Psychoanalysis and Psychotherapy Commons^™

Gateways For Transformation, Amitice L. Saremi

Counseling and Family Therapy Scholarship Review

Big life transitions, typically resulting from loss, can cause physical, emotional, and behavioral problems. Using a heuristic methodology, this article answers the question: Given polyvagal theory, how can yoga and depth psychology combine to support clients to make transitions more easily? Polyvagal theory hypothesizes that the vagus nerve, the longest cranial nerve, impacts impact many parts of the body related to physical and mental health. Breathing helps the vagus nerve function properly along with self-regulation, homeostasis, and the social engagement system. Yoga and depth psychology recognize the continuous cycles of life that exist in nature, the constancy of change, the …

Changing The Narrative For Lgbtq Adolescents: A Literature Review And Call For Research Into Narrative Therapy To Improve Family Acceptance Of Lgbtq Teens, Felicia Jordan

Counseling and Family Therapy Scholarship Review

A large body of existing research has demonstrated the importance of family acceptance as a protective factor for LGBTQ youth facing increased risks of low self-esteem, depression, suicidal ideation, and other mental-health problems. However, little research has been done on therapeutic interventions for families specifically to address stigma and discrimination against LGBTQ adolescents. In particular, narrative therapy, with its focus on deconstructing and re-storying oppressive cultural narratives, seems a natural fit, but little to no quantitative research has been done on family-based narrative therapy for LGBTQ adolescents, and only a handful of qualitative studies have been published. Therefore, the paper …

Exploring The Locker, Haley Bagley

Counseling and Family Therapy Scholarship Review

This article is an effort to foster grace and to create genuine, humble community. A new sense of community, that is not conditional on our abilities to censor ourselves to be more palatable to those around us. Instead, the birth of a new way of relating that considers our deep inner selves that feel shame, remember traumas, and cower in fear of these experiences. Perhaps most of all, this article is an invitation to explore our deepest inner selves, and the cost of censoring this self. This exploration is not a leisurely dive into the corners of ourselves that lie …

An Essay Concerning The Possibility Of A Unified Theory Of Counseling, Lance Kair

Counseling and Family Therapy Scholarship Review

The Object-Oriented Ontology of Graham Harman, also known as Object-Oriented Philosophy, presumes to describe an ontology of all objects, including human beings. This essay shows how the discipline of counseling can benefit from such an ontology of objects. To move into this particular case of an Object-Oriented Ontology of human beings, and to distinguish, initially, at least, between the object that we are now concerned with, or will be soon, and the universe of subjectivity, I propose that we refer to universal objects, which is to indicate objects that exist in the universe, however we might define it. In this …

The Role Of Practice-Based Evidence And Feedback Informed Treatment For Improving Therapy Outcomes, Daryl Mahon

Counseling and Family Therapy Scholarship Review

Attrition rates and deterioration of counselling and psychotherapy clients are two major concerns for those delivering psychological therapies across differential modalities. While a variety of correlations are said to contribute to attrition and deterioration such as, client, therapist and clinical level, identifying and improving outcomes for this cohort of people in routine practice is difficult. Even with the addition of hundreds of empirically supported treatments added to the profession, outcomes have not improved in line with these new approaches. Methods to limit the extent of poor outcomes has been established in the extent literature, thus, practice-based evidence is put forward …

Introducing Feedback Informed Preference Accommodation (Fipa): A Case Study In Clinical Practice, Daryl Mahon

Counseling and Family Therapy Scholarship Review

Psychotherapy is a successful modality for those who engage in and complete a course of treatment. However, attrition rates and negative outcomes make up a significant and under discussed proportion of clinicians’ case load in routine practice. Innovative and novel methods to address these issues have been identified within the extant literature. However, their uptake can be impacted by issues such as utility and brevity. The present paper seeks to establish a framework for integrating Feedback Informed Treatment (FIT) and the Cooper-Norcross Inventory of Preferences (C-NPI) in clinical practice. That is, using the C-NPI for initial preference accommodation and following …

Womanism & Wellbeing: A Manuscript Dissertation Exploring The Effects Of Shame, Loss And Gender Issues, Christy Angelle-Vidrine Bauman

Education Dissertations

The purpose of this study is to contribute to the research on gender issues and psychological well-being across the adult lifespan utilizing qualitative research examining factors (e.g., societal influences, sexual objectification, shame, loss, meaning-making, and internal identity) in developing resilience and mitigating mental health issues. This paper discusses the importance of addressing well-being through expression of loss, meaning-making, and social impact. This manuscript style dissertation will review publications in such areas as sexuality, spirituality, grief, shame, intimacy, social, and interpersonal relationships. The exploration of biopsychosocial impacts as it relates to meaning-making, resilience, and communal involvement. The three publications will be …

Mental Associations And Music Therapy: Including The History Of Associationism And The Neurology Of Associations, Dianna Rose

Expressive Therapies Capstone Theses

Associations are formed in our minds based upon three elements: sensory experience, emotions, and memories. These associations, unique to each individual, dictate thoughts, beliefs, behaviors, and actions. Some are necessary and supportive, while others can be maladaptive. Established associations can be changed, and new associations can be formed, to align with a client’s goals. The literature presents a strong history of associationism, as well as a body of research that demonstrates the neurological processes of how mental associations are formed. There are also studies showing how music activates the brain. However, there is a lack of research which draws direct …

Insight Gains Of Narrative Case Studies, H. Luis Vargas

Counseling and Family Therapy Scholarship Review

The Editor provides an Editorial for the new issue.

Narrating Supervision To Track Counselor Development: A Qualitative Content Analysis, Fred Washburn , Ph.D., Meaghan C. Nolte , Ph.D., Ncc, Angela M. Yoder , Ph.D., Hspp, Rpt

Counseling and Family Therapy Scholarship Review

The authors analyzed the narrative writings of four counselors-in-training in practicum using directed content analysis. Developmental themes corresponded to current theories of counselor development. Narratives and supervisor responses are sequentially provided to aid new counselors and supervisors in understanding the complexities of counselor developmental and counselor supervision.

#Gaslighting, Karissa Moody

Counseling and Family Therapy Scholarship Review

As the utilization of social media continues to integrate itself into domains of culture, livelihood, and worldviews, the following exposition aims to introduce how such integration may pose as a new realm of gaslighting that has yet to be discussed. The progressive conceptualization of gaslighting as a form of manipulation will aid in providing readers with an understanding of this idea through a systemic lens by first, explaining underlying reasons for manipulation as an all-inclusive concept. The value of explication will serve in identifying plausible reasons of manipulation which pertain to the concept of gaslighting within social media. Within this …

A Commentary On Trauma’S Different Layers, Mike Kaufman , M.A., L.M.F.T.

Counseling and Family Therapy Scholarship Review

This article highlights how trauma may be caused by factors aside from catastrophic events, physical violence or accidents resulting in physical injury. Examples of trauma beyond the more commonly known causes are detailed. This article also emphasizes how individuals engaging in psychotherapy may at times lack awareness that their self-reported dilemma, or symptoms, may stem from early relational trauma. The following commentary originated with first-hand clinical experience and was reinforced by literature. It is important to recognize that individuals reporting symptoms of depression and anxiety are most effectively treated in psychotherapy when past trauma is accurately identified as the root …

Narrative Therapy And Shame: A Testimony View, Andrew Earle

Counseling and Family Therapy Scholarship Review

This article provides the clinician with an overview of how narrative thought can create spaces for possibilities and hope midst shame. As a part of an integrative practice, it is important for the therapist to acknowledge the impact various ideas have on the people who consult them. This testimony and other literature will be used to make a case that the existence of shame is contingent on structural assumptions of the self.

The Effect Of Follow-Up Contact In Reoccurrence Of Psychiatric Readmission, David Mallo , Psy.D., Ian E. Wickramasekera , Psy.D.

Counseling and Family Therapy Scholarship Review

This study examined if clinical contact with clients within one week of discharge from an inpatient psychiatric facility had an influence on their readmission. One of the factors explored in this study was whether the impact of clinical contact could reduce readmission rates after discharge used to develop intervention strategies to reduce readmission. The study found that those individuals who had a case management appointment set within the first seven days of discharge from an inpatient psychiatric facility was approximately eight times more likely than non-clinical referrals, 32 % vs. 4 %, to be not readmitted to an inpatient psychiatric …

On Eagle’S Wings: A Caregiver’S Story, Heather J. Carlson

Counseling and Family Therapy Scholarship Review

Increased attention is being focused on the Sandwich Generation, a rapidly growing subset of the adult population usually in their 40’s to 60’s who are the primary caregiver for children under the age of 18, as well an aging parent(s). The pull between the two generations is one of the greatest struggles facing mid-life adults ‘sandwiched’ between caring for their developing children and their aging parents. The delicacies of balancing logistical and emotional resources among the generations can be overwhelming for sandwich generation caregivers. The resulting stress on caregivers is related to higher absenteeism from work, levels of depression, …

Digital Music Making: Developing A Method For Using Technology In Music Psychotherapy, Sangeetha Kavety

Expressive Therapies Capstone Theses

The use of technology, specifically digital songwriting and music making, in the context of psychotherapy is a subject that is not yet as well researched or practiced in the field of music therapy. The majority of the existing literature acknowledges the assistive function that technology such as tablets, smartphones, and computers can play in treatment of populations with cognitive and motor difficulties. However, there is little regarding the use of technology as the main means of creating music, and even less in the context of treatment of psychiatric disorders in children and adolescents in family settings. For this capstone project, …

Efficacy Of Integrated Mental Health Care With Dual Diagnosis Patients And Their Utilization Of Psychiatric Emergency Services, Denton Scott

Doctoral Dissertations

Historically, patients with dual diagnosis have been subjected to ineffective treatment and negative attitudes from healthcare providers. Further, these patients are plagued with myriad afflictions that exist beyond substance abuse and mental illness. The treatments and collateral damage associated with the diagnosis impose excessive healthcare costs and can be of significant detriment to society. Largely, patients suffering from dual diagnosis do not receive adequate treatment. As such, psychiatric emergency services are frequently utilized as an alternate treatment, wherein the main focus of care is on the substance abuse alone. This study argues that solely treating the substance abuse is not …

A Phenomenological Study Of The Lived Experiences Of Counseling Students In A Co-Facilitated Experiential Group, Alexandra Meyers

Graduate Theses and Dissertations

Research in the fields of experiential learning, group psychotherapy, and neuroscience has supported the inclusion of the experiential group in counseling training programs due to the potential for positive impact on students’ personal and professional development (Badenoch & Cox, 2010; Denninger, 2010). Investigations exploring counseling students’ experiences of the experiential group have been primarily limited to quantitative studies, while in-depth qualitative inquiry has been minimal. Additionally, an extensive review of the literature has found there have been no qualitative studies examining experiential groups co-facilitated by a course instructor and a doctoral student. The purpose of this phenomenological study was to …

Meeting Point: Partner Dancing As Couple's Therapy, Rami Eckhaus

Expressive Therapies Dissertations

This dissertation research explored the experience of partner dancing as a therapeutic process that reflects upon the dynamics and interactions of couples who are in the process of couple's therapy. The research also aimed to gain insight on the ways in which the experience of partner dancing can support these couples' therapeutic processes. Partner dancing is a dance-form that is based on the interaction between two individuals. Such interaction requires the dancing couples to communicate on many levels that may uncover layers of their relational dynamics. In this research, five couples who were undergoing couple's therapy were asked to participate …

A Phenomenological Exploration: The Black Bile Of Depression, Charles L. Dunlap Ii, M.A.

Counseling and Family Therapy Scholarship Review

The phenomenon of depression manifests itself in many different forms, haunting us with its simultaneously inescapable, diffuse and pervasive presence. The rich thickness of depression is often severely drained and confined within the overall field of psychology, in which this phenomenon is regularly expressed as an all-encompassing, diagnostic label, to limitedly describe an almost endless number of symptomatic permutations. We shall attempt to distill something of depression’s essence in returning to its ancient, etymological, spiritual and metaphysical roots, in order to begin transcending the traditional clinical notion of depression as simply a disease to be cured and suppressed. The relatively …

The Phenomenal Space Of Soulful Silence, Ellen Wimmer

Counseling and Family Therapy Scholarship Review

Where has silence gone? What does this mean for the spiritual soul? This analysis utilizes a phenomenological and qualitative lens to assess the way silence and the soul interact. The author posits that the relationship between silence and the soul, or soulful silence, creates a space to learn about the powerful phenomena that shape us. Through imagery, metaphor, and personal reflection the author embarks on a descriptive journey to explore what we learn by sitting in soulful silence, the phenomenological and spiritual implications of soulful silence, and how one must first become intimately familiar with their own soulful silence …

Religious Couples Re-Storying After Infidelity: Using Narrative Therapy Interventions With A Focus On Attachment, Mark Karris , M.A., M.Div., Katarena Arger , M.A

Counseling and Family Therapy Scholarship Review

Attachment-focused narrative interventions used with religious couples of the Abrahamic faiths (Judaism, Christianity and Islam) dealing with the effects of infidelity is discussed in this article. With religious couples, the couple attachment bond is commonly harmed after infidelity. The attachment bond with God can also be affected with one or both partners. Partners who once felt close and connected with God can feel angry and distant because of infidelity. Since the Abrahamic faiths are narrative-based religions, and an attachment bond with God is essential, attachment-focused narrative interventions can help couples re-story their relationship with each other and with God. Attachment-based …

Learning About Roger: A Supervision Case, Joanna Sturhahn Stratton , Ph.D., Randy D. Gallamore , M.A.

Counseling and Family Therapy Scholarship Review

A behavioral health internship provides an unparalleled training experience for a Master’s level clinical trainee. This narrative essay highlights how one behavioral health intern was pushed to the next developmental stage of learning as he encountered a patient with a complex medical condition and a new mental health diagnosis. This article also shares the learner’s perspective on how both the patient and intentional systemic supervision fostered his professional growth.

To Be Known: A Supervisee Experience, Alexa R. Ashworth

Counseling and Family Therapy Scholarship Review

Presented before you are a collective of raw, untamed poetic thoughts from my experiences as a Youth Treatment Counselor. In writing this personal narrative I have been able to let the inner turmoil of my soul soar with peace once more. You will discover how invalidation from supervisors and staff can quickly leave you at a standstill, being left to feel alone. My goal for writing this piece has been to create mental metaphors for others in the field who built up walls as a form of self-preservation, to feel comfort when there is no end. I hope my honesty …

Death And Life By A Thousand Cuts: Lessons Learned From The Deconstructive/Reconstructive Journey, Mark Karris , M.A., M.Div.

Counseling and Family Therapy Scholarship Review

Questioning one’s faith and beliefs about God, church, and their religion can be an excruciating experience. Since we all have an innate need to belong, feel safe, and be loved, we can be reticent to question and doubt our faith due to fear of rejection and isolation from two major figures: God and the church. For many people, it is not easy to separate the two. For some, the fear of losing God’s love, even momentarily, is terrifying. For others, the thought of leaving their beliefs behind may also feel like they have to leave their religious tribe behind, which …

The Mystery And Wonder Of Exploration, H. Luis Vargas , Ph.D.

Counseling and Family Therapy Scholarship Review

The Editor provides an Editorial for the new issue.

Discovering Themes: Disability Identity Development As It Pertains To People Born With Spina Bifida, Elizabeth H. Scriven

Antioch University Dissertations & Theses

To date, disability identity development is a highly understudied construct. There are many models of disability, each interpret disability through a specific lens, but do not address the influence of disability on identity development. The few theories of disability identity that do exist have not been widely adopted. In addition, there is a lack of empirical evidence to support them. Another difficulty is that these theories do not separate different disability groups. Rather, the theories are applied to a broad heterogenous group of disability types. This is a problem because each disability type is quite distinct from the others and …

Is It Who Am I Or Who Do You Think I Am? Identity Development Of Adolescents With Substance Use Disorders, Danielle N. Treiber

Antioch University Dissertations & Theses

The purpose of this study was to unearth how adolescents with substance use disorders achieve the task of identity formation and the construction of self-concept in the midst of the drug culture and society that exists. It sought to uncover the social constructs designed to ignore and/or remove human complexities and allow an intersectional approach to be brought to a study on this population. Historically, there has been a failure to investigate the underlying social attitudes and behaviors that impact the very delicate and vulnerable process of finding self. Psychosocial and relational adjustment are strongly influenced by the extent to …

Why Should We Care? Psychodynamic Theory And Practice In Counselor Preparation, Elyssa Smith

Journal of Counselor Preparation and Supervision

Abstract

This constructivist grounded theory investigation explored the experiences and perceptions of seven counselors-in-training regarding psychodynamic theory and practice. Two categories, five themes including three subthemes, and a tentative theory which spoke to the experiences, perceptions, and attitudes of students regarding contemporary psychodynamic psychotherapy emerged. Implications for counselor education and the training of counselors are discussed.

Keywords: counselor preparation, psychodynamic, reflective practice

Qualitative Analogue Study On Student Therapist’S Reactions To Client Suicidality, Cynthia A. Beevers

Dissertations

Suicidal clients are a reality for both professional and student therapists providing counseling (Chemtob et al., 1988; Dexter-Mazza & Freeman, 2003; Goodman, 1995; Howard, 2000; Jacobson, Ting, Sanders, & Harrington, 2004; Kleespies, Penk, & Forsyth, 1993; Kleespies, Smith, & Becker, 1990; Mackelprang, Karle, & Cash, 2014; McAdams & Foster, 2000). Previous research has investigated the experiences of professional therapists working with suicidal clients, but little is known about student therapists’ experiences with suicidal clients. Only two studies were found investigating the experiences of student therapists working with suicidal clients (Kleespies et al., 1993; Kleespies et al., 1990). However, in the …