Assessment is a core component of the counseling identity. While previous literature has explored child clinicians' attitudes and use of standardized assessment instruments, less is known about the assessment practices of counselors providing play therapy to young children. The purpose of this qualitative study was to explore the subjective experiences of counselors who regularly use standardized social, emotional, and behavioral tests in their play therapy practice. Eleven professional counselors in the United States who regularly used standardized tests in play therapy participated in this study. The primary researcher utilized a transcendental phenomenological approach within a social, constructivist paradigm, along with an adapted phenomenological data analysis method. Six major themes were identified: professional development journey, use of standardized tests to enhance play therapy process, considerations for implementation in play therapy, counselor theoretical orientation and standardized tests, challenges in using standardized tests in play therapy, and advocacy and social justice issues. Implications for counselor education, clinical practice, and social justice advocacy are provided, along with recommendations for future research.

This study replicated components from Babcock et al. (2013) by examining an Imago-based Safe Conversations (SC) workshop using Gottman's psychometrically established instruments for couple functioning. Participants were 28 married heterosexual couples (N = 56) with a mean age of 27.30 years (SD = 10.16), 89.3% non-Hispanic, 78.6% Black or African-American, 85.7% first time married, 75% with at least a bachelor's degree, and a median household income in the $100,000-150,000 range. Couples independently completed the online SC workshop, The Toolbox for Couples, within a 2-week timespan. For each of three variables regarding marital quality assessed at pre- and post-workshop—(a) marital friendship, (b) conflict management, and (c) marital adjustment—multilevel dyadic analysis was conducted for four outcomes: (a) overall Time*Gender interaction effect, (b) effect for women, (c) effect for men, and (d) interclass correlation between men and women. From pre- to post-test, participants improved on all three variables: Out of the 12 analyses, 11 yielded statistically significant improvement with one very large, six large, and five medium effects. Results suggested that women may benefit more or be more sensitive to the effect of marital friendship, conflict management may be more important to men, and whereas both distressed and non-distressed couples can benefit regarding …

This study examined the effectiveness of caregiver consultations in caregiver's child's play therapy process through a program evaluation lens. Archival data was used from a counseling clinic located in the central southwestern United States. Quantitative data was collected from caregiver who filled out assessments (PSI-4 and CBCL) about their child's progression through play therapy and both groups frequency of attendance. A regression analysis was used to determine if caregivers perceived changes from the initial session and up to 10 weeks later. Additionally, retention rates over a course of 60 weeks were analyzed. Key findings suggest there is a high dropout rate from play therapy between the initial session before 10 weeks. For those whose therapy extended up to 60 weeks, consultation attritions continued. Due to low attrition numbers the effect of caregiver filled out assessments was unable to be confirmed, but this study did show a need for an intervention focused on caregiver retention to reduce attrition rates. The body of this study shows how to thoroughly conduct a program evaluation based on a specific variable and provides suggestions for explaining evaluation findings to stakeholders.

In this phenomenological investigation, a qualitative approach to research methodology is utilized to explore the resiliency experiences of Black, Indigenous, people of color counselors in training (N = 12) at historically or predominantly White institutions. The participants represent multiple regions of the United States, spanning from the northeastern United States to the Pacific Northwest. Five themes were uncovered as a result of the interviews: (1) strategies for resiliency; (2) experiences with discrimination and oppression; (3) experiences of allyship and affirmation; (4) awareness of intersections and identity; and (5) call to action. I offer suggestions for ways to increase BIPOC student resiliency as well as increase student retention within counselor education programs and recommendations for creating nurturing and equitable classrooms to provide safety for marginalized students within counselor education programs.

Preadolescence is a time of emotional, physical, social, and relational changes, which can lead to mental health concerns. Parents of preadolescents also experience changes within their roles as parents, and both parents and preadolescents experienced a wide range of changes and challenges during the COVID-19 pandemic. A mental health intervention focused on enhancing the parent-child relationship among parents of preadolescents is important for overall family functioning. This phenomenological study explored the experiences of parents of preadolescents after participating in a virtual child-parent relationship therapy (CPRT) intervention. Participants were seven parents ages 35 to 56 years-old with preadolescent children between the ages of 9 to 12 years-old. Semi-structured interviews were conducted following the CPRT intervention and analyzed. Six themes were found, including impact of group on learning, child's engagement with parent, child qualities, parent's understanding of self, importance of parent-child relationship, and integration of CPRT skills. The emerging themes indicated that the seven participants experienced changes in themselves, in their child, and in their parent-child relationships. Participants discussed their experiences with the virtual format and their integration of CPRT skills. The participants also reported feeling closeness and support from other group members, even with the virtual format. Findings from this study …

This study aimed to gain insight into the clinical practices and attitudes of currently practicing play therapists working with children with a parent with a substance use disorder. Participants in the study were play therapists credentialed by the Association for Play Therapy, either as a Registered Play Therapist™ or Registered Play Therapist-Supervisor™. A total of 198 play therapists participated in the study. Results demonstrated that variables including prior education, caseload of children affected by parental substance use, and the number of years since obtaining a mental health licensure explained 16% of the variance in participant attitude scores on the Drug and Drug Problems Perceptions Questionnaire (DDPPQ). Specifically, education (β = -.335, rs2 = .884, p < .001) was found to be a significant predictor of play therapist attitudes towards substance users as it explained 88% of the variance accounted for in the effect. Additionally, although not found to be significant, caseload (β = -.134, rs2 = .325, p = .058) was found to explain 33% of the variance accounted for in the effect. This initial exploration of play therapists' attitudes towards substance users provides strong evidence towards the importance of education and training in substance use disorders. Further exploration of …

Neuroscience is a relevant topic for counseling and counselor education, and it is a required area of competency for accredited counseling education programs. Despite this required competency, current counseling literature scarcely addresses neuroscience in counselor education. I have designed the present study to address this scarcity by exploring counselor educators' experiences of incorporating neuroscience into the counselor education curriculum using a consensual qualitative research (CQR) approach. The purpose of this study is to create a foundational understanding of (a) what elements of neuroscience counselor educators are currently including in their courses, and (b) the experience of counselor educators with teaching neuroscience. I interviewed eight counselor educators about their experiences learning and teaching neuroscience. Six domains emerged from the interviews: (1) participants' background and experience, (2) influence of neuroscience on participants' teaching, (3) personal, academic, and professional responses to neuroscience, (4) ethical concerns and recommendations for neuroscience, (5) areas of interest and future research in neuroscience, and (6) counseling literature and publication in neuroscience. The information shared by the participants will contribute to future research of teaching effectiveness and outcomes using neuroscience in counselor education.

Play therapy and animal-assisted therapy are two specialized modalities within the field of counseling. Child-centered play therapy (CCPT) is a specific theoretical approach to play therapy that regards the therapeutic relationship as the primary healing factor. With much empirical support, CCPT is considered an effective mental health treatment option for working with children. Animal-assisted therapy in counseling (AAT-C) is acknowledged in the literature as a supplemental treatment modality to an existing counseling practice. Although past researchers have shown support for AAT-C as well as CCPT, there is a current dearth of literature examining the integration of these approaches. The present study sought to understand the approach of incorporating a therapy dog into child-centered play therapy while maintaining theoretical consistency. Using a constructivist grounded theory approach, I facilitated child-centered canine-assisted play therapy (C3APT) services for four children and reviewed the sessions with expert supervisors in AAT-C and CCPT. Three major themes emerged from the data: (a) principles of C3APT, (b) procedures of C3APT, and (c) relational dynamics. Implications for clinical practice and training of both therapy dogs and C3APT practitioners are also discussed.

High levels of quality father involvement in childhood are associated with children's socio-emotional, cognitive, and behavioral wellbeing. However, fathers can experience difficulty in building positive relationships with their kids due to work-life balance, lack of relational experience, and other life stressors. The purpose of this study was to assess the effectiveness of child-parent relationship therapy (CPRT) on fathers' parental empathy, parental stress, and child behavior problems. Though an abundance of literature exists to support the efficacy of CPRT, this was the first study to include a randomized controlled design with an all-male sample. This was also the first CPRT study to include both English and Spanish speaking fathers with intervention offered in both languages. Participants were 30 fathers (22 English, 8 Spanish; 53% Latino, 40% Caucasian, 7% Asian) with children between the ages of 3 and 10 (60% male, 40% female; 57% Latino/a, 37% Caucasian, 6% Asian). Fathers were randomly assigned to the experimental group (CPRT) (n = 14) or waitlist control group (n = 16). Results from 2 (Group) by 2 (Time) repeated measures ANOVAs did not yield statistically significant interaction effects on the dependent variables. However, results indicated a statistically significant main effect for time on each dependent …

This phenomenological study examined the experiences and perceptions of child-centered play therapists who deliver shortened sessions in the clinic setting. Using the phenomenological analysis procedures based on Moustakas' modified Stevick-Colaizzi-Keen method, a coding team of three doctoral students found 10 themes related to child-centered play therapists' (N = 5) experiences delivering shortened session lengths. Each theme is defined and further described using verbatim transcript examples. This study has practical and clinical implications for child-centered play therapist development and training. The results of this study point to the need for further research in child-centered play therapists' experiences delivering play therapy-as-usual. Finally, future research regarding the change process in child-centered play therapy theory is also implicated.

This study explored participants' experiences of being interviewed with the Adult Attachment Interview as a means of supporting counselor self-awareness and fostering effective counselor-client working alliances. A sample of first-year counselor education doctoral students (n = 7) completed an AAI interview and feedback session. Participants completed five reflective journals over three weeks and explored their experiences in individual, semi-structured interviews. Data were analyzed according to interpretative phenomenological analysis protocol. Four superordinate themes emerged from the analysis: (a) reactions to the AAI interview process, (b) process with AAI feedback, (c) AAI and intrapersonal process, and (d) AAI and interpersonal process. Additionally, there were eight subordinate themes: (a) surprised by AAI interview process, (b) interview process sparked reflection, (c) initial reaction to AAI feedback, (d) evolving process of integrating AAI feedback, (e) AAI process increased awareness, (f) increased self-awareness increased self-efficacy, (g) awareness from AAI process prompted relational shifts, (h) impact of AAI on clinical work, (i) importance of relationships, (j) importance of self-awareness, and (k) mutual influence of personal and professional. Findings in this study suggest that the AAI is an effective tool in supporting counselor self-awareness regarding attachment strategies. Additionally, findings suggest multiple personal and professional benefits, such as increased …

Older adopted children and their families often express high need for support for attachment and trauma related concerns. Post-adoption mental health intervention focused on enhancing the parent-child relationship among adoptive parents and adoptees is essential for fostering placement permanency among these families. This single group pilot study explored the effect of Child-Parent Relationship Therapy (CPRT) for adoptive parents of preadolescents who reported attachment related concerns, stress in the parent-child relationship, and child behavior problems. Participants were 11 adoptive parents ages 25 to 64 (55% male; 91% couples; 100% married; 56% European American, 27% Asian, 9% Hispanic, and 9% Black American) with adoptees between the ages of 8 to 14 (56% male; 56% Hispanic, 33% European American, and 11% Black American). All child participants were adopted out of foster care. Data was collected at baseline, pretest, midtest, and posttest. Results from non-parametric Friedman test of differences across 4 points of measure indicated that CPRT demonstrated statistically significant improvement for the 3 outcome variables: parental empathy, child behavior, and parent child relationship stress. Specifically, results indicated that prior to receiving CPRT (baseline to pretest), parents demonstrated no change or worsening in functioning across all variables, whereas during the intervention phase findings showed …

There is a paucity of research regarding language use among bilingual clients, particularly with Latino children. In order to provide culturally sensitive counseling for bilingual, Spanish-speaking, Latino children it is important to understand their experience of language use. The purpose of this study was to investigate how second generation, bilingual, Mexican American, 5th grade students experience language use in the two languages with which they communicate. I employed a phenomenological method to data collection and analysis and conducted semi-structured individual and group interviews with three boys and five girls (N = 8). Analysis of the individual and group interviews yielded four main structures: (a) dominant language determined perception of developing dual selves, (b) speaking two languages useful in language brokering and upward mobility, (c) dominant language determined experience of language use, and (d) language use and aspects of the complementarity principle. Findings from this study suggest that bilingual Latino children experience language brokering for their parents as difficult, speaking two languages as useful regarding upward mobility, and that their dominant language influences various aspects of their daily experiences such as with whom and where they use each language. Limitations to this research include insufficient time building rapport with participants and …

This randomized, controlled study examined the effectiveness of two mentoring programs, child mentor relationship training (CMRT) and peer assistance and leadership (PAL®), on high school mentor empathic behaviors and child mentee behavior problems. Participants were 60 young, at-risk students (61.7% male; 38.3% Hispanic/Latino/a, 31.7% Caucasian, 21.7% African American, 8.3% biracial) and 30 high school students (53.3% male; 66.7% Caucasian, 26.7% Hispanic/Latino/a, 0.03% African American, 0.03% Asian). Mentors and mentees were randomly assigned to CMRT or PAL®, which was treatment as usual in the participating school district. Results from 2 (group) by 2 (time) repeated measures ANOVAs indicated compared to the PAL® treatment group over time, mentors in the CMRT group demonstrated statistically significant improvement in empathic behaviors with a large treatment effect, as rated by independent observers. Analysis revealed a moderate treatment effect with CMRT group mentee behavior problems, but the difference was not statistically significant between treatment groups over time. Further analysis revealed the CMRT group demonstrated statistically significant reductions in behavior problems from pre- to post-test with a very large treatment effect. Overall, findings support CMRT as a promising school-based intervention for at-risk young children that potentially increases school counselor efficiency.

The shortage of bilingual counselors is one barrier to young Latina/o children receiving mental health services. Child-centered play therapy (CCPT) is a developmentally responsive intervention based on the premise that play is children's natural means of communication across cultures. This randomized controlled study examined the effects of CCPT with young Spanish-speaking Latina/o children exhibiting clinical levels of school behavior problems. Participants were 57 pre-K to kindergarten Latina/o children (72% male; mean age = 4.0) randomly assigned to three treatment groups: CCPT with Spanish-speaking, bilingual counselors; CCPT with English-speaking, monolingual counselors; or active control (bilingual mentoring). Monolingual counselors participated in cultural competency training and supervision with bilingual counselors and supervisors. According to independent observers and teachers blinded to children's group assignment, both the bilingual CCPT group and the monolingual CCPT group demonstrated moderate treatment effects over bilingual mentoring, yet between-group differences were not statistically significant. Analysis of within-group change over time indicated that children in both CCPT interventions demonstrated statistically significant improvement, while the mentoring group did not. The percentage of children in each treatment group who improved from clinical to normal behavioral functioning suggests the clinical significance of the findings: 80% bilingual CCPT, 70% monolingual CCPT, 15% bilingual mentoring. Overall, …

Child centered play therapy (CCPT) is a therapeutic intervention that provides the environment for children to work through and heal from difficult experiences through expression of play and therapeutic relationship. It has been demonstrated effective with multiple types of disruptive behaviors. I conducted single-case research to explore CCPT's influence on children who had four or more adverse childhood experiences (ACEs) and provided analysis of data collected from one assessment administered weekly and one assessment at pre-, mid-, and post-intervention: the Strength and Difficulties Questionnaire and the Trauma Symptoms Checklist for Young Children. The two participants (one 8-year-old White American male and one 9-year-old White American female) demonstrated significant improvement in total difficulties and prosocial behaviors. The study revealed potential therapeutic benefits for utilizing CCPT with children who had four or more ACEs. Encompassed in discussion of study results are implications for practice, suggestions for future research, and limitations.

Reiki healing is one of several complementary and integrative therapies becoming increasingly prevalent in mental health counseling. It has been identified in the medical field for its usefulness in treating anxiety, depression, distress, and pain but has rarely been studied for its counseling impact on client wellness. I conducted single-case research to explore psychotherapeutic Reiki's (PR's) influence on adult clients' anxiety symptoms and perceived sense of mindfulness and provided analysis of data collected from two assessments administered weekly: the Adult Manifest Anxiety Scale-Adult and the Mindful Attention Awareness Scale. Three of the four participants demonstrated significant improvement in both anxiety and mindfulness over the course of the PR intervention. The study revealed potential therapeutic benefits for integrating PR with conventional talk therapy. Included in discussion of study results are clinical implications and importance, suggestions for future research, and limitations.

Constructs of human-animal relational theory (HART) were investigated to determine how those constructs manifested in animal-assisted therapy in counseling (AAT-C) from the perspectives of 6 participants (2 counselors, females, ages 28 and 32, both non-Hispanic and White; 2 clients, male and female, ages 55 and 23, respectively, both non-Hispanic and White; and, 2 therapy animals, canines, Labrador retriever and spaniel mix, ages 4 and 5, respectively). Using constructivist-grounded theory, a research team analyzed qualitative data from observations, interviews, and field notes. From the iterative process of multiphasic coding and constant comparison, these findings emerged: (a) consistency between Chandler's (in press) constructs and participants' experiences of AAT-C, (b) more meaningful therapeutic impacts for clients from client-initiated human-animal relational processes (HARPs) than counselor-initiated HARPs, (c) development of rich definitions and descriptions of Chandler's constructs, and (d) descriptions of interactive experiences of AAT-C and client resistance in the context of HART. Clinicians and educators in the field of AAT can apply the processes, practices, and principles from this study in their work to enhance positive therapeutic impacts for clients. As Chandler's constructs were supported in this study, AAT authors and researchers can solve a glaring problem of inconsistent terminology in the AAT literature …

Mental health courts (MHCs) are part of an umbrella of specialty courts in which court officials, law enforcement, and treatment providers work together to seek alternative solutions to failed traditional approaches to justice. Researchers investigating MHCs indicated that the courts may be helpful in reducing recidivism and introducing offenders with mental health disorders to treatment services. I used the qualitative method of phenomenology to understand the experiences of young adult Black male clients' perceptions of mental health treatment in MHCs. Twelve participants ranged in age from 21-40 years. The research team identified three themes -- (a) helpful treatment factors, (b) relational growth, (c) treatment barriers – and five subthemes: (a) internal growth, (b) relational growth, (c) behavioral growth, (d) factors of marginalization, and (e) interpersonal barriers. Meaning pertaining to findings and implications for research and practice are discussed.

Multicultural education in counselor education is a popular topic among counselor educators and scholars. To date, scholars have focused on understanding the experiences of counselor educators who teach dedicated multicultural courses. However, less attention has been given to other counselor educators who are required by ethical and training standards to address multicultural issues across the curriculum. The purpose of this study was to understand counselor educators’ experiences addressing multicultural issues in courses that do not have a specific multicultural or diversity focus. I used phenomenological methodology to explore the experiences of counselor educators who hold doctoral degrees in counseling or a related field, have taken a multicultural/diversity course in their graduate training, are full-time clinical or tenure-line faculty members in CACREP-accredited programs, and have never taught courses dedicated to multicultural or diversity issues. Twelve participants (six men and six women), ranging in age ranged from 31 to 65, participated in the study. Ten participants identified as White, one African-American, and one Hispanic. The research team identified eight themes: (1) reasons for avoidance, (2) constraints, (3) qualities and practices, (4) educator as a factor in student development, (5) infusion, (6) personal background, (7) awareness of biases and assumptions, and (8) counselor …

Child-centered play therapy (CCPT) is an empirically supported and developmentally appropriate counseling intervention for young children. Despite the clinical effectiveness of CCPT with children, no known study has been conducted in which parents were surveyed or interviewed regarding the services they have received as a part of their children’s participation in CCPT. Therefore, this study was designed to gain a better understanding of parents’ reported needs and expectations in CCPT. This study utilized Q-methodology in which participants completed a Q-sort by actively sorting 40 items on a continuum of least important to most important. Items included services and processes regarded by CCPT scholars and child therapy practitioners as being important to working with parents. Data was collected from 19 parents of children receiving CCPT services in a community-based counseling clinic. Participants included 16 females and 3 males; 15 Caucasian and 4 Hispanic; and 14 biological parents, 2 adoptive parents, and 3 other biological caregivers. Data was analyzed using centroid factor analysis, and results revealed a one factor solution representing 18 of the 19 participants. Eighteen parents reported similar beliefs regarding the processes they consider most and least important to their experience in working with child-centered play therapists. In general, parents’ …

This study compares results of the six major forms of marriage counseling: individual interview, individual group, concurrent interview, concurrent group, conjoint interview, and conjoint group. Data are from five different approaches in research methodology. The first, termed the Pilot Study, reviewed the outcome records of 773 former marriage counseling clients. The second, termed the Experimental Study, assigned 63 couples on a random basis, although balanced for severity, to the three most popular forms of marriage counseling: concurrent interview, conjoint interview, or conjoint group. It included a pre- to post-counseling test comparison involving the MMPI, CPI, Polyfactor Test for Marital Difficulties, and the Marital Adjustment Inventory. The third approach, the Quasi-Experimental Study, compared test results from two groups of couples with serious marital problems: the first group comprised seven couples who had been in three forms of counseling, while the second group included twenty-one couples who had been in only one form. The fourth approach, the Survey Study, used a questionnaire to measure reactions of 200 subjects who had just completed various forms of marriage counseling sessions. The fifth approach, the Poll Study, involved a mail survey of 209 former marriage counseling clients who had been terminated from varying forms of …

A prevention-oriented telephone line intended as an intervention program for latchkey children was studied to determine its impact on the self-esteem, anxiety level, and in-school and at-home behavior of these children.

The purpose of the investigation was to determine the effectiveness of Zen meditation practice in facilitating positive change on the personality variables time competence, inner direction, locus of control, and field independence, as well as to investigate the subjective experiences of novice meditators. Two population groups were included in the study: a student group and a clinical group. The student-population group consisted of forty-six undergraduate college students. The student subjects were randomly assigned to one of three groups: experimental group (Zen meditation group taught to focus attention on the breath, as well as a formal Zen posture), placebo group (formal Zen posture only), or control group (no treatment). The clinical-population group consisted of thirty-seven in-patient volunteers from the alcoholic-drug unit of a psychiatric state hospital. The clinical subjects were randomly assigned to either an experimental group (Zen meditation group which practiced focused attention on the breath, as well as a formal Zen meditation posture) or a control group (no treatment).