This study examined eating-disordered pathology in relation to psychopathology and adiposity in 162 non-treatment-seeking overweight (OW) and normal weight (NW) children, ages 6-13 years. Participants experienced objective or subjective binge eating (S/OBE; loss-of-control eating), objective overeating (OO), or no episodes (NE). OW children experienced significantly higher eating-disordered cognitions and behaviors than NW children and more behavior problems than NW children: 9.3% endorsed S/OBEs, 20.4% reported OOs, and 70.4% reported NEs. OW children reported S/OBEs more frequently than did NW children (p =.01), but similar percentages endorsed OOs. S/OBE children experienced greater eating-disordered cognitions (ps from <.05 to <.01) and had higher body fat (p <.05) than OOs or NEs. OOs are common in childhood, but S/OBEs are more prevalent in OW children and associated with increased adiposity and eating-disordered cognitions.

Two studies explored how counselor and client agreement on the therapy alliance, at the beginning of treatment, influenced early session evaluations and symptom change. Unlike prior studies that operationalized alliance convergence as either a profile similarity correlation or a difference score, the present study used polynomial regression and response surface analysis to examine agreement. Study 1 explored the impact of working alliance congruence on session depth and smoothness at the 3rd session of treatment with 36 client-counselor dyads. Results revealed that session smoothness was greater when clients' and therapists' perceptions of the working alliance were in agreement and high compared with when they were in agreement and low. In addition, clients rated sessions less smooth when their ratings of the alliance were lower than their therapists' ratings of the alliance, and they rated sessions as more smooth when their ratings of the alliance were higher than their therapists' ratings of the alliance. The authors did not find a significant relationship with session depth. In Study 2, the authors explored the impact of working alliance congruence, at the 3rd session of therapy, on symptom change for 63 client-counselor dyads. Results revealed that as the therapist and client have more positive agreement on the perceived alliance at the beginning of the treatment, there is greater symptom change. The authors also found that the consequences of alliance disagreement are the same regardless of who rated the alliance higher than the other. Implications and recommendations for future research are discussed.

The purpose of this study was to understand how the real relationship (RR) relates to important process and outcome variables from both the clients' and therapists' perspectives. Using a sample of 31 therapist/client dyads at a university counseling center, the authors examined the RR at the 3rd session of therapy and at termination. The results revealed that client adult attachment avoidance was negatively correlated with client RR, while client adult attachment anxiety was uncorrelated. Therapists' ratings of negative transference were negatively correlated with therapist-rated RR and were uncorrelated with client-rated RR. Hierarchical linear modeling analyses were conducted to predict postintervention outcome from client and therapist perceptions of the RR. Therapists' ratings of the RR accounted for a significant amount of variance in client posttreatment symptoms while controlling pretreatment symptoms. Client-rated RR total scores and client and therapist 3rd-session alliance scores were not significant predictors of postsymptom ratings. Implications of the usefulness of measuring the RR in psychotherapy are discussed, as are recommendations for future study.

The development and initial validation of a therapist-rated measure of the real relationship in psychotherapy (the Real Relationship Inventory-Therapist Form [RRI-T]) is reported. Using a sample (n ϭ 80) of practicing psychotherapists and on the basis of prior theory, the authors developed a 24-item measure consisting of 2 subscales (Realism and Genuineness) and a total score. This 24-item version and other measures used for validation were completed by 79 additional practicing therapists and 51 counseling graduate students (n ϭ 130). The RRI-T was found to have high reliability and sound initial validity. As theorized, the RRI-T correlated significantly with measures of working alliance, session outcome (depth and smoothness), client intellectual and emotional insight, and client negative transference. Discriminant validity was supported by a nonsignificant relation to social desirability.

The development and validation of a client version of the Real Relationship Inventory (RRI-C) is reported. Using a sample of clients (n = 94) who were currently in psychotherapy, a 24-item measure was developed consisting of two subscales (Realism and Genuineness) and a total score. This 24-item version and other measures used for validation were completed by 93 additional clients. Results of the present study offer initial support for the validity and reliability of the RRI-C. The RRI-C correlated significantly in theoretically expected ways with measures of the client-rated working alliance and therapists' congruence, clients' observing ego, and client ratings of client and therapist real relationship on an earlier measure of the real relationship (Eugster & Wampold, 1996). A nonsignificant relation was found between the RRI-C and a measure of social desirability, providing support for discriminant validity. A confirmatory factor analysis supported the two theorized factors of the RRI-C. The authors discuss the importance of measuring clients' perceptions of the real relationship.

No abstract

According to the social problem-solving model, a positive problem orientation wards off negative affect and promotes positive affect to enhance problem solving. It was hypothesized that the Problem-Solving Confidence and Personal Control factors on the Problem-Solving Inventory (Heppner, 1988) constitute facets of the problem orientation component; therefore, these variables should be significantly associated with negative affect, positive affect, and psychological distress over time. In a series of studies, a positive problem orientation was prospectively associated with greater positive and lower negative affect under a variety of conditions. However, the relation of the problem orientation variables to distress appeared to be mediated by trait affectivity. Results are interpreted in light of the social problem-solving model, and implications for counseling are discussed.Self-appraised problem-solving ability theoretically serves a vital function in the way in which a person processes information about the self, the environment, and problematic situations encountered in everyday life (Heppner & Krauskopf, 1987). This variable was derived from the problem-solving model of D'Zurilla and Goldfried (1971), which delineated the problem-solving process into five general stages: (a) problem orientation stage, (b) problem definition and formulation, (c) generation of alternatives, (d) decision making, and (e) verification. Intervention research grounded in this framework has demonstrated effectiveness for a variety of therapeutic issues, including study skills (Richards & Perri, 1978), depression (Nezu, 1986), and suicidal ideation (Lerner & Clum, 1990). It is unfortunate that an early attempt to develop a measure of personal problem solving revealed a three-factor solution from the original pool of items rather than the five postulated in the D'Zurilla model (Heppner & Peterson, 1982). Thus, the Problem-Solving Inventory (PSI; Heppner, 1988) measures self-appraised abilities in regulating emotional experiences in problem-solving situations (the Personal Control factor; PC), the degree of confidence in problemsolving abilities (the Problem-Solving Confidence factor; PSC), and use of specific problem-solving skills (the Approach-Avoidance factor; AA).

A model to predict affective and informational antecedents of career indecision was proposed. The model attempted to explicate paths between personality dispositions, appraisal of problem-solving skills, career decision-making styles, and antecedents of career indecision. Both personality and coping constructs were posited to examine the relative contribution of dispositional and perceived skill variables. Using a college student sample, results from a path analysis indicated that the disposition of neuroticism was a powerful predictor of perceived problem-solving skills, a dependent decision- making style, and both affective and informational antecedents of career indecision. The predicted effects of the coping constructs were of a much smaller magnitude. Directions for future research are discussed and several suggestions for career counseling assessment and intervention selection are made.