A concept originating from the Ancient Greeks, courage has long held cultural definitions from literature, philosophy, and theology. However, the construct of courage has largely been neglected in the extant psychological literature despite a significant influence on the human condition. The Tri-Part Model of Courage (Geller, 2014) served as a primary guiding framework for the present study, conceptualizing courage as comprised of three subtypes: bravery, boldness, and fortitude. This study sought to contribute to the ongoing development of this model through examination of the experience and expression of courage by experienced psychodynamic psychotherapists so as to render the construct useful in clinical and psychotherapy research contexts. Participants were 16 experienced psychodynamic psychotherapists. In-person semi- structured interviews were conducted and analyzed using the Consensual Qualitative Research (CQR) methodology. Ten domains emerged from the CQR analysis and revealed courage to be a subjective experience consisting of private theories, as well common definitional elements. Participants spontaneously endorsed the existence and importance of bravery, boldness, and fortitude in their role as psychotherapists, indicating the centrality of courage to their work. Authenticity, vulnerability, and staying present emerged as the most salient expressions of therapist courage. Specific patient presentations and therapeutic processes were identified as situations most requiring of therapist courage. Experience was the principal enabling factor to courage, and fear and avoidance were the principal obstacles to courage, while feelings associated with courageous acts ranged from fear, anxiety, and pain, to positive states of well being. Validation, confrontational techniques, modeling, and skills building were the most preferred clinical interventions to promote courage in patients. Gender analysis revealed that women make meaning of courage as having bases in fear and interpersonal relationships, while men understand courage as a set of abstract principles defined by existential anxiety and bold interventions. Fortitude was highly endorsed across genders, and men were further more oriented to fortitude, while female therapists were more oriented to bravery and boldness. The results are discussed in terms of the empirical support provided for the expansion of the Tri-Part Model of Courage and recommendations for clinical practice and future research.

The current study examined the effect of client sexual orientation and gender role on psychologists’ clinical judgment. A secondary purpose was to examine the extent that psychologist heterosexual identity development status affects the level of heterosexist judgment error displayed when working with lesbian and gay male clients. It was hypothesized that psychologists’ clinical decisions will differ as a result of client sex, client sexual orientation, and client gender role when therapist heterosexual identity development status is controlled for, with psychologists providing significantly different clinical judgments (as measured by diagnostic impression ratings, global and relational functioning ratings, and therapist reported client attractiveness) for lesbian and gay male clients and those displaying cross gendered gender roles than heterosexual female and male clients and those displaying gender-congruent gender roles. It was also hypothesized that psychologist heterosexual identity development status and client sexual orientation together are better predictors of the variation observed in psychologist clinical decisions than client sexual orientation alone. Eight hundred randomly selected members of the American Psychological Association, were presented with a clinical vignette describing fictions client seeking psychological services. The vignettes were identical except for client sex (female or male), sexual orientation (heterosexual or lesbian/gay), and gender role (feminine or masculine), which were manipulated to produce eight different vignettes. After reviewing the vignette, participants provided their diagnostic impressions of the client, rated the overall attractiveness of the client, and completed a measure designed to assess their level of heterosexual identity development. One hundred and thirty-five participants completed the study's materials and were included in the main analyses. Results of the randomized 2 (Client Sex) x 2 (Client Sexual Orientation) x 2 (Client Gender Role) multivariate analysis of covariance (MANCOVA), controlling for psychologist heterosexual identity development status, found that psychologists significantly differed in their assessment of lesbian and gay male clients and heterosexual female and male clients on a variety of clinical factors. Results of a series of multiple linear regressions found that psychologist heterosexual identity development status and client sexual orientation together were better predictors of the variation observed in psychologist clinical decisions than client sexual orientation alone. / Department of Counseling Psychology and Guidance Services

The purpose of this study was to explore heterosexual bias in the diagnosis and treatment of gay males. Two hundred-fifty (134 males and 116 females) mental health professionals from the Division of Psychotherapy (29) of the American Psychological Association participated in the study. Participants were randomly assigned to one of two case history conditions, which presented a 35-year-old male seeking therapy. Both conditions were equivalent with regards to the presenting problem (i.e., diagnostic symptoms) with the exception of his significant other (i.e., gay vs. non-gay condition). Potential bias was measured through a diagnostic rating Likert scale and a treatment plan questionnaire. Other independent variables that could potentially have an effect on diagnostic ratings were explored, such as gender, year of graduation, and theoretical orientation of the respondents. Results of the statistical analyses failed to confirm evidence of heterosexual bias. Implications for further research and training are discussed.

Clinical judgment faith bias is a hypothesized tendency for clinicians to make more pathological judgments for clients with socially nonnormative faith than for otherwise identical clients with socially normative faith. To test for clinical judgment faith bias, Dillman’s (2007) Tailored Design method for mail and internet surveys was employed. A random sample of 141 psychologists in clinical practice completed a series of questionnaires measuring clinician religiousness and spirituality, view of faith helpfulness, multicultural awareness and knowledge, and diagnostic and prognostic judgments of a clinical vignette describing a client with Generalized Anxiety Disorder and two manipulated attributes: magnitude of faith (low, moderate, or high) and type of faith (religious or spiritual). Five multivariate multiple regression analyses were conducted, with a series of follow-up multivariate tests. The results of the analyses were not significant. The magnitude of faith in the vignette did not influence the diagnostic or prognostic judgments of clinicians, clinicians did not make significantly different judgments for religious cases than for spiritual cases, and faith magnitude did not interact with faith type. Furthermore, clinician attributes did not appear to affect clinical judgments in any way. Implications are discussed for theory, research and clinical practice. / Department of Counseling Psychology and Guidance Services

The aim of the study was to measure the presence of work engagement and wellbeing among Gestalt play therapists in South Africa. A literature study was undertaken to examine the concepts of work engagement and well-being, and a conceptual framework was given of the Gestalt play therapist and the work that they do with traumatized children within the South African context. This literature study forms the theoretical framework in which the study was done. After completion of the literature study, the empirical study was conducted. The researcher made use of a biographical questionnaire and four psychometric instruments to compile research data; it is the Utrecht Work Engagement Scale, Satisfaction with Life Scale, Subjective Happiness Scale and Scales of Psychological Well-being. The data obtained was quantatively analysed, research findings were discussed and recommendations were made. The empirical data indicated work engagement and well-being to be statistically significant present in Gestalt play therapists in South Africa. / M. Diac. (Play Therapy) / Social Work

Clinicians’ attitudes and behaviors toward patients with borderline personality disorder (BPD) are affected by the label’s stigma. Complex posttraumatic stress disorder (CPTSD) was proposed as a comprehensive and less stigmatizing diagnostic category for clients with BPD and a history of complex trauma. Given considerable similarities across both disorders’ diagnostic criteria, the CPTSD framework holds promise as a means to improve therapists’ attitudes towards clients with BPD and a history of complex trauma. However, this quality of CPTSD had not yet been examined empirically. Using vignettes in a between-subjects experimental design, this study investigated whether CPTSD is a less stigmatizing label than BPD for trauma survivors. Participants were 322 practicing psychotherapists. Evidence of BPD stigma was found, as was an affinity for CPTSD. Results generally supported CPTSD as a less stigmatizing label than BPD; therapists presented with a CPTSD-labeled vignette were somewhat less likely to blame the client for her symptomatic behavior and expected slightly stronger working alliance with the client than therapists presented with the BPD-labeled vignette. However, therapists’ agreement with the BPD diagnosis and theoretical orientation were found to be more salient than diagnostic label in affecting concepts related to the stigmatization of BPD clients. Additionally, familiarity with CPTSD was related to more favorable attitudes toward the client and her course of treatment. Regardless of CPTSD’s recognition as a formal diagnosis, education about the construct is widely recommended for therapists.

The aim of the study was to measure the presence of work engagement and wellbeing among Gestalt play therapists in South Africa. A literature study was undertaken to examine the concepts of work engagement and well-being, and a conceptual framework was given of the Gestalt play therapist and the work that they do with traumatized children within the South African context. This literature study forms the theoretical framework in which the study was done. After completion of the literature study, the empirical study was conducted. The researcher made use of a biographical questionnaire and four psychometric instruments to compile research data; it is the Utrecht Work Engagement Scale, Satisfaction with Life Scale, Subjective Happiness Scale and Scales of Psychological Well-being. The data obtained was quantatively analysed, research findings were discussed and recommendations were made. The empirical data indicated work engagement and well-being to be statistically significant present in Gestalt play therapists in South Africa. / M. Diac. (Play Therapy) / Social Work