Counselor wellness is an important concept that can be taught in counselor education programs. Nonetheless, counseling interns tend to be at a higher risk for impairment issues due to stressors related to being novice counselors. The stress of engaging in therapeutic relationships with clients, lack of clinical experience, idealistic expectations of the profession, and personal issues can hinder their wellness. It is the responsibility of CACREP programs to incorporate wellness education into counselor training, which includes impairment topics such as compassion fatigue and burnout. The lack of this essential education can impede counseling interns' professional growth; create barriers within the therapeutic relationship, and raises questions about programs' gatekeeping policies. This study surveyed 68 counseling interns of 20 CACREP programs to determine: a) their levels of compassion satisfaction, compassion fatigue, and burnout as measured by the Professional Quality of Life (ProQOL) and, b) their perceptions of their programs' wellness curriculum and their knowledge of programs' nonacademic and retention policies as measured by The Counseling Interns' Perceptions of Wellness Survey (CIPW). Furthermore, this study examined the relationship between interns' perceptions of wellness and their levels of compassion satisfaction, compassion fatigue, and burnout. Descriptive and correlational statistics, and a MANOVA analysis were conducted to answer the research questions. The results demonstrate that a percentage of counseling interns were at a risk for compassion fatigue and burnout while providing therapeutic services to clients. Also, there were interns with low levels of compassion satisfaction. Additionally, there were interns who believed their programs were not educating them about counselor wellness and who were not knowledgeable of their programs' gatekeeping policies. There were positive relationships between interns' perceptions of their programs' wellness education and compassion satisfaction, and between compassion fatigue and burnout. There were negative relationships between wellness education and burnout, and compassion satisfaction and burnout. The results of this study suggest that counselor impairment occurs during training. Likewise, this study has reinforced the need to educate counseling students about impairment topics and wellness strategies. Further results suggest that counselor education programs need to strengthen and restructure gatekeeping policies during counselor training. / Ph. D.

The primary purposes of this study were (a) to investigate the relationship between counseling interns' site supervisors' experience and training in supervision and their own levels of ego development and (b) to investigate the relationship between supervisors' levels of ego development and the ego functioning and occupational stress of their intern-supervisees. The theoretical framework for this investigation included cognitive developmental models of supervision (e.g., Blocher, 1983; Stoltenberg, 1981), ego development (Loevinger, 1976, 1997) and the Person-Environment Fit theory of occupational stress (French, Rogers, & Cobb, 1974). The findings of this study contribute to an understanding of (a) the levels of ego development and post-degree clinical supervision experiences of internship site supervisors in different areas of counseling specialty; (b) the relationship between social-cognitive developmental levels and levels of perceived occupational stress in counseling interns; and (c) cognitive development theory and counseling supervision. Ninety-six counseling internship students in three master's level counseling programs accredited by the Council for Accreditation for Counseling and Related Educational Programs (CACREP) in Central Florida as well as 58 (73% response rate) of their internship site supervisors participated in the study. The site supervisors completed the Supervisors Experience Questionnaire (Walter, 2008) and the Washington University Sentence Completion Test--Form 81 (WUSCT; Hy & Loevinger, 1996). The participating counseling internship students completed a demographics questionnaire, the WUSCT--Form 81, and the Occupational Stress Inventory--Revised (OSI-R; Osipow, 1998). The statistical procedures used to analyze the data included chi-square, ANOVA, simultaneous multiple regression, and MANOVA procedures. The primary research hypotheses for the study were (1) that formal training in supervision and participation in post-graduate clinical supervision would predict supervisor ego development and (2) that supervisor ego development would predict supervisee ego development and occupational stress levels; these were not supported for these data. However, the results identified statistically significant relationships between supervisor participation in post-graduate clinical supervision and area of counseling specialty, with school counselor supervisors less likely to have participated in supervision than other supervisors. Additionally, the findings identified a negative correlation between interns' levels of perceived occupational stress and their ego development levels (14.6% of the variance explained), as well as a negative correlation between interns' levels of satisfaction with their internship site supervision and their levels of occupational stress (40% of the variance explained). The data from this investigation suggested that school counseling interns experienced higher levels of occupational stress due to occupational roles and lower levels of personal resources than interns in other counseling tracks, with the track accounting for 25.6% of the variance in the occupational stress levels. Implications for counseling supervisors and counselor educators are presented, along with areas for future investigation.

As school counseling interns graduate and transition to a professional school counseling work world, there are issues which may affect their personal and professional development, such as ongoing skill acquisition, keeping current in the field, and reflective awareness of professional counselor growth. Counselor educators continually seek approaches and methods of training school counseling interns with potential for transference to the world of practicing school counselors. However, translating ongoing supervision of school counselors to the real world setting can prove problematic. First, there is a lack of clinical supervision after graduation, and then any supervision received tends to be provided by school administrators. This exploratory study sought to explore the potential of one model of group supervision, which could potentially translate into the real work world of practicing school counselors. The purpose of the study was to explore the experiences of school counseling interns' with a reflecting team model of group supervision, Structured Reflecting Team Supervision (SRTS), during the final, internship semester. A qualitative method was used for this exploratory study due to the scant research in the areas of clinical group supervision and the SRTS model with the school counseling intern population. This study was designed to answer the following research question: What are the experiences of school counseling interns exposed to the reflecting team model of group supervision throughout their internship semester? Data consisting of structured open-ended interview guides (SOIG) were gathered three times throughout the semester. Data was also gathered one time through a separate SOIG at the end of the semester from the academic supervisors to ensure consistency of the use of the model. Study participants found hearing multiple perspectives on the same case to be the most important aspect of their time together. Several participants suggested an earlier start to the SRTS model might provide an opportunity to follow the cycle of new idea implementation and reporting back progress from those ideas. A number of participants looked forward to trying the model in the field through peer consultations to meet the needs for further clinical supervision.

本研究主要目的為探討實習諮商心理師的工作壓力、自我照顧重視知覺及自我照顧行為之間的關係。諮商心理師是個工作壓力特殊的行業，需要自我照顧來調節自己的工作壓力及維持專業服務的品質，而實習生是此工作的新手，對於其自我照顧狀態更需被關注。然而國外文獻中指出心理師有自我照顧不足的趨勢，在這樣的長期工作壓力及照顧不足的狀況下，容易令其陷入耗竭、同理疲乏等損傷的狀況。研究者認為若要增加諮商心理師的自我照顧能力或行為，在學習階段將自我照顧的概念或行為放入教育單位或實習單位的訓練中，讓實習諮商心理師知覺到其對自我照顧是重視的，應有助於諮商心理師執行自我照顧行為，此種知覺重視度的概念，稱為自我照顧重視知覺。然而國外的研究報告指出教育單位或實習單位並沒有積極提供自我照顧的相關課程或訓練，國內亦沒有探討實習諮商心理師知覺教育訓練單位對於自我照顧重視度的研究，且有關實習生的自我照顧研究亦不多，因此本研究欲探討此主題。研究者以問卷調查方式收集國內143位全職實習諮商心理師的資料，進一步以差異分析、相關分析及階層迴歸分析等統計方法來了解其現況及工作壓力、自我照顧重視知覺及自我照顧行為三者間的變項關係。 本研究結果指出:1.實習諮商心理師在實習期間有低程度的工作壓力，其中較高的是「專業角色壓力」以及「與督導有關的壓力」，而自我照顧重視知覺及自我照顧行為也皆為中等程度。2.實習於大專院校的實習諮商心理師，工作壓力顯著高於在高中/職及醫療院所實習的實習諮商心理師；另外大學畢業於心理相關科系及非相關科系的實習諮商心理師，其工作壓力顯著高於大學畢業於心理諮商本科系的實習諮商心理師。3.實習諮商心理師的工作壓力與自我照顧重視知覺之間達顯著低度負相關，工作壓力與自我照顧行為達顯著低度負相關，自我照顧重視知覺與自我照顧行為達顯著中度正相關。4.工作壓力在自我照顧重視知覺與自我照顧行為關係中具調節效果。研究者根據上述研究結果進行討論並對實務及未來研究提出建議。 / This study examined the relation between work-stress, perceptions of self-care emphasis, and self-care behavior among a convenience sample of 143 counseling psychology graduate students. Specifically, this study proposed that there would be a relation between graduate trainee’s perceptions of self-care emphasis and graduate trainee’s self-care behavior and that this relation would be modified by work-stress of the graduate trainee. A non-experimental designed examined the linear relations among the 3 variables, which were assessed by two measures modified by the authors (work-stress scale of陳俊任 (2012) and perceptions of self-care emphasis questionnaire of Goncher, Sherman, Barnett, & Haskins (2013)) and the self-care behavior scale of張吟慈 (2008). Results of this study showed that (1) graduate trainees had low level work-stress , moderate level perception of self-care emphasis , and moderate level self-care behaviors during internship , (2) The work-stress of graduate trainee intern in colleges is greater than in high school and in the hospital, and the work-stress of graduate trainees graduated from the department of non-psychology is greater than from the department of psychology , (3) there was a low level significant negative relation between work-stress and perceptions of self-care emphasis positive, a low level significant negative relation between work-stress and self-care behaviors, and a moderate level significant positive relation between perceptions of self-care emphasis and self-care behaviors, (4) The test for modification as outlined by Baron and Kenny (1986) demonstrated support by the survey data as perceptions of self-care emphasis was a positive predictor of self-care behaviors and that this relation was modified by work-stress. Implications for training programs are addressed, and recommendations for individual and systemic changes to promote a culture of self-care within graduate training in professional psychology are provided that should be helpful for promoting enhanced self-care behavior among psychology graduate students.