Grief is prevalent in counseling, but little is known about the current status of counselors' preparation and competencies to provide effective care. This exploratory study surveyed counselors (N = 369) on grief training, personal and professional experiences with grief, and grief counseling competence. Multiple regression analyses found training…

Despite the overall efficacy of psychotherapy, dropouts are substantial, many clients do not benefit, therapists vary in effectiveness, and there may be a crisis of confidence among consumers. A research paradigm called "patient-focused research"--a method of enhancing outcome via continuous progress feedback--holds promise to address these…