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Journal of Counseling Psychology Copyright 2004 by the American Psychological Association

2004, Vol. 51, No. 2, 158 –167 0022-0167/04/$12.00 DOI: 10.1037/0022-0167.51.2.158

Effects of Counseling Style and Client Adherence to Asian Cultural Values


on Counseling Process With Asian American College Students

Lisa C. Li Bryan S. K. Kim


University of Maryland University of California, Santa Barbara

This study investigated the effects of counseling style and client adherence to Asian cultural values on
career-focused counseling process with Asian American college students. Fifty-two clients were classi-
fied as having either high or low adherence to Asian values and assigned to a counseling session with a
European American female counselor, who employed either a directive or a nondirective style. Imme-
diately following the session, clients completed measures of counselor credibility, counselor empathic
understanding, client– counselor working alliance, session depth, and counselor cross-cultural counseling
competence. Clients in the directive counseling condition rated the counselor as being more empathic and
cross-culturally competent, and reported stronger client– counselor working alliance and greater session
depth than did those clients in the nondirective condition.

One way of being a culturally competent counselor is to possess studies. Pope-Davis, Liu, Toporek, and Brittan-Powell (2001),
knowledge about how various counseling styles affect the coun- after a review of extant empirical literature on multicultural coun-
seling process with culturally different clients. Past studies with seling, pointed out that studies are needed in which persons in real
Asian American college students have suggested that the use of a counseling sessions are used.
directive counseling style is perceived more positively than a Critical to understanding how best to approach counseling with
nondirective style. More specifically, Atkinson, Maruyama, and any group is an understanding of within-group differences (Atkin-
Matsui (1978) found that Asian American college students pre- son, Morten, & Sue, 1998). For Asian Americans, an aspect of
ferred a directive approach that was used by Asian American within-group differences is reflected in their enculturation level
counselors. In Atkinson and Matsushita (1991), Japanese Ameri- (Kim & Abreu, 2001). Enculturation represents the degree to
can college-aged participants gave the highest counselor credibil- which one adheres to the values, behavior, knowledge, and identity
ity ratings to a Japanese counselor who was directive and the of the indigenous culture (e.g., Asian culture for Asian Ameri-
lowest to the Japanese counselor who was nondirective. Similarly, cans). In terms of values enculturation, D. W. Sue and Sue (1999)
Exum and Lau (1988) found higher counselor credibility ratings suggested that clients’ adherence to Asian cultural values can play
for directive counseling style than nondirective counseling style a significant role in counseling process and outcome. These au-
with their sample of foreign college students from Hong Kong. thors pointed out that clients who adhere highly to Asian values
However, although these results suggest important information might experience stigma about seeking help and be less willing to
about Asian American college students’ preference for counseling share personal problems than individuals with lower adherence to
style, the methodology from which the results were obtained may Asian values. Two studies have investigated the role of Asian
limit their validity and usefulness to actual counseling sessions.
cultural values adherence in career-focused counseling with Asian
Previous studies used audiovisual analogue designs, which did not
American college students (Kim & Atkinson, 2002; Kim, Li, &
use actual counseling sessions but relied on the ability of partici-
Liang, 2002). Kim and Atkinson (2002) found that clients who had
pants to approximate the role of clients on the basis of their
high adherence to Asian cultural values evaluated Asian American
exposure to transcripts, audiotapes, or videotape. In addition, the
counselors to be more empathic and credible than did Asian
use of these types of limited exposure also raises questions about
American clients with low adherence to Asian values. Clients who
whether the counseling styles were fully operationalized in these
had low adherence to Asian values judged European American
counselors to be more empathic than did their counterparts with
high adherence to Asian values. Kim et al. (2002) found that
Lisa C. Li, Department of Psychology, University of Maryland; Bryan clients with high adherence to Asian cultural values perceived
S. K. Kim, Department of Education, University of California, Santa increased counselor empathic understanding and stronger client–
Barbara. counselor working alliance than did clients with low adherence to
This manuscript was based on a master’s thesis by Lisa C. Li at the Asian values when they received services from a European Amer-
University of Maryland, under the direction of Bryan S. K. Kim. We thank
ican counselor.
Sharika Bhattacharya, Sarah Bashir, Claire Agustin, Angela Newby, and
Alison Newby for assisting with this study. Although these findings are interesting and informative, the
Correspondence concerning this article should be addressed to Lisa C. possible moderating role of counseling style on the relationship
Li, Department of Psychology, University of Maryland, College Park, MD between client adherence to Asian values and counseling process
20742-4411. E-mail: lli@psyc.umd.edu has not been studied. Kim, Atkinson, and Umemoto (2001) sug-
158
COUNSELING STYLE AND ASIAN VALUES 159

gested that clients with high adherence to Asian cultural values, in (10%) were multiracial, 3 (6%) were Japanese, 3 (6%) were other Asian
comparison with clients with low adherence to Asian values, might ethnicity, and 1 (1%) was Cambodian. In terms of generation since immi-
rate higher a counselor who uses a directive counseling style. gration, 27 (52%) were first generation, 20 (39%) were second generation,
Values such as deference to authority figures may cause clients 1 (2%) was third generation, and 1 (2%) was fifth generation; 3 (6%)
reported other generation statuses. Among the first-generation group, the
adhering to Asian cultural values to look for their counselors to set
number of years since immigration ranged from 0.5 to 20, with a mean of
the structure of the session and offer suggestions for resolving the
8.95 (SD ⫽ 5.74). Four participants indicated that they had previous
problems. counseling experience, with the duration ranging between 1 and 3 sessions.
The present study sought to expand the previous research in two Counselors. Seven European American female counselors and one
ways. First, using a quasi-intervention analogue design, the study Hispanic American counselor with visible Caucasian features at a large
sought to approximate a live counseling session, and thereby mid-Atlantic university served as counselors in this study; Lisa C. Li also
increase the external validity of the findings. Additionally, we served as a counselor. Six were students in a counseling psychology
attempted to fully operationalize the directive and nondirective doctoral program, one was a second year master’s student in school
counseling styles by having counseling graduate students help counseling, and one had a master’s degree in counseling with an advanced
define these constructs. Second, participants evaluated as having graduate studies certificate and was currently employed as a career coun-
selor. Their ages ranged from 23 to 33 years, with a mean of 27.71 (SD ⫽
either high or low adherence to Asian cultural values were as-
3.95). All had taken at least one counseling practicum course and had
signed to receive either a directive or nondirective counseling
between 1 and 3 years of counseling experience (M ⫽ 1.43, SD ⫽ 0.79).
strategy. It was hypothesized that participants in the high- Three counselors had no career counseling experience, whereas four had
adherence group who received directive counseling would rate the between 6 months and 10 years of career counseling experience (M ⫽ 2.21,
session and counselor more highly than participants in the low- SD ⫽ 3.72). Counselors, except Lisa C. Li, received a $10 gift certificate
adherence group. It was also expected that participants in the for their participation.
high-adherence group who received nondirective counseling con- Session videotape raters. Three female Asian American (1 Pakistani, 1
dition would rate the session and counselor less highly than par- Asian Indian, 1 Filipino) and 2 biracial female Korean European American
ticipants in the low-adherence group. undergraduate students served as videotape raters. One was a sophomore,
On the basis of the social influence theory (Strong, 1968) and 1 was a junior, and 3 were seniors, and all were second-generation
Americans.
conceptualization of multicultural counseling competence (e.g.,
D. W. Sue et al., 1982), the following dependent variables were
chosen: counselor credibility, counselor empathic understanding, Experimental Design
client– counselor working alliance, session depth, and counselor
Design. The present study used a quasi-intervention analogue method
cross-cultural competence. The social influence theory suggests
(Gelso & Fretz, 2001) with two independent variables, client adherence to
that client perceptions of counselor credibility, which is influenced
Asian cultural values and counseling style (directive and nondirective), and
by client perceptions of counselor expertness, attractiveness, and five dependent variables: counselor credibility, counselor empathic under-
trustworthiness, lead to client change. Related to the concept of standing, client– counselor working alliance, session depth, and counselor
counselor credibility are the three other dependent variables as- cross-cultural competence. Upon arrival to the session, clients were clas-
sessed in this study: counselor empathic understanding, working sified as having either high or low adherence to Asian values and then
alliance, and session depth. Specifically, counselor credibility is assigned to either directive or nondirective counseling conditions. Imme-
influenced by the counselor’s ability to be empathic, create a diately following the session, clients completed measures of dependent
viable working alliance, and conduct a session that is meaningful variables.
to the client. In addition, D. W. Sue et al. (1982) suggested that Power analysis. For multiple regression analysis and a power equal to
.80 with an alpha level equal to .05, an a priori power analysis indicated
with ethnic minority clients, counselor cross-cultural competence
that a sample size of 33 was needed to detect a large effect size (f2 ⫽ .35;
might influence client perceptions of counselor credibility.
Cohen, 1988) and a sample of 77 to detect a medium effect size (f2 ⫽ .15;
The present study used career-focused counseling. Leong (1986, Cohen, 1988). A large effect size was expected on the basis of similar past
1995) pointed out the need for more career-related research among studies. Kim and Atkinson (2002) achieved a large effect size with sessions
Asian Americans. However, it should be noted that career coun- that were only 30 min in length. Kim et al. (2002) achieved a large effect
seling and personal counseling share many similarities and it may size with 79 participants using three independent variables, whereas the
be difficult to distinguish between the two types of counseling present study used only two. Also, training of counselors and using a script
(Blustein & Spengler, 1995). Although we acknowledge this over- for the sessions were expected to enhance the salience of the experimental
lap, we chose to have career issues as the focus for the counseling conditions to participants, thus increasing the likelihood of large differ-
sessions because career choice is a common concern for college ences between those in the directive condition and those in the nondirective
condition.
students, the participants in this study.

Method Measures
Participants Establishing Asian cultural values groups. To assign participants to
either the high- or low-adherence to Asian cultural values group, they
Volunteer clients. Volunteer clients were 52 (16 men, 36 women) completed the 36-item Asian Values Scale (AVS; Kim, Atkinson, & Yang,
Asian American students at a large mid-Atlantic university. They ranged in 1999) upon arrival at the counseling clinic. The instrument uses a 7-point
age from 18 to 27 years, with a mean of 18.94 (SD ⫽ 1.61). Their academic Likert scale ranging from 1 (strongly disagree) to 7 (strongly agree). To
levels were as follows: 33 (63%) 1st-year students, 6 (12%) sophomores, establish AVS’s construct validity, Kim et al. used a nationwide survey of
8 (15%) juniors, and 5 (10%) seniors. Thirteen (25%) were Asian Indian, Asian American psychologists and focus group discussions and a survey of
11 (21%) were Chinese, 11 (21%) were Korean, 5 (10%) were Filipino, 5 Asian American psychology doctoral students to generate a set of 112
160 LI AND KIM

initial items. Among these items, 36 items that were more highly endorsed was developed by factor analyzing responses to the larger 36-item Working
by first-generation Asian Americans than by European Americans were Alliance Inventory (Horvath & Greenberg, 1989). Results indicated that
retained. Exploratory factor analysis of the AVS yielded the following six the factor structure of the short version was similar to the original instru-
Asian values dimensions: conformity to norms, filial piety, family recog- ment. The short form measures, primarily, a general alliance factor, and
nition through achievement, humility, collectivism, and emotional self- secondarily, task, bond, and goal factors. Reliability coefficients for these
control. However, the scores on the six factors were found to lack internal factors were .98, .90, .92, and .90, respectively (Tracey & Kokotovic,
reliability to justify their use as separate subscales; hence, Kim et al. 1989). Tracey and Kokotovic found that there was shared variance in the
recommended the use of the total score. The use of the total score also is separate scales as well as unique variance in each scale. Thus, the com-
supported by Kim, Yang, Atkinson, Wolfe, and Hong (2001), who found posite score of the WAI-SF is an appropriate measure of the common
via confirmatory factor analyses that the AVS was better represented by a variance. As for WAI-SF’s applicability to Asian American population,
hierarchical factor structure, consisting of a second-order Asian values Kim et al. (2002) reported a coefficient alpha of .86. The present data
construct and the six first-order factors, than by single-order factor struc- yielded an alpha of .91.
tures. Evidence of AVS’s convergent validity was obtained through factor The Depth (Stiles & Snow, 1984) was used to assess client perceptions
structural relationships between the AVS, the Individualism-Collectivism of session depth. It consists of 6 bipolar adjective items rated in a 7-point
scale (Triandis, 1995), and the Suinn-Lew Asian Self-Identity Accultura- semantic differential format. Session depth refers to the degree to which the
tion scale (SL-ASIA; Suinn, Rickard-Figueroa, Lew, & Vigil, 1987). session was deep or shallow, valuable or worthless, full or empty, powerful
Evidence of discriminant validity was obtained in the low correlation or weak, special or ordinary, and good or bad. Factor analysis by Stiles and
between the AVS scores, which reflect values of enculturation, and SL- Snow (1984) provided support for the construct validity of the Depth. In
ASIA scores, which reflect behavioral acculturation. In terms of reliability, terms of reliability, Stiles and Snow reported coefficient alphas ranging
Kim et al. (1999) reported coefficient alphas of .81 and .82 and 2-week from .87 to .91. In addition, Kim and Atkinson (2002) and Kim et al.
coefficient of stability of .83. Kim and Atkinson (2002) and Kim et al. (2002) reported coefficient alphas of .90 and .84, respectively, based on
(2002) reported coefficient alphas of .86 and .85, respectively; the data their samples of Asian Americans. The present data yielded an alpha of .91.
from the present study yielded a coefficient alpha of .86. Client-perceived counselor cross-cultural competence was assessed us-
Dependent measures. To evaluate the effectiveness of the counseling ing the CCCI–R (LaFromboise et al., 1991). The 20-item CCCI–R assesses
session, the following dependent measures were used: (a) Counselor Ef- beliefs/attitudes, knowledge, and skills on the basis of Division 17 of the
fectiveness Rating Scale (CERS; Atkinson & Carskaddon, 1975; Atkinson American Psychological Association’s Education and Training Commit-
& Wampold, 1982); (b) Empathic Understanding subscale of the Relation- tee’s description of what constitutes a cross-culturally competent counselor
ship Inventory (EUS; Barrett-Lennard, 1962); (c) Working Alliance (D. W. Sue et al., 1982). Designed to be completed by counselor supervi-
Inventory–Short Form (WAI-SF; Tracey & Kokotovic, 1989); (d) Session sors, the wording of the questionnaire was changed for the present study to
Depth subscale of the Session Evaluation Questionnaire (Depth; Stiles & reflect client completion of the questionnaire. For example, the item
Snow, 1984); and (e) Cross-Cultural Counseling Inventory—Revised (CC- “Counselor demonstrates knowledge about the client’s culture” was
CI–R; LaFromboise, Coleman, & Hernandez, 1991). changed to “Counselor demonstrates knowledge about my culture.” The
Client-perceived counselor credibility was measured using the CERS necessity of modifying a questionnaire originally intended for use by
(Atkinson & Carskaddon, 1975; Atkinson & Wampold, 1982). The CERS counselor supervisors limits the psychometric validity of the data. None-
is a 10-item semantic differential questionnaire consisting of four dimen- theless, no other instrument assessing counselor cross-cultural competence
sions related to counselor credibility (expertness, attractiveness, trustwor- could be found. Given these circumstances, the measure is used with some
thiness, and utility) based on the social influence theory (Strong, 1968). reservation. Furthermore, the CCCI–R has been used successfully (with
Participants rate each item on a 7-point bipolar scale (1 ⫽ bad, 7 ⫽ good). adequate reliability) in previous studies to assess client perceptions of
Atkinson and Wampold (1982) reported a reliability coefficient of .90. Kim counselor cross-cultural competency (Constantine, 2002; Kim & Atkinson,
and Atkinson (2002) and Kim et al. (2002) reported coefficient alphas of 2002; Kim et al., 2002).
.91 and .87, respectively, in their studies with Asian Americans as partic- Instructions in the CCCI–R (LaFromboise et al., 1991) ask respondents
ipants. The present data yielded a coefficient alpha of .91. Convergent to rate the extent to which a counselor demonstrates a particular compe-
validity of CERS was evidenced in a comparison with the Counselor tence using a 6-point Likert-type scale ranging from 1 (strongly disagree)
Rating Form (CRF; Barak & LaCrosse, 1975). to 6 (strongly agree). Adequate content validity was demonstrated by
Client perception of counselor empathic understanding was assessed independent raters who assessed the amount of agreement between the
using the EUS (Barrett-Lennard, 1962). This 16-item scale is based on the CCCI–R items and the committee’s competencies. A factor analysis study
client-centered theory’s concept of empathic understanding, specifically provided evidence of construct validity. Pomales, Claiborn, and LaFrom-
the client’s perception of how empathic the counselor was in the session. boise (1986) provided evidence of discriminant validity of the CCCI–R in
Content validation was provided by having client-centered counselors that there were low correlations (from .01 to .28) between the instrument
review the items. Split-half reliability for client and therapist versions was and the CRF (Barak & LaCrosse, 1975), suggesting that the CCCI–R is
above .80 for each of the five subscales, including the EUS. Respondents measuring unique cross-cultural competencies rather than general counsel-
use a 7-point endorsement scale (⫺3 ⫽ I feel strongly that it is not true, ing competencies. LaFromboise et al. (1991) reported a coefficient alpha of
3 ⫽ I feel strongly that it is true). The published version of the scale is .95. More recently, Kim and Atkinson (2002) and Kim et al. (2002)
worded for a male therapist, hence the pronouns were changed to reflect the reported coefficient alphas of .89 and .90, respectively, based on their
female therapists in the proposed study. Coefficient alphas ranging from samples of Asian Americans. The present data yielded a coefficient alpha
.88 to .89 have been reported for the subscale (Horvath & Greenberg, of .92.
1989). Kim and Atkinson (2002) and Kim et al. (2002) reported coefficient Manipulation checks. As a manipulation check, clients were asked to
alphas of .81 and .71, respectively, based on their samples of Asian complete a questionnaire on their perception of the counselor’s counseling
Americans. The present data yielded an alpha of .78. style (directive vs. nondirective). The measure consists of 10 items, using
The 12-item WAI-SF (Tracey & Kokotovic, 1989) was used to assess a 7-point Likert-type scale ranging from 1 (strongly disagree) to 7
client perceptions of the counselor and client’s working alliance. On the (strongly agree), and ascertains clients’ perceptions of the counseling style
basis of a 7-point Likert scale ranging from 1 (strongly disagree) to 7 used by the counselor. Sample items are “I feel the counselor chose what
(strongly agree), items on the scale are based on a bond, goal, and task I should talk about in the session instead of letting me choose” (directive
conceptualization of the working alliance (Bordin, 1979). This instrument counseling style) and “The counselor seemed to listen to me more than
COUNSELING STYLE AND ASIAN VALUES 161

telling me what to do about my problem” (nondirective counseling style). Fifty-one phrases that may be directive or nondirective in style were
The coefficient alpha for those items representing the directive condition initially developed on the basis of the literature. Respondents were asked
was .51, suggesting that this subscale did not have adequate reliability. The to rate the phrases using a 7-point Likert-type scale (1 ⫽ represents
coefficient alpha for those items representing the nondirective condition directive counseling, 4 ⫽ represents both types of counseling, 7 ⫽ repre-
was .72. Thus, only this subscale was used. sents nondirective counseling). The goal of this procedure was to identify
At the end of the session, counselors’ perception of treatment imple- the phrases in each counseling stage that clearly represented either direc-
mentation was assessed using a questionnaire measuring the degree to tive or nondirective counseling. Hence, the phrases with a mean score
which counselors felt the experimental condition to which they were above 5.0 per counseling stage were retained and labeled as being repre-
assigned was implemented properly. The measure consists of 6 items and sentative of nondirective counseling. Similarly, phrases with a mean score
is based on a 7-point Likert-type scale ranging from 1 (strongly disagree) less than 3.0 were retained as being representative of directive counseling.
to 7 (strongly agree). The items were designed to measure counselors’ Three phrases were included in each of the four stages for both directive
perceptions of the degree to which they felt they were able to accurately and nondirective styles. The phrases were used as the basis for the coun-
portray the experimental condition to which they were assigned (Items seling scripts that were used to train counselors. For example, in the
1–3) and the comfort and ease with which they portrayed the condition assessment stage, the counselor in the directive condition gave an opinion
(Items 4 – 6). The coefficient alpha for the first three items was .84, and the as to what she believed to be the source of the client’s difficulties. In the
coefficient alpha for Items 4 through 6 was .93. nondirective condition, the counselor in the assessment stage listened
Trained raters reviewed each of the counselor’s sessions to assess the empathically without guiding the client to discuss one topic or another.
degree of adherence to the counseling protocol and rated them using a To study the counseling script’s validity, counselors, before they were
videotape ratings form. Using a 7-point Likert-type scale ranging from 1 trained, completed a questionnaire testing their perception of the differ-
(100% nondirective counseling) to 7 (100% directive counseling), raters ences in the experimental conditions. All ratings were on a 7-point scale
were instructed to rate the extent to which each stage (assessment of the ranging from 1 (100% nondirective) to 7 (100% directive). For those script
problem, choosing the goal for the session, exploring and clarifying the items describing the directive condition, respondents gave mean scores
problem, and resolution) of the session represented either directive or between 5.71 (SD ⫽ 1.11) and 6.85 (SD ⫽ 0.38), indicating that those
nondirective counseling, and to rate the session overall. Three sessions script items were representative of a directive counseling condition. For
could not be rated because of technical problems. The raters attended the those script items describing the nondirective condition, respondents gave
same training workshop as the counselors and became familiar with the mean scores between 1.29 (SD ⫽ 0.49) and 2.00 (SD ⫽ 1.15), indicating
counseling scripts for the study. Furthermore, the raters met with Lisa C. that those script items were representative of a nondirective counseling
Li and Bryan S. K. Kim to practice rating the videotapes until a minimum condition.
acceptable level of agreement among the raters (% agreement ⬎ .80) was
attained.
Covariate. Client-perceived counselor attractiveness was measured us- Pilot Study
ing a 10-point scale ranging from 1 (not at all attractive) to 10 (most
A pilot study was conducted prior to data collection. Six Asian American
attractive). Inclusion of this measure was based on the social influence
students volunteered to participate in one session of career-focused coun-
theory (Strong, 1968), which posits that client perceptions of counselor’s
seling. Three students participated in the directive counseling condition,
physical attractiveness are related to client perceptions of counselor cred-
and 3 participated in the nondirective counseling condition. At the end of
ibility. Kim and Atkinson (2002) found a correlation coefficient of .35
the session, they completed the Manipulation Check Questionnaire. They
( p ⬍ .001) between counselor physical attractiveness and counselor cred-
were also debriefed about the purpose of the study and asked to provide
ibility (as measured by the CERS; Atkinson & Carskaddon, 1975; Atkinson
feedback on the session. The results of the pilot study revealed that the
& Wampold, 1982). Kim et al. (2002) found a correlation coefficient of .33
experimental conditions were salient to these volunteer clients, and hence
( p ⬍ .01) between counselor physical attractiveness and counselor credi-
no changes were made to the counseling script.
bility. In addition, Kim et al. reported correlation coefficients of .26 ( p ⬍
.05) with counselor empathic understanding, .37 ( p ⬍ .01) with working
alliance, and .27 ( p ⬍ .01) with counselor cross-cultural competence. Counselors
Training of counselors to portray experimental conditions. Five coun-
Development of the Counseling Protocol selors were trained during a half-day workshop facilitated by Lisa C. Li and
Bryan S. K. Kim (note that this number includes one of the authors who
The operationalization of directive and nondirective counseling styles served as a counselor). Three counselors who were unable to attend the
was based on previous studies (Atkinson et al., 1978; Atkinson & Matsus- workshop were trained individually by Lisa C. Li. During the training, the
hita, 1991; Exum & Lau, 1988) and the propositions by Kim, Atkinson, and experimental conditions were discussed in depth and a videotaped role-
Umemoto (2001). These two sources of information seemed to agree on play demonstration was offered. Then, the counselors practiced the exper-
what constitutes these two different counseling styles. Kim, Atkinson, and imental conditions. Counselors who could not attend the workshop also
Umemoto (2001) considered that directive counseling refers to the coun- reviewed the experimental conditions in depth and were offered the vid-
selor using such helping skills as conveying information, probing for eotape role-play for review. These three counselors were offered opportu-
information, directing behavior, and making interpretations; whereas a nities to practice the experimental conditions but opted not to do so because
nondirective counseling style refers to the counselor using such helping of time constraints. It should be noted that two of these three counselors
skills as restatement, reflection of feeling, probing for affect, and summa- had participated in other counseling process studies and were very familiar
rization of feeling. For the present study, these definitions were further with following counseling script protocols. The third counselor had exten-
refined through a survey of graduate students in counseling psychology. sive career counseling experience and felt competent to participate in the
To obtain empirically supported operationalizations of directive and study without practicing the experimental conditions first. All counselors
nondirective styles of counseling, 10 graduate students in counseling were trained to implement both the directive and nondirective counseling
psychology completed a questionnaire. The questionnaire presented a styles. Counselors practiced both experimental conditions, with research
four-stage session process (assessment, choosing the goal for the session, assistants serving as clients. They were given a written script in an effort
exploring and clarifying the problem, and resolution), with each stage to standardize the experimental conditions across counselors. Counselors
consisting of phrases that described what a counselor might do in a session. had the written script on a clipboard on their laps during the counseling
162 LI AND KIM

sessions, which allowed them to maintain the counseling protocol without suggested to the client the steps that he or she could take to resolve the
the written script being too obvious to the clients. Counselors were en- problem. As the client explored his or her issue, the counselor used
couraged to practice the roles until they felt comfortable. Counselors were interpretations, challenges, and offered information about the client’s cur-
monitored and supervised by Lisa C. Li and Bryan S. K. Kim throughout rent challenge. At the end of the session, the counselor offered specific
the training workshop to ensure adherence to the experimental conditions. suggestions for resolving the problem and about what the client should do.
Throughout the study, Lisa C. Li and Bryan S. K. Kim were available to Furthermore, counselors in this condition were told to emphasize to the
supervise and consult with the counselors as needed. In addition, Lisa C. Li client throughout the session that they would provide some type of advice
inquired with the counselors about the process of each session and any at the end of the session. The sessions ended by having the counselor
difficulties they encountered. Further supervision and consultation from encourage the client to seek further assistance at the university counseling
Bryan S. K. Kim was sought if any difficulties arose. center.
Number of sessions for each counselor. Six counselors conducted 5 Nondirective counseling condition. A counselor in the nondirective
sessions each, and one counselor conducted four because of time con- condition followed the identical framework for a counseling session as a
straints, resulting in a total of 34 sessions. The author who served as a counselor in the directive condition: assessment, choosing the goal for the
counselor conducted 22 sessions. Four sessions were dropped, one because session, exploring and clarifying the problem, and resolution of the prob-
of the participant being younger than 18 years old and three because of the lem. However, a counselor in the nondirective condition began the session
session being less than 40 min, which resulted in having useable data from by allowing the client to describe the presenting problem, listening em-
a total of 52 sessions. The distribution of conditions across counselors pathically, and allowing the client to discuss possible causes of the prob-
mostly reflected a 2:3 ratio, with six counselors conducting 2 sessions lem. Counselors in this condition told the client that he or she has the
using one condition and 3 sessions using the other condition. The seventh capacity to define the goal for the session. They allowed the client to
counselor conducted 1 directive session and 3 nondirective sessions, and choose the goal for the session and encouraged the client to consider the
Lisa C. Li and Bryan S. K. Kim conducted 8 directive and 12 nondirective advantages and disadvantages of the chosen goal. Next, the counselors
sessions. allowed the client to explore the problem and concretely define it.
Throughout the process, the counselor used reflections of feeling but did
Procedure not offer any type of interpretations or suggestions to resolve the problem.
At the end of the session, the counselor allowed clients to generate ways to
Participant recruitment. Volunteer clients were recruited from an in- resolve the problem, told the client only he or she could decide what is best
troductory psychology subject pool and received course credit for partic- for his or her life, and encouraged the client to decide on ways to resolve
ipating. Students with career uncertainty (e.g., career indecision, lack of the problem. Furthermore, counselors in this condition were told to use
career awareness) were asked to participate. Participants signed up for the primarily reflections of feeling and restatements throughout the session.
study online. They read a brief description of the study, which stated that The sessions ended by having the counselor encourage the client to seek
the participation involved discussing their choice of major or future career further assistance at the university counseling center.
with a trained counselor in one counseling session and then evaluating the Postsession questionnaire administration. At the end of the counseling
counselor and session. Potential participants also were told that the total session, clients were taken to another room to complete the postsession
participation time was about 1.5 hr and the sessions ranged from 40 to 50 questionnaires that consisted of the CERS (Atkinson & Carskaddon, 1975;
min; the results indicated that the mean session length was 44.90 min Atkinson & Wampold, 1982), EUS (Barrett-Lennard, 1962), WAI-SF
(SD ⫽ 3.90). (Tracey & Kokotovic, 1989), Depth (Stiles & Snow, 1984), CCCI–R
Assignment to conditions. When clients arrived for their sessions, they (LaFromboise et al., 1991), the measure of client-perceived counselor
read and signed an informed consent form. They then completed the AVS physical attractiveness, and the client manipulation check. Participants
(Kim et al., 1999) and a demographic questionnaire that asked for gender, were informed that the counselor would neither see the ratings nor be
age, year in school, Asian ethnicity, and generation status (for first gener- affected by them. The order of the questionnaires was counterbalanced to
ation, the number of years in the United States), and previous counseling avoid an order effect. Upon completion of the questionnaire, participants
experience. The AVS was then scored and the client was classified as being were given a debriefing statement to inform them of the purpose of the
either high or low in Asian values adherence. On the basis of the median study.
AVS score from Kim et al. (1999), clients with a score below 4.25 were Postsession rating of videotaped counseling sessions by judges. All
classified in the low group and those with a score of 4.25 or above were videotaped sessions were reviewed (with the exception of three mentioned
classified in the high group; the “high” group had an AVS mean score of previously) and rated using the videotape rating form. The research assis-
4.68 (SD ⫽ 0.45), and the “low” group had a mean score of 3.76 (SD ⫽ tants rated the videotapes on the degree of adherence to the counseling
0.56). They were then assigned to one of two experimental conditions on script. If significant discrepancies were found between the session protocol
counseling style (directive and nondirective). An attempt was made to and what took place in the session, the session was not used in the final
balance the number of male and female clients in each cell to control for analyses.
any client gender effects. As a result, 10 participants who were classified
as having a high AVS score were assigned to the directive condition, 14
participants classified as having high AVS were assigned to the nondirec-
Results
tive condition, 13 participants classified as having low AVS were assigned The means, standard deviations, and intercorrelations of vari-
to the directive condition, and 15 participants classified as having low AVS ables of interest are shown in Table 1.
were assigned to the nondirective condition.
Directive counseling condition. A counselor in the directive condition
followed the same framework for a counseling session: assessment, choos- Preliminary Analyses
ing the goal for the session, exploring and clarifying the problem, and
Five t tests for each of the dependent variables revealed no
resolution of the problem. She began her session by directing the client to
discuss the presenting problem. The counselor then gave her opinion about
significant differences for those sessions conducted by Lisa C. Li
the source of the client’s problem and what she considered to be the most versus those conducted by the other counselors. Additional t tests
pressing issue. The counselor offered suggestions for the possible goal of for each of the five dependent variables revealed no significant
the counseling session and informed the client that she believed she could differences for sessions conducted by counselors enrolled in a
help the client with his or her problem. Counselors in this condition also doctoral program versus counselors enrolled in a master’s pro-
COUNSELING STYLE AND ASIAN VALUES 163

gram. A t test also revealed that there were no differences between

14


the two style conditions on counselor experience.
The present study found a significant relationship between

0.22
13


client-perceived counselor physical attractiveness and one of the
independent variables, counseling style (r ⫽ ⫺.26, p ⬍ .05). Thus,

0.37**
0.84**
the effects of client-perceived counselor physical attractiveness
12


were controlled in the main analyses.
An examination of ratings of client-perceived nondirective

0.00
0.25
⫺0.06
Means, Standard Deviations, and Intercorrelations Among the Independent Variables, Dependent Variables, Possible Covariates, and Client Variables

counseling session style revealed that clients appeared to have


11


perceived the intended condition to a certain extent. For the Non-
directive subscale of the measure of client perception of the

⫺0.17
0.09
⫺0.17
0.15
counselor’s counseling style, there was a significant difference
10


between mean scores for those in the nondirective and directive
conditions, t(50) ⫽ ⫺2.027, p ⫽ .024, d ⫽ 0.57. As expected,
0.18
⫺0.22
⫺0.01
0.15
⫺0.09
mean scores were higher for those assigned to the nondirective

9

condition (M ⫽ 5.22, SD ⫽ 1.63) than those assigned to the


Note. AVS ⫽ Asian Values Scale; comp. ⫽ competence; attract. ⫽ attractiveness; exp. ⫽ experience; Gen. ⫽ generation; imm. ⫽ immigration. directive condition (M ⫽ 4.23, SD ⫽ 1.84); note that scores range
from 1 to 7, with 7 representing the highest agreement.
0.37**

0.19
0.17

0.15
0.20
0.06
8

We examined counselors’ ratings of the degree to which they


felt they adequately implemented the experimental conditions and
the ease with which they did so. Both the directive (M ⫽ 5.83,
0.25*
0.07
0.08
⫺0.07
⫺0.04
⫺0.06
⫺0.03

SD ⫽ 1.01) and the nondirective condition (M ⫽ 5.60, SD ⫽ 1.37)



7

seemed to have been implemented as intended; the scores range


from 1 to 7, with 7 representing the highest agreement. Counselors
0.69**

also seemed to have felt comfortable implementing the directive


0.18
0.10
⫺0.02
⫺0.05
⫺0.07
⫺0.17
⫺0.14

6

(M ⫽ 5.87, SD ⫽ 1.24) and the nondirective condition (M ⫽ 5.84,


SD ⫽ 1.35); the scores range from 1 to 7, with 7 representing the
highest agreement.
0.79**
0.72**
0.11
0.06
⫺0.10
⫺0.06
⫺0.01
0.01
⫺0.08

We analyzed judges’ ratings of the implementation of the ses-



5

sion counseling style conditions. Results revealed that 51 sessions


conformed to the assigned experimental condition. One session
initially was not deemed to have been true to the assigned condi-
0.67**
0.55**
0.54**
0.12
0.07
0.18
⫺0.03
0.10
⫺0.00
0.05

tion. Lisa C. Li then reviewed the tape and discussed it with the
4

judge. An agreement was reached that the session actually did


conform to the assigned condition.
0.49**
0.53**
0.52**
0.68**
0.14
0.01
0.21
⫺0.12
0.12
⫺0.22
0.12

3

Main Analyses
We conducted hierarchical multiple regression analyses to study
0.39**
0.44**

0.34**

the main and interaction effects of the two independent variables


0.31*

⫺0.26*
0.18

⫺0.10
⫺0.03
⫺0.08
⫺0.09
0.12
⫺0.09

2

on each of the five dependent variables, while controlling for the


effects of client-perceived counselor physical attractiveness. The
independent variables were client adherence to Asian cultural
0.00
0.02
0.03
0.06
0.18
⫺0.12
0.14
0.08
0.08
0.21
⫺0.13
0.01
⫺0.10

values and style of counseling (dummy coded: 1 ⫽ nondirective,



1

2 ⫽ directive). In addition, there was a variable representing the


interaction between the two independent variables. The dependent
0.69

0.84
0.70
0.95
0.99
0.64
1.43

1.61
SD

variables were counselor credibility, counselor empathic under-


standing, session depth, client– counselor working alliance, and
counselor cross-cultural counseling competence. For each regres-
4.18

5.98
0.96
5.21
4.89
4.59
6.95

18.94
M

sion analysis, client-perceived counselor physical attractiveness


was entered in Step 1, the two main independent variables were
entered in Step 2, and the interaction variable was entered in
Counselor credibility

Cross-cultural comp.

Counselor exp. level

* p ⬍ .05. ** p ⬍ .01.
Counselor empathy

Step 3.
Working alliance
Counseling style

Gen. since imm.


Physical attract.

Academic level

In an attempt to avoid multicollinearity, the scores on the main


Session depth

Previous exp.
Variable

and interaction independent variables were centered. The proce-


dure yielded correlation coefficients among the main and interac-
Gender

tion variables, with magnitudes ranging from .00 ( p ⫽ .984) to .56


AVS
Table 1

Age

( p ⫽ .000). To further assess for the presence of multicollinearity,


1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.

the variation inflation factor (VIF) statistics were first examined


164 LI AND KIM

across the predictor variables. Myers (1990) pointed out that a VIF problem resolution, anxiety relief, amelioration of depression
value greater than 10 is cause for “at least some concern” (p. 369) symptoms, and skills acquisition (D. W. Sue, 1990, 1994; S. Sue
for the presence of multicollinearity. The results showed that the & Zane, 1987). S. Sue and Zane (1987) labeled such benefits as
highest VIF statistic was 1.46, suggesting that multicollinearity gifts and encouraged counselors to engage in “gift giving” when
was not present. they work with ethnic minority clients. It may be that the guidance
The results of the hierarchical multiple regression analyses given in the directive style created an experience of clients receiv-
revealed a significant main effect for counseling style on four of ing concrete benefits, or gifts. To the extent that the present results
the five dependent variables (see Table 2). Specifically, clients in are consistent with this gift giving idea, it can be speculated that
the directive counseling style condition gave higher scores on the present findings also apply to non-Asian American minority
counselor empathic understanding (M ⫽ 1.26, SD ⫽ 0.70), client– groups.
counselor working alliance (M ⫽ 5.67, SD ⫽ 0.85), session depth Alternatively, the support for directive counseling style that was
(M ⫽ 5.23, SD ⫽ 1.00), and counselor cross-cultural counseling observed in the present study may be related to the fact that all
competence (M ⫽ 4.84, SD ⫽ 0.65) than did those in the nondi- sessions were held within the context of career counseling. It could
rective counseling style condition (M ⫽ 0.72, SD ⫽ 0.61, d ⫽ be that in career counseling, there may be certain demand charac-
0.82; M ⫽ 4.85, SD ⫽ 0.87, d ⫽ 0.95; M ⫽ 4.63, SD ⫽ 0.91, d ⫽ teristics closely related to directive counseling style (e.g., need for
0.63; and M ⫽ 4.40, SD ⫽ 0.57, d ⫽ 0.72, respectively). There advice). In other words, directive counseling may be expected
was no significant difference on counselor credibility between within a career counseling context for individuals with career
directive (M ⫽ 6.14, SD ⫽ 0.76) and nondirective (M ⫽ 5.84, uncertainty; for other counseling contexts, perhaps more explor-
SD ⫽ 0.90, d ⫽ 0.36) conditions. atory, or nondirective, counseling is expected. This is not to say
On the basis of these results, the hypothesis that Asian American that career counseling is not related to personal counseling, but that
clients with high adherence to Asian cultural values would rate the career counseling is more specific, and therefore clients could be
directive counseling session higher than clients with low Asian anticipating more directive, solution-based approaches.
values adherence was not supported. Likewise, the hypothesis that The lack of a significant effect of counseling style on counselor
Asian American clients with high adherence to Asian cultural credibility was unexpected, given past research. The four previous
values would rate the nondirective counseling session lower than studies of directive and nondirective counseling styles assessed
clients with low Asian values adherence was not supported. participant perceptions of only counselor credibility and found
higher ratings on it for directive style over nondirective style.
Discussion Hence, it was surprising that this previous finding was not repli-
cated in the present study. Although it is difficult to explain a null
The present study used a quasi-intervention analogue design to finding because of many possible explanations, it might be spec-
evaluate whether Asian American college student clients with high ulated that the counselors in this study were perhaps adept at
adherence to Asian cultural values would prefer directive versus portraying the experimental conditions to such a degree that clients
nondirective counseling styles. The results indicated that clients in either condition experienced them as being equally attractive,
exposed to career counseling with directive style rated the coun- trustworthy, and expert. The professional stance of the counselor
selors as more empathic and culturally competent, and the session may have diluted any differences that might otherwise be due to
as having a stronger working alliance and depth, than did clients the experimental conditions. The opposite could also be true. They
exposed to the nondirective style. However, contrary to the theo- could have been perceived as equally lacking credibility because
retical propositions put forth by Kim, Atkinson, and Umemoto of their student status. Hence, there may have been a lack of
(2001), the present study failed to support the hypothesis that variance on how credible counselors were perceived by clients in
clients with high Asian values adherence would give higher ratings either case.
for directive over nondirective counseling styles. The present study failed to support the hypothesis that Asian
The significant main effects of counseling style on four of the values adherence plays a role in client perceptions of counselor
five dependent variables are consistent with findings from previ- credibility, counselor cross-cultural counseling competence, coun-
ous studies on counseling style with Asian American college selor empathic understanding, client– counselor working alliance,
students (Atkinson et al., 1978; Atkinson & Matsushita, 1991; or session depth in a single session of career-focused counseling.
Exum & Lau, 1988). Each of these studies found that a directive This finding is contrary to the findings of previous studies that
counseling style was evaluated more positively than a nondirective included an assessment of Asian values adherence (Kim & Atkin-
style. A possible explanation for the significant main effect may son, 2002; Kim et al., 2002). As mentioned earlier, Kim and
exist with the content of the directive style in comparison with the Atkinson (2002) found that clients with high Asian values adher-
content of the nondirective style. The directive style was highly ence rated Asian American counselors as more credible and em-
structured, with the main goal being to provide concrete guidance pathic than did clients with low Asian values adherence. Kim et al.
on how the clients can resolve their career uncertainty issues. In (2002) found that clients with high Asian values adherence per-
contrast, the nondirective counseling style was focused on facili- ceived stronger working alliance and counselor empathic under-
tating clients to determine for themselves the appropriate course of standing than clients with low Asian values adherence. Although
action. It has been suggested that Asian Americans and other there may be many alternative explanations for a null finding, a
ethnic and racial groups prefer counselors to provide concrete possible explanation is a lack of variability on AVS (Kim et al.,
guidance that lead to some immediate benefits from counseling (S. 1999) scores for this sample. In support of this speculation, an
Sue & Zane, 1987). Concrete guidance such as giving advice on examination of a histogram showed that the AVS mean scores for
the next steps to take could lead to tangible benefits such as two thirds (n ⫽ 34) of the participants were between 4.00 and 4.50.
COUNSELING STYLE AND ASIAN VALUES 165

Table 2
Results of Hierarchical Multiple Regression Analyses on the Four Dependent Variables

Variable ␤ t R2 F ⌬R2

Counselor credibility
Step 1
Attractiveness .14 0.99 .02 0.97
Step 2
Attractiveness .20 1.36
Asian values (A) ⫺.01 ⫺0.05
Counseling style (B) .23 1.60 .07 1.18 .05
Step 3
Attractiveness .21 1.46
Asian values (A) .14 0.83
Counseling style (B) .23 1.64
A⫻B .27 1.60 .12 1.56 .05

Counselor empathic understanding


Step 1
Attractiveness .12 0.87 .02 0.75
Step 2
Attractiveness .24 1.76
Asian values (A) .00 0.02
Counseling style (B) .45 3.35** .20 4.04* .18
Step 3
Attractiveness .24 1.76
Asian values (A) .04 0.24
Counseling style (B) .45 3.32**
A⫻B .06 0.41 .20 3.02* .00

Client–counselor working alliance


Step 1
Attractiveness .11 0.79 .01 0.62
Step 2
Attractiveness .23 1.79
Asian values (A) .03 0.26
Counseling style (B) .50 3.81*** .24 5.16** .23
Step 3
Attractiveness .24 1.81
Asian values (A) .09 0.62
Counseling style (B) .50 3.80***
A⫻B .11 0.74 .25 3.97** .01

Session depth

Step 1
Attractiveness .18 1.31 .03 1.71
Step 2
Attractiveness .26 1.89
Asian values (A) .15 1.14
Counseling style (B) .37 2.78** .19 3.74* .16
Step 3
Attractiveness .26 1.89
Asian values (A) .18 1.10
Counseling style (B) .37 2.75**
A⫻B .05 0.29 .19 2.77* .00

Counselor cross-cultural counseling competence


Step 1
Attractiveness .25 1.86 .07 3.46
Step 2
Attractiveness .39 3.06**
Asian values (A) ⫺.17 ⫺1.39
Counseling style (B) .45 3.49** .27 6.03** .20
Step 3
Attractiveness .40 3.09**
Asian values (A) ⫺.10 ⫺0.64
Counseling style (B) .45 3.50**
A⫻B .14 0.94 .29 4.73** .02

Note. Attractiveness ⫽ client-perceived counselor physical attractiveness; Asian values ⫽ client adherence to
Asian Cultural Values Scale.
* p ⬍ .05. ** p ⬍ .01. *** p ⬍ .001.
166 LI AND KIM

Also, 90% (n ⫽ 47) of participants reported being either first- or present results indicated an interesting relationship between client
second-generation Asian Americans; Kim et al. (1999), in a study gender (dummy coded: 1 ⫽ male, 2 ⫽ female) and client-
of 300 Asian American college students, reported no significant perceived counselor physical attractiveness. There was a moder-
differences in AVS mean scores between first-, second-, and ately positive relationship between these two variables, suggesting
third-generation Asian Americans. To the extent that this specu- that female clients perceived their counselors to be more attractive
lation about the lack of values heterogeneity within the sample is than male clients. Although we did not observe significant rela-
true, the use of a larger, more diverse sample of Asian Americans tionships between attractiveness and session outcome in the
might have produced more variance in Asian values adherence present study, as had been theorized in the literature (e.g., Strong,
scores and therefore a significant main effect on Asian values 1968) and observed in past research (Kim & Atkinson, 2002; Kim
adherence on the dependent variables. et al., 2002), the present finding invokes an interesting possibility.
The findings from the present study have a number of limita- That is, it could be speculated that perhaps there is a mediating
tions. First, a major limitation is that Lisa C. Li conducted 42% of effect of attractiveness on the relationship between client gender
the counseling sessions. Second, the generalizability of the find- and session outcome. It would be interesting to examine this
ings of this study are limited to an Asian American college student possibility in future research. Third, future studies should strive to
population, particularly among students with Asian American eth- include participants that represent the many Asian ethnicities in the
nic backgrounds that were represented in relatively large numbers. United States. Fourth, future studies should include Asian Amer-
Third, only clients that were experiencing career uncertainty were icans who are noncollege students across several generation sta-
recruited, and hence the findings are limited to clients with such tuses as well as age groups. Finally, the present study should be
issues. Fourth, if clients had in mind that there was more than one replicated with non-Asian American clients. It is possible that all
session with the same counselor, the findings might be different. clients, regardless of ethnic background, prefer a counseling strat-
Thus, the findings of this study are most relevant for one session egy that offers ideas and strategies for dealing with issues (i.e.,
of career counseling. Fifth, only European American female coun- directive style), as opposed to nondirective approaches that may
selors were used in this study, and the result might be different if seem less productive.
non-European American or male counselors were used. Sixth, the The present study also has an implication for practice with
counselors used in this study were primarily master’s and doctoral Asian American college student clients. To be perceived as more
students, with one being a professional career counselor. Most empathic and culturally competent and to increase client–
career counselors would have completed their degrees and have counselor working alliance and session depth, counselors may use
had several years of experience. Seventh, although it affords a directive counseling style over a nondirective one when working
greater generalizability to real counseling sessions than audiovi- with Asian American clients. In particular, the results of this study
sual analogue designs, the use of a quasi-intervention analogue specifically apply to a single session of career-focused counseling.
design (Gelso & Fretz, 2001) still has some limitations in truly
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