Social and Behavioral Sciences Commons^™

Religion And Spirituality In Psychotherapy: A Personal Bedrock Of Faith, Edward Shafranske

Psychology Division Scholarship

Personal beliefs and values conjoin with professional training to influence clinical practice. This article examines the role of religion and spirituality (R/S) through the lens of the author’s personal experiences and illustrates the confluence of faith, belief, identity, and practice in professional life. An autobiographical “glimpse” introduces the author’s formative experiences as a Roman Catholic and illustrates how religious narratives furnished conceptions of suffering, forgiveness, and transcendence that contributed to authentic hope for the client. Although often seemingly silent, R/S may influence psychotherapy practice. Clinical supervision provides a context to examine these personal factors.

Lived Experiences Of Counselors: Navigating The Changing Role Using Emotional Intelligence, Marissa Joelle Stelzer

Doctoral Dissertations and Projects

The purpose of this phenomenological study was to describe the lived experiences of counselors during the transition from traditional face-to-face counseling to a teletherapy format during the COVID-19 pandemic and how counselors were able to utilize emotional intelligence skills/abilities during this time. The theories that guided this study were the ability model of emotional intelligence and social constructivism. The following questions guided this study: How did counselors experience their changing role from primarily face-to-face counseling to teletherapy during the COVID-19 pandemic? How did counselors experience emotional intelligence during the transition from traditional face-to-face counseling to teletherapy during the COVID-19 pandemic? …

Christian Latino Therapists’ Experiences In Integrating Psychology And Theology While Maintaining Client Autonomy, Luis F. Ramos

Doctoral Dissertations and Projects

This qualitative, phenomenological study aimed to examine Christian Latino therapists' experiences integrating psychology and theology while providing therapy in New York City and maintaining client autonomy. The theory guiding this study was Martin Heidegger's phenomenological analysis of these lived experiences. The questions in the study were to determine: (a) how the participants understood their role in the provision of therapy, (b) how the participants described their experiences in providing therapy, (c) what the participants learned about themselves in the provision of therapy, (d) what methods the participants used in the integration of psychology and theology, and (e) how the participants …

The Impact Of Childhood Adversity On Career Decision-Making In Licensed Mental Health Clinicians: Aces And The Helping Profession, Lindsay Rose Seeger

Doctoral Dissertations and Projects

Traumatic experiences can have lasting impacts on an individual across the lifespan. Areas of adult functioning that are impacted by trauma may include but are not limited to mental health, physical health, relationships, communication style, attachment tendencies, and so on. Traumatic experiences in childhood can yield dysfunction in areas of intrapersonal functioning and interpersonal functioning. Childhood adversity has been studied in detail over the last two decades, with notable research done in the areas listed above. What is less studied is the impact of childhood adversity on career choice. Factors influencing career choice are endless; research points to socioeconomic status, …

Racial Healing In The Church: The Usefulness Of The Interpersonal Process In Therapy Model, Winston Seegobin

Faculty Publications - Doctor of Psychology (PsyD) Program

Racial disunity is a major challenge facing the Christian church. This article examines psychological factors that contribute to and maintain both racial disunity and racial unity through the lens of the Interpersonal Process in Therapy model (Sullivan, 1968; Teyber & Teyber, 2017). It looks at how early interpersonal relationships in childhood influence interpersonal relationships as adults and how the therapeutic relationship as a healing influence can be applied to racial healing as adults. Spiritual factors that contribute to and maintain racial disunity and racial unity are also discussed. Understanding that it is the relationship that heals, specific strategies such as …

Effects Of Peer-Supported And Self-Guided Exercise On Self-Reported Anxiety And Depression Among Young Adults - A Pilot Study, Xihe Zhu, Michael D. Kostick, Justin A. Haegele

Human Movement Sciences & Special Education Faculty Publications

Mental health conditions such as anxiety and depression became heightened issues for college-aged young adults during the global pandemic. The main purpose of this study was to examine the effects of a peer-supported exercise intervention on young adults (vs. self-guided exercise) who reported elevated levels of anxiety and/or depression. A parallel group design was used where young adults (n = 27) were randomly assigned to either a peer-supported or self-guided exercise group which lasted for eight weeks. The generalized anxiety and depression subscales of the Counseling Center Assessment of Psychological Symptoms (CCAPS-34) were measured for a baseline and then at …

Flights And Perchings Of The Brainmind: A Temporospatial Approach To Psychotherapy, Aldrich Chan, Georg Northoff, Ryan Karasik, Jason Ouyang, Kathryn Williams

All Faculty Open Access Publications

This article introduces a process-oriented approach for improving present moment conceptualization in psychotherapy that is in alignment with neuroscience: the Temporospatial movements of mind (TSMM) model. We elaborate on seven temporal movements that describe the moment-to-moment morphogenesis of emotional feelings and thoughts from inception to maturity. Temporal refers to the passage of time through which feelings and thoughts develop, and electromagnetic activity, that among other responsibilities, bind information across time. Spatial dynamics extend from an undifferentiated to three dimensional experiences of emotional and cognitive processes. Neurophysiologically, spatial refers to structures within the brain and their varying interactions with one another. …

Religion Has A Public Relations Problem: Integrating Evidence-Based Thinking Into Clinical Practice, Thomas G. Plante

Psychology

Religion and religious institutions receive a great deal of negative, rather than positive, attention and press. This creates an impression, for the casual observer, that religion and associated institutions are a plight on the planet. It is critically important for evidence-based research and best practices in clinical services to be well known and utilized within professional psychotherapy practice. Clinicians must be mindful of the many advantages of religious engagement for physical, mental, and community health and wellness. Psychologists, and other mental health professionals, tend to be secular and nonreligious and receive little, if any, training on religious diversity that may …

A Genuine Artifice, A Specific Vagueness: Psychotherapy, Performance, And The Practitioner, Chris M. Defossez

Antioch University Dissertations & Theses

The following is a literature review and research project aimed at examining the performative choices psychologists make when interacting with their patients. The goal for this research is to begin to understand the “essence” of a psychologist‘s experience as they present themselves in their work. Drawing from published literature on the therapeutic alliance, social constructionism, postmodern feminism, art, and aesthetics, the author argues that the therapeutic frame taken by a particular therapist can be understood as a performative act. This author examines the implications of this idea and what can be learned from conceptualizing the therapeutic alliance through a performative …

Therapist Self-Reported Attachment Organization And Countertransference Responses To Psychotherapy Clients, Morgan Janay Pell

Antioch University Dissertations & Theses

Therapists experience thoughts, feelings, and behaviors in response to their clients, which are sometimes referred to as countertransference. Such responses may be influenced by the therapist’s personal history, including the quality of their attachment experiences. Research has demonstrated that adult attachment organizations influence a person’s cognitive, behavioral, and affective responses toward close others, thus providing a useful framework for understanding some countertransference experiences of therapists. This quantitative study sought to add to the existing literature by examining the relationship between therapist self-reported attachment organization and countertransference responses to clients. Seventy-three therapists participated in this study, including licensed psychologists, doctorate-level psychologists, …

Social And Cultural Considerations In Accessing Mental Health Treatment In The Gambia, West Africa, Safiya Njai

Antioch University Dissertations & Theses

This study examines the social and cultural considerations in accessing mental health treatment in The Gambia, West Africa. Participants were recruited from The Gambia for a qualitative study that included semistructured interviews (N = 17). A team of analysts identified five themes. The results highlighted social and cultural conceptualizations of mental health and mental illness, sociocultural determinants of health, interventions, barriers to care, and the legal framework to support mental health change. These findings are important for counselors to understand different perceptions of mental health and mental illness and the associated stigma. Furthermore, several opportunities for advocacy in The Gambia …

Artificial Intelligence: An Interprofessional Perspective On Implications For Geriatric Mental Health Research And Care, Brenna N. Renn, Matthew Schurr, Oleg Zaslavsky, Abhishek Pratap

Psychology Faculty Research

Artificial intelligence (AI) in healthcare aims to learn patterns in large multimodal datasets within and across individuals. These patterns may either improve understanding of current clinical status or predict a future outcome. AI holds the potential to revolutionize geriatric mental health care and research by supporting diagnosis, treatment, and clinical decision-making. However, much of this momentum is driven by data and computer scientists and engineers and runs the risk of being disconnected from pragmatic issues in clinical practice. This interprofessional perspective bridges the experiences of clinical scientists and data science. We provide a brief overview of AI with the main …

An Initial Study Of Practicing Psychologists' Views Of The Utility Of Ecological Momentary Assessment For Difficult Psychotherapy Cases, William D. Ellison

Psychology Faculty Research

Ecological momentary assessment (EMA) is a burgeoning area of research, and several clinical applications of the resulting data have been identified by researchers, suggesting potential benefit to psychotherapy practice. However, practitioners often do not use traditional empirically-supported tools for diagnosis and outcome monitoring (e.g., validated interview measures and questionnaires). Thus, it is not clear how readily practitioners will take up newer technology-enhanced assessment methods, despite current enthusiasm among researchers. The current study aimed to explore the perceived usefulness of EMA-based tools for clinical assessment and outcome monitoring of difficult psychotherapy cases, as well as to identify correlates of attitudes about …

The Effect Of Gratitude On Resilience, Mental Health And Stress, Stuart Folkerts

Senior Honors Theses

Due to the stresses of the COVID-19 Pandemic, mental health problems have been on the rise. As stress levels have been on the rise, resilience levels seem to be decreasing. Not only does the mental health crisis put a greater strain on healthcare and the economy but is also puts individuals at a greater risk for developing various physical health problems. The virtue, gratitude, may work to increase resilience while decreasing stress and mental health pathologies. The objective of this study was to examine if participants in a 20-day gratitude text message intervention improved in resilience, stress, and mental health …

The Integration Of Roman Catholic Traditions And Evidence-Based Psychological Services, Thomas G. Plante

Psychology

The Roman Catholic Church is the largest, and most enduring continuous organization, secular or religious, of any kind in the world with a 2,000-plus-year history. It currently includes well over a billion people. Regardless of its size, scope, history, and impact, the Roman Catholic Church is often greatly misunderstood and people frequently maintain stereotypic and even discriminatory views about Catholics and their clerical leaders. The purpose of this article is to present the integration of the Roman Catholic tradition into psychological assessment and therapy and to provide several examples of this integration. The article highlights how this integration can be …

Psychotherapy With Nonreligious Clients: A Relational-Cultural Approach, Dena M. Abbott

Department of Educational Psychology: Faculty Publications

In extant literature related to the integration of religion/spirituality (R/S) in psychotherapy, nonreligious clients are often excluded or briefly mentioned. Further, few theoretical frameworks supporting recommendations for intervention with or for conceptualization of nonreligious clients’ unique experiences and presenting concerns are offered. The present article summarizes psychotherapy-relevant scholarship related to nonreligious people in the United States and offers recommendations for intervention using a Relational-Cultural Therapy approach. In addition to increasing awareness of systemic oppression, resilience, and potential clinical needs of nonreligious clients, the article proposes concrete strategies for addressing structural inequity that disadvantages nonreligious people through conceptualization of such experiences …

Current Perspective On The Therapeutic Preset For Substance-Assisted Psychotherapy, Sascha B. Thal, Stephen J. Bright, Jason M. Sharbanee, Tobias Wenge, Petra M. Skeffington

Research outputs 2014 to 2021

The present narrative review is the first in a series of reviews about the appropriate conduct in substance-assisted psychotherapy (SAPT). It outlines a current perspective on preconditions and theoretical knowledge that have been identified as valuable in the literature for appropriate therapeutic conduct in SAPT. In this context, considerations regarding ethics and the spiritual emphasis of the therapeutic approaches are discussed. Further, current methods, models, and concepts of psychological mechanism of action and therapeutic effects of SAPT are summarized, and similarities between models, approaches, and potential mediators for therapeutic effects are outlined. It is argued that a critical assessment of …

Examining The Ecological Validity Of The Power Of Food Scale, Lindsay M. Howard, Kristin E. Heron, Kathryn E. Smith, Ross D. Crosby, Scott G. Engel, Stephen A. Wonderlich, Tyler B. Mason

Psychology Faculty Publications

Purpose

Appetite for palatable foods may impact eating-related behaviors in everyday life. The present study evaluated the real-world predictive validity of the Power of Food Scale (PFS) using ecological momentary assessment (EMA).

Methods

30 women who reported binge eating completed the PFS and related measures. Subsequently, during a 14-day assessment period, participants completed five daily EMA surveys of appetite and binge eating via text message and web.

Results

Results of generalized estimating equations showed that higher PFS scores were associated with higher momentary levels of hunger, eagerness to eat, and urge to eat but were unrelated to fullness, preoccupation with …

Psychotherapy For Borderline Personality Disorder: Does The Type Of Treatment Make A Difference?, William D. Ellison

Psychology Faculty Research

Purpose of Review: The first aim of this review is to summarize the major evidence-based psychotherapies for borderline personality disorder (BPD) and the research supporting their use. The second aim is to explore the evidence for the differential effectiveness of these treatments. Recent Findings: Four types of specific psychotherapies are identified that show promising results in at least two randomized controlled trials. In addition, several adjunctive and minimal/pragmatic interventions are available that are supported by research evidence. Recent findings highlight the applicability of these treatments across settings and populations and have begun to show that modified versions of them are …

Predictors And Impact Of Psychotherapy Side Effects In Young Adults, Tierney K. Lorenz

Department of Psychology: Faculty Publications

What should we tell our younger clients—who may or may not have chosen to come to therapy—about possible risks of engaging in psychotherapy? To explore this question, we examined psychotherapy side effects in 366 young adults with a history of psychotherapy or counseling. Psychotherapy side effects were common, with 41% of participants reporting at least one. Perceived lack of control over the decision of when and how to engage in therapy was the strongest predictor of experiencing therapy side effects. Of the different kinds of side effects, feeling that therapy had gone on too long and experiencing worsening of existing …

St. Ignatius As Psychotherapist? How Jesuit Spirituality And Wisdom Can Enhance Psychotherapy, Thomas G. Plante

Psychology

The great wisdom traditions associated with various religious and spiritual practices and institutions have offered a variety of helpful strategies for more effective living and coping with life’s many challenges. In most recent times, efforts to secularize these strategies have been made in order to appeal to the general population as well as to secular mental health professionals as tools for their clinical practices. Although mindfulness meditation and yoga are perhaps the most notable examples, many other intervention strategies have been and can be borrowed from various religious and spiritual traditions to use in a secular manner if so desired. …

The Design Of Psychotherapy Waiting Rooms, Lilly Noble

Psychology Honors Papers

The purpose of this study is to understand the main features and design elements that are favored in a psychotherapy waiting room setting. The study investigated a sample of 20 psychotherapy waiting rooms in Southeastern Connecticut and Rhode Island, as well as the positive and negative factors that contributed to comfort and quality of care ratings made by the participants. There were two parts to this study. In the first part, 12 psychotherapists in southeastern Connecticut and Rhode Island agreed to be interviewed and have the waiting rooms (20 in total) of their practices photographed. In a within-subjects design, the …

Healing Through Creativity And Creation: Drama Therapy As Treatment For Individuals With Eating Disorders, Hayley Werner

Student Scholar Symposium Abstracts and Posters

For those living with eating disorders, intervention and effective treatment can mean the difference between life and death. Conventional treatments, such as Cognitive Behavioral Therapy and Dialectical Behavioral Therapy, forms of talk therapy, and Nutritional Counseling, focus solely on the psychological patterns or nutritional science of eating disorders. Though these treatments are effective for some individuals, there is a gap in treatment options that address both the mind and body as one and appeal to the humanity of patients outside of their disorder(s). Herein lies the power and potential of integrating drama therapy as a widely available treatment. Drama therapy …

Assessing The Effectiveness Of Core-Shamanism On A Group Of Westerners: A Brief Research Report, Joanic Masson

International Journal of Transpersonal Studies Advance Publication Archive

A study was conducted on Western adults who participated in a group undergoing initiation into therapeutic shamanism. It investigated how shamanic work could be a factor triggering changes in persons who never had been previously immersed in such a tradition. Five groups, each composed of six people for a total of 30 participants, met eight times over a period of four months. Analyzing questions asked of the 27 who completed the program resulted in the following identified themes: experiences of the group, trust in the shamanic practitioner, raised awareness of their feeling states, experiences of the shamanic journeys, understanding of …

Women’S Lived Experiences Of Gender Microaggressions: Dental Hygienists’ Stories, Karin E. Hovey

Antioch University Dissertations & Theses

This dissertation presents research involving women’s subjective experiences of gender microaggressions. The introduction includes a review of the literature on microaggressions: (a) the types of microaggressions, (b) the emotional and psychological cost to those who experience microaggressions, and (c) how gender microaggressions against women work to maintain oppression and sexual objectification of women in American society. This current research addresses the knowledge gap created by little research on women’s lived experiences of gender microaggressions they encounter in their everyday lives, particularly in the workplace. The population studied was dental hygienists. This population is unique because of the disproportionate number of …

Therapist Attachment And Meaning-Making In Adolescent Residential Treatment, Lisa J. Milone

Antioch University Dissertations & Theses

This qualitative study explores therapist views of the therapeutic relationship in adolescent residential treatment from an attachment perspective. The therapeutic relationship is a strong predictor of outcomes in adult psychotherapy and a significant body of research has relied on the attachment literature to understand its importance. Research yields comparable results when examining the significance of the therapeutic relationship with children and adolescents; however, there is virtually no literature exploring it from the attachment lens. This is particularly notable for children and adolescents in residential treatment. As treatment intensity increases from outpatient to inpatient to residential, challenges and opportunities within the …

Client Perceptions Of The Utilization Of Mindfulness Activities In Therapy, Anissa S. Pugh

Dissertations

The aim of the current study was to examine client perceptions of the use of mindfulness activities in the therapeutic process. For this current study, 21 participants completed a seven-item demographic questionnaire, a 39-item Five-Facet Mindfulness Questionnaire (FFMQ), and a 10-item Mindfulness Experience Questionnaire. The present study investigated three research questions. Research Question 1 looked at how clients perceived the effectiveness of the use of mindfulness activities in therapy. The next research question examined how clients viewed the addition of mindfulness activities to be an acceptable treatment approach based on personal values and beliefs. The third research question for this …

Mdma-Assisted Psychotherapy For Posttraumatic Stress Disorder: A Review Of The Literature, Erin Solomon

Student Works

A growing number of people suffer chronic, treatment-resistant posttraumatic stress disorder (PTSD; Amoroso & Workman, 2016; Buoso, Doblin, Farré, Alcázar, & Gómez-Jarabo, 2008; Mithoefer, Wagner, Mithoefer, Jerome, & Doblin, 2011; Oehen, Traber, Widmer, & Schnyder, 2013). The most popular treatments, including exposure therapy, may not be effective for some people (Amoroso & Workman, 2016; Mithoefer et al., 2011). Treatment dropout and suicidality are high among people for whom therapy is minimally effective (Amoroso, 2015; Amoroso & Workman, 2016; Mithoefer et al., 2011; Oehen et al., 2013). Researchers have begun to investigate 3,4-methylenedioxymethamphetamine (MDMA)-assisted psychotherapy as a possible treatment for PTSD …

The Cost Of Comforting: Phenomenological Study On Burnout Among Marriage And Family Therapists In Community Settings, Steven Razo

Antioch University Dissertations & Theses

Burnout is best defined as a condition consisting of symptoms of emotional exhaustion, depersonalization, and reduced personal accomplishment (Maslach, 1982). It has been characterized as a process that develops through a variety of work and individual factors. Furthermore, it has been shown to impact one’s career, physical health, and mental well-being. Much of the literature on burnout has been studied on psychologists, psychiatrists, and social workers, with a paucity of studies focused on marriage and family therapist (MFTs). The lack of burnout literature on MFTs is in spite of their employment in many diverse clinical settings. The purpose of this …

Feelings Of Enlightenment: A Hermeneutic Interpretation Of Latent Enlightenment Assumptions In Greenberg's Emotion-Focused Therapy, Alex A. Gomez

Antioch University Dissertations & Theses

The purpose of this dissertation is to explore how a mainstream theory of psychological practice might inadvertently conceal and ignore contemporary values and ideologies and their pathological consequences. Through a hermeneutic approach, I interpreted Leslie Greenberg’s Emotion-focused therapy: Coaching clients to work through their feelings (2^nd ed), a popular and widely used theory in psychotherapy. As a practitioner with humanistic foundations, this was also an opportunity for the author to understand his own unexamined values as a therapist. Specific EFT constructs and concepts that reflected Enlightenment assumptions and values were examined. EFT was situated within Enlightenment philosophy, particularly …