Psychology Commons^™

Sociocultural Predictors Of White Veterans’ Attitudes Towards Va Mental Health Care, Elyssa Christine Berney

Theses and Dissertations--Educational, School, and Counseling Psychology

U.S. Veterans are less likely to seek help than their civilian counterparts despite having higher levels of self-reported distress, in part due to comparatively poorer attitudes towards seeking mental health treatment. While some aspects of cultural socialization (e.g., gender role expectations, certain types of stigma) have been established to influence Veterans’ attitudes towards mental health treatment, other aspects of health care access (e.g., trust in health care institutions or individual providers) may benefit from increased focus. Additionally, one aspect of cultural socialization that is understudied in white Veterans is that of racial-cultural socialization (i.e., whiteness). Much of the research into …

"It's All Lateral Violence": How Sexual Minority Men Cope With Appearance Discrimination, Matthew T. Richardson

Theses and Dissertations--Educational, School, and Counseling Psychology

Sexual minority men experience higher rates of body dissatisfaction (BD) than heterosexual men (Frederick & Essayli, 2016). BD is associated with negative health outcomes in this population, including eating disorders (Yean et al., 2013), depression (Blashill et al., 2016), suicidality (Grunewald, Calzo, et al., 2021), and risky sexual behavior (Goedel et al., 2017). Sexual minority men who use dating apps may be at greater risk of experiencing BD via exposure to appearance-based discrimination (Tran et al., 2020), sexual objectification, and weight stigma (Filice et al., 2019). Little is known about sexual minority men’s experiences of appearance discrimination on dating apps …

The Role Of Authenticity In The Link Between Self-Determination, Gender Minority Stress, Psychological Well-Being And Distress In Transgender, Nonbinary, And Gender Expansive Individuals, Zakary Alexander Clements

Theses and Dissertations--Educational, School, and Counseling Psychology

Transgender, nonbinary, and gender expansive individuals (TNB and GE) have the same basic psychological needs (BPN) for self-determination as their cisgender counterparts yet face unique gender minority stressors (GMS) that may impact psychological distress and well-being. Authenticity is an important factor that may also affect psychological well-being and distress in TNB and GE people. Few research studies have examined BPN attainment or GMS factors and psychological well-being and distress. The role of authenticity, which is associated with psychological well-being in cisgender samples, has yet to be examined in TNB and GE people on the context of BPN attainment or GMS. …

“Who Do You Love, And Are You For Sure?”: Black Relationship Attitudes And Partner Preferences, Chesmore Simon Montique

Theses and Dissertations--Educational, School, and Counseling Psychology

Historically, research has identified Black relationships as deviant, unstable, and pathological as compared to White relationships (Frazier, 1966; Moynihan, 1965). This outlook centers on White experiences as a baseline for comparison and dismisses the cultural nuance within Black relationships. Examining intraracial Black relationship formation dynamics – specifically romantic partner preferences – using an intersectional framework seems more relevant as Black people are least likely of all races to date White people (Batson et al., 2006; Yancey, 2009). As Black immigrants continue to increase their presence in the U.S. (Anderson & López, 2018), the current research examines how cultural factors influence …

Exploration Of Factors Associated With Rural Appalachian Women's Use Of Buprenorphine Prior To Incarceration, Kelsey A. Redmayne

Theses and Dissertations--Educational, School, and Counseling Psychology

The Gelberg-Anderson Behavioral Model for Vulnerable Populations was used to identify factors related to buprenorphine use in general and through diversion (versus formal treatment) among rural Appalachian women using substances in the six months prior to their incarceration. This study is a secondary analysis of data from interviews completed with rural Appalachian women (N=400) residing in rural Kentucky jails. Independent variables were analyzed using chi square and independent t-tests for buprenorphine use generally and diverted buprenorphine use. The significant predictors were then evaluated through hierarchical logistic regression to explore which factors account for the most variance in general …

Applications Of The John Henryism Hypothesis: Mitigating Associations Between Incarceration, Drug Use, And Sex Partner Characteristics, Paris Wheeler

Theses and Dissertations--Educational, School, and Counseling Psychology

Individual risk behaviors are not enough to explain STI disparities among African American women. Effects of structural, social, and individual level risk factors may be mitigated by cultural factors that help increase resilience. The current study aimed to examine whether John Henryism Active Coping (JHAC), a cultural correlate marked by physical and mental vigor and self-determination, mitigates relationships between criminal justice status, crack cocaine use, and sex partner risk characteristics. Data were derived from a sample of African American women living in Kentucky (n=643). Ordinal logistic regression and stepwise linear regression analyses were utilized to examine whether interactions between criminal …

Appalachians’ Intentions To Use Online And In-Person Counseling, Jade Hollan

Theses and Dissertations--Educational, School, and Counseling Psychology

Appalachians face higher rates of mental health concerns, yet they are less likely to have access to quality treatment. Online counseling, counseling using videoconferencing technology, may provide a viable solution to narrow this gap. However, little is known about Appalachians’ intention to use in-person or online counseling. This study examined Appalachians’ (N = 490) intentions to use online and in-person counseling using the theoretical framework of Theory of Planned Behavior (TPB; Ajzen, 1991). Results from structural equation modeling supported the indirect model for online and in-person counseling, where the associations between distal help-seeking factors (i.e., self-stigma, perceived stigma of …

“Don’T Feel Like You Have To Do This All On Your Own”: Exploring Perceived Partner Support Of Breastfeeding Among Black Women In Kentucky, Jardin Dogan

Theses and Dissertations--Educational, School, and Counseling Psychology

Background: Partner support improves breastfeeding initiation and continuation among mothers. However, few studies have explored partner support for breastfeeding among Black women living in the southeastern U.S., who report the lowest rates nationally of breastfeeding compared to women of other racial groups. Ways to increase support of Black women’s breastfeeding may be best understood from an Afrocentric perspective.

Research Aim: This qualitative study aimed to explore perceptions of partner support among Black mothers to abductively develop a culturally relevant framework of partner support to improve their rates of breastfeeding. Our research question was, “What partner support behaviors do Black …

“I Knew I Wanted More For Myself”: Sexual Minority Men’S Narratives About Getting Help For Intimate Partner Violence, Jonathan Ryser-Oatman

Theses and Dissertations--Educational, School, and Counseling Psychology

Sexual minority men experience intimate partner violence (IPV) at rates similar to, if not higher, than heterosexual individuals (Finneran & Stephenson, 2013). IPV is associated with a range of negative health outcomes in this population, such as increased risk for depression and anxiety (Miller & Irvin, 2017) and increased sexual risk-taking and subsequent HIV acquisition (Craft & Serovich, 2005; Houston & McKirnan, 2007). Many barriers prevent sexual minority men from getting help for IPV including stigma-related stressors, socioeconomic status, HIV status, perceived lack of helping resources, and a lack of knowledge about IPV (Duke & Davidson, 2009; Edwards, Sylaska, & …

When Worlds Collide: An Intersectional Approach To Understanding The Relationship Experiences Of Bisexual-Identifying Asian Men With Same And Different Gender Partners, Cheryl Kwok

Theses and Dissertations--Educational, School, and Counseling Psychology

The relationship experiences of bisexual-identifying men of color have been neglected in psychological studies of race, gender, and sexuality. Few studies, if any, have examined the relationship experiences of Asian bisexual men, even though this population’s multiple marginalized and stigmatized social identities increase their health risks (Bryant-Davis, 2007; Carter, 2007; Ching et al., 2018). Bisexuality is commonly defined by an individual’s intimate partner attraction and/or behavior (e.g., Swan & Habibi, 2018), making relationship experiences fundamental to bisexual identity. More generally, intimate relationships can contribute to and/or pose challenges to psychological well-being (Feinstein, et al., 2016; Whitton et al., 2018), yet …

The Person Of The Therapist: Therapists’ Personal Characteristics As Predictors Of Working Alliance And Treatment Outcomes, Alyssa Laura Clements

Theses and Dissertations--Educational, School, and Counseling Psychology

Recent years has seen an increase in studies examining the unique contribution that the therapist has on treatment outcomes, which is commonly referred to as “therapist effects” (Barkham et al., 2017). Therapist effects on outcomes are believed to occur primarily via how the therapist’s interpersonal and intrapersonal qualities influence the therapeutic relationship, which in turn influences outcomes (Wampold et al., 2017). The current study focused on professional self-doubt, counseling self-efficacy, and humility because of previous writings about their potential to influence therapists’ interpersonal behaviors. Data was collected from Southwest Behavioral and Health Services (SBHS), a non-profit, comprehensive community behavioral health …

"Now Thinking About It, It's Freedom": Conceptualizing Sexual Pleasure For Fat, Queer Women, Carolyn Elizabeth Meiller

Theses and Dissertations--Educational, School, and Counseling Psychology

Research considering the positive aspects of sexuality, such as pleasure, within a cultural context is especially important for groups of people that are often seen as separate from the experience of sexuality, such as fat, queer women. Due to perceptions of their bodies and how their sexuality goes against traditional heteronormativity, fat, queer women's experiences with sex and pleasure are under represented. Using a critical sexuality framework, the present study sought to explore the definitions and experiences of sexual pleasure for fat, queer women.

In the present study, constructivist grounded theory methods (Charmaz, 2014) were used to analyze the definitions …

Whiteness And Multiculutral Competence: Counseling Psychology Faculty As Gatekeepers To Understanding Whiteness, Blanka Angyal

Theses and Dissertations--Educational, School, and Counseling Psychology

The current phenomenological study aimed to explore how counseling psychology faculty’s understanding of whiteness informs their definition of multicultural competence and practice of psychology. The study presents a conceptual model for researching multicultural competence informed by critical race (Delgado & Stefancic, 2001), feminist standpoint (Smith, 1987, 1997), and intersectional (Collins, 1986; Chrenshaw, 1989) paradigms. Twelve counseling psychology faculty (N=12) teaching in APA-accredited programs were nominated by graduate trainees who deemed them multiculturally competent. Participants’ understanding and experiences of whiteness are described, including the dispositions, behaviors, and academic socialization that propagate whiteness. White faculty’s experience of whiteness and that of faculty …

The Applicability Of The Partners For Change Outcome Management System For Psychotherapy In South Korea: Exploring Korean Therapists’ Experiences, Sang-Hee Hong

Theses and Dissertations--Educational, School, and Counseling Psychology

The introduction of psychotherapy approaches to another culture may require adjustments, such as cultural adaptation (Benish, Quintana, & Wampold, 2011; Griner & Smith, 2006). Unique features of a specific cultural group, such as a native language and traditional cultural values may interfere with new approaches. Although a client feedback system, the Partners for Change Outcome Management System (PCOMS; Miller, Duncan, Sorrell, & Brown 2005) has been established as an evidence-based treatment approach with clients in the United States, little has been examined on its utility in Korean psychotherapy. Therefore, the aim of this study was to investigate the applicability and …

What Do You And I Have To Lose? Influence Of Relationship Factors On Couple Help Seeking, Douglas Allen Spiker Ii

Theses and Dissertations--Educational, School, and Counseling Psychology

Without intervention, most distressed couples will not see relationship quality improvement. Couple therapy has demonstrated efficacy, yet many distressed couples are reluctant to access these services. Despite this well-documented treatment gap, limited research exists on why relationally distressed individuals in relationships do or do not seek couple therapy. An unexplored avenue to increasing couple help seeking is leveraging research and theory on why couples stay together (i.e., relationship-based motives). Interdependence theory and Investment Model of Commitment posit that couples persist in relationships for both self-focused (i.e., commitment, positive and negative relationship quality) and partner-focused relationship reasons (i.e., perceived partner commitment, …

What Does It Mean To Be White: Investigating White Culture, White Privilege And Allyship Through The Lens Of Aspiring White Allies, Brett Kirkpatrick

Theses and Dissertations--Educational, School, and Counseling Psychology

In 2017, prominent counseling psychologists stressed the need to make Whiteness and allyship a focus of future research. In particular, they noted that a comprehensive definition of what it means to be White was missing from the extant literature within counseling psychology. Using interpretative phenomenological analysis (IPA), the present study recruited 10 White individuals, who self-identified as an ally, and asked them to describe how they experienced being White and an ally in their everyday lives. Findings revealed that White culture and White privilege have components that are visible and invisible to White individuals. The more visible component of White …

The Role Of Therapist Multicultural Competency On Treatment Outcomes, Minnah Farook

Theses and Dissertations--Educational, School, and Counseling Psychology

Racial and ethnic minority populations suffer disproportionally from mental health disparities in the United States (Dillon et al., 2015; Holden et al., 2014). Research has indicated that a lack of culturally competent care contributes to these disparities (Holden & Xanthos, 2009). As multicultural competencies (American Psychological Association [APA], 2002; Council of National Psychological Associations for the Advancement of Ethnic Minority Interests, 2003) have been widely endorsed and implemented in professional organizations and training programs, research on their need and usefulness has increased over the last three decades (Worthington et al., 2007). However, the majority of research on multicultural competencies has …

Factors Impacting Parental Acceptance Of An Lgbt Child, Dani E. Rosenkrantz

Theses and Dissertations--Educational, School, and Counseling Psychology

Chrisler’s (2017) Theoretical Framework of Parental Reactions When a Child Comes Out as Lesbian, Gay, or Bisexual suggests that parental reactions to having a non-heteronormative child are impacted by a process of cognitively appraising information about their child’s identity and experiencing and coping with emotional responses, both of which are influenced by contextual factors such as a parent’s value system. However, some religious values can challenge parents in the process of accepting a lesbian, gay, bisexual, or transgender (LGBT) child. The purpose of this study was to test a model that examines the influence of cognitive-affective factors (cognitive flexibility, emotional …

An Examination Of Relations Among Fear, Guilt, Self-Compassion, And Multicultural Attitudes In White Adults, Whitney W. Black

Theses and Dissertations--Educational, School, and Counseling Psychology

Structural racism is often perpetuated by well-intentioned White individuals who passively accept or are unaware of its existence. However, when their perceptions and understanding of the world are challenged through learning about structural racism, White people may experience emotions such as fear, and guilt, which seem to serve either a debilitating or a motivating role in multicultural attitude development. Self-compassion, which is the ability to process distressing emotions without resorting to avoidance of the emotional experience, may help White individuals work through strong negative affect that accompanies an awareness of structural racism and ultimately aid in the development of multicultural …

“The Best Thing That’S Happened In My Life”: The Journey Toward Acceptance Of One’S Lgbtq Child In A Sample Of Cuban-Americans And Puerto Ricans, Roberto Luis Abreu

Theses and Dissertations--Educational, School, and Counseling Psychology

Acceptance by a parental figure is one of the most important protective factors for LGBTQ (Lesbian, Gay, Bisexual, Transgender, and Queer) youth and young adults (e.g., Ryan, 2009, 2010). Lack of parental acceptance may lead to a disruption in parent-child relationships and may increase risk for maladaptive behaviors and poorer psychosocial outcomes in LGBTQ youth (e.g., Bouris et al., 2010). Researchers have called for more inclusive samples and methods to better understand the experiences of families from diverse ethnic and racial backgrounds (e.g., Heatherington & Lavner 2008). Specific to Latinas/os, cultural factors and theoretically informed interventions that facilitate parental acceptance …

Blessing Or Bs? Examining The Therapy Experiences Of Transgender And Gender Nonconforming Clients Obtaining Referral Letters For Gender Affirming Medical Treatment, Holly Brown

Theses and Dissertations--Educational, School, and Counseling Psychology

Transgender and gender nonconforming (TGNC) people who pursue gender affirming medical interventions, such as hormone therapy and surgery, are required to supply their physicians with referral letters from mental health professionals (Coleman et al., 2012). The process by which TGNC people are required to obtain referral letters before accessing gender affirming care is often referred to as gatekeeping in the TGNC literature (Budge, 2015; Cavanaugh, Hopwood, & Lambert, 2016). Despite implications that the current gatekeeping system may have for the relationship between TGNC clients and their therapists, few studies have examined TGNC individuals’ experiences related to obtaining referral letters in …

Exploring Critical Consciousness, Facilitating Black Liberation, Della V. Mosley

Theses and Dissertations--Educational, School, and Counseling Psychology

The current study aimed to uncover processes and experiences that led individuals to critically engage in racial justice activism, specifically the Black Lives Matter movement. A constructivist grounded theory approach was utilized under critical-ideological and Black feminist paradigms in order to build a practical theory related to developing critical consciousness about oppression facing the Black community. Black activists in the movement between the ages of 23 and 60 (N=12) participated in intensive individual interviews. The result of the study is a co-constructed theory of racial justice activism development (the Critical Consciousness of Anti-Black Racism [CCABR] model) that can be used …

Evaluating The Attitudes And Practices Of Exercise Prescription Among Psychotherapists, Igor Vasilj

Theses and Dissertations--Educational, School, and Counseling Psychology

Exercise has been shown to improve mood, anxiety, stress, and promote neuroplasticity (Conn, 2010; Donaghy, 2007; Josefsson, Lindwall, & Archer, 2014; Silveria et al., 2013; Stathopoulou et al., 2006). However, limited research on the topic suggests that many psychologists and mental health providers are not incorporating exercise into psychological treatment, and many lack the confidence to do so (Burton, Pakenham, & Brown, 2010; Weir, 2011). The purpose of this study was to evaluate current exercise prescription trends among practicing psychologists and trainees, including identifying their current beliefs, attitudes, training, and the perceived barriers hindering psychotherapists from recommending and prescribing exercise. …

Leaving "The Life:" Exploring Services For Women Exiting Prostitution, Katherine A. Cascio

Theses and Dissertations--Educational, School, and Counseling Psychology

Women in prostitution (WIP) are significantly more likely to experience mental health issues and trauma than the general population (Farley, 2003; Ling, Wong, Holroyd, & Gray, 2007; Rössler et al. 2010; Roxburgh, Degenhardt, & Copeland, 2008). Previous research addressing the mental health of WIP emphasizes treating trauma to help women exit, both trauma that predated entry into prostitution and trauma experienced during prostitution (Carter & Dalla, 2006; Farley, 2003). Very little research is available on services for WIP, leaving psychotherapists with limited guidance on providing effective mental health treatment. Although programs exist exclusively to assist women leaving prostitution, little is …

The Relationship Among Acculturation Orientation, Perceived Discrimination, Psychological Functioning And Gender Among South Asian And South East Asian International Students In The United States Of America, Dia Mason

Theses and Dissertations--Educational, School, and Counseling Psychology

The acculturation process for international students is influenced by several factors such as experiences of discrimination, economic condition, language fluency, and social support. Discrimination, which refers to negative or prejudicial behavior towards an individual or a group of individuals, takes place towards international students due to their poor grasp of the English Language (Lee & Rice, 2007), cultural differences (Cole & Ahmadi, 2003), and racial differences (Hanassab, 2006). Perceived discrimination (among other factors) has been identified as a potential moderator of the relationship between acculturation preferences and psychological functioning in acculturation theory (Berry, 2003). Apart from perceived discrimination, gender has …

Examining Racism And White Allyship Among Counseling Psychologists, Kathryn H. Owen

Theses and Dissertations--Educational, School, and Counseling Psychology

Historically, research has focused on White individuals’ initial responses to learning about White privilege and other indicators of early stages of racial awareness and identity development. However, the literature is relatively sparse regarding understanding the experiences of racial identity development in White individuals who are beyond initial introductions to racial awareness, such as Counseling Psychologists (CPs). The assumption is that Counseling Psychology professionals are adequately trained to provide efficacious mental health services and engage in culturally sensitive work activities; however, research indicates that Black clients, colleagues, and graduate students experience racism, such as microaggressions, when interacting with White CPs.

The …

Examining Substance-Use Treatment Utilization Among Incarcerated Women In Central Appalachian Jails, Rae Lyn Glover

Theses and Dissertations--Educational, School, and Counseling Psychology

Women in Central Appalachia represent a significant proportion of those engaging in problematic patterns of opioid use, which is concerning given the limited available services in the region and gender specific treatment barriers. This investigation seeks to understand the role of mental health and substance use symptoms among incarcerated Central Appalachian women and build on the conceptual model of substance use treatment utilization purposed by Leukefeld and colleagues (1998). Data for this study was drawn from a larger longitudinal investigation (NIDA 1R01-DA033866) and baseline data collected during initial interviews was analyzed. The sample included 400 women incarcerated at one of …

Development And Formative Evaluation Of The Speak7 African American Child Sexual Abuse Prevention Program, Mikeiya Y. Morrow

Theses and Dissertations--Educational, School, and Counseling Psychology

Child sexual abuse (CSA) is a complex issue among African American children, who experience significantly higher rates of CSA (Sedlak et al., 2012). Despite this, a dearth of research has examined CSA prevention among African American children. Moreover, there are no established culturally sensitive prevention programs targeted at addressing CSA among this demographic. This study addressed a significant gap in the literature by developing and evaluating the Speak7 African American Child Sexual Abuse Prevention Program (Speak7). Speak7 is a culturally sensitive, adult-focused CSA prevention program that aims to enhance the CSA prevention competence of adults who provide for African American …

Pill Poppin’ Nation: Substance Use, Mental Health, And Treatment Among Criminal Justice-Involved African Americans, Joi-Sheree' P. Knighton

Theses and Dissertations--Educational, School, and Counseling Psychology

The purpose of this dissertation was to examine substance use-related outcomes among criminal justice-involved African Americans using a multiple manuscript format. The Centers for Disease Control and Prevention has deemed nonmedical prescription opioid use an epidemic. National estimates indicate approximately 3.9% of African Americans engage in nonmedical prescription opioid use. Research suggests African Americans involved in the criminal justice system may be significantly at risk of substance use more generally; yet, there are no known estimates of nonmedical opioid use among this subgroup. Rising rates of nonmedical opioid use also has implications for discussing barriers to treatment among socioeconomically marginalized …

Evaluating The Effectiveness Of A Continuous Client Feedback System For Parolees Referred To Treatment: Benchmarking Treatment Outcomes, Alyssa B. Grossl

Theses and Dissertations--Educational, School, and Counseling Psychology

Objective: The purpose of the present study was to evaluate the effectiveness of a group substance abuse program that incorporated continuous client feedback into treatment for parolees who had been referred to attend by the criminal justice system.

Method: The pre-post treatment outcomes, as measured by the Outcome Rating Scale (ORS; Miller & Duncan, 2000), of 1,112 diverse parolees participating in treatment from October 2014 to January 2015 were analyzed. The most up-to-date benchmarking methodology was utilized to compare treatment outcomes observed in the naturalistic setting with those observed in rigorous randomized controlled trials evaluating the Partners for Change Outcome …