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Bryan S K Kim - One of the best experts on this subject based on the ideXlab platform.
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therapist multicultural competence asian american participants cultural values and Counseling Process
Journal of Counseling Psychology, 2010Co-Authors: Shihwe Wang, Bryan S K KimAbstract:Asian Americans drop out of mental health treatment at a high rate. This problem could be addressed by enhancing therapists' multicultural competence and by examining clients' cultural attitudes that may affect the Counseling Process. In the present study, we used a video analogue design with a sample of 113 Asian American college students to examine these possibilities. The result from a t test showed that the session containing therapist multicultural competencies received higher ratings than the session without therapist multicultural competence. In addition, correlational analyses showed that participant values acculturation was positively associated with participant ratings of Counseling Process, while the value of emotional self-control was negatively correlated. The results of a hierarchical multiple regression analysis did not support any interaction effects among the independent variables on Counseling Process. All of these findings could contribute to the field of multicultural competence research and have implications for therapist practices and training.
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effects of client expectation for Counseling success client counselor worldview match and client adherence to asian and european american cultural values on Counseling Process with asian americans
Journal of Counseling Psychology, 2005Co-Authors: Bryan S K Kim, Annie J AhnAbstract:After assessing their expectation for Counseling success, adherence to Asian cultural values, and adherence to European American cultural values, 88 Asian American volunteer clients with personal concerns engaged in single-session Counseling with 1 of 11 female counselors who either matched or mismatched the client’s worldview. Clients in the worldview match condition perceived stronger client–counselor working alliance and counselor empathy than those in the mismatch condition. Client adherence to Asian cultural values was positively related to client–counselor working alliance. Client adherence to European American values was positively associated with client–counselor working alliance and session depth. In addition, an interaction effect was observed such that high expectation for Counseling success and strong adherence to European American cultural values were associated with increased perception of counselor empathy.
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effects of Counseling style and client adherence to asian cultural values on Counseling Process with asian american college students
Journal of Counseling Psychology, 2004Co-Authors: Bryan S K KimAbstract:This study investigated the effects of Counseling style and client adherence to Asian cultural values on career-focused Counseling Process with Asian American college students. Fifty-two clients were classified as having either high or low adherence to Asian values and assigned to a Counseling session with a European American female counselor, who employed either a directive or a nondirective style. Immediately following the session, clients completed measures of counselor credibility, counselor empathic understanding, client-counselor working alliance, session depth, and counselor cross-cultural Counseling competence. Clients in the directive Counseling condition rated the counselor as being more empathic and cross-culturally competent, and reported stronger client-counselor working alliance and greater session depth than did those clients in the nondirective condition.
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counselor self disclosure east asian american client adherence to asian cultural values and Counseling Process
Journal of Counseling Psychology, 2003Co-Authors: Bryan S K Kim, Clara E Hill, Charles J Gelso, Melissa K Goates, Penelope A Asay, James M HarbinAbstract:After completing a measure of adherence to Asian cultural values, 62 East Asian American clients talked about personal issues in a Counseling session with a European American counselor who either disclosed personal information or refrained from disclosing personal information. Disclosure condition and client adherence to Asian values did not predict session outcome. However, type and intimacy of disclosure were related to immediate Process and session outcome. Disclosures of strategies were perceived by the clients to be more helpful than disclosures of approval/reassurance, facts/credentials, and feelings, with disclosures of insight perceived as intermediate in helpfulness. Disclosures of strategies occurred more frequently in highly rated sessions than in sessions rated low. Also, client-and counselor-perceived intimacy of disclosures was significantly correlated with client- and counselor-perceived helpfulness of disclosures, respectively. Several naturalistic studies have found that counselor selfdisclosures have immediate positive effects on Counseling Process (Hill, Helms, Spiegel, & Tichenor, 1988; Knox, Hess, Petersen, & Hill, 1997; Ramsdell & Ramsdell, 1993). In a study with actual clients and counselors, Hill et al. (1988) reported that the clients gave the highest ratings of helpfulness and exhibited the highest experiencing levels (i.e., involvement with their feelings) in response to counselor self-disclosures compared with other verbal response modes. In a qualitative study, Knox et al. (1997) found that clients viewed counselor self-disclosures as leading to insight, making the counselors seem more real and human and making clients feel normal and reassured. Ramsdell and Ramsdell (1993), based on a survey of former clients who had at least six sessions of Counseling, reported that the counselor’s sharing of personal information was perceived by clients as having a beneficial effect on Counseling. Furthermore, in an experimental study in which counselors either disclosed more or less than usual in four sessions of Counseling, Barrett and Berman (2001) found that clients in the high-disclosure condition had less symptom distress and liked the counselors more than did clients in the low-disclosure condition. Although very interesting and relevant to practice, there are two major problems with the previous studies. First, no distinctions were made between different types of clients. The participants in most of these studies were comprised of members of various ethnic groups, with most participants from the European American group. Hence, the extent to which the findings directly apply to nonEuropean American ethnic group members, particularly Asian Americans, is not clearly known. Moreover, given the diversity within the Asian American group, particularly in terms of their levels of adherence to the Asian cultural norms, there is a need to study the possible effects of within-group differences. Therefore, the first purpose of the present study was to examine at session outcome how Asian American clients of differing cultural values would react to counselor disclosures during the session. The second problem with previous studies is that no distinctions were made between different types of disclosures. In these studies, counselor disclosures tended to be treated as a unidimensional construct and specific effects of various kinds of disclosures were not studied in depth. Hence, the second purpose of the present study was to examine on a moment-by-moment basis the immediate effects of type and intimacy of disclosure on Asian American clients’ perception of each disclosure made during the session.
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effects of asian american client adherence to asian cultural values session goal and counselor emphasis of client expression on career Counseling Process
Journal of Counseling Psychology, 2002Co-Authors: Bryan S K Kim, T H LiangAbstract:Seventy-eight Asian American college students who were experiencing career uncertainty engaged in a Counseling session with a European American female counselor who focused on either immediate resolution of the problem or insight attainment through exploration of the problem and who emphasized client expression of either cognition or emotion. Clients with high adherence to Asian cultural values perceived increased counselor empathic understanding and stronger client– counselor working alliance than did clients with low adherence to Asian values. Clients who were exposed to the immediate resolution condition perceived stronger working alliance than did clients exposed to the insight attainment condition. Among clients with high adherence to Asian values, those in the expression of emotion condition perceived greater counselor cross-cultural competence than did those in the cognition condition.
Donald R Atkinson - One of the best experts on this subject based on the ideXlab platform.
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asian american client adherence to asian cultural values counselor expression of cultural values counselor ethnicity and career Counseling Process
Journal of Counseling Psychology, 2002Co-Authors: Bryan S K Kim, Donald R AtkinsonAbstract:This study investigated the relationships among client adherence to Asian cultural values, counselor expression of cultural values, counselor ethnicity, and career Counseling Process with Asian American college students. Clients who had high adherence to Asian cultural values evaluated Asian American counselors as more empathic and credible than did clients with low adherence to Asian values, and clients who had low adherence to Asian cultural values evaluated European American counselors as more empathic than did clients with high adherence to Asian values. Contrary to expectations, clients rated the session with a European American counselor as more positive and arousing than the session with an Asian American counselor. Limitations and implications of the results are discussed. Recognizing the growing number of ethnic minorities in the United States and their tendency to prematurely terminate from Counseling services, multicultural Counseling researchers have increasingly examined the relationships among cultural variables, such as acculturation and ethnic identity, and the quality of Counseling Process (Atkinson, Morten, & Sue, 1998; Sue, 1990). One particular group of people that has received attention in this endeavor has been Asian Americans. As of 2000, there were over 10.2 million Asian Americans in the United States, representing 3.6% of the total population (U.S. Bureau of the Census, 2001). These numbers represent an increase of 46% since 1990, making Asian Americans the second fastest growing ethnic group in the United States (after Hispanic Americans). Given these statistics, it is likely that there will be greater demands in the future from Asian Americans for culturally relevant and sensitive psychological services. In addition, because Asian Americans comprise individuals ranging from those whose ancestors immigrated to the United States in the 1850s to those whose parents immigrated to the United States after the passing of the Immigration Act of 1965 and those who have immigrated just recently, the need to account for within-group factors that are related to the quality of Counseling Process is especially salient. The goal of the present study was to investigate the relationships among three cultural factors, client adherence to Asian cultural values, counselor’s expression of cultural values and counselor ethnicity, and the quality of career Counseling Process.
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asian cultural values and the Counseling Process current knowledge and directions for future research
The Counseling Psychologist, 2001Co-Authors: Bryan S K Kim, Donald R Atkinson, Dawn UmemotoAbstract:Based on values common to most Asian cultures, a set of propositions on the relationship between Asian cultural values and the Counseling Process is presented in the context of a current theory of acculturation/enculturation. Recommendations for future research relating Asian cultural values to the Counseling Process are offered in an attempt to stimulate more empirical attention in this area.
Julie O Culver - One of the best experts on this subject based on the ideXlab platform.
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variants of uncertain significance in brca testing evaluation of surgical decisions risk perception and cancer distress
Clinical Genetics, 2013Co-Authors: Julie O Culver, C D Brinkerhoff, Jessica Clague, Kai Yang, Kathryn E Singh, Sharon Sand, Jeffrey N WeitzelAbstract:Studies suggest that patients carrying a BRCA variant of uncertain significance (VUS) may have lingering confusion concerning results interpretation. Counseling for uninformative BRCA-negative (UN) results is thought to be more straightforward, despite the fact that both results lead to similar methods of empiric cancer risk Counseling. This study compared surgical choices and perceptions between 71 patients with VUS results and 714 patients with UN results. All patients underwent genetic Counseling because of a personal or family history of breast or ovarian cancer between 1997 and 2010, and completed a 2-year follow-up survey. Risk-reducing mastectomy rates in both groups were 7% (p = 1.00) and risk-reducing oophorectomy rates were 5% and 3%, respectively (p = 0.42). The VUS group reported less cancer distress reduction than the UN group (23.0% vs 35.8%, respectively, p = 0.043). Over 90% of both groups found the Counseling Process helpful. Overall, the study suggests that VUS results disclosed in genetic Counseling did not cause excessive surgery or exaggerated cancer distress, though patients with a VUS found Counseling somewhat less informative or reassuring. Future research on communication of VUS results, including pre-and post-test Counseling, is essential for full realization of the potential for genomic medicine.
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genetic cancer risk assessment and Counseling recommendations of the national society of genetic counselors
Journal of Genetic Counseling, 2004Co-Authors: Angela Trepanier, Mary Ahrens, Wendy Mckinnon, June A Peters, Jill Stopfer, Sherry Grumet, Susan Manley, Julie O Culver, Ronald T Acton, Joy LarsenhaidleAbstract:These cancer genetic Counseling recommendations describe the medical, psychosocial, and ethical ramifications of identifying at-risk individuals through cancer risk assessment with or without genetic testing. They were developed by members of the Practice Issues Subcommittee of the National Society of Genetic Counselors Cancer Genetic Counseling Special Interest Group. The information contained in this document is derived from extensive review of the current literature on cancer genetic risk assessment and Counseling as well as the personal expertise of genetic counselors specializing in cancer genetics. The recommendations are intended to provide information about the Process of genetic Counseling and risk assessment for hereditary cancer disorders rather than specific information about individual syndromes. Key components include the intake (medical and family histories), psychosocial assessment (assessment of risk perception), cancer risk assessment (determination and communication of risk), molecular testing for hereditary cancer syndromes (regulations, informed consent, and Counseling Process), and follow-up considerations. These recommendations should not be construed as dictating an exclusive course of management, nor does use of such recommendations guarantee a particular outcome. These recommendations do not displace a health care provider's professional judgment based on the clinical circumstances of a client.
T H Liang - One of the best experts on this subject based on the ideXlab platform.
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effects of asian american client adherence to asian cultural values session goal and counselor emphasis of client expression on career Counseling Process
Journal of Counseling Psychology, 2002Co-Authors: Bryan S K Kim, T H LiangAbstract:Seventy-eight Asian American college students who were experiencing career uncertainty engaged in a Counseling session with a European American female counselor who focused on either immediate resolution of the problem or insight attainment through exploration of the problem and who emphasized client expression of either cognition or emotion. Clients with high adherence to Asian cultural values perceived increased counselor empathic understanding and stronger client– counselor working alliance than did clients with low adherence to Asian values. Clients who were exposed to the immediate resolution condition perceived stronger working alliance than did clients exposed to the insight attainment condition. Among clients with high adherence to Asian values, those in the expression of emotion condition perceived greater counselor cross-cultural competence than did those in the cognition condition.
Frederick T L Leong - One of the best experts on this subject based on the ideXlab platform.
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the career Counseling Process with racial ethnic minorities the case of asian americans
Career Development Quarterly, 1993Co-Authors: Frederick T L LeongAbstract:Using Derald Sue's framework for examining the Counseling Process with racial-ethnic minority clients, the author develops a new model to examine the career Counseling Process with Asian Americans in terms of culturally appropriate and inappropriate Process and outcomes. Recommendations for culturally appropriate career Counseling interventions are also offered from this integrated framework.
