Digital Commons Network^™

Animal-Assisted Therapy: An Exploration Of The Utilization Of Animal-Assisted Therapy, Ashleigh R. Perry

Doctoral Dissertations and Projects

Animal-assisted therapy (AAT) has been increasingly incorporated into professional counseling practice, yet limited research has examined the factors associated with counselors’ reported utilization of animal-assisted interventions (AAI). Guided by the Theory of Planned Behavior-informed framework, this quantitative, nonexperimental correlational study examined whether subjective norms predicted counselors’ reported AAI utilization, with attitudes and perceived behavioral control included as covariates. Multicultural competence was examined first as an overall mediator and then through the parallel mediating pathways of multicultural awareness, knowledge, and skills. Following data screening, 28 participant responses were retained for the primary analysis. Multiple regression and mediation analyses using PROCESS Model …

Benefits Of Art Therapy On Quality Of Life In Middle Aged Women With Gynecological And/Or Breast Cancer, Rylee N. Diehl, Iman Ahmed, Piper S. Bell, Lamya Moore, Giada Anastasi, Constanza Bravo Rodriguez, Taylor Edmondson

OneUSF Undergraduate Research Conference

Art therapy involves the use of art representations in clinical and mental health care. Art mediums such as painting, dance, and movement can be interventions for diagnoses such as gynecological or breast cancer (GBC). GBC incidence is highest among women 45-65, and art therapy has shown potential to improve their quality of life (QoL). Art therapy’s impact on QoL is often assessed by measuring physical and mental health, coping and adjustment capabilities, healthcare relationships, and social life. Using the PRISMA guidelines, a systematic review was conducted with an initial 181 articles extracted from multiple journals of psychology. A final selection …

Musical Methods For Nonverbal Emotional Expression, Carrie Uddenberg

Music: Student Scholarship & Creative Works

No abstract provided.

Social Prescribing For Refugee Populations: A Rapid Realist Review Of International Evidence, Victoria Touzel, Doreen Reifegerste, Luisa Bartz, Anna-Lena Esser, Kerryn Husk

Peninsula Medical School

BackgroundSocial prescribing offers potential for addressing social determinants of health and supporting health equity among disadvantaged groups. However, evidence for refugee populations remains limited, despite this group facing profound social and systemic barriers. This rapid realist review synthesizes social prescribing and comparable social-capital based intervention evidence to address this gap.MethodsWe conducted a RAMESES-compliant rapid realist review supported by an expert advisory board. Searches across six databases (2014–2024) were supplemented by grey literature and citation chasing strategies. Eligible studies included refugee, asylum-seekers and forcibly displaced populations engaged in either formal social prescribing or comparably operationalized social-capital interventions. Synthesis developed Context-Mechanism-Outcome configurations …

Nurturing The Nurturers: Caritas Literacy Wellness Program, Pakeeza Ali

Doctoral Projects

Burnout, compassion fatigue, and emotional exhaustion remain significant concerns among oncology staff in high-demand ambulatory settings. This quality improvement project implemented the Caritas Literacy and Resilience Training Program (CLARITY), a microlearning-based intervention grounded in Watson’s Caring Science Theory, to support self-caring behaviors and emotional resilience among oncology staff in an ambulatory cancer center. A quasi-experimental, mixed-methods design was used, incorporating pre- and post-intervention survey data and qualitative focus group feedback. Quantitative outcomes were assessed using the Watson Caritas Self-Rating Score (WCSR) and post-intervention ratings of perceived effectiveness of the microlearning format. Wilcoxon signed-rank tests were used to examine pre-post change …

Relationships Between Adolescents With Substance Use Disorders, Their Guardians, And Expressive Arts Therapy: A Literature Review, Sarah K. Unkefer

Expressive Therapies Theses

This literature review collects the comprehensive, current research around effective treatment of adolescents with substance use disorder (SUD) and explores ways to provide psychoeducation for the adolescent and their guardians to foster healthy relationships and open communication. This author explores the ways that expressive arts therapy influences treatment and long-term recovery of adolescents with substance use disorders (SUDs) by addressing familial communication and internalized stigma. Previous studies have shown that the current primary reaction from guardians is forcing abstinence, which often damages the adolescent-guardian relationship. Since this is one of the most important relationships in an adolescent’s projected recovery journey, …

The Ink That Binds: Creative Writing & Addiction, Sheryl St. Germain

Creative Nonfiction Magazine

No abstract provided.

Hangout Hour: A Safe Space Fostering Community Within The Adolescent Young Adult (Aya) Community, Brooke Ashmore, Makena Krier

2025

Creativity In A Flash: Exploring The Perceived Therapeutic Effects Of Combining Creative Arts Therapies And Flash Technique, Celia J. Gagnon

Art Therapy | Doctoral Dissertations

Since the onset of the COVID-19 pandemic, research has revealed a significant strain on mental healthcare systems and healthcare professionals. Concurrently, there has been a rapid escalation in the prevalence of anxiety, depression, loneliness, and adolescent suicide rates, all of which have reached critical levels (World Health Organization, 2025; World Health Organization, 2022; Institute for Health Metrics and Evaluation, 2025; American Psychiatric Association, 2024). Post-pandemic, these statistics continue to rise across all nations and socioeconomic groups (WHO, 2025). Consequently, there is an urgent need to intensify research that supports the enhancement of mental health services globally (Institute for Health Metrics …

An Exploratory Study Of Occupational Therapy Students’ Use Of Coping Strategies On Fieldwork, Heidi Horwitz, Sheila Moyle, Hannah Morse, Christine Myers

Journal of Occupational Therapy Education

This qualitative study explored how occupational therapy students applied coping strategies during Level II fieldwork after completing resilience-focused preparatory modules. Occupational therapy students often experience high stress during fieldwork, and resilience-building strategies may help mitigate these challenges. Participants (N=58) were second-year doctoral students who completed modules designed to increase awareness of personal stressors, enhance self-efficacy, and promote the use of coping strategies. Analysis of student reflections across twelve weeks of placement identified the types, frequency, and contexts of strategy use. Students most frequently reported using emotional regulation, breathwork, and positive self-talk. These strategies were typically employed daily or weekly, often …

Exploring The Impact Of Pre-Assessment Rapport-Building On Children’S Evaluation Outcomes, Alyssa N. Springstead Knutz

Doctor of Psychology (PsyD)

Psychological assessment with children is vulnerable to inequities that arise from cultural mismatch, situational anxiety, and the interpretive nature of examiner judgement. This pilot study examined whether a brief, standardized pre-assessment sandtray activity could enhance children’s assessment experience and observational richness by supporting rapport prior to testing. Using a within-subjects, counterbalanced crossover design, 10 children (ages 7-10) completed two assessment sessions on separate days: one session included a 20-minute guided sandtray task immediately before testing and one session proceeded directly to testing. Quantitative outcomes included state anxiety (SAI-CH-6), general self-efficacy (GSE), and performance on brief standardized tasks (WJ-IV Math Fluency …

Finding Harmony: Music Therapy As An Adjunct In Acute Psychosis, Brandon Szwydky, Rebecca Low, Nelay Govan, Marcus Decarvalho

South Atlantic Division GME Research Days 2026

No abstract provided.

More Than Just Multiculturally Competent: Doctoral Student Competency And Preparedness To Work With Individuals With Disabilities, Kristen N. Dickens, Chantrelle Varnado-Johnson, Synthia Best

Georgia Educational Researcher

Phenomenological inquiry was used to interview counselor education doctoral students about their experiences and perceived competency and preparedness to counsel individuals with disabilities. Three overarching themes emerged: (1) continuous self-directed learning, (2) disability is multifaceted, misunderstood, and evolving, and (3) influential learning factors. Implications and recommendations for counselor educators and training programs are provided.

Exploring The Impact Of Inpatient Mental Health Care On Adolescents, Alexandria M. Mckahan

2025 Fall Honors Capstones Projects - Archive

Adolescent psychiatric hospitalizations continue to rise, yet there is limited research on which daily practices inside inpatient units genuinely support engagement and recovery. This project examined how structure, staff tone, and therapeutic programming influence adolescents’ participation and emotional stability within a real inpatient setting. The study focused on three questions: how structured routines affect recovery, what challenges staff face when supporting adolescents with complex needs, and how adolescents’ engagement patterns reflect their perception of care. Using a mixed-methods case study at Mesa Springs Behavioral Health Hospital, I conducted approximately twenty field observations, semi-structured staff interviews, and descriptive engagement tracking across …

Healing, Together, Courtney Cleek

Graduate Student Portfolios, Professional Papers, and Capstone Projects

This portfolio reviews the topics of mutual rehabilitation and the human animal bond (HAB) as a holistic approach to addressing topics of mental health, suicide prevention, and innovative services. Displaying work through the Ten Specialization Year Competencies and the Five Elements of Advanced Integrative Practice, we examine ways to expand social justice, amplify voices, and promote healing within our communities.

Mirrors & Windows: A Phenomenological Study On Narrative Group Therapy With Adults Survivors Of Childhood Interpersonal Trauma, Bethany Walker

Doctoral Dissertations and Projects

The purpose of this phenomenological study is to describe adult survivors of childhood interpersonal trauma's lived experiences with group narrative therapy in Texas. Three theories serve as the base for this study: Terr's childhood trauma theory, Vygotsky's social constructivism, and Fisher's narrative theory. Social constructivism informs the study by suggesting that group therapy fosters meaning making through shared narratives. Narrative theory informs this study with the concept participants of narrative group therapy can not only create, examine, and reauthor their stories but find connection with others and empowerment in sharing their stories. Participants in this study completed an interview and …

The Natural Agent Of Change: The Therapeutic Power Of Play To Children Who Have Experienced Aces And Trauma, Jingyu Chen

Orphans and Vulnerable Children Senior Capstone

The power of play lies in its natural expression which children speak. When engaged in safe play, children are allowed to explore, comprehend, connect, and communicate in a developmentally appropriate way without criticism. Yet those who are impacted by ACEs (Adverse Childhood Experience) often find play foreign as they are stuck in survival mode, missing the developmental benefits of safe play. This paper examines the role of play in childhood development, explains the relationship between ACEs, trauma and play, and suggests that play is a natural agent of change that carries therapeutic power. The paper supports play as a medium …

Assistive And Accessible User Interaction Mechanisms For Ai-Powered Art, Alex Olwal, Shaun Kane

Defensive Publications Series

Artists with motor disabilities can face significant challenges in expressing their creativity using traditional art tools and methods. This disclosure describes techniques that leverage generative AI (GenAI) with assistive input devices to make creative drawing and painting accessible to artists with disabilities, empowering them to translate their artistic vision into reality. Examples of assistive input devices include eye-trackers, game controllers, MIDI (musical instrument digital interface) controllers, etc. The techniques enable artists with motor disabilities to create art by interpreting their inputs and by generating corresponding visual outputs, fostering creative exploration and artistic expression. Two example implementations, one based on web …

The Potential For Improv As A Therapeutic Tool In The Context Of Dialectical Behavior Therapy: Suggestions For Dbt Clinicians, Jocelyn Borden

University Honors Theses

This thesis explores the theoretical and practical intersections between improvisational theater and Dialectical Behavior Therapy (DBT), proposing that the core tenets of improv closely align with the philosophical foundation and therapeutic goals of DBT. Aimed at mental health professionals, this work provides a conceptual framework and praxis for incorporating improv-based activities into DBT skills training to enhance client engagement, experiential learning, and emotional resilience. Through an examination of improv theory, parallels with DBT principles, and practical suggestions for integration, the thesis outlines how applied improvisation can be used as a supplemental tool in traditional DBT treatment. The final section includes …

Art, Play, And Neuroplasticity: Advancing Dementia Care Through Art-Enriched Environments, Piper Hutson, James Hutson

Faculty Scholarship

Dementia represents a global public health crisis, characterized not only by progressive memory loss but by a pervasive decline in cognitive flexibility, social functioning, and overall quality of life. Traditional therapeutic modalities, often limited to pharmacological management and cognitive training, have yielded only modest gains in symptom mitigation and patient well-being. Recent advances in neuroscience have illuminated the brain‘s capacity for neuroplasticity—its inherent ability to adapt, reorganize, and form new neural connections even in advanced age and the presence of neurodegenerative conditions. This emerging understanding invites a critical re-evaluation of dementia care strategies, highlighting the potential of non-pharmacological interventions to …

How Does An Art Therapist Build Rapport With Socially Isolated Older Adults?, Elizabeth L. Levering

Expressive Therapies Theses

This study was done to explore the fundamental aspects that are woven into the report-building process and the therapeutic alliance with socially isolated older adults. Research has been done on the effects that social isolation and loneliness have on this underserved population, however report building is less researched and can be translated into the mental health field. Person-centered therapy, developmental stages of older adults, and the growing field of art therapy and its benefits are also well documented. This qualitative arts-based study takes the intersectionality of these topics by observing three sessions with two separate residents and analyzing the results. …

How Can Tattoos Be Understood As Intermodal Expressive Arts Therapy?: Integrating Visual Art, Personal Narrative, And Embodied Experience: Development Of A Method, Rachel S. Hall

Expressive Therapies Theses

This paper explores the inherent intermodal nature of tattoos through the lens of expressive arts therapy, demonstrating how tattoos integrate visual art, personal narrative, and embodied experience. A group intervention was designed and implemented in an outpatient setting, drawing on existing literature and the Expressive Therapies Continuum (ETC) to examine how tattoos function as therapeutic tools that support identity formation, emotional healing, and self-expression. The intervention guided participants through an intermodal process that began with reflective writing on identity-forming experiences, followed by visual art-making and somatic engagement. This approach illuminated the transformative potential of tattoo conceptualization within a therapeutic context, …

Multimodal Dance/Movement Therapy For Children With Autism, Riley K. Cornacchini

Expressive Therapies Theses

This literature review examines the potential of creative arts therapies, particularly multimodal approaches, in improving social connection and communication for children with autism spectrum disorder (ASD). The review explores how expressive arts therapy, including dance/movement, music, art, and drama therapy, engages children with ASD in non-verbal and emotionally expressive ways. Emphasizing early intervention, it highlights how these therapies promote emotional regulation, social and motor skills, and self-expression, enabling children to connect with others and navigate their social worlds. Drawing on both research and personal experience, the review illustrates how creative arts therapy can provide flexible, individualized interventions to meet the …

To Bear Witness: Analyzing Dmt As An Effective Trauma-Informed Approach For Treating Youth & Adolescents: A Critical Review Of The Literature, Jade Dennis

Expressive Therapies Theses

This literature review proposes dance/movement therapy (DMT) as a trauma-informed intervention for children and adolescents who have experienced psychological, emotional, or physical trauma. The project, inspired by internship experiences with young trauma survivors, explores the ways in which trauma manifests in the body, indicating that DMT may offer effective pathways toward healing. Many children exposed to potentially traumatic events exhibit emotional dysregulation, insecure attachment patterns, and behavioral or somatic symptoms that are not easily addressed through traditional talk therapy. As a body-based expressive arts modality, DMT engages the sensory, emotional, and relational aspects of trauma by supporting nonverbal expression, self-regulation, …

Developing Art Resources To Reduce Stress And Increase Well-Being For Healthcare Professionals, Elisabeth Ruth Baird

Theses - ALL

This study explored how art-based wellness resources can support healthcare professionals who provide direct patient care in hospital settings. A focus group of these providers shared their experiences with stress and burnout, identifying key challenges and needs. Based on their feedback, a Mini Wellness Manual was developed with practical, research-based art activities designed to help reduce stress and promote well-being. In a second focus group, participants reviewed the manual and provided feedback on its usefulness and accessibility. Findings showed that self-care interventions often place the burden on individuals rather than addressing the larger systemic issues that contribute to burnout, highlighting …

Beyond Stigma: Role Theory And Drama Therapy In Reentry And Rehabilitation, Mackenzee Donham-Stradling

Expressive Therapies Theses

To be system-impacted often means facing stigmatization. The experience of incarceration is profoundly dehumanizing, eroding self-worth and identity. This thesis examines the application of a 3-week drama therapy method for formerly incarcerated women residing in a transitional facility with co-occurring mental health and substance use disorders. This project integrated a drama therapy framework with Robert Landy’s Role Theory to create a method aimed at assisting formerly incarcerated clients in expanding their role repertoire and discarding those roles that perpetuate their disempowerment. This thesis begins with a literature review of role in drama therapy, the experiences of incarcerated women in the …

Abracadabra: Empowering Trans And Gender Nonconforming Adolescents’ Identities Through Integrated Narrative Expressive Arts Therapy: A Literature Review, Alexandra Douglas-Deutsch

Expressive Therapies Theses

This literature review is an exploration of how a blended narrative and expressive arts therapeutic framework can be utilized to best suit the mental health needs of transgender and gender non-conforming adolescents as they develop their identities. Areas of research include an examination and analysis of the established bodies of research that pertain to transgender and gender nonconforming (TGNC) populations, adolescent identity development, relevant critical sociocultural theories, narrative and expressive arts therapy frameworks, and future directions of mental health counseling with TGNC youth as it pertains to identity.

It is this author’s intention to scaffold the areas of research in …

Adolescents And Addictions: An Expressive Arts Therapy Prevention Intervention In India – Development Of A Method, Ravtesh Kaur

Expressive Therapies Theses

This thesis aims to propose an expressive arts therapy prevention intervention for substance use among adolescents in India. Adolescence is a period defined by many physiological and psychological changes and is considered to be a time of high-risk for the initiation of substance use. The prevalence of substance use amongst Indian adolescents is growing every year, with most adolescents engaging in frequent use of alcohol, tobacco, cannabis, and inhalants. This thesis intends to develop and implement an expressive arts therapy prevention intervention for adolescents. The current research was conducted in a private school in Punjab, India with 50 students of …

Power Word Queer: Using Tabletop Role-Playing Games As Expressive Art Therapy For The Queer Community: A Literature Review, Aliza King

Expressive Therapies Capstone Theses

At a time when homophobia and transphobia are on the rise, and hard-won rights are being taken away, the Queer community needs heroes, magic, and hope. Tabletop role-playing games have become increasingly popular, particularly in the Queer community (Diamond, 2022). This literature review examines the existing research regarding TTRPGs as a psychological intervention, with particular focus on their value as an expressive art therapy intervention for Queer clients, using a socio-ecological model of Queer mental health (Mink et al., 2014) and drawing from core expressive arts theories. The results suggest that TTRPGs show promise as an effective tool for growth …

The Effectiveness Of Using Art Therapy In The Treatment Of Individuals With Ptsd, Alexander Jones, Josh Phillips, Jacinto Magallan-Campuzano

NURS 464: Evidence-Based Nursing Capstone

Art therapy is a form of expressive therapy that uses a creative process to explore

emotions. It has gained recognition as a potential treatment for PTSD. Studies suggest that art therapy can help adults process traumatic experiences by expressing their feelings and reducing symptoms of distress and anxiety (Haeyen & Wanten, 2024). Working in a trauma-informed care environment, one must understand the role of art therapy, as it can be essential in offering holistic, patient-centered care. Investigation of the effectiveness of art therapy could lead to a more inclusive and diverse treatment option for adults with PTSD. In this paper, …