2022 Report: Student Affiliates of Seventeen (SAS)

The counseling psychology program at the University of Missouri-Columbia was selected to host the Student Affiliates of Seventeen (SAS) Executive Board from 2019 to 2022 and will complete its tenure at the conclusion of the 2022 APA Convention. This report outlines the work of the SAS Executive Board from 2021 through 2022, while also reflecting on three themes that have emerged over the course of our 3-year term: 1) Fostering Connections, 2) Social Justice and Advocacy, and 3) Organizational Development. A description and rationale for each theme will be provided in addition to a review of the activities that align with each theme. The SAS tri-chairs also provide a reflection on the challenges of leading amidst a pandemic and the potential impact of the pandemic on student engagement.

On the Problems and Countermeasures of College Students' Mental Health and Safe Work under Network Environment

Under the network environment, mental health and safety work on college is related to national security and campus security. Moreover, it affects the healthy development of college students. In the era of ever-changing mobile Internet, colleges and universities must take practical countermeasures against the problems in mental health and safety education on college and improve the relevance and effectiveness of college students' network safety education. This paper first finds the problems of college students' mental health and safety through questionnaire survey and analyzes the current situation of college students' mental health and safety under the current networked environment. In response to the problems found, we propose complete and systematic educational countermeasures. At the same time, we need to firmly establish the strategic awareness of network security education and strengthen the construction of network security education in colleges and universities. We should strengthen the construction of network security education in colleges and universities, form a joint effort of schools, families, government, and society, and improve the quality and effectiveness of network security education.

Learning clinical skills: an ecological perspective

The pedagogy underpinning clinical psychology training is often reliant upon the acquisition and transmission of knowledge and the practice of skills. The dominant paradigm in the training of clinical psychologists emphasises competence-based training drawing upon a scientist practitioner model of practice, often underpinned by knowledge of evidence-based interventions. Little has changed over the past 40 years. Training is predicated upon the assumption that effective therapy is attributed to the therapist's skills to implement specific therapeutic processes and her or his capacity to form an effective working alliance with the client or patient. We provide an argument for an alternative paradigm in which ecological principles are privileged with a view to enhancing clinical training of psychologists in health settings responsive to the trainee as well as the broader societal context in which they practice, by adopting a pedagogy which prioritizes the relationship between the person and the environment. The proposed approach brings an ecological set of assumptions to the learning experience in clinical contexts. Key principles, drawn from an ecological perspective includes: affordances, the emergence of self-organisation in clinical learning, constraints and rate limiters. The approach is supported by examples applied to clinical learning contexts. Implications for clinical training are discussed. The ways in which an ecological approach may contribute to more effective learning outcomes through the use of representative learning contexts may inform learning design, how learning is actioned in clinical psychology as well as future research on the pedagogy of clinical training.

LGBTQ Qualitative and Mixed Methods Research in Counseling Psychology: A Content Analysis

Given that qualitative and mixed methods have been used to address social justice issues, counseling psychologists have been drawn to these research designs to advance knowledge in the field. However, qualitative and mixed methods are rarely used in counseling psychology to examine the experiences of LGBTQ individuals. This content analysis reviewed all qualitative and mixed methods studies conducted with LGBTQ individuals between 2009 and 2019 in three leading counseling psychology journals. Results from 24 studies revealed: (a) an increase in LGBTQ-related topics; (b) an overreliance in grounded theory as a research design, diverse analytical approaches, overreliance on semi-structure interviews, and increased disclosure of reflexivity and trustworthiness; and (c) an overwhelming representation of White, cisgender, gay and lesbian, middle class, college educated, English-speaking, Christian, mainland United States residents. We pose a call to action for the next decade of qualitative and mixed methods research with LGBTQ individuals in counseling psychology.

Collective Program Social Justice Identity and Perceived Norms on Promoting Student Advocacy

A growing body of research suggests that graduate psychology training programs with a stronger collective social justice identity are likely to provide more support for students’ advocacy engagements than those with discrepant views among members. We conducted response surface analyses ( N = 178 PhD students; across 16 counseling psychology programs) to examine whether the degree of congruence and discrepancy in social justice attitudes and perceptions of training program norms (perceived social justice norms among students and faculty) between the individual student and other students in their program would be associated with students’ social justice advocacy intentions and behaviors. Higher congruence in attitudes and perceived norms (among students and faculty) were significantly associated with advocacy intentions. For advocacy behaviors, only congruently higher perceptions of faculty were significantly associated. Discrepant attitudes and perceived norms were not significantly related to students’ advocacy intentions and behaviors. Recommendations for training and research are discussed.

Recognition of Community-Based Youth Programming in Counseling Psychology Journals: A 30-Year Analysis

As a field, counseling psychology distinguishes itself through its values of building on client strengths, developmentally-informed and preventative approaches to treatment, social justice efforts to confront individual and systemic oppression, and treatment of individuals across the lifespan. Community-based youth programs offer a culturally-responsive way to advocate for and challenge the systemic inequities faced by youth today. Despite the connections between counseling psychology values and community-based programs, it is unclear how, and to what extent, the field has contributed to this literature. To address this issue, we conducted a content analysis of the three major counseling psychology journals to determine how community-based youth programs have been represented in the field. From January 1990 to March 2019 only 10 articles were published about community-based youth programming, representing only .17% of the articles published during that time period. Implications and future direction for researchers, journals, and the field as a whole are addressed.

The Restorative Justice Attitudes Scale: Development and Initial Psychometric Evaluation

Restorative justice as an applied and theoretical construct has received growing public attention; yet, little research on restorative justice has been conducted within psychology, including counseling psychology—a subfield devoted to social justice, advocacy, and the promotion of human rights and dignity for all people. This may in part be due to the lack of established empirical measurement concerning restorative justice. We developed the Restorative Justice Attitudes Scale (RJAS) using data collected from 650 US adults. Exploratory analyses yielded a 5-factor structure composed of 20 items within five dimensions: (a) Empathic Understanding, (b) Harm and Needs, (c) Restoration Processes, (d) Accountability, and (e) Community Engagement. However, confirmatory analyses suggested the use of a total scale score. Evidence of construct validity was established as the RJAS score was related to measures of empathy and perspective-taking. We discuss implications for the use of the RJAS in practice, advocacy, education, training, and research.

The Synergistic but Troubled Relationship Between Psychotherapy Science and Practice: Moving Forward

How to foster the integration of science (especially empirical research) and practice has been a vexing problem since the beginnings of counseling psychology and other applied fields. We propose that the basis for this problem is the very different, even contradictory, demands of empirical research and practice, and the resulting ways of being research scientists and practitioners. Focusing on psychotherapy, we posit seven such demands/pulls and ways of being and seven tactics for strengthening integration. Clinically relevant research on the therapeutic relationship and therapist skills/interventions conducted at the Maryland Psychotherapy Clinic and Research Lab is summarized. We emphasize that for science and practice to be mutually facilitative, the field will need to pay close and ongoing attention to ways of strengthening integration.

Supervisors’ Perceptions of Their Integration of Strength-Based and Multicultural Approaches to Supervision

This study explored how, and to what degree, clinical supervisors utilize and integrate strength-based and multicultural approaches. We conducted a qualitative investigation using a grounded theory paradigm and consensual qualitative research methodology and analysis. Participants included 14 licensed psychologists. We organized the data into four domains: (a) supervisory approaches, (b) multicultural content/integration of multicultural approaches, (c) strength-based content/integration of strength-based approaches, and (d) supervisor power and supervisee empowerment. Results suggested that participants were keenly aware of multiculturalism and multicultural competence, and infused these perspectives throughout their supervision. Supervisors as a group were less aware of the ways that they used strength-based approaches with their supervisees, although a subset of participants intentionally used strength-based interventions. Notably, some supervisors used multicultural and strength-based perspectives in an integrative fashion by recognizing that strengths vary depending on the cultural context. We discuss implications for supervision practice, advocacy, theory, and research.

Clients’ Hope for Counseling as a Predictor of Outcome in Psychotherapy

Researchers have demonstrated links between general hope and symptoms of distress. Findings like these are important given the conceptual role of hope in psychotherapy theories like Frank and Frank’s contextual model. Existing literature, however, has involved researchers employing general hope measures despite hope being variable across domains rather than a general trait. The purpose of this study was to explore the relationships between hope for counseling and clients’ outcomes as well as the working alliance. Self-report data were collected from 103 clients in a doctoral training clinic. Evidence (from multilevel modeling) demonstrated that increases in working alliance predict increases in hope for counseling over the course of treatment and that increases in hope for counseling significantly predict decreases in distress over the course of counseling when working alliance and session number are controlled. We discuss implications for clinical practice and positively-oriented work in counseling psychology.

Integrated Behavioral Health and Intervention Models

Accumulating evidence documenting the high percentage of patients who first discuss mental health needs with their primary care physician has accelerated the integration of physical and mental health care to a national priority. Several models have been developed describing how health care settings can integrate physical and mental health care and how training programs might better prepare clinicians to work in integrated behavioral health care settings. This article explores models of integrated behavioral health, highlights contributions of social work and psychology, and describes the training and experiences of social workers and psychologists working in integrated behavioral health.

Clinical psychology PhD students' admission experiences: Implications for recruiting racial/ethnic minority and LGBTQ students

AIM

The purpose of this study was to explore differences in the clinical psychology PhD program admissions experience (i.e., interviewing and decision-making) by race/ethnicity and lesbian, gay, bisexual, transgender, and queer (LGBTQ) identity.

METHODS

Participants were 803 students (24% racial/ethnic minority; 19% LGBTQ) enrolled in US clinical psychology PhD programs. Two-group comparisons tested for differences in admission experiences by race/ethnicity and LGBTQ identity.

RESULTS

Racial/ethnic minority and LGBTQ students considered a programmatic commitment to diversity as more important in application decisions compared to non-Hispanic White and cisgender heterosexual students, respectively. LGBTQ students were more likely to be advised to not discuss personal information (e.g., sexual orientation) than cisgender heterosexual students. Racial/ethnic minority and LGBTQ students identified financial considerations and program outcomes as more important in their decision-making compared with non-Hispanic White and cisgender heterosexual students, respectively.

CONCLUSION

Increasing funding and fostering authentic training environments should be prioritized in institutional conversations around recruiting racial/ethnic minority and LGBTQ trainees.

Telepsychology: A Primer for Counseling Psychologists

Telepsychology is having a profound influence on professional practice. Currently, however, many psychologists lack the requisite knowledge and skill to provide ethical and competent telepractice services. Moreover, the field has lagged in developing the educational and supervised experiences required to achieve competency. Yet, there is great opportunity as well. The purpose of this article is to identify the natural integration of the pillars of counseling psychology with the major domains of telepractice and to link telepractice to the values and mission of counseling psychologists. We present aspects of telepsychology including ethical and legal factors, asynchronous and synchronous practice, and group-focused practice along with technologies and the rules that govern them. We also describe interjurisdictional practice, and introduce a proposed curriculum based upon the benchmark competencies for infusion of telepsychology into training across the professional lifespan.

Setting Our Sails: Counseling Psychology in the Age of Integrated Health Care

Counseling psychology has a documented ability to adapt to the winds of societal, market, and professional change. Adjusting our sails to the winds of integrated care will require realizing that (a) the value systems and approaches that define our field compel us to become more involved in the movement and (b) we have the requisite expertise to do so. This article echoes the others in this Major Contribution highlighting the importance of interprofessional training for counseling psychologists and the need for integrated care professional role models. Barriers to involvement in integrated care for counseling psychologists include time and effort without institutional support, integrated care being seen as on the fringe of the field, limited training in evidence-based practices, and hesitance to move into integrated care clinics despite their high proportion of underserved patient populations. Integrated care is an incredible opportunity for counseling psychology to draw on its historical strengths and be a flagship of this paradigm shift.

Counseling Psychologists and Behavioral Health: Promoting Mental and Physical Health Outcomes

On the occasion of the 50th Anniversary of The Counseling Psychologist, we reflect on the many contributions that counseling psychologists have made and are poised to make in the areas of behavioral health and behavioral health care. We note that psychologists’ engagement in health promotion and prevention of behavioral, mental, and emotional disorders is consistent with counseling psychology values. We provide a concise review of theories that are widely applied in behavioral health contexts and discuss ways in which counseling psychologists may apply these theories to help ameliorate health disparities, empower communities to take control of their own health, and promote social justice. In addition, we highlight the need to create interdisciplinary partnerships to conduct culturally sensitive research on the bi-directional relationship between mental health and physical health. The article ends with wide-ranging implications and recommendations for theory development, research, training, practice, and advocacy.

Integrated Behavioral Health Curriculum in Counseling Psychology Training Programs

Effective training in integrated behavioral health requires systematic, interprofessional education that is anchored in competencies. We describe core learning objectives, competencies, and strategies for assessing counseling psychology trainees in integrated health care settings. Two programs that have transformed their training to emphasize interprofessional and primary care competencies of psychological practice are presented, along with their training goals and didactic and experiential curricular activities. We describe the assessment of student learning, accompanied by program adjustments implemented to improve student outcomes. We conclude with a call for counseling psychologists to ensure student competency development as members of the interprofessional health care workforce.

Social Justice in Counseling Psychology: Then, Now, and Looking Forward

In this article, a diverse group of early, mid, and advanced career scholars call for counseling psychology to continue to evolve in our integration of social justice action in our field. In doing so, we first consider our history as proponents and enactors of social justice, highlighting the ways in which counseling psychologists have served as social justice leaders in psychology. We then discuss our field’s contemporary challenges to, and opportunities for, social justice progress as we work toward equity and justice. Finally, we offer recommendations for counseling psychologists individually and as a field to move forward in our social justice action. Given our longstanding social justice values and our unique training as counseling psychologists, if we aim with intentionality to use our skills toward systems change, counseling psychologists are poised to have a strong and proactive role as social change agents within psychology and society at large.

Social Justice and International Competencies: Positioning Counseling Psychologists for the Global Era

In this article, we attempt to draw a connection between social justice and international competencies within counseling psychology. Built on Constantine et al.’s general social justice competencies as well as the cross-national cultural competences model and dynamic-systemic-process model of international competencies, nine international social justice competencies are outlined and their relevance in international contexts is highlighted. In addition, three specific mindsets for the enhancement of international social justice work by U.S.-based counseling psychologists are discussed. We believe that by promoting the integration of social justice and international competencies, future counseling psychologists will be better prepared for the global era.

White Supremacy and Counseling Psychology: A Critical–Conceptual Framework

The mainstreaming of White nationalism in the United States and worldwide suggests an urgent need for counseling psychologists to take stock of what tools they have (and do not have) to combat White supremacy. We review the rise of social justice issues in the field of counseling psychology and allied helping professions and point to the limits of existing paradigms to address the challenge of White supremacy. We introduce transnationalism as an important theoretical perspective with which to conceptualize global racisms, and identify White racial affect, intersectionality, and allyship as three key domains of antiracist action research. Finally, we suggest three steps for sharpening counseling psychologists’ approaches to social justice: rejecting racial progress narratives, engaging in social justice-oriented practice with White clients, and centering White supremacy as a key problem for the field of counseling psychology and allied helping professions.

Development and Initial Validation of the Therapist Hope for Clients Scale

Hope is a critical component of therapeutic change. However, hope does not singularly emanate from clients. Therapists’ hope for their clients represents a specific therapeutic factor that may impact clinical outcomes. Currently no measure exists to assess the uniqueness of therapist’s hope in therapy with specific clients. Our purpose in this study was to develop and initially validate the Therapist Hope for Clients Scale (THCS). Participants ( N = 380) completed the THCS, plus four additional measures to assess therapists’ use of clients’ strengths, self-efficacy in helping skills, working alliance with individual clients, and a general measure of hope. We subjected the THCS to parallel analysis, factor analyses, reliability testing, and validity testing. These steps led to the development of a 10-item measure. THCS scores were positively related to therapists’ use of clients’ strengths, helping skills, self-efficacy, and working alliance. Implications of the THCS are discussed.

How Are Personal Values Linked to Help-Seeking Stigma?

The extent to which individuals prioritize different personal values may be conceptually linked to the perceptions of societal stigma associated with seeking psychological help (public stigma), as well as the extent to which they apply that stigma to themselves (self-stigma). We examined how personal values predicted public stigma and self-stigma of seeking psychological help. Undergraduates ( N = 342) from two universities, one historically Black college/university and one predominantly White institution, completed questionnaires assessing personal values and public stigma and self-stigma of seeking psychological help. Self-transcendence values predicted lower self-stigma directly and indirectly via public stigma. Though there were no structural differences between the modeled relationships of values, public stigma, and self-stigma between Black/African American and White/European American undergraduates, the groups differed in their prioritization of self-transcendence, openness to change, and conservation values. Results suggest that understanding how individuals prioritize certain values over others may help explain group-differences in help-seeking stigmas.