Examining therapist estimation of client working alliance and client symptom outcome using truth and bias model and response surface analysis

Li, Xu; Wu, Manxuan; Li, Feihan

doi:10.1080/10503307.2023.2193671

Cited by 2 publications

(1 citation statement)

References 51 publications

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“…Participating therapists and clients in this study were drawn from a longitudinal research project (Li et al, 2023) on clinical mental health counseling training at a university in Northern China, where master’s level student trainees enrolled in their first practicum completed longitudinal assessments of their professional development and clinical work with clients, while their clients also completed surveys about their counseling process and outcomes.…”

Section: Methodsmentioning

confidence: 99%

Chinese counseling trainees’ trait and state mindfulness and client symptom outcome: A longitudinal examination with multilevel and random-intercept cross-lagged panel models.

Li,

Carney,

2024

Psychotherapy

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This study aimed to explore how Chinese counseling trainees’ trait and state mindfulness predicted their clients’ symptom level over the course of therapy. A data set consisting of 6,888 sessions from 1,216 clients and their 211 master’s level beginning therapist trainees in China was used, which included a measure of trainees’ trait mindfulness at the beginning of their practicum and their state mindfulness and client-rated symptom distress level at the beginning of each of their therapy sessions. Multilevel modeling and random-intercept cross-lagged panel model results suggested that (a) at the trainee level, a trainee’s trait mindfulness did not predict their average client symptom improvement over practicum; (b) at the session-to-session level, higher trainee state mindfulness before one session significantly predicted lower client distress before the next session, and higher client distress before one session did not predict trainee state mindfulness before the subsequent session. Findings suggested that it was the trainees’ session-to-session state mindfulness, instead of their general trait mindfulness, that temporally led to greater client symptom reduction. Implications for clinical training were discussed.

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Section: Methodsmentioning

confidence: 99%

Chinese counseling trainees’ trait and state mindfulness and client symptom outcome: A longitudinal examination with multilevel and random-intercept cross-lagged panel models.

Li,

Carney,

2024

Psychotherapy

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Clients’ Race/Ethnicity as a Moderator of the Relationship Between the Therapeutic Alliance and Treatment Outcome

Li,

Whiston,

Wong

et al. 2024

Int J Adv Counselling

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is a one-session, two-hour group experience that provides undergraduate students with a "brave space" where we discuss topics related to multicultural awareness and cultural identities, for example, privileged and underprivileged identities, the intersectionality of cultural identities, institutionalized racism, sexual assault and harassment, the #MeToo movement, and immigration policies. ⬧ Led groups with a co-facilitator and engaged students in building "Brave Space Expectations." ⬧ Designed and facilitated the group experience to include experiential activities, videos, podcasts, comics, and multicultural quizzes. ⬧ Moderated the discussions using listening, questioning, facilitative, and reflective skills. ⬧ Encouraged critical thinking and civil disagreements by exploring each group member's socialization experience related to the topic. ⬧ Received 1.5-hour weekly group supervision.

show abstract

Examining therapist estimation of client working alliance and client symptom outcome using truth and bias model and response surface analysis

Cited by 2 publications

References 51 publications

Chinese counseling trainees’ trait and state mindfulness and client symptom outcome: A longitudinal examination with multilevel and random-intercept cross-lagged panel models.

Chinese counseling trainees’ trait and state mindfulness and client symptom outcome: A longitudinal examination with multilevel and random-intercept cross-lagged panel models.

Clients’ Race/Ethnicity as a Moderator of the Relationship Between the Therapeutic Alliance and Treatment Outcome

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