Aug 24, 2023 | Volume 13 - Issue 2
Marissa Meyer, Elizabeth Wiggins, Gregory M. Elliott
In this transcendental phenomenological study, we interviewed seven adult adoptees regarding their lived experiences of growing up as an adoptee and how this shaped their perception of loss, grief, and counseling in relation to their adoption. Our analysis revealed an overarching concept of the level and manner with which the participants integrated their adoption story into their life narrative and whether loss, grief, and working with a counselor were significant integration factors. As a result, six themes emerged, including ambivalence toward loss and grief, how one’s adoption story was impactful, issues with connection, identity curiosity, relational distrust, and involvement with counseling. We discuss these findings and identify implications for counselors working with adoptees.
Keywords: adoption, loss, grief, integration, ambivalence
There is a growing recognition that the adjustment of adoptees is an important area for further research (Cashen & Grotevant, 2020; Liu et al., 2019). It is estimated that over 100 million Americans are connected to adoption in some manner (Jones & Placek, 2017). Miller, Fan, Christensen et al. (2000) have suggested that higher numbers of adopted persons seek counseling than non-adopted persons. Research also shows that adult adoptees value counseling experiences that address adoption-related topics (Baden et al., 2017). Yet, little is known about the adult adoptee’s experience with counseling, loss, and grief (Côté & Lalumière, 2020). Given the rise of adoption in the United States and counseling needs of adoptees, counselors are likely to encounter an adult adoptee during their career. Gaining a deeper grasp of the impact of adoption on adult adoptees’ mental health and potential distress in adulthood is an important consideration for counselors (Côté & Lalumière, 2020; Liu et al., 2019; Miller, Fan, Grotevant et al., 2000).
One important aspect of exploring adult adoptees’ experiences with mental health and counseling is understanding how they experience and process feelings of loss and grief related to their adoption. When addressing the topic of loss, at a rudimentary level, it can represent familial and relational loss due to separation from one’s biological roots. For some, this occurs not long after birth, which can influence how one adapts psychologically (Cai et al., 2020). For years, researchers have explored the impact of adoption, notably during childhood and adolescence, with an emphasis on psychological adjustment and mental health compared to non-adoptees (Melero & Sánchez-Sandoval, 2017; Miller, Fan, Christensen et al., 2000). Yet, research is limited concerning lived experiences from adult adoptees’ perspectives on how they progressed from a psychosocial standpoint over time (Melero & Sánchez-Sandoval, 2017), in addition to how the distinctive loss(es) they incurred impacted their lives. In one study addressing how adult adoptees navigated adulthood developmental tasks, the researchers acknowledged loss as a predominant theme and recognized it might not be well understood until middle adulthood (Penny et al., 2007). Neil (2012) similarly validated the notion that loss may be too complex for children to comprehend wholly. As adoptees developmentally transition from childhood through adolescence and then into adulthood, their perception of adoption and their identity formation likewise evolve. Researchers have suggested the integration of what it means to be adopted is continual for adoptees over their lifetime (Field & Pond, 2018). This is another reason why considering the perspectives of adult adoptees is important, as adults may have a more mature ability to process and understand the concept of loss on a meaningful level.
For this study, our operational definition of loss was separation from one’s family of origin, including absence of knowledge about, and relationships with, birth parents and families. This may result in a grief response toward these losses, manifested via sadness, anger, denial, depression, and other complex emotions. Each person’s story is unique and for some adult adoptees, loss is a central theme due to the obvious separation, which may disrupt their capacity to connect, leaving them susceptible to relational difficulties (Field & Pond, 2018; Liu et al., 2019). However, some adult adoptees perceive this loss ambiguously because of an atypical separation, meaning the exposure to loss was experienced under abnormal or non-ideal circumstances. Examples of these atypical separations with the birth parent(s)/family could include socioeconomic status, educational level, complicated dynamics (e.g., inability to handle another child, rape), or being in the public care system (O’Leary Wiley & Baden, 2005). Notwithstanding the reason(s) a birth parent(s) decides not to raise their biological child, an obvious loss occurs due to separation from at least two primary, biological relatives. In Westernized culture, tangible losses are naturally recognized, such as death to illness (Brodzinsky, 2011), whereas less concrete losses, or intangible losses, go unacknowledged (Wright, 2009). Intangible losses can produce a feeling of disenfranchised grief, particularly for adoptees. Intangible loss is typically overshadowed by what a person has retained or gained, and in the case of an adoptee, the gain is a family, with associated feelings of permanence and security (Brodzinsky, 2011).
Because the processing of loss can be a central theme in a person’s adoption narrative and throughout the natural life span, it is likely this can surface for an adult adoptee within the therapeutic setting. Loss of biological parents and genealogical continuity are just two elements tied to an increased risk for psychological disorders (Côté & Lalumière, 2020). Additionally, qualitative studies exploring the lived experience of adult adoptees, such as this study, shed light on participants’ perception of loss, the handling or dismissal of grief, and whether counseling has been, or could be, a source of support.
Impact of Adoption
It is not surprising that adoption impacts a person’s life on multiple levels, merely because of the complexity of relationships and human nature. Recognition of both positive and negative facets of adoption is important because denial of grief and the inherent aspect of discontinuity with this life event can interfere with the generation of a healthy life narrative (Wright, 2009). According to Soares et al. (2019), adoptees experience both gains and losses/difficulties. A significant gain is what the researchers referred to as family experience, meaning the adoptee was provided an opportunity to have parents and maybe siblings, whereas the dominant difficulties were discomfort around conversations about adoption and adapting to the adoptive family relationships (Soares et al., 2019). This information highlights the intricacies of how adoption can affect both connection and disconnection among relationships for adoptees. Anderson et al. (2015) highlighted how varying views (i.e., acknowledgment, rejection, or discrepant) regarding the significance of communication around ethnic differences among international adoptive families impacts the level of engagement and familial cohesiveness. On another note, Soares et al. (2019) examined perceived losses in child research participants, with results showing only 32.4% of children interviewed as identifying with birth family loss. The researchers noted that even in positively viewed adoption experiences, there needs to be recognition that children may not be in an environment in which they can acknowledge and grieve their losses (Soares et al., 2019). That study, however, did not extend its results into the realm of adulthood by observing how adults experience the impact of adoption losses and subsequently grieve those losses.
Mental Health
Another common topic concerning adoption is mental health, and Lehto et al. (2020) studied the relationship between being adopted as a child and the mental health of adoptees in adulthood, with respect to phenotypic (genes plus environment) and genetic factors. The results pertaining to phenotype, or observable characteristics, revealed no significant differences between adoptees and non-adoptees regarding general life and relational satisfaction, although their data also suggested adoptees were more susceptible to depression, schizophrenia, and neuroticism compared to their counterparts (Lehto et al., 2020). In an earlier article, Brodzinsky (2011) shared clinical case scenarios of child adoptees and their respective parents to examine identity and psychological adjustment issues that arise, including both pre-placement factors (e.g., genetics, unfavorable birth parent conditions) and how adoptive parents navigate conversations about adoption. Yet, within this research, there was a dearth of qualitative, lived experience research data concerning mental health issues present in adult adoptees, including any possible instances of unidentified loss and, in turn, unresolved grief.
Ambiguous Loss
In adoption, loss(es) ranges from separation from one’s biological family to losing one’s cultural heritage and identity. Boss (2010) explored the notion of two types of ambiguous loss—one tied to a physical absence, and one tied to a psychological absence that precluded closure for adoptees. For example, it is considered common knowledge that some adoptees have likely created a fantasy of their biological parent(s), but if they lack information about their genealogy (due to closed adoption or no contact with birth relatives), what remains are assumptions and questions. Thus, adoption is an example of ambiguous loss, with symptomatology that can include depression, anxiety, and feelings of ambivalence due to the scarcity or absence of information and potential for closure (Boss, 2010). Although this research explored symptoms of ambiguous loss tied to adoption, it did not address adoptees’ experience with loss and grief work in counseling.
Although there is adoption research exploring the topic of loss, there is minimal literature incorporating the lived experiences of adult adoptees. For adult adoptees, loss is distinctly a part of their life story, including hypothetical aspects of one’s identity, sense of control, and possible sadness over not being biologically linked to their adoptive family, all of which may be presented in counseling (Corder, 2012). Corder’s (2012) research was to assist counselors in their work with adoptees, including briefly addressing loss and grief, yet it did not delve into the lived experiences of adult adoptees concerning these topics.
Purpose of the Study
In summary, there is a recognition of the need for more research on the counseling needs of adults who were adopted as children because of both the growing number of Americans who have been touched by adoption and the underrepresentation of the needs of adult adoptees in the research literature (Cashen & Grotevant, 2020; Côté & Lalumière, 2020). Therefore, we set out to explore the lived experiences of adult adoptees regarding their perspectives of loss and grief resulting from their adoption, including any involvement with counseling. In a comprehensive content analysis of adoption articles in counseling journals, Liu et al. (2019) found 45 articles on the topic spanning 30 years, and only 10 of those articles (22%) investigated adults who were adopted as children. Literature on adoptees has largely focused on children and adolescents, specifically regarding their psychological adjustment and mental health compared to non-adoptees (Miller, Fan, Christensen et al., 2000; Soares et al., 2019). Researchers have suggested that loss is an important aspect of the adoption experience needing more exploration (Corder, 2012; Liu et al., 2019; Neil, 2012; Penny et al., 2007), but to date the research on loss as part of the adoption experience has largely been explored quantitatively (Field & Pond, 2018). Despite the assertion that grief is a significant aspect of a child’s adoption story that extends into adulthood (Wright, 2009), we found a minimal amount of qualitative published literature exploring the impact of adoption and associated feelings of loss and grief on adult adoptees.
Method
Our study was guided by our research question: What was the lived experience of adult adoptees regarding loss, grief, and counseling as it related to their adoption experience? We implemented a descriptive, qualitative research design utilizing a transcendental phenomenological methodology to explore these topics from an inquisitive standpoint. Transcendental phenomenology encourages researchers to suspend preconceived judgments about a subject and adopt epoche or intentional bracketing (Moustakas, 1994). This phenomenological concept has researchers bracket presumptions about the phenomenon being studied, which allows for transparent reflection and an ability to view the research data with a fresh perspective (Moustakas, 1994). By utilizing this approach, the reality of the participants’ lived experience of adoption, loss, grief, and counseling could be deeply surveyed to produce a true meaning of the phenomenon. In this qualitative approach, there is a correlation between the what, or the noema, of the experience, and how something is experienced, or the noesis (Sloan & Bowe, 2014).
Research Team
The research team consisted of one full-time counselor, Marissa Meyer, who identifies as Latina, and two full-time counselor educators, Elizabeth Wiggins and Gregory M. Elliott, who identify as European American. Meyer is an adoptee, Wiggins has no affiliation with adoption, and Elliott’s first child is a child by adoption.
Procedure
We submitted the study protocols through the IRB of the university where we were all engaged, as either a student or professor. Once approval was granted by our institution’s IRB, we transitioned into the participation selection process. Inclusion criteria were that participants be adults who experienced adoption as children and were willing to share their perspective of loss and grief pertaining to their adoption experience. Additionally, we vetted adoption-competent counselors as referrals to provide to participants, in the event they were triggered.
We utilized a purposeful, snowball sampling procedure to select participants. We advertised the study regionally to Colorado adoption agencies and counseling centers offering services to adoptees. Potential participants were referred to the study by current participants. Prospective participants who responded to the advertising contacted Meyer by email and were subsequently scheduled for screening. Our initial contact with the potential participants was conducted via email, which included the invitation to participate and a link to a brief survey. The survey included criterion questions to capture the participants’ demographic data and perceived level of loss and grief via a 5-point Likert scale (see Table 1).
Table 1
Participant Information
|
No. |
% |
| Gender Expression |
|
|
| Female |
3 |
42.86 |
| Male |
4 |
57.14 |
| Race |
|
|
| Asian American |
1 |
14.28 |
| White |
3 |
42.86 |
| Hispanic/Latino(a) |
3 |
42.86 |
| Current Age |
|
|
| 20–29 |
3 |
42.86 |
| 40–49 |
1 |
14.28 |
| 50–59 |
1 |
14.29 |
| 60–69 |
2 |
28.57 |
| Age at Adoption |
|
|
| 0–9 Months |
6 |
85.71 |
| After 9 Months |
1 |
14.29 |
| Adoption Circumstances |
|
|
| Initially Placed in Foster Care |
4 |
57.14 |
| Learned Was Adopted as a Kid |
7 |
100.00 |
| Domestic |
6 |
85.71 |
| International |
1 |
14.29 |
| Reunion Status |
|
|
| Contact With Birth Family |
4 |
57.14 |
| No Contact With Birth Family |
3 |
42.86 |
| 5-Point Likert Scale Ratings of Loss/Grief Toward Adoption w/ 1 (minimal)–5 (extreme) |
|
|
| Rating 1 |
2 |
28.57 |
| Rating 2 |
1 |
14.29 |
| Rating 3 |
0 |
0.00 |
| Rating 4 |
2 |
28.57 |
| Rating 5 |
2 |
28.57 |
Participants
Nine prospective participants responded to study advertisements and during the initial screening the final pool was narrowed to seven, with one respondent not meeting the inclusion criteria and another one withdrawing from communication with the research team. The final seven respondents accepted the invitation to participate and were emailed the informed consent form to formalize their participation status. The participant sample included four males and three females, and the ethnicity/race breakdown identified by each participant was: one Asian American, three White, and three Hispanic/Latino(a). Six of the adoptions were domestic and one was international (see Table 1). Smaller sample sizes and lack of randomization are common with phenomenological studies because of the level of data analysis and the need for participants to share a common experience (Nicholls, 2009). We assigned participants pseudonyms for confidentiality (Sheperis et al., 2017), which were used in the analysis and writing processes.
The goal of transcendental phenomenology is to describe the essential structures of the participants’ lived experiences around a particular phenomenon (Barnes, 2003) as opposed to analyzing data for the purpose of generalization to broader populations. It can be conceptualized as a “science of examples” (Van den Berg, 1955, as cited in Farrell, 2020, p. 5). Therefore, recruitment of participants is based on finding diverse participants whose lived experiences illustrate the phenomenon being studied. Published studies utilizing a phenomenological methodology have utilized samples ranging from three (Pretorius & Hull, 2005), to six (McCaig et al., 2012), to many more. We felt we achieved saturation with the seven participants given the breadth and diversity of their adoption experiences.
Data Collection Measures
Qualitative research inquiries are emergent, making interviews and semi-structured interviews common methods of data collection (Levitt et al., 2021). We developed four foundational interview prompts to frame our interviews based on our initial meetings to develop the research protocols and on our literature review. The foundational interview prompts were designed to ground the interviews in the phenomenon of study and to allow space for semi-structured exploration based on participants’ responses. Prior to beginning interviews with our participants, we engaged in an epoche process (Moustakas, 1994), by having Meyer (an adoptee herself) answer the foundational interview prompts. Meyer’s responses were analyzed and referenced throughout the data analysis process. We then conducted phenomenological semi-structured interviews individually with each participant. The four foundational interview prompts were: 1) describe your experience with adoption and how it has played out in your life, 2) recount your experiences with counseling related to adoption, 3) tell me how your adoption narrative has influenced your perceptions of loss and grief, and 4) share how you feel your grief has been or not been expressed over your adoption-related losses. The semi-structured interviews supported flexibility and helped ensure the participants could fully share their stories (Levitt et al., 2021). Thus, the semi-structured interviews helped us understand the participants’ adoption stories and their experiences with grief, loss, and counseling.
We conducted and recorded interviews via Zoom video conferencing technology. Then we manually transcribed the recorded interviews into transcripts via Microsoft Word. For participant anonymity, the assigned pseudonyms were used during the transcription process. After the transcription and data analysis, all video recordings were destroyed to protect participant confidentiality, and only the pseudonyms were utilized in the manuscript.
Data Analysis
We initiated thematic analysis by following Moustakas’s (1994) process of phenomenological reduction to analyze the data. Thus, we each explored and analyzed our unique experiences with adoption that allowed us to transcend any presumptions regarding the phenomenon being studied by implementing the concept of epoche (Moustakas, 1994). As noted earlier and regarding closeness with adoption, Meyer was adopted as an infant, Elliott has adopted a child, and Wiggins has no experience with adoption. Therefore, the thematic analysis and epoche process included Meyer’s answers to the research questions. Lastly, the examination of our experiences with the phenomenon were considered in the research findings as part of the transcendental phenomenology view of researchers and participants working together as “co-researchers” (Creswell, 2013; Moustakas, 1994).
We transcribed the interviews and analyzed the participant phrases via an Excel spreadsheet to ascertain themes. Then, we engaged in an initial holistic reading of each interview transcript to allow ourselves to be attuned to each participant’s words. Next, we performed a line-by-line reading and formulated a list of “significant” statements and grouped them into “meaning units” (Creswell, 2013). Transcendental phenomenology seeks to find meaning units that provide a textual description of what was experienced by the participants, as well as an imaginative variation describing how it was experienced (Moustakas, 1994). With each distinguishable reading of the data, we searched for phrases shared by the participants that illustrated a description of what they experienced and how it was perceived. Ultimately, through a process of consensus coding, the integration of the textual description and the imaginative variation yielded a composite of essential themes.
After we analyzed and narrowed down the dominant themes via the final transcription phase, we emailed the participants these preliminary findings. We asked the participants to reflect and provide feedback on whether the final themes represented their experiences with adoption-related loss and grief, as well as their experiences with counseling related to adoption, as a form of member checking (Creswell, 2013). The participants confirmed that the findings adequately expressed their experiences with adoption-related loss, grief, and counseling.
Trustworthiness
Qualitative researchers promote trustworthiness in their work by safeguarding the credibility and confirmability of their methods and findings (Cope, 2014). Credibility is viewed as the direct connection between the participants’ words and the findings of the study (Cope, 2014). Confirmability is the level to which interpretation of the texts are representative of the participants’ meanings rather than the researchers’ preconceptions or bias alone (Cope, 2014). In this study, we ensured credibility and confirmability through immersion in the texts and by developing a spreadsheet that we utilized to track the analysis process of transforming the participants’ words into themes. This audit trail allowed us to revisit the data when questions of interpretation arose and as we worked toward consensus in our interpretation, as opposed to relying on any one researcher’s sole interpretation (Hill et al., 2005). In addition, we utilized member checking to test the goodness of fit of the findings and interpretations of the participants’ lived experiences to minimize researcher bias (Cope, 2014; Sheperis et al., 2017).
Findings
Our analysis brought to our awareness the concept of integration regarding the participants’ adoption stories, meaning to what depth the participants’ adoption experiences impacted their perceptions of loss, grief, and their involvement with counseling. Expanding on this and in alignment with the initial participants’ survey results regarding the perceived level of loss and grief toward their adoption (see Table 1), it was clear the prominent theme was that of ambivalence of whether loss and grief were significant aspects of their adoption story. Under this notion of integration, we identified six themes that expressed our participants’ experiences. The central theme was ambivalence toward loss and grief, followed by identity curiosity, the impact of one’s adoption story, connection, relational distrust, and involvement with counseling.
Ambivalence Toward Loss and Grief
This first theme regarding uncertainty toward loss and grief was significant, as it closely touched on the study’s research question and the participants’ perception of these two topics in relation to their adoption. Thus, it established the degree to which loss and grief were associated with and/or processed in the context of being adopted. Some of the participants indicated they did not feel they had undergone measurable loss and grief explicitly tied to their adoption experience. For example, Martin stated that he is “not an emotional person, [so] I really don’t have a huge amount of grief.” Similarly, Teresa stated, “I think the reason that I don’t personally feel, and haven’t really ever felt, a ton of loss is because of the strategies my mom used.” Teresa explained that her adoptive mother’s intentionality regarding her processing and normalizing her adoption story helped Teresa not struggle emotionally with her adoptee status.
However, most participants relayed a personal story of loss and grief that they initially believed did or did not relate to their adoption, which iterated the sense of ambivalence from the participants when asked about loss and grief in association with their adoption experience. For example, even though Martin expressed not having feelings of loss and grief related to his adoption, when he discussed the loss of his adoptive parents, he was struck with a sudden, profound feeling of emptiness: “After my [adoptive] parents passed away, it was like, okay, now I need to fill that void to see where I really come from.”
In contrast, Tonya saw how her feelings of loss and grief were directly related to her adoption: “I guess I just experienced loss at a younger age than most people probably would. Because I had to learn how to let go of something I didn’t even know. Someone I didn’t even know.” Mike echoed Tonya’s feelings about the immense ache of missing a person he had never known, his birth mother. The realization that he was grieving the loss of his birth mother initially hit him when he was processing the loss of a romantic relationship:
I think that mother aspect was really something that was powerful in that moment. . . . That moment stayed with me. Because I realized that was the night that I finally started to grieve the loss of my [birth] mom. And I started to realize, it’s OK. She’s out there, and you’re out here, and you’re OK with being sad for her, and finally, someone opened the door for me to do that.
Teresa, whose potential struggles with loss and grief were alleviated by her adoptive parents’ openness in talking about her adoption story, shared some sadness related to her adoption. She stated that she mostly thought about the parent who gave her up. She wondered about the impact on her biological mom, sharing “What if it was really hard for my mom? Or what if I had a sister out there who misses me? Or a brother or something?” Her expression of grief and loss was more around the questions to which she did not have answers.
All the participants were able to discuss aspects of loss and grief, as would be expected, because they are existential elements of the human experience. In interviewing the participants and reviewing their transcribed stories, it appeared that some of them had potentially never processed the idea that they could have experienced sensations of loss and grief related to their adoption, and the research interview was the first time they had been confronted with the idea explicitly. However, most of the participants were ultimately able to connect some loss and grief feelings to their adoption status or experience.
Identity Curiosity
Another notable theme was an expressed desire for the participants to understand who they are as human beings—to clarify their identity since being adopted. The seven participants varied in the amount and timing of the information they had about their adoptions as children. One participant, Teresa, poignantly shared how her adoptive mother would tell Teresa’s adoption story at bedtime, including being adopted from Korea without identifying information of her birth family. In contrast, Luke relayed that his adoption was revealed to him by a vindictive cousin. However, regardless of the amount of information the participants knew about their adoptions as children, as adults, most of them made some reference to intentionally working toward discovering and understanding who they are.
For example, Mike reflected on where some of his personality and emotional traits stemmed from:
I saw things that my dad would do, or my mom would do, and I would do the exact opposite of what they were both doing. [And I would be] like, “where am I getting this from?” You know, I don’t pick this up from either of them . . . I’m not part of them, so where’d I get this stuff that I do?
Carla expressed sadness that when her adoptive parents died, she lost the possibility to learn more about her birth circumstances and identity. She expressed still feeling curiosity surrounding her identity as well as regret and bitterness associated with losing any potential of having questions answered by the people who were there when she was adopted.
I had four parents I guess, and they’re all gone, and that just hit me as incredibly sad that I will never know. I’d always hoped she [adoptive mother] would come forth and be honest about what it was, what happened. I don’t know if she didn’t know, or if she just blocked it, or she was refusing. I don’t know, but with her died my story.
The participants largely positioned their identity curiosity as a response of being an adoptee with an implicit assumption that if they were not adopted, some sense of self-identity would have been granted to them by their birth parents.
Impact of Adoption Story
This theme acknowledged that all the participants expressed in at least one way how their adoption story impacted their overall life narrative. The level of impact varied between the participants, but they all recognized their status as an adoptee was a significant component of their personhood. Ivan expressed that despite knowing his whole life he was adopted, he never had a desire to connect with his birth parents and never considered his adoptive parents to be anything other than his “real” parents. Even with these views, Ivan related a compelling adoption story of his birth mother being talked out of aborting him during a smoke break while she was waiting at the abortion clinic. Ivan felt this brush with almost having his life terminated had put a special meaning on his existence.
The fact that I was minutes away from being aborted just always placed some sort of significance in my life where I say “I can’t waste my life.” . . . It’s given me a proponent to excel in life because if I was saved for a reason, I have that mentality in the back of my head because I know that story.
Tonya also expressed a tumultuous adoption story that involved several years in which she tried to contact her biological mother. Tonya indicated that her adoptive parents “had always told me that I was adopted, but I don’t really think I understood when I was little what that all meant.” However, the knowledge of her status as an adopted child did eventually impact Tonya’s relationship with her adoptive mother as she grew up. She experienced anger toward her adoptive mom, stating that she had thoughts of her “not being my real mom.” But she is grateful that they were able to carve out a close relationship over time.
Participants roughly characterized if they felt their adoption had been smooth or difficult. However, whether the participants felt positively or negatively about their adoption, they all acknowledged the experience of being an adoptee has been an important aspect of coming to terms with their identity. Overall, they felt it was an essential component of their life story.
Connection
Several of the participants recognized they had difficulties connecting with others, and they attributed these difficulties to being adopted. Some participants expressed struggles among immediate family members, such as their own biological children, while for others, issues were localized to social situations. Yet, on a larger scale, some participants’ struggles were characterized as being global. For example, Luke stated, “I certainly always have, more often than not, viewed myself negatively . . . lots of self-doubts in terms of self-worth, very negative feelings, just not good enough. And super-sensitive to the perceptions and judgments of others, and particularly rejection.” These feelings led him to allow boundary violations and being taken advantage of in order to “please, placate, and satisfy the needs of others.”
Like Luke, Carla expressed difficulties with connection and relationships that had persisted for most of her life. Carla spoke poignantly of her difficulties with “attaching” to anyone or anything, except for her own biological children:
I’ve always been kind of a searcher . . . I’m searching for a home, searching for a place, searching for a person, searching for something. Though I’ve moved around the country, I’ve moved from house to house, I’ve moved from apartment to apartment, I’ve moved from boyfriend to boyfriend, I’ve moved from husband to husband, and I’ve moved all over trying to find something, which I never did. And I always kind of explained it like a piece of floating chain in the air and all the posts are standing on the sidewalk down below, but I’m not attached to any of them . . . even when I had my own children, I just kind of added their link onto mine, so then we were just free-floating a couple of links instead of by myself. I never had anything to attach to.
Teresa discussed how social connection specifically was complicated for her growing up because being an international infant adoptee raised by White parents meant she was racially different than her family:
I remember being really self-conscious in high school about, you know, I would see a lot of people [of my race] who had recently immigrated to [the state where I lived]. And I clearly didn’t fit in there. And then I had all of these very White people, and I was like, “I don’t know if I fit in with them either.” And so, it was like this awkward, “where do I fit?” kind of situation. But I think part of why I didn’t try immersing myself more in [my birth] culture was because I wanted to be more in the mainstream White, American culture; that’s kind of how I identified as culturally. I know racially I wasn’t.
As illustrated by Luke, Carla, and Teresa, the participants possessed a deep desire for connection with others, but factors related to their adoption made this challenging at times.
Relational Distrust
Because of the occurrence of some participants noting that they continually struggle to trust others in relationships and certain social circumstances, this theme was notable. In our analysis, we recognized some overlap between this theme and the theme of connection, but we felt there were enough specific mentions of distrust to position it as its own theme. Luke reflected on this theme of not being able to trust others when he processed his feelings of low self-worth, which he attributed to his adoption circumstances:
You can go through all kinds of rationalizations, and probably a lot of true thinking about the realities of what led to this, and at the end of the day, you come back to that same conclusion—someone didn’t love me, someone didn’t want me, I was rejected, I’m unlovable, you know, you come back to that. And you sit in that, and that’s what you believe. And no one’s going to tell you any different.
It is worth noting that Luke was one of the few participants who stated that his adoptive parents were not honest with him about his status as an adoptee from early on in his life. Luke related first being told he was adopted by a cousin who was taunting him, and Luke’s processing of his identity included some significant challenges to obtain valid information about the circumstances of his birth and adoption. In further discussing this with Luke, he expressed, “Here’s another dead end, or another misinformation, or whatever it is, and I just kind of gave up on that. I will tell you, that creates anger and resentment and loss, and it’s a real double-bind.”
In exploring his adoption story, Ivan also reflected on distrust and noted that “When you feel some sort of deception or some sort of awkwardness, that’s what tends to, at least for me, want to dig more and see if there’s something that they’re hiding or something underneath that.” Some of the participants adopted an investigative role in trying to track down information on their birth and adoption. For the participants who related this mission of exploring their roots, the theme of relational distrust occasionally presented itself in the frustrations of pursuing false leads and overcoming dead ends in the search for their origin stories.
For Tonya, however, the theme of relational distrust showed up as not trusting that she could be accepted or loved if she didn’t perform perfectly. She struggled with accepting Bs in middle and high school, having to remind herself that “B doesn’t mean bad.” Admittedly, she had to work on her self-esteem. She shared that she felt insecure and that she had to “prove [she] was worth something.” For Tonya, her sense of distrust was seemingly rooted in a self-concept of inadequacy, a feeling that was echoed by Luke, Mike, and other participants.
Involvement With Counseling
Participants in this study also explored their experience with counseling. These contacts ranged from intense, long-term therapeutic work to a psychological interview prior to being allowed access to adoption records. Although there was significant variation in how much benefit the participants ascribed to this therapeutic contact, the fact that all seven of the adoptees had initiated work with a mental health professional was notable.
The participants’ varied responses when asked about counseling as it related to their adoption brought to our awareness this theme that depicts the perceived applicability of engagement with therapeutic services. We discovered that all participants had some level of involvement in working with a counselor.
Carla was one of the participants who sought out counseling with multiple clinicians over the course of several years. She summarized her attempts to connect with a counselor this way:
I’ve done a fair amount of counseling over the years. Most of it was not with anybody who was adoption savvy. . . . And it really hasn’t stuck until 4 years ago when I started the adoption group and the therapist there is an adoptee as well.
Tonya reflected on her experience with counseling as eventually being beneficial. She shared how she began her experience with therapy at a young age and how she eventually received her diagnosis through the counseling process. She expressed that having a good counselor was important to her and recalled one counselor that she just “clicked with right away.”
Luke’s experience with counseling started later in life. He shared that the impetus for seeking out a counselor was not specifically geared toward his adoption. Instead, he found himself seeking counseling related to his “whole person,” noting that although it wasn’t specifically related to adoption, he recognizes that it is “part of the story, and that’s part of what informed so much of my self-perception.” In contrast, Martin relayed that counseling has not been necessary, stating “I haven’t had any major issues, so I haven’t needed counseling.” He limited his exposure to counseling to a 1-hour interview with a psychologist after requesting adoption records.
As shown by some participants, therapeutic involvements were distinct and ranged in need, intensity, adoption relevancy, and perceived benefit. Additionally, several participants indicated a preference for a counselor who was competent in matters of adoption to be sure they were properly cared for and understood in the therapeutic environment. Although mental health professionals are trained in multicultural competencies to be able to provide help and support to clients who are different from the counselor in demographic characteristics and lifetime experiences, the inclusion of adoption experiences should be considered within this realm.
Discussion
This study revealed if and/or how the participants integrated aspects of their adoption story into their perception of loss and grief, and whether counseling played a role in this process. Ambiguity toward loss and grief was of utmost significance given the impetus for our research study. When posing questions to our study participants regarding their experiences about grief and loss, they relayed mixed responses or ambiguous feelings. Interestingly, Powell and Afifi (2005) define adoption as an ambiguous loss, stating that adoption is associated with the physical loss of the birth parents’ presence in an adoptee’s life, but that there remains a psychological presence that can cause ambiguity in an adoptee’s life. Mitchell (2018) suggested ambiguous loss can be the most traumatic type of loss because the grieving process is often overlooked. Unacknowledged grief may be why our participants experienced ongoing ambiguity around the topics of grief and loss.
The themes of identity curiosity and impact of one’s adoption experience were complementary to one another, which was apparent when our participants shared how they have viewed these topics both in the past and now as adults. Chatham-Carpenter (2012) conducted a study on the impact of an adoption narrative on Chinese adopted children, stating that “As human beings, our identity, or sense of who we are and what our place is in the world, is formed through the telling of narratives or stories” (p. 159). The same seemed to be true of our participants, as they were impacted by positive and negative narratives, as well as by the way they were told about their adoption. Our participants, like those in the Chatham-Carpenter study, were also curious about their identity. Erikson (1968) researched the development of one’s identity and posited that this occurs in stages. A significant life event, such as adoption, during an early stage of development can lead to an unhealthy or underdeveloped sense of self.
There was a moderate overlap between the themes of connection and relational distrust, which afforded us a deeper understanding of the participants’ adoption narrative. For example, our participants revealed struggles connecting with others, supporting existing research that shows people who have been adopted often struggle to form relationships (DeLuca et al., 2019), and that the quality of relationships with adoptive families is an influential component of the ability of adoptees to form healthy connections with others (Melero & Sánchez-Sandoval, 2017). As it pertains to relational distrust, our findings were similar to the Shahab et al. (2021) study, which found that adults with a history of childhood maltreatment are more likely to experience distrust; feel distant from others; and develop an insecure attachment style, which may also affect relationship quality.
Our final theme concerning involvement with counseling connected to the notion of adoptees potentially experiencing ambivalence regarding how they feel toward their adoption experience. Our participants expressed a wide range of information regarding their reasons for seeking out counseling, as well as the prominence of the topic of adoption within the therapeutic setting. Thankfully, the need for adoption-competent counselors has been the subject of numerous studies (Baden et al., 2017; Evan B. Donaldson Adoption Institute, 2010; Freundlich, 2006; Lenerz et al., 2006), and our participants echoed this need for someone who could understand their experiences and help them explore the impact adoption had on their lives. Baden et al. (2017) found that adoptees in counseling reported greater satisfaction in proportion to the amount of attention the therapist paid to the topic of adoption.
Implications
This study explored the experiences of adoptees with counseling, loss, and grief, leading to important implications for professional counselors. Counselors should recognize that adoptees value mental health professionals who address the topic of adoption and are competent in working with clients who are adoptees. Counselors working with adoptees may benefit from treating a client’s adoptee status as an area of multicultural diversity and studying the relevant literature to help develop competence (Remley & Herlihy, 2020). Being more aware of the challenges adoptees experience integrating loss and grief into their life narrative could help a counselor successfully engage with such clients. An ability to address these intricacies through a relationally oriented counseling technique such as existential therapy’s here-and-now processing approach (Yalom, 2002) might be warranted. Additionally, it is important to recognize that grief is a unique process for everyone, including every adoptee. Grief that arises from a recognition and acceptance process when coming to terms with one’s adoption is likely to be complex and interwoven with accepting the fact and circumstances of one’s adoption. A narrative therapy approach could offer clients an opportunity to re-author both their adoption story (unique and alternate outcomes) and the future story they want to have (White & Epston, 1990). Kessler (2019) suggested that a sixth stage of grief (added to the traditional stages of denial, anger, bargaining, depression, and acceptance) is finding meaning, and this additional stage would appear to be resonant in the lives of virtually all of our study’s participants.
Limitations
The findings and discussion of this study should be considered within the context of its limitations. One limitation is the sample used by the researchers. The study included seven purposefully selected participants to represent adult adoptees, including four males and three females, and more minorities than White participants. The U.S. Department of Health and Human Services (2020) reported that White children (50%) are adopted at approximately the same rate as other ethnicities, and male children (51%) are adopted slightly more frequently than female children (49%). Although this study’s sample is representative of the current racial and gender makeup of adoptees, expanding on the diversity of participants could make for a more robust description of the lived experiences of adult adoptees.
Another study limitation is the use of self-report interviews for data collection. Using interviews alone, participants may be influenced by social desirability, which may impact the credibility and dependability of the data collected (Heppner et al., 2008). At each interview, the researchers encouraged participants to share their unique experiences. Yet, participants may have felt compelled to respond in ways viewed as desirable to the researchers, society, or the profession of counseling. In the future, this limitation could be addressed by increasing persistent observations. This would allow for the researchers to determine if the responses to the interview protocol remained consistent over time, thus increasing the study’s dependability.
Recommendations for Further Research
Further research around the notion of integration of one’s adoption story into a person’s life narrative by exploring our six identified themes via the lived experiences of adult adoptees could benefit the profession of counseling. We recommend continuing research in this area while expanding the diversity of participants being studied. One possibility could be a grounded theory study that explores the process of identity development for adoptees. Although this study identified themes of deep curiosity about oneself and being impacted (either positively or negatively) by adoption, we were not able to establish causal relationships between the status as an adoptee and these intrapersonal traits. A larger, quantitative study might be able to further explore these issues and determine a causal link between adoption and the development of these intrapersonal characteristics.
Another identified theme was adult adoptees’ involvement with counseling and what each participant’s situation entailed. Although the interviews contained questions that explored the participants’ counseling experiences, this study did not specifically focus on what adoptees valued in counselors. Further research could utilize more explicit questions regarding this topic, including interventions that counselors draw from to build a strong therapeutic alliance with clients who have been adopted.
Finally, creating a research design to further explore the themes of connection and relational distrust is important in understanding the relational impacts of adoption on adoptees. Research on these topics may lead to more effective counseling techniques and goals for adoptees and families, along with common challenges for families considering adoption.
Conclusion
We explored the lived experiences of adult adoptees to grasp and understand their perceptions of loss, grief, and their involvement with counseling in relation to being adopted. Our findings suggested a common theme of ambivalence around loss and grief in connection to our participants’ adoption stories. This data suggested that loss and grief may not have been processed or integrated in relation to the participants’ adoption. These findings encourage professional counselors to treat adoption status as a form of multicultural diversity and to approach counseling with adoptees with a willingness to provide ample focus on the client’s adoption story. Counselors trained in adoption issues are assets to this population, as unresolved grief can result in connection, developmental, and relational issues throughout the life span.
Conflict of Interest and Funding Disclosure
The authors reported no conflict of interest
or funding contributions for the development
of this manuscript.
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Marissa Meyer, MA, LPC, is Manager of Navigation at the Jefferson Center for Mental Health. Elizabeth Wiggins, PhD, LPC, LSC, is an assistant professor and the director of the Master of Arts in School Counseling program at Colorado Christian University. Gregory M. Elliott, PhD, LPC (CO), LMHC (IA), is an associate professor at Colorado Christian University. Correspondence may be addressed to Marissa Meyer, 4851 Independence St., Wheat Ridge, CO 80033, marissameyer73@gmail.com.
Aug 24, 2023 | Volume 13 - Issue 2
Corrine R. Sackett, Heather L. Mack, Jyotsana Sharma, Ryan M. Cook, Jardin Dogan-Dixon
Microaggressions can and do occur in the counseling process, yet there is a dearth of literature about how counselors-in-training (CITs) experience this phenomenon from clients or how they may respond to clients who perpetuate microaggressions against them in a therapeutic setting. Therefore, in this constructivist phenomenological study, we explored CITs’ experiences of microaggressions from clients in the counseling process. Two interviews with six participants of various marginalized identities revealed the following themes: (a) internal reactions, (b) attempts to contextualize, (c) prevalence of microaggressions, (d) navigating microaggressions, and (e) seeking support. Findings and implications for CITs and counselor educators and supervisors are discussed.
Keywords: microaggressions, constructivist phenomenology, counseling process, counselors-in-training, counselor educators
Microaggressions have been defined as intentional or unintentional ongoing verbal or nonverbal offensives experienced by individuals of a marginalized group (Ratts et al., 2016) and as “subtle and stunning” daily racial offenses that impact the health and well-being of individuals (Pierce, 1970). Counselors and counselors-in-training (CITs) of marginalized identities are often uncertain of whether or how to respond to microaggressions in counseling sessions while keeping the counseling relationship intact (Branco & Bayne, 2020). As such, counseling researchers have the opportunity and responsibility to explore the experiences of counselors or CITs who are the target of microaggressions from clients. Scholarship around this topic can help the counseling profession, and counselor education specifically, in developing competencies to help guide CITs and counselors in these situations.
Given the reality that there are clients from privileged groups receiving counseling from CITs from marginalized groups (Haskins et al., 2015; Ratts et al., 2016) and that the counseling process is an intersection of cultural identities between the client and CIT (Ratts et al., 2016), there is potential for microaggressions to occur in this relationship. Various studies have explored microaggressions within the counseling setting as experienced by clients who identify as racial/ethnic minorities (Constantine, 2007; Crawford, 2011; Morton, 2011; Owen et al., 2011, 2014); however, much less is known about counselors’ and CITs’ experiences with clients who may perpetuate microaggressions against them (Branco & Bayne, 2020). Given the dearth of literature focusing on how CITs can and do handle microaggressions from clients, we aimed to help fill this gap in the literature by exploring CITs’ experiences of microaggressions from clients.
In the 1970s, Harvard-trained Black psychiatrist Chester M. Pierce coined the term “microaggression” to describe the insults that he witnessed Black Americans encounter daily (Pierce, 1970). His work has been seminal in laying a foundation for understanding the damage that negative interracial interactions have on Black Americans’ health. Decades later, Sue and colleagues (2007) continued Pierce’s research on microaggressions and expanded its definition to include experiences of cultural bias, prejudice, and power imbalance. Literature about microaggressions in the counseling profession highlights the negative impact of counselors being the offender, or the person who perpetuates microaggressions, toward a racially/ethnically marginalized client in session (Constantine, 2007; Owen et al., 2011).
Although racial microaggressions toward racially/ethnically marginalized people have been studied extensively, microaggressions can also target gender, sexual orientation, ability status, class, religion, and other visible and invisible identities (Chan et al., 2018). The consequences of microaggressions on the counselor–client relationship have been studied in the context of gender (Owen et al., 2010) and sexual orientation (Shelton & Delgado-Romero, 2013). As such, there is a need for more research to explore microaggressions as a phenomenon that affects various identities. When individuals identify with multiple salient identities, they are more likely to experience privilege and oppression. For instance, a person can experience White privilege while simultaneously experiencing marginalization from identifying as queer—this person can belong to both oppressive and oppressed groups. Because one identity can be stigmatized while another is privileged, there is complexity in understanding one’s whole identity rather than only its parts. The Multicultural and Social Justice Counseling Competencies (MSJCC) include a quadrant to represent a privileged client and a marginalized counselor (Ratts et al., 2016) that can be used to conceptualize the dynamic of microaggressions experienced by counselors from clients. It is possible, of course, for counselors and clients to identify with being in more than one quadrant simultaneously as members of both privileged and marginalized groups. Further, the intersectionality of race, gender, sexual orientation, and other identities may increase the frequency and impact of microaggressions (Williams et al., 2021). Microaggressions toward intersecting marginalized identities compound their harmful impact (Nadal et al., 2015).
Oppression on an individual level in the form of microaggressions, regardless of whether they are intentional or unintentional, can have a devastating impact on individuals’ physical and mental health (Pierce, 1970; Ratts et al., 2016). Depression, anxiety, and post-traumatic stress have been reported by researchers as being associated with microaggressions (Williams et al., 2021). Thus, it is feasible that CITs would experience these same mental and physical reactions to microaggressions within the counseling relationship (Branco & Bayne, 2020), which in turn seems likely to influence their work with current and future clients.
Purpose of the Study
Branco and Bayne (2020) asserted that counselor educators are called to provide training for counselors from marginalized identities to work with clients from privileged identities, and the counselor education field is lacking in this area. Because the cultural experiences and backgrounds of clients and counselors impact the counseling relationship (Constantine, 2007; Crawford, 2011; Morton, 2011; Owen et al., 2011, 2014), counseling process, treatment selection, and outcomes, it is critical that counseling researchers expand inquiry in this area (Hays, 2020). Specifically, counseling researchers need to inquire more about counselors’ experiences with social injustice and how those affect the counseling process. As established, the MSJCC framework allows for counselors and clients from many intersecting privileged and marginalized identities (Ratts et al., 2016). Although previous studies have focused exclusively on racial microaggressions from clients, Branco and Bayne (2020) called for a broader examination to include counselors or CITs who identify with a marginalized status outside of race and ethnicity. As such, the purpose of the current study was to explore CITs’ experiences of microaggressions from clients, regardless of the one or more marginalized identities they carried, through van Manen’s (2016) constructivist hermeneutic phenomenological approach. This is a reflective process focused on the lived experiences of participants. By specifically focusing on CITs’ experiences of microaggressions from clients, we gain insight into how to better provide supervision and training in this area. Thus, the research question that guided this investigation was: “What are CITs’ experiences of microaggressions from clients in the counseling process?”
Method
Research Design Overview
We chose van Manen’s (2016) constructivist hermeneutic phenomenological approach for this inquiry of CITs’ experiences of microaggressions from clients, as it aims to increase thoughtfulness, grasp essential meaning, and come into closer contact with the world while providing thought-provoking data that are ideal for clinical practice (Sackett & Cook, 2021). van Manen described hermeneutic phenomenological research as choosing a phenomenon of serious interest, investigating the lived experience of the phenomenon, reflecting on its essential themes, describing the phenomenon through writing and rewriting, remaining in pedagogical relationship, and balancing the parts of the whole of the research.
Researcher Reflexivity
Following van Manen’s (2016) advisement that researchers be aware of and transparent about their own experience of the phenomenon under investigation and the influence of their own values, beliefs, and experiences, we describe our positionality here for transparency. At the time of the study, authors Corrine R. Sackett, Jyotsana Sharma, and Ryan M. Cook were faculty members in counselor education programs at research universities—Sackett was an associate professor and Sharma and Cook were assistant professors. Heather L. Mack and Jardin Dogan-Dixon were graduates of a CACREP-accredited program specializing in clinical mental health counseling; Mack was practicing in agency and private practice settings and Dogan-Dixon was a correctional psychologist. Sackett, Mack, Sharma, and Dogan-Dixon identify as heterosexual and cisgender women, and Cook as a heterosexual and cisgender man. Sackett, Mack, and Cook identify as White, Sharma identifies as Asian Indian and international, and Dogan-Dixon identifies as Black and from a Christian background.
Sackett was drawn to this line of inquiry after a supervision session in which a supervisee disclosed a microaggression from a client related to gender. The supervisee’s site supervisor (a male counselor) was in the session as a co-counselor. Following the session, the CIT and site supervisor processed the event. Although the site supervisor was supportive, he advised the CIT not to address the microaggression with the client because it was not related to the client’s counseling goals. The CIT described feeling dismissed by her site supervisor’s response. She also described uncertainty in how to continue a meaningful counseling relationship with the client afterward without addressing the microaggression. This experience led Sackett to seek guidance from the literature on CITs’ or counselors’ handling of microaggressions from clients, but she found limited scholarly resources. Sackett was influenced by this experience in her conceptualization of the current study, and in analyzing and writing the findings. Further, while recognizing her privileged identities, Sackett has experienced gender microaggressions that have impacted her and the way she views this topic area. Mack, while also recognizing her privileged identities, has experienced gender microaggressions from clients and a site supervisor. Sharma identifies as an international scholar of Asian Indian descent. As an international woman of color, Sharma has experienced many microaggressions since moving to the United States. She has experienced microaggressions from clients, colleagues, and supervisors. Cook has wondered how supportive or unintentionally unsupportive he has been as a supervisor and faculty member with CITs’ experiences of microaggressions. Dogan-Dixon has experienced gendered racial microaggressions from clients, peers, and supervisors in various counseling settings across her training. She initially struggled to address microaggressions in the moment because of potential rejection and backlash; with practice, however, she has learned to address microaggressions in multiple ways, including caring confrontation. She now educates others on how to navigate microaggressions in personal and professional settings. In harnessing the interpretive nature of van Manen’s (2016) approach, instead of bracketing these biases, we embraced them as part of the process (Prosek & Gibson, 2021).
Participants
Participants included six CITs from CACREP-accredited counselor education programs in the United States. Sampling was purposive for the phenomenon under investigation (Prosek & Gibson, 2021), and all participants met the eligibility criteria of being enrolled in a CACREP-accredited master’s program with a specialty in clinical mental health or school counseling, being enrolled in or completed practicum or internship in their program, and having lived experience of microaggressions from clients in the counseling process. Constructivist qualitative studies tend to have smaller sample sizes that allow for more depth of understanding and intriguing findings (Boddy, 2016). Though we recruited from across the United States, our resulting sample consisted of participants from the Southern region of counselor education programs. Participant ages ranged from 26–30 years. Self-named gender identity included one female, two cisgender female, two cisgender male, and one participant who did not specify gender. Self-named sexual orientation included one straight, one lesbian, two bisexual, and two who did not specify. Participants self-identified their racial/ethnic identities as Hispanic (one), Hispanic/Latina (one), Black/Afro Latino (one), Caucasian (one), and White (two). Those who answered the question of other relevant identities named student or partnership status. Participants were entered into a drawing for one of three $15 Starbucks gift cards after completion of the second interview as a token of appreciation for their time.
Participant Recruitment
Sackett obtained human subjects research approval from her university of employment’s IRB. Sackett then recruited participants by sending two rounds of emails explaining the purpose of the study to contacts from 387 CACREP-accredited master’s programs in the United States with specialty areas in clinical mental health and school counseling. The email requested the faculty member send the recruitment email with the purpose of the study and a note about what participation entailed to their master’s students who were currently enrolled in, or had completed, practicum or internship in their program. Inclusion criteria included the experience of a microaggression from a client, regardless of marginalized identity(ies) of the CIT. The email asked CITs to contact Sackett if interested in participation. When participants contacted Sackett, she completed the informed consent process and referred them to Mack to schedule the first interview. Ten individuals contacted Sackett with interest in participating in the study. However, four of the initial 10 individuals reported not having experiences of microaggressions to share after hearing the definition of a microaggression from Mack (see Data Collection below).
Data Collection
Mack conducted two interviews over Zoom with each participant. Two interviews per participant allowed for sustained engagement with the phenomenon, and interviews were spaced from 1 to 3 weeks apart per participant to allow time for reflection between the interviews. This resulted in 12 interviews. Each participant answered demographic questions during the first interview that requested gender, age, race/ethnicity, any other relevant identities, and pseudonym. To begin each interview, Mack broached her identities with participants (Day-Vines et al., 2007) and verbally gave participants a definition of microaggressions as intentional or unintentional ongoing verbal or nonverbal offensives experienced by individuals of a marginalized group (Ratts et al., 2016). Interview questions were centered on CITs’ experiences of microaggressions from clients, in line with van Manen’s (2016) recommendation that the interview be strongly oriented to the phenomenon. Interview questions were developed by Sackett, Mack, and Sharma and were informed by extant literature of counselors’ experiences of microaggressions from clients (e.g., Branco & Bayne, 2020), multicultural counseling competencies (e.g., Ratts et al., 2016), and CITs’ prioritization of information for supervision (e.g., Cook & Welfare, 2018), coupled with the authors’ respective expertise and perspectives. Researchers used the same interview protocol for both interviews, which can be found in the Appendix. While being mindful of the differences between counseling and interviewing (Sackett & Lawson, 2016), Mack utilized counseling skills to facilitate discussion and to communicate empathy (Kleist, 2017). Interviews ranged in length from 24 to 62 minutes (M = 46.1; SD = 11.82), except for Lila’s second interview of only approximately 5 minutes, as she indicated she had nothing to add from the previous interview. Interviews were audio-recorded and later transcribed by a graduate assistant.
Analysis
We used NVivo Version 12 (QSR, 2018) software to manage the data. Operating from van Manen’s (2016) approach, we were concerned with capturing the essential meaning of the phenomenon, which involved seeing the essential meaning of each participant’s experience, reaching a reflective determination, and explaining the experience. In this process, we gave order to the research and writing by considering the phenomenon in themes. Along with van Manen’s hermeneutic phenomenological approach, we employed the First and Second Cycle coding process described by Miles et al. (2020). After listening to all participant interviews, Sackett reviewed the 12 interview transcripts while utilizing a line-by-line approach to coding (van Manen, 2016). She applied in vivo codes in her first review and then went back through the data to apply a combination of descriptive codes, process codes, emotion codes, and value codes in the First Cycle coding (Miles et al., 2020). This allowed for a way to summarize segments of data. Next, Sackett applied Second Cycle coding, or pattern coding, to group the initial codes into themes. van Manen described this theme development as giving shape to the shapeless in the data.
We followed van Manen’s (2016) recommendation that for deeper understanding, a peer may read a draft of the description of the phenomenon and share their insights of whether the description resonates with their own experience of the participants’ descriptions. As such, Mack, who had conducted the interviews, and Sharma, who listened to the recordings of the interviews, read the steps of First and Second Cycle coding Sackett employed and shared their insights of how the description of the findings reflected their experience of the participants’ accounts. Through this iterative process, we were able to examine, reinterpret, and reformulate themes while keeping in mind van Manen’s guiding question for this process of whether the phenomenon would still be the same if we were to change or delete any theme. We followed van Manen’s advisement to be mindful to capture individual experiential differences in our data analysis and writing process of the phenomenon. In this study, that meant considering the unique identities of each participant, including intersecting identities and how those may impact their experience of microaggressions from clients. We chose to structure our writing of the phenomenon thematically, one of van Manen’s suggestions for organizing the portrayal of the data. There is some overlap in the nuances of the meanings of the themes, as describing a phenomenon is bound to have a somewhat forced quality.
Methodological Integrity
As suggested by van Manen (2016), the researchers engaged with each other throughout the entire process of data collection and analysis in a collaborative way that led to deeper understanding of the phenomenon. This process strengthened our engagement with the phenomenon and transcended the limits of having a sole researcher. In doing this, we had regular phone calls, video meetings, and emails throughout the study. Sackett kept a reflective journal while listening to the interviews and conducting analysis. Further, we kept a log of each step in the process, including interview data, codes, and theme development, to show the culmination of our interpretation of the findings. Finally, we conducted two member checks through email with each participant. Member checks allowed participants to reflect on the transcripts of the interviews for further insight and to review the themes and allow for feedback on if it was an accurate description of what the experience is like (van Manen, 2016). Therefore, we conducted member checks after interviews were transcribed and after theme development. In the second member check, we invited participants into dialogue around whether the themes reflected their experience of the phenomenon.
Findings
Five themes emerged from our exploration of CITs’ experiences of microaggressions from clients in the counseling process: (a) internal reactions, (b) attempts to contextualize, (c) prevalence of microaggressions, (d) navigating microaggressions, and (e) seeking support. The first theme, internal reactions, had three subthemes: caught off guard, discomfort, and imposter phenomenon. The fourth theme, navigating microaggressions, had five subthemes: fear of responding genuinely, letting it go, attempting to redirect, directly responding, and avoiding. The final theme, seeking support, had three subthemes: site, university, and family and peers. Pseudonyms chosen by the participants are used throughout the Findings section to maintain participants’ confidentiality.
Internal Reactions
The first theme, internal reactions, embodies what was happening internally with CITs as they experienced microaggressions in the counseling process. This theme includes subthemes centered around being caught off guard, feeling discomfort, and experiencing imposter phenomenon.
Caught Off Guard
The first subtheme of internal reactions CITs experienced, caught off guard, describes the initial reaction from the microaggression and not being sure how to react outwardly. David cautiously described his reaction to a parent in a school counseling setting as “mostly just confusion and not really being sure how to respond in that particular situation to what the parent had said.” Wesley, on the other hand, also in a school counseling setting, carefully described trying to manage being caught off guard with how he responded nonverbally in the moment:
I put on my poker face. Nonverbally, eyes kind of narrow, brows furrow. . . . [if] they catch me off guard, like one eyebrow goes up. But because . . . of the mask [from the pandemic], they can’t really read my facial expression, they can only see my eyes.
Discomfort
CITs also conveyed feeling discomfort in their internal reactions to microaggressions, including anxiety, fear, hurt, sadness, and anger. Lila solemnly described her surprise and discomfort with a client making assumptions of her based on ethnicity as “not ashamed, but saddened that she made that difference between us. I didn’t think she would have done that.”
Imposter Phenomenon
The third subtheme that resonated with CITs’ experiences in terms of internal reactions was imposter phenomenon. CITs often felt microaggressions from clients made them question their competency and even confirmed doubts they already had in the counselor role, as David thoughtfully articulated:
I think this goes back a little bit to the imposter syndrome that a lot of interns feel, and that I know that I’ve certainly felt. It’s like someone seeing me for who I am and confirming all the different feelings that I have about myself. About maybe not being fully capable in the role yet. . . . very much like, “oh you’re seeing me for who I am” and feeling . . . “I agree with you. You’re seeing how I see myself in some situations.”
Attempts to Contextualize
The next theme, attempts to contextualize, captures CITs’ tendency and desire to try to make sense of the client microaggression and to understand where the client was coming from and why they may have felt that way or may have said those things. For instance, Lila rationalized—while not excusing the microaggression from her client—“I guess the moment when she said that she was ill, and she was going through a lot of issues. So, I kind of understand her, but I don’t think there was a need of saying stuff like that.” Riley came from the perspective that it is part of a counselor’s role to seek to understand the microaggression:
I see where individuals come from and . . . my job will be to understand the perspective of the other individual . . . and show that type of unconditional positive regard and that unconditional empathy toward them. And kind of look at things from their view. I try not to take things . . . too hard. Because it was just the way they were raised.
Prevalence of Microaggressions
The next theme encompasses CITs’ perspectives that microaggressions are part of their lives and ongoing experiences, and in some cases they described feeling a bit numb or resigned to microaggressions. Riley said that she “didn’t feel anything. I was just like, ‘here this guy goes again.’ I wasn’t frustrated because I didn’t feel my face getting hot. . . . Typically when I get frustrated, my ears start to burn.”
Wesley underscored the prevalence of these experiences in his world, too: “At this point, nothing really surprises me. Maybe it’s me putting on a pair of rose-colored glasses and just using the glass to filter through whatever microaggressions come at me at this point.” He expressed feeling like he had experienced enough microaggressions to “kind of become numb to it. . . . it happens, and you don’t even pay it any mind, especially living in the South.”
Navigating Microaggressions
The next theme speaks to how CITs navigated, or thought about navigating, the microaggressions with clients. These responses ranged broadly from fear of responding genuinely to letting it go, attempting to redirect, directly responding, or avoiding.
Fear of Responding Genuinely
The first subtheme captures the participants’ fear of responding genuinely to clients, even when in some cases they would have liked to. Some of this fear centered on participants’ awareness that they may be playing into stereotypes held by clients if they were to respond genuinely, as Riley richly articulated:
That really bothers me . . . I tend to find myself taking a moment to myself, and I’ll be like, “okay, you’re good” . . . “that’s okay. It’s just one thing that one person told you and maybe they were having a bad day.” So, I try to be as understanding as I can.
Riley expressed that society and the media often portray Latina women as “feisty” or “spicy,” and that she does not want to “give [someone] that satisfaction” of confirming the stereotype: “I’m not like that, you know? I’m not spicy. I’m not a food.”
Other CITs described fear of the vulnerability involved with responding genuinely to a client’s microaggression. For example, Blake explained her genuine response and surrounding fear:
And I did disclose to the client that I’m bisexual. I said, “Oh I’m, I’m bi.” But I had that like, even knowing that the client was part of LGBTQ community, I had that question of like, “Why is the client asking? Is this appropriate? What should I say? What do I do?”
Letting It Go
CITs described often letting microaggressions go for the sake of the client, the counseling, and the counseling relationship. Connecting back to the theme of attempting to contextualize the microaggression, Riley felt it was her responsibility to let it go, “because they’re [microaggressions] from clients, I understand the role as . . . as a student counselor, that I have to kind of push it aside, and bracket those feelings.” Wesley was earnest in his feeling that microaggressions from students’ parents should not get in the way of his work as a school CIT:
Yeah it’s going to take the focus off of the kid. And it’s going to make things awkward. So I’m all for teaching people, but there’s a . . . moment in time when it’s appropriate. And at this point . . . I’m just trying to get through what we’re doing so we can move on to the next parent. No . . . hard feelings, I’m not upset. I’m a little disappointed, but I’m not livid . . . let’s just move on.
Attempting to Redirect
Some CITs chose to navigate the microaggression by redirecting it back to the client or to another topic without directly addressing the microaggression. For instance, Riley spoke to her efforts to connect these incidents back to clients indirectly: “Even if it’s something said toward us, we try to find a window . . . or different backdoor type of thing to redirect whatever they are saying back to them.”
Directly Responding
There were times in the CITs’ experiences of microaggressions in counseling where there was a direct response, either by themselves, a part of the client system, or their site supervisors. CITs seemed to view these instances as reparative in the rift the microaggression created in the therapeutic relationship. For example, Wesley fondly recalled a time when a student apologized for his parent’s microaggression after the fact:
They felt that I was uncomfortable, and they felt the need to try and repair it by apologizing for their parents. So it was very validating to me as a person. And to me as a Black person, because the kid realize what their parents had [done] was out of pocket . . . I’m assuming the kid didn’t want our relationship to suffer. . . . So we talked about it. “Look it’s cool it happened, you and I are still good,” and we moved on.
In a different vein, Blake said that responding directly to a youth client questioning her sexual identity in a public area of the practice helped build trust with the client:
[If] I had hesitated, or if I had said, “oh, no, like I’m not like [that],” I think you know, I think people are perceptive and I think that would have damaged [the relationship]. Even if I’m not sure that the disclosure was an additive piece to the relationship, I think that not being forthcoming would have detracted from anything in that moment.
Avoiding
Finally, within the theme of navigating clients’ microaggressions, participants reported engaging in avoidance afterward in response. This avoidance included instances when the CIT dreaded contact with the client (or the client system) and limited contact when possible. Avoidance also showed up on behalf of the client by discontinuing work with the CIT in individual or group settings. M relayed that her site found a way to separate her and the client who microaggressed against her: “They even said . . . ‘We’re going to not put her in groups with you . . . it’s just not safe for either of you guys.’” Wesley, a school counseling CIT, somberly described parents trying to avoid him after microaggressing against him: “I’ve had a few [parents] request a different . . . counselor when they come in, because they may feel like they soured their relationship with me already. These are the parents . . . who have noticed that they . . . micro-assaulted me.”
Seeking Support
The final theme, seeking support, captures participants’ experiences (or lack thereof) of seeking and finding support from their sites, university supervisors and faculty, and family and peers.
Site
CITs often found support at their sites after experiencing microaggressions from clients. This was frequently seemingly because of physical proximity. Often CITs’ site supervisors or other counselors at the site may have witnessed the microaggression or CITs were able to debrief with someone nearby after it happened. David indicated having a quick but meaningful moment of support with his site supervisor before moving on to their next meeting. He recalled that “after the meeting my supervisor and I just kind of like gave each other a look like, ‘ooh that was kind of a strange meeting.’” M was able to debrief with her site supervisor regularly following repeated microaggressions from her client and found her guidance helpful and supportive, especially in the realm of not taking things personally. M said her supervisor encouraged her to “process it on my own, to make sure that it’s not affecting me . . . to where I can’t even use my counseling skills. Like she didn’t want me to go home at night thinking that a patient hates me.”
University
For the most part, CITs described either not taking these instances of microaggressions to university supervisors or faculty or facing unsupportive responses when they did. Blake relayed feeling shut down by a faculty member’s humor in a class discussion when she brought up how she handled a microaggression with self-disclosure:
Yeah it was a moment of . . . playful questioning of like, “Oh, that’s the decision you made?” That kind of has that implication that maybe it wasn’t the best decision without having more context, right? And I know . . . that [humor is] kind of his approach. But it was a moment, where I was . . . like, “well I don’t really feel like going further with this.”
In some cases, CITs did find helpful and supportive responses from their faculty. Riley described her professor normalizing her experience and giving her what she found to be helpful advice:
[He] told me, “Sometimes we get things like that,” and that’s when he gave me that advice of trying to redirect the question or redirect it back to the client, versus falling into the trap. Well, he called it a trap. Into that little trap they could be setting for us.
Many participants described feeling as though the microaggression was handled by themselves, at their sites, or through processing with family; thus, they felt no need to bring it up in university supervision.
Family and Peers
CITs frequently described seeking out their families, friends, and peers for support after experiencing a microaggression from a client. Lila processed her experience with her husband, who gave her advice to have more boundaries with her client and “to keep it more professional. . . . I would sometimes disclose about my personal life because she would ask. So I just stopped disclosing.” Riley expressed feeling the need to vent to friends about her experience, “like ‘What the hell was this lady thinking like telling me that?’ . . . just letting it out.”
Wesley sought support from his mother and grandmother in processing microaggressions perpetuated by students’ parents in his school counseling role. He relayed their supportive response:
It was more of a, “These things can happen, you handle it appropriately.” . . . they have had experiences with microaggressions themselves. [They] may not have known what to call them but have experienced it. And pretty much just applauded me for staying neutral, not punishing the kid for what their parents said, and not completely blasting the parent in the meeting because . . . of a joke they let out.
Discussion
In the current study, we explored six CITs’ experiences of microaggressions perpetuated by their clients in counseling settings. The findings from this study provide insight into how novice counselors experience microaggressions from their clients and choose to handle it. We hope these findings enrich the understanding of client-based microaggressions and offer important implications for CITs, counselor educators, and supervisors.
The first theme, internal reactions, reflected the ways in which participants internally processed the microaggression from their client, which is consistent with prior literature of counselors of color’s experiences with microaggressions from clients (Branco & Bayne, 2020). Interestingly, the CITs in the current study described being caught off guard—feeling confused and uncertain with how to respond—while the more seasoned counselors of color in Branco and Bayne’s (2020) study described buffering and bracing for the microaggression, as if they were prepared for it. Counselors in Branco and Bayne’s study (2020) described their readiness for microaggressions from clients was informed by their prior and extensive personal and professional experiences. Although the CITs may have experienced microaggressions in their personal lives and were used to them, as evidenced by the theme of prevalence of microaggressions, their being caught off guard may be attributable to their lack of counseling experience, and more specifically, having never experienced microaggressions from clients and having not yet learned how to navigate this issue.
The CITs further described how microaggressions from clients caused feelings of hurt, fear, anger, sadness (subtheme of discomfort), and experiences of imposter phenomenon. CITs commonly experience confusion, doubt, and worry about their own professional competencies and preparedness as counselors—sometimes internalizing issues in counseling as their own failures (Loganbill et al., 1982; McNeil & Stoltenberg, 2016). Ultimately, CITs in this study also tried to understand the microaggression from their clients’ perspectives. CITs seemed to understand that people inherit their biases from their families and ancestors and reinforce them through microaggressions, oftentimes unintentionally (Williams et al., 2021). Counselors of color in Branco and Bayne’s (2020) study expressed that they tried to make sense of the microaggression as well, and considered their clients’ worldview, racial identity development, and experiences as they evaluated how they would handle the microaggression. The degree to which CITs can consider the clients’ worldview and cultural identity development may depend on their level of professional development (McNeil & Stoltenberg, 2016) and their own identity development (Day-Vines et al., 2007; Jones et al., 2019).
The CITs in the current study described microaggressions as an ongoing part of their lives, as captured in the theme of prevalence of microaggressions. Microaggressions have been referred to as everyday racism, as they are routine and chronic for individuals of racially and ethnically marginalized populations (Williams et al., 2021). This finding is consistent with prior literature of racial microaggressions (Branco & Bayne, 2020; Haskins et al., 2015, Pierce, 1970). Our findings also extend the knowledge base about microaggressions from clients, as microaggressions can target not only race and ethnicity, but also gender, sexual orientation, age, socioeconomic class, and religion. This finding is not unexpected; as informed by the MSJCC (Ratts et al., 2016), counselors and clients possess multiple identities, both privileged and marginalized, and visible and invisible.
The CITs in this study employed a variety of strategies in navigating microaggressions from their clients. Many CITs felt discomfort in the moment, but they were fearful of responding with their genuine reactions for various reasons. Some CITs tried to redirect the microaggressive client by concentrating on the client’s presenting issue or by taking the focus of the conversation elsewhere. Some CITs directly addressed perpetrators’ microaggressions and expressed that this action helped the relationship, while others decided to forgo addressing the microaggressions altogether. In some situations, clients and CITs attempted to avoid each other following the microaggressive incident. These varying responses are not unlike those found in prior research (Branco & Bayne, 2020). A unique contribution to this study is that our participants even experienced microaggressions from clients’ parents, reflecting a larger system that may foster and perpetuate biased opinions and perspectives toward individuals with marginalized identities. When counseling children, parents play an important role in the counseling relationship, despite not being the identified client (Sackett & Cook, 2021).
The final theme, seeking support, reflected the participants’ willingness and desire to seek support for their experiences of microaggression and from whom the support was sought. CITs must decide whether to disclose an issue experienced in counseling, including microaggressions (Branco & Bayne, 2020), and with whom they trust to share this information (Cook & Welfare, 2018; Cook et al., 2019). Some counselors in Branco and Bayne’s (2020) study spoke of seeking support (i.e., coworker, friend), while others did not and chose to process the event independently. The response of the CITs in our study was also somewhat mixed in this regard, as some CITs sought guidance from professionals at their site or, less often, from university faculty or supervisors, while others sought support from individuals in their personal lives. Given that our participants were trainees, it is not unexpected that they would seek guidance from someone more experienced, like a supervisor (McNeil & Stoltenberg, 2016), though interestingly many CITs did not choose to bring these situations to a university supervisor or faculty member. Further, the participants’ satisfaction with the support that they received, especially from their university, varied greatly. Although some participants felt validated, others felt unsupported. It remains to be seen how the response of the supervisors might inform participants’ actions in the future, although Cook et al. (2019) found that CITs who disclosed a salient concern to their supervisors and felt unsupported may be less willing or unwilling to bring up similar issues in the future with the same supervisor.
The finding that CITs in this study were discussing the microaggressions with family and peers must be carefully considered, even though this finding is not entirely unexpected. Ladany et al. (1996) found that CITs commonly discussed issues withheld from their supervisors with peers and friends, although these people were most often also in the mental health field. Further, studies have found that counselors with marginalized identities value the support of others with shared identities (Branco & Bayne, 2020; Haskins et al., 2015). However, like other scholars (Ladany et al., 1996), we wonder how a CIT’s professional development or client’s care might be impacted by heeding the advice of or seeking support from someone who does not possess the necessary training or is bound to the same ethical and professional mandates as a clinical supervisor or infield peer.
Limitations
There are limitations to this study that are important to note. Although researchers recruited participants from CACREP-accredited programs from across the United States, the resulting sample consisted of only those from the Southern region. CITs’ experiences with microaggressions in this region may be different from those in other parts of the country. Next, we did not explicitly ask about participants’ targeted identities; this information was inferred from participants’ experiences. Although a plethora of existing research focuses on racial microaggressions, we acknowledge that our participants also spoke about other marginalized identities that were salient to them. Additionally, although our sample size was congruent with the constructivist philosophical stance and scope of the study (Boddy, 2016), the sample was relatively small. Counselor educators should consider the transferability to CITs with marginalized identities working with clients of privileged identities. Finally, given van Manen’s (2016) recommendation for an interpretive conversation with participants around the identified themes, scheduling a verbal conversation with each participant for the second member check may have allowed for more input from participants on the findings.
Implications for CITs, Counselor Educators, and Supervisors
Readers will need to determine, along with the researchers’ description, the naturalistic generalizability of these study findings to their contexts (Hays & McKibben, 2021). However, the findings from this study offer several notable implications for CITs. As with the participants in this study, CITs experiencing uncertainty with how to respond to microaggressions from clients should be expected, given that microaggressions can be difficult to identify and rectify because of their nebulous nature (Williams et al., 2021) and given the lack of training CITs receive on how to navigate these complex issues (Haskins et al., 2015). Further, learning how to best attend to cultural issues in the counseling relationship is a learned skill (Ratts et al., 2016) that is gained through curiosity, intentional learning, lived experience, and continued professional development (McNeil & Stoltenberg, 2016). As evidenced by findings from this study, as well as other studies (e.g., Branco & Bayne, 2020), counselors choose to respond to microaggressions from their clients in a multitude of ways, including offering no response at all. How best to respond to microaggressions is ultimately the choice of the CITs themselves, including the degree to which they discuss their experience and with whom. For example, CITs must consider their position of power in the counselor role, the impact of any decision on the counseling relationship, the intentionality of clients’ microaggressions, and their own emotional well-being
(Pierce, 1970). Given the complexity of this decision, there may be some useful strategies to help inform CITs’ decisions in how to best respond (Hernández et al., 2010; Nadal, 2011).
CITs may find it helpful to broach cultural identities with their clients at the beginning of their working relationship (Day-Vines et al., 2007). By inviting and normalizing conversations of cultural differences, it may make it easier for both parties to openly discuss microaggressions when they occur. CITs may also find it helpful to model humility in the counseling relationship by correcting their own assumptions about clients (Marbley, 2004). Broaching is a skill and a form of immediacy, or processing the here and now of the counseling relationship, which has been found meaningful in the counseling relationship and the counseling process to clients (Sackett & Lawson, 2016; Sackett et al., 2012) and CITs (Sackett et al., 2012). We believe CITs can harness the skill of immediacy (i.e., broaching) to address microaggressions with clients when they occur in counseling. But first, they need to be taught skills to disarm and dismantle microaggressions to reduce the harm and distress they may cause (Sue et al., 2019). Although the onus is not on CITs who experience microaggressions to always address them in the moment, developing a clinical skillset to educate clients on how to recognize their biases, challenge erroneous beliefs that undergird microaggressions, and develop empathy with those they have harmed is important to mitigating the risk of burnout among CITs with marginalized identities (Williams, 2020).
The findings from this study also offer important implications for counselor educators and supervisors. Fickling et al. (2019) contended that the MSJCC framework (Ratts et al., 2016) should be explicitly integrated into clinical supervision. These findings might also provide a rationale for counselor educators to consider how to infuse the MSJCC framework into their classrooms to better prepare students for microaggressions from clients. Specifically, counselor educators and supervisors can examine with CITs how a counselor holding a marginalized identity can engage with a client holding a privileged identity in a counseling relationship, including discussing or role-playing various scenarios and ways to manage microaggressions from clients (Branco & Bayne, 2020). Encouraging counselor self-care strategies (Sue et al., 2019) in processing these scenarios is critical.
Haskins and colleagues (2015) found that counselor educators acknowledged their curriculum was tailored for White students to work with White clients, even if unintentionally. Counselor education program faculty may apply critical race theory tenets to their curriculum to challenge the dominant White discourse in counselor education, as advised by Haskins and Singh (2015). Our findings highlight the value of training related to CITs’ other marginalized identities as well (e.g., gender, sexual orientation, religion, first language) when working with clients of various privileged and/or visible identities, a need identified by Branco and Bayne (2020). The absence of education on navigating microaggressions may lay the foundation for marginalized students to feel as though their experiences are misunderstood or unwelcomed by faculty or supervisors. The current study provides counselor educators and supervisors with information from CITs on how they experience the counseling process when the dynamics of clients with privileged identities and counselors with marginalized identities are present and political (Ratts et al., 2016). Our study findings fill a gap in the literature of the experiences of CITs who encounter clients who offend and perpetuate microaggressions against them while in session.
Because CITs and supervisees control what they share in supervision, fostering an environment that promotes supervisee disclosure is critical (Cook & Welfare, 2018). Studies of intentional nondisclosure (i.e., supervisees’ purposeful withholding of salient information in supervision; Cook & Welfare, 2018; Ladany et al., 1996) found that supervisors can best mitigate supervisees withholding information by attending to the supervisory relationship and demonstrating cultural humility (Cook & Welfare, 2018; Cook et al., 2020). When a CIT voices concerns related to their identities (i.e., a microaggression), counselor educators and supervisors have an opportunity to support such disclosure in a way that validates the CIT’s experience and encourages future disclosures (Cook et al., 2019). Jones et al. (2019) provided situational examples and related response prompts to guide counselor educators and supervisors on ways to broach cultural differences with their supervisees at the beginning of the supervisory relationship and appropriately attend to cultural issues throughout the relationship. Further, as multicultural competence is positively correlated to a stronger supervisory relationship from the supervisees’ perspective (Fickling et al., 2019), supervisors who work to incorporate the MSJCC framework into their supervision will benefit in their supervisory relationships, hopefully leading to increased disclosure of experienced microaggressions, and provision of appropriate support in navigating the CIT–client relationship.
Conflict of Interest and Funding Disclosure
The authors reported no conflict of interest
or funding contributions for the development
of this manuscript.
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Appendix
Interview Protocol
Tell me about your experience(s) where a client said something that felt like a microaggression toward you.
- What feelings came to you when you experienced the microaggression from your client?
- What thoughts came to you?
- How did you respond (verbally and/or nonverbally)?
- How did the client respond to your response?
- What occurred then?
- How do you feel this impacted your relationship with the client?
Did you process this experience with anyone? With whom did you share about this experience (peers, supervisors, faculty, friends, family, etc.)?
If you processed this with your supervisor(s), was this a doctoral student supervisor, faculty supervisor, or site supervisor?
- How did your supervisor(s) respond?
- How did your supervisor(s) encourage you to respond?
- How did you feel about that response from your supervisor(s)?
- How did you proceed after the feedback from your supervisor(s)?
If any further action was taken with your client following supervision:
- How did your client respond?
- How do you feel about how it went?
- How do you feel this impacted your relationship with the client?
Did you seek [additional] supervision following [remedial] interactions you may have had with your client?
- From whom?
- What was the feedback from your supervisor(s)?
How do you feel this entire experience impacted your relationship with your supervisor(s)?
Any other experiences?
Corrine R. Sackett, PhD, LMFT, is an associate professor at Clemson University. Heather L. Mack, LPC, works for The Well Center in South Carolina. Jyotsana Sharma, PhD, ACS, LCMHC(NH), is an assistant professor at Oklahoma State University. Ryan M. Cook, PhD, LPC, ACS, is an associate professor at the University of Alabama. Jardin Dogan-Dixon, PhD, is a Correctional Psychologist for the Federal Bureau of Prisons. Correspondence may be addressed to Corrine R. Sackett, 225 S. Pleasantburg Dr., Suite D-1, Greenville, SC 29607, csacket@clemson.edu.
Jul 19, 2023 | TPC Outstanding Scholar
Michael T. Kalkbrenner received the 2022 Outstanding Scholar Award for Concept/Theory for his article, “Guidelines and Recommendations for Writing a Rigorous Quantitative Methods Section in Counseling and Related Fields.”
Kalkbrenner (he, him, his), PhD, NCC, is an associate professor of counseling and educational psychology at New Mexico State University. He received his doctorate in counselor education and supervision from Old Dominion University and his MS in mental health counseling from The College at Brockport, State University of New York. Dr. Kalkbrenner’s research agenda is centered on two major themes—psychometrics and college student mental health, and measurement and evaluation of dimensions of integrated mental and physical wellness. He has utilized quantitative, qualitative, and mixed-methods research paradigms, with an emphasis on quantitative methodology in psychometrics and other multivariate statistical analyses. Dr. Kalkbrenner’s teaching pedagogy is based on John Dewey’s theory of experiential learning and the flipped classroom in which the instructor is responsible for the learning environment and students are responsible for their own learning. Dr. Kalkbrenner has clinical experience providing counseling to a variety of populations in an array of different settings, including medical residents, veterans, college students, and children.
Read more about the TPC scholarship awards here.
Jul 19, 2023 | TPC Outstanding Scholar



Eric M. Brown, Kristy L. Carlisle, Melanie Burgess, Jacob Clark, and Ariel Hutcheon received the 2022 Outstanding Scholar Award for Quantitative or Qualitative Research for their article, “Adverse and Positive Childhood Experiences of Clinical Mental Health Counselors as Predictors of Compassion Satisfaction, Burnout, and Secondary Traumatic Stress.”
Brown (he, him, his), PhD, MDiv, LPC, is a counselor educator, mental health counselor, and researcher. He is an assistant professor in the Mental Health Counseling and Behavioral Medicine program at Boston University Chobanian & Avedisian School of Medicine, where he teaches classes on trauma counseling, addiction counseling, and group therapy. His research is focused on issues related to the prevention of burnout in helping professionals. Currently, Dr. Brown researches burnout and the resilience of counselors, teachers, and pastors.
Carlisle (she, her, hers), PhD, is an associate professor in Old Dominion University’s Counseling and Human Services Department, where she is the Human Services Program director. She also serves as the university’s addictions education coordinator, as well as the chief editor of the Journal of Human Services Scholarship and Interprofessional Collaboration. She has work experience as a PK–12 teacher, school counselor, mental health counselor, and case manager/supervisor, and she has served child, adolescent, and adult populations in school, inpatient residential, and community mental health settings. Dr. Carlisle’s research interests include addictions and addictions education, crisis and trauma education, and interprofessional collaboration and education (IPC/IPE).
Burgess (she, her, hers), PhD, is an assistant professor and the co-coordinator of the Counselor Education and Supervision PhD Program in the Department of Counseling, Educational Psychology, and Research at the University of Memphis. She earned both her PhD in counselor education and supervision and her MSEd in counseling with a concentration in school counseling from Old Dominion University. Dr. Burgess’s research interests include school counselor preparation and clinical supervision; data-driven, evidence-based practices in PK–12 settings; and assessment. She has presented at national and state conferences, received federal and regional grant funding, and published qualitative and quantitative articles in peer-reviewed journals.
Clark (not pictured), BS, is a graduate student at Old Dominion University. Hutcheon (not pictured), MA, is a doctoral student at Old Dominion University.
Read more about the TPC scholarship awards here.
Jun 30, 2023 | Dissertation Excellence Award
In the tenth year of TPC‘s Dissertation Excellence Award program, awards were presented to the authors of two winning dissertations, one in qualitative research and one in quantitative research. After receiving submissions from across the United States and through implementation of an improved selection process, the committee selected Drs. Kshipra Jain and Crystal Morris to receive the 2023 Dissertation Excellence Awards. Dr. Jain received the award in qualitative research for her dissertation entitled Experiences of South Asian LGBTQ+ Asylum Seeking Men in the US: A Qualitative Inquiry, and Dr. Morris received the award in quantitative research for her work entitled Silent No More: Exploring the Effects of Mindfulness-Based Strengths Practice on Relationship Satisfaction, Mindfulness, and Well-Being in Female Survivors of Military Sexual Trauma.
Kshipra Jain (she, her, hers), PhD, NCC, LPC, is a Licensed Professional Counselor (LPC) and Supervisor in Washington, D.C., and a National Certified Counselor (NCC). She has a PhD in counseling (CES) from the George Washington University in Washington, D.C., and a master’s in mental health counseling and behavioral medicine from Boston University School of Medicine. Kshipra is the founder of Saathi Counseling LLC and is currently practicing as a clinician in Washington, D.C. She is passionate about serving and advocating for individuals with marginalized intersectional identities, such as BIPOC, LGBTQ+, immigrants and children of immigrants, and women.
Kshipra has been a board member for Counselors for Social Justice (CSJ) since 2020 and served as the 2020–2021 president for Maryland Counselors for Social Justice (MCSJ). She is also a recipient of the 2018–2019 NBCC Minority Fellowship Program for Mental Health Counselors – Doctoral award. When not involved in professional pursuits, Kshipra enjoys immersing herself in nature, traveling across the globe, reading, cooking, and spending quality time with family and friends.

Crystal Morris (she, her, hers), PhD, NCC, LPC-S, CSC, earned a Bachelor of Science in chemistry with a minor in psychology from the University of Mary Hardin-Baylor, a Master of Education in counseling psychology from Texas A&M University-Central Texas, and her PhD in counselor education and supervision from the University of Texas at San Antonio. She is currently a visiting assistant professor of counseling at St. Edward’s University in Austin, Texas, and an adjunct faculty member in the counseling, health, and kinesiology department at Texas A&M University-San Antonio. She teaches various courses, such as crisis and trauma, group counseling, and counseling theories.
Crystal has worked as a professional school counselor, educator, graduate research assistant, military family life counselor, and private practice therapist. She is a Licensed Professional Counselor Supervisor, National Certified Counselor (NCC), Certified School Counselor (CSC), owner, and clinical director at Butterflies Prospering Wellness Co. She has a wealth of clinical experience that has informed her classwork, teaching, and research. Crystal has experience in the counseling and education field, totaling over 10 years working with at-risk youth, young adults, and military service members and families.
Crystal has advocated in the community through her work with Teach Them to Learn Outreach Ministries, a residential shelter for women and children who have escaped domestic violence. In her private practice, she currently counsels couples; active duty veterans; and adolescents with issues from PTSD/trauma, anxiety, depression, and much more. Beyond her clinical work, Crystal examines the efficacy of mindfulness-based interventions and positive psychology as a trauma-informed protocol. She hopes to advance the theory and understanding of evidence-based treatments for the populations she has worked closely with.
In addition, she is the author of The Butterfly Affect: Living the Single Life Through God’s Eyes, 21 Days of Positive Living, and the coming-soon book in the series, The Butterfly Affect: Establishing Healthy Relationships.
Crystal’s research interests focus on mindfulness-based strengths practices, character strengths and positive psychology as interventions, and exploring relationship satisfaction in female survivors of military sexual trauma. Her research interests also focus on holistic wellness; mental health in the Black and African American communities; multicultural competence and social justice advocacy in counseling; ethics in counseling; relationships (couples); sexual abuse/trauma in women, and PTSD/trauma. Crystal has presented at local, state, and national conferences, and she has written a book chapter on integrative practices for adolescents and children and in a peer-reviewed journal on mindfulness-based strengths practice, with current publications in the works.
TPC looks forward to recognizing outstanding dissertations like those of Drs. Jain and Morris for many years to come.
Read more about the TPC scholarship awards here.