The Counseling Psychologist

This study investigated the effects of supervisee characteristics (rejection attachment), the supervisory relationship (supervisory working alliance, role conflict), and Asian cultural values on supervisee nondisclosure (clinically related and supervision related nondisclosures) for South Korean and U.S. American supervisees. Participants were 474 predominantly female supervisees in counseling and clinical psychology programs (227 South Korean, 247 U.S. American). Three major findings emerged: (a) the four predictors collectively predicted both types of supervisee nondisclosure jointly in both countries, (b) the supervisory working alliance predicted the two types of supervisee nondisclosure jointly in both countries, and (c) post hoc tests suggested that the supervisory working alliance mediated the relations of role conflict and rejection attachment with supervisee nondisclosure in both countries, and the relation of Asian cultural values with supervisee nondisclosure for South Korean supervisees. Implications for theory, research, and practice are discussed.

In the present study, we surveyed a sample of working adults (N = 495) in the United States to understand experiences with underemployment during the COVID-19 pandemic. Drawing from psychology of working theory, we examined a structural model linking economic constraints and experiences of marginalization to underemployment, as mediated by work volition and moderated by perceptions of economic conditions. Economic constraints, experiences of marginalization, and work volition all significantly predicted underemployment, accounting for 52% of the variance. Additionally, work volition served as a significant, but minor, mediator variable and economic conditions were a significant moderator linking economic constraints and experiences of marginalization to work volition. The negative effect of these constructs on work volition was mitigated when participants had more favorable perceptions of the economy at large. Findings may have implications for both research and practice, highlighting the importance of assessing structural and psychological factors to understand individuals’ work experiences.

This study evaluated rates of psychiatric symptoms and mental health treatment utilization among National Guard service members during postdeployment. National Guard service members (N = 311) completed surveys assessing demographics, beliefs about mental health treatment, emotion regulation strategies, and psychiatric symptoms. Mental health treatment utilization was assessed at the 6-months follow-up. Postdeployment, 41.2% of the sample had psychiatric symptoms above the clinical cut-off for at least one symptom measure. This proportion increased at follow-up (53.5%). Alcohol use disorder (AUD) symptoms showed the largest increase (d = 0.66), although symptoms of depression and post-traumatic stress disorder (PTSD) also showed small magnitude increases. Among those with elevated symptoms postdeployment (n = 128), only 27.8% received mental health treatment at follow-up. Severity of depression, anxiety, and PTSD were higher among those who utilized treatment. The postdeployment period is a vulnerable one. Continued efforts to understand and address barriers to treatment for this population are warranted.

We tested a modification of the dual pathway model using two sequential mediators between body dissatisfaction and binge eating: restricted eating and difficulties in emotion regulation replacing negative affect. A total of 435 college students completed an online survey. Results from path analyses indicated that the relationship between body dissatisfaction and binge eating was not mediated by restricted eating for neither women nor men. However, this relationship was mediated first by restricted eating and then by difficulties in emotion regulation for women only. Moreover, this relationship was mediated by difficulties in emotion regulation for both women and men. A post hoc analysis indicated that the above mediation results were still significant after adding negative affect into the model. No mediations through negative affect were significant. Clinical implications include the conceptualization and intervention of eating concerns within an emotion dysregulation framework.

Using hierarchical regression, the authors investigated the hypotheses that parental stigma and self-stigma would differentially and negatively predict intentions to seek counseling for European American (n = 318), Asian American (n = 153), and Asian international students. (n = 312). In this online cross-sectional study, parental stigma positively predicted intentions to seek counseling among Asian international students. The magnitude of this association was significantly greater than it was among European and Asian American students. As expected, self-stigma negatively predicted intentions to seek counseling among European and Asian American students. The magnitude of this association was significantly greater for European American students than it was for Asian international students, for whom self-stigma was not a significant predictor of intentions to seek counseling. This research suggests that the processes through which (a) stigma is felt and (b) stigma impacts psychological help seeking may be associated with one’s ethnicity and culture of origin.