“…Ametrano & Pappas, 1996;Dunn, Borgers, & Thomas, 1988;Gross, 2006;Kivlighan, 1989Kivlighan, , 1990Kivlighan & Shaughnessy, 2000;Lent et al, 2006;Stiles & Snow, 1984;Stiles, Gordon, & Lani, 2002) that have explored counsellors-in-training perceptions, session ratings by clients and novice counsellors, and other factors related to in-session ratings and session outcomes. Ametrano and Pappas (1996), for example, explored the effects of sex and gender role orientation of novice counsellors on session outcomes.…”