Professional Documents
Culture Documents
Li Kim
Li Kim
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.
Method Measures
Establishing Asian cultural values groups. To assign participants to
Participants
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, &
Asian American students at a large mid-Atlantic university. They ranged Yang, 1999) upon arrival at the counseling clinic. The instrument uses a 7-
in age from 18 to 27 years, with a mean of 18.94 (SD = 1.61). Their point Likert scale ranging from 1 (strongly disagree) to 7 (strongly agree).
academic levels were as follows: 33 (63%) 1st-year students, 6 (12%) To establish AVS’s construct validity, Kim et al. used a nationwide survey
sophomores, of Asian American psychologists and focus group discussions and a
8 (15%) juniors, and 5 (10%) seniors. Thirteen (25%) were Asian Indian, survey of Asian American psychology doctoral students to generate a
11 (21%) were Chinese, 11 (21%) were Korean, 5 (10%) were Filipino, 5 set of 112
1 LI AND
initial items. Among these items, 36 items that were more highly endorsed
was developed by factor analyzing responses to the larger 36-item
by first-generation Asian Americans than by European Americans were
Working Alliance Inventory (Horvath & Greenberg, 1989). Results
retained. Exploratory factor analysis of the AVS yielded the following six
indicated that the factor structure of the short version was similar to the
Asian values dimensions: conformity to norms, filial piety, family recog-
original instru- ment. The short form measures, primarily, a general
nition through achievement, humility, collectivism, and emotional self-
alliance factor, and secondarily, task, bond, and goal factors. Reliability
control. However, the scores on the six factors were found to lack internal
coefficients for these factors were .98, .90, .92, and .90, respectively
reliability to justify their use as separate subscales; hence, Kim et al.
(Tracey & Kokotovic, 1989). Tracey and Kokotovic found that there was
recommended the use of the total score. The use of the total score also is
shared variance in the separate scales as well as unique variance in each
supported by Kim, Yang, Atkinson, Wolfe, and Hong (2001), who found
scale. Thus, the com- posite score of the WAI-SF is an appropriate
via confirmatory factor analyses that the AVS was better represented by a
measure of the common variance. As for WAI-SF’s applicability to Asian
hierarchical factor structure, consisting of a second-order Asian values
American population, Kim et al. (2002) reported a coefficient alpha of .86.
construct and the six first-order factors, than by single-order factor struc-
The present data 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
tion scale (SL-ASIA; Suinn, Rickard-Figueroa, Lew, & Vigil, 1987).
the session was deep or shallow, valuable or worthless, full or empty,
Evidence of discriminant validity was obtained in the low correlation
powerful or weak, special or ordinary, and good or bad. Factor analysis by
between the AVS scores, which reflect values of enculturation, and SL-
Stiles and Snow (1984) provided support for the construct validity of the
ASIA scores, which reflect behavioral acculturation. In terms of
Depth. In terms of reliability, Stiles and Snow reported coefficient
reliability, Kim et al. (1999) reported coefficient alphas of .81 and .82 and
alphas ranging from .87 to .91. In addition, Kim and Atkinson (2002)
2-week coefficient of stability of .83. Kim and Atkinson (2002) and Kim
and Kim et al. (2002) reported coefficient alphas of .90 and .84,
et al. (2002) reported coefficient alphas of .86 and .85, respectively; the
respectively, based on their samples of Asian Americans. The present data
data from the present study yielded a coefficient alpha of .86.
yielded an alpha of .91. Client-perceived counselor cross-cultural
Dependent measures. To evaluate the effectiveness of the counseling
competence was assessed us- ing the CCCI–R (LaFromboise et al.,
session, the following dependent measures were used: (a) Counselor Ef-
1991). The 20-item CCCI–R assesses beliefs/attitudes, knowledge, and
fectiveness Rating Scale (CERS; Atkinson & Carskaddon, 1975; Atkinson
skills on the basis of Division 17 of the American Psychological
& Wampold, 1982); (b) Empathic Understanding subscale of the Relation-
Association’s Education and Training Commit- tee’s description of what
ship Inventory (EUS; Barrett-Lennard, 1962); (c) Working Alliance
constitutes a cross-culturally competent counselor (D. W. Sue et al.,
Inventory–Short Form (WAI-SF; Tracey & Kokotovic, 1989); (d) Session
1982). Designed to be completed by counselor supervi- sors, the wording
Depth subscale of the Session Evaluation Questionnaire (Depth; Stiles &
of the questionnaire was changed for the present study to reflect client
Snow, 1984); and (e) Cross-Cultural Counseling Inventory—Revised (CC-
completion of the questionnaire. For example, the item “Counselor
CI–R; LaFromboise, Coleman, & Hernandez, 1991).
demonstrates knowledge about the client’s culture” was changed to
Client-perceived counselor credibility was measured using the CERS
“Counselor demonstrates knowledge about my culture.” The necessity
(Atkinson & Carskaddon, 1975; Atkinson & Wampold, 1982). The CERS
of modifying a questionnaire originally intended for use by counselor
is a 10-item semantic differential questionnaire consisting of four dimen-
supervisors limits the psychometric validity of the data. None- theless,
sions related to counselor credibility (expertness, attractiveness, trustwor-
no other instrument assessing counselor cross-cultural competence could
thiness, and utility) based on the social influence theory (Strong, 1968).
be found. Given these circumstances, the measure is used with some
Participants rate each item on a 7-point bipolar scale (1 = bad, 7 = good).
reservation. Furthermore, the CCCI–R has been used successfully (with
Atkinson and Wampold (1982) reported a reliability coefficient of .90.
adequate reliability) in previous studies to assess client perceptions of
Kim and Atkinson (2002) and Kim et al. (2002) reported coefficient
counselor cross-cultural competency (Constantine, 2002; Kim &
alphas of
Atkinson,
.91 and .87, respectively, in their studies with Asian Americans as partic-
2002; Kim et al., 2002).
ipants. The present data yielded a coefficient alpha of .91. Convergent
Instructions in the CCCI–R (LaFromboise et al., 1991) ask respondents
validity of CERS was evidenced in a comparison with the Counselor
to rate the extent to which a counselor demonstrates a particular compe-
Rating Form (CRF; Barak & LaCrosse, 1975).
tence using a 6-point Likert-type scale ranging from 1 (strongly disagree)
Client perception of counselor empathic understanding was assessed
t o 6 (strongly agree). Adequate content validity was demonstrated by
using the EUS (Barrett-Lennard, 1962). This 16-item scale is based on the
client-centered theory’s concept of empathic understanding, specifically independent raters who assessed the amount of agreement between the
the client’s perception of how empathic the counselor was in the session. CCCI–R items and the committee’s competencies. A factor analysis study
Content validation was provided by having client-centered counselors provided evidence of construct validity. Pomales, Claiborn, and LaFrom-
review the items. Split-half reliability for client and therapist versions was boise (1986) provided evidence of discriminant validity of the CCCI–R in
above .80 for each of the five subscales, including the EUS. Respondents that there were low correlations (from .01 to .28) between the instrument
use a 7-point endorsement scale (—3 = I feel strongly that it is not true, and the CRF (Barak & LaCrosse, 1975), suggesting that the CCCI–R is
3 = I feel strongly that it is true). The published version of the scale is measuring unique cross-cultural competencies rather than general counsel-
worded for a male therapist, hence the pronouns were changed to reflect ing competencies. LaFromboise et al. (1991) reported a coefficient alpha
the female therapists in the proposed study. Coefficient alphas ranging of
from .95. More recently, Kim and Atkinson (2002) and Kim et al. (2002)
.88 to .89 have been reported for the subscale (Horvath & Greenberg, reported coefficient alphas of .89 and .90, respectively, based on their
1989). Kim and Atkinson (2002) and Kim et al. (2002) reported samples of Asian Americans. The present data yielded a coefficient alpha
coefficient alphas of .81 and .71, respectively, based on their samples of of .92.
Asian Americans. The present data yielded an alpha of .78. Manipulation checks. As a manipulation check, clients were asked to
The 12-item WAI-SF (Tracey & Kokotovic, 1989) was used to assess complete a questionnaire on their perception of the counselor’s counseling
client perceptions of the counselor and client’s working alliance. On the style (directive vs. nondirective). The measure consists of 10 items, using
basis of a 7-point Likert scale ranging from 1 (strongly disagree) to 7 a 7-point Likert-type scale ranging from 1 (strongly disagree) to 7
(strongly agree), items on the scale are based on a bond, goal, and task (strongly agree), and ascertains clients’ perceptions of the counseling style
conceptualization of the working alliance (Bordin, 1979). This instrument used by the counselor. Sample items are “I feel the counselor chose what
I should talk about in the session instead of letting me choose” (directive
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.
to rate the phrases using a 7-point Likert-type scale (1 = represents
The coefficient alpha for those items representing the nondirective
directive counseling, 4 = represents both types of counseling, 7 = repre-
condition 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 1–
seling scripts that were used to train counselors. For example, in the
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
as to what she believed to be the source of the client’s difficulties. In the
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
attractive). Inclusion of this measure was based on the social influence A pilot study was conducted prior to data collection. Six Asian
theory (Strong, 1968), which posits that client perceptions of counselor’s American students volunteered to participate in one session of career-
physical attractiveness are related to client perceptions of counselor cred- focused coun- seling. Three students participated in the directive
ibility. Kim and Atkinson (2002) found a correlation coefficient of .35 counseling condition, and 3 participated in the nondirective counseling
( p < .001) between counselor physical attractiveness and counselor cred- condition. At the end of the session, they completed the Manipulation
ibility (as measured by the CERS; Atkinson & Carskaddon, 1975; Check Questionnaire. They were also debriefed about the purpose of the
Atkinson & Wampold, 1982). Kim et al. (2002) found a correlation study and asked to provide feedback on the session. The results of the pilot
coefficient of .33 ( p < .01) between counselor physical attractiveness and study revealed that the experimental conditions were salient to these
counselor credi- bility. In addition, Kim et al. reported correlation volunteer clients, and hence no changes were made to the counseling
coefficients of .26 ( p < script.
.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
The operationalization of directive and nondirective counseling styles
who served as a counselor). Three counselors who were unable to attend
was based on previous studies (Atkinson et al., 1978; Atkinson & Matsus-
the workshop were trained individually by Lisa C. Li. During the training,
hita, 1991; Exum & Lau, 1988) and the propositions by Kim, Atkinson,
the experimental conditions were discussed in depth and a videotaped
and Umemoto (2001). These two sources of information seemed to agree
role- play demonstration was offered. Then, the counselors practiced the
on what constitutes these two different counseling styles. Kim, Atkinson,
exper- imental conditions. Counselors who could not attend the workshop
and Umemoto (2001) considered that directive counseling refers to the
also reviewed the experimental conditions in depth and were offered the
coun- selor using such helping skills as conveying information, probing
vid- eotape role-play for review. These three counselors were offered
for information, directing behavior, and making interpretations; whereas a
opportu- nities to practice the experimental conditions but opted not to do
nondirective counseling style refers to the counselor using such helping
so because of time constraints. It should be noted that two of these three
skills as restatement, reflection of feeling, probing for affect, and summa-
counselors had participated in other counseling process studies and were
rization of feeling. For the present study, these definitions were further
very familiar with following counseling script protocols. The third
refined through a survey of graduate students in counseling psychology.
counselor had exten- sive career counseling experience and felt competent
To obtain empirically supported operationalizations of directive and
to participate in the study without practicing the experimental conditions
nondirective styles of counseling, 10 graduate students in counseling
first. All counselors were trained to implement both the directive and
psychology completed a questionnaire. The questionnaire presented a
nondirective counseling styles. Counselors practiced both experimental
four-stage session process (assessment, choosing the goal for the session,
conditions, with research assistants serving as clients. They were given a
exploring and clarifying the problem, and resolution), with each stage
written script in an effort to standardize the experimental conditions
consisting of phrases that described what a counselor might do in a
across counselors. Counselors had the written script on a clipboard on
session.
their laps during the counseling
1 LI AND
—
gram. A t test also revealed that there were no differences between
1
the two style conditions on counselor experience.
The present study found a significant relationship between
—
1
client-perceived counselor physical attractiveness and one of the
independent variables, counseling style (r = —.26, p < .05). Thus,
the effects of client-perceived counselor physical attractiveness
0.37
1
**
were controlled in the main analyses.
An examination of ratings of client-perceived nondirective
counseling session style revealed that clients appeared to have
0.
0
1
0.17
0.0
9
1
—
—
between mean scores for those in the nondirective and directive
conditions, t(50) = —2.027, p = .024, d = 0.57. As expected,
mean scores were higher for those assigned to the nondirective
—
0.
—
1
8
condition (M = 5.22, SD = 1.63) than those assigned to the
9
0.17
0.37
8
Note. AVS = Asian Values Scale; comp. = competence; attract. = attractiveness; exp. = experience; Gen. = generation; imm. =
0.2
5*
0.18
0.10
**
0.02
0.05
6
0.72
0.11
0.06
—
**
5
—
0.10
—
0.55
0.54
0.12
0.07
0.18
—
tion. Lisa C. Li then reviewed the tape and discussed it with the
**
**
**
4
0.53
0.52
0.68
0.14
0.01
0.21
—
**
**
**
**
3
Main Analyses
We conducted hierarchical multiple regression analyses to
study the main and interaction effects of the two independent
0.39*
*
0.44*
*
0.34*
*
—
0.31
*
2
0.
0.0
2
0.0
3
0.0
6
0.1
8
—
0
0
0.
1.
0.
0.
8
4
7
0
18.
5.
0.
9
8
9
6
Physical attract.
Previous exp.
Counselor
immigration.
Gender
level
4.
5.
6.
7.
8.
9.
10.
11.
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
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
Note. Attractiveness = client-perceived counselor physical attractiveness; Asian values = client adherence to
Asian Cultural Values Scale.
* p < .05. ** p < .01. *** p < .001.
1 LI AND
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
nic backgrounds that were represented in relatively large numbers. the United States. Fourth, future studies should include Asian
Third, only clients that were experiencing career uncertainty were Amer- icans who are noncollege students across several
recruited, and hence the findings are limited to clients with such generation sta- tuses as well as age groups. Finally, the present
issues. Fourth, if clients had in mind that there was more than one study should be replicated with non-Asian American clients. It is
session with the same counselor, the findings might be different. possible that all clients, regardless of ethnic background, prefer a
Thus, the findings of this study are most relevant for one session counseling strat- egy that offers ideas and strategies for dealing
of career counseling. Fifth, only European American female coun- with issues (i.e., directive style), as opposed to nondirective
selors were used in this study, and the result might be different if approaches that may 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
replicating a real counseling situation. The counselors were con-
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