- Transference
- The client's unconscious redirection of feelings from a past important relationship onto the counselor.
- Countertransference
- The counselor's emotional reaction to a client rooted in the counselor's own unresolved issues.
- Empathy
- Accurately sensing and reflecting the client's internal frame of reference; one of Rogers's core conditions.
- Congruence
- Rogers's core condition of counselor genuineness — outward responses match inner experience.
- Unconditional positive regard
- Rogers's core condition of nonjudgmental acceptance and caring for the client as a person.
- Confidentiality
- The counselor's ethical duty to protect client information from disclosure.
- Duty to warn
- From Tarasoff: the duty to protect an identifiable victim from a client's serious, imminent threat of violence.
- Reliability
- The consistency of a test's scores — whether it produces stable, repeatable results.
- Validity
- Whether a test measures what it claims to measure.
- Informed consent
- The client's voluntary agreement to counseling after disclosure of its nature, fees, risks, and confidentiality limits.
- ACA Code of Ethics
- The American Counseling Association's ethical standards for the profession; the anchor for NCE ethics questions.
- NBCC
- The National Board for Certified Counselors — develops and administers the NCE and grants the NCC credential.
- NCC
- National Certified Counselor — NBCC's national professional certification, earned in part by passing the NCE.
- Privileged communication
- A legal right, held by the client, protecting confidential communications from disclosure in a legal proceeding.
- Confidentiality vs. privilege
- Confidentiality is a broad ethical duty; privileged communication is a narrower legal right held by the client.
- Mandated reporting
- The legal duty to report reasonable suspicion of abuse or neglect of a child, elder, or dependent adult.
- Tarasoff case
- The court case establishing the counselor's duty to protect identifiable third parties from a client's serious threats.
- Limits of confidentiality
- Confidentiality yields for danger to others, danger to self, suspected abuse, and a valid court order.
- Dual relationship
- A nonprofessional role with a client (social, business, sexual) that risks impaired judgment or exploitation.
- Sexual relationships with clients
- Prohibited with current clients and for at least five years after termination under the ACA Code.
- Kitchener's five principles
- Autonomy, nonmaleficence, beneficence, justice, and fidelity — the foundation of counseling ethics.
- Autonomy (ethics)
- The ethical principle of respecting the client's right to self-determination and choice.
- Nonmaleficence
- The ethical principle of doing no harm; often weighted most heavily when principles conflict.
- Beneficence
- The ethical principle of acting to promote the client's well-being.
- Justice (ethics)
- The ethical principle of treating clients fairly and equitably.
- Fidelity (ethics)
- The ethical principle of being loyal, honest, and keeping commitments and promises.
- Scope of competence
- Practicing only within the boundaries of one's education, training, and supervised experience.
- Certification vs. licensure
- Certification (e.g., NCC) is a voluntary national credential; licensure (e.g., LPC) is state legal authorization to practice.
- HIPAA
- Federal law protecting the privacy and security of clients' protected health information.
- Clinical supervision
- Oversight of a counselor's work by a more experienced clinician to support competence and protect clients.
- Consultation
- Seeking professional input from a colleague to inform ethical or clinical decisions.
- Ethical decision-making model
- A structured process for resolving dilemmas not clearly answered by the ethics code.
- Counselor advocacy
- Acting on behalf of clients and the profession to remove barriers to well-being and access.
- Subpoena response
- Counselors respond ethically and lawfully, asserting privilege where it applies and protecting the client.
- Record keeping
- Maintaining accurate, secure client records and following lawful retention and disposal rules.
- Minors and consent
- Minors' rights and parental consent vary by state; counselors clarify confidentiality limits up front.
- Telehealth ethics
- Counselors verify competence, security, consent, and jurisdiction when providing distance counseling.
- Boundary crossing vs. violation
- A crossing is a benign deviation from the norm; a violation harms or exploits the client.
- Test-retest reliability
- The stability of a test's scores when the same test is given to the same people over time.
- Internal consistency
- How well a test's items measure the same construct; often indexed by Cronbach's alpha.
- Cronbach's alpha
- A common index of internal-consistency reliability ranging up to 1.0.
- Inter-rater reliability
- The degree of agreement between independent scorers or raters.
- Content validity
- Whether a test's items adequately cover the domain it claims to measure.
- Criterion validity
- Whether a test correlates with an outcome — concurrent (now) or predictive (later).
- Construct validity
- Whether a test truly measures the underlying theoretical trait it claims to.
- Reliability vs. validity rule
- A test can be reliable without being valid, but cannot be valid unless it is also reliable.
- Standard error of measurement
- An estimate of the error in an individual's test score; used to build a confidence band.
- Normal curve
- The symmetric, bell-shaped distribution where mean, median, and mode coincide.
- Standard deviation
- A measure of how spread out scores are around the mean.
- Percentile rank
- The percentage of a norm group scoring at or below a given score.
- Norm-referenced test
- A test that compares a person's score to a norm group (e.g., percentile rank).
- Criterion-referenced test
- A test that measures performance against a fixed standard rather than against other people.
- Mental Status Exam (MSE)
- A structured assessment of a client's current functioning: appearance, behavior, speech, mood/affect, thought, perception, cognition, insight, judgment.
- Mood vs. affect
- Mood is the client's reported, sustained emotion; affect is the counselor's observed expression of emotion.
- Biopsychosocial assessment
- A comprehensive intake covering biological, psychological, and social factors influencing the client.
- DSM-5-TR
- The American Psychiatric Association's current diagnostic manual; counselors use it to diagnose by formal criteria.
- Prolonged grief disorder
- A diagnosis added in the DSM-5-TR for persistent, impairing grief beyond expected norms.
- Differential diagnosis
- Distinguishing between disorders with overlapping symptoms to reach the most accurate diagnosis.
- Sensitivity (testing)
- A test's ability to correctly identify those who have the condition (true positive rate).
- Specificity (testing)
- A test's ability to correctly identify those without the condition (true negative rate).
- Intake interview
- The initial structured session gathering history and presenting concerns to inform diagnosis and planning.
- Risk assessment
- Evaluating a client's danger to self or others, including suicide and violence risk factors.
- MMPI
- The Minnesota Multiphasic Personality Inventory — a widely used objective personality and psychopathology test.
- Beck Depression Inventory
- A self-report instrument measuring the severity of depressive symptoms.
- WAIS / WISC
- Wechsler intelligence scales for adults (WAIS) and children (WISC).
- Projective test
- An assessment (e.g., Rorschach, TAT) using ambiguous stimuli to elicit personality dynamics.
- Aptitude vs. achievement
- Aptitude predicts future performance; achievement measures what has already been learned.
- Cultural bias in testing
- When a test's content or norms disadvantage members of a particular cultural group.
- Erikson's psychosocial stages
- Eight lifespan crises, each yielding a virtue when resolved (e.g., identity vs. role confusion in adolescence).
- Trust vs. mistrust
- Erikson's infancy stage; a reliable caregiver builds basic trust and the virtue of hope.
- Identity vs. role confusion
- Erikson's adolescent stage of forming a coherent identity; the virtue is fidelity.
- Integrity vs. despair
- Erikson's late-life stage of reflecting on a life well-lived; the virtue is wisdom.
- Piaget's cognitive stages
- Sensorimotor, preoperational, concrete operational, and formal operational development.
- Object permanence
- A Piagetian milestone (sensorimotor) — knowing objects exist when out of sight.
- Conservation (Piaget)
- Understanding that quantity stays the same despite changes in shape or arrangement (concrete operational).
- Kohlberg's moral development
- Three levels of moral reasoning: preconventional, conventional, and postconventional.
- Attachment theory
- Bowlby and Ainsworth's account of early bonds; styles include secure, anxious, and avoidant.
- Secure attachment
- A bond marked by trust and comfort with closeness, formed with a responsive caregiver.
- Maslow's hierarchy of needs
- A pyramid from physiological and safety needs up to esteem and self-actualization.
- Self-actualization
- The top of Maslow's hierarchy — realizing one's full potential.
- Vygotsky's ZPD
- The zone of proximal development — the gap between what a learner can do alone and with guidance.
- Scaffolding
- Temporary, graduated support that helps a learner reach a skill within the ZPD.
- Bronfenbrenner's ecological systems
- Development nested in micro-, meso-, exo-, macro-, and chronosystems.
- Kubler-Ross stages of grief
- Denial, anger, bargaining, depression, and acceptance — reactions to loss, not a strict sequence.
- Temperament
- Innate, biologically based individual differences in reactivity and self-regulation.
- Multicultural competence
- Sue & Sue's framework of counselor awareness, knowledge, and skills for working across cultures.
- MSJCC
- The Multicultural and Social Justice Counseling Competencies — the profession's current culturally responsive framework.
- Cultural humility
- A lifelong, self-reflective stance recognizing the limits of one's cultural knowledge and attending to power.
- Worldview
- A person's culturally shaped framework for perceiving and interpreting the world.
- Acculturation
- The process of adapting to a new or dominant culture while negotiating one's culture of origin.
- Microaggression
- A subtle, often unintentional slight communicating a hostile message to a marginalized person.
- Emic vs. etic
- Emic is a culture-specific (insider) perspective; etic is a universal (outsider) perspective.
- Cross's Nigrescence model
- A model of Black racial identity development across stages.
- Helms's White identity model
- A model of White racial identity development and awareness of privilege.
- Intersectionality
- How overlapping identities (race, gender, class, etc.) combine to shape experience and oppression.
- Cultural encapsulation
- Wrenn's term for a counselor trapped in their own cultural assumptions, ignoring client differences.
- Holland's RIASEC
- Six personality and work-environment types: Realistic, Investigative, Artistic, Social, Enterprising, Conventional.
- Congruence (career)
- Holland's idea that fit between a person's type and their work environment predicts satisfaction.
- Super's career stages
- A life-span/life-space theory: growth, exploration, establishment, maintenance, and disengagement.
- Frank Parsons
- The father of vocational guidance and the trait-and-factor model (know self, know work, match the two).
- Krumboltz's happenstance
- A social-learning career theory emphasizing how chance events shape careers.
- Gottfredson's theory
- Circumscription and compromise — how children narrow career options by self-concept and access.
- Self-Directed Search
- A career-interest inventory based on Holland's RIASEC types.
- Strong Interest Inventory
- A widely used assessment matching a person's interests to occupational patterns.
- Career maturity
- Readiness to make appropriate, informed career decisions for one's developmental stage.
- Wellness model
- A holistic, strengths-based framework viewing health across multiple life dimensions.
- Crisis (developmental)
- A turning point or stressful transition that can disrupt functioning and require support.
- Treatment plan
- A collaborative, goal-directed roadmap from assessment, stating measurable goals, interventions, and progress criteria.
- Measurable goals
- Specific, observable objectives that let the counselor and client gauge progress.
- Collaborative goal setting
- Building treatment goals with the client, not for them, to support autonomy and buy-in.
- Termination criteria
- The conditions, set early, that signal goals are met and the client can maintain gains independently.
- Evidence-based practice
- Integrating the best available research, clinical expertise, and client values in treatment decisions.
- Progress monitoring
- Continuously evaluating outcomes against the plan and revising when progress stalls.
- Termination
- The planned, collaborative ending of counseling once goals are substantially met.
- Premature termination
- Ending counseling before goals are met; abandonment is an ethical concern.
- Relapse prevention
- Planning to anticipate and manage high-risk situations to sustain gains after change.
- Referral
- Connecting a client to another provider or resource when their needs exceed the counselor's scope.
- Case conceptualization
- An organizing clinical hypothesis explaining the client's concerns and guiding treatment.
- Independent variable
- In research, the factor the researcher manipulates.
- Dependent variable
- In research, the outcome that is measured.
- Null hypothesis
- The default claim that there is no effect or no difference, which a study tries to reject.
- Statistical significance
- The likelihood a result is not due to chance, judged against an alpha level (often .05).
- Type I error
- A false positive — rejecting a true null hypothesis (finding an effect that is not there).
- Type II error
- A false negative — failing to reject a false null hypothesis (missing a real effect).
- Statistical power
- The probability of correctly detecting a true effect (1 minus the Type II error rate).
- Correlation vs. causation
- A relationship between variables does not prove one causes the other.
- Effect size
- A measure of the magnitude of a relationship or difference, independent of sample size.
- Experimental vs. quasi-experimental
- Experiments use random assignment; quasi-experiments do not.
- Internal vs. external validity
- Internal validity is causal confidence; external validity is generalizability.
- Qualitative vs. quantitative
- Qualitative explores meaning in words; quantitative measures with numbers.
- Mean, median, mode
- Measures of central tendency: average, middle value, and most frequent value.
- Program evaluation
- Systematically assessing a program's process and outcomes to inform decisions.
- IRB
- Institutional Review Board — reviews research to protect participants' rights and welfare.
- Random assignment
- Allocating participants to conditions by chance to control for confounds.
- Psychoanalytic therapy
- Freud's approach centered on the unconscious, defense mechanisms, and transference.
- Defense mechanisms
- Unconscious strategies (repression, denial, projection, sublimation) that protect against anxiety.
- Repression
- A defense mechanism that pushes threatening thoughts out of conscious awareness.
- Projection
- A defense mechanism attributing one's own unacceptable feelings to someone else.
- Sublimation
- Channeling unacceptable impulses into socially acceptable activity; a mature defense.
- Free association
- A psychoanalytic technique of saying whatever comes to mind to surface unconscious material.
- Person-centered therapy
- Rogers's humanistic approach built on empathy, unconditional positive regard, and congruence.
- Core conditions
- Rogers's necessary and sufficient conditions for change: empathy, UPR, and congruence.
- CBT
- Cognitive-behavioral therapy (Beck) — identifying and changing distorted thoughts and behaviors.
- Cognitive distortions
- Beck's systematic thinking errors (all-or-nothing, catastrophizing, overgeneralization).
- Cognitive restructuring
- A CBT technique of identifying and replacing distorted, maladaptive thoughts.
- Automatic thoughts
- The spontaneous, often distorted thoughts CBT targets between an event and an emotion.
- REBT
- Ellis's Rational Emotive Behavior Therapy — disputing irrational beliefs via the ABC model.
- ABC model
- Ellis's model: an Activating event plus Beliefs produce Consequences; irrational beliefs are disputed.
- Classical conditioning
- Pavlov's learning through association of a neutral stimulus with a meaningful one.
- Operant conditioning
- Skinner's learning through reinforcement and punishment of behavior.
- Positive reinforcement
- Adding a desirable stimulus to increase a behavior.
- Negative reinforcement
- Removing an aversive stimulus to increase a behavior.
- Systematic desensitization
- A behavioral technique pairing relaxation with a graded hierarchy of feared stimuli.
- Exposure therapy
- Gradually facing feared stimuli to reduce avoidance and anxiety.
- Contingency management
- Using tangible reinforcers to strengthen desired behaviors, common in addiction treatment.
- Adlerian therapy
- Adler's approach emphasizing inferiority, social interest, lifestyle, and birth order.
- Social interest
- Adler's term for a sense of connectedness and contribution to the community.
- Reality therapy
- Glasser's approach based on choice theory and the WDEP system.
- Choice theory
- Glasser's view that behavior is chosen to meet basic needs; clients own their choices.
- WDEP system
- Reality therapy's steps: Wants, Doing, Evaluation, and Planning.
- Gestalt therapy
- Perls's here-and-now approach using awareness and techniques like the empty chair.
- Empty chair technique
- A Gestalt exercise in which a client addresses an imagined person or part of self in an empty chair.
- Unfinished business
- A Gestalt concept: unresolved feelings that interfere with present functioning.
- Existential therapy
- An approach (Frankl, Yalom, May) addressing meaning, freedom, responsibility, and mortality.
- Logotherapy
- Frankl's existential therapy focused on the search for meaning.
- Solution-focused brief therapy
- A brief, goal-directed approach (de Shazer & Berg) using the miracle question and scaling.
- Miracle question
- A solution-focused question asking how life would differ if a miracle solved the problem overnight.
- Scaling question
- A solution-focused question asking the client to rate something on a 0-10 scale.
- Exception question
- A solution-focused question exploring times the problem was absent or less severe.
- Narrative therapy
- A postmodern approach (White & Epston) using externalizing and re-authoring the client's story.
- Externalizing
- A narrative technique separating the person from the problem.
- Motivational interviewing
- Miller and Rollnick's client-centered method for resolving ambivalence and building motivation to change.
- OARS
- Motivational interviewing core skills: Open questions, Affirmations, Reflective listening, Summaries.
- Stages of change
- Prochaska & DiClemente's model: precontemplation, contemplation, preparation, action, maintenance.
- Precontemplation
- The stage of change with no intention to change; the counselor raises awareness.
- Contemplation
- The stage of change with awareness and ambivalence; explore pros and cons.
- Action (stage of change)
- The stage of actively modifying behavior; reinforce and support new skills.
- Active listening
- Fully attending to and reflecting the client's verbal and nonverbal messages.
- Reflection of feeling
- Mirroring the client's emotion to convey understanding and deepen exploration.
- Paraphrasing
- Restating the content of a client's message in the counselor's words.
- Summarizing
- Pulling together key themes from a session to consolidate understanding.
- Open-ended questions
- Questions that invite elaboration rather than a yes/no answer.
- Immediacy
- Addressing what is happening in the counseling relationship in the here-and-now.
- Confrontation (counseling)
- Gently pointing out discrepancies in a client's words, feelings, or actions.
- Tuckman's stages
- Group development: forming, storming, norming, performing, adjourning.
- Forming (group)
- The first group stage — tentative, dependent on the leader, orienting and testing boundaries.
- Storming (group)
- The group stage of conflict and competition as members vie for position.
- Norming (group)
- The group stage where cohesion, trust, and shared norms develop.
- Performing (group)
- The group stage of productive, interdependent work toward goals.
- Yalom's therapeutic factors
- Eleven curative factors in group therapy, including universality, hope, and cohesiveness.
- Universality (group)
- Yalom's factor: the relief of realizing one is not alone in one's struggles.
- Group cohesion
- The bond and sense of belonging among group members; a key driver of change in groups.
- Linking (group)
- A leader skill of connecting one member's experience to another's to build cohesion.
- Blocking (group)
- A leader skill of stopping harmful or counterproductive behavior to protect members.
- Psychoeducational group
- A group focused on teaching information and skills to prevent problems.
- Process group
- A group focused on interpersonal interaction and here-and-now relationships.
- Crisis intervention
- Brief, immediate, action-oriented help to stabilize a person in acute crisis.
- Suicide risk assessment
- Evaluating ideation, plan, means, intent, history, hopelessness, and protective factors.
- Safety planning
- A collaborative plan listing coping strategies and supports to use during a suicidal crisis.
- Genuineness
- The counselor's authenticity and transparency; another term for congruence.
- Therapeutic alliance
- The trusting bond plus agreement on goals and tasks; the strongest common predictor of outcome.
- Working alliance
- Bordin's model of the alliance as bond, goals, and tasks.
- Rapport
- The sense of trust and connection that makes a client feel safe and understood.
- Warmth
- A counselor disposition of caring, acceptance, and nonpossessive concern.
- Self-awareness (counselor)
- Ongoing reflection on one's own reactions, biases, and countertransference.
- Managing countertransference
- Recognizing and working through one's own reactions via self-awareness and supervision.
- Counselor wellness
- Attending to one's own well-being so personal issues do not impair client care.
- Burnout
- Emotional exhaustion and reduced effectiveness from prolonged occupational stress.
- Vicarious trauma
- The cumulative effect on a counselor of empathic engagement with clients' trauma.
- Cultural humility (disposition)
- A core counselor disposition of openness and ongoing learning across cultures.
- Patience and presence
- Core dispositions enabling the counselor to stay attuned without rushing the client.
- Nonjudgmental stance
- Accepting the client without evaluation, fostering safety and openness.
- Professional disclosure statement
- A document informing clients of the counselor's qualifications, fees, and policies.
- Empathic responding
- Communicating understanding of the client's feelings and meaning, building the alliance.
- Positive regard (Rogers)
- A core counselor attribute of valuing the client unconditionally as a person.
- Reflective practice
- Habitually examining one's own clinical work to improve and grow.
- Multicultural orientation
- A way of being with clients marked by cultural humility, opportunities, and comfort.
- Emotional regulation (counselor)
- The counselor's capacity to manage their own emotions to stay present and effective.
- Authenticity
- Being genuine and transparent with clients; closely tied to congruence.
- Compassion fatigue
- The gradual erosion of empathy and energy from sustained caregiving.
- Boundaries (counselor)
- Clear professional limits that protect the client and the relationship.
- Self-care plan
- A proactive plan to maintain counselor wellness and prevent burnout.
- Resilience (counselor)
- The capacity to recover from clinical stress and sustain effective practice.
- Curiosity (disposition)
- An open, nonjudgmental interest in the client's experience that deepens understanding.
- Humility (disposition)
- Recognizing the limits of one's knowledge and remaining open to the client as expert on their life.
- SMART goals
- Goals that are Specific, Measurable, Achievable, Relevant, and Time-bound.
- Short- vs. long-term goals
- Immediate objectives that build toward broader outcomes in the treatment plan.
- Outcome measure
- A standardized instrument used to track client progress over the course of treatment.
- Continuum of care
- The range of services matched to a client's level of need, from outpatient to inpatient.
- Confounding variable
- An extraneous factor that distorts the apparent relationship between variables.
- Reliability of research
- The consistency and repeatability of a study's measurements and findings.
- Generalizability
- The extent to which study findings apply beyond the sample (external validity).
- Single-subject design
- A research design tracking one participant across baseline and intervention phases.
- Meta-analysis
- A statistical synthesis combining results across multiple studies.
- p-value
- The probability of obtaining a result at least as extreme as observed if the null is true.
- Parallel-forms reliability
- Consistency between two equivalent versions of the same test.
- Face validity
- Whether a test appears, on the surface, to measure what it claims.
- Standardization
- Administering and scoring a test under uniform conditions to allow fair comparison.
- z-score
- A standardized score expressing how many standard deviations a value is from the mean.
- Comorbidity
- The presence of two or more disorders in the same client.
- Suicide screening
- Brief, structured screening for suicide risk as part of assessment.
- Collateral information
- Data gathered from family, records, or other providers to inform assessment.
- Diagnostic interview
- A structured or semi-structured interview used to establish a DSM diagnosis.
- Preconventional morality
- Kohlberg's first level — reasoning based on punishment and reward.
- Postconventional morality
- Kohlberg's highest level — reasoning based on universal ethical principles.
- Anxious attachment
- An attachment style marked by clinginess and fear of abandonment.
- Avoidant attachment
- An attachment style marked by emotional distance and discomfort with closeness.
- Formal operational stage
- Piaget's final stage — abstract and hypothetical reasoning emerges in adolescence.
- Privilege (social)
- Unearned advantages conferred by membership in a dominant social group.
- Oppression
- Systematic, unjust treatment or denial of rights to a social group.
- Career decision-making
- The process by which clients gather information and choose among work options.
- Person-environment fit
- The match between an individual's traits and the demands of a work setting.
- Resilience (development)
- The capacity to adapt well in the face of adversity across the lifespan.
- Overgeneralization
- A cognitive distortion of drawing broad negative conclusions from one event.
- Catastrophizing
- A cognitive distortion of expecting the worst possible outcome.
- All-or-nothing thinking
- A cognitive distortion of viewing situations in only two extreme categories.
- Token economy
- A behavioral system reinforcing target behaviors with tokens exchangeable for rewards.
- Shaping
- Reinforcing successive approximations toward a target behavior.
- Behavioral rehearsal
- Practicing a new behavior in session before using it in real life.
- Reframing
- Offering a new, often more constructive meaning for a situation or behavior.
- Genogram
- A graphic map of a family across three or more generations recording relationships and patterns.
- Termination (group)
- The adjourning stage — the group ends and members consolidate gains.
- Resistance (counseling)
- A client's reluctance to change, reframed in MI as ambivalence to work with, not against.