The Experts below are selected from a list of 327 Experts worldwide ranked by ideXlab platform
Brian C Post - One of the best experts on this subject based on the ideXlab platform.
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modeling cohesion change in Group Counseling the role of client characteristics Group variables and leader behaviors
Journal of Counseling Psychology, 2020Co-Authors: Jeritt R Tucker, Nathaniel G Wade, Marilyn A Cornish, Todd W Abraham, Rachel L Bitmanheinrichs, Brian C PostAbstract:Despite continued empirical support for a relationship between Group cohesion and therapeutic gain, few studies have attempted to examine predictors of cohesion during the life of Counseling Groups. The present investigation explored the impact of client variables, Group characteristics, and first-session leader behaviors on changes in cohesion across time. Participants were 128 volunteer clients and 14 Group therapists participating in 23 separate 8-week-long Counseling Groups. Results of latent growth curve (LGC) analysis indicated that a piecewise, linear-quadratic model best fit the data at the individual level, while a simplified linear model best fit the data at the Group level. Overall, individual differences accounted for 80-97% of the total variance in cohesion intercept and slope terms, with the included covariates explaining 9-39% of this variation. Significant individual-level covariates were gender and anxious and avoidant attachment. The only significant Group-level predictor was an interaction effect between leadership behaviors in the first session. Specifically, when leaders performed a high number of structuring behaviors in the absence of facilitating emotional sharing, cohesion was lower at the end of the first session. Limitations, areas of future research, and implications for the theory and practice of brief Group Counseling are discussed. (PsycInfo Database Record (c) 2020 APA, all rights reserved).
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religion and spirituality in Group Counseling beliefs and preferences of university Counseling center clients
Group Dynamics: Theory Research and Practice, 2014Co-Authors: Brian C Post, Nathaniel G Wade, Marilyn A CornishAbstract:The main purpose of the present study was to explore client beliefs and preferences regarding the discussion of religious and spiritual issues in Group Counseling. We collected and described both quantitative and qualitative data. One major finding of this study was that on average the majority (85%) of clients at a university Counseling center (N 68) reported that religious concerns are an appropriate topic for discussion in Group Counseling. However, only a minority of clients reported that they would like to discuss religious (24%) and spiritual (47%) concerns in Group. Open-ended responses from participants provided reasons why they would or would not like to discuss religion and spirituality in their specific Groups and provided insight into the discrepancy between their ratings of appropriateness and interest. In regression analyses, client spirituality and Group engagement significantly predicted clients’ preferences to discuss both religious and spiritual issues. Majority religious affiliation also predicted preferences to discuss religious issues.
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client perspectives about religion and spirituality in Group Counseling
The Counseling Psychologist, 2014Co-Authors: Brian C Post, Nathaniel G WadeAbstract:The main purpose of this study was to examine client-rated appropriateness and preferences regarding the discussion of religious and spiritual concerns in Group Counseling. Participants were 164 Group clients at nine university Counseling centers nationwide. Clients volunteered to complete an online questionnaire about their experiences and opinions regarding religion and spirituality in Group Counseling. The majority of clients indicated that religious concerns are an appropriate topic for Group Counseling and reported a preference to discuss religious and spiritual concerns with their Groups. Regression analyses examined predictors of client-rated (a) appropriateness of discussing religious concerns in Group, (b) appropriateness of Group leaders using religious or spiritual interventions, and (c) preferences for discussing religious and spiritual issues in Group. The most consistent predictors of these ratings were client spirituality, client religious commitment, degree of spiritual struggles, and the ...
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religious and spiritual issues in Group Counseling beliefs and preferences of university Counseling center clients and therapists
2013Co-Authors: Brian C PostAbstract:Over the past three decades research on addressing religious and spiritual issues in individual Counseling has blossomed, but Group Counseling has been virtually ignored. The main purpose of the present study was to examine the beliefs and preferences of Group Counseling clients and therapists regarding the discussion of religious and spiritual concerns, and the appropriateness of religious and spiritual interventions. Participants were 164 clients and 54 therapists participating in Counseling Groups at nine university Counseling centers nationwide. The majority of clients and therapists indicated that religious concerns are an appropriate topic for Group Counseling, and the majority of clients reported a preference to discuss religious or spiritual concerns. Both clients and therapists rated spiritual interventions as more appropriate, overall, than religious interventions. However, most clients and therapists rated exploration of both religious and spiritual struggles as an appropriate intervention. Regression models predicting client preferences to discuss religious and spiritual issues identified religious commitment and religious struggle as significant predictors. Finally, implications for practice, limitations, and future research directions are
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attending to religion and spirituality in Group Counseling counselors perceptions and practices
Group Dynamics: Theory Research and Practice, 2012Co-Authors: Marilyn A Cornish, Nathaniel G Wade, Brian C PostAbstract:Although consensus is building that religion and spirituality are important aspects of individual Counseling, there has been little exploration of these topics in Group Counseling. The current online questionnaire study provided a description of how 242 experienced Group counselors approach religion and spirituality in Group Counseling. Interventions that were less active and less directly tied to religious or spiritual practices were viewed as the most appropriate. Spiritual interventions were seen as more appropriate and were used more frequently than corresponding religious interventions. Counselors reported infrequent use of religious and spiritual interventions, even when they were viewed as appropriate. Counselors’ degree of religious commitment and spirituality were positively correlated with appropriateness and use of religious and spiritual interventions. Finally, open-ended comments revealed that many counselors saw therapeutic value in discussing religion and spirituality in Group Counseling, but also cautioned against the negative interactions and unproductive Group work that might occur as a result of such discussions.
Nathaniel G Wade - One of the best experts on this subject based on the ideXlab platform.
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modeling cohesion change in Group Counseling the role of client characteristics Group variables and leader behaviors
Journal of Counseling Psychology, 2020Co-Authors: Jeritt R Tucker, Nathaniel G Wade, Marilyn A Cornish, Todd W Abraham, Rachel L Bitmanheinrichs, Brian C PostAbstract:Despite continued empirical support for a relationship between Group cohesion and therapeutic gain, few studies have attempted to examine predictors of cohesion during the life of Counseling Groups. The present investigation explored the impact of client variables, Group characteristics, and first-session leader behaviors on changes in cohesion across time. Participants were 128 volunteer clients and 14 Group therapists participating in 23 separate 8-week-long Counseling Groups. Results of latent growth curve (LGC) analysis indicated that a piecewise, linear-quadratic model best fit the data at the individual level, while a simplified linear model best fit the data at the Group level. Overall, individual differences accounted for 80-97% of the total variance in cohesion intercept and slope terms, with the included covariates explaining 9-39% of this variation. Significant individual-level covariates were gender and anxious and avoidant attachment. The only significant Group-level predictor was an interaction effect between leadership behaviors in the first session. Specifically, when leaders performed a high number of structuring behaviors in the absence of facilitating emotional sharing, cohesion was lower at the end of the first session. Limitations, areas of future research, and implications for the theory and practice of brief Group Counseling are discussed. (PsycInfo Database Record (c) 2020 APA, all rights reserved).
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religion and spirituality in Group Counseling beliefs and preferences of university Counseling center clients
Group Dynamics: Theory Research and Practice, 2014Co-Authors: Brian C Post, Nathaniel G Wade, Marilyn A CornishAbstract:The main purpose of the present study was to explore client beliefs and preferences regarding the discussion of religious and spiritual issues in Group Counseling. We collected and described both quantitative and qualitative data. One major finding of this study was that on average the majority (85%) of clients at a university Counseling center (N 68) reported that religious concerns are an appropriate topic for discussion in Group Counseling. However, only a minority of clients reported that they would like to discuss religious (24%) and spiritual (47%) concerns in Group. Open-ended responses from participants provided reasons why they would or would not like to discuss religion and spirituality in their specific Groups and provided insight into the discrepancy between their ratings of appropriateness and interest. In regression analyses, client spirituality and Group engagement significantly predicted clients’ preferences to discuss both religious and spiritual issues. Majority religious affiliation also predicted preferences to discuss religious issues.
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client perspectives about religion and spirituality in Group Counseling
The Counseling Psychologist, 2014Co-Authors: Brian C Post, Nathaniel G WadeAbstract:The main purpose of this study was to examine client-rated appropriateness and preferences regarding the discussion of religious and spiritual concerns in Group Counseling. Participants were 164 Group clients at nine university Counseling centers nationwide. Clients volunteered to complete an online questionnaire about their experiences and opinions regarding religion and spirituality in Group Counseling. The majority of clients indicated that religious concerns are an appropriate topic for Group Counseling and reported a preference to discuss religious and spiritual concerns with their Groups. Regression analyses examined predictors of client-rated (a) appropriateness of discussing religious concerns in Group, (b) appropriateness of Group leaders using religious or spiritual interventions, and (c) preferences for discussing religious and spiritual issues in Group. The most consistent predictors of these ratings were client spirituality, client religious commitment, degree of spiritual struggles, and the ...
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attending to religion and spirituality in Group Counseling counselors perceptions and practices
Group Dynamics: Theory Research and Practice, 2012Co-Authors: Marilyn A Cornish, Nathaniel G Wade, Brian C PostAbstract:Although consensus is building that religion and spirituality are important aspects of individual Counseling, there has been little exploration of these topics in Group Counseling. The current online questionnaire study provided a description of how 242 experienced Group counselors approach religion and spirituality in Group Counseling. Interventions that were less active and less directly tied to religious or spiritual practices were viewed as the most appropriate. Spiritual interventions were seen as more appropriate and were used more frequently than corresponding religious interventions. Counselors reported infrequent use of religious and spiritual interventions, even when they were viewed as appropriate. Counselors’ degree of religious commitment and spirituality were positively correlated with appropriateness and use of religious and spiritual interventions. Finally, open-ended comments revealed that many counselors saw therapeutic value in discussing religion and spirituality in Group Counseling, but also cautioned against the negative interactions and unproductive Group work that might occur as a result of such discussions.
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predictors of the change in self stigma following a single session of Group Counseling
Journal of Counseling Psychology, 2011Co-Authors: Nathaniel G Wade, Brian C Post, David L Vogel, Marilyn A Cornish, Jeritt R TuckerAbstract:One of the major obstacles to seeking psychological help is the stigma associated with Counseling and therapy. Self-stigma, the fear of losing self-respect or self-esteem as a result of seeking help, is an important factor in the help-seeking process. In the present study, college students meeting a clinical cutoff for psychological symptoms participated in 1 session of Group Counseling that either contained therapist self-disclosure or did not. In general, participants reported significantly less self-stigma following the session. Working alliance‐bond and session depth significantly predicted the change in self-stigma. Furthermore, self-stigma (as well as bond, depth, psychological symptoms, and being female) predicted the intention to seek help following the session. Self-stigma and session depth also predicted interest in continuing with Counseling. The therapist self-disclosure condition, however, had no effect on the change in self-stigma, intentions to seek help, or interest in continuing with Group
Marilyn A Cornish - One of the best experts on this subject based on the ideXlab platform.
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modeling cohesion change in Group Counseling the role of client characteristics Group variables and leader behaviors
Journal of Counseling Psychology, 2020Co-Authors: Jeritt R Tucker, Nathaniel G Wade, Marilyn A Cornish, Todd W Abraham, Rachel L Bitmanheinrichs, Brian C PostAbstract:Despite continued empirical support for a relationship between Group cohesion and therapeutic gain, few studies have attempted to examine predictors of cohesion during the life of Counseling Groups. The present investigation explored the impact of client variables, Group characteristics, and first-session leader behaviors on changes in cohesion across time. Participants were 128 volunteer clients and 14 Group therapists participating in 23 separate 8-week-long Counseling Groups. Results of latent growth curve (LGC) analysis indicated that a piecewise, linear-quadratic model best fit the data at the individual level, while a simplified linear model best fit the data at the Group level. Overall, individual differences accounted for 80-97% of the total variance in cohesion intercept and slope terms, with the included covariates explaining 9-39% of this variation. Significant individual-level covariates were gender and anxious and avoidant attachment. The only significant Group-level predictor was an interaction effect between leadership behaviors in the first session. Specifically, when leaders performed a high number of structuring behaviors in the absence of facilitating emotional sharing, cohesion was lower at the end of the first session. Limitations, areas of future research, and implications for the theory and practice of brief Group Counseling are discussed. (PsycInfo Database Record (c) 2020 APA, all rights reserved).
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religion and spirituality in Group Counseling beliefs and preferences of university Counseling center clients
Group Dynamics: Theory Research and Practice, 2014Co-Authors: Brian C Post, Nathaniel G Wade, Marilyn A CornishAbstract:The main purpose of the present study was to explore client beliefs and preferences regarding the discussion of religious and spiritual issues in Group Counseling. We collected and described both quantitative and qualitative data. One major finding of this study was that on average the majority (85%) of clients at a university Counseling center (N 68) reported that religious concerns are an appropriate topic for discussion in Group Counseling. However, only a minority of clients reported that they would like to discuss religious (24%) and spiritual (47%) concerns in Group. Open-ended responses from participants provided reasons why they would or would not like to discuss religion and spirituality in their specific Groups and provided insight into the discrepancy between their ratings of appropriateness and interest. In regression analyses, client spirituality and Group engagement significantly predicted clients’ preferences to discuss both religious and spiritual issues. Majority religious affiliation also predicted preferences to discuss religious issues.
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attending to religion and spirituality in Group Counseling counselors perceptions and practices
Group Dynamics: Theory Research and Practice, 2012Co-Authors: Marilyn A Cornish, Nathaniel G Wade, Brian C PostAbstract:Although consensus is building that religion and spirituality are important aspects of individual Counseling, there has been little exploration of these topics in Group Counseling. The current online questionnaire study provided a description of how 242 experienced Group counselors approach religion and spirituality in Group Counseling. Interventions that were less active and less directly tied to religious or spiritual practices were viewed as the most appropriate. Spiritual interventions were seen as more appropriate and were used more frequently than corresponding religious interventions. Counselors reported infrequent use of religious and spiritual interventions, even when they were viewed as appropriate. Counselors’ degree of religious commitment and spirituality were positively correlated with appropriateness and use of religious and spiritual interventions. Finally, open-ended comments revealed that many counselors saw therapeutic value in discussing religion and spirituality in Group Counseling, but also cautioned against the negative interactions and unproductive Group work that might occur as a result of such discussions.
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predictors of the change in self stigma following a single session of Group Counseling
Journal of Counseling Psychology, 2011Co-Authors: Nathaniel G Wade, Brian C Post, David L Vogel, Marilyn A Cornish, Jeritt R TuckerAbstract:One of the major obstacles to seeking psychological help is the stigma associated with Counseling and therapy. Self-stigma, the fear of losing self-respect or self-esteem as a result of seeking help, is an important factor in the help-seeking process. In the present study, college students meeting a clinical cutoff for psychological symptoms participated in 1 session of Group Counseling that either contained therapist self-disclosure or did not. In general, participants reported significantly less self-stigma following the session. Working alliance‐bond and session depth significantly predicted the change in self-stigma. Furthermore, self-stigma (as well as bond, depth, psychological symptoms, and being female) predicted the intention to seek help following the session. Self-stigma and session depth also predicted interest in continuing with Counseling. The therapist self-disclosure condition, however, had no effect on the change in self-stigma, intentions to seek help, or interest in continuing with Group
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spirituality and religion in Group Counseling a literature review with practice guidelines
Professional Psychology: Research and Practice, 2010Co-Authors: Marilyn A Cornish, Nathaniel G WadeAbstract:There has been increased discussion of the need to attend to clients spirituality and religion as a part ofthe Counseling process, but much of the literature to date has focused on individual Counseling. How dothe research and resulting practice implications apply to Group Counseling? This article provides arationale for attending to spirituality and religion in Counseling, explores the opportunities and barriersin attending to spirituality and religion in Group Counseling, and reviews the literature on the growingnumber of Group interventions with a spiritual or religious focus. The article ends with specific guidelinesfor when and how to incorporate spirituality and religion into Group Counseling.Keywords: spirituality, religion, Group Counseling, Group therapy
Laura Mufson - One of the best experts on this subject based on the ideXlab platform.
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a randomized depression prevention trial comparing interpersonal psychotherapy adolescent skills training to Group Counseling in schools
Prevention Science, 2016Co-Authors: Jami F Young, Jessica S Benas, Christie M Schueler, Robert Gallop, Jane E Gillham, Laura MufsonAbstract:Given the rise in depression disorders in adolescence, it is important to develop and study depression prevention programs for this age Group. The current study examined the efficacy of Interpersonal Psychotherapy-Adolescent Skills Training (IPT-AST), a Group prevention program for adolescent depression, in comparison to Group programs that are typically delivered in school settings. In this indicated prevention trial, 186 adolescents with elevated depression symptoms were randomized to receive IPT-AST delivered by research staff or Group Counseling (GC) delivered by school counselors. Hierarchical linear modeling examined differences in rates of change in depressive symptoms and overall functioning from baseline to the 6-month follow-up assessment. Cox regression compared rates of depression diagnoses. Adolescents in IPT-AST showed significantly greater improvements in self-reported depressive symptoms and evaluator-rated overall functioning than GC adolescents from baseline to the 6-month follow-up. However, there were no significant differences between the two conditions in onset of depression diagnoses. Although both intervention conditions demonstrated significant improvements in depressive symptoms and overall functioning, results indicate that IPT-AST has modest benefits over Groups run by school counselors which were matched on frequency and duration of sessions. In particular, IPT-AST outperformed GC in reduction of depressive symptoms and improvements in overall functioning. These findings point to the clinical utility of this depression prevention program, at least in the short-term. Additional follow-up is needed to determine the long-term effects of IPT-AST, relative to GC, particularly in preventing depression onset.
Kimberly C Kirby - One of the best experts on this subject based on the ideXlab platform.
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evidence based multimedia 12 step facilitation toolkit improves counselor adherence in Group Counseling with minimal training preliminary results
Drug and Alcohol Dependence, 2014Co-Authors: Adam C Brooks, Alexandre B Laudet, Carolyn M Carpenedo, Deni Carise, T Case, Daniel J Knoblach, Lois A Benishek, Kimberly C KirbyAbstract:s / Drug and Alcohol Dependence 140 (2014) e2–e85 e21 Evidence-based multimedia 12-step facilitation toolkit improves counselor adherence in Group Counseling with minimal training: Preliminary results Adam C. Brooks1, Alexandre B. Laudet2, T. Case1, C.M. Carpenedo1, D. Knoblach1, L. Benishek1, D. Carise3, K.C. Kirby1,3 1 Treatment Research Institute, Philadelphia, PA, United States 2 National Development and Research Institute, New York, NY, United States 3 Psychiatry, University of Pennsylvania, Philadelphia, PA, United States Aims: Numerous psychosocial interventions effectively improve client outcomes in clinical trials, but adapting evidencebased protocols into formats suitable for dissemination to community treatment programs is challenging. We translated 12-Step Facilitation (12SF) into a multimedia curriculum toolkit to help counselors deliver clinically useful Group sessions that convey core elements of 12SF; we tested the toolkit’s conceptual fidelity and clinical utility. Methods: Toolkit material development was informed by consultation with content experts, counselors and clients, to develop simple, engaging presentations of core 12SF concepts. In a pre-post design, we coded 2 treatment Groups on preselected 12-Step topics runby10 counselors. Counselorswere randomly assigned to attend a 3-h training to familiarize themwith the 12SF toolkit and accompanying self-teaching strategies (TK), or to an attention control training including relevant 12-Step content (AC). Post-training 12Step Groups were audiotaped and coded for adherence to 12-Step content and skillfulness. 12-Step engagement and self-reported substanceusewas assessed among clients (N=44) for threemonths following toolkit exposure. Results: TK counselors demonstrated very large and statistically significant Preto Post-Training adherence improvements in 12SF techniques (mean d=1.74) and in 12-Step content (mean d=1.49) relative to counselors in the AC condition. TK counselors also demonstratedmoderate improvement in skill when delivering 12-Step content (mean d=0.58). TK exposed clients self-reported significantly fewer drinking days (d= .59) and fewer drug use days (d= .49) relative to AC clients. Conclusions: Preliminary results show thatmultimedia toolkits may be a costeffective, easily disseminated approach to improve Group Counseling in community treatment with minimal training. Financial support: NIAAA R01 AA017867. http://dx.doi.org/10.1016/j.drugalcdep.2014.02.078 Implementation of an electronic information system to enhance practice at an opioid treatment program L.S. Brown, Steven A. Kritz, Melissa Lin Addiction Research and Treatment Corporation, Brooklyn, NY, United States Aims: The Addiction Research and Treatment Corporation is a medication-assisted opioid treatment program, also providing primary care (including HIV care) to approximately 2800 predominantly minority adults in New York City. We received National Institute on Drug Abuse R01 funding to study implementation of an electronic health information system. Methods: The domains of Quality, Risks, Productivity, Satisfaction, and Finances were evaluated utilizing a pre-post implementation study design. Subsequent to the research, we exploited systemcapabilities tomeasureOutcomes forHIVdisease, diabetesmellitus, and hypertension for 100% of patients under care for these conditions. Results: For the Quality domain, annual medical assessments and annual, 30-day, and 90-day multidiscipline assessments were timely for 83%, 70%, 72%, and 42% of cases, respectively, pre-implementation; and 97%, 96%, 87%, and 70% respectively, post-implementation. All results were highly significant. Hepatitis C viral load was appropriately performed in 85% of cases pre-implementation and 81% post-implementation; a nonsignificant difference. For Risks, the number of events was too low to detect a statistically meaningful change. For Satisfaction, there was no change for patients and a non-significant upward trend post-implementation for staff. Productivity declined postimplementation; reaching statistical significance for counselors. Finances did not change significantly. Outcomes for HIV disease (suppressed viral load), diabetes mellitus (HgbA1C<7), and hypertension (BP<140/90) showed improvement over the course of a 1-year timeframe. Conclusions: Despite onlymodest research results, we can now demonstrate system capabilities that improve patient outcomes, the key measure of patient status. Financial support: Researchsupportedby theNational Institute on Drug Abuse (R01 DA022030). http://dx.doi.org/10.1016/j.drugalcdep.2014.02.079 Association of objective and perceived neighborhood characteristics with tobacco use among young adults Qiana L. Brown1, A.J. Milam1, M.J. Smart1, R.M. Johnson2, Sabriya L. Linton1, C.D. Furr-Holden1 1 Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States 2 Boston University School of Public Health, Boston,
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developing an evidence based multimedia Group Counseling curriculum toolkit
Journal of Substance Abuse Treatment, 2012Co-Authors: Adam C Brooks, Graham Diguiseppi, Alexandre B Laudet, Beth Rosenwasser, Dan Knoblach, Carolyn M Carpenedo, Deni Carise, Kimberly C KirbyAbstract:Training community-based addiction counselors in empirically supported treatments (ESTs) far exceeds the ever-decreasing resources of publicly funded treatment agencies. This feasibility study describes the development and pilot testing of a Group Counseling toolkit (an approach adapted from the education field) focused on relapse prevention (RP). When counselors (N = 17) used the RP toolkit after 3 hours of training, their content adherence scores on "coping with craving" and "drug refusal skills" showed significant improvement, as indicated by very large effect sizes (Cohen's d = 1.49 and 1.34, respectively). Counselor skillfulness, in the "adequate-to-average" range at baseline, did not change. Although this feasibility study indicates some benefit to counselor EST acquisition, it is important to note that the impact of the curriculum on client outcomes is unknown. Because a majority of addiction treatment is delivered in Group format, a multimedia curriculum approach may assist counselors in applying ESTs in the context of actual service delivery.