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The Nation’S Cold Becomes The Black Community’S Flu: A Phenomenological Study Of Vicarious Traumatization Amongst Black Clergy Affected By Community Violence, Robyn C. Hill

Doctoral Dissertations and Projects

Clergy are often the frontline community workers when it comes to mental health crises and trauma, especially those working within the Black communities. Black clergy frequently serve in environments with high community violence exposure and are usually subject to vicarious traumatization due to repetitive exposure to trauma narratives during their ministry work. However, studies on vicarious trauma have been geared more towards clinical mental health workers, while studies on clergy have focused more on professional burnout. The purpose of this phenomenological study is to understand the experience of vicarious traumatization of Black clergy who serve congregations that are exposed to …

Becoming A Beloved Community: A Restorative Reckoning For A Radical Conversion To Transform Discourse In Higher Education, Latasha Tomay Varlack-Butler

Dissertations

This dissertation critically examines the misappropriation of Restorative Justice Discourse (RJD) within three predominantly white institutions (PWIs), analyzing 59 institutional documents through Critical Discourse Analysis, Relational Critical Discourse Analysis, and Rhetorical Criticism (Fairclough, 1995; Vaandering, 2021; van Dijk, 2008). Tribal Colleges and Universities and South African institutions have emerged as exemplars of authentic RJD, countering co-optation within PWIs. The findings demonstrate that RJD as applied in PWIs is framed in ways that attenuate its transformative potential, perpetuating color-evasiveness (Bonilla-Silva, 2017) and obscuring the intersectional experiences of Black, Indigenous, and disabled communities (Crenshaw, 1991; Million, 2009).

Grounded in decolonial praxis (Smith, …

Using Natural Materials In Art Therapy To Address Accessibility And Well-Being In Low-Income Older Adults, Ahlyana J. Richardson

Expressive Therapies Theses

This study investigated the implementation of natural materials during the artmaking processes in an older adult art therapy group (eco-art therapy), and its effects on their well-being and the role of accessibility in their lives. An open-studio approach was applied to emphasize the artmaking process being driven by the participants independently, while also sharing a collaborative space and creating community with each other. There was an exception to this condition in this study, being that the participants were encouraged to ask for assistance in using unconventional materials in their artwork if they felt they needed it. The participants were older …

Hope-Centered Art Therapy Exploring The Emergence Of Relational Narratives In Nurturing Resilience In Children, Niloofar Ojani

Expressive Therapies Theses

This review examines the importance of hope and resilience in art therapy interventions for children by synthesizing current research on how art therapy can foster hope. The data were collected by reviewing published peer-reviewed journals, book chapters, reflective writing, and artmaking—arts-based research methods. The beginning sections delve deeply into the definition of hope and resilience in the context of adverse childhood experiences, or ACEs. Art therapy acts as a creative medium for fostering these qualities. It is discussed that creative expression contributes to emotional regulation, utilizes therapeutic intra- and inter-relationships as a source of hope, and connects the child with …

Healing Our Relations Emergent Folk Art Creation Community Project For Cultural Healing And Reconciliation, Renna Fir

Expressive Therapies Theses

Settler colonial disconnection from place perpetuates ongoing harm to Indigenous communities, ecosystems, and cultural systems through extraction, displacement, and erasure. This community engagement project explores how communities can develop emergent cultural practices that acknowledge historical and ongoing harms while building toward repair and right relationship. Through a series of five participatory workshops combining movement, storytelling, and folk dance creation; seven community members and three culture bearers, understood as "elders" explored their relationship with place through embodied practice. The research utilized an anti-colonial arts-based methodology centered on community wisdom while documenting the process through multiple complementary methods. Findings demonstrate that folk …

Why Disability Justice Matters In Mental Health Care And How Drama Therapists Can Help Get It Right, Anish Nakahara

Expressive Therapies Theses

Disability Justice (DJ) is an important, ever-growing aspect of mental health work that must be further explored and implemented if mental health professionals are committed to harm reduction and health equity. Drama therapy (DT) provides a unique accessibility that traditional psychotherapy does not always afford. The emphasis on encounters, relationality, and creative expression provides more avenues through which people can approach DT. Through analysis of current literature, this thesis explored the present relationship between DT and DJ, the relationship between the broader mental health care system and DJ, and how progress can continue toward competent, dignified care for disabled people. …

Respectability, Code-Switching, And Expression: Examining The Experience Of Black Expressive Arts Therapists Through A Sociolinguistic Lens, Darrien Bush

Expressive Therapies Theses

This literature review explores how the linguistic phenomenon of code-switching can be applied to expressive arts and expressive arts therapy to describe the experience of Black expressive therapists. The review outlines the evolution of the term, reasons why individuals switch codes, and how this affects their experience. The understanding of code-switching is then examined in expressive arts and the expressive arts therapy field. A history and understanding of code-switching in Black communities is also explored, connecting Black experiences of code-switching and expressive arts therapy programs. A discussion suggests that culturally relevant practices are implicitly discouraged due to dominant expectations. Future …

Exploring Biblical Language In Trauma Processing, Kathy B. Hoppe

Salubritas: International Journal of Spirit-Empowered Counseling

Clients may often find themselves struggling with accessing traumatic experiences in therapy, thereby developing an avoidance of trauma that impedes healing. Strategies for reducing trauma processing may be difficult to identify effectively. This project suggests several means by which therapists can utilize the language of scripture, including scriptural narrative, metaphor, and poetry, as a therapeutic intervention with conservative Christian clients who are pursuing trauma processing. The proposed approach assists clients in explaining their traumatic events in a secure setting, hence preventing the common hyperarousal symptoms that are upsetting. The treatment can enhance the effectiveness of evidence-based practices. It incorporates several …

Walking In Promise, Living In Reality: Exploring The Mental Health Implications Of The Pentecostal Discourse Of Divine Calling, Robert D. Mcbain

Salubritas: International Journal of Spirit-Empowered Counseling

Pentecostalism places a strong emphasis on the discourse of divine calling, where individuals believe they are purposefully created, guided, and empowered by God to fulfill a specific mission. This sense of calling profoundly shapes Pentecostals’ sense of identity and purpose. Using Grounded Theory, this study analyzes open, in-depth interviews with Pentecostals in the U.S. to explore the impact of the Pentecostal discourse of divine calling on their mental health. The metaphor of ‘walking in’ one’s calling emerges as the central theme used by participants to explain the interaction between their perception of divine calling, their lived realities, and their mental …

Recommendations For Telesupervision: Promoting Ethical, Legal, And Effective University And Clinical Supervision Using Technology, Madeleine M. Stevens, Yegan Pillay, Edisa Music, Elena Shahen

Journal of Counselor Preparation and Supervision

The expansion of the use of technology in counseling has implicated counseling professionals in considering how to legally and ethically incorporate it into all facets of practice, including university and clinical supervision settings. In this article, we provide scholarship-backed recommendations for doing so as well as provide suggestions for incorporating psychodynamic and cognitive-behavioral (CBT) supervision models into telesupervision.

Graduate Counseling Students’ Preparedness To Practice Tele-Mental Health, Clarissa L. Salinas, Eunice Lerma, Valerie Leija, Javier Cavazos Vela, Elizabeth Zamora

Journal of Counselor Preparation and Supervision

This qualitative study explored counseling graduate students’ preparedness to provide telemental health during their internship experience. Data were collected through semistructured interviews with 11 Latine counseling graduate students’ who attended a Hispanic-Serving Institution. The following themes emerged following data analysis: (1) Challenges with Establishing Personal Relationships and Telepresence with Culturally Diverse Clients; (2) Lack of Preparation to Use Evidence-based Practices to Handle Ethical Dilemmas and Crisis Interventions; (3) Cultural Competency and Diversity; (4) Engaging Activities in a Telemental Health Counseling Environment; (5) Additional Training and Practice with Technology; and (6) Lack of Preparation to Use Telemental Health Counseling. Implications for …

Integrating Addiction Counseling Competencies Into Cacrep’S Foundational Curriculum: Addressing Gaps In Pedagogy, Stephanie Robinson, Whitney P. Akers, Jeffrey M. Warren

Journal of Counselor Preparation and Supervision

Professional counselors frequently provide direct and indirect addiction counseling services with relatively little addiction-specific education and training. This lack of training results in counselors delivering services for which they are not adequately prepared. This article explores the current state of training and credentialing of addiction counselors, the addiction-specific gaps that currently exist in CACREP’s foundational curriculum, and the duty accredited programs have to ensure counseling students are trained to provide care to all who seek treatment. A conceptual model for integrating culturally responsive addiction-specific education into CACREP’s foundational curriculum and a hypothetical timeline for implementation are provided. We discuss the …

Exploring Race In Addiction Treatment And The Need For An Anti-Racist Approach, Jackie D. Dell, Mei Tang

Journal of Counselor Preparation and Supervision

Extensive literature documents that Black people, Indigenous people, and People of Color (BIPOC) have been historically and systematically discriminated in addiction and substance use disorder treatment and services. This systemic oppression is the result of the creation and intersection of multiple systems that are rooted in White supremacy, which continue to fail to recognize racism as a critical factor in health disparities. The complexities of the structural factors that contribute to these racial health disparities, and opportunities to better address these disparities were reviewed to discuss their impact on BIPOC clients and the necessity for anti-racist approaches to addressing addiction …

Perceived Preparedness And Self-Efficacy Of Counselors In Training In Online Programs, Monique Starling, Richard L. Green, Robyn T. Simmons

Journal of Counselor Preparation and Supervision

The purpose of this transcendental, phenomenological study was to describe master’s-level Counselors-in-Training (CITs) perceived preparedness to treat real clients before transitioning to their practicum or internship experience. Adult learning theory and self-efficacy development theory guided this study. The research questions included a) How do master-level CITs describe their experience of perceived preparedness to real clients before transitioning to their practicum or internship experience? b) How do study participants describe the influence that the counseling program curriculum, including structure and practicum timing, had on their readiness to transition to practicum or internship? c) How do study participants describe the influence that …

Development And Implementation Of A Counseling Professional Identity Development Exercise, Alexander M. Fields, Ashley F. Waddington, Rachel Gilreath, Madeline Castle, Kara M. Schneider, Lucas M. Perez

Journal of Counselor Preparation and Supervision

The professional identity of counselors is critical for distinguishing the counseling profession from related helping professionals. This paper presents the development and implementation of a novel counseling professional identity (CPI) development exercise, Weekly CPI Statements. The intervention was integrated into a 5-week CACREP introduction to counseling course to facilitate counselor trainees' (CTs) understanding and articulation of the CPI. Through thematic analysis, we examined themes of 29 CTs (school counseling, clinical mental health counseling, and marriage, couples, and family therapy graduate students) experiences after completing the Weekly CPI Statements. The final themes were (a) Encouraged Critical Thinking, (b) Supported Professional Development …

Applying Supervision To Animal Assisted Therapy: Using The Integrative Development Model, Rachel W. Rachlinski, Kelli A. Mcfarland

Journal of Counselor Preparation and Supervision

A study conducted by Hartwig and Smelser (2018) reported 91.7% of clinicians being aware of animal assisted therapy (AAT) who agree it is a legitimate treatment model. However, 57% of respondents expressed interest in receiving AAT training. Although published standards and competencies published by ACA and IAHAIO indicate the requirement for clinical supervision when implementing AAT, research does not address supervision protocols for AAT. This manuscript suggests a protocol for supervising the implementation of AAT. The consequence of untrained supervisors is the potential harm to the well-being of the client as well as the clinician and the animal. As such, …

Counseling Program Advisory Committees: A Structural Recommendation, Allison K. Arnekrans, Ellen Armbruster, Leslie Neyland-Brown, Robin Dufresne

Journal of Counselor Preparation and Supervision

The 2024 CACREP accreditation standards now require counseling programs to assemble a program advisory committee to solicit feedback from stakeholders. While many programs have opted to establish advisory committees despite the lack of a requirement in the past, the inclusion of this new standard challenges programs to become more intentional and structured. The history and purpose of advisory committees will be reviewed, and a proposed structure is offered as a recommendation for programs.

Teaching Counselors To Work With Infants And Young Children: Why It Matters, Tricia Woodliff, Rachel Jacoby

Journal of Counselor Preparation and Supervision

Infant and Early Childhood Mental Health (IECMH) is a culturally informed, relationally focused area of clinical expertise which addresses the social-emotional needs of very young children and their families. At this time, although counselors are often providers of this type of clinical work, very little training exists in counselor education programs. This brief explores the integration of this work into counselor education by describing a seamless integration of the IECMH concepts into already existing course work.

Not All Superheroes Wear Capes: Understanding The Lives Of Asian American Student Caregivers, Angela Ji

Educational Specialist, 2020-current

There exists an invisible army of children who sacrifice their childhoods and shoulder responsibilities expected of adults; these children are called young caregivers. Young caregivers provide significant assistance for their family on a regular basis. The existing literature shows that youth caregiving is associated with negative physical and mental health impacts that vary depending on the cultural background associated with families. It is also clear that the complexities and nuances of different ethnic groups influence the lived experiences of young caregivers. Unfortunately, there is limited information exploring racial and cultural implications of caregiving for children. This study sought to address …

There’S A Crisis Brewing In Higher Education, Caroline M. Graham

Dissertations, 2020-current

This dissertation addresses the increasing need to enhance crisis preparedness among student affairs practitioners in higher education. With the growing frequency and complexity of campus crises—ranging from mental health emergencies to incidents of violence, the preparedness and self-efficacy of those in student support roles are paramount. This three-manuscript dissertation explores crisis intervention training, crisis self-efficacy, and the lived experiences of student affairs practitioners navigating campus crises. The first manuscript provides a conceptual overview of the gaps in current crisis intervention training within graduate programs, advocating for the integration of core competencies informed by accreditation standards and professional associations. The second …

Exploring Trauma Education And The Intersection Of Self-Efficacy, Ashlea Yearwood

Dissertations, 2020-current

Trauma education in counselor training programs is not only required for those accredited by the Council for Accreditation of Counseling and Related Educational Programs (CACREP), but a critical component in preparing counselors-in-training to work with clients who have been directly or indirectly impacted by a traumatic event. This three-article dissertation includes a conceptual manuscript, qualitative manuscript, and a quantitative manuscript regarding trauma education for counselors. The conceptual manuscript offers an approach to mitigating compassion fatigue through the utilization of attachment-based supervision when working with counselors-in-training. The qualitative manuscript aimed to utilize an interpretative phenomenological analysis to explore and understand what …

Lgbtqia+ Competency In Counseling: Understanding Current Trends, Educational Experiences, And Counselor Identity Implications, Tyler Puryear

Dissertations, 2020-current

This dissertation presents is made up of three manuscripts. The first is a systematized review that synthesizes current literature to better understand the definition, development, and gaps in LGBTQIA+ competency. Eleven major themes were identified: competency frameworks, cultural humility over competence, competence in practice, barriers, intersectionality, subgroups, advocacy, allyship, pedagogy, language, and counselor attitudes. Findings suggest the field must move beyond static competency models toward a cultural humility framework. The qualitative study used constructivist grounded theory (CGT) to explore how recent graduates from counseling programs experienced learning about LGBTQIA+ counseling topics. Five themes emerged: faculty influence on learning, experiential learning …

Burnout And Self-Efficacy: Exploring The Rewards And Challenges Faced By Crisis Counselors Working In Emergency Department Settings, Ellen Dotas

Dissertations, 2020-current

This dissertation explores burnout and self-efficacy in counselors who work with clients in crisis in emergency department settings. Mental health and emergency departments are two areas that tend to report higher levels of burnout than are reported in other occupational fields. While much research has been done on the topics of burnout and self-efficacy, limited information is available about counselors who work in these crisis roles. This dissertation follows a three-manuscript format and includes a conceptual, qualitative, and quantitative manuscript. The conceptual manuscript explores the nature of the crisis assessment itself, focusing on the area of risk assessment. The qualitative …

Serving Minority Women Survivors Of Intimate Partner Violence, Consuelo Valentina Riso

Educational Specialist, 2020-current

Intimate partner violence (IPV) is a widespread public health concern that disproportionately affects women, particularly those belonging to minorities. In the United States, the prevalence of IPV among Latina women is influenced by intersecting factors such as immigration status, socioeconomic stressors, cultural values, and systemic barriers. Research and community initiatives addressing IPV among Latina women have included crisis hotlines, domestic violence shelters, advocacy programs, and bilingual services within community health centers. Research also highlights that culturally tailored services yield better outcomes than trauma-informed approaches alone.

Additionally, online interventions are emerging as promising tools to expand safe, accessible, and bilingual support, …

Integrating Positive Psychology And Spirituality To Foster Meaning And Well-Being In Older Adults, Crystal Morris

Adultspan Journal

This perspective article explores the integration of positive psychology interventions (PPIs) and spirituality in therapy to foster meaning and well-being in older adults. It highlights exercises such as the positive introduction, positive legacy, character strengths, mindfulness, mindful-based yoga, and a manifestation prayer journaling. The interventions presented are tools to support older adults that may experience depression, difficult life transitions, and the search for renewed meaning. Therapists who integrate PPIs and spirituality into therapy can promote a holistic, non-pathological approach to treatment.

Transgender Meta-Analysis Study On Healthcare Affirming Care, Beck A. Munsey, Ryan Holliman

Journal of Counseling Sexology & Sexual Wellness: Research, Practice, and Education

This study explored the extent to which educational interventions impact knowledge, attitudes, and comfort, of healthcare providers in treating transgender patients through a meta-analysis. Twenty studies that met criteria for inclusion were selected for the study. Research suggests current methods of training healthcare professionals positively impacts knowledge, attitudes, and comfort, but does not decrease transphobia, leading to negative impacts on transgender patients’ care in healthcare settings. The authors highlight some ways training programs can add training modules for future researchers to look at specifically to attitudes and believes about healthcare professions serving transgender patients.

Content Analysis Of U.S. State-Level Legislation Impacting Gender-Affirming Practice In Schools, Ashton Keys, Isabel C. Farrell, Amanda Dediego, Caroline Schreder, Kyle Neal, Whitney White

Journal of Counseling Sexology & Sexual Wellness: Research, Practice, and Education

In recent years, there has been an increase in legislation that limits access to resources and affirming environments for LGBTQ+ individuals in the United States. This research aimed to identify trends in legislation at the state level impacting gender-affirming school counseling services in the United States. This study represents a content analysis of 225 pieces of state-level legislation from 2023 affecting LGBTQ+ youth in schools. Legislation largely created limitations on use of affirming pronouns for youth in school, availability of appropriate restrooms and changing facilities for transgender and gender expansive youth, and curriculum in schools addressing gender and sexuality.

Beyond Stigma: Role Theory And Drama Therapy In Reentry And Rehabilitation, Mackenzee Donham-Stradling

Expressive Therapies Theses

To be system-impacted often means facing stigmatization. The experience of incarceration is profoundly dehumanizing, eroding self-worth and identity. This thesis examines the application of a 3-week drama therapy method for formerly incarcerated women residing in a transitional facility with co-occurring mental health and substance use disorders. This project integrated a drama therapy framework with Robert Landy’s Role Theory to create a method aimed at assisting formerly incarcerated clients in expanding their role repertoire and discarding those roles that perpetuate their disempowerment. This thesis begins with a literature review of role in drama therapy, the experiences of incarcerated women in the …

Practical Jokes: A Drama Therapy Process Between Comedians, Therapists, And Those Affected By Grief/Loss On The Ongoing Development Of Therapeutic Humor, Abby T. Michel

Expressive Therapies Theses

Previous studies on humor in therapy suggest that some types of humor are more beneficial than others. This author found humor to be an essential part of coping with the loss of her mother and wondered why humor is broken down into good and bad parts, when humor can be subjective and dependent on culture and context. Using Robert Landy’s Role Theory and Dintino’s theory of Playing with the Unplayable, the author aimed to neutralize humor by exploring the roles that humor plays in therapy and hoped to find a practical definition of humor that could be appropriate in a …

Embedded Roots: Exploring Healing Through Digital Storytelling: Application And Training, Joselyn M. Carvalho

Expressive Therapies Theses

This review examines digital and expressive storytelling in a clinical, community-based health center, focusing on its impact and relationship with trauma. Existing research has explored how digital storytelling serves as an intervention for addressing intergenerational trauma, trauma transmission, identity development, and social systems affecting youth. This community engagement project integrates these ideas with reflections from clinicians, exploring how clinicians' involvement in digital storytelling may influence care, confidence, and cultural understanding. Theories central to this research include Bronfenbrenner's ecological systems theory and systems-based awareness maps, which help examine the broader systems that influence youth as they develop their narratives. The transmission …