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Articles 1 - 30 of 70
Full-Text Articles in Counselor Education
Generative Artificial Intelligence In Counselor Development: Examining Systemic Influences On Training, Lauren Dollarhide, Leo Gonzalez Jr., Rachel M. Smith
Generative Artificial Intelligence In Counselor Development: Examining Systemic Influences On Training, Lauren Dollarhide, Leo Gonzalez Jr., Rachel M. Smith
Journal of Technology in Counselor Education and Supervision
The use of large language models (LLMs) and generative artificial intelligence (AI) tools (e.g., ChatGPT, AI-assisted supervision platforms, and AI-powered role-play simulations) in counselor education is changing the way counselors-in-training (CITs) are trained and has both risks and benefits for the field. This conceptual article applied Bronfenbrenner’s ecological systems theory to evaluate the impact of these technologies at multiple levels within the counseling training environment. The microsystem is described as the interactions between CITs and the AI they use to support their training experiences (e.g., AI-based learning tools, role-playing simulations). The mesosystem refers to the movement of AI across different …
An Ai Perspective On Counseling Supervision, Emily A. Brinck, James L. Soldner, Hung Jen Kuo, Scott A. Sabella, Trenton J. Landon, Charles P. Bernacchio, Elizabeth A. Boland
An Ai Perspective On Counseling Supervision, Emily A. Brinck, James L. Soldner, Hung Jen Kuo, Scott A. Sabella, Trenton J. Landon, Charles P. Bernacchio, Elizabeth A. Boland
Special Education and Rehabilitation Counseling Faculty Publications
The increased use of technology-assisted distance counseling practices is one result of COVID’s impact on behavioral health, including in counselor education and the delivery of supervision. First, technology-assisted distance supervision needed for “real time” communication grew. Furthermore, there is an emergence of artificial intelligence (AI) technologies that have the potential to contribute to aspects of supervision; however, current evidence remains emerging, context-dependent, and at times mixed, warranting cautious interpretation of their effectiveness. The article offers an overview of using AI in clinical supervision, examines the benefits and potential concerns of AI from different perspectives, and considers the significance of using …
Latine Doctoral Student Experiences In U.S. Counselor Education And Supervision Programs, Nayara Aparecida Da Costa Silva Beall, Lizbeth Duran Oden, Isabel C. Farrell, Mariaimeé Gonzalez, Stephanie Thorson-Olesen
Latine Doctoral Student Experiences In U.S. Counselor Education And Supervision Programs, Nayara Aparecida Da Costa Silva Beall, Lizbeth Duran Oden, Isabel C. Farrell, Mariaimeé Gonzalez, Stephanie Thorson-Olesen
Journal of Counselor Preparation and Supervision
This study explored the experiences of Latine doctoral students in Counselor Education and Supervision programs in the United States. The consensual qualitative research yielded five domains: cultural values, representation, racialized experiences, support, and social justice. The findings are discussed with direct applications for programs and recommendations for future research.
Recommendations For Telesupervision: Promoting Ethical, Legal, And Effective University And Clinical Supervision Using Technology, Madeleine M. Stevens, Yegan Pillay, Edisa Music, Elena Shahen
Recommendations For Telesupervision: Promoting Ethical, Legal, And Effective University And Clinical Supervision Using Technology, Madeleine M. Stevens, Yegan Pillay, Edisa Music, Elena Shahen
Journal of Counselor Preparation and Supervision
The expansion of the use of technology in counseling has implicated counseling professionals in considering how to legally and ethically incorporate it into all facets of practice, including university and clinical supervision settings. In this article, we provide scholarship-backed recommendations for doing so as well as provide suggestions for incorporating psychodynamic and cognitive-behavioral (CBT) supervision models into telesupervision.
Exploring Trauma Education And The Intersection Of Self-Efficacy, Ashlea Yearwood
Exploring Trauma Education And The Intersection Of Self-Efficacy, Ashlea Yearwood
Dissertations, 2020-current
Trauma education in counselor training programs is not only required for those accredited by the Council for Accreditation of Counseling and Related Educational Programs (CACREP), but a critical component in preparing counselors-in-training to work with clients who have been directly or indirectly impacted by a traumatic event. This three-article dissertation includes a conceptual manuscript, qualitative manuscript, and a quantitative manuscript regarding trauma education for counselors. The conceptual manuscript offers an approach to mitigating compassion fatigue through the utilization of attachment-based supervision when working with counselors-in-training. The qualitative manuscript aimed to utilize an interpretative phenomenological analysis to explore and understand what …
Site Supervisor Roles And Responsibilities: Counseling Programs’ Written Expectations, Justin D. Lauka, Amanda Mccarthy, Steven Moody, Minna Yoo
Site Supervisor Roles And Responsibilities: Counseling Programs’ Written Expectations, Justin D. Lauka, Amanda Mccarthy, Steven Moody, Minna Yoo
Teaching and Supervision in Counseling
Site supervisors play a vital role in training clinical mental health counseling (CMHC) students during their field work. While clear roles and responsibilities for site supervision is a professional and ethical requirement, the scope of these expectations remains ambiguous. This article provides baseline empirical data on the expectations of sites and site supervisors communicated through field experience handbooks of CACREP-accredited CMHC programs. The authors completed a qualitative content analysis that resulted in three key categories including Site and Site Supervisor Administrative Expectations, Clinical Supervision, and Site/Program Interaction. Implications for counseling programs and future research are discussed.
Cohesive Model Of Supervision: An Empirically Based Approach, Gülşah Kemer
Cohesive Model Of Supervision: An Empirically Based Approach, Gülşah Kemer
Counseling & Human Services Faculty Publications
Supervision models are fundamental to our supervision practices and criticized for lacking empirical support. As a data-driven approach based on research with expert supervisors, Cohesive Model of Supervision unifies existing models’ central premises in a meaningful manner and emphasizes the understated areas of supervision practice.
Reality Shock And Systemic Strain: Understanding The Lived Experiences Of Pre-Licensed Mental Health Counselors, Sara Al-Khedairy
Reality Shock And Systemic Strain: Understanding The Lived Experiences Of Pre-Licensed Mental Health Counselors, Sara Al-Khedairy
Antioch University Dissertations & Theses
The counseling profession is struggling to meet the rising demand for mental health care due to a growing workforce shortage driven by burnout, inadequate support, and low compensation—pressures that disproportionately impact pre-licensed clinicians. Despite their critical role in sustaining the field, pre-licensed counselors often face systemic barriers with little structural support. This qualitative study explored the lived experiences of pre-licensed clinical mental health clinicians through social-ecological and reality shock theories. Participants included 14 pre-licensed clinical mental health counselors who had graduated from CACREP-accredited programs within the last five years. Individual interviews were conducted to gain a deeper understanding of participants’ …
Doctoral Student Supervisors' Experiences With Broaching Race And Race-Related Issues, Judith Wambui Preston, Gülşah Kemer
Doctoral Student Supervisors' Experiences With Broaching Race And Race-Related Issues, Judith Wambui Preston, Gülşah Kemer
Counseling & Human Services Faculty Publications
In this descriptive phenomenological study, we explored 13 doctoral student supervisors’ experiences with broaching race and race-related issues in supervision with counselors-in-training. Three themes emerged: the function of broaching; self-perceived attributes affecting broaching; and experiences of programmatic support and challenges. We discussed practical and research implications with study limitations.
Wounded And Healing: Licensed Counselors’ Experience With Personal Suicide Loss And The Impact On Clinical Practice, Supervision, And Self-Disclosure, Shannon Strohl
Electronic Theses and Dissertations
This study sought to explore the lived experiences of licensed counselors who experienced personal suicide loss and the impact of their loss on their professional lives. Of particular interest was the impact of the loss on countertransference, professional direction and choices, and self-disclosure with clients and other professionals in the field (e.g., supervisors, professors, and colleagues). The concept of the wounded healer, as described by Zerubavel and Wright (2012), served as the theoretical framework used to understand the participants’ stories. Previous studies have examined the wounded healer among psychologists; however, few studies explored the experience of licensed counselors as wounded …
Use Of A Relational Cultural Framework Of Supervision And Its Influence On Practicum Student Self-Efficacy, Sabrina Butler, Jessica Yanson, Vicki Kelchner
Use Of A Relational Cultural Framework Of Supervision And Its Influence On Practicum Student Self-Efficacy, Sabrina Butler, Jessica Yanson, Vicki Kelchner
Journal of Counselor Preparation and Supervision
Supervision is one of the foundations of counselor development within counselor training programs and post-education licensure and certification processes. While educators have created many theories to address the supervision needs of counselors in training (CITs), relatively few address relational development and its impact on CITs’ self-efficacy. The researchers sought to address this gap by exploring Relational Cultural Supervision with practicum-level CITs. The researchers conducted a qualitative investigation utilizing a case study to examine the impact of Relational Cultural Supervision on practicum-level CIT reports of self-efficacy in a large CACREP-accredited university in the Southeastern United States. Results indicate that Relational Cultural …
Trauma History And Trauma-Informed Practice Relate To Counseling Student’S Satisfaction With Supervision And Rapport With Supervisor, Nikki Hurless
Trauma History And Trauma-Informed Practice Relate To Counseling Student’S Satisfaction With Supervision And Rapport With Supervisor, Nikki Hurless
Journal of Counselor Preparation and Supervision
The effects of traumatic stressors and adversity have implications for relationship outcomes in various professional settings, including clinical supervision. The high prevalence of traumatic experiences among counselors and counselors in training (CIT) suggests a need to explore how CITs experience the supervision relationship in the context of having experienced traumatic and/or adverse events. In recent years, researchers and practitioners have increased attention to trauma-informed practice and principles in clinical supervision, and many have suggested that applying these practices to supervision may improve the supervision relationship and related outcomes. This study explored factors related to CIT satisfaction with supervision and rapport …
The Argument For Clinical Supervision For Early Career School Counselors, Sarah Evans Zalewski, Maiko Xiong, Robert Gilbert
The Argument For Clinical Supervision For Early Career School Counselors, Sarah Evans Zalewski, Maiko Xiong, Robert Gilbert
Journal of Counselor Preparation and Supervision
Early career school counselors need support to navigate their professional development as novice counselors, manage programmatic duties, high caseloads, and the effect of the COVID-19 pandemic on the mental health needs of children and youth. Given that school settings are often the first point of entry for mental health services for children and youth, clinical supervision is necessary. Clinical supervision promotes ethical practice, supports the professional growth of early career school counselors, and guards against burnout. This article (a) describes the development needs of early career school counselors and (b) provides recommendations for establishing clinical supervision for early career school …
Beyond The Standards: A Qualitative Analysis Of Perfectionism Among Master’S-Level Counseling Students, Sara E. Ellison, Jessica M. Tyler, Malti Tuttle
Beyond The Standards: A Qualitative Analysis Of Perfectionism Among Master’S-Level Counseling Students, Sara E. Ellison, Jessica M. Tyler, Malti Tuttle
Teaching and Supervision in Counseling
This study investigates how perfectionism in counselor training impacts the relationships between students and clients/supervisors and contributes to imposter syndrome, burnout, and social disconnection. Using a transcendental phenomenological approach, we explored the experiences of perfectionism among 13 master’s counseling students during their graduate training. Four key themes emerged from the data analysis: (a) striving for enoughness, (b) masking inadequacy, (c) embracing vulnerability, and (d) connecting with authenticity. The implications of these findings for graduate training programs are discussed, emphasizing the specific needs of students grappling with perfectionism.
Counseling In Virtual Spaces And Into The Metaverse: A Framework For Reflection, Conversation, And Future Scholarship, Staci Hayes, Yahyahan Aras, Kathy Caputo, James Hoag, Lindsay Ibos, Sania Khan, Kelly Smith
Counseling In Virtual Spaces And Into The Metaverse: A Framework For Reflection, Conversation, And Future Scholarship, Staci Hayes, Yahyahan Aras, Kathy Caputo, James Hoag, Lindsay Ibos, Sania Khan, Kelly Smith
Journal of Technology in Counselor Education and Supervision
Given the success of Virtual Reality (VR) in the gaming community and strides in mental health, both VR and the Metaverse provide limitless opportunities and possibilities in the field of counseling. This article aims to provide important definitions, an overview of the use of VR in clinical counseling, clinical supervision, counselor education and its potential emergence into the Metaverse. Implications are presented in hopes of prompting conversation on how we may accept technological and cultural shifts and remain true to our counseling roots. Specifically, how to maximize the potential benefits with counseling specific rationale and address the limitations and potential …
Addressing Gatekeeping Challenges In Counselor Education: A Grounded Theory, Vanessa Pauline Gill
Addressing Gatekeeping Challenges In Counselor Education: A Grounded Theory, Vanessa Pauline Gill
Dissertations
This constructivist grounded theory study explored how counselor educators navigate remediation and gatekeeping challenges in CACREP-accredited programs. Fifteen counselor educators with at least one challenging gatekeeping experience participated in semi-structured interviews conducted via Zoom. All interviews were recorded and transcripts were completed. Data was analyzed using grounded theory methodology and analysis efforts were organized using the MAXQDA 2024 software. Data analysis involving constant comparison methods and memo-writing generated an emerging theory describing counselor educators’ journey from uncertainty to increased confidence in addressing remediation issues. The theory illuminates how experiential learning, reflective practice, and supportive professional relationships inform this developmental process. …
Understanding The Supervision Of Counselors In A Grief Process Who Have Experienced A Client’S Death By Suicide., Sean Abaray
Understanding The Supervision Of Counselors In A Grief Process Who Have Experienced A Client’S Death By Suicide., Sean Abaray
Electronic Theses and Dissertations
This qualitative phenomenological study explored the grief experiences of counselors in supervision who have experienced a client's death by suicide. Given that this phenomenological study aimed to explore a new phenomenon of study, the researcher utilized van Manen’s lived existentials as a process for data analysis. The first chapter of the dissertation introduces the problem and includes the research question. The question is: “How do counselors who have experienced a client's death by suicide experience supervision as they work to deal with the loss?" Following this chapter, the researcher reviews relevant literature selections. During the methodology chapter, the researcher describes …
Measures To Assess The Competence Of Supervisors Of Provisionally Licensed Mental Health Counselors, Jennifer S. Kennett
Measures To Assess The Competence Of Supervisors Of Provisionally Licensed Mental Health Counselors, Jennifer S. Kennett
Antioch University Dissertations & Theses
Supervision is a foundational component of education and training for new counselors. Ensuring provisionally licensed supervisees receive adequate supervision is vital, given the variation in training and experience requirements from state to state. Therefore, the purpose of this study was to evaluate three measures of supervisor competence and experience, the Supervision Experience and Supervisory Competence Assessment (version 2; SE-SC), the Generic Supervision Assessment Test (GSAT), and the Brief Supervisory Working Alliance Inventory (BSWAI) for use in the counseling profession within the United States. The instruments were evaluated for reliability and face validity using a sample of 104 provisionally licensed counselors …
The Proctor Model Of Clinical Supervision: An Introduction For Professional Counselors, Gideon Litherland, Gretchen Schulthes, Charlotte Cowles, Edward Ewe
The Proctor Model Of Clinical Supervision: An Introduction For Professional Counselors, Gideon Litherland, Gretchen Schulthes, Charlotte Cowles, Edward Ewe
Journal of Counselor Preparation and Supervision
Counseling supervisors require an increasingly diverse set of tools, theories, and interventions to address the myriad concerns that arise in clinical supervision. The ability to support, provide feedback, and systematically address supervisee issues are critical to effective supervision. Deliberate practice remains a key indicator of clinical effectiveness, with supervision skills requiring the same attention and practice. As consumers of supervision or providers of supervision services, professional counselors require useful models of how to engage in supervision. The Proctor Model is an internationally recognized and implemented model of supervision that has great utility for professional counselors.
Using The Five Ps: Conceptualizing Covid-19-Related Mental Health Concerns, Christine D. Gonzales-Wong, Scott Peters
Using The Five Ps: Conceptualizing Covid-19-Related Mental Health Concerns, Christine D. Gonzales-Wong, Scott Peters
Teaching and Supervision in Counseling
The COVID-19 pandemic has resulted in rising mental health concerns. As individuals experience loneliness, anxiety, and depression related to the pandemic, counselors-in-training navigate their treatment of clients while also living through the pandemic and its polarization. The authors present the Five Ps, a case conceptualization model that supervisors can use to help beginning counselors consider the history and context of the presenting concerns of clients, in addition to utilizing clients’ strengths in treatment. The authors provide a case illustration using the Five Ps in a supervision setting and discuss implications for supervision and future research.
Supervisory Impact On Counselor-In-Training Wellness, Erin Brumfield Grima
Supervisory Impact On Counselor-In-Training Wellness, Erin Brumfield Grima
Dissertations
Counselors being able to engage in self-care practices to establish and maintain their wellness is a well-documented need. The risks of neglecting self-care are also well documented, yet counselors struggle to engage in consistent self-care practices (Baker & Gabriel, 2021; Posluns & Gall, 2020). When demand for counselors is constant (Bureau of Labor Statistics, U.S. Department of Labor, 2020) an examination of how to impact counselor wellness through supervision discussion of self-care is needed. The purpose of the study was to examine supervision discussion of self-care, support of mastery of counselors-in-training’s emotions and any resulting impact on counselor wellness. Data …
Experience Of Underrepresented Students In Master’S-Level Counselor Education Programs, Deborah L. Duenyas, Andre Sumiel, Jill Krahwinkel
Experience Of Underrepresented Students In Master’S-Level Counselor Education Programs, Deborah L. Duenyas, Andre Sumiel, Jill Krahwinkel
Journal of Counselor Preparation and Supervision
The purpose of this phenomenological investigation was to understand the racial and ethnic experiences of underrepresented Master’s-level counseling graduate students in CACREP-accredited counselor education programs. The second author conducted semi-structured interviews with six masters-level counseling graduate students. Data analysis revealed four composite themes that comprised students’ experience. The themes were: Perceived Cultural Competence, Individual Characteristics, Connection and Advocacy, and Bringing “It” Up. Implications on how counselor education programming and curriculum can provide support for underrepresented students are provided.
Let’S Practice: Shaping Crisis Management Of Preservice Counseling Professionals, Yuleinys A. Castillo Lpcc, Crc, Jason Cartwright M.A., Mandy Greaves Phd, Lmft, Suzanne Maniss
Let’S Practice: Shaping Crisis Management Of Preservice Counseling Professionals, Yuleinys A. Castillo Lpcc, Crc, Jason Cartwright M.A., Mandy Greaves Phd, Lmft, Suzanne Maniss
Journal of Counselor Preparation and Supervision
Counselors frequently encounter crises in practice with various factors shaping crisis management. However, limited preparation and training combined with personal and situational characteristics affect a counselors’ ability to properly handle a crisis. The purpose of the present study was to identify factors that could potentially affect the ability to handle a crisis in session among counselors-in-training and add to the understanding of self-efficacy in crisis counseling. The study consisted of participants enrolled in a practicum pre-service course in a CACREP accredited program. Results were analyzed through a narrative research approach, specifically a categorical-content narrative analysis, theory-driven thematic analysis and cross-case …
Effects Of Adaptive Expertise On Counseling Self-Efficacy: The Mediating Role Of Adaptive Performance, Jiaying Meyer
Effects Of Adaptive Expertise On Counseling Self-Efficacy: The Mediating Role Of Adaptive Performance, Jiaying Meyer
Dissertations
Counseling and psychotherapy expertise research have been focused on three major areas, namely, characterization of Master Therapists, performance of Healing Involvement, and application of Deliberate Practice. The constructs of adaptive expertise and adaptive performance have never been investigated in the context of counseling or psychotherapy. Therefore, the purpose of this study is to examine the relevance of adaptive expertise in psychotherapy by studying the relationships between adaptive expertise, adaptive performance, and counseling self-efficacy. A total of 460 psychotherapy practitioners from a variety of disciplines and experiences participated in the study, and they included counseling, psychology, social work, and others with …
Recommendations For Counselor Education And Supervision Programs To Improve Gatekeeping Processes Developed From Doctoral Student Experiences, Evan C. Smarinsky, Cian L. Brown, Erin Popejoy
Recommendations For Counselor Education And Supervision Programs To Improve Gatekeeping Processes Developed From Doctoral Student Experiences, Evan C. Smarinsky, Cian L. Brown, Erin Popejoy
Journal of Counselor Preparation and Supervision
The purpose of this qualitative study was to explore the experiences of eleven doctoral students at three CACREP accredited programs to address issues in counselor education and supervision programs and faculty face regarding gatekeeping. The information was used to develop and provide recommendations for gatekeeping procedures that can be implemented at the departmental and classroom levels. Ways programs can improve the training of doctoral students for gatekeeping roles and responsibilities, steps faculty can take to create an environment which supports gatekeeping at their institution, as well as support doctoral students as they grow into future gatekeepers of the profession are …
Practicum Student Counselor Identity Development Through The Covid-19 Pandemic, Joy Teles Oliveira, Sarah A. Silveus
Practicum Student Counselor Identity Development Through The Covid-19 Pandemic, Joy Teles Oliveira, Sarah A. Silveus
Teaching and Supervision in Counseling
The process of developing a counselor identity is a complex task, and it starts as early as when a student first enrolls in a Master’s program. Within the events surrounding COVID-19, limited information is known about how that experience might have affected counseling students' professional identity development. Through Interpretive Phenomenological Analysis, we explored the counselor identity development process of Master’s-level counseling practicum students (n=6) during the events of the COVID-19 pandemic. Emerging themes indicated that students' experiences throughout the pandemic had a unique influence on their conceptualization of the practicum experience. Findings illustrated that these events slowed some aspects of …
The Impact Of Supervisor Servant Leadership On Counselor Supervisee Burnout And Secondary Traumatic Stress, Colleen M. Grunhaus, Thomas J. Ward, Victor E. Tuazon, Kristal James
The Impact Of Supervisor Servant Leadership On Counselor Supervisee Burnout And Secondary Traumatic Stress, Colleen M. Grunhaus, Thomas J. Ward, Victor E. Tuazon, Kristal James
Teaching and Supervision in Counseling
This study investigates the prediction of supervisee burnout and secondary traumatic stress by perceived supervisor servant leadership. Authors hypothesized that the servant leadership of supervisors would predict diminished burnout and secondary traumatic stress of supervisees. A sample of 241 counseling supervisees participated in the cross-sectional study and completed instruments measuring burnout, secondary traumatic stress, and perceived servant leadership of their direct supervisors. Data were analyzed with two simple linear regressions, and a one-way MANOVA was performed to determine if supervisee burnout, supervisee secondary traumatic stress, and perceived servant leadership of supervisors differed significantly according to supervisor type (i.e., clinical, administrative, …
Mft Trainee Experiences Of Shame, Self-Criticism, And Self-Compassion In Their First Practicum, Mark Karris , Ph.D., Angela B. Kim Ph.D.
Mft Trainee Experiences Of Shame, Self-Criticism, And Self-Compassion In Their First Practicum, Mark Karris , Ph.D., Angela B. Kim Ph.D.
Counseling and Family Therapy Scholarship Review
The purpose of this transcendental phenomenological study was to explore the lived experiences of MFT trainee shame, self-criticism, and self-compassion. Additionally, this study also sought to understand how those experiences may affect a trainee’s clinical work as a first-time practicum student. Interviews were conducted with 15 trainees in a graduate program who were performing therapy at a practicum site. Utilizing Moustakas’ transcendental phenomenology, six essential themes emerged: (1) shame and self-criticism are interrelated and can affect therapeutic presence; (2) self-criticism can have a positive impact on clinical work; (3) trainees use metaphors to describe shame and self-criticism (4) self-compassion …
Trauma-Informed Supervision Experiences: A Preliminary Phenomenological Study, Gina Martin, Gideon Litherland, David K. Duys
Trauma-Informed Supervision Experiences: A Preliminary Phenomenological Study, Gina Martin, Gideon Litherland, David K. Duys
The Qualitative Report
Trauma is pervasive in the clinical world of counseling. The current literature indicates adverse effects for survivors of a traumatic event and the counselors listening to the details of traumatic events, but there is a gap in research on the adverse effects trauma in counseling has on supervisors. This study aims to understand the lived experiences of supervisors who have dealt with traumatic experiences in clinical work through interviews with current supervisors of those who work with trauma. The results indicate trauma-informed supervision consists of trauma taking many forms, supervisors (and counselors) using the self in their work, supervisors knowing …
“A Big Part Is To Address The Elephant": International Counseling Trainees’ Experiences In Clinical Supervision In The United States, Bellah N. Kiteki, Ahmet Can, Gulsah Kemer, Judith Preston
“A Big Part Is To Address The Elephant": International Counseling Trainees’ Experiences In Clinical Supervision In The United States, Bellah N. Kiteki, Ahmet Can, Gulsah Kemer, Judith Preston
Journal of Counselor Preparation and Supervision
Enrollment of international counseling trainees in graduate counseling programs accredited by the Council for Accreditation of Counseling and Related Educational Programs (CACREP) in the United States is considerably high. Researchers previously revealed that international counseling trainees’ supervision challenges related to language barriers, relationship-building processes, supportive and unsupportive experiences, and limited supervisor attention to diversity issues. In this qualitative study, the authors used reflective thematic analysis to explore the experiences of international counseling trainees (n = 14) in clinical supervision. Four key findings were: (a) the need to address the “elephant”: supervisor failure to address cultural aspects; (b) acculturative challenges and …