Preference for and comfort with male versus female counselors among sexually abused girls in individual treatment.

Fowler, William; Wagner, William G.

doi:10.1037/0022-0167.40.1.65

Cited by 27 publications

(39 citation statements)

References 28 publications

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“…The studies by Fowler et al 641,642 examined the acceptability of counsellor gender for treatment for sexual abuse. Kilcrease-Fleming et al 643 also investigated counsellor gender using a standardised rating scale of video-taped interviews analysing differences in verbalisation between male and female counsellors.…”

Section: Methodsmentioning

confidence: 99%

“…The other studies 176,638,[641][642][643]645,646,674,677 were uncontrolled designs, each using a purposive sample of those engaged in treatment. The studies by Fowler et al 641,642 examined the acceptability of counsellor gender for treatment for sexual abuse.…”

Section: Methodsmentioning

confidence: 99%

“…Sexual abuse was the most commonly cited type of abuse across the acceptability studies (33 studies 161,[169][170][171]189,492,497,505,506,526,533,538,621,633,[636][637][638][640][641][642][643]645,647,648,653,657,660,662,664,668,673,[677][678][679][680] ) and some intervention categories reported data for only this population group [systemic interventions, 526,533,621,673,678 psychoeducational interventions, 161,538,647,664 peer mentoring 660 (note: there was only one study in this category)]. Three studies 510,639,65...…”

Section: Description Of Included Acceptability Studiesmentioning

confidence: 99%

“…621,629 ) to a large national sample of n = 1085. 634 The majority of sample sizes were < 50 cases (40 studies 169,175,497,504,506,510,511,526,533,538,621,629,[636][637][638][639][641][642][643]645,646,648,651,652,658,[661][662][663]665,666,[668][669][670]675,677,678,680 ), between 50 and 100 cases (15 studies 107,170,176,481,482,492,505,644,647,…”

Section: Description Of Included Acceptability Studiesmentioning

confidence: 99%

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The effectiveness, acceptability and cost-effectiveness of psychosocial interventions for maltreated children and adolescents: an evidence synthesis

Macdonald

Livingstone

Hanratty

et al. 2016

Health Technol Assess

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BackgroundChild maltreatment is a substantial social problem that affects large numbers of children and young people in the UK, resulting in a range of significant short- and long-term psychosocial problems.ObjectivesTo synthesise evidence of the effectiveness, cost-effectiveness and acceptability of interventions addressing the adverse consequences of child maltreatment.Study designFor effectiveness, we included any controlled study. Other study designs were considered for economic decision modelling. For acceptability, we included any study that asked participants for their views.ParticipantsChildren and young people up to 24 years 11 months, who had experienced maltreatment before the age of 17 years 11 months.InterventionsAny psychosocial intervention provided in any setting aiming to address the consequences of maltreatment.Main outcome measuresPsychological distress [particularly post-traumatic stress disorder (PTSD), depression and anxiety, and self-harm], behaviour, social functioning, quality of life and acceptability.MethodsYoung Persons and Professional Advisory Groups guided the project, which was conducted in accordance with Cochrane Collaboration and NHS Centre for Reviews and Dissemination guidance. Departures from the published protocol were recorded and explained. Meta-analyses and cost-effectiveness analyses of available data were undertaken where possible.ResultsWe identified 198 effectiveness studies (including 62 randomised trials); six economic evaluations (five using trial data and one decision-analytic model); and 73 studies investigating treatment acceptability. Pooled data on cognitive–behavioural therapy (CBT) for sexual abuse suggested post-treatment reductions in PTSD [standardised mean difference (SMD) –0.44 (95% CI –4.43 to –1.53)], depression [mean difference –2.83 (95% CI –4.53 to –1.13)] and anxiety [SMD –0.23 (95% CI –0.03 to –0.42)]. No differences were observed for post-treatment sexualised behaviour, externalising behaviour, behaviour management skills of parents, or parental support to the child. Findings from attachment-focused interventions suggested improvements in secure attachment [odds ratio 0.14 (95% CI 0.03 to 0.70)] and reductions in disorganised behaviour [SMD 0.23 (95% CI 0.13 to 0.42)], but no differences in avoidant attachment or externalising behaviour. Few studies addressed the role of caregivers, or the impact of the therapist–child relationship. Economic evaluations suffered methodological limitations and provided conflicting results. As a result, decision-analytic modelling was not possible, but cost-effectiveness analysis using effectiveness data from meta-analyses was undertaken for the most promising intervention: CBT for sexual abuse. Analyses of the cost-effectiveness of CBT were limited by the lack of cost data beyond the cost of CBT itself.ConclusionsIt is not possible to draw firm conclusions about which interventions are effective for children with different maltreatment profiles, which are of no benefit or are harmful, and which factors encourage people to seek therapy, accept the offer of therapy and actively engage with therapy. Little is known about the cost-effectiveness of alternative interventions.LimitationsStudies were largely conducted outside the UK. The heterogeneity of outcomes and measures seriously impacted on the ability to conduct meta-analyses.Future workStudies are needed that assess the effectiveness of interventions within a UK context, which address the wider effects of maltreatment, as well as specific clinical outcomes.Study registrationThis study is registered as PROSPERO CRD42013003889.FundingThe National Institute for Health Research Health Technology Assessment programme.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Description Of Included Acceptability Studiesmentioning

confidence: 99%

Section: Description Of Included Acceptability Studiesmentioning

confidence: 99%

See 2 more Smart Citations

The effectiveness, acceptability and cost-effectiveness of psychosocial interventions for maltreated children and adolescents: an evidence synthesis

Macdonald

Livingstone

Hanratty

et al. 2016

Health Technol Assess

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“…According to psychotherapy research, some female clients prefer a woman therapist to a man therapist [31] . Some studies have reported that women attending female therapists commit better than women attending male therapists [32] , although opposite findings have been reported [11,33] .…”

mentioning

confidence: 99%

The female therapist and the client’s gender

Kuusisto

Artkoski²

2013

Clinical Nursing Studies

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Most Finnish substance abuse therapists are women, while the majority of clients are men. This study explores the gender-based differences in the therapeutic alliance, retention in therapy and outcomes between female therapists (N = 30) and their clients (N = 296, women 101, men 195) in outpatient treatment. Female clients were more likely to want a female therapist, whereas men did not express such preferences. The clients' estimation of the therapeutic alliance differed at the first visit: female clients estimated it to be better than did men. The therapists' estimations were not connected to client's gender. The combination of a female therapist and a female client predicted a better therapeutic alliance during treatment, but there were no differences between male and female clients in long-term outcomes. The findings suggested that clients received treatment of the same quality regardless of their gender.

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Relationship Between Humor Appreciation and Counselor Self‐Perceptions

Kush

1997

Counseling and Values

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This study examined the relationship between humor appreciation and self‐perceptions of high school guidance counselors. Results indicated that humor appreciation was unrelated to self‐perceived counselor effectiveness, and that male and female counselors enjoyed similar types of humor. Counselors described their humor preferences as being extroverted, realistic, intelligent, and enjoying lighthearted and offbeat humor. Finally, counselors with more education perceived themselves as having less of a sense of humor.

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Preference for and comfort with male versus female counselors among sexually abused girls in individual treatment.

Cited by 27 publications

References 28 publications

The effectiveness, acceptability and cost-effectiveness of psychosocial interventions for maltreated children and adolescents: an evidence synthesis

The effectiveness, acceptability and cost-effectiveness of psychosocial interventions for maltreated children and adolescents: an evidence synthesis

The female therapist and the client’s gender

Relationship Between Humor Appreciation and Counselor Self‐Perceptions

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