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Clinical Psychology

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2023

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Full-Text Articles in Psychology

Ethically Managing Theories Of Agency In Counseling And Psychotherapy, Jeffrey S. Reber, Jacob D. Tubbs, Jacob A. Larson Dec 2023

Ethically Managing Theories Of Agency In Counseling And Psychotherapy, Jeffrey S. Reber, Jacob D. Tubbs, Jacob A. Larson

Issues in Religion and Psychotherapy

Informed by personal and professional cultures, clients and therapists inevitably hold various assumptions and attributions about the possibility of free will. Given that these “theories of agency” may not always align, and in light of the ethics codes for psychotherapists and counselors, it is imperative, as a matter of cultural competence and responsivity, that therapists seek training in understanding different cultures of agency. To that end, and to help therapists navigate cultural differences and mitigate the risk of personal and professional values imposition, this article provides a conceptual framework for organizing the common formal and informal theories of agency that …


Trauma-Informed Supervision: The Supervisory Needs Of Mental Health Therapists Engaged In Trauma-Related Work, Erynne H. Shatto, James Stefurak Ph.D., Amy E. Rinner, Lacy M. Kantra Dec 2023

Trauma-Informed Supervision: The Supervisory Needs Of Mental Health Therapists Engaged In Trauma-Related Work, Erynne H. Shatto, James Stefurak Ph.D., Amy E. Rinner, Lacy M. Kantra

Journal of Counselor Preparation and Supervision

We present the need for therapists who engage in trauma-specific work to receive trauma-informed supervision or consultation. This is based on the findings that the emotional labor required of trauma-specific work is high and increases a therapist’s risk for experiencing negative impacts from their work such as vicarious trauma, compassion fatigue, unhelpful transference/countertransference, reminders of their own trauma, and burnout. Further, clients incur risks of receiving iatrogenic care when therapists engaged in trauma-related work are not given appropriate job related resources and/or receive ineffective supervision. We discuss a model for trauma-informed supervision, including supporting theory and initial guidelines for supervisors’ …


College Students’ Loneliness, Feelings About Social Media, And Depressive Symptoms During Covid-19: Between And Within-Person Temporal Associations, Karen Kochel, Catherine L. Bagwell, Samara Rosen Dec 2023

College Students’ Loneliness, Feelings About Social Media, And Depressive Symptoms During Covid-19: Between And Within-Person Temporal Associations, Karen Kochel, Catherine L. Bagwell, Samara Rosen

Interdisciplinary Journal of Leadership Studies

During COVID-19, many institutions of higher education implemented health protocols that reduced college students’ in-person interactions and prompted an uptick in their social media use. Although social media has often been implicated in the development of psychosocial difficulties, we tested an alternate hypothesis – that, during the pandemic, students’ feelings about social media for interpersonal connection (i.e., FSMIC), would contribute to reductions in loneliness and depressive symptoms. To investigate temporal associations between loneliness, FSMIC, and depression, we estimated random-intercept cross-lagged panel models (RI-CLPM), permitting the disaggregation of between- and within-person effects. Participants (N = 517 undergraduates, Mage = …


Self-Compassion As Moderator Of Istiqomah Learning And Perfectionism In High School Students, Adhitia Wardani Fauzyyah, Lydia Freyani Hawadi, Mulawarman Hannase Dec 2023

Self-Compassion As Moderator Of Istiqomah Learning And Perfectionism In High School Students, Adhitia Wardani Fauzyyah, Lydia Freyani Hawadi, Mulawarman Hannase

Journal Of Middle East and Islamic Studies

Abstract

The stages of adolescent development are generally at the age of high school students who are equipped with developmental tasks to have a good self-identity. Previous research mentioned that there was a public opinion that one form of achieving successful students' self-identity is that they succeed in becoming students at the State Higher Education Universities (PTN). In order to meet these perfect expectations, some students try to be istiqomah in learning by following tutoring program outside of school. By using quantitative research and data collection using purposive random sampling, this research tries to see how the relationship between …


Why Autistic Sociality Is Different: Reduced Interest In Competing For Social Status, Catherine L. Caldwell-Harris, Anna M. Schwartz Dec 2023

Why Autistic Sociality Is Different: Reduced Interest In Competing For Social Status, Catherine L. Caldwell-Harris, Anna M. Schwartz

Ought: The Journal of Autistic Culture

The complexity of human organizations poses the challenge of understanding and navigating social hierarchies. If 'social impairment' is a defining feature of autism, then these challenges may be heightened for autistic persons. We reject the premise of social deficits but follow recommendations to investigate how autistic social behavior diverges from neurotypical norms. We review autistic writings and also scholarship on reputation management, non-conformity and moral reasoning to argue that autistic people dislike social hierarchies, find status-seeking illogical, prefer egalitarian relationships, and often seek to report wrong-doing by authorities. We outline three possible causes: (1) reduced social motivation; (2) emergent property …


A Longitudinal Examination Of Multiple Forms Of Stigma On Minority Stress, Belongingness, And Problematic Alcohol Use, Akanksha Das, Rose Marie Ward, Lauren Haus, Jackson Heitt, Jeffrey Hunger Dec 2023

A Longitudinal Examination Of Multiple Forms Of Stigma On Minority Stress, Belongingness, And Problematic Alcohol Use, Akanksha Das, Rose Marie Ward, Lauren Haus, Jackson Heitt, Jeffrey Hunger

Health Behavior Research

College students who experience stigma report problematic alcohol use. However, the stigma-health link focuses on one form of stigma, thereby excluding the intersectional oppression of experiencing multiple forms of stigma. The present work has two primary aims: 1) evaluating whether additive intersectional minority stress confers greater problematic alcohol use among multiply-stigmatized college students one year later, and 2) whether that link can be explained by 1) lower belongingness and 2) greater drinking to cope motives. Students (N=427) ranging in stigmatized identities (14.3% zero; 46.4% one; 29.5% two; 9.8% three or more), participated in an annual health survey at two subsequent …


Constructing And Validating Of The Covid-19 Fear Scale: Psychometric Evidence And Optimal Cut-Off Score From Palestine, Fakher Khalili Dec 2023

Constructing And Validating Of The Covid-19 Fear Scale: Psychometric Evidence And Optimal Cut-Off Score From Palestine, Fakher Khalili

An-Najah University Journal for Research - B (Humanities)

Background: Various corona-phobia scales have been constructed to measure the levels of fear related to COVID-19. However, probably these scales were established based on the individualistic perspective, without pay attention to fear for others’ destiny. Objective: The current study is addressing the fear of COVID-19 in light of collectivistic values. Method: The present study constructed and validated a new scale measuring fear of COVID-19 among Palestinians (C-19FSP) based on a sample size of (885) respondents. Further, this study was designed to provide an optimal cut-off score for diagnosing corona-phobia. The study was carried out through two phases using a convenient …


The Effectiveness Of Computerized Neurofeedback As An Accompanying Or Alternative Therapeutic Intervention For Pharmacological Treatment In Improving Attention And Other Symptoms For Children With Attention Deficit Hyperactivity Disorder (Adhd), Eqbal Z. Darandari Phd, Nouf F. Alsultan Nov 2023

The Effectiveness Of Computerized Neurofeedback As An Accompanying Or Alternative Therapeutic Intervention For Pharmacological Treatment In Improving Attention And Other Symptoms For Children With Attention Deficit Hyperactivity Disorder (Adhd), Eqbal Z. Darandari Phd, Nouf F. Alsultan

International Journal for Research in Education

This study aimed to investigate the effectiveness of a treatment program using computerized neuro-feedback in improving attention for children with attention deficit hyperactivity disorder (ADHD). To achieve the aim of the study, the computerized neurofeedback program was applied to (56) children diagnosed with (ADHD), aged between (7-11) years. They were distributed into four groups: the first group was subjected to combined intervention (neurofeedback & pharmacological treatment), the second group was subjected to (neurofeedback only), while the third group was exposed to the intervention using (pharmacological treatment only), and the fourth group was (not exposed to any intervention). Test of Variables …


Perceived Stress And Religious Coping Among Pakistani-Origin Emerging Muslim Adults Living In Pakistan And The United States: A Cross-Cultural View, Amna Khan, Kiran Bashir Ahmed Oct 2023

Perceived Stress And Religious Coping Among Pakistani-Origin Emerging Muslim Adults Living In Pakistan And The United States: A Cross-Cultural View, Amna Khan, Kiran Bashir Ahmed

Journal of Mind and Medical Sciences

This study explored the relationship between Perceived Stress and Religious Coping levels among Muslim emerging adults of Pakistani origin living in Pakistan and Muslim emerging adults of Pakistani origin living in the United States (US). Participants (Pakistani Origin Muslims Living in Pakistan, n= 103; and Pakistani Origin Muslims Living in the US, n=50) were between 18-25 years old. The Perceived Stress Scale (PSS-10) and Brief R-Cope scale were administered using an online format. Results indicated that negative religious coping strategies were associated with higher perceived stress in both groups while positive religious coping strategies showed a weaker association with lower …


Zimbardo’S Time Perspective And Binge Drinking Patterns In Alcohol Consumption Among Black African International University Students In China, Alice Nguni, Houchao Lyu, Ravi Paul, Xiaobao Li Oct 2023

Zimbardo’S Time Perspective And Binge Drinking Patterns In Alcohol Consumption Among Black African International University Students In China, Alice Nguni, Houchao Lyu, Ravi Paul, Xiaobao Li

Psychological Research on Urban Society

Addictive alcohol use among university students in China is a growing public health concern. This study examines Binge drinking and time perspective among Black African students from Southwest University in China. While the Time Perspective focuses on the past, present, or future that may predict alcohol abuse, its relationship with Binge drinking among Black Africans in China remains unexplored. Among 370 participants, data was gathered using the Time Perspective Inventory and Alcohol Use Disorders Identification Test. Regression analysis indicated a positive association between the present (fatalistic, hedonistic), future, and past-positive TP and binge drinking, while the Future time frame showed …


Survivor Experiences Of Male Childhood Sexual Abuse: A Literature Review, Elizabeth Burch B.S., Joseph T. Kenneally Psy.D., Stephanie Zepeda Phd Oct 2023

Survivor Experiences Of Male Childhood Sexual Abuse: A Literature Review, Elizabeth Burch B.S., Joseph T. Kenneally Psy.D., Stephanie Zepeda Phd

Psychology from the Margins

The World Health Organization (WHO) recognizes childhood sexual abuse (CSA) as a global health issue. CSA is a human violation that affects both female and male children and has a stronger detrimental impact on mental health than other traumatic childhood experiences. Despite a growing awareness of male survivors of CSA, male survivors are a marginalized group as most CSA research focuses on females. In addition, masculine norms can keep male adults from disclosing further, which can delay support and increase mental health issues. This meta- analysis reviews the current literature on this group of marginalized people and concludes with a …


Smart Technology In Autism Care: Is Rootines Usable, Useful, And Acceptable In Clinical Practice?, Isak Beck, Lonnie Sears Sep 2023

Smart Technology In Autism Care: Is Rootines Usable, Useful, And Acceptable In Clinical Practice?, Isak Beck, Lonnie Sears

The Cardinal Edge

Smart technologies are rapidly appearing in the healthcare landscape. In this study, we evaluate Rootines, a smartphone app offering remote patient monitoring for kids with developmental and behavioral health concerns. We’re asking families served by the Norton Children’s Autism Center in Louisville, Kentucky to use Rootines together with their child’s clinician for two weeks. Following this, we will use surveys and interviews to probe for the usability (how well the technology can be used), usefulness (how valuable users find the technology), and acceptability (whether the technology can meet user needs) of the Rootines app. Trials in clinical settings are crucial …


Emotion Regulation Tendencies Moderate Momentary Associations Between Sadness, Binge Urges, And Overeating, Jacoby D. Banet, Julia Nicholas, Taylor Penwell, Rowan Hunt, Cheri Levinson Sep 2023

Emotion Regulation Tendencies Moderate Momentary Associations Between Sadness, Binge Urges, And Overeating, Jacoby D. Banet, Julia Nicholas, Taylor Penwell, Rowan Hunt, Cheri Levinson

The Cardinal Edge

Background: Eating disorders (EDs) are notably adverse, and previous research emphasizes that analysis of momentary triggers may be useful in determining the factors that maintain ED psychopathology. Negative affect (NA) is one momentary trigger of special interest in regard to binge eating tendencies. While current literature differs on the precise mechanisms by which NA maintains ED psychopathology, emotional regulation has been nevertheless implicated in encouraging binge eating behaviors. The present study explores correlations among sadness, binge urges, and overeating, and assesses emotional avoidance and emotional awareness as potential moderators of these relationships. Method: Participants (N = 34) with moderate …


Excessive Exercise And Its Relationship To Social Appearance Anxiety And Difficulties In Emotional Regulation, Ciaran D. Brown, Hannah Fitterman-Harris Dr Sep 2023

Excessive Exercise And Its Relationship To Social Appearance Anxiety And Difficulties In Emotional Regulation, Ciaran D. Brown, Hannah Fitterman-Harris Dr

The Cardinal Edge

Background: Excessive exercise is characterized as an eating pathology symptom, often described as an addiction, with typical symptoms of addiction observed such as increased tolerance (i.e., more exercise needed for the same effects), continuation despite acknowledged negative effects, social withdrawal, and withdrawal symptoms when the behavior is discontinued. Our research sought to further understand this phenomenon by exploring its relationship with other characteristics common to eating disorder patients. One such characteristic chosen for this project was Social Appearance anxiety, which is described as a fear or excessive worry about the way you appear to other people, including fears of positive …


Ufo Witness Testimony (Reliability)--'Flyer' Sep 2023

Ufo Witness Testimony (Reliability)--'Flyer'

The International Journal of Ecopsychology (IJE)

No abstract provided.


Full Issue, Tracy L. Cross Sep 2023

Full Issue, Tracy L. Cross

SENG Journal: Exploring the Psychology of Giftedness

No abstract provided.


Entering Terra Incognita: Adapting Psychotherapists To Work During The Covid-19 Pandemic, Monika Zielona-Jenek, Agnieszka Izdebska, Emilia Soroko Aug 2023

Entering Terra Incognita: Adapting Psychotherapists To Work During The Covid-19 Pandemic, Monika Zielona-Jenek, Agnieszka Izdebska, Emilia Soroko

The Qualitative Report

Sudden historical events, such as the COVID-19 pandemic, may critically change the circumstances in which psychotherapy is conducted. The objective of this study was to analyze Polish psychodynamic psychotherapists’ experiences of working with patients at the onset of the pandemic and hence to understand the process of their coping with the external reality challenges. 183 Polish psychotherapists (160 women and 23 men) aged 26-66 years (average 38) completed a survey about their therapeutic work during the COVID-19 pandemic. Data were analyzed in accordance with Braun and Clarke’s thematic analysis framework. Five general themes were identified: (1) Facing a taboo; (2) …


Mediumship And Mental Health: Investigating Spirit Communication And The Importance Of Integration, Daniel A. Seda Ph.D. Aug 2023

Mediumship And Mental Health: Investigating Spirit Communication And The Importance Of Integration, Daniel A. Seda Ph.D.

Journal of Conscious Evolution

Sensitivity to paranormal phenomena can be a source of emotional, mental and psychospiritual stress for individuals demonstrating verified mediumistic abilities, yet integrating these anomalous experiences in a healthy, affirming manner can reduce distress and potentially deflect egodystonic diagnoses of pathology. Because mediums can relay information which appear to be otherworldly from meditation, during trance, or by automatic writing and painting, health professionals have diagnosed mediums with mental disorders such as dissociative identity disorder and schizophrenia. This overreliance on pathology to explain anomalous experiences is troublesome and can cause severe distress to individuals demonstrating extrasensory capabilities. This paper was written to …


Considerations For Developing Effective Mobile Mental Health Applications, Brennan Remington, Daniel F. Upchurch Jul 2023

Considerations For Developing Effective Mobile Mental Health Applications, Brennan Remington, Daniel F. Upchurch

Multidisciplinary Psychology: A Journal of Collaboration

Mobile mental health applications (MMHAs) are mobile applications developed with the intention of bettering the mental health of their users. There is a wide array of MMHAs currently available on digital markets, but the effectiveness of these applications remains in question. Research on the persuasive strategies employed by these applications would lead to an increase in the effectiveness of intervention methods utilized. Developing guidelines to assist in the creation of these applications would benefit developers and end-users. There is a critical need for MMHAs as they are accessible and often affordable treatment options for hard-to-reach, stigmatized or undertreated populations. This …


Gender Roles, Sexual Cognitions, And History Of Victimization: A Preliminary Model Of Reporting Behavior Among College Students, Randi Spiker, Eu Gene Chin Jun 2023

Gender Roles, Sexual Cognitions, And History Of Victimization: A Preliminary Model Of Reporting Behavior Among College Students, Randi Spiker, Eu Gene Chin

Journal of Social, Behavioral, and Health Sciences

Sexual cognitions that flow from gender roles and previous history of victimization are strong predictors of sexual assault victimization. Because these cognitions reside within the individual themselves, we hypothesized that these same cognitions will also be predictors of subsequent reporting behavior to formal campus supports. An online self-report survey for assessing student awareness and perception of sexual safety was administered in a random stratified sample of college students (N = 98; 78% female). Participants were shown a hypothetical vignette involving a quid pro quo sexual harassment incident involving a student and were asked to rate their likelihood of making …


The Underdiagnosis Of Adhd In Children Of Color, Nadia X. Avila Jun 2023

The Underdiagnosis Of Adhd In Children Of Color, Nadia X. Avila

Culture, Society, and Praxis

Attention-deficit/hyperactivity disorder (ADHD) is a disorder that remains underdiagnosed in children of color. I originally argued that the underdiagnosis of ADHD in children of color may be the result of their parents’ and teachers’ lack of knowledge about the disorder. I also provided evidence supporting that another reason for the underdiagnosis of ADHD in children of color may be from racism among their teachers. My research concluded that both sides of my argument were valid and potential reasons for why there is an underdiagnosis of ADHD in children of color.


College Student Depression Throughout Covid-19: Fall 2019-Spring 2022, Matthew Powless, Zachary Pilot, Valentin Bouvier, Elisabeth Brown, Mikaila Ealum, Lakota Iron Rope May 2023

College Student Depression Throughout Covid-19: Fall 2019-Spring 2022, Matthew Powless, Zachary Pilot, Valentin Bouvier, Elisabeth Brown, Mikaila Ealum, Lakota Iron Rope

Midwest Social Sciences Journal

The current study examined the trends in depression and emotion regulation for students (n = 899) at one university in the Midwest United States from prior to the COVID-19 pandemic (Fall 2019) through the Spring 2022 semester. An analysis of covariance (ANCOVA) was conducted, controlling for difficulties in emotion regulation and gender identity. The ANCOVA indicated that depression was significantly lower in Fall 2019 than in the remaining five semesters under investigation. Results of these analyses appear to indicate that depression rose significantly in students after the onset of the pandemic and implementation of social restrictions. This negative effect …


"I Think It's Biblically Wrong, But Temptation Gets The Better Of Me": A Survey On Out-Of-Control Sexual Behavior In A Christian Cohort Of Men In The Uk, Timothy C Y Lau, Glenn M. Miles May 2023

"I Think It's Biblically Wrong, But Temptation Gets The Better Of Me": A Survey On Out-Of-Control Sexual Behavior In A Christian Cohort Of Men In The Uk, Timothy C Y Lau, Glenn M. Miles

Dignity: A Journal of Analysis of Exploitation and Violence

The current study aims to better understand influences on men within the UK Christian community on their engagement with pornography and prostitution. The authors utilized the Carnes (2012) survey to examine the landscape of sexual knowledge and behaviours, and to identify symptoms, and the propensity towards, “out-of-control sexual behavior” among participants. Data from a survey sent to the Christian community through church networks and word of mouth was used for this study. Of the 491 men who participated, the majority (94%, 460) described their personal Christian faith as “strong.” Despite the Christian faith community's moral code of conduct, the survey …


Mental Health Stigma And Social-Cognitive Factors Influence Behavioral Intentions To Seek Psychological Help, Bobbie Juaneza, Whitney Whitaker Apr 2023

Mental Health Stigma And Social-Cognitive Factors Influence Behavioral Intentions To Seek Psychological Help, Bobbie Juaneza, Whitney Whitaker

Academic Leadership Journal in Student Research

Recent estimates suggest that one in five adults in the United States of America experience mental health issues each year; this is estimated to be approximately 51.5 million adults. Despite many individuals who might suffer from mental health issues, and perhaps be diagnosed with a mental health disorder, these same individuals may not seek psychological services when needed. The current study examined mental health stigma (i.e., public and self-stigma of mental health) and social-cognitive factors (i.e., attitudes, subjective norms, and perceived control) that might influence a person’s willingness to seek out psychological help. The Theory of Planned Behavior was used …


The Development And Psychometric Properties Testing Of Intolerance Of Uncertainty Scale For Indonesian Adults, Divani Aery Lovian, Dewi Maulina, Hilma Ramadina, Nathania Kusuma Apr 2023

The Development And Psychometric Properties Testing Of Intolerance Of Uncertainty Scale For Indonesian Adults, Divani Aery Lovian, Dewi Maulina, Hilma Ramadina, Nathania Kusuma

Psychological Research on Urban Society

Uncertain situations have further exacerbated great vulnerability to stressors and a high risk of mental health problems in urban populations. The adverse effects of uncertainty on well-being have been increasingly concerning and heightened the need to understand intolerance of uncertainty (IU) as a factor that influences responses to uncertainty. However, few scales have been developed to measure IU, especially in Indonesia. To address this concern, the current study aimed to develop a reliable and valid Intolerance of Uncertainty Scale for Indonesian Adults (IUS-A). The scale was developed and validated using data from 588 participants aged 20–65 years (M = …


Mechanisms Linking Threat- And Deprivation-Related Childhood Adversity And Depression: The Biopsychosocial Model, Cut N. Kemala, Marijtje L.A. Jongsma, Donny Hendrawan, Eni Becker Apr 2023

Mechanisms Linking Threat- And Deprivation-Related Childhood Adversity And Depression: The Biopsychosocial Model, Cut N. Kemala, Marijtje L.A. Jongsma, Donny Hendrawan, Eni Becker

Psychological Research on Urban Society

Childhood adversity involves a wide range of negative experiences that pose a serious threat to a child’s wellbeing. It has been consistently shown to predict (chronic) depression in subsequent stages of development, but mechanisms underlying the relationship are still less clear. Moving from a cumulative approach of lumping heterogeneous categories of childhood adversity to a dimensional approach of classifying negative experiences into two major dimensions (threat and deprivation) has facilitated the identification of specific processes by which childhood adversity can predict depression. This review aims to provide an integrative overview of how childhood adversity increases the risk for depression using …


The Relationship Antecedents Of Smoking (Ras) Scale: A New Scale To Assess Couple-Focused Triggers To Smoke., Erin M. Tooley, Joseph L. Fava, Belinda Borrelli Apr 2023

The Relationship Antecedents Of Smoking (Ras) Scale: A New Scale To Assess Couple-Focused Triggers To Smoke., Erin M. Tooley, Joseph L. Fava, Belinda Borrelli

Health Behavior Research

The purpose of this pilot study is to assess the reliability and construct validity of a measure of relationship-focused antecedents for smoking (RAS). The scale includes both positively-valenced items (e.g.. “I feel like smoking when I am relaxing with my partner”) and negatively-valenced items (e.g., “I feel like smoking when my partner criticizes me”). Participants included 123 individuals who smoke cigarettes with co-habitating smoking (n=63) or non-smoking (n=60) romantic partners. Participants completed the RAS and a series of measures associated with smoking outcomes. Principal component analysis with varimax rotation resulted in a 2-component solution. The RAS showed excellent internal consistency …


Peer-Supervision Of Nursing Professionals: A Shield Against Burnout, Kyle Gamache, Sarah Gamache, Joseph Robillard Apr 2023

Peer-Supervision Of Nursing Professionals: A Shield Against Burnout, Kyle Gamache, Sarah Gamache, Joseph Robillard

Journal of Wellness

Introduction: Burnout is a major risk in healthcare professions and is a significant contributor to the current nursing shortage. Strategies to combat burnout of healthcare professionals are in desperate need. The purpose of this project is to introduce the clinical peer supervision model as a method to alleviate burnout in nursing professionals.

Approach: Eight nurses from in-patient settings participated in a peer-supervision support group, modeled after existing European nursing and mental health provider-support protocols. To assess the effect of this intervention, qualitative data analysis was conducted on the transcripts of session and the results described. All participants reported statistically high …


Counselor's Corner: An Interview With Tim Stambaugh, Tracy L. Cross Mar 2023

Counselor's Corner: An Interview With Tim Stambaugh, Tracy L. Cross

SENG Journal: Exploring the Psychology of Giftedness

No abstract provided.


Full Issue Mar 2023

Full Issue

SENG Journal: Exploring the Psychology of Giftedness

No abstract provided.