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Client Outcome: An Exploratory Investigation Of Multicultural Competence And The Working Alliance, Jessica Gonzalez Jan 2015

Client Outcome: An Exploratory Investigation Of Multicultural Competence And The Working Alliance, Jessica Gonzalez

Electronic Theses and Dissertations

Early termination and low retention of clients is a common problem in counseling, with between 65%-80% of clients terminating treatment before the 10th session (Garfield, 1994; Lambert, 2013). Researchers (Lampropoulous, Schneider, & Spengler, 2009; Owen, Smith, & Rodolfa, 2009) have found that predictors of early termination include client age, race, socioeconomic status, and level of perceived distress. Furthermore, racial and ethnic minorities underutilize mental health services and have low retention when engaged in services, highlighting the need for counseling professionals to empirically explore factors that may be contributing to client engagement of the counseling process. Exploration of multicultural competence and working alliances may increase understanding of the therapeutic factors that influence client outcomes. The purpose of this research study was to investigate relationships between multicultural competence, working alliance, and client outcomes as perceived by counselors-in-training and their clients (N = 191; n = 72 counselors'-in-training, n = 119 clients). The Tripartite Model of Multicultural Counseling (Arredondo et al., 1996) was used as the primary theoretical framework in which the study is grounded. This investigation explored clients' perceptions of their counselors'-in-training ' multicultural competence as measured by the Cross-Cultural Counseling Inventory ([CCCI-R]; LaFromboise, Coleman, & Hernandez, 1991), the working alliance as measured by the Working Alliance Inventory- Short Revision ([WAI-S]; Horvath & Greenberg, 1989; Tracey & Kovocivic, 1989) and prediction on client outcome as measured by the Outcome Questionnaire 45.2 ([OQ 45.2]; Lambert & Burlingame, 1996), after controlling for social desirability (as measured by the (Social Desirability Scale-Short Form [SDS; Reynolds,1982]). This investigation also examined if there were any differences in ...


The Effect Of Virtual Simulation On The Development Of Basic Counseling Skills, Self-Reported Immersion Experience, Self-Reported Counselor Self-Efficacy, And Self-Reported Anxiety Of Counselors-In-Training, Olivia Uwamahoro Jan 2015

The Effect Of Virtual Simulation On The Development Of Basic Counseling Skills, Self-Reported Immersion Experience, Self-Reported Counselor Self-Efficacy, And Self-Reported Anxiety Of Counselors-In-Training, Olivia Uwamahoro

Electronic Theses and Dissertations

There is a high need for competent professional counselors because of the increasing number of children and adults presenting mental health concerns each year in the United States (National Institute of Mental Health, 2012). Counselor educators are tasked with the duty of preparing counselors-in-training (CITs) to be competent clinicians. In order for counseling professionals to be considered competent clinicians, they must demonstrate competence in three domains: (a) knowledge, (b) skills, and (c) behavior (ACA, 2014; CACREP, 2009). The goal of this study was to contribute to further understanding the most effective instructional approach to facilitating role play while instructing pre-practicum ...


The Influence Of Stigma On Quality Of Life And Relationship Satisfaction For Prostate Cancer Survivors And Their Partners, Andrew Wood Jan 2015

The Influence Of Stigma On Quality Of Life And Relationship Satisfaction For Prostate Cancer Survivors And Their Partners, Andrew Wood

Electronic Theses and Dissertations

The purpose of this study was to examine the relationships between stigma, quality of life (QoL), and relationships satisfaction for prostate cancer (PCa) survivors and their intimate and/or romantic partners. The investigator tested a theoretical model that stigma (as measured by the Social Impact Scale [SIS; Fife & Wright, 2000]) influenced QoL (as measured by the Functional Assessment of Cancer Therapy – Prostate [FACT-P; Esper et al., 1997] and the Functional Assessment of Cancer Therapy – General Population [FACT-GP; Cella et al., 1993]) and relationship satisfaction (as measured by the Couples Satisfaction Index [CSI; Funk & Rogge, 2007]) for both PCa survivors and their partners (N = 72 couples). The investigator hypothesized that stigma would have a negative influence on both QoL and relationship satisfaction. Further, exploratory research questions pertained to the influence of race on stigma, QoL, and relationship satisfaction, as well as examining difference in experiences of stigma based on demographic variables (e.g., age and income). The results of the structural equation model analyses identified that stigma negatively influenced QoL (R2 = .84, p < .05) and relationship satisfaction (R2 = .19, p < .05) for both PCa survivors and their partners. Race did not have statistically significant (p > .05) relationships with stigma, QoL, or relationship satisfaction and stigma was not found to be statistically different (p > .05) based on demographic variables. Implications of the results of the study include (a) practical implications for PCa survivors and their partners; (b) strategies for effective individual, group, and couples-based counseling; (c) need for counselor educators to prepare counselors to work with medically ill ...


The Helping Professional Wellness Discrepancy Scale (Hpwds): Development And Validation, Ashley Blount Jan 2015

The Helping Professional Wellness Discrepancy Scale (Hpwds): Development And Validation, Ashley Blount

Electronic Theses and Dissertations

Wellness is an integral component of the helping professions (Myers & Sweeney, 2005; Witmer, 1985). Specifically, wellness is included in ethical codes, suggestions for practice, and codes of conduct throughout counseling, psychology, and social work fields (see American Counseling Association Code of Ethics, 2014; American Psychological Association Ethical Principles of Psychologists and Code of Conduct, 2010; National Association of Social Workers Code of Ethics, 1996). Even so, wellness in helping professionals is a difficult construct to measure. Thus, the purpose of the research investigation was to develop the Helping Professional Wellness Discrepancy Scale (HPWDS) and examine the psychometric features of the HPWDS in ...