Digital Commons Network^™

Moral Injury In Active Service And Veteran Female Military Combatants, William Curtis Neal

Doctoral Dissertations and Projects

A topic of concern and discussion in the mental health community, and maybe a special concern from both governmental and civilian practitioners, is the subject of moral injury. Moral Injury has been widely researched over the last 10 years and is a known and discussed condition that is linked to military personnel and veterans who have experienced events while deployed or operating in adverse conditions such as combat. The following descriptive study focuses on one group from which they have been excluded or overlooked in past studies. This creates a gap in the published literature: female servicewomen and veterans. Both …

Dungeons And Dragons As A Therapeutic Intervention Training, Samuel Grove

Dissertations, Theses, and Projects

Dungeons and Dragons (D&D) is a role-playing game that gives players’ versatility by allowing them to dictate, customize, or create their own experience. There are many different iterations of role-playing games with varying presentations for in-person and online play; table-top role-playing games and video games (Connell, 2024) (Kowal et al, 2021). Through the 3 pillars of play (Exploration, Role-play, and Combat) player are able to customize their own experience to their preference or collective preference of the group. The balance between the 3 frames of play (Player, Game, and Character) optimizes the players role-playing experience (Connell, 2023). D&D is the …

What Are The Barriers To Seeking Psychotherapy Services Across Different Racial And Ethnic Groups?, Deysee Chavez, Elisa Rodarte

Electronic Theses, Projects, and Dissertations

This study explored barriers to seeking psychotherapy services across racial and ethnic groups among adults of 18 years of age or older (2) any individual who has considered, sought, or received mental health services (3) residing in Southern California. The surveys consisted of questions from the Barriers to Mental Health Services Scale Revised (BMHSS-R) sub-scales; Help Seeking, Stigma, Knowledge and Fear of Psychotherapy, Belief about Inability to Find a Psychotherapist, and Belief that Depressive Symptoms are Normal. It was hypothesized that Latino individuals face greater barriers when seeking psychotherapy services as compared to other racial groups. This study consisted of …

Military Spouse Counselors: Exploring Mental Health, Resilience, Coping, And Burnout, Melinda Poteet Brinkley

Doctoral Dissertations and Projects

Military spouses (MLSPs) are an integral part of the military family and key mental health providers in military community. This study explores the mental health, resilience, coping, and burnout of MLSP counselors, counselor educators, and supervisors (CES). This study was grounded in resilience theory, investigating relationships between mental health and burnout, mediated by resilience, and conditioned by coping. An online survey was distributed through social media and email, open to MLSP counselors/CES of all branches and components of service (N = 68). This quantitative, descriptive, cross-sectional correlational research designed utilized PROCESS Models 4, 58, and 59, which determined that resilience …

A Phenomenology Study- Vicarious Trauma Among School Counselors And Teachers Working With Students From The Northern Triangle In Elementary Title I Schools, Janeth B. Santiesteban

Doctoral Dissertations and Projects

The present phenomenological study aimed to describe the lived experiences of school counselors and teachers working at elementary Title I schools in Maryland with students from the Northern Triangle (a region of Central America comprising El Salvador, Guatemala, and Honduras). The assumption was that these education professionals may undergo struggles and demands that may put them at risk of vicarious trauma due to the trauma those students and their families have endured. The theory guiding this study was the transactional theory of stress and coping (Lazarus,1966; Lazarus & Folkman, 1984) and the stress theory (Cohen et al., 1997), which converge …

Music As A Coping Mechanism: Clinical Implications Of How College Students Utilize Music To Cope With Anxiety, Depression, And Daily Stressors, Karly Pikel

Senior Theses

Many college students face stress, anxiety, and/or depression in their daily lives which they cope with in their own ways. Listening to music or playing an instrument are particularly powerful forms of coping that can have a plethora of positive effects on an individual. The purpose of this study was to conduct a survey amongst the University of South Carolina student body to determine how they utilize music to cope in their daily lives. Of 847 respondents, almost all of them reported experiencing some extent of anxiety and/or stress and listening to music to help them cope. Respondents agreed that …

Breaking Point: An Exploration Of The Mental Health Crisis On Campus, Melissa Wood

Inquiry: The Journal of the Virginia Community Colleges

In the past several decades, the number of college students who experience mental health concerns has increased astronomically. During that time, acts of campus violence have increased as well. Unfortunately, many colleges have been unable to effectively meet the needs of students with mental disorders. This article explores the challenges surrounding the mental health and wellness of college students. It also analyzes the impact of such challenges on students and the institution. Additionally, this paper examines best practices that colleges may implement to assist students in distress and discusses implications for higher education leaders.

Unlocking Hope: Exploring Suicide Protective Factors Through The Georgia Student Health Survey, Megan Kinsey Thrasher

Doctoral Dissertations and Projects

The purpose of this quantitative, correlational study was to determine the relationship between teenage suicide of Georgia public high school students as it relates to school connectedness, peer support, and adult support as determined by the Georgia Student Health Survey (GSHS). The GSHS is an anonymous statewide survey instrument given to secondary Georgia public school students. Archival data from completed GSHS results were used in this analysis. The significance of the research study is to determine if the survey provides reliable information to the Georgia Department of Education and local educational agencies as a useful tool and indicator of potential …

Abusive Management And Workplace Trauma In The Mental Health Field: A Phenomenological Study, Amanda White

Doctoral Dissertations and Projects

Workplace trauma can take place in various forms including abusive supervision or management, workplace bullying, vicarious traumatization, violence, compassion burnout, and workplace stress. For the most part, the perpetrators of these incidents can either be strangers, peers, or management within the organization. The aftermath of workplace trauma can be detrimental to a person’s physical, emotional, mental, and spiritual health and cause work-related issues. The purpose of this phenomenological study was to understand the personal experiences of those in the mental health field who have been traumatized in the workplace specifically by the management within the organization. This study was directed …

Music Performance Anxiety: Should It Be Addressed In Music Curricula And By Whom?, Kaitlynn Kamer

Honors Projects

Music performance anxiety (MPA) impacts musicians of all skill levels, as demonstrated by existing research on both student and professional musicians. Although most musicians experience MPA, it is not formally addressed in music curriculum. This study seeks to evaluate the views and discourse around MPA in the collegiate music community through a survey of 66 college music students, 17 faculty members, and a series of secondary interviews. Through the results of the surveys and interviews, the thoughts on MPA from both the faculty and student perspective will be discussed. Upon reviewing the results of study, possible avenues for addressing MPA …

Nutrition Counseling Practices Among Psychologists, Wibecke Stromsnes

University of the Pacific Theses and Dissertations

There is a lack of treatment guidelines for how to address the impact of nutrition on clients’ mental health. Prior research is limited regarding psychologists’ practices of nutrition counseling and has mostly focused on practices of dieticians and medical doctors. The purpose of this study was to examine psychologists’ beliefs and attitudes about nutrition counseling, amount of training and use of nutrition counseling, self-rated knowledge in the use of nutrition counseling and perceived benefits and barriers to using nutrition counseling. Data was collected using an online survey of 76 licensed psychologists’ training in nutrition and use of nutrition counseling. Findings …

Feasibility Of Influencing Clinician Perceived Knowledge And Competence Of Human Trafficking Via A Continuing Education Workshop, Rachel Wakefield

Electronic Theses and Dissertations

Previous research has examined the complex mental and social health deficits of those who were trafficked that clinicians have to treat therapeutically (Litam, 2017; Pascual-Leone et al., 2017). Other research has explored how continuing education workshops often change the knowledge, competence, and attitudes of attendees to use more effective and evidenced techniques and skills (Neimeyer et al., 2009; Raghavan et al., 2008). However, there is a lack of understanding about how a complex topic, specifically treatment considerations of those who were trafficked, changes the knowledge and competence of continuing education workshop attendees. The purpose of the current study is to …

The Aging Population And Masking Requirements: A Qualitative Phenomenological Study, Tiffany M. Mioduszewski

Doctoral Dissertations and Projects

The purpose of this qualitative, phenomenological study is to understand the lived-experiences of individuals over 60 years old. This study was done to specifically understand psychological effects of adhering to protective measure put in place during the COVID-19 pandemic. A pandemic can be described as a global epidemic that has the ability to spread to other continents. The COVID-19 pandemic has impacted thousands of people worldwide. There have been multiple preventative measures put in place for individuals to follow to reduce the spread of the virus. The mandates vary depending on the country and state in which an individual lives …

Impact Of Mental Health Disorders On Partner Mental Health And Marital Satisfaction, Tabitha G. Hennagan

Doctoral Dissertations and Projects

Mental health effects have been continually documented to include difficulty with building relationships with others, issues with communicating needs effectively, and difficulty maneuvering community services and supports. These difficulties can add pressure on individuals with mental health issues and can cause the difficulties of symptoms to increase. These pressures of dealing with the symptoms of mental illness do not only fall on the individuals with mental illness but also fall on their caregivers, family members, and spouses. These individuals may play multiple roles to assist the individual with mental illness with feeling supported. The constant need for support and sometimes …

Lack Of School Choice And The Mental Health Of Rural Parents: A Phenomenological Study, Lisa Deforest Holland

Doctoral Dissertations and Projects

The purpose of this phenomenological study was to describe the experiences of parents whose children have limited educational options in rural North Carolina. The theory chosen to guide this study was choice theory, founded by William Glasser, as it explains that all behavior including reactions to others’ choices, and the body’s reaction to stress are chosen by the individual (Glasser, 2001). Additionally, choice theory recognizes the basic needs of survival, love and belonging, power, freedom, and fun, and their impact on behavior which Maslow identified in his hierarchy of needs model (Glasser Institute for Choice Theory, n.d.). Parents want to …

A Phenomenological Study Of Pentecostal Pastors: Reducing The Stigma Of Mental Health In African Americans, Tonnya Lorraine Mcclure

Doctoral Dissertations and Projects

The purpose of this phenomenological study was to explore how Pentecostal pastors can reduce the stigma of mental health in African Americans in the Church of God in Christ churches in Northwest Georgia. The theory guiding this study is phenomenology based on Edmund Husserl’s theory as it explains the lived experiences of African American Pentecostal pastors and stigma within the African American community. The research questions for this study were: How do the perceived beliefs of African American pastors affect the way stigma and mental health illness are treated within the church?, How do Pentecostal beliefs affect help-seeking behavior for …

A Phenomenological Study Exploring The Experiences Of Active-Duty Servicemembers Seeking Mental Health Treatment: How Mental Health Stigma In The Military Can Affect Help-Seeking Behavior, Philip Clinton Allen

Doctoral Dissertations and Projects

The purpose of this phenomenological study was to examine the experiences of active-duty servicemembers regarding mental health stigma and help-seeking behavior. Due to the trauma of intense combat, military servicemembers experience mental health problems at an alarming rate, and despite increased awareness and access to mental health resources, they are still reluctant to seek treatment. This study explored the lived experiences of military servicemembers with an aim to address the following research question: “How do military service members experience overcoming mental health stigma and decide to seek treatment while still on active duty?” Thirteen participants from the United States Army, …

Bicultural Appalachian Females: The Mediating Effect Of Perceived Stigma On Health Outcomes, Victoria Lynn Evans-Fulton

Doctoral Dissertations and Projects

Appalachia has been the focus of ongoing curiosity and ascribed disdain in Euro-centric American history. An amalgamation of cultures found a home in the Appalachian Mountains, blending to create a unique collectivistic culture still visible today. However, this culture has often been misconstrued as unhealthy or undesirable at best and, by reductionistic intentions, relegated to a culture of poverty. Within this system, Appalachian females have faced the burden of the intersectionality of their identities, given the acculturation expectations and Appalachian identity stigma imposed by the dominant Euro-North American culture. As indicated in scholarly literature, despite chronic marginalization and systemic oppression, …

The Mental Health Of Inmates: An Approach To Jail Reform, Courtney Isaac Anderson

Doctoral Dissertations and Projects

The aim in this phenomenological study was to understand the impact the jail environment, policies, and procedures have on incarcerated individuals. Mental health problems are common among individuals in jail. Furthermore, the jail environment, harsh policies, and isolation from the public are believed to have a negative impact on inmate mental health. Elevated percentages of inmates experiencing psychiatric difficulties during their incarceration have been supported by research. It is suggested that the elevated percentages of psychiatric demands promote the lack of mental health assistance inside jails. A methodical analysis of literature was conducted to identify the circumstances of the jail …

Animal-Assisted Therapy: A Program Evaluation Of One Substance Abuse Treatment Center, Erin Poore

MUSC Theses and Dissertations

Animal-assisted therapy (AAT) has the possibility of enhancing health outcomes for those living with substance abuse disorders. Previous research primarily focused on individuals with a diagnosis of dementia and other cognitive related disorders. Prior research that did look at individuals with substance abuse focused on the use of horses rather than canines and were limited to small sample sizes. We used an electronic medical record system to identify eligible patients to volunteer to participate in two weeks of animal-assisted therapy at one substance abuse treatment center in southeastern United States. Volunteers completed pre and post survey questions measuring overall satisfaction …

Supporting The Mental Health Needs Of Youth Through Neurobiologically-Informed Approaches, Hannah P. Jarrett

Educational Specialist, 2020-current

Many children and adolescents are experiencing increased mental health challenges, resulting in a serious public health crisis. Mental health providers must apply innovative, research-based, and developmentally responsive intervention to meet the current mental health needs of youth. Neurobiologically-informed approaches, such as Polyvagal Theory, the Neurosequential Model of Therapeutics, and Interpersonal Neurobiology, could be used to support children and adolescents appropriately and effectively across a variety of settings. These approaches apply principles of neuroscience, acknowledge developmental considerations, and attend to the impact of trauma. This project reviews mental health trends in children and adolescents, provides a brief overview of these approaches, …

Rural Populations Amongst The Mental Health Crisis In The United States Of America: Implications For Counseling Professionals, Caylyn Arbogast

Educational Specialist, 2020-current

The United States is currently experiencing a mental health crisis, following the COVID-19 Pandemic. While the United States continues to experience stigma around mental health, the impacts of the mental health and substance use crisis are even more prominent within rural communities. Challenges include lack of funding, transportation, availability, et cetera regarding the access and availability of services. Virginia, being comprised of mostly rural areas increases the likelihood that counselors may encounter a client from this background or directly serve people of these communities. Counselors are challenged to increase accessibility, affordability, acceptability, and availability to decrease barriers to treatment. As …

Whatever It Takes: A Literature Review Exploring The Psychological Cost Of Actor Training And How Drama Therapy Can Help, Kelsey Burke

Expressive Therapies Capstone Theses

This review examines the literature as it relates to the psychological and emotional impact of professional training programs for student-actors. Special attention is paid to student-actors’ developmental stage, mental health and trauma history, possible exposure to sexual harassment in rehearsal or classroom settings, specific acting techniques taught, and power dynamics between student-actors and acting teachers. Also examined is data on the potential effects that the application of trauma-informed drama therapy approaches could have on this population. This is followed by a proposed outline for a supervision-style class for student-actors led by a drama therapist intended to introduce drama therapeutic principles …

Lack Of Counseling Services Among Adults Aged 50 And Greater, Madalyn Olson

Counselor Education Capstones

The geriatric population is increasing every year which may indicate a rising need for retirement and mental health counseling. It is essential for individuals aging out of the workforce to prepare for a life after work and know how to create a new identity. Counselors need to be aware of the different scales and assessments that are available to help determine one’s attitude towards retirement and willingness to seek counseling to prepare for retirement. Additionally, it is important to be aware that although there are counseling services available for mental health disorders and substance use disorders, these services are limited …

Addressing Anti-Fat Bias: A Crash Course For Counselors And Counselors-In-Training, Stella B. Kerl-Mcclain, Cort M. Dorn-Medeiros, Kelsey Mcmurray

Journal of Counselor Preparation and Supervision

People with larger body sizes are often the target of harmful stereotypes such as being lazy, unattractive, and unintelligent. Such stereotypes are part of an extensive system of oppression often intersecting with racism, classism, and ableism. When counselors and counselors-in-training are unaware of their own biases related to body size, larger bodied clients are at risk for further harm within the very place they are seeking support. This article provides professional counselors and counselors-in-training with the historical knowledge needed to examine their own biases and prejudices around body size and fatness to become better counselors and advocates for all clients. …

Effective Treatment Modalities, Recommendations, And Desired Outcomes For Adolescents With Co-Occurring Disorders, Madelynn J. Revord

Counselor Education Capstones

This Capstone Project analyzes and assesses recent research of different modalities of treatment for adolescents with co-occurring disorders. While conducting research on this topic, the common goal of effective treatment for adolescents with co-occurring disorders includes eliminating continued substance abuse, resolving conduct concerns, developing appropriate coping skills, correcting negative thoughts and/or behaviors, decreasing delinquency, and addressing reoccurring mental health symptoms. Multidimensional family therapy, cognitive behavioral therapy, motivational interviewing, group therapy, and individual therapy are compared to formulate effective clinical approaches for adolescents with co-occurring disorders. Adverse childhood experiences, risk and protective factors, suicidality, community involvement, parental education and early intervention, …

The Spirit Empowering Counselors To Be Culturally Competent In A Racially And Ethnically Changing Society, Sandra K. Richardson, Yasmine A. Godinez, Lemuel J. Godinez

Salubritas: International Journal of Spirit-Empowered Counseling

Significant change in the counseling field begins in counselor education programs. Concerns of biased, incompetent, and ineffective counseling services for culturally diverse clients plague the mental health profession (ACA, 2021; Sue & Sue, 2016). Rapid shifts in the racial and ethnic demographic composition of American society and the overt expression of hate and violence on the lives of People of Color place a greater demand on mental health professionals to pursue and acquire multicultural competencies (Brown, 2020; Embrick, 2015). Cultural awareness, knowledge, and skills are needed to establish meaningful therapeutic relationships, to provide effective treatment, and to effectively advocate for …

Intersectional Identities Of Race And Religion Of African American Muslims And Their Attitudes Toward Seeking Mental Health Services, Cheruba A. Dhanaraj

Dissertations

African American Muslims have overlapping and interconnected identities of race and religion that can be conceptualized by the intersectionality framework to understand the complexities of barriers they face when seeking mental health services. African American Muslims have a higher risk of mental health issues due to systemic racism, racial discrimination, racial trauma, and Islamophobic discrimination. Yet, there is a lack of scholarly research or studies that focus explicitly on African American Muslims' specific mental health needs, barriers, and attitudes related to seeking mental health treatment.

This study sought to fill the gap in knowledge about attitudes toward seeking mental health …

The Relationship Between Sexual Abuse And Disordered Eating: Applications Of Narrative Therapy, Taylor Heilman, David Bright

Journal of Counselor Preparation and Supervision

While research has demonstrated a significant relationship between sexual abuse and the development of disordered eating behaviors, research on techniques to address disordered eating formed in this manner remains limited. Posttraumatic stress as well as internalized feelings of guilt, shame, and blame all contribute to the development of disordered eating in those who have experienced sexual violence. Narrative Therapy focuses on restorying an individual’s experienced and lived themes to make the creation of a new, healthy interpretation of trauma. Limited research has explored the potential application of restorying to populations experiencing disordered eating and sexual abuse trauma, independently. This conceptual …

Addressing Systemic Inequities: A Psychoeducational Group For Advocating For African Americans, Jaree' Barnwell

Educational Specialist, 2020-current

This paper will discuss and describe the development of an open psychoeducational group that will empower people of the community through education to advocate for African American/Black people within institutions that may perpetuate barriers. Acknowledging that one in four people struggle with mental health issues, it is imperative to consider an appropriate treatment modality that destigmatizes mental health and equips participants with information. This group is especially relevant as one in three African Americans, who struggle with mental health concerns, will never receive the appropriate care comparatively afforded to white populations. This thesis will concisely discuss the education system, the …