Body image dissatisfaction and biases on weight as well as body size and shape, cultivated by a stance of privilege, often excluding many individuals, pervade societal norms. Due to the multivariant nature and connectedness of body image concerns, counselors working with clients who present with these issues could struggle with their own biases.…

Objective: The study examined the effects of therapeutic alliance (TA; relational bond, task collaboration) on externalizing behavior outcomes, how TA can operate differently when children are seen in individual versus group sessions, and how therapist-child disagreement in perceptions of TA affects outcomes. Method: 360 children (ages 9.2 to…

The literature on critical thinking (CT) in counselling and therapy generally posits higher quality outcomes when CT is applied in therapeutic treatment. We critically examine support for the claim that CT improves clinical outcomes. The purported effects of CT are first identified by arguments in favour of using CT in therapeutic treatment, both…

This study explored counseling supervisors' broaching experiences addressing intersectionality with supervisees. Counseling literature has illuminated a need for counselors to broach topics of intersectionality of identity such as race, ethnicity, and culture to demonstrate multicultural competence, increase client disclosure and counselor…

The aim was to investigate the association between experiencing a therapeutic relationship and subsequent authenticity. Forty-six clients completed the Barrett-Lennard Relationship Inventory (B-LRI), Relational Depth Inventory (RDI), a measure of the therapeutic alliance (ARM-5) and the Authenticity Scale (AS) at intervals over 10 therapy…

There is a lack of treatment guidelines for how to address the impact of nutrition on clients' mental health. Prior research is limited regarding psychologists' practices of nutrition counseling and has mostly focused on practices of dieticians and medical doctors. The purpose of this study was to examine psychologists' beliefs and attitudes about…

Purpose: Active engagement in one's therapy is a key contributor to successful outcomes. Research on child engagement in cognitive behaviour therapy (CBT) has largely focused on youth without autism. This longitudinal study examined multiple indicators of child engagement in relation to outcomes for autistic children who took part in CBT for…

Supporting children and young people's mental health is a central aim of the UK government policy, with those with learning difficulties a particularly vulnerable group. This systematic review of research uses published literature to explore how access and participation in therapy might be facilitated for young people with learning difficulties.…

Introduction: Clinician-client relationships impact treatment outcomes in speech-language pathology. Training clinicians to improve these relationships might therefore improve treatment outcomes but has not been examined in the field. This study is a preliminary investigation of whether training student clinicians can enhance clinician-client…

Even when raters demonstrate agreement in the use of a measure, limited score variability or violation of often-ignored statistical assumptions can result in lower reliability estimates than intuitively expected. This article uses data drawn from two randomized controlled trials of schema therapy and cognitive behavioral therapy for the treatment…

Background: This study examines participant satisfaction and effectiveness of the online mindset intervention 'The Growth Factory' (TGF) for youth with intellectual disabilities using a randomised controlled trial design. Method: Youth with mild to borderline intellectual disabilities (N = 119; 12-23 years) were randomly assigned to TGF (n = 60)…

Therapeutic alliance may influence treatment outcomes for individuals with autism spectrum disorder (ASD). The present study examined the trajectory of alliance, observationally-measured at four timepoints during a 16-week mindfulness-based treatment targeting emotion regulation problems in adolescents and young adults with ASD (n = 37, mean age =…

University counseling centers (UCCs) are tasked with delivering effective mental health interventions amidst increasing enrollment and declining resources. A growing number of UCCs have implemented session limits to meet demand with limited resources. To further understand the impact of this trend, we examined data obtained from a nationwide…

The purpose of this study is to examine the unfolding of counselor-client-rated real relationships over the course of counseling as well as to verify whether the change rate is associated with the treatment outcome with a Korean sample. In this study, data were collected from 71 Korean counselor/client dyads; the clients and counselors completed…

Background: Routine outcome monitoring (ROM) was popularized in the mid-1990s to improve client outcomes in psychotherapy, though implementation in clinical practice has been slow. Although increased outcome research in adventure therapy (AT) in the last decade has demonstrated AT as a viable treatment option, recent reviews have found worrying…