Journal of Counseling Psychology最新文献

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Biological marker of withdrawal ruptures: Dyadic pattern of incongruence in oxytocin release. 戒断破裂的生物学标志物:催产素释放不一致的双重模式。
IF 3.9 1区 心理学
Journal of Counseling Psychology Pub Date : 2023-11-01 Epub Date: 2023-07-13 DOI: 10.1037/cou0000693
Shachaf Tal, Amit Tchizick, Simone Shamay-Tsoory, Tohar Dolev-Amit, Sigal Zilcha-Mano
{"title":"Biological marker of withdrawal ruptures: Dyadic pattern of incongruence in oxytocin release.","authors":"Shachaf Tal,&nbsp;Amit Tchizick,&nbsp;Simone Shamay-Tsoory,&nbsp;Tohar Dolev-Amit,&nbsp;Sigal Zilcha-Mano","doi":"10.1037/cou0000693","DOIUrl":"10.1037/cou0000693","url":null,"abstract":"<p><p>Despite widespread clinical, theoretical, and empirical support for the importance of alliance ruptures, little is known about the underlying biological level at times of rupture. The overarching goal of the present study was to investigate dyadic patterns of in-session oxytocin (OT) change between patients and therapists (e.g., patient's OT increases more than therapist's OT) as markers of withdrawal ruptures. <i>Hypothesis 1</i> construed that OT incongruence (e.g., larger patient increase in OT in comparison to their therapist OT increase) will mark the occurrence of withdrawal ruptures. <i>Hypothesis 2</i> construed that this effect of OT incongruence will be more pronounced when anxious attachment orientation is low. Surface analysis was conducted on 628 saliva samples that were gathered before and after therapeutic sessions of 53 patient-therapist dyads enrolled in a randomized control trial treating major depression. Only <i>Hypothesis 2</i> received empirical support, meaning it was only when anxious attachment orientation was low that there were significantly more withdrawal ruptures when the patient's OT increase was higher than their therapist's OT increase. This is consistent with the literature, suggesting that in times of withdrawal ruptures, the patient and therapist are in an incongruent state. Findings suggest that this incongruence is mirrored at the biological level only when anxious attachment orientation is low. Results shed light on what may be happening between patients and therapists on a biological level during a withdrawal rupture. (PsycInfo Database Record (c) 2023 APA, all rights reserved).</p>","PeriodicalId":48424,"journal":{"name":"Journal of Counseling Psychology","volume":null,"pages":null},"PeriodicalIF":3.9,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9774635","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}
引用次数: 0
Emotional expression and empathy in an online peer support platform. 在线同伴支持平台中的情感表达和同理心。
IF 3.9 1区 心理学
Journal of Counseling Psychology Pub Date : 2023-11-01 DOI: 10.1037/cou0000705
Ori Weisberg, Shiri Daniels, Eran Bar-Kalifa
{"title":"Emotional expression and empathy in an online peer support platform.","authors":"Ori Weisberg,&nbsp;Shiri Daniels,&nbsp;Eran Bar-Kalifa","doi":"10.1037/cou0000705","DOIUrl":"10.1037/cou0000705","url":null,"abstract":"<p><p>Online peer groups are a popular channel for mental health support, but the evidence for their effectiveness is mixed. The present study focused on empathy to better identify which supporters' comments regulated seekers' distress. We also explored how seekers' emotions may shape supporters' empathy. Posts (<i>N</i> = 7,646) published on an online peer support platform (\"Emotional first aid [ERAN]\") were sourced. Supporters' empathy (empathic concern, personal distress, exploration, and interpretation) and seekers' emotional expressions (soft negative, hard negative, and positive) were coded. We hypothesized that (1) empathic concern, exploration, and interpretation (but not personal distress) would predict better seekers' emotions (lower negative emotions and greater positive ones); (2) support seekers' soft negative and positive emotions would predict supporters' empathic concern and cognitive empathy (i.e., exploration and interpretation); but that (3) hard negative emotions would predict supporters' personal distress. A set of cumulative mixed models revealed that empathic concern predicted more seekers' positive emotions. However, cognitive empathy predicted more negative seekers' emotions. Seekers' soft negative emotions predicted greater expressions of supporters' empathy (of all types). Finally, seekers' positive emotions predicted more supporters' empathic concern and less personal distress, but also predicted less cognitive empathy (i.e., exploration). A secondary analysis found that this pattern of results differed to some extent as a function of the supporters' role as anonymous peers or the professional moderator. These findings suggest that empathy is a key component in online mental support platforms and that it may make online interactions more effective through emotional regulation. (PsycInfo Database Record (c) 2023 APA, all rights reserved).</p>","PeriodicalId":48424,"journal":{"name":"Journal of Counseling Psychology","volume":null,"pages":null},"PeriodicalIF":3.9,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71428046","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}
引用次数: 0
Defining racial allies: A qualitative investigation of White allyship from the perspective of people of color. 定义种族盟友:从有色人种的角度对白人盟友关系进行定性调查。
IF 3.9 1区 心理学
Journal of Counseling Psychology Pub Date : 2023-11-01 DOI: 10.1037/cou0000709
Cassandra L Hinger, Cirleen DeBlaere, Rebecca Gwira, Michelle Aiello, Arash Punjwani, Laura Cobourne, Ngoc Tran, Madison Lord, Jordan Mike, Carlton Green
{"title":"Defining racial allies: A qualitative investigation of White allyship from the perspective of people of color.","authors":"Cassandra L Hinger, Cirleen DeBlaere, Rebecca Gwira, Michelle Aiello, Arash Punjwani, Laura Cobourne, Ngoc Tran, Madison Lord, Jordan Mike, Carlton Green","doi":"10.1037/cou0000709","DOIUrl":"10.1037/cou0000709","url":null,"abstract":"<p><p>While interdisciplinary scholars and activists urge White allies to engage in racial justice work led by the voices of Black, Indigenous, and people of color (BIPOC), to date, most research on racial allyship has centered exclusively on the perspective of White allies themselves. Thus, the purpose of this study was to create a framework of racial allyship from the perspective of BIPOC. Utilizing constructivist grounded theory (Charmaz, 2014), focus groups were conducted to understand how BIPOC describe the knowledge, skills, and actions of White allies. Participants across eight focus groups described allyship as an ongoing interpersonal process that included a lifelong commitment to (a) building trust, (b) engaging in antiracist action, (c) critical awareness, (d) sociopolitical knowledge, (e) accountability, and (f) communicating and disseminating information. The findings of this study point to several avenues through which White counseling psychologists can incorporate racial allyship in their research, training, clinical, and advocacy work that align with our field's emphasis on social justice, multiculturalism, and prevention. (PsycInfo Database Record (c) 2023 APA, all rights reserved).</p>","PeriodicalId":48424,"journal":{"name":"Journal of Counseling Psychology","volume":null,"pages":null},"PeriodicalIF":3.9,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71428045","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}
引用次数: 0
White adults' color-evasive racial attitudes and racism emotionality: Understanding patterns and correlates. 白人成年人回避肤色的种族态度和种族主义情绪:理解模式和相关性。
IF 3.9 1区 心理学
Journal of Counseling Psychology Pub Date : 2023-11-01 DOI: 10.1037/cou0000694
Sarah J Parks, Katharine H Zeiders, Hyung Chol Yoo, Melissa Y Delgado
{"title":"White adults' color-evasive racial attitudes and racism emotionality: Understanding patterns and correlates.","authors":"Sarah J Parks, Katharine H Zeiders, Hyung Chol Yoo, Melissa Y Delgado","doi":"10.1037/cou0000694","DOIUrl":"10.1037/cou0000694","url":null,"abstract":"<p><p>There is limited empirical work that examines how Whites psychologically maintain and make efforts to dismantle systemic racism. Prior work suggests that both color-evasive attitudes and aspects of racism emotionality predict Whites' behaviors and, to a lesser extent, their well-being as their racial position is challenged. Utilizing a sample of 897 White adults attending college (<i>M</i><sub>age</sub> = 22.98 years, <i>SD</i> = 5.95), the present study examined how color-evasive attitudes (i.e., blatant racial issues, racial privilege, and awareness of institutional discrimination), diversity attitudes (anti-Blackness attitudes, openness to diversity), and racism emotionality (i.e., white empathy, white guilt, and fear) co-occur together to meaningfully predict Whites' indicators of well-being (i.e., depressive and anxiety symptoms, perceived stress, and life satisfaction). Latent profile analysis revealed four profiles that varied from more antiracist configurations (abandoning racism profiles, 71% of the sample) to more racist configurations (internalizing racism profiles, 29% of sample). White individuals within the antiracist configuration displayed the highest levels of depressive and anxiety symptoms, perceived stress, and lowest levels of life satisfaction. While those in the internalizing racism configuration displayed statistically higher reports of satisfaction with life and lowest levels of depression, anxiety, and stress. Findings suggest that understanding the combined experiences of color-evasive attitudes and racism emotionality for Whites are important avenues for increasing responsibility and taking accountability in dismantling racism. (PsycInfo Database Record (c) 2023 APA, all rights reserved).</p>","PeriodicalId":48424,"journal":{"name":"Journal of Counseling Psychology","volume":null,"pages":null},"PeriodicalIF":3.9,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71428049","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}
引用次数: 0
Supplemental Material for Trajectories of Change in Weekly and Biweekly Therapy 每周和双周治疗的变化轨迹补充材料
1区 心理学
Journal of Counseling Psychology Pub Date : 2023-10-16 DOI: 10.1037/cou0000711.supp
{"title":"Supplemental Material for Trajectories of Change in Weekly and Biweekly Therapy","authors":"","doi":"10.1037/cou0000711.supp","DOIUrl":"https://doi.org/10.1037/cou0000711.supp","url":null,"abstract":"","PeriodicalId":48424,"journal":{"name":"Journal of Counseling Psychology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136114020","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}
引用次数: 0
Resisting and countering online racial hate: Antiracism advocacy and coping online with racism as moderators of distress associated with online racism. 抵制和打击网络种族仇恨:反种族主义宣传和应对网络种族主义,作为与网络种族主义相关的痛苦的调节者。
IF 3.9 1区 心理学
Journal of Counseling Psychology Pub Date : 2023-10-01 Epub Date: 2023-05-25 DOI: 10.1037/cou0000674
Brian TaeHyuk Keum, Vanessa Volpe
{"title":"Resisting and countering online racial hate: Antiracism advocacy and coping online with racism as moderators of distress associated with online racism.","authors":"Brian TaeHyuk Keum,&nbsp;Vanessa Volpe","doi":"10.1037/cou0000674","DOIUrl":"10.1037/cou0000674","url":null,"abstract":"The emerging literature highlights online racism (e.g., racist online interactions, exposure to racially traumatizing content) as a contemporary stressor among racially/ethnically minoritized adults. Thus, identifying factors that can help buffer the harmful impact of online racism are imperative. We examined engagement in antiracism advocacy and online coping as moderators that can potentially buffer the link between online racism and psychological distress. Using data from 395 racially/ethnically diverse adults (Mage = 34.12, SD = 11.19), we conducted latent moderated structural equation modeling to test individual and institutional antiracism advocacy, and online coping as moderators in the link between online racism and psychological distress. Individual antiracism advocacy was not a significant moderator. Both institutional antiracism advocacy and online coping were significant moderators. For both variables, the link between online racism and psychological distress was not significant at 1 SD below the mean but was significant at the mean and 1 SD above the mean. Thus, distress associated with online racism was not significant among those engaging in low levels of institutional antiracism advocacy and online coping but mean to high levels of institutional antiracism advocacy and online coping did not appear to be protective against distress. Implications for advancing the research on coping with online racism are discussed. (PsycInfo Database Record (c) 2023 APA, all rights reserved).","PeriodicalId":48424,"journal":{"name":"Journal of Counseling Psychology","volume":null,"pages":null},"PeriodicalIF":3.9,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9574621","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}
引用次数: 2
Retraction of Hill et al. (2015). Hill等人的退缩(2015)。
IF 3.9 1区 心理学
Journal of Counseling Psychology Pub Date : 2023-10-01 DOI: 10.1037/cou0000701
{"title":"Retraction of Hill et al. (2015).","authors":"","doi":"10.1037/cou0000701","DOIUrl":"10.1037/cou0000701","url":null,"abstract":"<p><p>Reports the retraction of \"Is training effective? A study of counseling psychology doctoral trainees in a psychodynamic/interpersonal training clinic\" by Clara E. Hill, Ellen Baumann, Naama Shafran, Shudarshana Gupta, Ashley Morrison, Andrés E. Pérez Rojas, Patricia T. Spangler, Shauna Griffin, Laura Pappa and Charles J. Gelso (<i>Journal of Counseling Psychology</i>, 2015[Apr], Vol 62[2], 184-201). The following article is being retracted (https://doi.org/10.1037/cou0000053). This retraction is at the request of coauthors Hill and Gelso after the results of an investigation by the University of Maryland Institutional Review Board (IRB). The IRB found that the study included data from between one and four therapy clients of the Maryland Psychotherapy Clinic and Research Laboratory (MPCRL) who either had not been asked to provide consent or had withdrawn consent for their data to be included in the research. Baumann, Shafran, Gupta, Morrison, Rojas, Spangler, Griffin and Pappa were not responsible for obtaining and verifying participant consent but agreed to the retraction of this article (The following abstract of the original article appeared in record 2015-02322-001.) We investigated changes over 12 to 42 months in 23 predoctoral trainees during their externship training in a psychodynamic/interpersonal psychotherapy clinic. Over time, trainees increased in client-rated working alliance and real relationship, therapist-rated working alliance, client-rated interpersonal functioning, ability to use helping skills (e.g., challenges, immediacy), higher-order functioning (e.g., conceptualization ability, countertransference management), feelings about themselves as therapists (e.g., more authentic, more self-aware), and understanding about being a therapist (e.g., theoretical orientation, curiosity about client dynamics). In contrast, trainees did not change in engaging clients (return after intake or for at least 8 sessions), judge-rated psychodynamic techniques in third and ninth sessions across clients (although trainees used more cognitive-behavioral techniques over time in third but not ninth sessions), or changes in client-rated symptomatology. Trainees primarily attributed changes to graduate training, individual and group supervision, research participation, and working with clients. Implications for training and research are discussed. (PsycInfo Database Record (c) 2023 APA, all rights reserved).</p>","PeriodicalId":48424,"journal":{"name":"Journal of Counseling Psychology","volume":null,"pages":null},"PeriodicalIF":3.9,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41137665","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}
引用次数: 0
A curvilinear association between therapists' use of discourse particles and therapist empathy in psychotherapy. 治疗师在心理治疗中使用话语助词与治疗师移情之间的曲线关联。
IF 3.9 1区 心理学
Journal of Counseling Psychology Pub Date : 2023-10-01 Epub Date: 2023-07-13 DOI: 10.1037/cou0000696
Jonathan Him Nok Lee, Eddie S K Chong, Harold Chui, Tan Lee, Sarah Luk, Dehua Tao, Nicolette Wing Tung Lee
{"title":"A curvilinear association between therapists' use of discourse particles and therapist empathy in psychotherapy.","authors":"Jonathan Him Nok Lee,&nbsp;Eddie S K Chong,&nbsp;Harold Chui,&nbsp;Tan Lee,&nbsp;Sarah Luk,&nbsp;Dehua Tao,&nbsp;Nicolette Wing Tung Lee","doi":"10.1037/cou0000696","DOIUrl":"10.1037/cou0000696","url":null,"abstract":"<p><p>This study investigates the relationships between therapists' use of discourse particles and therapist empathy. Discourse particles, commonly found in non-English languages, are verbal elements that constitute metacommunication by encoding speakers' emotions and attitudes, which are typically expressed by nonverbal behaviors (e.g., intonation, tone, facial expression, nodding). We hypothesize an inverted U-shaped curvilinear relationship between therapists' use of discourse particles and therapist empathy, given the notion that an optimal level of therapists' emotion in psychotherapy can facilitate clients' inner experiencing and self-expression. Four psychotherapy sessions each from 39 therapist-client dyads were analyzed. After each session, therapist empathy was rated by trained observers using the Therapist Empathy Scale (TES) and by clients using the Barrett-Lennard Relationship Inventory (BLRI). Multilevel modeling shows that both the person-level negative quadratic term and positive linear term for therapists' usage of discourse particles are significant in predicting mean TES with large effect sizes. The same predictors do not yield significant results in predicting mean BLRI but they trend in similar directions of associations with medium effect sizes. Our results suggest the optimal usage of discourse particles by therapists is around 20.3% (out of all utterances). The nonsignificant results in BLRI may be attributed to the relatively small sample size of our data and the noncommunication orientation of the client-rated measure. (PsycInfo Database Record (c) 2023 APA, all rights reserved).</p>","PeriodicalId":48424,"journal":{"name":"Journal of Counseling Psychology","volume":null,"pages":null},"PeriodicalIF":3.9,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9774640","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}
引用次数: 0
Too-much-of-a-good-thing? The curvilinear associations among Chinese adolescents' perceived parental career expectation, internalizing problems, and career development: A three-wave longitudinal study. 太棒了?中国青少年感知父母职业期望、内化问题和职业发展之间的曲线关联:一项三波纵向研究。
IF 3.9 1区 心理学
Journal of Counseling Psychology Pub Date : 2023-10-01 Epub Date: 2023-05-25 DOI: 10.1037/cou0000687
Nan Zhou, Haoran Meng, Hongjian Cao, Yue Liang
{"title":"Too-much-of-a-good-thing? The curvilinear associations among Chinese adolescents' perceived parental career expectation, internalizing problems, and career development: A three-wave longitudinal study.","authors":"Nan Zhou,&nbsp;Haoran Meng,&nbsp;Hongjian Cao,&nbsp;Yue Liang","doi":"10.1037/cou0000687","DOIUrl":"10.1037/cou0000687","url":null,"abstract":"<p><p>Based on three-annual-wave data from 3,196 Chinese adolescents across the high school years (<i>M</i><sub>age</sub> = 15.55 years old, <i>SD</i> = .44; 52.8% girls at Wave 1, 10th grade), this study examined the curvilinear associations between adolescents' perceived parental career expectation and their career adaptability and ambivalence and also tested the potential mediating role of adolescents' internalizing problems in such associations. Results showed that, after controlling for a set of critical covariates and the baseline levels of outcome variables, there was an inverted U-shaped curvilinear association between adolescents' perceived parental career expectation at Wave 1 and their career adaptability at Wave 3 via adolescent internalizing problems at Wave 2. Similarly, a U-shaped curvilinear association also was identified between adolescents' perceived parental career expectation at Wave 1 and their career ambivalence at Wave 3 via their internalizing problems at Wave 2. These findings suggest that adolescents' perceived parental career expectation may have \"too-much-of-a-good-thing\" effects on their career development. Implications for future research and practice were discussed. (PsycInfo Database Record (c) 2023 APA, all rights reserved).</p>","PeriodicalId":48424,"journal":{"name":"Journal of Counseling Psychology","volume":null,"pages":null},"PeriodicalIF":3.9,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9574622","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}
引用次数: 1
Early distress score instability predicts outcome in brief psychotherapy. 早期痛苦评分不稳定可预测短期心理治疗的结果。
IF 3.9 1区 心理学
Journal of Counseling Psychology Pub Date : 2023-10-01 Epub Date: 2023-05-18 DOI: 10.1037/cou0000683
Andrew Koffmann
{"title":"Early distress score instability predicts outcome in brief psychotherapy.","authors":"Andrew Koffmann","doi":"10.1037/cou0000683","DOIUrl":"10.1037/cou0000683","url":null,"abstract":"<p><p>Among psychotherapy patients, unstable early distress scores are known to predict substantial intersession improvement later in treatment. The evidence has been ambiguous as to whether early distress instability also predicts outcome. We investigated the links among early distress instability, later intersession improvement, and outcome. In a sample of 1,796 students treated with brief psychotherapy at university counseling centers, we sought to predict intersession improvement and treatment outcome from an index of distress instability, as assessed during the first four treatment sessions. Large intersession shifts late in treatment appeared to mediate the link between early distress instability and outcome. These relationships were limited to participants who demonstrated early score shifts larger than measurement error. As hypothesized by dynamic systems theory, some psychotherapy patients experience stepwise improvement that is preceded by early instability in distress scores. However, the effect size linking early instability to outcome is small. Sudden gains may not be the optimal measure to elucidate these relationships. (PsycInfo Database Record (c) 2023 APA, all rights reserved).</p>","PeriodicalId":48424,"journal":{"name":"Journal of Counseling Psychology","volume":null,"pages":null},"PeriodicalIF":3.9,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9480056","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}
引用次数: 0
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