Medicine and Health Sciences Commons^™

Reclaiming Healing Spaces: A Phenomenological Study On The Transformative Power Of Outdoor Therapy From The Lived Experiences Of Black Clinicians Working With Black Clients, Lynn Murphy

Dissertations

This phenomenological study involved assessing the experiences of Black therapists who engaged Black clients in outdoor therapeutic contexts. The study was founded on the existing literature that shows the quality of the therapeutic relationship is pivotal for client retention and the Western standards that have historically favored treatment within indoor environments. To contextualize this research, a comprehensive literature review was commenced, covering topics such as the decolonization of therapy, the historical and present-day relationship between Blacks and the outdoors in the United States, sedentary lifestyles, the psychological benefits of time spent in nature, various types of outdoor therapy, and the …

Exploring Attachment Through Clay-Based Therapy: A Parent-Child Community Engagement Project, Hilari Stahler

Expressive Therapies Capstone Theses

This research project explores the therapeutic potential of clay, particularly as a creative, sensory-rich process that facilitates access to pre-verbal memories. Grounded in attachment theory and the innovative approach to trauma healing by Cornelia Elbrecht, known as Trauma Healing at the Clay Field®, the study investigates clay's regressive and healing qualities. It examines how its smooth, skin-like texture can activate our implicit memories through sensory experiences. Utilizing a community engagement format, this study aimed to assess the effectiveness of parent-child clay field sessions in addressing intergenerational attachment trauma and unmet attachment needs. The research revealed that the unique properties of …

Caregiver Engagement In Their Child's Mental Health Rehabilitation Services: Utilizing The Hoover-Dempsey And Sandler Model Of Parental Involvement (2005) In Mental Health Counseling, Andrew Q. Holmgren

University of New Orleans Theses and Dissertations

Mental Health Rehabilitation (MHR) is a widely utilized community mental health service in Louisiana for low-income families. However, treatment adherence, including caregiver engagement for minor clients, is often low. There is still limited understanding of the barriers to caregiver engagement and few tools to assess these barriers and engagement behaviors. Clinicians, caregivers, and clients currently engaged in MHR services completed a modified version of the Parent Involvement Project Questionnaire (PIPQ) to determine if this scale and its associated theory, the Hoover-Dempsey and Sandler Model of Parental Involvement (2005), can be used in a mental health counseling format to assess for …

Expectations And Marriageability In African Americans: A Qualitative Content Analysis, Ashley Miller

Electronic Theses and Dissertations

This study aimed to identify individual factors that work alongside structural factors limiting the marriage rate of educated African American men to educated African American women. Previous research identified structural factors related to systemic racism that contribute to the marriage gap between Black men and women in America. The researcher in this study conducted a focus group with three Black men and another focus group with three Black women in order to identify any individual expectations or characteristics that each group considers when evaluating a partner’s marriageability. Data was analyzed using conversation content analysis techniques on focus group responses. Findings …

Understanding University Support For Suicide Bereavement And Bereaved Experiences: A Phenomenological Study, Kristin May Anderson, Neishamia B. Kayizzi, Brittany M. Lee, Addalee K. Lyon

LMU/LLS Theses and Dissertations

In recent years, a multitude of literature have discussed the turbulent nature for young adults to navigate the difficulties of suicide bereavement with lack of support. This experience can be further cumbersome when the bereavement is co-occurring within an academic profession, such as attending university. This study explored three participants experience of suicide bereavement support at a university level, utilizing a phenomenological arts-based approach for inquiry. Data analysis revealed eight common themes that reflect the university students' lived experiences of the phenomenon discussed: Acknowledgment of the communicated loss by faculty, provision of academic support, lack/absence of practice, reluctance, emotional response, …

Division Of Labor And Relationship Satisfaction: Examining The Mediating Role Of Self Esteem, Ellen Keith

Theses and Dissertations--Family Sciences

As a result of feminist movements, rejections of gender roles, and changing economic conditions, profound changes have occurred within the structure of American families. This study delves into the intricate dynamics of divisions of household labor (DoL), self-esteem, and relationship satisfaction within the context of contemporary relationships. Drawing on data from the Panel Analysis of Intimate Relationships and Family Dynamics (Pairfam), this study tested five hypotheses, and investigates how perceptions of fairness in DoL tasks influence self-esteem and relationship satisfaction. Significant associations were found between reported share of DoL and indicated fairness of DoL, indicated fairness of DoL and relationship …

Chosen Family In Lgbtq+ Community: Creating Feeling Of Safety Through Collage In Art Therapy, Zaina Berger

Art Therapy | Master's Theses

This student research study investigates how collage demonstrates feelings of safety with chosen family within the LGBTQ+ community as a minority group who has undergone much discrimination and exclusion from their biological family and society at large. Currently, within the field of art therapy, there is minimal research on LGBTQ+ community, especially in regards to kinship and family. The only research about chosen family was conducted by anthropologist, Kath Weston, in the 1990’s.The student researcher defines chosen family and discusses different alternative kinship theories and practices in the last three decades. The review discusses how queer people have created meaningful …

Cbt And Me: A Beginning Therapist's Journey Utilizing Client Feedback, Haley Scruggs

Theses and Dissertations--Family Sciences

Cognitive behavioral couple therapy (CBCT) is a model of therapy targeting cognitions, emotional responses, and behavioral interactions between couples experiencing relationship distress. Routine outcome monitoring (ROM) is a tool that clinicians can use to track the progress of their clients in therapy from the perspective of the client. This study aimed to use MFT-PRN, a type of ROM, to gather client progress throughout CBCT treatment. Prototypical change trajectories were created in Microsoft Excel for examination of presenting problem progress, couple satisfaction, and overall relationship functioning. It was found that small data sensitivity affected the trajectories immensely, though ROM outcomes revealed …

Examining Anxious Attachment And Its Effects On Sexual Behaviors In Adulthood, Justin Graham

Theses and Dissertations--Family Sciences

The current study aimed to investigate the relationship between anxious attachment and adult sexual behaviors. The study utilized pairfam, a nationally representative German sample, as a secondary data set for its quantitative analysis. Participants responded to two anxious attachment scales and questions regarding sexual desire, sexual confidence, and age at first sexual experiences. Analyzing data from 5561 individuals, averaging 29.27 years old, a path analysis was conducted to assess variable effects. Findings indicate that higher anxious attachment correlates with reduced sexual confidence and earlier onset of sexual intercourse. Future studies should investigate additional attachment scales and include a more diverse …

Routine Outcome Monitoring In Emotionally Focused Therapy: A Clinical Perspective, Lillian Dunn

Theses and Dissertations--Family Sciences

The field of couple and family therapy has a foundation in systems theory and recognizes the intricate dynamics of relationships. Therapists often navigate complex webs of connection, aiming to enhance communication, foster healthy interaction patterns, and cultivate emotional well-being to strengthen relational bonds. This thesis focuses on the integration of routine outcome monitoring (ROM) within Emotionally Focused Therapy (EFT) and aims to shed light on its role in achieving therapeutic goals. ROM tools offer insights into the therapeutic process, facilitating tailored interventions to meet clients' needs. The findings suggest that integrating ROM into EFT benefits therapists and clients, enhancing our …

An Integrative Somatic Art Therapy Approach: Emdr & Body-Based Practices For Traumatic Stress, Alexis Sorbara

Art Therapy | Doctoral Dissertations

This research project used a mixed method, within subject design to explore how trauma-informed somatic art therapy and Eye Movement Desensitization Reprocessing (EMDR) therapy impacts symptoms of trauma and burnout. There is limited qualitative research on integrating art therapy with EMDR in a group setting. Art therapy can act as a container, or safe holding environment (Winnicott, 1971) for the limitations of EMDR therapy. This research addressed the implications of integrating art therapy and EMDR therapy as a trauma treatment for healthcare professionals. This research study followed the eight phases of EMDR treatment, using a combination of resourcing, a series …

Online Friendships And The Bird’S Nest Drawing In The Age Of The Internet, Ian Wong

Art Therapy | Master's Theses

This study was a qualitative exploration of friendships facilitated through the internet and online video games. The goal was to investigate how online friendships compare to in-person friendships in terms of quality. Three English-speaking participants who played an online video game and had an online friendship provided unique case studies describing the differences between an online and in-person friendship. The Bird Nest Drawing art assessment by Kaiser (1996; 2016) revealed themes of attachment security which helped explain the variations in the friendships. The findings of this study opened the topic of online friendships for further exploration in the field of …

Fantasia On A Theme Of Purpose: Using A Music-Guided Scribble Technique To Support Meaning-Making In Older Adult Retiree Musicians, Sophia R. Smith

Art Therapy | Master's Theses

Within the population of older adults, overall well-being corresponds with the ability to self-actualize and seek meaning, but age-related changes combined with ageism and isolation can negatively impact this capacity to maintain a sense of purpose, especially following retirement. It may be that retired musicians are especially vulnerable to this experience later in life due to a loss of the primary method of creative engagement and community that is facilitated by musical performance in a group setting. Integrating phenomenological and ethnographic approaches, this study utilized a qualitative design to understand how music-guided art-making incorporating the scribble technique could support a …

Mindfulness And Self-Compassion: Attuning Skills In Self-Awareness To Promote Self-Care For Art Therapy Practitioners A Mixed-Methods Study Using A Mandala Art Directive And Acceptance Commitment Therapy (Act), Janeth Arcila Padilla

Art Therapy | Master's Theses

This study attempts to examine people in the mental health field, specifically, Art Therapists and graduate trainees who undergo many stressors in and out of the therapy space. Stressors like emotionally demanding situations with clients, to the demands of keeping up with proper work-related procedures, and needed educational requirements for practicing in the field can lead to burnout for practitioners and students in the field. Stress, burnout, and professional impairment are prevalent among mental health professionals and can have a negative impact on their clinical work, while engagement in self-care can help promote therapist well-being (Posluns & Gall, 2020). Research …

Art Therapy Assessment And Sense Of Safety, Sophie C. Restall

Art Therapy | Master's Theses

This study aimed to understand how artmaking experiences during assessment may influence the formation of the therapeutic alliance at the start of therapy. Rather than measuring therapeutic alliance directly, this study identified psychological safety as a vital component of the therapeutic relationship and an important topic of study via literature on attachment theory. Using a mixed-methods, repeated-measures design, this study compared artmaking experiences and feelings of psychological safety in response to two interventions––a Human Figure Drawing (HFD) assessment and an Expressive Therapies Continuum (ETC) assessment. Overall, qualitative data from semi-structured interviews and quantitative data from the Art-Based Intervention (ABI) questionnaire …

Mental Health Stigma And Help-Seeking Behaviors Among Eastern Asian/Eastern Asian American College Students And Their Parents: A Mix-Method And Art Therapy Intervention Study, Carmen Tham

Art Therapy | Master's Theses

This mixed-methods study examines perceptions of mental health within the Eastern Asian/Eastern Asian American community through quantitative analysis of the Asian American Value Scale (AAVS) and qualitative examination of Tree of Life artwork, alongside responses from a Mental Health Help-Seeking Interview Guide. Ten Chinese participants, comprising five students and five parents, participated, with varying generational statuses and educational backgrounds. Quantitative findings reveal significant differences in AAVS scores based on generational status and education level, with first/second-generation respondents scoring higher on family recognition through achievement and university-educated respondents scoring higher on conformity to norms. Qualitative analysis identifies common themes of rarity …

The Influence Of Attachment Styles And Mental Health Symptoms On Marital Satisfaction Among Deployed Us Army Soldiers, Leo Mora

Dissertations

Since 2002, changes in the frequency, duration, and nature of military campaigns overseas have piqued efforts to understand the effects of deployment on the mental health of DoD service members, especially married Army soldiers. However, few studies have examined the influence of attachment styles on the emotional health of combat veterans and the wartime impact they have also imparted to their spouses. Thus, in the context of military deployments, this study examines how secure/insecure attachment styles, posttraumatic stress (PTS), and depressive symptoms significantly influence married soldiers and their perceptions of marital satisfaction. In addition, this study also examines pre-existent, internalized, …

Perceived Business Skills Needs Of Mfts: Implications For A Doctoral Program, Abel Arvizú Whittemore

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of this study was twofold: a) to determine the training that MFTs should have to effectively work in organizational / business settings and with organizational / business issues in the role of clinician, administrator / manager, consultant, coach, and researcher and b) to determine what components should be included in a model curriculum in the area of organizational / management studies in an MFT doctoral program. Using the e-Delphi method, consensus from a panel of experts (in the profession of marriage and family therapy as well as in business / management / organizational issues) was obtained. Panelists identified …

In-Between Space: Latinas Sharing Their Stories Of Cultural Integration, Maria Elena Fuster

Art Therapy | Doctoral Dissertations

This study explores how an art-based narrative allows Latinas to explore their own experiences of cultural integration in a way that honors their lived experience. The women used art materials to help them explore their identities and, through this process, discovered new truths about themselves through their stories of living between, within, and outside of both cultures. The art acted as a catalyst to express feelings the women had never before questioned or recognized in themselves and, in doing so, allowed them to create meaning and discover parts of their identities they had never explored before. This further allowed the …

The Course Of Covid: How Has The Pandemic Changed The Ways Therapists Use Art In Their Therapeutic Practice?, Deborah Sharpe

Art Therapy | Doctoral Dissertations

In 2020, the global pandemic fundamentally changed our everyday lives personally and professionally. The purpose of this study was to explore the impact of COVID-19 on the art therapy profession: the challenges of shifting to telehealth, managing work/life balance, confronting new realities around notions of privacy and confidentiality, and adapting the materials used in sessions. The necessary innovations and adjustments also revealed the unexpected benefits the pandemic and online therapy platforms provided. The researcher was interested in exploring the challenges and benefits of telehealth, the changes to the practical and essential qualities of the art therapy session, the therapeutic relationship, …

Clay Use As Mindfulness For Women In Early Substance Use Recovery, Cheryl Feldman

Art Therapy | Doctoral Dissertations

Substance Use Disorders (SUDs) are an epidemic in the United States comprising 4.4 million women, including high rates of recidivism, and often accompanied by comorbid mental health issues. Recognizing the need for effective tools to support women in recovery, this research aligns the key tenets of present focus and personal control within Alcoholics Anonymous (AA) with various established mindfulness-based therapies, while using a Positive Psychology framework to conceptualize strategies to help enhance mindfulness in women in early recovery. Although engaging in clay work has been linked to mindfulness for its capacity to foster a state of presence and self-centering, scant …

Does Where You Meet Your Partner Influence Relationship Satisfaction? An Investigation Of Online Dating In The Lgbtq+ Community, Brooke M. Fornetti

Graduate Research Theses & Dissertations

There has been a multitude of research conducted on the impact of online dating and relationship satisfaction for heterosexual couples. However, little research has been done on how utilizing online dating methods as a way to meet potential partners can impact LGBTQ+ relationships. The purpose of the current study is to explore the potential relationship between meeting a romantic partner through online methods – such as utilizing dating applications or websites – and relationship satisfaction for LGBTQ+ couples. Data from 115 participants with ages ranging from 18 to 64 years were analyzed to determine if meeting a romantic partner online …

Exploring The Therapy Experiences Of Latinx Individuals Working With Non-Latinx Therapists, Edith Del Moral

Theses and Dissertations--Family Sciences

Latinos are the largest minoritized ethnic group in the United States. Despite having a population of 62.1 million Latinos in the United States, the representation of Latinx therapists remains low. Therefore, the chance for Latinx individuals and families to receive mental health services from a Latinx therapist is very low. This phenomenological study examines the experiences of six Latinx individuals who worked with non-Latinx therapists. The resulting themes included therapist client match, awareness, respect for boundaries, and genuineness. These themes informed by the personal stories of people who have gone through the therapeutic process will aid professionals in the field …

Exploring Whether A Collage Art Intervention Enhances Levels Of Resilience In Asian Americans Who Have Experienced Emotional Suppression, Casey Galaura

Art Therapy | Master's Theses

Emerging research has shown cross-cultural differences when coping with negative emotions (Yoshie & Sauter, 2020). The Asian American population uniquely experiences both western and eastern cultures, which have different ideologies around expressing negative emotions. In Eastern Cultures, it is common to suppress negative emotions, while Western cultures find it more accepting. Suppressing emotions is a form of emotional dysregulation and can cause a negative effect on one’s psychopathology. This mix-methods study explores whether collage art-based intervention enhances levels of resilience with Asian Americans who have experienced emotional suppression. The theoretical orientation, Acceptance Commitment Therapy (ACT), was used as a guide …

Exploring The Connection Between Social Media & Body-Image And The Impact Of Art Therapy Interventions On A Woman’S Self-Esteem, Courtney Engelhardt

Art Therapy | Master's Theses

This current study desired to illuminate the connection between social media and body image, as well as determining if art therapy interventions may impact a woman’s self-esteem. An individual’s body-image and self-esteem are very much correlated, as both concepts directly influence one another. Fourteen participants were recruited through social media after meeting the qualifications: being eighteen years old and/or older, identifying as a woman, and being active on social media. A mixed-methods research design was utilized for this research using both qualitative and quantitative approaches. Qualitative data was obtained through semi structured interviews, participant’s artwork, and reflections on their art. …

Altered Stories, Altered Lives: An Exploration Of Post Traumatic Growth From A Narrative Perspective With A Strengths Based Focus, Andrea Jones

Art Therapy | Master's Theses

Complex trauma is prevalent, underrecognized, and difficult to treat. Left untreated, the ongoing negative consequences impact individuals, families and society. Literature indicates traditional modes of treatment for post-traumatic stress disorder have high attrition rates and are ineffective for approximately 30% of clients (Schouten et al., 2018). Art Therapy provides the opportunity to offer effective, well tolerated treatment for ongoing adverse consequences of trauma symptoms and recontextualization of the trauma due to the highly nonverbal nature of trauma memory (Hass-Cohen et al., 2014). A nested mixed methods design (Neubauer et al., 2019) combining arts-based research with pre and posttest survey analysis …

Memes To Cope And Communicate, Priscilla (Nox) Ngo

Art Therapy | Master's Theses

The study’s objective was to observe the benefits of creating meme imagery around the participant’s stressors and how it affected the participants’ mood. This mixed-method study also looked into the meme’s ability to communicate their experience of their stressor to others to test whether it would be useful in a therapeutic setting. In order to measure affect change, the researcher utilized the PANAS (Positive and Negative Affect Schedule) before and after the meme creation process. The researcher tested communication through utilization of inter-raters to observe the created meme and respond upon what they believed the participant was going through. This …

Evoking The Art Of Nature, Tessa R. Evans Keime

Art Therapy | Master's Theses

This international study aimed to investigate the therapeutic potential of nature-based art therapy, an innovative approach that combines artmaking with the healing power of nature. The research aimed to examine the synergistic effects of nature and artmaking, as well as the impact of the eco-art experience on adult individuals' connectedness to nature, emotional well-being, and existential understanding, while addressing gaps in literature.

Employing an arts-based research design, participants took part in a nature-art-making session, and their experiences were evaluated through pre- and post-art questionnaires, as well as an analysis of their artistic creations by trained inter-raters. The nature art-based experience …

Cultural Identity Of And Implications For Later Generational Hispanic And Latino Populations In The United States, Tara Bustamante

Art Therapy | Master's Theses

This study explores the Hispanic and Latino/x/e cultures within the United States, with a particular focus on the concept of identity within these communities and its implications for third and later generations. Data were collected during the pandemic via an online survey and art directive. The student researcher used the Identity Denial Scale (Albuja et al., 2019) to measure how often the participants’ identity is denied within the United States and then used an art therapy prompt to invite participants to create their own self-portrait in conjunction with their authentic self and self-image. Qualitative data were also used in response …

Family-Based Support As Social Determinants Of Health Protective Factor On Depression Of Parents Of Children With Autism Spectrum Disorder, Bisola E. Duyile

Theses and Dissertations

All parents experience challenges in their caregiving roles (Barańczuk & Pisula, 2020). However, parents raising a child/children with disabilities experience different social barriers (Oliver, 1996) that may also contribute to additional stressors in their caregiving role (Tomeny, 2016). Although these parents, on average, have reported greater symptoms of depression than parents of typically developing children, research shows that parents who reported receiving social support had lower symptoms of depression and stress (Das et al., 2017; Singh et al., 2017). Through the social determinants of health (SDOH) framework (ODPHP, 2022), the present study investigated informal/family-based support and its protective impact on …