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Full-Text Articles in Marriage and Family Therapy and Counseling

Application Of Occupational Therapy Task-Oriented For Chronic Post-Stroke Rehabilitation: A Case Study, Gia Nghi Vu May 2026

Application Of Occupational Therapy Task-Oriented For Chronic Post-Stroke Rehabilitation: A Case Study, Gia Nghi Vu

UNLV Theses, Dissertations, Professional Papers, and Capstones

Stroke remains the leading cause of long-term disability, with persistent upper extremity (UE) impairment limiting engagement in daily tasks, reducing quality of life and contributing to learned non-use in the chronic stage among stroke survivors. The Occupational Therapy Task Oriented (OTTO) approach is proposed to optimize occupational performance through the use of meaningful, functional and highly individualized tasks that enable clients to fulfill their valued roles and participate in desired daily activities. The purpose of this capstone project was to advance clinical skills by applying the OTTO approach to examine its effect on occupational performance and UE motor function in …


The Effects Of First Responder Stress & Trauma On Spouses And Romantic Partners, Eden Thiess Dec 2024

The Effects Of First Responder Stress & Trauma On Spouses And Romantic Partners, Eden Thiess

UNLV Theses, Dissertations, Professional Papers, and Capstones

First responder jobs pose unique difficulties due to the sheer number of traumatic events that they witness and personally experience. Research has demonstrated some effects of stress and trauma on family relationships, but the literature lacks an understanding of the ways that first responder trauma and stress affects their marriages and romantic relationships. The current study’s purpose was to investigate the experiences of first responder spouses and partners within the Las Vegas area in regards to stress, trauma, and relationship dynamics as influenced by the first responder role. In this study, 11 participants who were in a marriage or romantic …


Alternatives To Screen Time Given In Parenting Advice, Emma Romeo Nov 2024

Alternatives To Screen Time Given In Parenting Advice, Emma Romeo

Undergraduate Research Symposium Lightning Talks

Screen time within the last decade is an area of rising interest, especially in a "Post-Covid" world. Despite a diversity of opinions being written and research being done on screen time, what is being presented as an alternative is lesser known. In this research, the aim is to identify types of activities that are presented to parents as alternatives' to screen time in parenting websites and blogs. This study uses qualitative content analysis of over 240 articles from 2019-2023 mentioning media use or screen time from two regularly consumed and popular parenting websites, Sheknows.com and Parents.com. The data so far …


A Sensory Room Protocol For Snf Staff To Improve Confidence With Emotional Regulation In Adults With Cognitive Challenges: Through An Occupational Therapy Perspective, Marisa Pagan May 2024

A Sensory Room Protocol For Snf Staff To Improve Confidence With Emotional Regulation In Adults With Cognitive Challenges: Through An Occupational Therapy Perspective, Marisa Pagan

UNLV Theses, Dissertations, Professional Papers, and Capstones

Adult sensory rooms are an emerging area of practice for occupational therapy, as this holistic approach uses sensory tools for input to one or more of the five senses, which promotes emotional regulation in individuals seeking calming and alerting outcomes. This sensory protocol proposal was created to assist healthcare workers within a skilled nursing facility and provide a tool that could be utilized in various settings to increase awareness of adult sensory rooms.

Methodology This quality improvement protocol project was conducted at Henderson Health and Rehabilitation to determine the need for and develop a protocol for an adult sensory room …


High Illusion Of Control Adolescents: A Moderated Mediation Analyses Of The Effects Of Forms Of Counterfactual Thinking And Gender In Problem Gambling And Gaming, Larry Okechukwu Awo Dr., George Nzeadi Duru Mr. May 2023

High Illusion Of Control Adolescents: A Moderated Mediation Analyses Of The Effects Of Forms Of Counterfactual Thinking And Gender In Problem Gambling And Gaming, Larry Okechukwu Awo Dr., George Nzeadi Duru Mr.

International Conference on Gambling & Risk Taking

Abstract

Three studies (Study 1, N = 322 male adolescents, Study 2, N = 401 male and female adolescents, and Study 3, longitudinal, N = 56 male and female adolescents) analyzed the effects cognitive and psychographic variables in the relationships among illusion of control (IC), problem gambling and problem gaming. Moderated mediation analyses results using PROCESS macro in the three studies confirmed: (1) the positive mediating effect of upward CFT in the association between IC and problem gambling and problem gaming; (2) the negative mediating effect of downward CFT in the association between IC and problem gambling and problem gaming; …


Solution Focused Brief Therapy And Vicarious Resilience In Bolivian Protective Family Services Workers, Marcos Pérez Lamadrid, Adam S. Froerer Jul 2022

Solution Focused Brief Therapy And Vicarious Resilience In Bolivian Protective Family Services Workers, Marcos Pérez Lamadrid, Adam S. Froerer

Journal of Solution Focused Practices

Vicarious resilience (VR) is defined as the positive effects caregivers experience within their personal lives, their work lives, and within their worldview as a whole, that come from witnessing the resilience that clients demonstrate in facing their traumatic experiences. This research study is a quasi-experimental pilot study about how solution focused brief therapy (SFBT) influences the vicarious resilience of family protective system (SLIM) workers in Bolivia. The Vicarious Resilience Inventory (VRI) was administered in a pretest/posttest design for an experimental group (applying SFBT) and a control group (training as usual). Both groups experienced an increase in vicarious resilience, but the …


Restoring Wholeness To Psychiatry: Models Of Understanding, Gregory Brown, Lisa Durette, Timothy Ebright, Katie Cho Apr 2022

Restoring Wholeness To Psychiatry: Models Of Understanding, Gregory Brown, Lisa Durette, Timothy Ebright, Katie Cho

Psychiatry & Behavioral Health Faculty Research

Psychiatric practice is at a critical juncture in its evolution. Its identified model for understanding the complexity of individuals and their conditions has been the biopsycho-social-spiritual model since it was first proposed nearly half a century ago. In practice, this construct is being challenged by a biomedical model which asserts all psychiatric conditions can be reduced to either neurotransmitter or gene-based causation. We explore how models are used in science to approximate larger reality, with a focus on Systems Theory, which is the philosophical foundation for the bio-psycho-social-spiritual model to describe why this model is necessarily more complete than the …


How Long-Term, Non-Monogamous Romantic Relationships Maintain Sexual Satisfaction, Anna Kessler Dec 2021

How Long-Term, Non-Monogamous Romantic Relationships Maintain Sexual Satisfaction, Anna Kessler

UNLV Theses, Dissertations, Professional Papers, and Capstones

Eroticism is an important element of couple's relationships. Sexual intimacy has the power to bring couples closer together, as higher levels of sexual intimacy results in higher relationship satisfaction, or hinder relationships if either or both partners aren’t sexually satisfied in their relationship. The current study’s purpose is to understand how long-term, non-monogamous relationships have successfully maintained “eroticism” throughout the course of their relationship. In this study, 24 couples who are in a committed, romantic relationship of at least 7 years were interviewed. The interviews were conducted individually over a video call platform, and each was completed withing approximately 60 …


Creating A Common Language: How Solution Focused Brief Therapy Reflects Current Principles Of Change And Common Factors, Beverley Kort, Adam Froerer, Cecil Walker Jul 2021

Creating A Common Language: How Solution Focused Brief Therapy Reflects Current Principles Of Change And Common Factors, Beverley Kort, Adam Froerer, Cecil Walker

Journal of Solution Focused Practices

The common factors and mechanisms of change have been investigated across many disciplines and in many fields. This study applies the common factors to Solution Focused Brief Therapy (SFBT) through a modified content analysis of the BRIEFER Practice Manual. Seven common factors themes are identified and applied to SFBT. The study concludes with a consideration of how this common factors approach broadens the evidence-base of SFBT and provides suggestions for implementation and application of this common factors approach.


The Creative Legal Histories Of Cervantes And Jurist Antonio De La Peña, Susan Byrne Jan 2021

The Creative Legal Histories Of Cervantes And Jurist Antonio De La Peña, Susan Byrne

Department of World Languages Faculty Research

In the Quijote’s intercalated novella titled El curioso impertinente, Miguel de Cervantes narrates the story of a husband inducing his best friend to seduce his wife. This study compares Cervantes’ use of juridical detail in that story with contemporaneous legal arguments and punishments for a husband who acts as procurer for his wife.


Active Husband Involvement During Pregnancy: A Grounded Theory, Brandon P. Eddy, Stephen T. Fife Aug 2020

Active Husband Involvement During Pregnancy: A Grounded Theory, Brandon P. Eddy, Stephen T. Fife

Couple & Family Therapy Program Faculty Research

Objective: The purpose of this grounded theory qualitative study was to build a theory describing how husband involvement during pregnancy impacts the couple relationship. Background: The transition to parenthood presents a significant life change for couples. Although many couples experience this life cycle change, there is relatively little empirical research on how husbands can meaningfully contribute during pregnancy and how husband involvement influences the couple relationship postpartum. Method: Eleven heterosexual, married couples were interviewed regarding husband involvement during the couple's most recent pregnancy. Data collection included separate interviews with each partner and with each couple. Results: The results are presented …


The Symbolism Of Play Behavior In Child-Centered Play Therapy, Kaitlin Andrewjeski Dec 2019

The Symbolism Of Play Behavior In Child-Centered Play Therapy, Kaitlin Andrewjeski

UNLV Theses, Dissertations, Professional Papers, and Capstones

Child-Centered Play Therapy (CCPT) is an evidence-based approach for mental health treatment with children. CCPT is based on the belief that play is a child’s natural language and so the therapist is required to make inferences of themes through observations of free play; however, there is no standard process by which themes are identified. The purpose of the current study is to gain detailed descriptions of play behavior in order to describe how themes emerge and how they are displayed in child-centered treatment. The themes were then used to describe the progression through the typical stages of child-centered play therapy. …


"The Traps Started During My Childhood": The Role Of Substance Abuse In Women's Responses To Adverse Childhood Experiences (Aces), Breanna Boppre, Cassandra Boyer Aug 2019

"The Traps Started During My Childhood": The Role Of Substance Abuse In Women's Responses To Adverse Childhood Experiences (Aces), Breanna Boppre, Cassandra Boyer

Criminal Justice Faculty Research

The gendered pathways perspective seeks to identify the biological, psychological, and social realities that lead to women’s law-breaking behavior. Prior research in this area demonstrates the link between women’s adverse childhood experiences (ACEs) and involvement in the criminal justice system later in life. The current study fills an important gap in the literature by providing a phenomenological description of the impacts ACEs had upon 19 community supervised women’s lives. Their stories illuminate the need to consider multiple forms of ACEs, from physical and sexual abuse to the death of a loved one. Interviewees’ most prevalent response to ACEs was substance …


Men’S Experiences Of Miscarriage: A Passive Phenomenological Analysis Of Online Data, Megan Story Chavez, Valerie Handley, Rebecca Lucero Jones, Brandon Eddy, Von Poll May 2019

Men’S Experiences Of Miscarriage: A Passive Phenomenological Analysis Of Online Data, Megan Story Chavez, Valerie Handley, Rebecca Lucero Jones, Brandon Eddy, Von Poll

Couple & Family Therapy Program Faculty Research

Miscarriage is a pervasive health care concern for couples. The impacts of miscarriage on men have not received adequate attention in the literature. The aim of this research was to understand the lived experience of 31 male participants whose partners had miscarried a child. This study analyzed online data using a passive phenomenological methodology. Researchers found four overarching themes including isolation, overwhelmed, protector, and coping. Results found that health professionals might overlook men when a woman experiences a miscarriage. Results suggest that professionals working with these couples could provide greater care by addressing the experiences of both men and women …


Forgotten Fathers: Postpartum Depression In Men, Brandon Eddy, Von Poll, Jason B. Whiting, Marcia A. Clevesy Feb 2019

Forgotten Fathers: Postpartum Depression In Men, Brandon Eddy, Von Poll, Jason B. Whiting, Marcia A. Clevesy

Couple & Family Therapy Program Faculty Research

Although postpartum depression is common and well-studied in mothers, many fathers also experience symptoms. This qualitative study investigated fathers’ experiences of postpartum depression. Data from secondary sources such as blogs, websites, forums, and chat rooms were analyzed using a combination of phenomenological and content analysis methods to understand father’s experiences of paternal postpartum depression. Six themes emerged from the data including fathers’ needing education, adhering to gender expectations, repressing feelings, being overwhelmed, resentment of baby, and the experience of neglect. These data provide useful information that can aid health care providers, researchers, clinicians, and families in understanding the experience of …


Sex Worker And Proud: A Phenomenological Study Of Consensual Sex Workers' Lives, Michael Gerald Curtis Jr. Dec 2017

Sex Worker And Proud: A Phenomenological Study Of Consensual Sex Workers' Lives, Michael Gerald Curtis Jr.

UNLV Theses, Dissertations, Professional Papers, and Capstones

Ten consensual sex workers who were currently working in Nevada were qualitatively interviewed in an effort to explore their perceptions of the adult industry. Interviews specifically focused on their experience disclosing their profession to others and the potential effects that it has on their personal relationships, and access to effective treatment. The Moustakas method of phenomenological inquiry was used to analyze data from ten participants who self-identified as direct sex workers. Seven essential themes emerged from this analysis: (1) the adult industry provides professional and personal agency, (2) the industry is often transient, (3) disclosure is an impactful and ongoing …


Parents' Perceptions Of Smartphone Use And Parenting Practices, David Jackson Johnson Dec 2017

Parents' Perceptions Of Smartphone Use And Parenting Practices, David Jackson Johnson

UNLV Theses, Dissertations, Professional Papers, and Capstones

The present study is a qualitative examination aiming to gain insight into parents’ perceptions of their smartphone use and the effects it may be having on their children as well as parenting practices. Participants (N=12) were smartphone using parents that consisted mostly of young college-educated females. Thematic analysis of individual interviews resulted in five primary themes: (1) Disengagement, (2) Concern for Future, (3) Change in Social Norms, (4) Boundaries, and (5) Cognitive Dissonance. These findings indicate significant effects parental smartphone use is having in the lives of study participants. These thematic findings call for additional research examining the impact parental …


Mcnair Research Journal - Summer 2015, Kelly Abuali, Starr Bailey, Krystal Courtney D. Belmonte, Brittaney Benson-Townsend, Jennifer Bolick, Mihaela A. Ciulei, Ashley Crisp, Daniel N. Erosa, Richard V. Foster, Gisele Braga Goertz, Michael A. Langhardt, Kara Osborne, Julienne Jochel Paraiso, Shawn M. Rosen, Bella V. Smith, Jeevake Attapattu, Ernesto H. Bedoy, Michael G. Curtis, Wanda Inthavong, Marielle Leo, Primrose Martin, Tamieka Meadows, Rosa Perez, Jessica Recarey, Shea Silver, Linda Tompkins Jan 2015

Mcnair Research Journal - Summer 2015, Kelly Abuali, Starr Bailey, Krystal Courtney D. Belmonte, Brittaney Benson-Townsend, Jennifer Bolick, Mihaela A. Ciulei, Ashley Crisp, Daniel N. Erosa, Richard V. Foster, Gisele Braga Goertz, Michael A. Langhardt, Kara Osborne, Julienne Jochel Paraiso, Shawn M. Rosen, Bella V. Smith, Jeevake Attapattu, Ernesto H. Bedoy, Michael G. Curtis, Wanda Inthavong, Marielle Leo, Primrose Martin, Tamieka Meadows, Rosa Perez, Jessica Recarey, Shea Silver, Linda Tompkins

McNair Journal

Journal articles based on research conducted by undergraduate students in the McNair Scholars Program

Table of Contents

Biography of Dr. Ronald E. McNair

Statements:

Dr. Neal J. Smatresk, UNLV President

Dr. Juanita P. Fain, Vice President of Student Affairs

Dr. William W. Sullivan, Associate Vice President for Retention and Outreach

Mr. Keith Rogers, Deputy Executive Director of the Center for Academic Enrichment and Outreach

McNair Scholars Institute Staff


Acceptability Of Sexting In Same-Sex Relationships, Carly Shadid, Katherine M. Hertlein, Sarah M. Steelman Apr 2014

Acceptability Of Sexting In Same-Sex Relationships, Carly Shadid, Katherine M. Hertlein, Sarah M. Steelman

Graduate Research Symposium (2010 - 2017)

For individuals who identify as part of the LGB community, the Internet can be seen as a tool to take control of their lives, may promote self-esteem, and foster a sense of belonging. The purpose of the study was to learn about sexting practices on college campuses. It builds on the existing body of knowledge by attending specifically to sexting rather than the previous literature about engagement in sexual behavior online (see, for example, Daneback, Cooper, & Månsson, 2005). Findings indicated that sexting is viewed as more acceptable in same sex relationships as compared to heterosexual relationships.


Family-Farm Therapy: An Urban Therapy Clinic To Address The Multifaceted Needs Of Multi-Stressed Families And Their Surrounding Communities, Felisa M. Huene Apr 2014

Family-Farm Therapy: An Urban Therapy Clinic To Address The Multifaceted Needs Of Multi-Stressed Families And Their Surrounding Communities, Felisa M. Huene

Graduate Research Symposium (2010 - 2017)

Family-Farm Therapy incorporates a therapeutic clinic within an urban farming community site, and focuses on multi-stressed family systems and the larger community system. The goal is for systemic change within the family and the community by creating positive relationships and personal acceptance. Farming has traditionally been a family endeavor which makes it a unique environment to be utilized as metaphors for family systems, their interactions, behaviors, and structure. Multi-stressed families have socioeconomic hurdles that complicate their ability to adjust to change and crisis in their family. Farming addresses such hurdles by offering economic sustenance, increased physical health, and community acceptance. …


Staying Together: The Journey Of Healing After Infidelity, Jennifer Bolick, Stephen Fife Jan 2014

Staying Together: The Journey Of Healing After Infidelity, Jennifer Bolick, Stephen Fife

McNair Poster Presentations

Relationships are an important aspect of a fulfilling life. They can bring joy and pleasure or pain and devastation. One of the most detrimental issues within the context of committed relationships is infidelity, and subsequently it is one of the most prevalent issues seen in therapy. Although it is a common presenting problem in couples therapy, research on the treatment and healing of infidelity is limited. A majority of the literature is focused on the clinician’s point of view rather than the couples’ perspective. The purpose of this study is to present the results of a qualitative study of eight …


Still In The Shadows: A Content Analysis Of Sexual Addiction In Couple Therapy, Austin Ellis, Quintin Hunt, Tod Young, Rebecca Nemecek, Jordan Staples, Stephen Fife, Colleen Peterson Apr 2013

Still In The Shadows: A Content Analysis Of Sexual Addiction In Couple Therapy, Austin Ellis, Quintin Hunt, Tod Young, Rebecca Nemecek, Jordan Staples, Stephen Fife, Colleen Peterson

Graduate Research Symposium (2010 - 2017)

There is no universally accepted definition of “sex addiction” in the literature, though it is generally understood as persistent patterns of sexual behaviors acted out despite negative consequences to self or others (Kafka, 2010; Levine, 2010). Though sexual addictions are often addressed individually, most take place within a social context that includes family members and/or intimate relationships. The purpose of this presentation is to present the results of a content analysis of M/CFT peer-reviewed journals and summarize the extent to which this literature addresses sexual addictions and couples therapy. The content analysis adds to the existing literature by examining the …


Couples' Process Of Healing From Infidelity While In Therapy, Jordan Mark Staples Dec 2012

Couples' Process Of Healing From Infidelity While In Therapy, Jordan Mark Staples

UNLV Theses, Dissertations, Professional Papers, and Capstones

Infidelity is one of the most common presenting problems for couples and marriage therapists. It is widely acknowledged to be a destructive phenomenon for a couple's relationship and is one of the most difficult presenting problems to treat. Treatment models for infidelity vary and have little empirical testing. The purpose of the proposed study was to investigate the client's perspective of the process for healing from infidelity. Additionally, the proposed study looked to qualitatively assess and amalgamate participants' experience of the healing process for infidelity. Themes and relationships among these themes were identified using open, axial, and selective coding processes. …


Csa Survivors: What Heals And What Hurts In A Couple Relationship, Laura S. Smedley Dec 2012

Csa Survivors: What Heals And What Hurts In A Couple Relationship, Laura S. Smedley

UNLV Theses, Dissertations, Professional Papers, and Capstones

Childhood sexual abuse (CSA) is a significant trauma that affects a person's self-concept and the ability to form healthy intimate relationships later in adulthood. Approximately 20% of adults who experience childhood sexual abuse go on to evidence serious psychopathology in adulthood (Harway & Faulk, 2005). Besides individual disturbances, CSA survivors struggle with many relational difficulties. These difficulties are usually most pronounced among their intimate partners (Reid, et al., 1995). According to attachment theory, attachment injuries are best healed in the context of a healthy, intimate relationship (Kochka & Carolan, 2002) (MacIntosh & Johnson, 2008). Conversely, the couple relationship may be …


A Brief Content Analysis Of Attachment And Sexual Relationships In Sex Therapy And Research Journals, Kathryn Zambrano Devis Dec 2011

A Brief Content Analysis Of Attachment And Sexual Relationships In Sex Therapy And Research Journals, Kathryn Zambrano Devis

UNLV Theses, Dissertations, Professional Papers, and Capstones

A surge of scholarly publications on attachment within couple relationships prompted this content analysis of attachment articles published in six sex therapy and sex research journals. This study investigates the extent to which these journals attend to attachment in the context of adult sexual relationships. The researcher found 2257 articles published within these journals; 64 of which attend to attachment and 9 of which attend to attachment and sex. Implications for couples therapy in the field of sex therapy and future directions are discussed.


Retrospective Investigation Of Course Content Evaluation By Students: A Survey Of Domestic Violence Education And Experience Among Current Unlv-Sdm Dental Students, Rhonda J. Everett Dec 2011

Retrospective Investigation Of Course Content Evaluation By Students: A Survey Of Domestic Violence Education And Experience Among Current Unlv-Sdm Dental Students, Rhonda J. Everett

UNLV Theses, Dissertations, Professional Papers, and Capstones

The overall purpose of this research project is to survey experience and education of current dental students regarding domestic violence. Domestic violence has been recognized as one of our nation's most serious public health issues. Domestic violence can result in physical injury, psychological trauma, and sometimes death. Dentists can act as one of the first lines of intervention in recognizing common dental and facial trauma which may be associated with domestic violence victims including: broken teeth, facial bruising, and jaw fractures.

Current data suggest that education about domestic violence can help the dental professional in overcoming some of the barriers …


Attachment And Couple Sexual Functioning, Kathryn Z. Devis, Melissa A. Louder, Kara L. Thompson, Katherine M. Hertlein Apr 2011

Attachment And Couple Sexual Functioning, Kathryn Z. Devis, Melissa A. Louder, Kara L. Thompson, Katherine M. Hertlein

Graduate Research Symposium (2010 - 2017)

Within the last several years, there has been a surge in the publications that focus on attachment within the couple relationships, including how it pertains to infidelity treatment. Despite the interest in couple relationships and attachment, however, a limited amount of literature focuses on how varying styles of attachment manifest in a couple's level of sexual functioning. This study is a response to the need to explore the literature and related gaps in literature.


Therapist-Initiated Addiction Assessment Procedures Of Marriage And Family Therapists In The Southwest United States, Emire Olmeztoprak Dec 2010

Therapist-Initiated Addiction Assessment Procedures Of Marriage And Family Therapists In The Southwest United States, Emire Olmeztoprak

UNLV Theses, Dissertations, Professional Papers, and Capstones

The purpose of this study was to examine the addiction assessment procedures of marriage and family therapists. Addiction prevalence rates are growing therefore it is likely that marriage and family therapists will have clients affected by addiction. Undetected addictions can impede treatment and/or prevent the therapist from making appropriate treatment related decisions. Marriage and family therapists in Nevada, Arizona, and New Mexico were invited to complete a web-based survey containing a series of questions about their assessment procedures for addiction as well as a series of demographics questions. The data from the completed surveys was collected and analyzed. The data …


Connecting With Your Asperger Partner: Negotiating The Maze Of Intimacy, P. S. Mcmillen Sep 2010

Connecting With Your Asperger Partner: Negotiating The Maze Of Intimacy, P. S. Mcmillen

Library Faculty Research

Weston, a "neurotypical" (NT) registered nurse, has been married to a man with Asperger's syndrome (AS) since 1999 and ran an Asperger's partners support group. The book reflects the author's utilization of self-help books about AS and relationships with accumulated wisdom from support groups.


Therapeutic Alliance And Client Satisfaction From The Client’S Perspective, Colleen Peterson, Armeda Stevenson, Katherine M. Hertlein, Stephen Fife Apr 2010

Therapeutic Alliance And Client Satisfaction From The Client’S Perspective, Colleen Peterson, Armeda Stevenson, Katherine M. Hertlein, Stephen Fife

Graduate Research Symposium (2010 - 2017)

This was the second phase of a two phase mixed methodology study. Presented is the qualitative portion consisting of semi-structured phone interviews conducted with past clients in order to examine the relationship of the therapeutic alliance and client satisfaction with client retention and termination status.Findings were classified into three main categories: therapist characteristics, treatment structural characteristics and process characteristics.