Psychoanalysis and Psychotherapy Commons^™

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.

The Efficacy Of Ketamine In Adult Patients With Obsessive Compulsive Disorder With Symptoms Refractory To Standard Of Care Treatment., Brooke Thornton

Capstone Showcase

First line pharmacologic treatments for adult patients with Obsessive Compulsive Disorder (OCD) involve selective serotonin/norepinephrine reuptake inhibitors (SSRI/SNRIs). These drug classes often fail to deliver timely relief of symptoms as well as maintain longevity of symptom recurrence. This research analyzed the use of ketamine in adult patients suffering with OCD for the purposes of more efficacious management of symptoms. Although ketamine demonstrated a timelier relief of symptoms in some small clinical studies, its effects were ultimately unable to be sustained long term. Additionally, a wide range of adverse effects including dissociation, and rebound symptoms were observed. As a result, large …

A Phenomenological Inquiry Into The Client Experience Of The Psychotherapy Relationship, Mark D. Knutzen

Antioch University Dissertations & Theses

Meta-analyses have indicated that there are likely common factors across varied treatment modalities that account for the effectiveness of psychotherapy. Research has attempted to identify therapist and treatment relationship components that correlate with effective mental health treatment. Yet, there is a paucity of research directly addressing the qualitative experience of the relationship between psychotherapists and their clients.

Eight adult psychotherapy clients were interviewed regarding their experience of the psychotherapy relationship with their mental health therapist. The interviews were analyzed through the use of Interpretative Phenomenological Analysis (IPA). Seven themes emerged. Three themes related to the formation, and overall foundation of …

Emotional Response To Climate Change Learning: An Existential Inquiry, Jennifer Hutchinson

Antioch University Dissertations & Theses

This qualitative study aims to explore and explain the existential underpinnings of learning about climate change and potential emotional responses to climate change learning. Undergraduate students in environmental sciences and studies classes at the University of Washingrounded theory on in Seattle, WA participated in semi-structured interviews. Participants were asked about their experiences learning about climate change and how they responded emotionally to the learning. This dissertation examines the responses from those interviews and builds a theory out of the data analyzed. Constructivist Grounded theory as outlined by Kathy Charmaz (2014) was used to analyze the interviews. Codes were created and …

Feminist Therapy With Severe Mental Illness And Complex Trauma: A Case Example, Mimiko Watanabe

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Feminist therapy emphasizes empowerment through an egalitarian therapeutic relationship and collaborative approach of understanding symptoms and treatment. Feminist therapy can be used with all types of clients, including those with severe mental illness (SMI) as well as complex posttraumatic stress disorder (complex PTSD) which refers to the unique presentation of those who have experienced chronic developmental trauma (Herman, 1992). This case example focuses on a feminist therapist’s work with a young woman who has both SMI and complex PTSD, resulting in struggles across several domains. Feminist therapeutic interventions of developing an egalitarian relationship, exploration of intersectional multicultural dynamics, building empowerment, …

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, …

Complex Thinking: The Science And Spiritual Nature Of Therapeutic, Pedagogical, And Supervisory Relationships, Daniel Rzondzinski

Consensus

This article explores the similarities and differences between the therapeutic, pedagogical and supervisory relationship in the context of complex thinking and emphasizes the importance of spirituality as a central dimension of human beings. It will explain why human beings are multidimensional, have many social locations and develop complex relationships such as therapeutic, pedagogical and supervisory relationships. It will pay close attention to their structural components (complex adaptive systems; power differential; assimilation-accommodation processes; transference-countertransference; therapeutic alliance-learning alliance; and spirituality). Finally, it will reflect on the importance of the spiritual dimension, which was rejected by classical science. It explains why we consider …

Attrition And Psychotherapy, Jesse Barrington Homan

Dissertations and Theses

Attrition in psychotherapy, also known as dropout, is a problem that affects clients who terminate, their families, therapists, mental health systems, and the overall community. Research on attrition is vast. However, the majority of this research has been done post hoc, relied on quantitative methods, and looked primarily at client demographic variables as the predictors of attrition. This has resulted in inconsistent findings, offers little to no useful information about attrition, and appears to blame clients for failed therapy. There has been little research on attrition from the perspective of clients who terminate. This study was designed to answer the …

The Development Of Face Morphing Task To Assess Self Other Differentiation, Esen Karan

Dissertations, Theses, and Capstone Projects

Self-Other Differentiation (SOD) refers to a developmental process of acquiring a consolidated, integrated, and individuated sense of self. SOD develops at a) perceptual (e.g., facial perception) and b) representational (e.g., traits, mental states, and beliefs) levels. Impairments in representational SOD (R-SOD) are associated with many forms of psychopathology, particularly borderline personality disorder (BPD) and narcissistic personality disorder (NPD). Few studies to date have examined the perceptual aspects of SOD (P-SOD), which are hypothesized to develop from infancy onwards in tandem and in interaction with R-SOD. Given that the human face is one of the key characteristics that humans use to …

Recent Trends, Current Research In Cyberpsychology: A Literature Review, Amarjit Kumar Singh, Pawan Kumar Singh

Library Philosophy and Practice (e-journal)

Cyberpsychology refers to the study of the mind and behavior in the context of interactions with technology. It is an emerging branch, which has focused on the psychological aspects connected to the increasing presence and usages of technology in modern lives. This paper traces recent advancement and trends of Cyberpsychology is an emerging domain of knowledge and goes on the give a literature review of the same. An analysis of the recent research and literature covering 300 most relevant research papers from the period of 2012 to 15, August 2019 was conducted to determine and shape the research pattern based …

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 …

Visual Art Therapy, Attachment, And The Adoption Constellation: A Literature Review, Caitlin Woodstock

Expressive Therapies Capstone Theses

The following literary review is intended to synthesize existing data pertaining to art therapy and its application within adoption informed therapy. The adoption experience will be explored, and the basic tenants of trauma and attachment will be outlined. Current modes of trauma-informed therapy will be introduced and their compatibility with art therapy will be explored. The author will introduce a variety of art therapy interventions as presented through an assortment of theoretical lenses. These applications will be subdivided into their application with individual constellation members, families, groups, and will extend to immigrants and displaced individuals likely to enter into the …

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.

"The Tyrant Father": Leslie Stephen And Masculine Influences On Virginia Woolf And Her Novel, To The Lighthouse, Anya Graubard

Honors Program: Senior Projects (Public)

This paper examines the volatile yet nurturing relationship between Virginia Woolf and her father, Leslie Stephen. It specifically considers the effects of three male “tyrants” in Woolf’s childhood, including not only her father but also her two half-brothers, who abused her sexually. Analysis of the dynamics of these relationships provides insight into Woolf’s lifelong battle with mental illness and helps us to understand the complicated relationships she had as an adult with men and women.

In her letters, diaries, and memoir essays, Woolf reveals how she drew from her own experiences of childhood to write her most famous novel, To …

Aces Wild: Making Meaning Out Of Trauma Through Altruism Born Of Suffering, Jessica Gibson

Antioch University Dissertations & Theses

Childhood exposure to early adverse experiences is prevalent—affecting almost one-half of children from birth to 17 years old—and brings with it the potential for the long-lasting detrimental effects of traumatization. At the same time, a growing body of compelling evidence also suggests that many survivors of trauma exhibit more resilience and prosocial behaviors than individuals who have never experienced a traumatic event. This phenomenon has been coined altruism born of suffering (ABS); it is a relatively new concept in trauma research that seeks to better understand the possible positive outcomes of trauma. Building further beyond the concepts of resilience and …