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Drug Education: The Gaps In Rural Versus Urban Communities, Madilyn Mages Jan 2026

Drug Education: The Gaps In Rural Versus Urban Communities, Madilyn Mages

Honors Capstone Projects

Drug education is often lacking in rural communities due to lack of access and lower quality of education causing an increase in youth using substances and drug overdoses. Looking at previous research, there is a definite gap in rural and urban adult and youth substance use. The research showed that higher levels of education show less risk of substance use issues. Research also looked at new programs and how they worked in urban areas to decrease risky substance use behavior. This is a call for new programs to be created for rural communities due to their differences. This research explores …


Trauma-Informed Practices (Tips) And Burnout, Job Satisfaction, And Ptsd In First Responders, Tyler Mcdonough Jan 2026

Trauma-Informed Practices (Tips) And Burnout, Job Satisfaction, And Ptsd In First Responders, Tyler Mcdonough

Doctoral Dissertations and Projects

First responders are the frontline defense of society and consist of people that push back against chaos to keep our communities civilized and in functioning order. This study aimed to ensure that first responders’ mental health is adequate for home life as well as daily job functions, and to assess which Trauma Informed Practices (TIPs) can lead to positive outcomes in reducing first responder’s feelings of burnout, increasing their job satisfaction, and suppressing frequency of PTSD symptoms. TIPs are different intervention techniques that are designed to assist the individual with a variety of emotions such as anxiety, stress, burnout, and …


Investigating The Reliability And Validity Of The Social Connectedness Instrument Among U.S. Adults, Blake A. Fraser Jan 2026

Investigating The Reliability And Validity Of The Social Connectedness Instrument Among U.S. Adults, Blake A. Fraser

Doctoral Dissertations and Projects

Growing evidence shows that poor social connectedness is becoming a public health threat, with rising prevalence and connections to poor mental and physical health across the lifespan. Therefore, there is an urgent need to develop feasible and effective social connectedness interventions. There is limited evidence for the effectiveness of current interventions, with studies recommending tailoring the intervention to an individual’s specific social connection needs. However, previous measures of social connectedness provide little information about potentially modifiable contributors of poor connection. Thus, the Social Connectedness Instrument (SCI) was developed to fill in this gap by proposing two novel latent constructs of …


A Qualitative Exploration Of Global Remote Leadership, Melissa Morrison Jan 2026

A Qualitative Exploration Of Global Remote Leadership, Melissa Morrison

Doctoral Dissertations and Projects

Leaders of organizations have faced many changes with respect to remote work. As face-to-face interactions decrease, the opportunities and challenges of technological and digital advancement further the complexity of remote work. Leaders serve as prominent figures who use remote technology to communicate and interact with employees that report to them. The relationship between remote work and the development of meaningful social interactions remains largely unexplored (Clark et al., 2018). This phenomenological study explored the described experiences of remote leaders, the role that identity development plays in the success of leadership remote work, how their identity development impacts their well-being and …


Examining The Psychological Impact Of Adverse Childhood Traumatic Experiences In Adult Survivors: Creating A Community Of Awareness And Intervention, Lawanda T. Mobbs Jan 2026

Examining The Psychological Impact Of Adverse Childhood Traumatic Experiences In Adult Survivors: Creating A Community Of Awareness And Intervention, Lawanda T. Mobbs

Doctoral Dissertations and Projects

Childhood trauma encompasses experiences such as abuse, neglect, and household dysfunction, experiences which have profound and lasting effects on an individual’s development and well-being. These behaviors can manifest in many ways. The intricate interplay between childhood trauma, mental health challenges, and maladaptive behaviors creates a complex clinical picture, often requiring specialized and trauma-informed approaches within the community. Understanding the efficacy of interventions tailored to this population is crucial for improving the quality of life and fostering resilience. Despite extensive research, there remain significant gaps in understanding the full scope of these effects and how to mitigate them. This study investigated …


From Retaliation To Restoration: Evaluating Norwegian Prison Rehabilitation Models For United States Integration, Lucas I. Abbott Jan 2026

From Retaliation To Restoration: Evaluating Norwegian Prison Rehabilitation Models For United States Integration, Lucas I. Abbott

Doctoral Dissertations and Projects

This study evaluates the viability of implementing Norwegian rehabilitative frameworks within the American prison system by gathering the perspectives of formerly incarcerated men in the United States. Using a qualitative phenomenological design, the research sought to understand how American offenders perceive Norwegian normalization techniques, such as single-occupancy rooms, humane architectural environments, respectful inmate-officer relationships, and their potential to promote rehabilitation and reduce recidivism. Fifteen participants who had served a minimum of three weeks in correctional institutions completed open-ended questionnaires analyzed through conceptual content analysis. Findings revealed strong support for individualized rooms, normalized environments, and increased positive human interaction as transformative …


A Phenomenological Study Of The Personal And Professional Experiences Of U.S. Police Leaders Who Led Their Agency Through A Line-Of-Duty Death, Elizabeth A. Cary Jan 2026

A Phenomenological Study Of The Personal And Professional Experiences Of U.S. Police Leaders Who Led Their Agency Through A Line-Of-Duty Death, Elizabeth A. Cary

Doctoral Dissertations and Projects

The purpose of this phenomenological study was to describe the personal and professional experiences of police leaders from across the United States who led their agencies through line-of-duty deaths (LODD). The social constructivist worldview guided this study as Creswell and Poth (2025) suggest that it captures complicated and multifaceted subjective meanings of individuals. Transformational leadership theory was the lens through which this research was conducted. Police leaders are faced with personnel, political, societal, and generational challenges following the events of Ferguson, George Floyd, the COVID-19 pandemic. This is on top of the already stressful and traumatic work police officers face …


Unmothered: A Phenomenological Study Of Black Daughters Who Are Detached From Their Black Mothers, Imani S. Steele Jan 2026

Unmothered: A Phenomenological Study Of Black Daughters Who Are Detached From Their Black Mothers, Imani S. Steele

Doctoral Dissertations and Projects

Mother-daughter relationships are often characterized as foundational, nurturing bonds, but for some adult daughters, the relationship is a source of pain and disconnection. This phenomenological study explored the lived experiences of adult Black American daughters who are detached from their Black American mothers, influenced by Bowen Family Systems Theory’s emotional cutoff concept. Seventeen Black adult women, aged 27-49, were interviewed to assess how they made meaning of being detached from their mothers, along with the ways it shaped their lives. Findings showed that detachment was a gradual response to a history of harmful mothering. Daughters described detachment as an act …


The Relationship Between Religiosity, Meaning-Making, And Well-Being Among Involuntary Childless Women, Laura Beth Harter Jan 2026

The Relationship Between Religiosity, Meaning-Making, And Well-Being Among Involuntary Childless Women, Laura Beth Harter

Doctoral Dissertations and Projects

The proportion of involuntary childless women in the United States continues to rise, with research indicating elevated risks of depression, anxiety, and diminished well-being in this population compared to their childbearing counterparts. Simultaneously, many faith communities emphasize pronatalist ideals, which may compound these psychological effects. Despite a growing body of qualitative work, quantitative research examining faith, meaning-making, and well-being among women whose childlessness extends beyond recent infertility is limited. This quantitative, correlational study examined the relationships among religiosity, meaning-making, and well-being among involuntary childless women. Participants (N = 94; M age = 44.6) completed online surveys including the Duke University …


Racial Bias, Mindfulness, And Motivation Among Mental Health Clinicians, Deirdre Y. Burton Jan 2026

Racial Bias, Mindfulness, And Motivation Among Mental Health Clinicians, Deirdre Y. Burton

Doctoral Dissertations and Projects

Racial bias is linked to poor mental health outcomes and obstructs clinician-client relationships. Mental health clinicians (MHCs) may express implicit bias, expanding disparities for people of color. Mindfulness and motivation to respond without prejudice (MRP) are associated with reduced racial bias, yet few studies have examined these constructs among MHCs. Therefore, the purpose of the study was to evaluate relationships between mindfulness, MRP, and implicit racial bias. Licensed MHCs (n = 47, 85.1% female, 59.6% African American, mean age 50 years) participated in a convergent parallel mixed-methods study involving an online survey [Race Implicit Association Test (Race IAT), the Five …


Examining The Intergenerational And Transgenerational Impact Of Military-Related Posttraumatic Stress Disorder On Academic Success In College Students In The United States, Kimberlee Bazo Jan 2026

Examining The Intergenerational And Transgenerational Impact Of Military-Related Posttraumatic Stress Disorder On Academic Success In College Students In The United States, Kimberlee Bazo

Doctoral Dissertations and Projects

Military families and caregivers have unique experiences with their service member which can both enhance and challenge their daily lives. The purpose of this dissertation was to examine the transgenerational and intergenerational impact of military-related posttraumatic stress disorder (PTSD) on academic success in college students in the United States. This non-experimental, quantitative research design utilized both descriptive and correlational data analysis. Self-report measures and grade point average (GPA) provided the data from a total of 67 participants, as determined by an a priori analysis, for the results and subsequent discussion sections. Participants were recruited through a variety of sources using …


Bridging Theory And Self-Development In Human Services And Counselor Education, Kristy Carlisle Jan 2026

Bridging Theory And Self-Development In Human Services And Counselor Education, Kristy Carlisle

Journal of Human Services Scholarship and Interprofessional Collaboration

Counselor and human services education increasingly recognize self-awareness as a core component of professional competence and ethical practice. This conceptual manuscript presents a pedagogical framework that integrates major helping theories as tools for structured self-reflection and self-development among students and practitioners. Drawing from experiential learning theory, reflective practice, and models of counselor identity formation, the approach encourages learners to view themselves through theoretical lenses such as person-centered, cognitive-behavioral, and existential frameworks, paralleling the very lenses through which they will view their clients in practice. By engaging in guided reflective activities, students examine personal beliefs, emotions, and behaviors to enhance self-understanding, …


The Relationships Between Ego Depletion And Social Behaviors Across Different Degrees Of Psychological Flexibility, Jacob Cage Norris Jan 2026

The Relationships Between Ego Depletion And Social Behaviors Across Different Degrees Of Psychological Flexibility, Jacob Cage Norris

Masters Theses

Social behavior includes behaviors that are influenced, directly or indirectly, by the realistic, anticipated, imagined, or implied presences of others. Particular social behaviors such as altruism or aggression may vary in how accessible they are, depending on the degree of self-control that has been recently exerted. Specifically, self-control fatigue, or ego depletion, seems to make aggression more likely and altruism less. However, individuals who are psychologically flexible, or who tend to be in contact with the present moment while engaging in behaviors that support the pursuit of values may not respond to ego depletion with the same changes to social …


Understanding Inclusive Postsecondary Education Programs For Students With Intellectual And Developmental Disabilities, Jade Viator Mcminn Jan 2026

Understanding Inclusive Postsecondary Education Programs For Students With Intellectual And Developmental Disabilities, Jade Viator Mcminn

Doctoral Dissertations

Inclusive Postsecondary Education programs for individuals with intellectual and developmental disabilities are growing rapidly, and this is largely due to the legislative changes of the Higher Education Opportunity Act of 2008 (Higher Education Opportunity Act, 2008). This dissertation study will examine the current legislation under the Higher Education Opportunity Act (2008), opportunities for federal funding, and postsecondary education programs for individuals with intellectual and developmental disabilities as a whole. This review will also cover Comprehensive Transition and Postsecondary programs, which are a direct result of the Higher Education Opportunity Act of 2008. These approved programs allow eligible students to receive …


Lived Experiences Of Caregivers Navigating The Individuals With Disabilities Education Act For Their Disabled Children, Natasha Weber Holmes Jan 2026

Lived Experiences Of Caregivers Navigating The Individuals With Disabilities Education Act For Their Disabled Children, Natasha Weber Holmes

Walden Dissertations and Doctoral Studies

The Individuals with Disabilities Education Act (IDEA) was designed to guarantee equitable access to special education services for children with disabilities. Yet, disparities persist in how caregivers navigate protections. They often face barriers related to limited legal knowledge, inconsistent school support, and systemic inequities, leaving many unable to fully advocate for their children. The purpose of this interpretative phenomenological analysis study was to explore lived experiences of caregivers as they engaged with the IDEA to secure services for their children with disabilities. Guided by the legal consciousness and empowerment theories, the study involved examining how caregivers interpret and act upon …


Fear Of Falling: A Collaborative Approach To Treatment, Alexandra Uhren, Celeste Delap, Kate Jansen Jan 2026

Fear Of Falling: A Collaborative Approach To Treatment, Alexandra Uhren, Celeste Delap, Kate Jansen

Journal of Interprofessional Practice and Collaboration

Purpose: Physical Therapy (PT) and Behavioral Health (BH) often overlap in patient care; however, collaborative treatment is always not utilized by providers. This case study details the interdisciplinary treatment of a 69-year-old female with a fear of falling; emphasizing the importance of interprofessional collaborative care in treating Fear of Falling (FOF) in individuals at risk for fall-related injury with Cognitive Behavioral Therapy (CBT) and PT interventions.

Problem: FOF is common among older adults and can result in physical, psychological, and social consequences (Lee & Tak, 2023; MacKay et al., 2021). Patients at risk of fall-related injury experience decreased self-confidence in …


A Phenomenological Exploration Into The Interpersonal Relationships And Mental Health Impacts Of Physical Activity, Movement, And Play On The Lived Experiences Of Caribbean Mothers, Janelle Chase-Mayers, Theresa D. Thomas Jan 2026

A Phenomenological Exploration Into The Interpersonal Relationships And Mental Health Impacts Of Physical Activity, Movement, And Play On The Lived Experiences Of Caribbean Mothers, Janelle Chase-Mayers, Theresa D. Thomas

Journal of Interprofessional Practice and Collaboration

Purpose: To explore the impact of wellness strategies incorporating movement, physical activity, and play on the mental health and interpersonal relationships of Caribbean mothers aged 25 and older.

Methods: A phenomenological study was conducted in 2021 to delve into the lived experiences of seven Caribbean mothers. Semi-structured interviews were employed to gather rich, qualitative data on their perceptions of wellness, motherhood, and the role of movement and physical activity in their lives.

Results: Over 700 codes resulted in 6 themes and 100 subthemes. Thematic analysis revealed six key themes: 1. Family of Origin Influences: Participants discussed how …


Psychological Experiences Of Law Enforcement Officers Responding To Critical Incidents Alone And With A Partner, Lydia Abernethy Jan 2026

Psychological Experiences Of Law Enforcement Officers Responding To Critical Incidents Alone And With A Partner, Lydia Abernethy

Walden Dissertations and Doctoral Studies

The role of law enforcement officers is to restore peace and safety when chaos occurs, which can be life-threatening and stressful as officers respond to the critical incidents unfolding. For this study, a qualitative approach and phenomenological framework were utilized to gain insight into the first-hand psychological experiences of officers responding to critical incidents. Police officers work in demanding environments that can lead to mental health conditions such as depression and post-traumatic stress disorder. Peer support and communication among coworkers have emerged as a potentially important factor, as officers would share traumatic events with other officers. Therefore, my research focused …


Adaptable Psychopathic Traits: Military And Para-Military Organizations, Mariana Ramirez Jan 2026

Adaptable Psychopathic Traits: Military And Para-Military Organizations, Mariana Ramirez

Student Theses

Although culturally distinct, both military and law enforcement careers demand individuals to operate effectively in high-risk environments; a characteristic shaped through processes of military and para-military occupational socialization, reinforced by an adaptable personality. Understanding the distinctions between military and law enforcement cultures provides a foundation for examining individual-level factors such as personality, behavior, and mental health. Recent research (e.g. Anestis et al., 2019; Batastini et al., 2023; Falkenbach et al., 2017; Falkenbach et al., 2018; McKinley & Verona, 2023; Patton et al., 2018; Preston et al., 2020; Roșca et al., 2021) has increasingly applied a psychopathic framework to study these …


Wilderness Therapy As An Intervention For Teens Who Are At The End Of Their Rope, Blake C. Neal, Heather Summers Jan 2026

Wilderness Therapy As An Intervention For Teens Who Are At The End Of Their Rope, Blake C. Neal, Heather Summers

Lynchburg Journal of Medical Science

Abstract

Wilderness therapy, treatment offered in a natural setting, is offered as an alternative to traditional treatment methods (Lodato, N., Blivas, R., & Blivas, N. L. and R., 2024). This model is often used as a last resort for teens who are unsuccessful in other environments. However, when used as a blanket treatment model for all mental health concerns, there is a risk for greater harm inflicted on participants. A case study approach provides evidence of a teen in one of these settings struggling with an eating disorder and self-harm. Although potentially helpful with some concerns, we learn from this …


What’S My Name? Experiences Of Individuals With Traditional Hawaiian Names, Natalya N. Spotkaeff Jan 2026

What’S My Name? Experiences Of Individuals With Traditional Hawaiian Names, Natalya N. Spotkaeff

Walden Dissertations and Doctoral Studies

There is no systematic process of orienting non-Hawaiian educators to Hawaiian culture, as evidenced by name mispronunciation. The purpose of this phenomenological study was to explore the experiences of individuals with traditional Hawaiian first names in a classroom environment. Critical race theory (CRT), especially the concept of microaggressions, was used as the framework for the study. Two research questions guided the study: What are the adult lived experiences with traditional Hawaiian first names encountered in academic settings during childhood? How do adults with traditional Hawaiian first names describe their experiences of race in the classroom? Semistructured interviews were conducted with …


Change Management With Ethical Leadership, Sophia Rudisill Holmes Jan 2026

Change Management With Ethical Leadership, Sophia Rudisill Holmes

The Journal of Values-Based Leadership

Ethical leadership ensures organizational environments are created and nurtured to support complex dilemmas that surface during change management. Leaders and followers in particular can navigate change management with intentional advance planning guided by the motives of their heart. The motives of a leader’s heart is observed by the ethical practices of their core values. Morally leaders and followers core values inform their ethical behaviors. Furthermore, Christian leaders have access to biblical scripture which provides a roadmap for leaders and followers in the mastery of adapting and not resisting during change management. Biblical scriptures also provide examples of practices that solve …


Exploring Parenting Experiences: Fathers And Mothers Raising A Child With Autism, Simmi Santha Jan 2026

Exploring Parenting Experiences: Fathers And Mothers Raising A Child With Autism, Simmi Santha

Walden Dissertations and Doctoral Studies

The experiences of parenting a child with autism spectrum disorder (ASD) have been widely studied in Western contexts. Still, limited research has explored how sociocultural factors shape these experiences in India. This qualitative study aims to address this gap by exploring and comparing the lived experiences of mothers and fathers raising a child with ASD in Kerala, India. The purpose of this study was to investigate how gender roles, cultural expectations, and social structures impact parental adaptation, coping, and caregiving practices. Bronfenbrenner’s ecological systems theory and Crenshaw’s ideas of intersectionality provide the conceptual framework of this study. Using an interpretative …


Read My Lips: No New Constructs! Construct Proliferation As A Threat To The Future Of I-O Psychology, Nathan A. Bowling, Valerie I. Sessa, Jonathan A. Shaffer, George C. Banks Jan 2026

Read My Lips: No New Constructs! Construct Proliferation As A Threat To The Future Of I-O Psychology, Nathan A. Bowling, Valerie I. Sessa, Jonathan A. Shaffer, George C. Banks

Department of Psychology Faculty Scholarship and Creative Works

Industrial and organizational (I-O) psychology recognizes dozens of different constructs, including several individual differences, environmental variables, job attitudes, and work-related behaviors. It is, of course, necessary to retain a variety of constructs in order to adequately capture the complexities, subtleties, and diversity of work-related phenomena. But do the many constructs recognized by I-O psychologists all serve a useful purpose? Or has our field been too eager to welcome redundant, unnecessary constructs into the fold? And if I-O psychology has embraced too many unnecessary constructs, then what—if anything—should we do about it? In the current focal article, we first discuss when …


Perceived Academic Workload And Well-Being Among Radiologic Technology Students During Home-Based Learning, Alvin Diaz Crudo Jan 2026

Perceived Academic Workload And Well-Being Among Radiologic Technology Students During Home-Based Learning, Alvin Diaz Crudo

The Lasallian Journal of Health

Introduction: COVID-19 disrupted educational delivery worldwide, forcing Higher Education Institutions (HEIs) to shift to home-based learning modalities combining synchronous and asynchronous modes. Radiologic technology students' academic workload intensified with digital and non-digital activities, requiring stronger internet connectivity amid barriers like stress and burnout. This study determined the correlation between perceived academic workload and well-being among third-year radiologic technology students at De La Salle Medical and Health Sciences Institute during home-based learning. Methods: A correlational research design was employed with 124 of 136 students (91.18%) participating during A.Y. 2021-2022. Researchers used self-made questionnaires based on Bowyer's (2012) "Student Workload Model" and …


Pilots’ Perceived Cognitive Functions: The Effect Of Mental Workload And Mindfulness On Prospective Memory Performance, Zehra Nur Kurtoğlu, Pınar Ünsal Bayrakçı Jan 2026

Pilots’ Perceived Cognitive Functions: The Effect Of Mental Workload And Mindfulness On Prospective Memory Performance, Zehra Nur Kurtoğlu, Pınar Ünsal Bayrakçı

International Journal of Aviation, Aeronautics, and Aerospace

Errors related to human factors remain a leading cause of aviation accidents, with many of these incidents being attributed to pilot performance. A key aspect of pilot performance might be prospective memory (PM), the ability to remember and execute future tasks at the appropriate time. The dynamic and high-demand environment of the cockpit presents significant challenges for pilots' PM, particularly due to high mental workload and the constant need for multitasking. This study investigates the impact of perceived mental workload as consisting of cognitive, emotional, temporal, and performance demands dimensions, and mindfulness on pilots' PM performance. A mindfulness scale specific …


Racial And Ethnic Minority Supervisees’ Experiences In Clinical Supervision, Destiny Chanel Hill Jan 2026

Racial And Ethnic Minority Supervisees’ Experiences In Clinical Supervision, Destiny Chanel Hill

Walden Dissertations and Doctoral Studies

Clinical supervision practices, although essential to counselor development, often reflect limited cultural competence among supervisors contributes to unclear expectations, conflicting roles, and isolation, leading to stress, negative internalization, and compromised professional development. The purpose of this hermeneutic phenomenological study was to explore the lived experiences of racial and ethnic minority supervisees in clinical supervision within the mental health counseling profession. The research question was: What are the lived experiences of racial and ethnic minority supervisees who have been involved in clinical supervision? The framework guiding the study was hermeneutic phenomenology. Data from interviews with eight participants were analyzed using the …


Affect Regulation In The Context Of Sexual And Gender Minority Stress: A Scoping Review Protocol, Daphne Y. Liu, Benjamin A. Swerdlow, Shao Yuan Chong, Nadia Kako, Alex Rubin, Nicholas S. Perry Jan 2026

Affect Regulation In The Context Of Sexual And Gender Minority Stress: A Scoping Review Protocol, Daphne Y. Liu, Benjamin A. Swerdlow, Shao Yuan Chong, Nadia Kako, Alex Rubin, Nicholas S. Perry

Psychology: Faculty Scholarship

Objective

To provide a broad, comprehensive picture of affect regulation in the context of sexual and gender minority stress, this scoping review aims to identify and synthesize methods, methodologies, and available evidence pertinent to emotion regulation and coping in the context of minority stress among sexual and gender minority (SGM) people.

Introduction

SGM people face disproportionately high rates of mental health problems due to experiences of minority stress and lack of social safety. Theories and growing evidence suggest that affect regulation plays a critical role in SGM people’s well-being in the face of minority stress. Researchers have largely studied emotion …


The Black Mother-Daughter Developmental Model: A Life Course Framework For Understanding Matrescence, Identity, And Attachment In Black Family Systems, Brianna A. Baker Jan 2026

The Black Mother-Daughter Developmental Model: A Life Course Framework For Understanding Matrescence, Identity, And Attachment In Black Family Systems, Brianna A. Baker

Publications and Research

This study introduces the Black Mother-Daughter Developmental Model (BMDDM), a life course framework that theorizes the evolving relational, psychological, and cultural dynamics of Black mother-daughter relationships across generations. Using a constructivist grounded theory approach, in-depth qualitative interviews were conducted with 18 Black women aged 18 to 65 and analyzed to examine patterns of attachment, identity development, rupture, and relational repair over time. Findings yielded a five-stage developmental model: (1) Black Matrescence and Prenatal Conditions, (2) Initial Attachment, (3) Separation and Detachment, (4) Negotiation and Reattachment, and (5) Matrescence Redux and Grandmatrescence. Across stages, participants described how gendered racial socialization, maternal …


Integrating Clinical Reasoning Into Mental Health Diagnosis: A Conceptual Framework For Counseling Practice, Ashley F. Waddington, Alexander M. Fields, Haley Ault Jan 2026

Integrating Clinical Reasoning Into Mental Health Diagnosis: A Conceptual Framework For Counseling Practice, Ashley F. Waddington, Alexander M. Fields, Haley Ault

Journal of Human Services Scholarship and Interprofessional Collaboration

Clinical reasoning has long guided diagnostic accuracy in nursing and medical fields, but its application in mental health counseling remains limited. This paper presents a conceptual diagnostic decision-making (DDM) process to embed clinical reasoning into the diagnostic process for counselors, incorporating two vital constructs: counselor self-efficacy and counselor bias (implicit and explicit). Grounded in Bandura’s theory of self-efficacy (1977) and Carvalho et al.’s (2017) clinical reasoning model, the framework highlights the cognitive, behavioral, and contextual factors that shape diagnostic decision-making in early-career counselors, including counselor biases. The paper calls for reform in counselor training, emphasizing curriculum enhancements as pathways to …