The Counseling Psychologist

Using the lifespan biopsychosocial model of cumulative vulnerability and minority health as a theroretical lens, the present study proposed two models to test the relationships among racial discrimination, cognitive–emotional factors, and risky sexual behaviors in a sample of 302 Black college students in the United States. Our models provided support for some of the hypothesized direct and indirect pathways. As expected, overt racial discrimination and subtle racial discrimination (i.e., racial microaggression) were both positively related to cognitive–emotional factors (i.e., anxiety, depression, hopelessness, and hostility). Racial microaggressions were significantly positively related to risky sexual behaviors, but overt racial discrimination was not. Hostility was the only cognitive–emotional factor that facilitated an indirect, significant effect from racial microaggressions to risky sexual behaviors. Potential implications are discussed for practice, training programs, and future counseling psychology research with Black college students using the lifespan biopsychosocial model of cumulative vulnerability and minority health.

Walking in two worlds is a common metaphor Indigenous peoples use to describe their experiences navigating the differences between Indigenous and Western epistemological and ontological worldviews across various contexts. Despite wide support for this phenomenon, there have been few attempts to address Indigenous–Western cultural incongruities through structural changes in counseling psychology, although as a profession, it is well equipped to do so. Thus, we propose for counseling psychology to move toward the Indigenist ecological systems model (IESM) as an integrative framework for promoting Indigenous epistemologies and ontologies in science and practice. We provide a brief overview of IESM and a direct application of the model through a case illustration of Walking in Two Worlds, a psychotherapy group for Indigenous peoples. With IESM, we describe creating an Indigenous-informed clinical intervention that leverages Indigenous epistemologies and ontologies, prompting real ecological change. We conclude with implications IESM has for counseling psychology.

Maladaptive perfectionists with high perfectionistic standards and discrepancy are at risk for negative psychological outcomes. Among Asian international students, family perfectionism is an important concern due to cultural values concerning honoring familial expectations, conformity, and fulfilling obligations for scholastic achievement. This study examined 190 Asian international students in the United States that prescreened as having maladaptive perfectionism. Among them, hierarchical and k-means cluster analyses revealed three types of perfectionistic families: adaptive, maladaptive, and nonperfectionistic. A oneway analysis of variance revealed that participants from maladaptive families experienced higher depression, general anxiety, and suicidal ideation than those from adaptive or nonperfectionistic families. Those from maladaptive or nonperfectionistic families reported higher social anxiety, academic distress, eating concerns, and lower life satisfaction than those from adaptive families. These findings highlight the importance of maladaptive perfectionists’ family backgrounds in understanding Asian international student mental health. Clinical and theoretical implications are discussed.

Sexual minority individuals report greater rates of substance use compared to their heterosexual counterparts. Internalized heterosexism (IH) is one critical factor underlying this disparity. There has been a proliferation of studies examining IH as a correlate of substance use; however, results of these studies have been mixed. The purpose of the current multilevel meta-analysis was to explain these mixed findings by identifying factors that moderate the overall relationship between IH and substance use. Results from the analysis of 49 studies (209 effect sizes and 162,674 participants) demonstrated a positive overall relationship between IH and substance use (r = .065). This relationship was significantly moderated by sexual orientation, gender, and type of substance. Increased IH was linked to increased use of heroin (r = .173), cocaine (r = .135), tobacco (r = .100), and alcohol (r = .070). Implications for research, practice, and policy are discussed.

Given that qualitative and mixed methods have been used to address social justice issues, counseling psychologists have been drawn to these research designs to advance knowledge in the field. However, qualitative and mixed methods are rarely used in counseling psychology to examine the experiences of LGBTQ individuals. This content analysis reviewed all qualitative and mixed methods studies conducted with LGBTQ individuals between 2009 and 2019 in three leading counseling psychology journals. Results from 24 studies revealed: (a) an increase in LGBTQ-related topics; (b) an overreliance in grounded theory as a research design, diverse analytical approaches, overreliance on semi-structure interviews, and increased disclosure of reflexivity and trustworthiness; and (c) an overwhelming representation of White, cisgender, gay and lesbian, middle class, college educated, English-speaking, Christian, mainland United States residents. We pose a call to action for the next decade of qualitative and mixed methods research with LGBTQ individuals in counseling psychology.