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Empowering Providers To Empower Their Patients: One Model To Expand Knowledge, Competency, And Awareness For The Perinatal Substance Use Workforce, Jacqueline Jacobs Jan 2024

Empowering Providers To Empower Their Patients: One Model To Expand Knowledge, Competency, And Awareness For The Perinatal Substance Use Workforce, Jacqueline Jacobs

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Perinatal substance use (PSU) is a serious and growing public health concern. It is associated with a variety of adverse health outcomes for both mother and child and has been shown to negatively impact the parent-child relationship. Despite the growing prevalence of PSU, there are notable deficits in provider knowledge regarding, and comfortability with, PSU. Moreover, providers report feelings of judgment, resentment, fear, and hesitancy related to their work with women with PSU. Subsequently, women with PSU struggle to find appropriate, compassionate, and effective treatment for their substance misuse. Widespread and accessible training is needed to bolster provider knowledge base, …


Suicidality Among Black Women: Considering Resiliency Within The Historic And Societal Context Of Risk, Samantha J. North Jan 2024

Suicidality Among Black Women: Considering Resiliency Within The Historic And Societal Context Of Risk, Samantha J. North

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Suicide is a global health challenge that has been historically understudied among Black women. The interpersonal-psychological theory of suicidality (IPTS) is a primary theory examined in suicidality; however, the three factors within the theory (lack of belongingness, perceived burdensomeness, and capability to die) focus on the individual. The purpose of the current study was to examine these factors in an expanded context of the historical and societal impact of oppression. A mixed methods Qualtrics study was administered to Black women who voluntarily completed the survey anonymously. Quantitatively, the study found significant differences between the impact of the IPTS factors on …


Safest Kid (A Sexual Assault Framework In Education To Support Trauma In Kids With Intellectual Disability): Delphi Study Development Of A Model And Utilization, Ashley M. Hudson Nov 2023

Safest Kid (A Sexual Assault Framework In Education To Support Trauma In Kids With Intellectual Disability): Delphi Study Development Of A Model And Utilization, Ashley M. Hudson

Electronic Theses and Dissertations

There is a grave need for additions to the school psychologist’s toolbox to support students with intellectual disability (ID) and sexual trauma. These children are especially vulnerable to adverse life experiences overall and are at a particularly high risk of experiencing sexual abuse and resulting trauma. Children with ID are less likely to have their trauma symptoms identified by those around them, as symptoms do not always present in the same way as their neurotypical peers and trauma symptoms are more likely to be grouped into the rest of their disability through diagnostic overshadowing. Additionally, individuals with ID are at …


An Empowerment Evaluation Of Colorado Mountain College’S Mountain Scholars Program Via Latino Alumni Aspirational Goals And Outcomes, Laura Anne Bruch Nov 2023

An Empowerment Evaluation Of Colorado Mountain College’S Mountain Scholars Program Via Latino Alumni Aspirational Goals And Outcomes, Laura Anne Bruch

Electronic Theses and Dissertations

This qualitative inquiry evaluated Colorado Mountain College’s (CMC) in-house Mountain Scholars Program (MSP) via semi-structured interviews with five of its Latino alumni. This study’s assets-based social justice/transformative philosophical framework included David Fetterman’s methodological empowerment evaluation and Tara Yosso’s conceptual community cultural wealth (CCW) theory. This dissertation in practice examined the gap in literature with regards to an in-house student support services program evaluation that partners with the community and focuses on Latinos’ aspirations and aspirational outcomes. I wanted to be a worthy witness to the student demographic group at CMC, as well as at most American postsecondary institutions, considered the …


The Words. Or Holes. Or Both: Writing As An Integrative Methodology For Trauma, Daniel A. Castle Aug 2023

The Words. Or Holes. Or Both: Writing As An Integrative Methodology For Trauma, Daniel A. Castle

Electronic Theses and Dissertations

This project seeks to identify methods authors have used to integrate their traumatic experiences. My work will analyze the genre of War Literature and specific authors like J.R.R. Tolkien and Kurt Vonnegut to explore the way writers describe the trauma of combat. Using insights from neuroscience and psychology, I will expand the field of Cognitive Literary Studies from a focus on the reader to a focus on the writer by linking neurological functions with narrative tools.


Counselors’ Spirituality, Attitudes Toward Suicide, And Self-Efficacy In Conducting Suicide Risk Assessment, Tayler Hendrix Aug 2023

Counselors’ Spirituality, Attitudes Toward Suicide, And Self-Efficacy In Conducting Suicide Risk Assessment, Tayler Hendrix

Electronic Theses and Dissertations

The present study aimed to explore the relationship between perceived spiritual support and counselor self-efficacy in conducting suicide risk assessment, and the moderating effects of attitudes about suicide on this relationship. Based on existing theory and empirical evidence, perceived spiritual support was hypothesized to have a positive predictive relationship with counselor self-efficacy in performing suicide risk assessment; further, four different constructs pertaining to attitudes toward suicide were also hypothesized to moderate the strength and direction of this relationship. A sample of Master’s level clinicians and advanced standing Master’s graduate students (N=132) completed on online survey containing instruments measuring perceived spiritual …


Taiwanese International Students In Clinical Supervision: A Phenomenological Study, Joey Chiao-Yin Hsiao Aug 2023

Taiwanese International Students In Clinical Supervision: A Phenomenological Study, Joey Chiao-Yin Hsiao

Electronic Theses and Dissertations

The population of international students has continued to grow in the past two decades and become an important segment of U.S. university enrollment (Ng & Smith, 2001). Altogether, there is limited literature that is devoted to international students’ experience in clinical supervision and merely any international students studies specifically focused on the Taiwanese international student subgroup. This study examined the experiences of Taiwanese international students in clinical supervision. Interpretative Phenomenological Analysis (IPA) was used to extract the phenomenon of participants’ lifeworld and qualitative data were collected from individual semi-structured interviews with Taiwanese international students (N=6). Data analysis led to four …


Risky Behavior As Motivated Emotion Regulation: A Mixed-Method Approach, Lyneé A. Herrera Aug 2023

Risky Behavior As Motivated Emotion Regulation: A Mixed-Method Approach, Lyneé A. Herrera

Electronic Theses and Dissertations

Engaging in risky health behaviors is a ubiquitous human experience that often marks developmental progression from adolescence into adulthood. While much previous research has framed risky behaviors in terms of negative legal, social, and public health consequences, less empirical work has been done on potential benefits of their engagement. A growing body of research has identified emotion regulation deficits as a significant driver of risky behavior engagement, suggesting that these behaviors may offer perceived emotional benefits when other regulation strategies are less accessible. Previous research has shown that emotional outcomes can be influenced by the regulation strategies one chooses to …


Examining Access To Decent Work Among Women Veterans: A Psychology Of Working Theory Perspective, Rebecca C. Gaines Aug 2023

Examining Access To Decent Work Among Women Veterans: A Psychology Of Working Theory Perspective, Rebecca C. Gaines

Electronic Theses and Dissertations

The present study investigated predictors of decent work among a sample of women Veterans (N = 354), grounded in the Psychology of Working Theory (PWT). A structural equation model demonstrated that women Veterans’ experiences of marginalization, economic constraints, work volition, and career adaptability all directly predicted their ability to secure decent work, and economic constraints and marginalization experiences indirectly predicted decent work via work volition. Proactive personality was additionally examined as a moderator variable and did not significantly moderate any model paths; however, it was found to be a unique predictor of decent work and work volition, as well …


An Existential Punchline: How Humor Functions In A Young Adult Friendship Facing Advanced Cancer, Megan E. Solberg Aug 2023

An Existential Punchline: How Humor Functions In A Young Adult Friendship Facing Advanced Cancer, Megan E. Solberg

Electronic Theses and Dissertations

Young adults (i.e., age 18-39) only comprise 4% of the total cancer population, yet cancers in this group are commonly found at more advanced stages due to situational factors influencing delayed diagnosis including access to healthcare, quality health insurance and competing life demands that may hinder prioritization of healthcare. Young adults with cancer also face unique challenges including higher rates of psychological distress, which may contribute to increased risk of social disconnection in response to cancer. Research suggests that humor may be a helpful coping approach and communication mechanism for mitigating distress and discussing difficult topics. Grounded within the frameworks …


Queer Interethnic Relationships: Couple-Level Minority Stress And Resilience For Intersectionally Marginalized Partners, Sree Sinha Aug 2023

Queer Interethnic Relationships: Couple-Level Minority Stress And Resilience For Intersectionally Marginalized Partners, Sree Sinha

Electronic Theses and Dissertations

Interethnic relationships and same-sex relationships continue to increase in the U.S. While LGBQ and heterosexual people are equally likely to be in romantic relationships, LGBQ individuals are more likely than their straight peers to be in an interracial or interethnic romantic relationship. The present work aims to expand intersectional investigations regarding queer people of color (QPOC), including accounting for their individual as well as relational well-being, by use of the couple-level minority stress (CLMS) paradigm. CLMS theory speaks to the unique stressors experienced as a result of being in a relationship that is societally marginalized, impacting both dyadic and individual …


“Omg, I Think You May Have Just Changed My Life”: Binge Eating Disorder Recovery In Instagram Comment Sections, Caitlin Roe Jun 2023

“Omg, I Think You May Have Just Changed My Life”: Binge Eating Disorder Recovery In Instagram Comment Sections, Caitlin Roe

Electronic Theses and Dissertations

As the internet and social media have become a more ingrained part of everyday life, online eating disorder pro-recovery communities have become a common topic of examination in the psychological sciences. However, there has been little focus on online binge eating disorder (BED) pro-recovery communities specifically. Additionally, there has not been much exploration into the use of comment sections as a part of pro-recovery communities. The current study used codebook thematic analysis to code ten BED pro-recovery Instagram comment sections to examine the interactive data present within this recovery community. Four themes were developed during analysis: detailed self-disclosure, sharing experiences …


Reference Frames In Human Sensory, Motor, And Cognitive Processing, Dongcheng He Mar 2023

Reference Frames In Human Sensory, Motor, And Cognitive Processing, Dongcheng He

Electronic Theses and Dissertations

Reference-frames, or coordinate systems, are used to express properties and relationships of objects in the environment. While the use of reference-frames is well understood in physical sciences, how the brain uses reference-frames remains a fundamental question. The goal of this dissertation is to reach a better understanding of reference-frames in human perceptual, motor, and cognitive processing. In the first project, we study reference-frames in perception and develop a model to explain the transition from egocentric (based on the observer) to exocentric (based outside the observer) reference-frames to account for the perception of relative motion. In a second project, we focus …


An Intersubjective Approach To The Role Of Anger In Differentiation And The Development Of A Cohesive Self: A Case Study, Hannah Schriber Jan 2023

An Intersubjective Approach To The Role Of Anger In Differentiation And The Development Of A Cohesive Self: A Case Study, Hannah Schriber

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

The anger-turned-inward theory of depression has been extensively explored in psychodynamic literature. Still, little has been written about how modern relational approaches work with anger to aid patients in developing a healthy self-concept. This paper will first focus on a literature review of anger in Self Psychology and Intersubjective Systems Theory. These theories view anger as the manifestation of asserting one’s self after narcissistic injury. This paper will explore the relationship between anger and depression with an intersubjective lens utilizing the case study of Martha. Here I conceptualize depression as an introjective defense against misattuned early relational experiences. I explore …


Defining Business As Usual In Preschool Interventions For Challenging Behavior, Eleanor Bold Jan 2023

Defining Business As Usual In Preschool Interventions For Challenging Behavior, Eleanor Bold

Electronic Theses and Dissertations

Challenging behavior (CB) is a major barrier to service delivery in preschool classrooms. Persistent CB has been found to significantly impact children’s academic and social success long-term, especially amongst children from historically minoritized populations and those with disabilities. Numerous evidence-based intervention strategies exist to prevent and reduce CB, yet preschool teachers continue to voice a desire to increase their capacity to do so in the classroom due to high rates of CB continuing to be observed. This dissertation seeks to address this research to practice gap by ascertaining the current baseline intervention practices utilized to manage CB in preschool classrooms …


Weplay Denver: The Why And How: Background And Implementation Manual, Lauren Gross Jan 2023

Weplay Denver: The Why And How: Background And Implementation Manual, Lauren Gross

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

WePlay Denver (WePlay and Nosotros Jugamos; see glossary) is a program providing caregiver-infant playgroups designed to teach families with young children the value of play as well as provide information and resources on topics related to child development, family wellbeing, and mental health. WePlay and Nosotros Jugamos are a collaboration between the University of Denver’s Graduate School of Professional Psychology (GSPP) and the Children’s Museum of Denver, Marsico Campus, and are based on a similar program from the Chicago Children’s Museum. WePlay offered its first playgroup in 2019, while Nosotros Jugamos began in 2020.


Cognitive Assessment Of Latinx/E Bilinguals In The United States: A Fictitious Case Study, Vanessa Magro Jan 2023

Cognitive Assessment Of Latinx/E Bilinguals In The United States: A Fictitious Case Study, Vanessa Magro

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Despite a growing body of literature and best-practice guidelines and considerations, assessment providers working with Latinx/e populations are left with numerous questions about how to translate these ideas into practice. This paper is meant to begin to answer some of these questions for Spanish-speaking providers administering cognitive tests to bilingual Latinx/e clients in the United States. The basis for these answers is a comprehensive literature review and my experience providing culturally-responsive assessment services to a bilingual Latinx/e population in the United States. A fictitious case study is included so that providers can get a concrete idea of how to bring …


A Qualitative Analysis Of Treatment Providers’ Understanding And Assessment Of Trauma And Autism, Leah Hanson Jan 2023

A Qualitative Analysis Of Treatment Providers’ Understanding And Assessment Of Trauma And Autism, Leah Hanson

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Patients with autism spectrum disorder (ASD) are particularly vulnerable to traumatic experiences and further development of posttraumatic stress disorder (PTSD). Underlying traumatic stress is commonly missed and remained untreated in the autism population. In a previous pilot study, Hanson and Richards (2021) gathered providers’ understandings on trauma and autism The current study is a further, systemic content analysis on archival data from Hanson and Richard’s pilot study. Results from the current content analysis of the responses to Question 1 (How do you assess for trauma in your patients?) revealed that providers assess patients’ trauma primarily by interviewing caregiver and patients, …


Adapting Grief And Bereavement-Focused Cognitive Behavioral Therapy For Chinese-Identifying Individuals In America: A Cultural Analysis, Ian Tsang Jan 2023

Adapting Grief And Bereavement-Focused Cognitive Behavioral Therapy For Chinese-Identifying Individuals In America: A Cultural Analysis, Ian Tsang

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Anti-Asian hate as well as shifting circumstances brought on by current events all around the world highlight the increased need for mental health support and services in an ever-growing Chinese population in the United States, particularly in regard to grief work. Additionally, Chinese Americans demonstrate a disproportionate and lower utilization of mental health services, especially in comparison to the general population in the country. This paper discusses the various factors contributing to this phenomenon before presenting recommendations for culturally adapting evidence-based approaches to grieving individuals in the target population. More specifically, a cultural analysis consisting of topics such as Chinese …


The Misattuned Music Industry: An Intersubjective Perspective On The Music Industry's Mental Health Crisis, Jonathan Fricke Jan 2023

The Misattuned Music Industry: An Intersubjective Perspective On The Music Industry's Mental Health Crisis, Jonathan Fricke

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Research shows that professional musicians tend to experience higher rates of mental health challenges compared to the general population. While there are a number of underlying factors and historical experiences that may help us to better understand these psychological struggles, I will be examining the relational system between musician and the music industry beginning at the time in which an amateur musician transitions to the professional realm. With this transition comes incredible demand and pressure from the industry. Professional musicians are at the mercy of grueling tour schedules where they spend months away from loved ones, must be "on" at …


Perinatal Through 5-Years-Old Referral List, And Full Referral Flow Process For The Professional Psychology Clinic And Associated Clinics, Lauren V. Cruz Jan 2023

Perinatal Through 5-Years-Old Referral List, And Full Referral Flow Process For The Professional Psychology Clinic And Associated Clinics, Lauren V. Cruz

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Referrals are an important and underacknowledged component of ethical clinical practice. While clinical care is understandably the core focus for most organizations, effective and efficient referrals can aide in improving client outcomes through successful connections to services, effective use of conjunctive services, and increased trust in mental health and healthcare systems/providers. In addition, improvements in the referral process can serve to decrease undue burden on providers and organizations. This document aims to review the literature on the need for and use of referrals, as well as elements of successful referrals, to inform the development of a referral self-assessment and flow …


Paternal Perinatal Psychopathology And Stigma Related To Nicu Admission, Hudson Holland Jones Jan 2023

Paternal Perinatal Psychopathology And Stigma Related To Nicu Admission, Hudson Holland Jones

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Stigma or the belief that mental health difficulties stem from a personal weakness, moral failing, or poor choices and will subject one to shame, embarrassment, scrutiny, victimization, oppression, and ostracization is a reason people choose to avoid, not to obtain or fully engage in mental health treatments despite their demonstrated effectiveness (Corrigan, 2004;Vogel et al., 2006). Gender differences have been found in experiences of stigma; for example, men were found to self-stigmatize to justify avoiding counseling to a greater degree than women (Judd et al., 2008). As such, stigma has been identified as a gender-salient variable that serves as a …


Psychedelic Assisted Psychotherapy: Equity Through Contextual Frameworks, Emanuel Hermosillo Jan 2023

Psychedelic Assisted Psychotherapy: Equity Through Contextual Frameworks, Emanuel Hermosillo

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Psychedelic assisted psychotherapy (PAP) is a psychotherapeutic modality in which the non-ordinary states of consciousness that result from the consumption of psychedelic medicines are utilized to facilitate therapeutic healing. A wide range of cultures have used a variety of these psychotropic substances as medicines since ancient times, and there has been a resurgence of interest in their beneficial properties across many disciplines including psychology. Given that there are extra dimensions of vulnerability in using these medicines therapeutically, increased attention needs to be given to diversity, equity, and inclusion across psychedelic research and clinical practices. This paper focuses on how internal …


Successful Crisis Teams: Targeting Themes Related To Well-Being And Productivity, Dana Rae Vessio Jan 2023

Successful Crisis Teams: Targeting Themes Related To Well-Being And Productivity, Dana Rae Vessio

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

While high staff turnover rates within the suicide prevention field negatively impact service delivery, they are poorly understood. Hotlines and other crisis-focused organizations cannot pinpoint what impacts well-being and productivity reliably across organizations or, rather, what creates an intersection of high points of productivity and well-being. This study employed a qualitative phenomenological approach to identify the impact of well-being and productivity amongst current and former crisis workers at a statewide hotline. Results revealed three major themes expressed by participants surrounding well-being; management support, communication, and self-regulation. Specific to productivity, participants expressed skill set and empathy as important themes related to …


Parental Misattunement And The Production Of Shame Of Existing: How To Address The Shame Of Existing Through An Intersubjective Systems Approach, Tal Ginsburg Jan 2023

Parental Misattunement And The Production Of Shame Of Existing: How To Address The Shame Of Existing Through An Intersubjective Systems Approach, Tal Ginsburg

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Shame is at the root of many commonly encountered psychopathologies. Its development has often been attributed to early childhood emotional misattunement. In severe cases, individuals can develop an extreme form of shame called the “shame-of-existing”. This paper primarily intends to contribute to the limited research about the shame-of-existing, which includes psychoanalytic perspectives from 1950-1990s, and theoretical analysis in 2014. The concept of shame of existence will be explored through an in-depth case study analysis of a 31-year-old, heterosexual, cisgender, white male who presented to psychotherapy with low-self-worth, and shame in acknowledging his own emotions and needs. This client was treated …


The Necessity Of Trauma-Focused Curricula In Mental Health Graduate Programs: Advocating For Comprehensive Trauma Etiology And Treatment Education With Proposed Course Outline, Aaron S. Gillespie May 2022

The Necessity Of Trauma-Focused Curricula In Mental Health Graduate Programs: Advocating For Comprehensive Trauma Etiology And Treatment Education With Proposed Course Outline, Aaron S. Gillespie

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

During the past four decades, it has become increasingly clear how prevalent trauma, polytrauma and co-morbid trauma-related disorders are within our shared, global communities. A growing body of research continues to uncover the mind-boggling impact these overwhelming experiences have on individuals, their families, and the communities that support them, including mental health professionals. It behooves us as allied mental healthcare providers to learn what trauma is, how it may affect the individual across the lifespan, as well as how to effectively identify and treat the trauma-related symptoms our clients present with. However, despite a proliferation of research demonstrating the growing …


Providing Effective Assessment Feedback To Patients: Lessons Learned From Feedback After A Severe Injury, Kelsie Mcquinn May 2022

Providing Effective Assessment Feedback To Patients: Lessons Learned From Feedback After A Severe Injury, Kelsie Mcquinn

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

This paper seeks to articulate lessons learned from feedback received after a severe injury in order to help guide neuropsychologists provide effective feedback to patients. Given that there is no agreed upon conceptual framework for providing neuropsychological assessment feedback, parallels are drawn from what works in clinical psychology – the working alliance. I use personal examples to highlight how the working alliance, as well as other psychological principles, can help inform neuropsychologists provide the most effective feedback to patients.


An Assessment Of Adhd/Ld Support In Psyd Programs From The Perspective Of Faculty Advisors, Mac Zimdars Jan 2022

An Assessment Of Adhd/Ld Support In Psyd Programs From The Perspective Of Faculty Advisors, Mac Zimdars

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Among psychologists and doctoral psychology students, 14.3% and 10.7% reported having Attention Deficit Hyperactivity Disorder (ADHD) or learning disabilities (LD), respectively; 67.3% of those with any disability experienced disability-related impediments and discrimination during graduate school or the application process (Lund et al., 2014). This paper is focused on assessing current PsyD program supports for students with ADHD/LD from a faculty advisor perspective. Specifically, this research assesses the faculty advisor-advisee relationship, as well as available support services and resources. Data was collected from an anonymous survey and utilized an empirical mixed-methods approach. Three themes emerged from the study: (1) Advisors lack …


Mis-Specification Of Functional Forms In Growth Mixture Modeling: A Monte Carlo Simulation, Richa Ghevarghese Jan 2022

Mis-Specification Of Functional Forms In Growth Mixture Modeling: A Monte Carlo Simulation, Richa Ghevarghese

Electronic Theses and Dissertations

Growth mixture modeling (GMM) is a methodological tool used to represent heterogeneity in longitudinal datasets through the identification of unobserved subgroups following qualitatively and quantitatively distinct trajectories in a population. These growth trajectories or functional forms are informed by the underlying developmental theory, are distinct to each subgroup, and form the core assumptions of the model. Therefore, the accuracy of the assumed functional forms of growth strongly influences substantive research and theories of growth. While there is evidence of mis-specified functional forms of growth in GMM literature, the weight of this violation has been largely overlooked. Current solutions to circumvent …


Are You My Nurse? The Effects Of Patient-Delivered Gender Microaggressions On Women Trainees’ Clinical Work In Integrated Primary Care, Julia Ratchford Kauffmann Jan 2022

Are You My Nurse? The Effects Of Patient-Delivered Gender Microaggressions On Women Trainees’ Clinical Work In Integrated Primary Care, Julia Ratchford Kauffmann

Electronic Theses and Dissertations

Gender microaggressions are a form of sexist discrimination that have detrimental effects on women’s psychological well-being. Unfortunately, these sexist occurrences are commonplace in the United States and can be experienced in a variety of ways. As such, there is a need to understand behavioral health providers’ experiences with patient-delivered gender microaggressions. In doing so, we may be able to better support women behavioral health trainees’ during their clinical development by potentially understanding the ways in which women trainees are affected by sexist patient encounters. Therefore, the present study sought to apply the Social Cognitive Model of Counselor Training and the …