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The relationship among counselor experience level, empathic accuracy, and counseling outcome in the early phase of counseling

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Abstract

The current study examined a mediating effect of empathic accuracy on the relationship between counselor experience level and counseling outcome. Data were collected from 48 counselor–client dyads in real-life counseling settings. Empathic accuracy and counseling outcome were assessed by using client perceptions of the first three audiotaped counseling sessions. Ickes’ standard empathic accuracy assessment procedure was used with modifications to assess empathic accuracy. The procedure to assess empathic evaluation included three steps: (a) clients recognize and write down their thoughts and feelings while listening to the audiotapes, (b) counselors infer their client’s thoughts and feelings, (c) The third raters rate the statements of counselors’ empathic accuracy. Correlational analysis revealed that counselor experience level, empathic accuracy, and counseling outcome were positively related to one another. A path analysis was used to test the model that counselor experience level affects counseling outcome through the effect of empathic accuracy. Both paths from counselor experience level to empathic accuracy and from empathic accuracy to counseling outcome were significant, along with a significant mediating effect of empathic accuracy. These results show enhancing empathic accuracy is critical for counseling outcome. Limitations of the current study and suggestions for future research were discussed.

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References

  • Brown, G. S., Bulingame, G. M., Lambert, M. J., Jones, E., & Vacarro, J. (2001). Pushing the quality envelope: A new outcomes management system. Psychiatric Services, 52(7), 925–934.

    Article  Google Scholar 

  • Brownson, C. (2004). The research consortium of counseling and psychological services in higher education: Report of activities. Retrieved May 11, 2007, from http://www.utexas.edu/student/cmhc/research/rescon.html.

  • Clark, A. J. (2010). Empathy: An integral model in counseling process. Journal of Counseling & Development, 88(3), 348–356.

    Article  Google Scholar 

  • Corsini, R. J., & Wedding, D. (2009). Current psychotherapies. Belmont: Brooks/Cole.

    Google Scholar 

  • Cummings, A. L., Slemon, A. G., & Hallberg, E. T. (1993). Session evaluation and recall of important events as a function of counselor experience. Journal of Counseling Psychology, 40(2), 156–165.

    Article  Google Scholar 

  • Duan, C., & Hill, C. E. (1996). The current state of empathy research. Journal of Counseling Psychology, 43(3), 261–274.

    Article  Google Scholar 

  • Elkin, I., Falconnier, L., Martinovich, Z., & Mahoney, C. (2006). Therapist effects in the National Institute of Mental Health Treatment of Depression Collaborative Research Program. Psychotherapy Research, 16(2), 144–160.

    Article  Google Scholar 

  • Etringer, B. D., Hillerbrand, E., & Clariborn, C. D. (1995). The transition from novice to expert counselor. Counselor Education and Supervision, 35, 4–17.

    Article  Google Scholar 

  • Frankel, R. M. (2009). Empathy research: A complex challenge. Patient Education and Counseling, 75(1), 1–2.

    Article  Google Scholar 

  • Garfield, S. L. (1994). Research on client variables in psychotherapy. In A. E. Bergin & S. L. Garfield (Eds.), Handbook of psychotherapy and behavior change (4th ed., pp. 190–228). New York: Wiley.

    Google Scholar 

  • Gershefski, J., Arnkoff, D., Glass, C., & Elkin, I. (1996). Clients’ perceptions of treatment for depression: I. Helpful aspects. Psychotherapy Research, 6(4), 233–247.

    Article  Google Scholar 

  • Gesn, P. R. (1995). Shared knowledge between same-sex friends: Measurement and validation. Master’s thesis, University of Texas at Arlington.

  • Gleason, K. A., Jensen-Campbell, L. A., & Ickes, W. (2009). The role of empathic accuracy in adolescents’ peer relations and adjustment. Personality and Social Psychology Bulletin, 35(8), 997–1011.

    Article  Google Scholar 

  • Greenberg, L. S., & Elliott, R. (1997). Varieties of empathic responding. In A. Bohart & L. S. Greenberg (Eds.), Empathy reconsidered: New directions in psychotherapy (pp. 167–186). Washington, DC: American Psychological Association.

    Chapter  Google Scholar 

  • Greenberg, L. S., Watson, J. C., Elliot, R., & Bohart, A. C. (2001). Empathy. Psychotherapy: Theory, Research, Practice, Training, 38(4), 380–384.

    Article  Google Scholar 

  • Hu, L., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling, 6(1), 1–55.

    Article  Google Scholar 

  • Ickes, W. (1993). Empathic accuracy. Journal of Personality, 61, 587–609.

    Article  Google Scholar 

  • Ickes, W., Stinson, L., Bissonnette, V., & Garcia, S. (1990). Naturalistic social cognition: Empathic accuracy in mixed-sex dyads. Journal of Personality and Social Psychology, 59(4), 730–742.

    Article  Google Scholar 

  • Jennings, L., & Skovholt, T. M. (1999). The cognitive, emotional, and relational characteristics of master therapists. Journal of Counseling Psychology, 46(1), 3–11.

    Article  Google Scholar 

  • Jinks, G. H. (1999). Intentionality and awareness: A qualitative study of clients’ perceptions of change during longer term counseling. Counseling Psychology Quarterly, 12(1), 57–71.

    Article  Google Scholar 

  • Jung, N. Y. (1998). Interpersonal complementarity and outcome in counseling process. Unpublished doctoral dissertation, Seoul National University.

  • Kelly, A. E. (1998). Client’s secret keeping in outpatient therapy. Journal of Counseling Psychology, 45(1), 50–57.

    Article  Google Scholar 

  • Kim, C. D., Kwon, K. I., Han, Y. J., & Sohn, N. H. (2008). The Korean counselor’s factors which contribute to positive counseling outcomes. The Korea Journal of Counseling, 9(3), 961–986.

    Google Scholar 

  • Kim, K. H., & Moon, S. J. (2000). Educational need assessment of counseling trainees in supervision. The Korean Journal of Counseling and Psychotherapy, 12(1), 1–18.

    Google Scholar 

  • Kohut, H. (1977). The restoration of the self. New York: International Universities Press.

    Google Scholar 

  • Kohut, H. (1984). How does analysis cure?. Chicago: University of Chicago Press.

    Google Scholar 

  • Kramer, U., Roten, Y., Beretta, V., Michel, L., & Despland, J. (2008). Patient’s and therapist’s views of early alliance building in dynamic psychotherapy: patterns and relation to outcome. Journal of Counseling Psychology, 55, 89–95.

    Article  Google Scholar 

  • Linehan, M. M. (1997). Validation and psychotherapy. In A. C. Bohart & L. S. Greenberg (Eds.), Empathy reconsidered: New directions in psychotherapy (pp. 353–392). Washington, DC: American Psychological Association.

    Chapter  Google Scholar 

  • Lorimer, R., & Jowett, S. (2009). Empathic accuracy in coach-athlete dyads who participate in team and individual sports. Psychology of Sport and Exercise, 10(1), 152–158.

    Article  Google Scholar 

  • Lutz, W., Leon, S. C., Martinovich, Z., Lyons, J. S., & Stiles, W. B. (2007). Therapist effects in outpatient psychotherapy: A three-level growth curve approach. Journal of Counseling Psychology, 54, 32–39.

    Article  Google Scholar 

  • Marangoni, C., Garcia, S., Ickes, W., & Teng, G. (1995). Empathic accuracy in a clinically relevant setting. Journal of Personality and Social Psychology, 68(5), 854–869.

    Article  Google Scholar 

  • Minami, T., Wampold, B. E., Serlin, R. C., Hamilton, E. G., Brown, G. S., & Kircher, J. C. (2007). Benchmarking the effectiveness of psychotherapy treatment for adult depression in a managed care environment: A preliminary study. Journal of Consulting and Clinical Psychology, 76, 116–124.

    Article  Google Scholar 

  • Robinson, L. A., Berman, J. S., & Neimeyer, R. A. (1990). Psychotherapy for the treatment of depression: A comprehensive review of controlled outcome research. Psychological Bulletin, 108, 30–49.

    Article  Google Scholar 

  • Rogers, C. R. (1957). The necessary and sufficient conditions of therapeutic personality change. Journal of consulting psychology, 21(2), 95–103.

    Article  Google Scholar 

  • Seligman, M. E. (1995). The effectiveness of psychotherapy: The consumer reports study. American Psychologist, 50(12), 965–974.

    Article  Google Scholar 

  • Simpson, J. A., Kim, J. S., Fillo, J., Ickes, W., Rholes, W. S., Oriña, M. M., et al. (2011). Attachment and the management of empathic accuracy in relationship-threatening situations. Personality and Social Psychology Bulletin, 37(2), 242–254.

    Article  Google Scholar 

  • Son, J. H., & Kim, K. H. (2001). Identification and classification of obstructive factors to counselor awareness in counseling process. The Korea Journal of Counseling, 2(2), 163–180.

    Google Scholar 

  • Steiger, J. H. (1990). Structural model evaluation and modification: An interval estimation approach. Multivariate Behavioral Research, 25, 173–180.

    Article  Google Scholar 

  • Stinson, L., & Ickes, W. (1992). Empathic accuracy in the interactions of male friends versus male strangers. Journal of Personality and Social Psychology, 62(5), 787–797.

    Article  Google Scholar 

  • Thwaites, R., & Bennett-Levy, J. (2007). Conceptualizing empathy in cognitive behavior therapy: Making the implicit explicit. Behavioural and Cognitive Psychotherapy, 35, 591–612.

    Article  Google Scholar 

  • Vivino, B. L., Thompson, B. J., Hill, C. E., & Ladany, N. (2009). Compassion in psychotherapy: The perspective of therapists nominated as compassionate. Psychotherapy Research, 19(2), 157–171.

    Article  Google Scholar 

  • Wampold, B. E. (2000). Outcomes of individual counseling and psychotherapy: Empirical evidence addressing two fundamental questions. In S. D. Brown, & R. W. Lent (Eds.), Handbook of counseling psychology (4th ed., pp. 711–739). New York: Wiley [Studies: A replication and refinement. Psychological Bulletin, 92, 581–604].

  • Wampold, B. E., Mondin, G. W., Moddy, M., Stich, F., Benson, K., & Ahn, H. (1997). A meta-analysis of outcome studies comparing bonafide psychotherapies: Empirically “All Must Have Prize”. Psychological Bulletin, 122, 203–215.

    Article  Google Scholar 

  • Wynn, R., & Wynn, M. (2006). Empathy as an interactionally achieved phenomenon in psychotherapy: Characteristics of some conversational resources. Journal of Pragmatics, 38(9), 1385–1397.

    Article  Google Scholar 

  • Yoo, Y. J. (1997). Client’s preferences and anticipations about counselor’s role in early counseling interviews. Master’s dissertation, Seoul National University.

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Kwon, K.I., Jo, S.Y. The relationship among counselor experience level, empathic accuracy, and counseling outcome in the early phase of counseling. Asia Pacific Educ. Rev. 13, 771–777 (2012). https://doi.org/10.1007/s12564-012-9235-8

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