Counseling Psychology Commons^™

Variability In Perceptions Of Complementary Health Approaches Among Graduate Student Trainees, Delaney C. Bilodeau

Theses and Dissertations

Complementary Health Approaches (CHAs) encompass a diverse range of practices which are often used both independently and alongside conventional medical treatments. Understanding how graduate students training in different fields perceive CHAs is important because these professional trainees will go on to occupy roles as healthcare practitioners, researchers, policy makers, and consumers. This study used sequential rank agreement methods (Ekstrøm, Gerds, & Jensen, 2019) to investigate variations in perceptions of CHAs in a sample of graduate students (N = 416) from 140 possible training programs. Ratings of CHA familiarity, perceptions of CHA legitimacy, and willingness to recommend CHAs were compared …

Examining Factors Among People With Opioid Use Disorder And Comorbid Mental Health Disorders, Tori Denae Livingston

Theses and Dissertations

Opioid use disorder (OUD) affects over two million Americans, and over 42,000 Americans perished of opioid overdoses in 2016 (Volkow et al., 2019). During the initial years of the opioid crisis, overdose deaths were primarily attributed to prescription analgesics, heroin, and synthetic opioids. However, it was illicit prescription opioid painkiller use that ranked highest in terms of fatalities (Volkow et al., 2019). The increasing prevalence of opioid use among individuals with mental health disorders is in stark contrast to the ongoing opioid crisis (Prince, 2019). Additionally, there is evidence that individuals undergoing substance use treatment and concurrently suffering from a …

Anti-Immigration-Related Stressors And Latine Immigrant Well-Being: The Role Of Family & Community Resilience, Lisa S. Fuentes

Theses and Dissertations

Anti-immigrant rhetoric and policies have continued to adversely impact Deferred Action for Childhood Arrivals (DACA) and Temporary Protection Status (TPS) beneficiaries (Arevalo et al., 2015; Cleary, 2017; Li, 2015; Sangalang et al., 2018). There have been numerous attempts to revoke DACA, TPS, and other policies that temporarily protect immigrant families. Although the number of resilience literature has grown, more strength-based approaches are still needed. Additionally, given that familismo (familism) and collectivism are key cultural values for Latine families (Campos et al., 2019; Corona et al., 2017), it is imperative to explore family and community resilience among Latine immigrants to gain …

Home Disruption And Substance Use: The Moderated-Mediating Role Of Family Conflict And Stress Among Racial-Ethnic Minoritized College Students, Geovani Muñoz

Theses and Dissertations

The COVID-19 pandemic has disproportionately impacted first-generation college students who identify as racial-ethnic minorities (REM). Aside from the academic and health repercussions caused by COVID-19, little is known if home disruptions have increased substance use for REM college students. Specifically, increased home disruptions may directly relate to substance use and indirect relationships through increased family conflict and stress. Therefore, this master's thesis examined the direct relationships between home disruption and substance use. I also examined the relationships between home disruption and family conflict, as well as home disruption and stress. Further, I also investigated the relationships between family conflict and …

Black Racial Identity And Externalizing Symptoms: The Regulatory Role Of Dyadic Relationships, Sultan A. Hubbard

Theses and Dissertations

This study explored caregiver impact on Black racial identity (BRI) and externalizing through the integration of BRI, racial socialization (RS), and social support theoretical frameworks. The study used 85 Black undergraduates (Mean age =19.3, SD=3.43) who rated three caregivers, respectively. Restricted maximum likelihood estimation was conducted to estimate variance components. BRI, RS, internalizing, and externalizing variables reflected significant trait effects and dyadic effects. However, racial centrality and public regard did not reflect significant dyadic effects. Participant burden due to randomization of caregivers and items likely suppressed dyadic effects. Moreover, caregivers who evoked private regard were perceived as having high cultural …

The Lived Experience Of Postpartum Sleep For Black And White Women, Ashley R. Macpherson

Theses and Dissertations

This qualitative study utilized a phenomenological research approach (van Manen, 1990), and intersectional feminist lens (Collins, 2000; Crenshaw ,1989; hooks, 2000), to uncover the lived experience of sleep in the postpartum period. Participants were 10 mothers who were less than 12 months postpartum. Data collection consisted of in-depth interviews. Data analysis procedures followed recommendations by van Manen (1990, 1997). In order to increase the trustworthiness and rigor of the study, the researcher engaged in reflexive journaling, member checking, and peer debriefing. The results were organized into six themes; 1) the importance of the sleep environment, 2) anxiety and hypervigilance, …

Sleep And Health Behaviors In A Safety-Net Primary Care Setting, Sahar Sabet

Theses and Dissertations

Nearly half of all premature deaths in the United States are attributable to preventable and modifiable health risk behaviors. For decades, the leading behavioral health contributors to morbidity and mortality are tobacco use, physical inactivity, and alcohol consumption. Medication adherence is a relatively less studied yet critical interrelated health behavior that is tied to health and treatment outcomes. Sleep, an important pillar of health, is a daily and modifiable behavior that shows promise as a health behavior facilitator. Better understanding the dynamics of these modifiable health behaviors is essential for the improvement of health promotion, particularly among underserved populations (e.g., …

Development & Evaluation Of An Introductory Webinar Training For Mental Health Professionals Working With Perpetrators Of Child Sexual Abuse: A Strengths-Based Sociocultural Perspective, Angie Yvette Reyes

Theses and Dissertations

The purpose of this dissertation project was to develop an introductory webinar resource to provide training of mental health professionals (MHPs) to work with perpetrators of child sexual abuse (PCSA). The training utilizes a strengths-based approach with a focus on sociocultural considerations for working with this population. A literature review revealed a gap in resources, treatment, and clinical training pertaining to PCSA. The results of an initial training needs survey among MHPs indicated that MHPs do not receive education or training on PCSA and could benefit from training. Through this webinar training, MHPs acquire a basic understanding of PCSA and …

Examining The Impact Of Parental Racial Socialization And Critical Consciousness On Black Adolescents’ Coping With Racism-Related Stress, Chandler Alexandra Golden

Theses and Dissertations

In addition to universal stressors, Black adolescents also experience racism-related stressors. The physical and emotional consequences of racism-related stressors can be harmful to Black youth. To mitigate racism-related stress, Black youth may engage in various forms of coping. Critical consciousness and racial socialization are culturally relevant factors that have been protective against the negative impact of racism-related stress, with coping as one mechanism that undergirds this protection. Moreover, research has also begun to theorize critical action as a type of racialized coping. Past research has largely examined the impact of critical consciousness and racial socialization on coping separately and yielded …

Racism Experiences And Mental Health: An Examination Of Direct, Vicarious, And Appropriated Racism Experiences On Mental Health Symptom Expression, Christina Barnett

Theses and Dissertations

The current study aimed to corroborate existing models of racism-related experiences by creating an explanatory model that operationalized direct, vicarious, and appropriated racism experiences. This study explored whether the factors of direct and vicarious racism experiences influenced mental health outcomes via appropriated racism experiences in a sample of Black women. This association was not present. However, results showed a positive association between vicarious and direct racism experiences, as well as predictive relations between direct and vicarious racism experiences and depression and trauma symptoms. Results, limitations, implications, and recommendations for future research are included.

Keywords: vicarious racism, appropriated racism, direct racism, …

Culturally Relevant Coping Strategies Within Bicultural Latine College Students In The Face Of Anti-Immigrant Sentiment And Policy, Cindy M. Hernandez

Theses and Dissertations

Despite their protective potential against anti-immigrant sentiment and policy, the connections between bicultural identity development and culturally relevant coping among temporarily documented Latinx college students remain unstudied. Therefore, this study (a) describes culturally relevant coping strategies used by bicultural Latinx college students, (b) examines the role cultural identity plays in bicultural Latinx college students’ coping strategies, and (c) illuminates the role institutional level systems play in liminally-documented college students’ coping with anti-immigrant sentiment and policy. Participants in this study included 16 Latine college students (M_age = 21.19, SD = 3.21) with DACA (n = 14) or TPS (n = …

The Role Of Religious Coping, Age And Meaning In Life In The Development Of Post-Traumatic Growth In Egyptian Breast Cancer Survivors, Nashwa Rashad

Theses and Dissertations

According to the World Health Organization (WHO), breast cancer (BC) is one of the most common types of cancer. Research reported survivors experienced positive changes in their relationship, strength level, and how they admired life after cancer. They said that they recognized elements that promoted post-traumatic growth, such as altering their way of life and accomplishing individually meaningful actions. This literature review reported that religious coping and meaning in life could predict post-traumatic growth. Some sources had conflicted analyses on the effect of age and education on cancer survivors and the development of PTG. This study investigates if religious …

An Examination Of The Impacts Of Childhood Trauma On Healthy Intimate Relationships In College-Aged African Americans, Broquelynn D. Shepard

Theses and Dissertations

For African Americans, the dynamics of relationships are rooted in childhood experiences of unconditional love, restraint, and respect. These experiences help individuals form their understanding of how relationships function. Experiencing healthy relationships has an enduring impact on social development and interpersonal relationships. However, regarding studies on childhood trauma and intimate relationships, there is insufficient literature that includes African American samples as the primary foci of the research. Due to gaps in extant literature, the present study aims to explore whether experiences of healthy intimate relationship in African Americans are associated with childhood trauma (neglect, emotional, sexual, and physical abuse). Using …

Interpersonal Trauma And Mental Health Among Lgbq+ College Students: Examining Social Support And Trauma-Related Drinking As Mediators, Eryn Delaney

Theses and Dissertations

Despite the increased risk of childhood, adulthood, and lifetime interpersonal trauma among LGBQ+ individuals, existing research that has examined the influence of interpersonal trauma on mental health has primarily focused on LGBQ+ adolescents and samples of LGBQ+ community-based adults, and less on LGBQ+ emerging adults in college. Additionally, limited work has focused on mechanisms that might explain the relations between these variables. Thus, the current study tested the relations between interpersonal trauma (i.e., childhood sexual abuse, adulthood sexual victimization, and lifetime physical assault and IPV) and mental health outcomes (i.e., anxiety symptoms, depressive symptoms, and PTSD symptoms), and examined social …

Mentoring In The Training Cycle Of Clinical And Counseling Psychology Doctoral Students: A Critical Review Of The Literature, Hélène Farr

Theses and Dissertations

This dissertation presents a critical review and analysis of the literature on mentoring in clinical and counseling psychology training programs. It provides background information on the mentoring process and a detailed analysis of current empirical research pertaining to mentoring in the training cycle of clinical and counseling psychology doctoral trainees through predoctoral internship and postdoctoral fellowship to licensure. The goal of this review is to highlight the importance and benefits of mentorship for mentors, protégés, institutions or universities, and for the profession of psychology. There are few studies focused on mentorship during psychology training, therefore recommendations are made for future …

The Impact Of Group Facilitation On Empowerment, Self-Concept, And Mutual Aid Among Peer Supporters: A Qualitative Analysis, Jonathan Parker

Theses and Dissertations

The ramifications of mental illness within society have had significant impact economically and socially. The estimated annual cost of mental health services can be upwards of billions of dollars in the United States. The social impact of mental illness on the individual level can often lead to stigmatization and social isolation, which are known factors that contribute to and exacerbate mental illness. Those unable to secure treatment are more likely to experience substance abuse, psychiatric hospitalization, and homelessness. Although the need for mental health services is not new, its' impact on society continues to grow. Thus, the need for mental …

Expand Your Horizon: Investigating An Online Intervention For Weight Bias Internalization, Alexandria Davies

Theses and Dissertations

Weight bias internalization (WBI; i.e., self-directed weight stigma or the degree to which individuals apply negative weight-based stereotypes to themselves), is problematic because it is associated with increased stress, emotional eating, healthcare avoidance, and exercise avoidance. Thus, WBI exacerbates health disparities and there is an urgent need to create treatments that address this concern. The current study examined the preliminary effectiveness of a previously developed online body gratitude journaling intervention (i.e., Expand Your Horizon) compared to an active control writing condition in emerging adult women with WBI. Racially/ethnically diverse women (N=100; n=49) or Expand Your Horizon ( …

Identifying, Increasing Awareness, And Supporting Military-Connected Adolescents In Public Schools, Amanda Bushman

Theses and Dissertations

Of the nearly 1,000,000 children of active duty members of the military, around 80% attend civilian schools not affiliated with the Department of Defense Education Activity ([DoDEA] DoDEA, 2018; Department of Defense [DoD], 2018). This creates a need for schools to be aware of the challenges that military-connected (MC) students face and understand how best to support them. Recent research indicates that the prevalence of mental health problems in MC youth populations has been rising since the war on terrorism began (De Pedro et al., 2011). MC youth experience an array of internalizing and externalizing problems, including stress disorders (Gorman …

Reducing Narcissistic Aggression: Examining The Effect Of Self-Affirmation On Subclinical Levels Of Narcissism, Kelsey Ann Anello

Theses and Dissertations

The concept of narcissism has been studied for hundreds of years and has typically emphasized grandiose aspects of personality – inflated self-esteem and being socially domineering. More recent literature has sought to differentiate between two aspects of narcissism – grandiosity and vulnerability; that is, narcissism may be marked by not only grandiose thoughts and beliefs, but also have negative emotionality and hypersensitivity. Both grandiose and vulnerable narcissism exhibit tendencies to act out aggressively, especially in the face of interpersonal rejection. There are still gaps in the literature when it comes to interventions, especially ones that may be used in order …

A Test Of The Whytry Program On Youth Resilience, Travis Guy Price

Theses and Dissertations

The purpose of this study was to investigate the effectiveness of the WhyTry program in enhancing adolescent resilience. Ninety-four adolescents in grades seven–nine had been screened for Tier two intervention at the local junior high. The school assigned these students to either a WhyTry treatment group or an alternative treatment group. The students were all from economically disadvantaged situations and were predominantly Hispanic. The treatment group participated in the WhyTry program, led by a trained facilitator at the school. Students in the treatment and comparison groups completed a pre-test and post-test using the Social Emotional Assets and Resilience Scales (SEARS). …

Success Off The Field: Academic Strategies Of High-Gpa College Athletes, Ashlynn Erbe

Theses and Dissertations

This study investigated the strategies academically successful college student athletes use to do well in their class work, where academic success was defined as a 3.5 GPA for 12 or more credits for the two semesters preceding the study. Data were transcriptions of individual interviews with five male and five female athletes in seven sports at an NCAA Division I university in the western United States. Independent coders analyzed the data and agreed upon themes related to challenges to academic success and strategies to meet those challenges. Findings add to the literature by detailing self-regulatory habits that academically underprepared athletes …

General Education Teachers' Self-Reported Response To Overt Student Problem Behavior In The Classroom, Ingrid Lewis Shurtleff

Theses and Dissertations

The need for teachers to respond effectively to student problem behaviors is vital for positive student outcomes. This study examined how general education teachers respond to different problem behaviors, what variables possibly predict those responses, and if dealing with problem behaviors plays a possible role in teacher attrition. Results were reported using descriptive and statistical analyses. Three-hundred sixty-three elementary and secondary teachers in five school districts were invited to participate in a survey. Findings indicate that teachers primarily use individually directed responses to problem behaviors and the responses had little differentiation according to intensity of behavior. The data revealed some …

Inclusive Teaching In Faith Communities: Examining The Effects Of Brief Video Trainings On Planning Inclusive Teaching For Individuals With Disabilities, Mary Margaret Woodruff

Theses and Dissertations

Many individuals within faith congregations are primarily taught by volunteers desiring to edify and support those they teach. Unfortunately, these devoted teachers also feel heightening insecurity in accomplishing this task because they lack professional training and experience working with individuals with disabilities. As volunteer teachers, many of these instructors do not have access to training that is efficient and affordable. The purpose of this study was to examine the how brief training videos on inclusive teaching practices, gleaned from empirically-supported practices promoted in special education classrooms, impact faith-based instructors' knowledge, confidence, and planning skills. Participants included three lay teachers from …

Stack The Deck: A Self-Monitoring Intervention For Adolescents With Autism For Balancing Participation Levels In Groups, Lauren Elizabeth Lees

Theses and Dissertations

Autism spectrum disorder (ASD) affects the lives of 1 in 54 children in the United States. By definition, these children often have social communication deficits as well as restrictive and repetitive behaviors that are socially isolating. Inclusion of participants with disabilities such as ASD in classroom or group settings with peers is a high-priority goal for building skills that lead to independent living and higher quality of life for all. Balancing an individual’s class or group participation is not always easy with different levels of social skills, however. In a classroom, this can translate to difficulty in knowing how to …

An Evidence-Based Evaluation Of Behavior Management Practices Among Paraprofessionals, Jordan Mark Goodman

Theses and Dissertations

Paraprofessionals (i.e., paid school employees working under the supervision of licensed and certified personnel) are being given expanded roles and responsibilities in schools. Unfortunately, many paraprofessionals in the United States are not well trained and are asked to take on responsibilities they have not been prepared for. One of those responsibilities is managing student behavior. The purpose of this study was to evaluate paraprofessionals' self-reported behavior management practices. Using a survey, we collected information concerning paraprofessionals' feelings of confidence in managing problem behavior, techniques to manage problem behavior, feelings concerning their behavior management training, and their views on certain problem …

What Are Stakeholders' Perceptions Of Rural School District Needs To Effectively Educate Students With Autism Spectrum Disorder, Kari Lyn Pugh

Theses and Dissertations

The prevalence of autism spectrum disorder (ASD) has continued to rise each year. This fact has significance in the area of education. The rise in prevalence of autism means an increase of students with autism in schools. Educators have the need to be prepared to provide an appropriate education for these students but may not have training or resources to be effective. Rural communities may have even more concerns about education for students with ASD due to geographic isolation and the lack of available educators in their area trained to support the specific needs of these students. To determine the …

Black American Students With And Without Disabilities: Stress And Coping Strategies, Gabriel Asare Sarpong

Theses and Dissertations

This study examined if perceived level of stress for Black /African American students was exacerbated by their disability status. This study also examined the relationship between Africultural coping, minority stressors (racial minority stress, disability related stress) and perceive stress level. 123 students who identified themselves as Black/African American enrolled in two Midwestern universities participated in the online survey of this study (n = 39 with disabilities; n= 84 with no disabilities). Results showed that Black students with disabilities reported higher level of perceived stress compared to those with no disabilities. Racial minority stressors, and societal barrier component of disability related …

The Effects Of Telehealth Training On Parents Of Children With Autism In Albania, Freskida Griffiths

Theses and Dissertations

The present study evaluated telehealth training with parents on techniques for working with their children with autism spectrum disorder in Southeastern Europe. The purpose of this study was to research the effects of telehealth training on the parents and the increase of mands on the children. The participants of this study included three mothers and three children, which totaled six participants. Parents were trained on how to increase functional communication in their child. Telehealth training was based on an effective training package called Behavior Skills Training (BST). BST consist of instructions, modeling, rehearsal, and feedback. The resources needed for the …

“Is Therapy For Me?” Perceptions Of Therapy Inclusivity And Willingness To Seek Help Among Black Emerging Adults, Randl B. Dent

Theses and Dissertations

Mental health issues are prevalent among Black emerging adults; however, they tend to underutilize mental healthcare services. The goals of the current study were to examine whether: (1) perceived therapy inclusivity would predict willingness to utilize mental healthcare services and (2) the relationship between perceived therapy inclusivity and willingness would be moderated by two indices of racial identity (i.e., centrality and private regard). Results provide evidence that greater perceptions of therapy inclusivity are associated with greater willingness to seek mental health services even after controlling for factors, such as gender, self-stigma, and previous mental healthcare utilization. Additionally, there was no …

An Integrated Exploration Of The Contextual, Relational, And Individual Factors That Impact High School Completion Among African Americans, Lesley B. Winchester

Theses and Dissertations

African American students are consistently reported as having among the lowest high school graduation rates when compared to other races (U.S. Department of Education, 2018). While many studies have sought to explore the potential risks of high school dropout, the intention of this study is to examine the factors that support the exemplary resilience of those students who do complete high school. The present study adopts the framework of García Coll et al.’s, (1996) integrative model of developmental competencies in minority children, as it seeks to identity whether and how contextual (spiritual, educational, cultural); relational (caregiver psychological and physical …