, the intervention group was higher than the control group in general and struggle-specific intellectual humility, personal growth, and forgiveness of the struggle partner and lower than the control group in amount and negative life impact of interpersonal spiritual struggle, stress, and psychological distress. These differences were maintained 1 month later for all variables except psychological distress. This research supports the effectiveness of a low-cost, accessible intervention promoting intellectual humility as an avenue toward resolution of interpersonal spiritual struggles and enhanced mental health and well-being for individuals in the community. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":48424,"journal":{"name":"Journal of Counseling Psychology","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2026-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149344123","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Belief, bond, and relief: Longitudinal associations between client belief about counseling success, working alliance, and symptom relief.","authors":"Xu Li, Yimeng Zhang, Shitao Chen","doi":"10.1037/cou0000879","DOIUrl":"10.1037/cou0000879","url":null,"abstract":"<p><p>This study examined how clients' outcome expectations (OE; belief about positive outcome of counseling session) was associated with working alliance and symptom relief longitudinally in a sample of Chinese beginning therapist trainees and their clients. Participants included 204 Chinese therapist trainees and their 1,214 clients who provided data for 11,198 sessions. Before every therapy session after intake, clients reported their symptom severity level and OE; after every session, clients reported their perceived working alliance quality. The latent curve model with structured residuals (Curran et al., 2014) was utilized to disentangle the between-person (average client differences) and within-person (session-by-session fluctuations) effects and test the temporal directionality between the three variables of interest. Results showed that, at the between-person level, clients who began treatment with stronger positive OE tended to form stronger alliances and report lower symptom distress at the beginning of therapy; and clients who sustained or increased their OE during treatment showed greater alliance growth and faster symptom reduction over time. At the within-person level, a cyclical pathway emerged where higher OE before a session temporally led to higher working alliance rating after that session, which subsequently led to higher OE at the next session; however, results did not support the OE → working alliance → symptom mediation model, nor the bidirectional associations between client OE and symptom relief. Practical implications are discussed. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":48424,"journal":{"name":"Journal of Counseling Psychology","volume":" ","pages":"867-880"},"PeriodicalIF":3.5,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147989550","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The psychosocial costs of heterosexism to straights: A focus group study.","authors":"Tristan Mattwig, Kriti Jain, Patrick R Grzanka","doi":"10.1037/cou0000889","DOIUrl":"10.1037/cou0000889","url":null,"abstract":"<p><p>Heterosexism is a social force that affects all people, because heterosexism infuses social institutions and sustains heteronormativity, which dictates social roles for all people regardless of their sexual orientation or gender identity. The field of <i>critical heterosexualities</i> has begun to explore how straight people experience costs from heterosexism and heteronormativity. However, few psychological studies have aimed to examine how straight/heterosexual people are negatively affected by heterosexism. In the present study, we explored lesbian, gay, bisexual, transgender, queer/questioning, and other sexual and gender minority (LGBTQ+) and straight ally emerging adults' conceptualization of the psychosocial costs of heterosexism for straight people. We conducted four matched focus groups with LGBTQ+ (<i>n</i> = 13) and straight (<i>n</i> = 10) participants. Using reflexive thematic analysis, we identified three major domains of these psychosocial costs of heterosexism: distorted relationships, heteronormative restraints to self-exploration, and sexual ignorance. Results highlight how heterosexism has harmed straight people's relationships, hindered their identity exploration and expression, and limited straight people's ability to seek and obtain sexual knowledge. Findings yield insight for counseling psychologists' clinical work with straight people, including identity exploration and relationships with LGBTQ+ people. These findings point to potential avenues for advocacy with straight allies, particularly in terms of inter- and intragroup dialogue. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":48424,"journal":{"name":"Journal of Counseling Psychology","volume":" ","pages":"782-800"},"PeriodicalIF":3.5,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148521477","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mental health outcomes among LGBTQ+ emerging adults: Latent profiles of intrapersonal and interpersonal strengths.","authors":"Roberto L Abreu, Rodrigo Costa, Aldo Barrita, Teresa Vazquez","doi":"10.1037/cou0000882","DOIUrl":"10.1037/cou0000882","url":null,"abstract":"<p><p>Lesbian, gay, bisexual, transgender, and queer emerging adults' exposure to various forms of discrimination and systemic oppression increases their risk for negative mental health outcomes. Yet, access to factors that promote resilience contribute to positive mental health outcomes. Most research that incorporates individual-level and interpersonal-level resilience factors uses variable-centered approaches, which assume homogeneity and average effects that may obscure different patterns of resilience. To address this gap, in a sample of lesbian, gay, bisexual, transgender, and queer emerging adults (<i>N</i> = 460), this study used a person-centered approach (i.e., latent profile analysis) and multiple regressions to examine differences in three mental health outcomes (i.e., psychological well-being, depression symptoms, anxiety symptoms) on one individual-level (i.e., personal resilience) and two family/community-level (i.e., caregiver acceptance, social support) psychosocial resources. A five-profile solution emerged: (1) high intrapersonal and interpersonal strengths; (2) low intrapersonal and interpersonal strengths; (3) accepted by caregivers, moderately resilient, and socially supported; (4) accepted by caregivers and moderately resilient, but not socially supported; and (5) not accepted by caregivers but moderately resilient and socially supported. Findings show that the probability of belonging to the profile with high resources was associated with lower depression and anxiety symptoms, as well as higher psychological well-being. Furthermore, social support was associated with well-being above and beyond personal resilience and caregiver acceptance. Last, caregiver acceptance was linked with lower depression and anxiety symptoms, above and beyond personal resilience and social support. Results highlight the complex interplay between resilience factors and mental health outcomes among lesbian, gay, bisexual, transgender, and queer emerging adults. We discuss implications for theory, practice, and advocacy. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":48424,"journal":{"name":"Journal of Counseling Psychology","volume":" ","pages":"817-828"},"PeriodicalIF":3.5,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148253972","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Acculturative stress and ethnic-racial identity among U.S. Latinx adults: Cultural stress and stress process frameworks.","authors":"Mark W Driscoll, Nathaniel Drexler","doi":"10.1037/cou0000877","DOIUrl":"10.1037/cou0000877","url":null,"abstract":"<p><p>The pathways through which acculturative stress is associated with psychological adjustment among U.S. Latinx adults are unclear. This study used cultural stress and stress process theories to examine (a) the relationship between four dimensions of acculturative stress (English competency pressure, Spanish competency pressure, pressure to acculturate, and pressure against acculturation) and psychological distress, (b) the ability of general life stress to mediate the acculturative stress dimension-psychological distress relationship, and (c) the ability of ethnic-racial identity (ERI) exploration and commitment to moderate the relationship between acculturative stress and psychological distress through general life stress. Latinx adults (<i>n</i> = 126) completed online self-report measures of acculturative stress, perceived general life stress, ERI, and psychological distress. Moderated mediation found evidence of full mediation for English competency pressure and Spanish competency pressure and partial mediation for pressure to acculturate. In addition, for English competency pressure, ERI exploration significantly moderated the relationship such that moderate and high ERI exploration augmented the indirect effect, and for Spanish competency pressure, ERI commitment moderated the relationship such that moderate and high ERI commitment buffered the indirect effect. The findings provide evidence that acculturative stress dimensions are associated with Latinx psychological adjustment through unique direct and indirect pathways. For Latinx adults, ERI exploration and commitment may function as cultural individual difference variables that confer risk and protective factors for stress processes. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":48424,"journal":{"name":"Journal of Counseling Psychology","volume":" ","pages":"853-866"},"PeriodicalIF":3.5,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147989562","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Asian American client perspectives on racism-related discussions in psychotherapy.","authors":"Lydia HaRim Ahn, Tina Tan, Jenna Le, Preesha Kumar, Nancy N Truong","doi":"10.1037/cou0000903","DOIUrl":"10.1037/cou0000903","url":null,"abstract":"<p><p>This study examined how Asian American clients experience and discuss racism-related events in psychotherapy and how therapist responses shape therapeutic outcomes. Eleven Asian American adults who had discussed at least one racism-related incident in therapy completed semistructured interviews, recounting of the racist incident in therapy and the aftermath of those conversations. Interviews were analyzed using Consensual Qualitative Research and linguistic analysis of emotion-word usage. Participants described a range of direct and vicarious racism experiences, most commonly workplace or school discrimination, verbal or physical assault, and context-specific microaggressions. Clients typically discussed racism during therapy due to emotional arousal and most often when the therapeutic relationship felt sufficiently strong. Clients indicated that their therapists predominantly used validation and affirming strategies, while fewer therapists used cognitive reframes and advice giving. Most clients reported that helpful therapist responses strengthened the therapeutic relationship, facilitated emotional processing, and led to behavioral or cognitive changes, whereas dismissive or minimizing responses undermined trust and reduced willingness to disclose similar experiences. Participants expressed a common desire for more culturally informed exploration and practical in-session strategies for responding to racism. Linguistic analysis indicated evidence of more negative emotions during participant recounting of the discussion. The findings highlight the importance of culturally informed inquiry in therapy when discussing racism-related incidents. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":48424,"journal":{"name":"Journal of Counseling Psychology","volume":" ","pages":"896-910"},"PeriodicalIF":3.5,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149138838","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bias in follow-up assessment of psychotherapy: Are certain patients more likely to participate?","authors":"Flavio Iovoli, Juan Segundo Peña Loray, Tobias Lütgendorf, Martin Cordes, Jessica Fritz, Franziska Günther, Henning Schöttke, Julian A Rubel","doi":"10.1037/cou0000886","DOIUrl":"10.1037/cou0000886","url":null,"abstract":"<p><p>Follow-up (FU) assessments are a key component in evaluating the long-term effectiveness of psychotherapy, but participation is often incomplete. Therefore, with this study, we aimed to examine what patient characteristics predict follow-up participation and to estimate the potential bias this may introduce into treatment effectiveness estimates. We analyzed data from 586 patients who received cognitive-behavioral therapy. A random forest feature selection algorithm (Boruta) was applied in order to identify particularly important predictors of follow-up participation, 1-year posttreatment. To approximate the bias introduced by nonrandom follow-up participation, we conducted a post hoc propensity score matching analysis using the identified important predictors. Follow-up participation (38.2%) was associated with higher treatment satisfaction, a stronger therapeutic alliance at the end of treatment, and greater reductions of interpersonal sensitivity over the course of treatment. Older age was also linked to greater follow-up participation, while education, comorbidity, and baseline symptom severity were not. Patients with less improvement in somatization and interpersonal difficulties were more likely to respond. Propensity score matching revealed that treatment effectiveness (as measured by symptom reduction) may be overestimated by approximately 21% when relying solely on follow-up completers, relative to patients resembling nonparticipants. Our findings highlight a potential bias in psychotherapy outcome evaluations due to nonrandom follow-up participation. Strategies that may help improve follow-up response rates in routine care are discussed. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":48424,"journal":{"name":"Journal of Counseling Psychology","volume":" ","pages":"829-835"},"PeriodicalIF":3.5,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148220138","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An intervention based on acceptance and commitment therapy for people experiencing work- or career-related difficulties: A randomized controlled trial.","authors":"Maryse Damecour, Marina M Doucerain, Lise Lachance, Simon Grégoire","doi":"10.1037/cou0000900","DOIUrl":"10.1037/cou0000900","url":null,"abstract":"<p><p>This randomized controlled trial assessed the effectiveness of a group intervention based on acceptance and commitment therapy designed for people facing work- or career-related difficulties (e.g., job loss, burnout). Participants were recruited with the assistance of community organizations providing career counseling services, and they were randomly assigned to either an intervention group (<i>n</i> = 82) or a waitlist group (<i>n</i> = 82). They completed questionnaires aimed at measuring process (i.e., psychological flexibility and inflexibility) and outcome variables (i.e., psychological well-being, psychological distress, meaning in life, and career engagement) on three occasions (baseline, postintervention, and follow-up). Participants took part in seven 2.5-hr sessions offered online during a 7-week period. Results of mixed-effects models on intention-to-treat data showed that the intervention led to an increase in psychological flexibility (<i>d</i> = .64), well-being (<i>d</i> = .32), and meaning in life (<i>d</i> = .42) and a decrease in psychological inflexibility (<i>d</i> = -.51) and distress (<i>d</i> = -.36). These effects were maintained at follow-up (17 weeks later), moderated by participants' initial levels of distress and precarity (for some outcomes). Indirect effect analyses showed that changes in psychological flexibility/inflexibility statistically accounted for these effects. The intervention had no significant effect on career engagement. Overall, this trial suggests that the intervention helped promote well-being and flourishing among people struggling with work- or career-related difficulties. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":48424,"journal":{"name":"Journal of Counseling Psychology","volume":" ","pages":"881-895"},"PeriodicalIF":3.5,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149301299","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Radical hope among Black, Indigenous, and People of Color (BIPOC) in the United States: Scale development and psychometric properties.","authors":"P F Jonah Li, Keiko M McCullough, Yi Jenny Xiao, Angela Chow","doi":"10.1037/cou0000884","DOIUrl":"10.1037/cou0000884","url":null,"abstract":"<p><p>Guided by the Multidimensional Radical Hope Framework and qualitative findings on the lived experiences among Black, Indigenous, and People of Color in the United States, the purpose of this project was to develop the Multidimensional Radical Hope Scale (MRHS) and evaluate its psychometric properties. Using a sample of 1,001 Black, Indigenous, and People of Color participants (<i>M</i>_age = 35.30; 55% African American, 22% Asian American, 19% Latinx American, 4% other racial backgrounds; 57% women, 41% men; 52% religiously affiliated, 39% religiously unaffiliated), exploratory and confirmatory factor analyses provided support for a 22-item correlated four-factor model with correlated residuals corresponding to faith, agency, collective identity, and community giving. MRHS demonstrated measurement invariance across race, gender, and religious background. Latent correlations, average variance extracted, and hierarchical regression analyses provided evidence for MRHS's construct validity. MRHS subscales had excellent internal reliability estimates and adequate 4-week test-retest reliability estimates. Limitations of the present study and implications for future directions are discussed. MRHS can be used in descriptive or exploratory research to assess radical hope among Black, Asian, and Latinx Americans. We call for further validation of MRHS with other populations and settings. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":48424,"journal":{"name":"Journal of Counseling Psychology","volume":" ","pages":"836-852"},"PeriodicalIF":3.5,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148164966","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Where's the critical love? A pilot STOREY (STOrying Racism to Empower Youth) intervention for critical racial literacy development and dismantling anti-Blackness among Asian American emerging adults.","authors":"Brian TaeHyuk Keum, Ankhi Thakurta, Cathy Zhu, Eric Song, Yujia Cao","doi":"10.1037/cou0000899","DOIUrl":"10.1037/cou0000899","url":null,"abstract":"<p><p>STOrying Racism to Empower Youth (STOREY) is a pilot intervention to promote the racial literacy development of Asian American emerging adults. STOREY harnesses the power of digital storytelling mediums (racism-related stories) and critical group dialogue to guide the exploration and promotion of Asian American college students' ethnic-racial identity and antiracism interests. In STOREY sessions, once the digital storytelling content stimulates participants' emotions and internal beliefs on racism and anti-Blackness, a group-based critical dialogue is employed to further reexamine those internally held beliefs and draw out their empathy to reinforce their future engagement in antiracism advocacy. To understand the impact on the participants in greater depth, we adapted Sealey-Ruiz's (2021) six components of critical racial literacy development framework (critical love, humility, reflection, historical literacy, archaeology of self, interruption) and engaged in a deductive qualitative analysis of data (<i>N</i> = 21; ethnically diverse; <i>M</i>_age = 20.46 [<i>SD</i> = 2.45]) to map the empirical change agents and processes underlying the potential critical racial literacy development that occurs through the STOREY sessions. Results provided empirical evidence of the six critical racial literacy development components (interruption, archaeology of the self, historical literacy, critical reflection, critical humility, critical love) at play in and through their engagement with this intervention. Each component serves as an important ingredient that can foster greater interest and orientation toward (and by also removing barriers that discourage individuals) enacting antiracism advocacy and cross-racial solidarity. Our findings provide implications for refined intervention development and employment at multiple levels (e.g., individual, school, community, institutional). (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":48424,"journal":{"name":"Journal of Counseling Psychology","volume":" ","pages":"767-781"},"PeriodicalIF":3.5,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148841702","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}