Social and Behavioral Sciences Commons^™

Think About It: Using Mindfulness As A Means To Treat Eating Disorders, Gabriella C. Breen

Intuition: The BYU Undergraduate Journal of Psychology

Eating disorders are complicated and prevalent issues among the general population; it is estimated that 30 million people are affected in the United States alone (Foundation for Research and Education in Eating Disorders, 2018). Because of the complex psychological nature of eating disorders, it is difficult to find a treatment that is broadly effective. Traditional therapies include cognitive behavioral therapy, dialectical behavioral therapy, and acceptance and commitment therapy. In recent years, mindfulness has emerged as a potentially effective way to treat eating disorders due to its ability to reduce maladaptive coping strategies, improve emotional regulation, and treat anorexia nervosa (Cowdrey …

Tripping Over Trauma: A Proposal Of Psilocybin-Assisted Therapy For Comorbid Post-Traumatic Stress Disorder And Depression, Liam Paul Gomez

Senior Projects Spring 2022

Post-traumatic Stress Disorder (PTSD) is a widespread, often debilitating affliction that is only partially attenuated by current first-line treatment despite its heightened prominence in the sociopolitical arena. Since individuals with PTSD also experience high rates of depression comorbidity and resultant suicidality, it is essential that treatment is more holistically effective. A possible novel intervention, psilocybin-assisted therapy, has shown promising results for the improvement of depression, addiction, and other disorders; prospectively, when administered with non-directive therapy, it could prove to be an efficacious intervention for PTSD with comorbid depression. In the proposed study, there will be two participant groupings: the control …

“It’S Right Below The Surface”: Clinicians’ Experiences Of Shame In Therapy Work With Adult Clients With Body Shame, Body Image Concerns, Or Eating Disorder(S), Tess Carroll Keeley

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Shame–understood as a feeling in which one believes that they are inadequate, or wrong to their core–is a painful emotional experience that seems to be at the crux of many mental health concerns. Despite the pervasiveness of shame as an emotional experience, little research has demonstrated if shame is a clinical theme in therapy, and if so, how it is identified and treated. The purpose of this qualitative study was to explore if, and how, shame manifests during therapy sessions with clients who are experiencing eating disorders and/or body image concerns. A secondary purpose was to discover how clinicians’ training …

Interpersonal Psychotherapy For Depressed Adolescents: A Systematic Review Of Quantitative Studies Exploring Effectiveness, Concomitant Findings, And Mediating And Moderating Variables, Luke Rex

Theses and Dissertations

Depression is one of the leading causes of illness and disability among adolescents. According to the National Institute of Mental Health (2022), almost one-fifth of adolescents ages 12 to 17 years in the United States had at least one major depressive episode in 2020, representing 4.1 million people, and over half did not receive any treatment. An interpersonal approach to therapy for adolescents known as Interpersonal Psychotherapy for Depressed Adolescents (IPT-A), developed by Dr. Laura Mufson, has been regarded as having well-established efficacy in treating depressed adolescents. This systematic review of quantitative studies (without meta-analysis) was conducted to (a) examine …

Mental Health Apps: A Study Of College Students' Perceptions Of Counseling Through An App, Caroline Burns

Williams Honors College, Honors Research Projects

The purpose of this study is to gather data on the perceptions of undergraduate students regarding mental health apps. Participants will be asked to complete a survey through Qualtrics. There will be 20 questions, some with pre-determined answers and some open-ended. The survey, including a few demographic questions, should take approximately 20 minutes. Data will be collected from all undergraduate students at The University of Akron who are 18 years of age or older, with the goal of at least 100 responses. There are no preferences for major or year. The survey will be sent out to undergraduate students via …

A Systematic Review Examining The Efficacy And Effectiveness Of Trauma-Focused Cognitive Behavioral Therapy, Abigail R. Howerton

Psychology Capstone Projects

More than two-thirds of children and adolescents experience a traumatic event by the age of 16. Trauma comes in many forms and affects people in many ways. Trauma can affect behavioral, cognitive, emotional, physical, and neurological development. Trauma-focused cognitive behavioral therapy (TF-CBT) is a type of therapy created to treat children and adolescents who have experienced trauma. TF-CBT is an evidencebased treatment (EBT) and is currently the only EBT whose focus is solely on treating trauma in children and adolescents. This article reviews the literature assessing studies using randomized controlled trials (RCT’s) to determine the effectiveness and efficacy of TF-CBT …

Incorporating Religion Into Therapy To Better Treat Depression, Jacob Tubbs

Intuition: The BYU Undergraduate Journal of Psychology

Depression is one of the most prevalent mental disorders. Cognitive behavioral therapy (CBT) is a common treatment option for depression. Often, CBT is only effective at masking the symptoms of depression without helping the person overcome depression altogether; thus, it may benefit CBT patients if alternative therapies are combined with CBT. Incorporating the patient’s religion into therapy is an alternative that may help many people. A large percentage of Americans are still religious or spiritual. This literature review discusses methods of building a personalized version of CBT that incorporates the patient’s religion, or religiously integrated CBT (RCBT), and the effects …

Canine-Assisted Therapy: Incorporating Canines Into The Therapeutic Experience, Melissa H. Kee

Educational Specialist, 2020-current

Canine-Assisted Therapy (CAT) is a therapeutic practice that has been growing in popularity in recent years but unfortunately has little research to show evidence of effectiveness. This article focuses specifically on the use of canines in therapeutic environments. Use of canines in a therapy setting may be a source of confusion due to the many assistance role that canines can provide, including hearing dogs, mobility assistance dogs, and service dogs. This article provides clarity regarding CAT and includes recommendations for counselors considering the use of dogs in their therapeutic practice.

The Aftermath Of Sexual Assault: Creating The "I Am More Than My Experience" Workbook, Isabella Chung

Calvert Undergraduate Research Awards

The following thesis includes a literature review of the immediate and long-term effects of sexual assault on victims in regards to their physical, mental, and emotional health and romantic relationships, followed by a proposed workbook for sexual assault victims/survivors. Being that typical responses immediately after an assault are fear, disbelief, and activation of the sympathetic nervous system, it is to no surprise that long term issues of depression, anxiety, and Posttraumatic Stress Disorder (PTSD) often arise as well. Thus, a workbook was created with the intention of educating readers about sexual assault and helping victims/survivors to heal from the trauma …

“There Are Not A Lot Of Providers Who Look Like Me”: Identity And Therapy For Sexual Minority Black, Indigenous, And Other People Of Color, Saumya Arora

Masters Theses

Research suggests that sexual minority Black people, Indigenous people, and People of Color (BIPOC) generally experience higher levels of psychological distress and depression, leading to poorer mental health outcomes (e.g., Sutter et al., 2017; Lim & Hewitt, 2018). However, little is known about how sexual minority BIPOC individuals cope and support their mental health. The purpose of this grounded theory study was to understand the various and nuanced narratives of sexual minority BIPOC in seeking mental health support, including any barriers to accessing therapy as well as other identified sources of support. Fifteen sexual minority BIPOC individuals were interviewed about …

Using Theatre To Teach Social Skills To Students On The Autism Spectrum, Meaghan Nicole Ritchie

Masters Theses & Specialist Projects

Theatre-based interventions are an emerging field to improve social skills in individuals with autism. This study analyzed 10 different articles using theatre-based interventions, combined with evidence-based practices, to increase social skills deficits in students, ages 8-17, diagnosed with autism. Results indicate improvement in social skills for individuals with autism after participating in theatre-based interventions.

Emotional Support Animals For College Students: Do The Benefits Outweigh The Costs?, Sidney Street

Undergraduate Honors Thesis Projects

Mental health problems have been drastically increasing in recent years among college students. Alongside the rising prevalence of psychological distress, universities have also experienced an increase in requests to have Emotional Support Animals (ESAs) live on campus. To date however, data are scarce on students’ experiences living with and around ESAs. The present study aims to investigate attitudes and perceptions about ESAs, in both owners of ESAs as well as students who do not own an ESA but have interacted with one. Specifically, owners were interviewed to find whether the perceived benefits of owning an ESA outweigh the associated costs …

The Incredible 5-Point Scale Board Game, Brooke A. Maupin

Psychology Doctoral Specialization Projects

Game-based learning has become a staple of the educational community. However, it has not always reached the psychological community. Board games and game-based learning provide an opportunity to teach individuals about psychological concepts in a more engaging and entertaining way. Games are an ideal way to teach emotion related skills because they offer a safe and more accepting environment for mistakes. Further, board games encourage an active learning environment which can improve acquisition of knowledge. The current discussion focuses on taking a therapeutic tool (The Incredible 5-Point Scale) and developing it into a board game for use in session and …

A Preliminary Evaluation Of A Digital Token Economy To Increase Student Engagement During Group Teletherapy, Hunter King, Katerra Miller-Johnson, Keely Mcculla, Aaron J. Fischer, Shengtian Wu, Mikey Miller

Faculty Publications – Psychology

Shortly following the temporary nationwide school dismissal amid COVID-19, the current exploratory case-study evaluated the feasibility of two engagement strategies delivered during group teletherapy: Class Dojo and opportunities to respond (OTR). Three elementary students with emotional and behavioral difficulties participated. An A-B-A design was used to evaluate the effects of Class Dojo on student engagement with therapist-delivered OTRs. Due to one student’s poor response to the contingency, an A-B-C design was used to evaluate the additive effect of student-delivered OTRs on his engagement. Results indicated moderate to high rates of student attendance, and consistently high rates of engagement for two …

Counseling System Documentation And The Relationship Between Treatment Plans And Client Outcomes, Moraima N. Frangiosa

Walden Dissertations and Doctoral Studies

The purpose of this qualitative study was to provide a method for evaluating counseling services delivered to patients during treatment. The evaluation of the study required the use of methods that are repeatable and effective that would allow a clinic to continue using them over time to grow a database of valuable information about counseling and patient outcomes. The new database would allow the clinic to change counseling methods and approaches of delivery to promote organizational change. The evidence-based practice (EBP) for counseling therapy would encourage the connection between public administration and public policy in the health care system. Public …

The Efficacy Of Art And Movement Treatment Modalities On An Individual With Autism Spectrum Disorder, Tristen Valentino

Graduate Student Theses, Dissertations, & Professional Papers

Current statistics report 1 in 54 children have been identified with Autism Spectrum Disorder (ASD), many of whom have co-occurring mental health disorders. However, minimal research has been conducted on adults with autism with co-occurring mental health disorders and the efficacy of art and movement therapy techniques. This is the case study by Tristen Valentino, clinical therapist, of a client, David Smith (who was given the pseudonym to maintain confidentiality), a 35-year-old, obese, single, cisgender, heterosexual, Caucasian, male. The implications of this case study are discussed relative to the diagnosis and treatment of adults with ASD who possess comorbid clinical …

Lived Experience: The Training Of Therapists, Actors & Human Beings, Richard Williams

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

There is much in common between theater and therapy. Both happen live. Both are explorations of human experience. Both require participants to be emotionally and mentally present. Both are hard to do well (and easy to do poorly). Training to be a clinical psychologist requires hours of coursework, administrative work, supervision, and on the job clinical experience. Training to be a professional theater maker or actor requires hours of rehearsal. The elements of acting are deconstructed during training so that rehearsal consists of voice-work, physical theater, scene study, etcetera. Training to be an actor entails much more practice of the …

An Exploration Of Interventions For Healing Intergeneration Trauma To Develop Successful Healing Programs For Aboriginal Australians: A Literature Review, Alison J. Simpson, William Abur, James A. Charles

Australian Indigenous HealthBulletin

Introduction

Health outcomes and life expectancy of Indigenous people throughout the world are far poorer than non-Indigenous populations. Emerging evidence from research shows that many social issues which impact on Indigenous peoples globally is linked to trauma over generations. This review explores literature about Indigenous people from around the world to seek interventions which have been successful in healing intergenerational trauma.

Method

To identify interventions that have been successful in healing intergenerational trauma amongst Indigenous populations globally, a systematic search strategy was conducted using keywords and synonyms related to the topic. Peer reviewed academic literature was sourced from four …

Psychologists' Use Of Touch In Individual Psychotherapy With Deaf And Hard-Of-Hearing Clients, Caroline M. Kobek Pezzarossi Ph.D, Irene W. Leigh Ph.D, Daniel S. Koo Ph.D

JADARA

The use of touch in psychotherapy is a topic often undiscussed in graduate training programs. Stenzel and Rupert’s 2004 study showed that nearly 90% of clinicians never or rarely offered touch to clients during a session. This study examined the use of touch in a psychotherapeutic setting with culturally Deaf clients, since touch is a culturally accepted, even expected, practice. Results indicated that there was no statistically significant difference among culturally Deaf therapists compared with the Stenzel and Rupert’s (2004) findings, but there is a statistically significant difference in those who identify as hearing and work with culturally Deaf clients. …

Redefining Creativity To Advance Our Understanding Of Behavior Change And Agency, Philip F. Brunner

Creativity and Change Leadership Graduate Student Master's Projects

Change is hard, and shifting one’s behavior, even with the support of a counselor, can be challenging. While it has not been common for the field of counseling and therapeutic behavior change to draw on it, creativity studies have much to offer counselors and practitioners as well as individuals who just want to realize change in their lives. The potential contributions of creativity studies to lasting and meaningful behavior change are enhanced especially if we take up a definition of creativity that draws on traditional definitions and theories but that also integrates insights from fields like neuroscience and complex dynamical …

A Phenomenological Investigation Of Counselors’ Experiences With Clients Affected By Problematic Internet Pornography Use, Kendall R. Sparks

Counseling & Human Services Theses & Dissertations

The primary researcher conducted a phenomenological study examining the experiences of licensed professional counselors (n = 8) who have worked with clients affected by problematic Internet pornography use. There were five female participants with an average age of 49 and three males with an average age of 63. All eight participants identified as Christian. Four participants reported their highest level of education was a Master’s degree, three participants reported holding a Ph.D. and one participant reported holding an Ed.S. Through semi-structured interviews, the primary researcher of this study sought to gain an understanding of how counselors were experiencing and navigating …

Kin(A)Esthetic Paper Play: A Community Engagement Project Offering A Therapeutic Experience By Exploring An Emergent Method Of Expressive Arts Therapy With Clinicians Who Studied Expressive Arts, Bed Hermin

Expressive Therapies Capstone Theses

For this community engagement project, I explored an emergent practice of Kin(a)esthetic Paper Play with expressive arts therapists. This practice aligns with Buddhist philosophy and practice in the West and its benefits can be explained through the theory of Embodied Simulation. The literature on Buddhism and Embodied Simulation highlights the positive benefits of abstract meditative processes done in groups. My goal was to explore the therapeutic elements of K(a)P within a community group setting. When elements of Kin(a)esthetic Paper Play were introduced to a group of alumni from Lesley’s Expressive Arts Therapy graduate program it was received well. I learned …

Development Of A Method For Utilizing Oriental Belly Dance Rhythms To Deepen A Client’S Understanding Of Their Emotions After Experiencing Trauma, And Move Towards Healing, Jenny Nehir Eish-Baltaoglu

Expressive Therapies Capstone Theses

A workshop was offered to local women in North Eastern Ohio who have experienced trauma and are facing uncomfortable emotions or unpleasant memories as a result. A guided body scan, Focusing Oriented Art directives, and improvisational movement explorations were employed to deepen awareness and understanding of the emotions and memories participants wished to have better control over. Three movement rhythms, which are central to the ancient feminine dance form popularly known as belly dance, were explored through improvisational movement both as a group and independently. These movement rhythms included staccato pops and locks, fluid figure eights, and vibratory shimmies. Participants …

Animal Assisted Therapy On Law Enforcement Mental Health: A Therapy Dog Implementation Guide, Melena Purvis

Honors Projects

The mental health of law enforcement officers is an ever increasing problem, with our nation’s police officers seeing a constant increase in things like PTSD, depression, and other mental illnesses. However, mental health is already a highly stigmatized topic that is not commonly addressed, and a police subculture of strength and toughness just reinforces that stigma and makes it that much harder for police officers struggling with these issues to get help. This project combines innovation with research to come up with a way to try and improve the mental health of those officers struggling. It provides a manual for …

Importance Of Mental Health Awareness In Schools, Alexandra Elliott

Capstone Projects and Master's Theses

We all have different experiences and beliefs that shape our perspectives and impact our mental health. The concept of mental health exists in Western civilization but is absent in others, so it is important to be sensitive when discussing the terminology of mental health by itself. There is ample evidence of a disproportionate amount of mental health issues among people living in low-income areas due to lack of resources in these communities. In fact, mental health resources are disproportionately accessible to white, affluent individuals in Western civilization. This senior capstone research project is intended to find ways to reach new …

Unveiling God In Counseling: The Compatibility Of Christian Theology And The Modern Therapeutic Process, Kelvin Jamaal Mack

Senior Theses

The aim of this thesis is to analyze the compatibility of Christian theology and a modern therapeutic process informed by secularism. The purpose of this research is to demonstrate that the conceptualization of an active God in the therapeutic process is essential for counselors and clients who adhere to the Christian faith. This conceptualization is either missing or altered by therapeutic processes that operate under the worldview assumptions of secularism. This is what is described as the veiling of God. To explore this issue, a four-tiered analytical approach has been invoked. First, a brief history of secularism and its major …

Understanding The Distinctive Presentations Of Therapist Countertransference With Cluster B Personality Disorders, Sara Ashley Florence

Theses and Dissertations

Countertransference is one of several therapist variables that have been demonstrated to impact the quality of the therapeutic alliance. CT that is understood and managed by the therapist has the potential to serve as a tool in better understanding the patient, which puts the therapist in a better position to intervene therapeutically. CT that are emotionally charged can be more difficult to manage, and CT reactions tend to be especially emotionally intense when working with patients with Cluster B personality disorders (PDs). A better understanding of specific CT reactions to each Cluster B PD might aid in diagnosis and treatment …

Beneficial Roles The Sacred Can Play In Mental Illness, Katelyn Harper

Capstone Showcase

Religion and Spirituality are prevalent in and essential to one’s identity. This thesis seeks to answer the question what beneficial roles can the sacred play in mental illness? Believing in the sacred can provide additional support to those with a mental illness through a process called sacred coping. One’s sacred beliefs can be incorporated into previously established interventions, such as cognitive-behavioral therapy (CBT), to provide a more tailored treatment option. In some cases, these interventions are more beneficial than traditional interventions. Barriers to the topic of acknowledging the sacred in relation to one’s mental illness include the decline in having …

Power In The Counseling Relationship: The Role Of Ignorance, Izaak L. Williams, Peg O'Connor

Journal of Human Services: Training, Research, and Practice

This article explores the role of therapist self-disclosure in clinical settings. Distinctions are made between the enmeshed concepts of privacy, secrecy, and confidentiality to elucidate the role of ignorance in maintaining the power dynamics in therapeutic relationships. While some measure of privacy is essential to counseling practice, secretive behavior (in which the counselor divulges too little about themselves) can have a negative impact on the therapeutic relationship and the client’s therapeutic outcomes. There is, therefore, an under-appreciated and delicate balancing act between withholding information to protect the client and the counselor and revealing enough personal details to empower the client’s …

Reviewing The Heroic Experience: A Humanistic And Existential Counselling Perspective, Peter Bray, Peter James

Heroism Science

Taking a humanistic and existential counselling stance, this brief review of heroism and the heroic experience begins by discussing the utility and structure of Joseph Campbell’s (1949) monomythic narrative of the hero’s journey, whilst considering the Jungian conceptualisation of the archetype and the collective unconscious. With their shared assumptions about transformation and growth, modern psychology and the therapeutic practice of counselling and psychotherapy are reviewed in terms of their utilisation of the hero-journey as a developmental metaphor for clients, particularly in trauma recovery. It is also suggested that, as a metaphor for transformation, Campbell’s hero-narrative may also have the potential …