The multidimensional model of broaching behavior (MMBB) is introduced as a heuristic that addresses multicultural counseling and social justice competence. The MMBB includes humanistic skills that allow counselors to broach clients’ racial, ethnic, and cultural (REC) concerns in an effort to develop strong therapeutic alliances and alleviate distress. This article provides illustrative examples of the 4 MMBB dimensions: intracounseling, intraindividual, intra‐REC, and inter‐REC. Implications for the counseling profession and practice are described, and directions for future research are presented.

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The Multicultural and Social Justice Counseling Competencies (MSJCC; Ratts et al., 2015) offer guidelines for counselors to deliver culturally responsive care to clients. Although the MSJCC broadly describe effective communication, specific skills are not included. This article provides counselors with strategies for discussing topics of race, ethnicity, and culture with clients. These strategies build on the MSJCC and are based in research on multicultural counseling best practices. Case examples are used to illustrate the application of these skills with diverse clients.

Objectives: Irritability is a transdiagnostic symptom in developmental psychopathology, conceptualized as a low threshold for frustration and increased proneness to anger. While central to emotion regulation, there is a vital need for empirical studies to explore the relationship between irritability and underlying physiological mechanisms of cardiovascular arousal. Methods:We examined the relationship between irritability and cardiovascular arousal (i.e., heart rate [HR] and heart rate variability [HRV]) in a transdiagnostic sample of 51 youth (M = 12.63 years, SD = 2.25; 62.7% male). Data was collected using the Empatica E4 during a laboratory stop-signal task. In addition, the impact of motion activity, age, medication, and sleep on cardiovascular responses was explored.Results: Main findings showed that irritability was associated with increased HR and decreased HRV during task performance. Conclusions:Findings support the role of peripheral physiological dysregulation in youth with emotion regulation problems and suggest the potential use of available wearable consumer electronics as an objective measure of irritability and physiological arousal in a transdiagnostic sample of youth.

Irritability is a transdiagnostic symptom dimension in developmental psychopathology, closely related to the Research Domain Criteria (RDoC) construct of frustrative nonreward. Consistent with the RDoC framework and calls for transdiagnostic, developmentally-sensitive assessment methods, we report data from a smartphone-based, naturalistic ecological momentary assessment (EMA) study of irritability. We assessed 109 children and adolescents (Mage = 12.55 years; 75.20% male) encompassing several diagnostic groups – disruptive mood dysregulation disorder (DMDD), attention-deficit/hyperactivity disorder (ADHD), anxiety disorders (ANX), healthy volunteers (HV). The participants rated symptoms three times per day for 1 week. Compliance with the EMA protocol was high. As tested using multilevel modeling, EMA ratings of irritability were strongly and consistently associated with in-clinic, gold-standard measures of irritability. Further, EMA ratings of irritability were significantly related to subjective frustration during a laboratory task eliciting frustrative nonreward. Irritability levels exhibited an expected graduated pattern across diagnostic groups, and the different EMA items measuring irritability were significantly associated with one another within all groups, supporting the transdiagnostic phenomenology of irritability. Additional analyses utilized EMA ratings of anxiety as a comparison with respect to convergent validity and transdiagnostic phenomenology. The results support new measurement tools that can be used in future studies of irritability and frustrative nonreward.

C orrectional facilities are one of the largest mental health providers in the United States; as such, efforts are being made to increase the effectiveness of services, especially psychotherapy (Munetz et al., 2001;Steadman et al., 2009). Individuals with mental illness are disproportionately represented in the criminal justice system (Munetz et al., 2001;Steadman et al., 2009). Despite this disparity, there is scant empirical evidence about the efficacy of therapeutic services in detention centers. Morgan et al. (2012) conducted a meta-analysis with 26 studies on treatments, which included psychotherapy but was not exclusive to this modality, in detention centers. The meta-analysis included 1,649 clients (sample sizes ranged from 5 to 150). Although the overall treatment effects for detention center therapy studies were positive for mental health symptoms (d = 0.87) and criminality outcomes (d = 0.42), there was wide variation in the effect sizes of outcomes (d = −1.57 to 2.98). Sufficient data were not available to test moderators or process variables, leaving many unanswered questions about the change mechanisms. However, we suspect that religious and/or spiritual identity and attention to those beliefs and values could be important in the healing process during detention.Religion or spirituality (R/S) is commonplace within correctional settings. R/S beliefs can create a way of making meaning in the lives of individuals who are incarcerated and may experience uncertainty and existential crises (Eytan, 2011). While data on religiosity in treatment are scarce, we can draw indirect evidence for the importance of spiritual themes in this setting from a Pew