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2024

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Full-Text Articles in Counseling

An Exploration Of Adult Children’S Attachment To Their Parents Across Two Cultural Groups: Indians In India And Indians Who Immigrated To The United States, Vilasini Meenakshi Arun Aug 2024

An Exploration Of Adult Children’S Attachment To Their Parents Across Two Cultural Groups: Indians In India And Indians Who Immigrated To The United States, Vilasini Meenakshi Arun

Doctoral Dissertations

Typically, attachment theory has been studied and explored with western populations. Individuals seeking mental health treatment within the United States include western and nonwestern cultural groups and research, theories and interventions that apply to diverse populations are necessary. Attachment relationships are often a part of, or reasons for clients to seek therapy either overtly or covertly, thus allowing research on attachment to better inform treatment plans and practice. An attachment relationship between a parent and child can be influenced by several factors and may change over the course of development, but little is known about this process among Indians …


Embodied Co-Regulation: A Neuroregulatory-Informed Dance/Movement Therapy Transition Intervention Method For Arousal Regulation For Adolescents In A Partial Hospitalization Program, Anamaria Guzman May 2024

Embodied Co-Regulation: A Neuroregulatory-Informed Dance/Movement Therapy Transition Intervention Method For Arousal Regulation For Adolescents In A Partial Hospitalization Program, Anamaria Guzman

Expressive Therapies Capstone Theses

This thesis introduces a novel Dance/Movement Therapy (DMT) approach, focusing on nervous system arousal regulation during transitions between therapy groups. The core of the method involves a brief 5-minute exercise designed to modulate arousal levels, encompassing alertness and energy, aiming to establish a baseline homeostasis. Rooted in Polyvagal Theory and Developmental Neurobiology, the approach assumes the co-regulation of nervous systems within a group therapeutic setting. Two primary outcomes are self-assessed: 1) somatic experiences documented through narratives and 2) nervous system biodata measured using the Flowtime headband monitoring of brainwaves, heart rate, and other biomarkers. Results indicated that all six sessions …


Exploring The Literature On Art Therapy Interventions In Mitigating The Negative Effects Of Loneliness In College Students, Molly Hoekman May 2024

Exploring The Literature On Art Therapy Interventions In Mitigating The Negative Effects Of Loneliness In College Students, Molly Hoekman

Expressive Therapies Capstone Theses

Experiences of loneliness and social isolation among college students pose a concern for emerging adults’ mental and physical health, as well as greater impacts on university systems across the country. While social isolation and loneliness are subjective experiences, there are a range of factors rooted in developmental psychology and sociocultural theory that influence the rising rates and acuity of loneliness. Attachment theorists posit that secure attachment early in life can impact how individuals make lasting interpersonal connections long after their childhood. Secure and insecure attachment styles combined with the dramatic transition to college for a young adult are influencing factors …


Perreando To New Lyrics: Integrating Feminist Reggaeton In Expressive Art Therapy A Literature Review | Perreando A Nueva Lírica: Una Revisión Literaria Sobre Integrar El Reggaetón Feminista A Las Terapias Con Artes Expresivas, Marilina Arsuaga May 2024

Perreando To New Lyrics: Integrating Feminist Reggaeton In Expressive Art Therapy A Literature Review | Perreando A Nueva Lírica: Una Revisión Literaria Sobre Integrar El Reggaetón Feminista A Las Terapias Con Artes Expresivas, Marilina Arsuaga

Expressive Therapies Capstone Theses

This paper presents how feminist reggaeton can be used as a creative tool for women's empowerment. The literature review explores the work that has been done with feminism in expressive arts therapies, defines what feminist reggaeton is, and presents different considerations to incorporate the musical genre into a therapeutic intervention. Among these considerations, there is the social stigma that is held about the musical genre and female gender; the community-based work; the importance of cultural identity centered on the Latinx, more specifically Puerto Rican; and recognition of the LGBTQ+ community in the creative spaces. To navigate these issues, the author …


Aligning With Adolescents: A Literature Review Of Art Therapy In Residential Treatment Programs, Olivia Moore May 2024

Aligning With Adolescents: A Literature Review Of Art Therapy In Residential Treatment Programs, Olivia Moore

Expressive Therapies Capstone Theses

Adolescents in residential treatment programs throughout the United States are a specialized population that demonstrate resiliency and hope every day. Many adolescents in these programs have experienced prominent levels of trauma that impact their ability to function in lower-level programs, foster homes, and in their communities. Residential treatment approaches may look like locked facilities with trauma-informed staff who provide programming options, mental health care, and safe living conditions for adolescents. Without strength-based approaches to treatment, this population may struggle to overcome their trauma, mental health challenges, and developmental needs. In this literature review, art therapy was offered to provide developmentally …


Analysis Of Self: The Unfortunate Exploration And Development Of Myself, Owen L. Myhr May 2024

Analysis Of Self: The Unfortunate Exploration And Development Of Myself, Owen L. Myhr

Dissertations, Theses, and Projects

Abstract

Through this analysis of myself, greater insight and understanding created a chance for me to understand why my aspirations are focused where they are. Taking the time to reminisce on my upbringing, relationships, and the other aspects of life allowed true reflection. This allowed me to see where specific thoughts and feelings come from. The analysis of self included taking and analyzing assessments, conducting interviews with significant people in my life, integrating theory, and reflecting on next steps for continued development. This project was an opportunity to express myself and reflect on how I would like to continue my …


Anxiety Group For Teens Group Manual, Jacob Kinnen May 2024

Anxiety Group For Teens Group Manual, Jacob Kinnen

Dissertations, Theses, and Projects

Abstract

Early intervention has been shown to be effective in reducing symptoms of anxiety and improving overall function and life satisfaction. Anxiety disorders are one of the most common disorders among youth (Watson et al., 2014). Through early intervention, adolescents can grow with more confidence and feel less anxious by improving their social skills and overall life satisfaction. This manual examines the impact of anxiety in adolescents and the various practices that have been shown to be effective in treating anxiety disorders. This group manual provides interventions based on evidenced based practices have been found to be effective in treating …


Dungeons And Dragons As A Therapeutic Intervention Training, Samuel Grove May 2024

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 …


Expressive Therapies And Resiliency – Resistance In Mental Health: A Literature Review, Gabrielle Lopez May 2024

Expressive Therapies And Resiliency – Resistance In Mental Health: A Literature Review, Gabrielle Lopez

Expressive Therapies Capstone Theses

This review evaluates the current literature on psychological resistance amongst human service professionals experiencing burnout and the effect of Expressive Arts interventions on resiliency. Concepts include identifying the main symptoms, risk factors, causes, and treatments for burnout in education faculty, medical staff, and clinicians. Qualitative, quantitative, and meta-analysis studies are included to identify the most prevalent intervention frameworks for reducing stress including Arts-Based and Mindfulness-compassion based techniques. The effectiveness of Arts-based tools on strengthening identity, self-esteem, emotional regulation, and meaning-making in combating burnout is presented. Based on analysis of the literature, the author proposes a three-step intervention framework for utilizing …


Building Bridges: An Improvement Science Approach To Fostering Cross-Group Connections And Friendships Among Elementary School Students, Cody Russelburg May 2024

Building Bridges: An Improvement Science Approach To Fostering Cross-Group Connections And Friendships Among Elementary School Students, Cody Russelburg

Masters Theses & Specialist Projects

The persistent issue of limited cross-group connections and friendships among diverse elementary school students is addressed, specifically in a district with five elementary schools that converge into a single middle and high school. The tendency for students to maintain selfsegregated social circles from their zoned elementary schools into middle and high school highlights the need for an intervention designed to foster cross-group connections. Utilizing the Improvement Science framework, this research incorporates two intervention cycles to refine and enhance outcomes related to cross-group connections. Fifth-grade students from two distinct elementary schools had intentional and direct intergroup contact utilizing an adapted version …


Examining The Effectiveness Of Psychosocial Interventions For Opioid Use Disorder: A Systematic Review, Elizabeth Ashley Contreras May 2024

Examining The Effectiveness Of Psychosocial Interventions For Opioid Use Disorder: A Systematic Review, Elizabeth Ashley Contreras

Electronic Theses, Projects, and Dissertations

Background: Due to the increased distribution of synthetic opioids, mortality rates, overdose rates, and addiction related to the consumption of illicit fentanyl have drastically increased over the past years. Although medication-assisted treatment (MAT) is the first-line intervention for Opioid Use Disorder (OUD), less is known about the effectiveness of psychosocial interventions for treating this disorder. Objective: This study aimed to systematically review the literature on psychosocial interventions for treating OUD. Methods: A search was conducted on OneSearch using the keywords “opioid treatment” or “Fentanyl treatment” combined with “psychosocial interventions” or “cognitive behavioral therapy,” or “contingency management” for English articles published …


What Are The Barriers To Seeking Psychotherapy Services Across Different Racial And Ethnic Groups?, Deysee Chavez, Elisa Rodarte May 2024

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 …


The Impact Of Disability Support Services On The Success Of Student Veterans: A Hermeneutic Phenomenology, Chante Kimberly Burnell Apr 2024

The Impact Of Disability Support Services On The Success Of Student Veterans: A Hermeneutic Phenomenology, Chante Kimberly Burnell

Doctoral Dissertations and Projects

The purpose of this hermeneutic phenomenology was to explore the lived experiences of student veterans using disability support services at postsecondary institutions. Disability support services for student veterans was generally defined as any resource or service providing accessibility and support to aid academic success. Therefore, the central research question focused on the experiences of student veterans when utilizing disability support services. The conceptual framework used to guide this study was Vacchi’s (2017) Model of Student Veteran Support, as it establishes veteran-friendly propositions and suggests cornerstones needed to support the successful degree completion of student veterans. Data triangulation was used to …


Spiritual Care And The Art Of Holistic Healing At Swedish Hospital In Chicago, Mary Pamela Eke Apr 2024

Spiritual Care And The Art Of Holistic Healing At Swedish Hospital In Chicago, Mary Pamela Eke

Doctoral Dissertations and Projects

Despite the importance of spiritual care as an act of holistic healing process, there has continued to be a problem of imbalance between the physical care, and the spiritual and emotional care with cardiac care patients. The purpose of this DMIN action research project is to develop and implement a model of holistic healing for integrating spiritual and emotional care alongside physical treatment. This project’s main goal is to promote a sense of connectivity across the various aspects of physical, social, emotional, and spiritual care for cardiac care patients at Swedish Hospital in Chicago. Utilizing qualitative research methods for data …


Military Spouse Counselors: Exploring Mental Health, Resilience, Coping, And Burnout, Melinda Poteet Brinkley Apr 2024

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 Phenomenological Study Of Adoptive Parents’ Distress, Erica Rhoads Apr 2024

A Phenomenological Study Of Adoptive Parents’ Distress, Erica Rhoads

Doctoral Dissertations and Projects

The purpose of this transcendental phenomenological study was to explore the lived experiences of distress in parents who have adopted internationally. The aim was also to discover what this lived experience is like through the perception of both objective and subjective reality, providing understanding and meaning from the perception and experience of adopting and then parenting children who have experienced significant trauma. An additional goal of this study was to evaluate the experience of sharing their adoption story within a narrative therapy support group as a way to alleviate some of their distress. A focus on the background of adoption …


Early Forgiveness Intervention In Substance Abuse Recovery, Susan Janos Apr 2024

Early Forgiveness Intervention In Substance Abuse Recovery, Susan Janos

Doctoral Dissertations and Projects

Recent statistics have shown significant increases in substance abuse in the United Sates indicated by rising overdose deaths and hospital stays nationwide. This study was conducted to determine if early forgiveness intervention by chaplains and clergy affects the decisions of individuals struggling with substance abuse in considering forgiveness as a pathway to recovery. Based on the success of the Alcoholics Anonymous 12-step recovery program and recent studies, this research addressed forgiveness as a pathway to recovery for those struggling with substance abuse. Forgiveness was considered in one or more of five areas: forgiveness of self, forgiveness of others, forgiveness from …


The Role Of Culture In Coping: An Autoethnography-Lived Experience Of Navigating The Trauma Of Breast Cancer And Treatment, Amanda Yu Apr 2024

The Role Of Culture In Coping: An Autoethnography-Lived Experience Of Navigating The Trauma Of Breast Cancer And Treatment, Amanda Yu

Doctoral Dissertations and Projects

Chinese American women have been part of the United States immigration history since the Gold Rush in 1852. They have experienced physical, mental, emotional, and spiritual challenges with minimal support. The premise of this study is that when facing the hardship of a breast cancer diagnosis, Chinese American women are resilient by adhering to their cultural beliefs and using effective coping styles to cope with their cancer. Based on previous studies, Chinese American women have been considered to have a lower risk of breast cancer and have a 30% lower death rate than non-Asian women. However, breast cancer incidents are …


Christian Meditation And Yoga Breathwork: Complimentary Interventions For Ptsd, Beulah Savithri Joshua Apr 2024

Christian Meditation And Yoga Breathwork: Complimentary Interventions For Ptsd, Beulah Savithri Joshua

Doctoral Dissertations and Projects

This multiple-baseline experimental design study examined the impact of trauma-informed Christian yoga (TICY) and Christian meditation (CM) on posttraumatic stress disorder (PTSD) and its symptoms for adult trauma survivors at Lifepath Counseling, a private mental health treatment practice. The theories guiding this study were Adlerian and trauma theory, based on the idea that any trauma is defined as extremely upsetting emotional event that overwhelms the individual's internal resources, potentially leading to long-lasting psychological symptoms of PTSD in some cases. It was vital to explore efficacious and cost-effective treatment interventions to alleviate PTSD symptoms in this study. Complementary and alternative medicines …


The Intersection Of Trauma, Faith, And Addiction Among Women In Recovery At The Walter Hoving Home, Jessica I. West Apr 2024

The Intersection Of Trauma, Faith, And Addiction Among Women In Recovery At The Walter Hoving Home, Jessica I. West

Doctoral Dissertations and Projects

The association between substance use disorders (SUDs), childhood trauma, and post-traumatic stress disorder (PTSD) is becoming increasingly evident. There are faith-based programs available to assist women in overcoming addiction; however, there is presently no research examining the relationship between trauma, faith, and addiction among women in such programs as the Walter Hoving Home (WHH). Through a multiple regression analysis, this quantitative study evaluated the relationship between these three variables of interest among women in recovery. This study collected data through an anonymous Qualtrics survey with a self-report questionnaire, the Adverse Childhood Experiences Questionnaire (ACEs), Tobacco Alcohol Prescription medication and Other …


Attachment (Avoidance And Anxiety) In Relation To Marital Satisfaction In Couples Born Between 1980 And 2000, Shevanthi Kanaganayagam Apr 2024

Attachment (Avoidance And Anxiety) In Relation To Marital Satisfaction In Couples Born Between 1980 And 2000, Shevanthi Kanaganayagam

Doctoral Dissertations and Projects

This quantitative correlational study examined the relationship between attachment styles (Anxiety, Avoidance) correlated to marital satisfaction in heterosexual couples living in the U.S., born between 1980-2000, and the moderating role of social media use. Attachment styles develop during the infant stage through interactions with adult caregivers. It is apparent from research results that early attachment styles affect how a person interacts, impacting satisfaction in adult romantic relationships (Sandberg et al., 2015). The emergence of social media platforms, including Facebook, WhatsApp, and Instagram, has given people new ways to communicate with each other, build networks, and share information. According to research, …


Identifying The Impact Of Specific Parenting Routines On Self-Reported Parenting Satisfaction, Chris Kretschman Apr 2024

Identifying The Impact Of Specific Parenting Routines On Self-Reported Parenting Satisfaction, Chris Kretschman

Doctoral Dissertations and Projects

Parents face many challenges when raising a child, and how a parent handles these situations and their outcomes influence that parent’s perception of their success. This current research determined that there were not specific routines a parent engages in when interacting one-on-one with their child each day which positively correlate with reported parental satisfaction (Ha1). However, there are specific routines that a parent engages in when a family participates in activities together as a family unit that have a positive correlation with reported parental satisfaction (Ha2). A quantitative descriptive, variable-centered correlation design was utilized to understand the linear relationship between …


Emdr And Exercise: Treating Ptsd In Female Veterans, Ericka Day Apr 2024

Emdr And Exercise: Treating Ptsd In Female Veterans, Ericka Day

Doctoral Dissertations and Projects

The problem was that there was a gap in the literature on providing female-specific interest in EMDR and exercise as treatments for PTSD. The purpose of this study was to describe the severity of PTSD symptoms, mental health stigma, and quality of life in female veterans, and furthermore, to understand the level of desire among these women to engage in exercise and EMDR for PTSD treatment. The study was conducted utilizing a correlational quantitative research design. A sample size of 173 female veterans completed self-report assessments including the PTSD Check List Military Version (PCL-M), the Internalized Stigma of Mental Illness …


The Influence Of Prayer On Anxiety In Black Males: A Hermeneutic Phenomenological Study, Robin Houston Stitt Apr 2024

The Influence Of Prayer On Anxiety In Black Males: A Hermeneutic Phenomenological Study, Robin Houston Stitt

Doctoral Dissertations and Projects

Prayer is a primary indicator that Christians use to infuse meaning into their lives and navigate life's difficulties. Acquiring the capacity to cope with anxious feelings through spiritual disciplines, practices, and rituals can assist in anxiety relief. The literature indicates that the church has always served as a refuge when life-altering events occur. According to I Corinthians 12:13, the church is one body of believers, unified for a common purpose. Anxiety is defined as a state of distress caused by a perceived social threat. The purpose of this study in Pastoral Care and Counseling was to ascertain why studies have …


Alignment Of Multi-Tiered Support Systems Following A School-Based Suicide Risk Assessment: Exploring The Lived Experiences Of School-Based Mental Health Professionals, Lorraine Z. May Apr 2024

Alignment Of Multi-Tiered Support Systems Following A School-Based Suicide Risk Assessment: Exploring The Lived Experiences Of School-Based Mental Health Professionals, Lorraine Z. May

Doctoral Dissertations and Projects

The purpose of this study was to explore the experiences of school-based mental health professionals (SBMHP) alignment of multi-tiered systems of support (MTSS) with completed suicide risk assessments (SRA). This qualitative, phenomenological study investigated the experiences of SBMHP with school-based SRA and MTSS. The experiences of SBMHP regarding aligning MTSS with completed SRA prior to this study were unknown. The social ecological model (SEM) provided the framework as it outlines the multiple systems that SBMHP should consider when aligning interventions within a MTSS when working with students, while Joiner’s interpersonal theory of suicide (ITS) provided the grounding for suicidal behavior. …


Examining The Impact Of Sustained Trauma-Informed Care Training With Educators Who Service Students With Exceptionalities And Challenging Behaviors, Miyokia D. Carter Apr 2024

Examining The Impact Of Sustained Trauma-Informed Care Training With Educators Who Service Students With Exceptionalities And Challenging Behaviors, Miyokia D. Carter

Doctoral Dissertations and Projects

The number of trauma-exposed children is on the rise, and it poses a significant public health issue. Trauma-exposed children especially those with exceptionalities and behavioral problems require support across various aspects of their lives, including their school environment. One way to properly support students is adopting a trauma-informed approach as it diminishes presumptions regarding misbehaviors, increases understanding, genuinely helps students with traumatic symptoms, and restores relationships in the classroom. However, the transition to new approaches such as this can affect the perceptions and attitudes of those encouraged to implement the framework. This qualitative case study aimed to comprehend how staff …


The Daily Lived Experiences Of Traumatic Brain Injury Survivors: An Examination Of The Emotional, Cognitive, And Spiritual Repercussions, Nanette Stewart Haney Apr 2024

The Daily Lived Experiences Of Traumatic Brain Injury Survivors: An Examination Of The Emotional, Cognitive, And Spiritual Repercussions, Nanette Stewart Haney

Doctoral Dissertations and Projects

The purpose of this transcendental phenomenological study was to describe the experiences of traumatic brain injury survivors, seeking to understand their lived experiences by examining the emotional, cognitive and spiritual daily experiences. The study participants were adult male and female survivors of a life altering moderate to severe traumatic brain injury who live within the United States of America. The theories guiding this study are Jean Piaget’s (1896-1980) Constructivism Theory and John Watson’s (1878-1958) Behavioral Approach Systems Theory. Jean Piaget believes that all cognitive development progresses towards complex levels of organization. When an individual acquires new knowledge, it is received, …


Military Married Couples’ Reintegration Adult Attachment Experiences: A Hermeneutic Phenomenological Study, Marchell Coleman Apr 2024

Military Married Couples’ Reintegration Adult Attachment Experiences: A Hermeneutic Phenomenological Study, Marchell Coleman

Doctoral Dissertations and Projects

The purpose of this research study was to explore and understand how active-duty and veteran long-term military married couples mitigate separation and divorce after multiple post-deployment reintegration periods. This study employed qualitative research design and hermeneutic phenomenology to discover how these couples maintained long-term marriages. The researcher explored these military married couples' internal working models and adult attachment styles. In addition, it explored how these factors shaped their beliefs, responses, and attitudes toward separation and reunion as a married military couple. As a result, the researcher identified strategies and best practices to help military couples successfully mitigate the risk of …


A Phenomenological Study Addressing Clinicians’ Understanding Of The Effectiveness Of Evidence-Based Trauma Treatment For Black Male Veterans Diagnosed With Ptsd, Kelvin Tyler Jr. Apr 2024

A Phenomenological Study Addressing Clinicians’ Understanding Of The Effectiveness Of Evidence-Based Trauma Treatment For Black Male Veterans Diagnosed With Ptsd, Kelvin Tyler Jr.

Doctoral Dissertations and Projects

This qualitative, phenomenological study sought to address clinicians understanding of the effectiveness of individual and group trauma therapy for Black male veterans. The investigation sought to expand previous research by conducting a more in-depth study on the efficacy of evidence-based trauma therapy practices for Black male veterans. The participants included in this study were nine clinicians that utilized evidence-based trauma therapy when treating Black male veterans that are students in Liberty University’s Behavioral Health Doctoral Programs. The current research reveals that various treatment options are found to help treat Black male veterans with PTSD. The stress that is linked to …


A Phenomenological Study Exploring What Integrating Adolescent Identity Means To Christian Public-School Counselors, Todd Christopher Houchin Apr 2024

A Phenomenological Study Exploring What Integrating Adolescent Identity Means To Christian Public-School Counselors, Todd Christopher Houchin

Doctoral Dissertations and Projects

Adolescence is a numinous stage of self-discovery fraught with challenges and obscurities that threaten a healthy trajectory. Religion and spirituality are proven coping resources and school counselors can provide identity and meaning-making resources to aid adolescent development. However, religion and spirituality are often avoided in the public-school setting. Exploring what integrating adolescent identity means to Christian public-school counselors is important toward clarifying roles and ensuring best practices. The purpose of this phenomenological study is to explore what integrating adolescent identity means to Christian public-school counselors. Guiding questions include how Christian school counselors navigate identity and meaning making issues with adolescents, …