Graduate Thesis Or Dissertation

 

Preservice counselors' initial perceptions of client grief style : an analogue study Public Deposited

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https://ir.library.oregonstate.edu/concern/graduate_thesis_or_dissertations/qv33s0802

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  • Grief--the reaction to a significant loss--is a near-universal human experience, from which a subset of grievers (10%-15%) have difficulty recovering, placing them at high risk for negative health and mental health outcomes (Marks, Jun, & Song, 2007). For those showing substantial distress, counseling has been shown to be an effective intervention (Boerner, Wortman, & Bonnano, 2005; Parkes, 1971). In 2000, Martin and Doka introduced a continuum of adaptive grieving styles, from intuitive (affectively focused) grief to instrumental (cognitively or behaviorally focused) grief. We know that counseling outcomes can be affected by perceptions and biases that counselors have toward clients (Luborsky, Auerbach, Chandler, Cohen, & Bachrach, 1971); however, we do not know whether a counselor’s perception of a client at the start of treatment is impacted by the client’s grief style. The objective of this study is to determine the influence of client grief style on initial counselor perceptions of the client. Utilizing an analogue design, this study explored how client grief style impacted counselors’ clinically related judgments following the viewing of an analogue of an initial counseling interview. Three professional actors were used to create videotapes of three different grief scenarios (bereavement, divorce, and pregnancy loss), with each actor portraying both an intuitive and an instrumental version of each scenario. The client’s grief style was manipulated by alterations in language and affective presentation in a three-by-two design that held the facts of the clinical scenarios, as well as all other aspects of the videotapes, constant. One version of each of the three scenarios (three video clips in all) was shown to a total of 99 preservice counselors in six CACREP-accredited master’s in counseling programs. There were three directional hypotheses developed based upon the extant research literature: (a) counselors would rate the global functioning of intuitive grievers higher than the global functioning of instrumental grievers; (b) counselors will rate their expectations of the therapeutic bond with intuitive grievers higher than their expectations of the therapeutic bond with instrumental grievers; and (c) counselors would be more likely to encourage emotional catharsis among instrumental grievers. Results supported the second hypothesis but not the first and third. Indeed, for the first and third hypotheses, there were significant differences found in the opposite direction. Counselors rated instrumental grievers as higher functioning than intuitive grievers (the opposite of Hypothesis 1), and the likelihood that counselors would encourage emotional catharsis was higher for intuitive grievers (the opposite of Hypothesis 3). Of particular clinical and educational importance was the finding that 66% of participants reported they would encourage emotional catharsis “often,” “very often,” or “always” in treatment with instrumental grievers, an approach that may be contraindicated for this group.
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