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 …

Cultural And Structural Barriers Of Utilizing Mental Health Services In A School-Based Setting For Latinx Populations, Silvia Lozano, Bridgette Guadalupe Calderon

Electronic Theses, Projects, and Dissertations

This qualitative research study aimed to reduce mental health service disparities in Latinx communities and helps fill in the gap by addressing cultural and structural barriers to utilizing MHS in a school-based setting for Latinx youth. There is limited research regarding Latinx parents’ perspectives and the reservations they have on utilizing school-based mental health services (MHS) for their children. This study identified six important themes: cultural factors, trust and rapport, reservations, access and awareness, parental involvement and challenges, and school-based resources. Implications for school districts are that they can use these findings to increase early intervention mental behavioral health programs …

Overcoming The Inner Critic: The Therapeutic Use Of Self-Portraits With Older Adults, Brenda Echeverry

Expressive Therapies Capstone Theses

Older adults are a growing and vulnerable population who experience discriminatory practices that impact their access to equitable housing, employment, and healthcare which was made even more obvious during the Coronavirus pandemic in the United States. A community engagement project was developed and facilitated by the writer to support older adults with the psychological effects of surviving the pandemic. This project also helped to increase accessibility to expressive arts therapy in the writer’s local community. Expressive arts therapy is an effective and accessible method to support mental health and wellness for people of all ages. Engagement with the arts helps …

The Benefits Of Art Therapy On Stress And Anxiety Of Oncology Patients During Treatment, Helen Shiepe

Expressive Therapies Capstone Theses

Within the last ten years research on art therapy and its positive impact on oncology patients’ stress and anxiety during treatment has been minimal. Oncology patients whether they are children or adults when diagnosed experience similar reactions due to their diagnosis, treatment, and in some cases end of life care. The current question is whether or not art therapy does have a positive impact on decreasing the stress and anxiety with oncology patients while undergoing treatment. Deane, Fitch & Carmen (2000), discussed art therapy as a healing art that is “intended to integrate physical, emotional, and spiritual care by facilitating …

Redefining Anger For Sexual And Gender Minorities Using Art As A Visual Voice, Kirsten Ranheim

Expressive Therapies Capstone Theses

Art therapy is an increasingly popular approach for addressing trauma and anger in clinical settings. This literature review explores the connections between art therapy, trauma, gender, and anger, drawing on a range of studies and theoretical perspectives. Background is provided on the history of anger within the context of societal institutions, interpersonal power dynamics, psychiatric nosology, and social justice movements. The review concludes that art therapy is ideally suited as a trauma-informed approach to addressing anger in the therapeutic setting. This is due to the unique opportunities that art making provides for helping individuals express and process their emotions nonverbally, …

Supporting Post-Secondary Implementation Of Recovery-Oriented Practice In A Stepped Care Model, Janis Campbell

The Dissertation in Practice at Western University

Student mental health has been a growing concern for higher education communities for many years. Campuses have been struggling to keep up with the increasing demand for services which has been complicated further by the COVID-19 pandemic. A Stepped Care model (SCM) developed at a Canadian university has been offering new ways of organizing mental health resources based on open access, student choice, and recovery principles. There are diverse definitions of recovery in the literature and are usually based on values such as empowerment, respect, and self-determination. SCMs have been shown to increase access to resources and reduce or eliminate …

Preparing For An Unpredictable Future: A Community Engagement Project, Rebecca Coates-Finke

Expressive Therapies Capstone Theses

The COVID-19 Pandemic has upended lives across the world for the past two years, and it is hard for anyone to say if or when life will return to what we may have called “normal.” Communities must learn how to support and protect one another in rapidly changing circumstances, while holding space for the collective trauma and grief of this pandemic. In this thesis, there is a review of literature regarding trauma, collective healing within communities and families, and COVID’s impact on Jewish communities, with a particular focus on drama therapy. This is followed by a description of a workshop …

Toward A Co-Working Posture In Global Mental Health: A Literature Review On The Use Of Photovoice In Partnership With Forcibly Displaced Populations, Bethany Randolph

Expressive Therapies Capstone Theses

Abstract

As of 2020, the number of forcibly displaced people in the world numbered 82.4 million. This radically diverse population, approximately one in every 95 people, only continues to burgeon as wars and conflicts send millions fleeing for their lives. Sadly, on top of the massive allostatic load endured by the forcibly displaced, many are then doubly harmed by global mental health professionals who lack insight into the culture and worldview of the fellow humans they serve. In an effort to support meaningful therapeutic work in the cross-cultural milieu, this paper presents a literature review inquiry into the purpose and …

Testing Barriers To Non-Suicidal Self-Injury With College Students: Narcissistic Traits As Moderators, Philip Stoner

Dissertations

Research on non-suicidal self-injury (NSSI) has produced mixed findings, resulting in a lack of clarity regarding these behaviors (Klonsky & Meuhlenkamp, 2007). To address this, Hooley and Franklin (2018) developed the Benefits and Barriers Model (BBM) to provide a comprehensive understanding of NSSI, in which they identified the barriers that commonly prevent people from engaging in these behaviors (e.g., self-esteem, shame, and peer-bonding motivations/social norms). They also identified adverse childhood experiences (ACEs) as a distal predictor of NSSI, which aids people in overcoming the barriers to engaging in these behaviors. Recent NSSI literature has shown that college women in the …

Rural Pregnant Women’S Experiences With Substance Use Disorder: A Qualitative Study, Cami Weber

Dissertations

Rural pregnant women with substance use disorder (SUD) are an understudied vulnerable population that often experiences poor pregnancy outcomes (Higgins et al., 2019; Jumah, 2016; Kramlich et al., 2018; Shaw et al., 2015). Despite the high prevalence and high burden associated with SUD, rural women are less likely than non-pregnant women to seek addiction treatment and complete an outpatient treatment program during pregnancy (Shaw et al., 2015). This study aimed to give voice to rural Missouri women with SUD. The research questions explored the life experiences and motivations for seeking treatment using a qualitative, descriptive research design with grounded theory …

Making Room: Addressing The Counter-Therapeutic Nature Of Psychiatric Hospitalization Through Containment- Based Group Expressive Therapy, Max Sandor Copans

Expressive Therapies Capstone Theses

The process of hospitalization and the environment of a typical psychiatric hospital is often counter-therapeutic. To challenge this problem, clinicians may introduce the concept of psychological containment. To elaborate, being hospitalized anywhere can be disorienting, frightening and even traumatic. This problem is only further exacerbated in psychiatric hospitals where patients may be disorganized, manic, or struggling with psychosis. Furthermore, psychological containment is essentially the ability for psychiatric patients to prevent their intense emotions from effecting others negatively, and to act with resiliency when other patients are unable to contain their own disruptive behaviors. This paper utilizes both an initial literature …

Treatment Access For Dual Diagnosis Substance Use And Mental Health Disorders, Pedro Banuelos

Electronic Theses, Projects, and Dissertations

In 2018, of 1.3 million Latinx adults in the United States facing concurrent issues with substance use disorders (SUD) and mental health disorders (MHD) 93% remained untreated for either diagnosis. This is concerning since Substance Abuse and Mental Health Services Administration (SAMHSA) data reveals that this population is at greater risk for suicidal thoughts, plans, and attempts. They also face structural barriers such as employment, housing, legal involvement, and insurability that further impede access to treatment.

This study’s purpose was to examine barriers to accessing treatment for Latinx populations confronting co-occurring SUDs and MHDs. This study used a qualitative design …

Second Generation Christian Korean Canadians: Exploring Their Lived Experiences Of Mental Health Issues And Services, Kyoung Jung Kim

Theses and Dissertations (Comprehensive)

Abstract

This study explores the lived experiences of second-generation Christian Korean Canadian young adults with mental health issues (MHI) and their use of health services (MHS). In addition, this study asked this cohort to discuss their beliefs about the views their parents held about MHI and MHS. All research participants were born and raised in Canada by Korean born immigrant parents. This study was descriptive, phenomenological, and qualitative in nature; it consisted of in-depth interviews with six male and six female participants. In their experience with MHI, seven participants experienced fear and sadness (depression and anxiety) and three of them …

A Proposal To Develop And Pilot-Test The Effects Of A Culturally Adapted Stigma Intervention For Latinos, Sandy Ahumada

CMC Senior Theses

The bulk of research examining barriers to mental health services (MHS) for Latinos focuses on financial obstacles such as socioeconomic status and insurance coverage. Unfortunately, less work has been done on cultural barriers such as stigma. The purpose of this proposed study is to develop and pilot-test a culturally adapted contact intervention for Latinos that reduces stigma and increases help-seeking intentions. This study will test the differential efficacy of utilizing psychoeducation with the newly developed interpersonal contact intervention (PIC) as opposed to psychoeducation (P) only. Participants (n=324) will fill out pre- (T1), post- (T2), and 1-week follow-up (T3) …

Cuban Immigrants’ Experience With Acculturation And How They Cope In The United States, Lourdes Araujo

Dissertations

Objective: This research examines how Cuban immigrants experience cope and adapt to the United States. Cuban immigration is associated with specific stressors related to the immigration experience and the necessary process of acculturation and assimilation. These major stressors can result in mental health concerns among Cuban immigrants; however, no studies have examined how acculturation may influence Cuban immigrants’ coping skills and resultant mental health concerns. This unique study is the first to examine the coping skills Cuban immigrants use during acculturation and the effects of these skills on Cuban immigrants’ mental health. Methods: Seventeen participants completed a semistructured interview and …

Experiences Of Latinx's Adult Transition To The U.S. And The Clinical Implications That Arise In Acclimating Into The Dominant Culture: An Interpretive Phenomenological Analysis, Gabriela Olavarrieta

Doctoral Dissertations

There has been a significant gap in the literature regarding the lived experience of the Latinx adult transition to the United States and the clinical implications that arise in acclimating to the dominant culture, particularly under the Trump Administration. The approach for the current research examined Latinxs’ adulthood transitions to the United States, experiences of acculturative stress, including instances of discrimination as well as their experiences acclimating or assimilating into the dominant culture. This study also examined what seeking, or being unable to seek, mental health services looked like in the current sociopolitical climate. Interpretive phenomenological analysis was utilized to …

Protecting Healthcare Workers From Violence, Terry L. Taylor

Electronic Theses and Dissertations

Growing violence in the community increases the risks of injuries to healthcare workers. This project assessed the levels of emotional exhaustion, depersonalization, and acknowledgment of professional accomplishments in healthcare workers in the community who were responsible for the care of confused and combative clients. The community healthcare workers were assessed using the Maslach Burnout Inventory-Human Services Survey-Medical Personnel. An intervention was then presented, which focused on self-awareness, including mood assessments, soothing rhythmic breathing, compassionate focused imagery, and the creation of a safe place to process criticism compassionately. The participants were resurveyed after 30 days by repeating the Maslach Burnout Inventory-Human …

Does Expectation Influence Relationship? A Mixed Methods Investigation Of Parental Expectation And Parent-Child Relationship Among Chinese Family Groups 期望是否會影響關係？華裔家庭中父母的期望對親子關係的影響之研究, Sharon Chiang, Sharon Chiang, Sharon Chiang

Education Dissertations

Abstract

Parental expectation, particularly among Chinese family groups, is understood to be formative upon their children’s identity, behavior in family relationships, educational success and decisions in career choices. China's long history of traditionalism in its social values, heavily based on Confucian philosophy of the family, bears this out. Significant social changes have happened in recent years due to political shifts, modernization, capitalization, immigration, and government population control policies. However, expectation is an element on which both academic study and educational research are rather limited. Current study has touched on the topic of parental expectation and raised some awareness, but the …

Critically And Creatively Engaging With Trauma-Informed Mental Health Research And Treatment Of Lgbtqia+ Communities As Expressive Arts Therapists: A Literature Review, Kelli Lavallee

Expressive Therapies Capstone Theses

Expressive Arts Therapists are uniquely situated as both artists and mental health counselors working in psychological pedagogy rooted in systems of oppression. Given the arts-based approaches to the therapeutic relationship, it can be unethical to offer these approaches without acknowledgement of the ways in which the arts intersect with social justice, and justice is only viable if practitioners critically review the clinical mental health education they are consuming from the institutions they learn in, specifically trauma-informed mental health research assimilation and treatment approaches for Expressive Arts Therapists in training, practice, and education. A review of the literature in this paper …

A Literature Review Of Community Art Therapy With Youth In Inner City Communities Of Color, Jennifer Habeeb

Expressive Therapies Capstone Theses

This literature review was developed to synthesize the research surrounding community-based art therapy with youth who reside in inner city communities of color. Youth of color in inner city communities face a number of different challenges such as low socioeconomic status, social inequality, discrimination, and lack of political representation. There is currently little research on the impact of art therapy and expressive arts interventions with this population, however; these interventions have shown to be effective in a number of different areas. Literature revealed that community-based art therapy with inner city youth of color has shown to increase self-esteem, decrease symptoms …

Student Wellbeing And Open Studio Process In The School Curriculum, Maria Kim

Expressive Therapies Dissertations

This study aimed to explore whether Open Studio Process (OSP) increased wellbeing of middle and high school students when facilitated by teachers as a part of the regular art curriculum. It was hypothesized that OSP might increase the sense of wellbeing among middle and high school students as well as facilitating teachers. The research was conducted as a mixed methods study in South Korea where students need preventative interventions for their wellbeing. The researcher trained eight teachers to facilitate OSP and five of them implemented it with their classes for seven sessions. Quantitative data (K-YSR; pre- and posttest) were collected …

Nature As Metaphor In School Art Therapy: Development Of A Group Method, Jordan Struckman

Expressive Therapies Capstone Theses

This group method was developed to observe the impact of bringing nature materials indoors to be utilized in school art therapy sessions. Little research exists on the impacts of natural materials being used therapeutically and expressively in a school setting. This study was conducted throughout the course of one week of therapeutic homeroom with three female high school students aged 15-17. Sand, shells, leaves, flowers, seaweed, sea grapes, driftwood, prickly seeds, and berries were gathered from a beach pathway by the researcher and presented in organized piles on a large classroom table. Students responded to a different prompt for four …

The Effectiveness Of Implementing A Collaborative Mental Health Approach On Quality Of Life For Individuals Of Low Socioeconomic Status, Tyler Z. Tooley

MSU Graduate Theses

The ultimate purpose of this study is to provide insight and education to mental health clinicians, politicians and the general public of the numerous effects poverty has on mental health, in addition to the most beneficial ways to combat those insidious effects. The specific barriers met by individuals of low socioeconomic status severely affect psychological and physical health, as well as social and environmental relationships, which therefore diminish overall quality of life. The aim of this study is to examine the effectiveness of implementing a collaborative mental health approach for low income individuals on length of engagement in services and …

Empowering The Plus Size Body Using Dance As Therapy, Ashley Sampson

Expressive Therapies Capstone Theses

In Western society, having the “ideal” body image and size is a societal issue. It is advertised throughout media outlets that the “ideal” body is what should be desired, and any other body type is “abnormal”. This capstone thesis focused on the effectiveness of dance as therapy and changing the perspectives of all body types, to support and empower all bodies including plus-sized bodies. The use of individual interviews, in an open dialogue model, with a select few members (3) of Soul thru Sole, including the CEO of the dance company; which focuses on empowering women no matter their age, …

Efficacy Of Integrated Mental Health Care With Dual Diagnosis Patients And Their Utilization Of Psychiatric Emergency Services, Denton Scott

Doctoral Dissertations

Historically, patients with dual diagnosis have been subjected to ineffective treatment and negative attitudes from healthcare providers. Further, these patients are plagued with myriad afflictions that exist beyond substance abuse and mental illness. The treatments and collateral damage associated with the diagnosis impose excessive healthcare costs and can be of significant detriment to society. Largely, patients suffering from dual diagnosis do not receive adequate treatment. As such, psychiatric emergency services are frequently utilized as an alternate treatment, wherein the main focus of care is on the substance abuse alone. This study argues that solely treating the substance abuse is not …

Examining The Acculturation Experiences Of Syrian Refugee Emerging Adults In The United States Of America, Fatemah Alghamdi

Electronic Theses and Dissertations

Refugees are vulnerable populations who experience premigration traumatic events and postmigration acculturation stress. While research on immigrant mental health issues has been plentiful, there has been a clear lacuna of scholarly investigation into the acculturation experiences of Syrian emerging adults, particularly as it relates to the types and dynamics of acculturation behaviors. Acculturation is a factor that predicts emerging adults’ academic and occupational success and their interpersonal and intrapersonal relationships.

This qualitative investigation was conducted within the framework of interpretative phenomenology, which allows for meaningful, organic exploration and description of participants’ stories. Data were collected from 12 emerging adult Syrian …

Back To Belonging: Nature Connection And Expressive Arts Therapy In The Treatment Of Trauma And Marginalization, Jesse Newcomb

Expressive Therapies Capstone Theses

There is increasing research on the benefits of incorporating nature-based approaches into mental health. This can be done in myriad ways both in and out of the counseling office. This literature review focuses on the benefits of incorporating nature as co-therapist and kin rather than only material or metaphor, particularly in the treatment of people who have experienced trauma and or marginalization. According to Herman (1997), wounds made relationally must be healed relationally, and the literature reviewed in this paper suggests that connection with the “more-than-human” world (Abram, 1996), and coming back into a sense belonging in the larger web …

An Overview Of Suicide And The Impact Of Interacting Factors On Current Suicide Trends, Shawna Burrow

Undergraduate Honors Theses

Approximately 44,965 people committed suicide in 2016 in the United States, and the rate has been rising for a decade and a half. Suicide has far-reaching consequences which affect not only the victim, but those close to the person as well. For every suicide, an estimated six people are futher traumatized, bringing the current loss survivor estimate to over 5 million. Additionally, suicide costs tax payers about 70 billion dollars annually. Despite outranking homicide as a leading cause of death, the long-standing stigma associated with suicide creates a barrier for open and effective communication about the issue. This paper investigates …

The Predictors Of Juvenile Recidivism: Testimonies Of Adult Students 18 Years And Older Exiting From Alternative Education, La Toshia Palmer

Dissertations

Purpose: The purpose of this descriptive, qualitative study was to identify and describe the importance of the predictors of juvenile recidivism and the effectiveness of efforts to prevent/avoid juvenile recidivism as perceived by previously detained, arrested, convicted, and/or incarcerated adult students 18 years of age and older exiting from alternative education in Northern California. A second purpose was to explore the types of support provided by alternative schools and the perceived importance of the support to avoid recidivism according to adult students 18 years of age and older exiting from alternative education.

Methodology: This qualitative, descriptive research design identified …

The Coach-Athlete Relationship As A Predictor Of Self-Regulation, Academic Self-Efficacy, And Aggression Among Student-Athletes With Exposure To Community Violence, Keoshia Worthy

Seton Hall University Dissertations and Theses (ETDs)

Although several studies have investigated the effects of the coach-athlete (C-A)relationship, minimal attention has been given to the effects of the relationship on the behavior of college athletes outside of sport. The purpose of this exploratory study was to investigate the coach–athlete relationship and its connection to the student–athlete’s behavior outside of sport and academic self-efficacy for athletes with exposure to community violence. This information can contribute to the discussion on the attachment relationship between coach and athlete, as well as add an in-depth understanding of the value of the relationship beyond its effects in sport.

A simultaneous multiple regression …