“…Ametrano & Pappas, 1996;Dunn, Borgers, & Thomas, 1988;Gross, 2006;Kivlighan, 1989Kivlighan, , 1990Kivlighan & Shaughnessy, 2000;Lent et al, 2006;Stiles & Snow, 1984;Stiles, Gordon, & Lani, 2002) that have explored counsellors-in-training perceptions, session ratings by clients and novice counsellors, and other factors related to in-session ratings and session outcomes. Ametrano and Pappas (1996), for example, explored the effects of sex and gender role orientation of novice counsellors on session outcomes. It was found that gender role orientation and the sex of the counsellor alone did not affect client perception of session quality, but that both variables together did affect session quality perception.…”