Sunteți pe pagina 1din 12

Received 10/20/09

Revised 04/27/10
Accepted 08/27/10

Research in Counseling:
A 10-Year Review to Inform Practice
Dee C. Ray, Darrell M. Hull, Andi J. Thacker, Laura S. Pace,
Karrie L. Swan, Sarah E. Carlson, and Jeffrey M. Sullivan

Hrrhis study reviewed 4,457 articles from 1998 to 2007 in American Counseling Association division-affiliated journals
to identify research articles published in counseling; 1,139 articles (25.6%) were quantitatively research based. The
authors provide details related to quantitative research publicafions, including individual journal contribution fo the
research base, focus areas for research, and independent and dependent variables highlighted by researchers. One
summary finding was that only 6% of counseling research articles explored effectiveness of counseling interventions.

Research publication in the field of counseling is a current He emphasized that "counselors must be confident that the
subject of discussion, as demonstrated by recent attention current status of outcome research is a valid and reliable source
regarding research practices by the American Counseling of information that can guide clinical practice" (Sexton, 1996,
Association's (ACA)flagshipjournal. Journal of Counseling p. 590) and that counselors must draw upon research when
& Development (JCD, see Bangert & Baumberger, 2005; determining the most effective treatment. Furthermore, Sexton
Marotta & Watts, 2007; Nilsson, Love, Taylor, & Slusher, discussed the importance of consistent research focused on
2007). The focus on research seems to be motivated by both areas of counseling that are relevant to the field. One specific
internal and external sources requiring data-driven methods for aim of his research was to determine if the research litera-
choosing and evaluating counseling interventions. Researchers ture being produced met the practical needs of counselors.
have noted the benefits of practice based on empirical evidence. Although he found that a variety of research publications
Bangert and Baumberger (2005) reported that government existed about multiple topics on which counselors can draw,
fimding has increasingly required the use of interventions based he did not report on quality or relevance of research available.
on randomized experimental designs. Mate and Kelly (1997) This omission seemed to suggest that although many different
emphasized the need for the establishment of an empirical base topics have been researched, the consistency of research that
for the professional practice of mental health counseling. They can contribute to a substantial knowledge pool is lacking.
fiarther highlighted the need for original research to promote
Nilsson et al. (2007) published a content analysis of
the mental health counseling field as a developed professioa
quantitative research published in JCD over a 10-year period.
Since the early 20th century, practitioners and researchers They found the greatest amount of research in the areas of
have been aware of the benefits of incorporating research- academic/career, multicultural issues, symptoms/disorder,
based facts to direct clinical services (Rubin, 2008). Rubin and counseling process. Although the findings of this study
(2008) suggested that the practice of incorporating best carried significant implications about counseling research, the
practices includes a process by which one evaluates reliable authors focused on only 1 out of a possible 15 ACA-affiliated
evidence and appoints certain interventions as empirically sup- journals. In addition, Nilsson et al. reviewed research from
ported. Publications based on empirically supported evidence 1991 to 2000, indicating the need for a review of more current
serve as a guide to practitioners seeking to uphold ethical research publication practices.
obligations to provide counseling services based on rigorous Counselor educators contribute to the evidence-based lit-
research methodologies. erature through publication in journals that may be motivated
Perhaps, most important, counselors are guided by ethi- by career productivity requirements or contribution to the
cal obligations to seek evidence-based practices. According field. Barrio Minton, Fernando, and Ray (2008) investigated
to the ACA Code of Ethics (ACA, 2005), "counselors have a the publication patterns of counselor educators by examining
responsibility to the public to engage in counseling practices submitted manuscripts from faculty members of doctoral pro-
that are based on rigorous research methodologies" (p. 9). grams accredited by the Council for Accreditation of Counsel-
Therefore, if counselors are to behave ethically, they must ing and Related Educational Programs. The authors examined
be aware of practices that are empirically supported and the articles published between January 1997 and December 2006.
general research that is occurring in the field. Findings from this study indicated that approximately half
Sexton (1996) discussed the importance of research when of the reviewed publications were research oriented, whereas
selecting relevant and effective treatments to use with clients. the remaining articles focused on theory and practice (Barrio

Dee C. Ray, Andi J.Thacker, Laura S. Pace, Karrie L. Swan, Sarah E. Carison, and Jeffrey M. Suiiivan, Department of Counseling
and Higher Education, and Darreil M. Huil, Department of Educational Psychology, University of North Texas, Dentón. Correspon-
dence concerning this articie should be addressed to Dee C. Ray, Department of Counseling and Higher Education, University of
North Texas, 1155 Union Circle, Box 310829, Dentón, TX 76203 (e-mail: dee.ray@unt.edu).

© 2011 by the American Counseling Association. All rights reserved.


Journal of Counseling & Development • Summer 2011 • Volume 89 349
Ray et al.

Minton et al., 2008). Although Barrio Minton et al. reported nais? (b) In relation to the field of counseling, what were the
the frequency of published research articles, they cited as a intentions ofthe research? (c) On what type of population, if
limitation the fact that the study did not address the quality any, did counseling research focus? (d) What were the primary
or content ofthe research publications. dependent variables? and (e) What areas of counseling will
In response to the need for empirically supported counsel- benefit from this research?
ing practices, JCD established a section regularly devoted to
research articles as early as 1993. The editors ofJCD identified •Method
a distinct need to increase the amount of relevant research
articles published consistently (Herr & Fabian, 1993). As the The research team consisted of one faculty member and five
flagship journal for ACA, JCD recognized the importance doctoral students in a counseling education graduate program.
of providing counseling professionals with relevant research The faculty member (first author) held a doctoral degree in
information. In 2003, JCD added a practical section, titled counselor education and had experience conducting multiple
Best Practices, asserting that best-practice manuscripts con- quantitative and qualitative published studies. The doctoral
tain information regarding eotmseling interventions centered students (second, third, fourth, fifth, and sixth authors) held
on outcome data. JCD further emphasized that best-practice master's degrees in counseling and had completed at least two
manuscripts use evidence-based data to speak to one or more courses in advanced statistics and research design. In addition,
aspects of what interventions work well with specific coun- the faculty member trained the doctoral students over a period
selors, with specific clients, with specific problems, within of several weeks on coding designs in the collection of research.
a specific setting (McGowan, 2003). JCD, as well as other We first reviewed the ACA website (www.counseling.org)
counseling joumals (e.g.. Professional School Counseling; to identify ACA divisions that publish peer-reviewed joumals
Lapan, 2005), called on researchers to contribute to tbe field accepting research articles. We identified 15 joumals for review
of counseling by submitting manuscripts that validate and including ACA's flagship joumal. Journal of Counseling &
contribute to relevant counseling research that will further Development, and 14 joumals associated with AC A divisions.
guide best counseling practices. We included only joumals that were published over the entire
The purpose ofthe present research study was to provide span of 1998-2007, thereby excluding joumals that were in
an overview of types of research articles being published in early production. The full list ofjoumals can be fotind in Table
counseling-related joumals and, more specifically, to provide 1. We attempted to access each joumal issue in paper form, and
a detailed description of research content within quantitative if unavailable, electronic databases were searched forfiillissues.
research related to the following five questions: (a) How much The research team developed a coding sheet addressing
research is being published in ACA division counseling jour- several aspects of publication, including number of authors.
TABLE 1
Research Articies and Totai Articie Publications for Counseling Division Journais
From 1988 Through 2007
No. of Quantita- No. of No. of Total % Research to
tive and Mixed- Quailtatlve Research No. of Total No. of Total
Journal iMethods Articles Articles Articies Articies Articies
Aduitspar) 14 3 17 62 27
Ttie Career Development Quarterly 105 30 135 291 46
Counseling and Values 56 24 80 223 36
Counselor Education and Supervision 80 35 115 243 47
Family Journal 64 12 76 742 10
Journai tor Specialists in Group Work 13 14 27 312 g
Journal ot Addictions and Offender
Counseling 3g 5 44 g3 47
Journal of College Counseling go 7 g7 203 48
Journal of Counseling & Development 167 3g 206 543 38
Journal of Employment Counseling 74 10 84 153 55
Journal of Humanistic Counseling,
Education and Development' 26 g 35 231 15
Journal of tVlental Heattti Counseling 65 g 74 276 27
Journal of ti^ulticultural Counseling
and Development 71 14 85 237 36
tVleasurement and Evaluation in
Counseling and Development 150 6 156 185 84
Professional Sctiool Counseling 125 26 151 663 23

Totai 1,13g 243 1,382 4,457 31

"Journal ot Humanistic Counseling as of Vol. 50, Issue 1, Spring 2011.

350 Journal of Counseling & Development • Summer 2011 • Volume 89


Research in Counseling

type of research (i.e., quantitative, qualitative, or mixed meth- categories of ethnicity would not reveal an accurate level of
ods), counseling area to be benefited by research (e.g., couples diversity in studies. Thus, we chose to summarize data by
counseling, counselors in training), sample description (i.e., coding whether ethnicity was reported or not as a measure of
clinical or nonclinical), sample description of ethnicity and standard of practice for research publications.
gender, other sample descriptors reported (e.g., income, Other characteristics of sample. Other characteristics of
education level), research focus (intention of research; i.e., samples were coded when reported, including income, age,
to what counseling area does it make a contribution), and education level, marital status, sexual orientation, and profes-
an open answer for primary dependent variables and sample sional status (e.g., working or unemployed).
subpopulations of focus. For each coding variable, the research Randomization of the sample. Each study was coded for
team decided on a clear definition of the variable and a de- its use of randomization of the sample with the following
scription of the coding choices to guide the coding process. categories: randomly assigned, not randomly assigned, or not
The definitions and descriptors were included in the coding applicable for research design.
forms for quick access. Coders then independently coded the Type of research. Each article was coded as quantitative,
samefivearticles using the initial coding system. The research qualitative, or mixed methods {P^ = 0.85). Because the focus
team met to discuss variations and challenges in coding. Open of this research was on exploration of quantitative research
answers for primary dependent variables and subpopulations and because mixed-methods research (n = 171) resulted in a
were compiled into one database for review by the team. The small number of studies, mixed methods was collapsed with
team then categorized dependent variables and subpopulations the quantitative category to accurately represent quantitative
for fiirther coding. Coding variable definitions and descriptors studies. Thus, it should be noted that the total number of
were refined according to consensus. Following this process, qualitative research articles is underreported.
the team rated 10 articles individually and independently on
Research population. We identified eight categories of coun-
the finalized coding form to establish interrater reliability.
seling and assigned each study to an area of counseling that
Once rater agreement was demonstrated to be substantial (see
the research most likely benefits {P. = 1.00). For example, if a
Landis & Koch, 1977), researchers were permitted to code
research study explored the attitudes of mathematics majors in
independently. Although ideal methods include multiple raters
college, we categorized the study as benefiting adult counseling.
of single articles, the considerable number of articles located
Categories included counselors in training, adult counseling,
for this study limited the application of such a process. On
child counseling, adolescent counseling, family counseling,
the basis of a thorough survey of similar literature reviews,
couples counseling, counselor educators, and counselors in
the research team decided to use the method of establishing
practice. During discussion of population categories, it was
agreement prior to independent coding of articles (Fouad &
noted that college populations would be categorized as adults
Byars-Winston, 2005; Hsieh et al., 2005; Skowron & Reine-
because being over age 18 years is the demarcation of adult-
mann, 2005; Wood, Crane, Schaalje, & Law, 2005). Joumal
hood legally in the United States. In addition, the research team
issues published fi-om 1998 to 2007 were divided for coding
concluded that information regarding college research would
by joumal among the research team members. In addition,
be better coded under the research setting variable.
each team member provided the number of research articles
and the number of total articles for each joumal issue. Subpopulation. In coding the content of research studies,
there seemed to be a preference among counseling research-
ers to study specific types of populations beyond diagnoses
Coding Variables or clinical issues. These populations appeared to be indepen-
Several of the following coding variables for the present study dent variables that were of particular interest in counseling
were subjectively identified by raters (i.e., type of research, research. The groups identified in the literature were typically
research population, sample description, research focus, considered multicultural populations. Articles were coded {P.^
setting in which the research was conducted, subpopulation, = 1.00) if the researchers specified a particular group as an
and a process variable). These seven coding variables were independent variable or focus of the study, such as attitudes
analyzed for interrater agreement and subjected to a generaliz- of Native Americans. Because we found that authors some-
ability analysis, and they are referred to in the generalizability times specified two independent population variables, such as
analysis as different methods by which the raters rated the experiences ofAfrican American women, we decided that this
articles. Scott's P. coefficient is provided for each of the seven category could be multicoded. Categories included females,
identified coding variables. males, Afiican American, Asian American, White/Caucasian,
Number of authors. The number of authors was listed as Hispanic, Native American, multiethnic, intemational popu-
an open-ended continuous variable. lations, religious, GLBT (gay, lesbian, bisexual, and trans-
Ethnicity of sample. Sample populations were coded for gender), socioeconomic status, disabilities, and older adults.
reported ethnicity for each study. Because of the specificity Clinical versus nonclinical sample population. Each article
and variation of ethnicities reported (e.g., immigrant Kore- was coded as clinical or nonclinical for its sample population
ans in the United States), researchers concluded that broad (P. = 0.77). Clinical samples were defined as participants

Journal ofCounselingôC Development • Summer 2011 • Volume 89 351


Ray et al.

who had been referred for a clinical problem or were already so on. Because the coding team did not categodze analyses
receiving clinical services. Nonclinical samples were defined into broader categodes but listed each type of data analysis
as participants who had been recruited for the study. separately, interrater reliability was not established for this
Research setting. Studies were coded for the setting in vadable. Hence, results should be interpreted with caution. In
which the research was conducted {P.^ = 0.76). Categori- addition, individual studies were multicoded because of the
cal variables were listed including college, school (pre- use of multiple types of analyses in a single article.
K-12), clinical (including counseling clinics, hospitals,
etc.), and other. Reliability of Coding Procedures
Intention of research related to counseling field. The Scott's Pj coefficient (Scott, 1955; analogous to Cohen's
purpose of this coding variable was to identify what area of kappa coefficient; Cohen, 1960) was used to examine inter-
counseling this research describes and to what area does it rater reliability, whereby each rater was crossed with every
make a contdbution. There were 11 categories in this area; other rater on a subset of 10 randomly selected articles and
to provide more meaningful data, the coders were forced to each article was rated on seven separate subjective methods
choose one that was most representative of the researchers' by all six raters. No coefficients were less than 0.75. However,
intentions (P. = 0.85). The following is a list of descriptions for when measurement procedures, such as the one used in the
each area. Effectiveness of counseling intervention was coded present study, introduce multiple sources of measurement
if the research study was a design intended to investigate the error, generalizability theory (Cronbach, Gleser, Nanda,
effect of a specific counseling technique or modality; this was & Rajaratnam, 1972; Brennan, 2001; for an overview, see
typically represented by experimental, quasi-experimental, or Shavelson & Webb, 1991) uses classical analysis of vadance
single-group pretest-posttest design. The counselor effective- (ANOVA) to estimate meastirement errors and G coefficients
ness category included studies that addressed the effectiveness for the entire measurement procedure. We identified three
of the counselor, including building counselor competencies facets, which can be thought of as independent vadables or
such as multicultural competencies. The counselor variables factors in ANOVA, that constitute the qualitative conditions
category was idendfied if the study focused on descdptors of under which the data were obtained: methods (M), articles
counselors, such as developmental level of counselors. The (A), and raters (R). The observed ratings on one article with
client variables category included studies that used mea- one method of measurement is not fully dependable; that is,
surements to descdbe clients, such as client personality or it is unlikely that we would observe exactly the same rating
behavioral characteristics. The diagnosis variables category frequency on a different article or for a different method of
descdbed a diagnosis or population with a specific diagnosis. measurement. Implicit in this idea is that the ratings result
The process of counseling category included research that from a steady state within the person providing the radng, and
explored dynamics dudng counseling sessions. The counselor we assume that any differences in ratings from one article to
educator vadables category included research that described the next or between different measurement scales (methods)
counselor educators, such as comparing attitudes of non- are not attdbutable to systematic changes in the individual
tenured with tenured faculty. The measurement/instrument providing the rating.
category contained any studies in which the primary objec- The value in applying generalizability theory is that mul-
tive was to investigate the use of a particular instrument. The tiple sources of measurement error can be estimated separately
population vadables category included research studies that in a single analysis. This allows the observation of relative
descdbed a group of people who were not clinical, such as error vadance associated with each facet in the study and at
self-esteem of intemadonal college students. The supervision the same time provides a single coefficient refiecting the level
category included any research on the process or outcome of of dependability, analogous to a reliability coefficient (such as
supervision of counseling students or counselors in practice. Cronbach's alpha). In the present study, all facets (methods,
And the "other" category was provided to categodze any study articles, and raters) wereftiUycrossed, thus there are no con-
that did not meet cdteda for any of the previously mentioned founded or nested sources of measurement error. The aim of
categorizations. the ANOVA, then, is to assess the relative importance of the
Dependent variable. Studies were coded to identify content idendfied sources of rating vadation. This is accomplished
areas of expected outcome {P^ = 0.81). We identified 22 areas through the esdmadon of vadance components in a simple
of content (see Table 6, p. 355) that incorporated areas of focus three-facet crossed design MAR, in which methods (M) were
for counseling researchers and then coded each study for one independently applied to articles (A) by different raters (R).
of these content areas. In this process, we attempted to define The score decomposidon equation would be
the single most important dependent vadable assessed by the
researcher, resulting in a forced-choice coding vadable (i.e., Y=a + M.+ A.+ RA- MA.+ MR A- AR.+ MAR.^e...
ijk f^ I J k y I* jk ijk' ¡jk
no multicategodcal coding).
Data analyses. Studies were coded for use of data analysis where 7..^ is the rating frequency obtained on Method / of
methods, such as t tests, correlation, regression analysis, and Article^' for Rater k, \i is the overall mean score (the average

352 Journal of Counseling & Development • Summer 2011 • Volume 89


Research in Counseling

of all ratings), M. is the effect of Method i (the deviation of the by zeros in the computadon of generalizability parameters.
ith measurement scale's average score fVom the grand mean), The most important column of this table (column 4) shows
Aj is the effect of Article 7 (the deviadon of theyth article's the percentage of variance associated with each facet or
average score from the grand mean), and Ä^ is the effect of facet interaction. Note that the different methods contribute
Rater k (the deviation of the kth rater's average score from the the largest amount of variance to the total, combined with
grand mean). MA.., MR.^, and AR.^^ represent Method x Article, the interaction of the different methods with the different
Method X Rater, and Article x Rater interaction effects (e.g., articles used for the reliability analysis. Both of these high
for AR.1^, this is the degree to which Rater / deviates from his variance components should have high contributions to any
or her normal severity/leniency from article to article). MAR..^^ variance observed in this measurement procedure. Moreover,
represents completely confounded variance among methods, the contribution of rater effects to variance is very low, as are
articles, and raters and thus is synonymous with an error term the rater interaction components.
(e..^. Because effects are assumed to be independent, the In Table 3, the different error variances are displayed along
total score variance ( a p represents the sum of the variance with the various facets of the study, and their interactions are
components: methods (CJ^), articles (a^), raters ( o p , and the separated into differentiation facets (the first two columns)
interactions between Methods x Articles (o^^). Methods x and instrumentation facets. These are based on the data in
Raters (o^^). Articles x Raters (CJ^^), and Methods x Articles the ANOVA results from Table 2 and are calculated using the
X Raters (o^^^), which includes the residual variance: estimation algorithms appropriate to the sampling status of
the different facets. Methods are treated as a differentiation
facet, which is the one single measurement component that
produces an effective difference between measured entities.
The G study was performed using EduG software (Car- Two separate G study analyses are represented; the first rela-
dinet, Johnson, & Pini, 2010), which is designed to carry tive study includes an a priori measurement design in which
out generalizability analyses. The seven different methods the interactions with the differentiation source are examined,
for examining articles were treated as a fixed facet, because and the second analysis, which is more important for our
these are the only attributes of interest. Each facet or facet purposes, is the absolute error variance showing the contri-
interacdon is shown in the ANOVA source in Table 2. Sums budon of all components of variance with the exception of
of squares, degrees of freedom, and mean squares are pro- the differendadon variance (the component we expected to
vided in the first three columns, in addition to three sets of produce the most variance). The differendation variance is
estimated variance components. Colutnns 4 through 6 contain more than eight dmes that of the absolute error variance; all
the estimated variance components for an entirely random other things being equal, this higher differendation variance
effects model, a mixed model, and corrected model using indicates that the sources of measurement error (articles and
Whimby, Vaughan, and Tatsuoka's (1967) correction factor. raters) are highly consistent (reliable).
Negative variances are not possible in theory, but the raters A ratio of the estimated differendation variance to estimat-
variance and Methods x Raters variance contain sampling ed total variance of observed scores yields a G coefficient. The
fluctuations around small component values that resulted in absolute G coefficient is an indication of the global reliability
negligible negative component esdmates. While these nega- of the measurement procedure when the methods differentia-
tive values appear in the ANOVA table, they were replaced tion variance (the different ways the articles were examined)

TABLE 2
ANOVA Source Table Demonstrating Percentage Contribution of Each Source to Totai Variance
Variable Components
Source ss df MS Random Mixed Corrected % SE
Methods 500.67 6 83.44 1.26 1.26 1.08 36.5 0.70
Articles 74.00 9 8.22 0.00 0.18 0.18 6.1 0.09
Raters 2.48 5 0.50 0.00 0.00 0.00 0.0 0.01
Methods and
articles 434.33 54 8.04 1.23 1.23 1.06 35.6 0.25
Methods and
raters 11.99 30 0.40 -0.02 -0.02 -0.02 0.0 0.01
Articles and
raters 29.14 45 0.65 0.00 0.09 0.09 3.1 0.02
Methods,
articles, and
raters 174.72 270 0.65 0.65 0.65 0.55 18.7 0.06

Note. ANOVA = analysis of variance.

Journal ofCounseling& Development • Summer 2011 • Volume 89 353


Ray et al.

TABLE 3 in = 123), 2001 (« = 146), 2002 (n = 129), 2003 (n = 138),


2004 (n = 147), 2005 (n = 149), 2006 (n = 154), and 2007 (n
G Study Table (Measurement Design:
= 151). From 2004 to 2007, publication of research seemingly
Methods, Articles, and Raters)
stabilized for the final 4 years reviewed.
Source of Variance DV REV % Rei. AEV % Abs. Table 1 provides a ñill listing of journals as well as the
Methods 1.08 number of quantitative/mixed-methods articles and number
Articles 0.02 13.4 of qualitative articles in relationship to total publication.
Raters 0.00 0.0
Methods and articles 0.11 92.0 0.11 78.6 Measurement and Evaluation in Counseling and Development
Methods and raters 0.00 0.0 0.00 0.0 published the highest percentage of research to total articles
Articles and raters 0.00 1.1 with 84% of its articles dedicated to research, and the next
Methods, articles, and
raters 0.01 8.0 0.01 6.9 highest percentage was represented by Journal of Employ-
ment Counseling (55%). Journal for Specialists in Group
Sum of variances 1.08 0.12 100.0 0.13 100.0 Work published the lowest percentage with 9% of its articles
SD 1.04
reporting research. The percentage of the total number of
Note. Coefficient G relative = 0.90; Coefficient G absolute = 0.89. research articles in comparison to total number of published
Grand mean for levels used = 2.67. Variance error of the mean for articles is 31% (n - 1,382). If only quantitative and mixed-
levels used = 0.02. Standard error of the grand mean = 0.14. Relative methods articles are compared with total publication articles,
standard error = 0.34. Absolute standard error = 0.37. DV = differen-
the percentage drops to 26% (« = 1,139).
tiation variance; REV = relative error variance; % Rel. = percentage
relative; AEV = absolute error variance; % Abs. = percentage absolute.
Research Question 2: In Relation to the Field
is partitioned out of the model and can be interpreted similar of Counseling, What Were the Intentions of the
to an alpha coefficient in the case of a simple fully crossed Research?
design as shown here. The G coefficient certainly suggests Table 5 lists the intentional focus of research in relation-
that measurement precision is satisfactory, as .89 represents a ship to the field of counseling. As can be seen in Table 5,
good degree of measurement precision. Reliability coefficients the highest number of counseling research articles among
(relative and absolute) for each of the 10 articles and the six the categories listed was focused on population variables
raters are provided in Table 4. (36.8%), which is an exploration of nonclinical groups for
nonclinical problems. Examples of this type of research
•Results are characteristics of first-generation college students or
Research Question 1 : How Much Research Is attitudes of human resource employees. In a distant second,
Being Published in Counseling-Related Journals? measurement/instrument research accounts for approxi-
mately 15% of counseling research. The fewest number of
We first attempted to answer this question by listing the num- research studies were conducted on issues related to specific
ber of articles divided by year of publication. The following diagnoses and groups of people with specific diagnoses
is a breakdown of number of studies published for each year (diagnosis variables = 0.7%). Also, it is interesting to note
across all 15 journals: 1998 (n = 128), 1999 (n = 117), 2000 that the study of counseling interventions was ranked 6th of
TABLE 4 10 categories with 6% of research focused on this intention.
G-Facets Analysis
Facet and TABLE 5
Levei Coefficient G Reiative Coefficient G Absoiute Intention of Research Related to
Articies Counseling Field
1 0.88 0.86
2 0.87 0.85 No. of % Focus
3 0.88 0.86 Articies in toTotai
4 0.89 0.87 Research Focus Area Focus Area Research
5 0.91 0.90
6 0.88 0.86 Population variables 509 36.8
7 0.87 0.85 Measurement/instrument 210 15.2
8 0.89 0.88 Counselor variables 143 10.3
9 0.93 0.91 Client variables 128 9.3
10 0.92 0.90 Counselor effectiveness 114 8.2
Raters Effectiveness of counseiing interventions 83 6.0
1 0.90 0.89 Counselor educator variables 48 3.5
2 0.90 0.89 Process of counseling 42 3.0
3 0.90 0.89 Supervision 34 2.5
4 0.91 0.89 Diagnosis variables 10 0.7
5 0.90 0.89 Other 61 4.4
6 0.90 0.89 Note.N= 1,382.

354 Journal ofCounseling& Development • Summer 2011 • Volume 89


Research in Counseling

Research Question 3: On What Type of Population, TABLE 6


if Any, Did Counseling Research Focus?
Dependent Variables Identified in
Results addressing this research question were derived from Research Publications
three coding variables: subpopulation, clinical versus nonclini- % DV to
cal sample population, and research setting. Approximately No. of Total
70% (« = 959) of research publications did not identify a Dependent Variabie (DV) Studies Research
specific subpopulation. Thus, the vast majority of research Counseling 400 28.9
articles used study samples with general characteristics, Career 250 18.1
Development 141 10.2
ostensibly to allow generalization of findings to the general
Relationships gg 7.2
population. Of those studies that focused on a particular sub- Multiculturalism 73 5.3
group ofthe population (n = 423), females were studied the Academic 47 3.4
Substance use/abuse/addiction 43 3.1
most, in 109 studies, which represent approximately 8% of 3g 2.8
Crisis
all research articles. African Americans were the second most Self-esteem 38 2.7
studied population with 63 articles (4.6%). Asian Americans Spirituality/religion 33 2.4
were third (n = 59; 4.3%), intemational populations outside Depression ig 1.4
Attachment ig 1.4
ofthe United States were fourth (n = 55; 4%), and males were Disruptive behaviors 18 1.3
fiflh (n = 50; 3.6%). White/Caucasian (3%), Hispanic (3%), Body image/eating disorders 15 1.1
religious (2%), GLBT (1.9%), socioeconomic status (1.7%), Ethics/legal 14 1.0
Stress 14 1.0
disabilities (1.3%), older adults (1.2%), multiethnic (1.1%), Anxiety g 0.7
and Native American ( 1 %) were the subgroups of least focus. Attention-deficit/hyperactivity disorder 8 0.6
In another attempt to address this research question regard- Medical 6 0.4
Other Diagnostic and Statistical Manual
ing what populations are being studied, we coded two other disorders 5 0.4
pertinent variables; clinical versus nonclinical populations Grief/loss 4 0.3
Other 88 6.4
and settings in which the research was conducted. On the
question of clinical and nonclinical population, 134 stud- Note. N = 1,382.
ies (10%) reported investigating a clinical sample, whereas
the overwhelming majority, 1,248 studies (90%), reported which research made contributions. The following is a break-
investigating nonclinical study participants. We also coded down of counseling categories and their matched studies: adult
studies according to the setting in which the research was counseling (« = 642; 46.5%), counselors in practice (n = 244;
conducted. Ofthe 1,382 research studies, 609 (44%) were 17.7%), counselors in training (n = 152; 11%), adolescent
conducted in colleges/universities, 283 (21 %) in schools, 130 counseling (n = 134; 9.7%), child counseling (n = 79; 5.7%),
(9.4%) in clinics or clinical settings, and 360 (26%) in other counselor educators (n = 69; 5%), couples counseling (« = 36;
settings, which were typically workplaces such as studies in 2.6%), and family counseling (« = 26; 1.9%). In comparison
the employment literature. with other categories, the highest numbers of research studies
were being conducted to benefit adult counseling.
Research Question 4; What Were the Primary
Dependent Variables? Supplemental Results Data
Table 6 lists each of the categories of dependent variables Other results related to data collection were summarized as
and how many studies emphasized that variable. Not sur- potential points of interest to the counseling community. With
prisingly, processes related to counseling were identified as regard to number of authors, authorship ranged from 1 to 13
the dependent variable represented in the largest ntimber of authors for one article, with approximately 16% of articles
studies (n = 400; 28.9%). These could include a coimselor's published by single authors. Most articles were published
skills or dynamics in the counseling process. Second, career- by 2 to 4 authors, representing approximately 76% of all re-
related variables were highly represented with 250 publica- search publications. When research studies involved human
tions (18.1%). Development, which included Wellness and participants, most authors reported ethnicity of sample (n =
counselor development, was the third most likely dependent 936; 67.7%); however, a large number of publications did
variable to be studied (n = 141; 10.2%). Grief and loss were not report ethnicity (n = 446; 32.3%). Authors reported other
the least likely topics to be studied among the counseling sample characteristics at various rates, including income (« =
literature (n = 4; 0.3%). 126; 9.1%), age (« = 670; 48.5%), education level (n = 693;
50.1%), marital status (n = 173; 12.5%), sexual orientation
Research Question 5: What Areas of Counseling (n = 43; 3.1%), and professional status (n = 198; 14.3%).
Will Benefit From This Research? Randomization of the sample was rare, with frequency at
The final research question attempted to use the population 130 studies (9.4%). The most utilized statistical analysis was
coding variable to identify specific areas of counseling to correlation (n = 327; 23.7%), with ANOVA (« = 297; 21.5%),

Journal ofCounseling & Development • Summer 2011 • Volume 89 355


Ray et al.

regression procedures (n = 282; 20.4%), multivariate analysis humanistic methods of evaluation (see Cain & Seeman,
of variance (« = 211; 15.3%), and t tests (« = 175; 12.7%) 2001); altematively, other mental health professionals view
rounding out the top five mostfi-equentlyused analyses. No- as unethical counselors who do not exclusively use identified
tably, the nonparametric chi-square analysis was conducted evidence-based practices (see Nathan, 2004). And then there
in 160 studies, representing 11.6% of all research studies. are the majority of counselors who fall somewhere in the
middle of the debate.
•Discussion However, the debate over evidence-based practice does
not appear to serve as a driving force in counseling literature
Over a decade ago. Mate and Kelly ( 1997) stated, "Publication when one considers the results of the present study. Perhaps
of original research is a key criterion for judging the identity the most conceming tinding of this study is that only 6% of
development of professions" (p. 286). Results of the present all counseling research articles are focused on exploring the
study indicate that the counseling profession is producing effectiveness of a counseling intervention. There are few
research at a consistent rate. The rise of research publications answers in the counseling literature to the most basic ques-
ti-om 2004 to 2007 demonstrates that the field of counseling tions of the profession, "What works with clients?" and "Are
is attempting to produce research that progresses counseling counselors doing what works?" The absence of counseling
to an adequate level ofprofessional status. Interpretation of literature on intervention motivates further questions regard-
the 31% of research articles to total articles found in this ing counseling practice. Are counselors looking to other fields
research is challenging. Previous publications have reviewed such as psychology or social work for direction in practice?
the research publication in individual journals (Mate & Are counselors operating without empirical evidence regard-
Kelly, 1997; Nilsson et al., 2007), but there has never been a ing practice? Do counselors believe that empirical evidence
comprehensive exploration of all counseling-relatedjoumals. is less relevant to practice? Do counselors rely on theory and
Although all ACA-affiliated joumals publish original research, experience rather than empirical research to guide practice?
some concentrate on research at the expense of practice ar- The low publication rate of intervention-based research leads
ticles, whereas others concentrate on practice at the expense to more questions than answers. Future research might explore
of research, leading to a wide variation of research publica- the counseling practitioner's use of published research. In ad-
tions in comparison to total publications across joumals. JCD dition, a retrospective review of joumals to interpret the 6%
attempted to address this balance by adding a Best Practices counseling intervention research publication rate is warranted.
section to its joumal in 2003. The purpose of the Best Practices
Although counseling joumals experienced an increase in
section was to encourage counselors to "apply the research
research publications over the 10-year span, this may not be
evidence that undergirds the practice of counseling" (Marotta
specific to intervention research publications. Findings ftom
& Watts, 2007, p. 491). However, this statement inspires the
other disciplines indicate that intervention research may be on
question, "What research base do counselors have for the
the decline. Hsieh et al. (2005) reported that intervention re-
practice of counseling?"
search in selected educational psychology joumals decreased
ti-om 40% to 26% over a 21-year period from 1983 to 2004.
Evidence-Based Counseling: The Need for More
In addition, intervention research published in the American
Intervention Research
Educational Research Journal dropped trom 33% to 4% in
Although evidence-based psychological interventions can the same time span. Robinson, Levin, Thomas, Pituch, and
be defined through strict adherence to rigorous experimental Vaughn (2007) further concluded that intervention studies in
intervention designs and identified through concrete criteria teaching and leaming joumals declined trom 45% to 33%
set forth by professional organizations such as the American over a 10-year period ti-om 1994 to 2004. Henson, Hull, and
Psychological Association (APA; see www.psychology.sun- Williams (2010) suggested that a lack of quality research
ysb.edu/eklonsky-/divisionl2/faq.html), counseling literature publications may be infiuenced by a lack of knowledge and
appears to link effective practice with a broader definition skills in doctoral-level education. In each of these studies,
of evidence. Evidence for counseling practices includes the authors emphasized the need for intervention research to
coconstruction of practice between counselor and client, support practice.
clinical practicalities, consideration of diverse populations, There has been speculation that although counselors are
and theoretical belief systems, along with empirical support interested in research, they are often tied to practice or un-
for practice (Marotta & Watts, 2007). The debate within the skilled at conducting or understanding research (Bangert &
mental health field regarding evidence-based practice has Baumberger, 2005; Lundervold & Belwood, 2000). If this
grown to new heights over the last two decades and is often speculation is true, then it is unclear whether a lack of inter-
a point of contention among professionals (Nathan, 2004; vention studies is due to counselors not conducting research
Rubin, 2008; Schloss & Haaga, 2005). Some mental health on intervention or joumal venues not publishing intervention
professionals believe a strict definition of evidence-based research. Although there are no verifiable answers to the many
practice is reductionistic and mechanical and propose more questions regarding intervention publications, it does appear

356 Journal of Counseling & Development • Summer 2011 • Volume 89


Research in Counseling

that the field of counseling would benefit from a greater detennine what positive approaches work with clients. The
concentration on increasing intervention research. Even if medical model adopted by other mental health professions
counselors are not limited to pracdcing only those techniques concentrates on finding what is wrong with clients and then
with empidcal evidence, most professionals would agree fixing the problem. A counseling approach to client research
that evidence for practice is helpful in several ways. Most is based on looking at the whole person and how impaired
important, empidcal exploration of interventions provides functioning is related to the whole, not just the problem.
information descdbing under what conditions and with what This holisdc perspective contdbutes to finding new research
populations certain interventions are most effective. designs and ways of working with clients, as well as new im-
Operating from empidcal evidence provides protection portance attdbuted to clinical significance of interventions. An
from legal downsides of practice, including lending support emphasis on conducting research from a holistic perspective
for current practices. And finally, empidcal evidence for in- with real clients in real life may provide infinite possibilities
tervendon helps to gain funding from government and pdvate for the counseling practitioner.
sources and is helpful for marketing services to clients.
Counseling Areas as a Focus
Utility of Current Counseling Research to the
As previously descdbed, much of the counseling research re-
Practitioner
viewed for this study was committed to adding information to
Results of this review indicate that the typical research study the pracdce of adult counseling, which for the purposes of this
published in counseling joumals seemed to be a research study included college coimseling. Informadon is provided
exploration descdbing aspects of general or specified popula- about the attdbutes or charactedsdcs of adult populadons or
dons that were not considered clinical and often using a col- possibly measurements that are designed for adult popula-
lege sample. This statement is not meant to be an indictment tions. Almost 47% of all research publicadons benefited adult
of counseling research, only an explanation. There is certainly coimseling. Counselors in pracdce and counselors in training
value to the counseling profession to discover personality were the second and third most frequent areas that benefited
and behavioral aspects of nonclinical populations. After all, from the research literature, combining for close to 29% of
cotinselors concenfrate on the healthy development of people; all research publications. Research to inform child counsel-
hence, the study of general developmental aspects of people ing made up only 5.7% and adolescent counseling made up
seems warranted. However, counselors also work with people only 9.7% of the publications. These particular percentages
who have significant mental health problems. Of the research are disappointing considedng that Mellin (2009) referred to
articles examined, few focused on common clinical issues children's mental health as a cdsis and summoned counsel-
such as depression, anxiety, and gdef and loss (2.4%). Given ors to increase fraining and research in response to current
reports that major depressive disorder is the leading cause needs of children. Also, we were surpdsed to see the scarcity
of disability in the United States for individuals ages 15-44 of research related to couples and family counseling, which
years and that anxiety disorders affect approximately 40 made up fewer than 5% of all research publicadons. Certainly,
million adults each year (Kessler, Chiu, Demler, & Walters, counseling pracddoners are seeing couples and families on
2005), the need for research on depression and anxiety ap- a consistent basis, and research in counseling should reñect
pears significant. In addidon, gdef and loss are considered to such practice. In faimess, it is noted that conducting research
be universal human expedences, as well as dsk factors for the on children, couples, and families is challenging and includes
development of depression and anxiety (Servaty-Seib, 2004). many more barders than conducdng research with individual
Mental health counselors work with clients who are labeled adult populations. Barders may include legal challenges in-
volved in child research, informed consent and assent with
with diagnoses that are threatening to everyday funcdoning.
participants, and pracdcal considerations of organizing inter-
School counselors work with children who are dismptive to
vendons for multiple participants simultaneously.
their own leaming as well as others. Human resource counsel-
ors work with employees who may lose their career because
of mental health issues. These types of services call for an Limitations
increase in cotmseling research related to clients and client Limitations of this study include the subjective nature of cat-
problems. This study indicated that of 1,382 research studies, egodzation among independent raters. Although substantive
only 134 explored a clinical population. In other words, less interrater reliability with dgorous statisdcal generalizability
than 10% of counseling research is dedicated to clients most analysis was established pdor to coding, each study was coded
in need of counseling services. by an individual rater who is subject to systemadc bias. It is
One argument against increasing research related to client possible that another research team might come to different
and client issues is that as a cotmseling profession, counselors conclusions regarding the categodzation process of the vad-
are focused on development and Wellness. Yet, this appears to ous content areas. In addition, each rater attempted to access
be the very reason for increasing research in the positivistic hard copies of all issues of each joumal. However, in some
area of development to identify effective approaches and cases, raters relied on electronic databases, which may pos-

Journal of Counseling & Development • Summer 2011 • Volume 89 357


Ray et al.

sibly result in missing individual articles within journal issues. authors per article in the field of educational psychology for
To address this issue, we cross-referenced each electronic the 2008 publicadon year. Second, acquisition of funding is
article with the electronic table of contents for each journal particularly helpful for assurance of research completion,
issue. Regarding the immense scope of this research project, specifically to provide incentives to participants to complete
it is doubtful that the review of 4,457 counseling articles experimental or control conditions and/or complete mea-
with meticulous reading of 1,382 identified research articles surement administrations. Funding for interventions to work
resulted in error-fVee data. with common societal problems such as depression, atixiety,
In the context of extensive data collection, decisions regard- or disruptive behavioral problems is possible through both
ing presentation were made to aggregate data into categorical govemment and private sectors. Setting reasonable expecta-
findings. The purpose of aggregadng the data is to provide dons for research participation is another option to encour-
some level of order for the reader's understanding. However, age intervention research. Often, counselors believe that
aggregadon of data may also lead to more globalized presenta- experimental research must be conducted with htmdreds of
don, which may provide less meaning and possibly devalue participants to be considered of substance. However, rigorous
small qualitative differences. experimental designs can be conducted with a small number of
participants. For example, 20 participants might be randomly
Implications for the Counseling Profession assigned to each of two conditions, experimental and control,
The good news is that the counseling profession is producing thereby only requiring 40 participants in all and allowing for
original research that is intended to have an impact on the statistical analysis. Although limited in power, small rigorous
pracdce of counseling. Close to one third of all counseling designs lend credibility to specific interventions and can later
publicadons over a 10-year period were research based. The be used in meta-analyses and systematic reviews to contribute
counseling profession produces research related to practitioners, to evidence-based practice.
counselors in training, counselor educators, clients, diagnoses, Notably, research studies must include details regarding
and the general population. However, the benefits of current sample characterisdcs, methodology, and data analysis to be
research to counseling practice are questionable. There seems used for the broader purpose of meta-analyses and systematic
to be a strong emphasis on conducting research with nonclinical reviews. Results from the present study indicate that sample
populations to define characteristics and attributes, but there is characteristics such as ethnicity, gender, or other relevant
little focus on conducting research regarding coimseling inter- descriptors, as well as sampling procedures, frequently may
ventions that will likely benefit a clinical population. not be reported in published research. Joumal editors are
Conducting intervendon research is challenging at best. in a position to require reporting procedures as criteria for
Counseling researchers face hurdles from the beginning with publication.
the inidal approval of human participants, where committees Finally, cotmselor education programs can address the need
are often hesitant to approve the use of specific techniques for more clinical research by initiadng the research process at
for persons with mental health problems. Recruiting sample the student level. As described in Ray, Barrio Minton, Schot-
participants who meet criteria and are willing to participate is telkorb, and Brown (2010), students in counseling programs
often where many researchers lose modvadon. When there is an can participate in research projects early on, from entering
attempt to randomize the sample, the researcher may encounter data to midlevel contribudon of delivering intervendon to later
problems related to setting (Hsieh et al, 2005). In addidon, it leadership in organization and administradon of an interven-
is often difficult to find measurements to appropriately isolate tion research design. Once cotmselors in training experience
dependent variables and then administer those measurements on the success of research completion, it is logical that they
schedule. There are many reasons not to conduct intervendon will be more willing to conduct research as a practitioner or
research. However, as demonstrated through this study, there counselor educator.
is a great need for intervention research.
Challenges related to intervention research can be met
through different options available to the counseling com-
•References
munity. First, research teams are the best defense against American Counseling Associadon. (2005). ACA code of ethics.
developing a sense of hopelessness and for developing creative Alexandria, VA: Author.
solutions to research problems. A research team involves Bangert, A. W., & Baumberger, J. P. (2005). Research and stadsdcal
several people of similar professional backgrounds working techniques used in the Journal of Counseling & Development:
toward the same goal. Hence, when one member meets a 1990-2001. Journal of Counseling & Development, 83,480-487.
research challenge, there are others to provide inspiration for Barrio Minton, C. A., Fernando, D. M., & Ray, D. C. (2008). 10 years
condnuance. Findings from this study indicate that research of peer-reviewed publications in counselor education: Where,
articles are more likely to be published by two to four authors what, who? Counselor Education and Supervision, 48, 133-143.
(76%) than by a single author (16%). This result is consistent Brennan, R. L. (2001). Generalizability theory. New York, NY:
with that of Jones et al. (2010), who reported a mean of 2.6 Springer.

358 Journal ofCounselingSc Development • Summer 2011 • Volume 89


Research in Counseling

Cain, D., & Seeman, J. (Eds.). (2001). Humanisticpsychotherapies: McGowan, A. S. (2003). New and practical sections in the Journal
Handbook of research and practice. Washington, DC: American of Counseling & Development: Information for the prospective
Psychological Association. author and the readership. Journal of Counseling & Develop-
Cardinet, J., Johnson, S., & Pini, G. (2010). Applying generalizability ment, 81, 387-388.
theory using EduG. In G. Marcoulides (Series Ed.), Quantitative Mellin, E. A. (2009). Responding to the crisis in children's mental
methodology series. New York, NY: Routledge. health: Potential roles for the counseling profession. Journal of
Cohen, J. (1960). A coefficient of agreement for nominal scales. Counseling & Development, 87, 501-506.
Educational and Psychological Measurement, 20, 37—46. Nathan, P. (2004). The evidence base for evidence-hased mental health
doi: 10.1177/001316446002000104 treatments: Four continuing controversies. BriefTreatment and Cri-
Cronbach, L. J., Gleser, G. C , Nanda, H., & Rajaratnam, N. (1972). sis Intervention, 4,243-254. doi:10.1093/brief-treatment/mhh021
The dependability of behavioral measurements: Theory of gener- Nilsson, J. E., Love, K. M., Taylor, K. J., & Slusher, A. L. (2007).
alizability for scores and profiles. New York, NY: Wiley. A content and sample analysis of quantitative articles published
Fouad, N., & Byars-Winston, A. (2005). Cultural context of career in the Journal of Counseling & Development between 1991 and
choice: Meta-analysis of raee/ethnicity differences. The Career 2000. Journal of Counseling & Development, 85, 357-363.
Development Quarterly, 53, 223-233. Ray, D., Barrio Minton, C , Schottelkorb, A., & Brown, A. (2010).
Henson, R., Hull, D., & Williams, C. (2010). Methodology in Single-case design in child counseling research: Implications
our education research eulture: Toward a stronger collective for counselor education. Counselor Education and Supervision,
quantitative proficiency. Educational Researcher, 39, 229-240. 49, 193-208.
doi:10.3102/0013189X10365102 Robinson, D., Levin, J.,Thomas, G., Pitueh, K., & Vaughn, S. (2007).
Herr, E. L., & Fahian, E. S. (1993). The Journal of Counseling & The incidence of "causal" statements in teaching and learning
Development: Its legacy and its aspirations. Journal ofCounseling research journals. American Educational Research Journal, 44,
& Development, 72, 3-4. 400-413. doi:10.3102/0002831207302174
Hsieh, P., Acee, T, Chung, W, Hsieh, Y, Kim, H., Thomas, G., . . . Ruhin, A. (2008). Practitioner's guide to using researchfor evidence-
Robinson, D. (2005). Is educational intervention research on based practice. Hohoken, NJ: Wiley.
the decline? Journal of Educational Psychology, 97, 523-529. Schloss, H., & Haaga, D. (2005). Nature of the evidence base for
doi: 10.1037/0022-0663.97.4.523 evidenced-based mental health care. Journal of Cognitive and
Jones, S., Fong, C , Torres, L., Yoo, J., Decker, M., & Robinson, D. Behavioral Psychotherapies, 5, 207-216.
(2010). Productivity in educational psychology journals from Scott, W. (1955). Reliability of content analysis: The case of
2003 to 2008. Contemporary Educational Psychology, 35, 11-16. nominal scale coding. Public Opinion Quarterly, 17, 321-325.
doi:10.1016/j.cedpsych.2009.08.001 doi:10.1086/266577
Kessler, R., Chiu, W, Demler, O., & Walters, E. (2005). Prevalence, Servaty-Seib, H. (2004). Introduction: Perspectives on counseling
severity, and comorbidity of 12-month DÄW-/F disorders in the the bereaved. Journal of Mental Health Counseling, 26, 95-97.
National Comorbidity Survey Replication. Archives of General Sexton, T. L. (1996). The relevance ofcounseling outcome research:
Psychiatry, 62, 617-627. doi:10.1001/archpsyc.62.6.617 Current trends and practical implications. Journal of Counseling
Lapan, R. (2005). An editor's top ten wish list. Professional School & Development, 74, 590-600.
Counseling, 8, ii-iv. Shavelson, R., & Webb, N. ( 1991 ). Generalizability theory: A primer.
Landis, J. R., & Koch, G. G. (1977). The measurement of observer Newhury Park, CA: Sage.
agreement for categorical data. Biometrics, 33, 159-174. Skowron, E., & Reinemann, D. (2005). Effeetiveness of psycho-
Lundervold, D. A., & Belwood, M. F (2000). The hest kept secret in logical interventions for child maltreatment: A meta-analysis.
counseling: Single case (Af= 1 ) experimental designs. Jowrna/o/ Psychotherapy: Theory, Research, Practice, Training, 42, 52-71.
Counseling & Development, 78, 92-102. doi: 10.1037/0033-3204.42.1.52
Marotta, S. A., & Watts, R. E. (2007). An introduction to the Best Whimby, A., Vaughan, G. M., & Tatsuoka, M. M. (1967). Fixed ef-
Practices section in the Journal of Counseling & Development. fects vs random effects: Estimating variance components from
Journal of Counseling & Development, 85, 491-503. mean squares. Perceptual and Motor Skills, 25, 668.
Mate, R. L., & Kelly, K. R. ( 1997). Research publication in the Jour- Wood, N., Crane, D., Sehaalje, B., & Law, D. (2005). What works for
nal of Mental Health Counseling as an indicator of professional whom: A meta-analytic review of marital and couples therapy in
identity development. Journal of Mental Health Counseling, reference to marital distress. American Journal of Pamily Therapy,
19, 286-294. 33, 273-287. doi:10.1080/01926180590962147

Journal ofCounseling& Development • Summer 2011 • Volume 89 359


Copyright of Journal of Counseling & Development is the property of American Counseling Association and its
content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's
express written permission. However, users may print, download, or email articles for individual use.

S-ar putea să vă placă și