Counseling Commons^™

Do Holistic Practices As An Adjunct To Traditional Psychotherapy Affect Generalized Anxiety Disorder-7 (Gad-7) Scores?, Samantha Suyon Woo

Electronic Theses, Projects, and Dissertations

ABSTRACT

This study examined the effect of holistic practices on anxiety. The study used a pre-experimental design and measured any differences in outcomes in Generalized Anxiety Disorder clients as measured by General Anxiety Disorder-7 (GAD-7) between the two following groups: 1) the experimental group who received holistic services in addition to traditional treatment such as psychotherapy and/or medication as compared to 2) the control group who received psychotherapy and/or medication alone. Pretest of GAD-7 at intake and post-tests at about 4 months into treatment were measured along with a holistic practice survey and analyzed post-hoc through SPSS data analysis. This …

No More Secrets: Talking With Children And Young Adults About Pornography, Brad Hinman

Faculty Publications

This article provides an overview of the patterns, risk factors, and consequences of Internet pornography addiction and discusses appropriate personal and institutional responses, including discussing pornography with children at a young age in combination with other sexual and health topic. Christians are at higher risk for Internet pornography addictions than other groups, so addressing these issues with our children is particularly important. The article provides resources for ensuring student safety online, preventing online victimization, and learning more about Internet pornography addiction.

Psychological Distress And Revictimization Risk In Youth Victims Of Sexual Abuse, Samantha L. Pittenger, Alayna Schreier, Katie Meidlinger, Jessica K. Pogue, Kate Theimer, Mary Fran Flood, David J. Hansen

Department of Psychology: Faculty Publications

Psychological distress, including depression and anxiety, has been associated with increased risk for sexual revictimization in youth who have experienced child sexual abuse. The present study utilized assessment information from treatment seeking youth with histories of sexual abuse to explore specific risk indicators for revictimization—risk taking, social problems, maladaptive cognitions, and posttraumatic stress—that may be indicated by self-reported distress. The relationship between initial levels of distress and change in symptoms over a 12-week course of treatment was also explored. Participants were 101 youth referred to a child-focused therapeutic group for victims of sexual abuse, 65 youth referred to an adolescent-focused …

Beyond Mindfulness: Expanding Integration Of Spirituality And Religion Into Psychotherapy, Thomas G. Plante

Psychology

Since the publication of Bergin’s classic 1980 paper “Psychotherapy and Religious Values” in the Journal of Clinical and Consulting Psychology, an enormous amount of quality research has been conducted on the integration of religious and spiritual values and perspectives into the psychotherapy endeavor. Numerous empirical studies, chapters, books, blogs, and specialty organizations have emerged in the past 35 years that have helped researchers and clinicians alike come to appreciate the value of religion and spirituality in the psychotherapeutic process. While so much has been accomplished in this area of integration, so much more needs to occur in order for the …

How Therapists Use And Choose Mindfulness To Treat Trauma, Jessica M. King

Theses and Dissertations--Family Sciences

This qualitative study used the phenomenological method to examine how therapists use mindfulness therapies and interventions to address trauma-salient issues with their clients. Specifically, it explored therapists’ use of and choices about mindfulness-based treatments when addressing post-traumatic stress symptoms, and trauma-relevant emotion dysregulation and attachment injury. Informants were associate and fully-licensed local therapists, recruited using convenience sampling and snowball sampling by word-of-mouth referrals. Data was collected by semi-structured interviewing. Interview data was analyzed with Moustakas’ (1994) recommended procedures for analysis of phenomenological data. Results, Discussion, Limitations and Suggestions for Future Research are described at the end.

The Effects Of A Trauma-Informed Care Training Program On Mental Health Professionals Knowledge, Skills, And Attitudes With The Smi, Angelina Pelletier

PCOM Psychology Dissertations

Trauma has been found to be highly prevalent among individuals diagnosed with SMIs. Mental health professionals have been reported to misdiagnose or avoid addressing trauma in this population. There is a need to provide information about trauma and to foster awareness among mental health professionals who are treating individuals diagnosed with SMIs. With a TIC approach, operating from a recovery-oriented philosophy, there have been interventions created to address trauma and SMIs with the aim of developing awareness about trauma and the impact it may have on someone’s life. With these factors in mind, mental health professionals should be competent in …

Slam Poetry: An Online Intervention For Treating Depression, Spencer J. Ruchti, Mercedes Becker, Cara Mckee, Austin Herron, Alex Swalling

Undergraduate Theses, Professional Papers, and Capstone Artifacts

Given that depression is the “leading cause of disability worldwide,” and that less than 50% of people suffering from depression receive treatment, this study aims to provide support for a globally accessible depression treatment (WHO, 2012). The study conducted implemented an internet-based treatment for depression in which users were provided an opportunity to watch slam poetry videos related to mental health issues and write free responses regarding the content of the videos and their subjective experience of depression. Numerous studies provide support for the effectiveness of expressive writing, online mental health interventions, and slam poetry in particular for reducing symptoms …

Exploring Barriers To The Generalization Of Social Skills Interventions For Children Diagnosed With Asd: A Qualitative Analysis Of ‘Youth Engagement Through Intervention’, Zachary Shindorf

Graduate Student Theses, Dissertations, & Professional Papers

Many children who are diagnosed with Autism Spectrum Disorder (ASD) have difficulty with social skills and maintaining friendships. In turn, many social skills interventions have been developed to aid in the treatment of children diagnosed with ASD. Children with ASD, however, have difficulty generalizing the skills learned in social skills interventions to more natural settings like the home and school. This study, therefore, explored the barriers to the generalization of a social skills intervention, Youth Engagement Through Intervention (YETI) for children with ASD. Barriers to the generalization of YETI were explored through the qualitative examination of parents’ acceptability of the …

Physical Aggression, Compromised Social Support, And 10-Year Marital Outcomes: Testing A Relational Spillover Model, Kieran T. Sullivan, Lauri A. Pasch, Erika E. Lawrence, Thomas N. Bradbury

Psychology

The purpose of the present study was to test a relational spillover model of physical aggression whereby physical aggression affects marital outcomes due to its effects on how spouses ask for and provide support to one another. Newlywed couples (n = 172) reported levels of physical aggression over the past year and engaged in interactions designed to elicit social support; marital adjustment, and stability were assessed periodically over the first 10 years of marriage. Multilevel modeling revealed that negative support behavior mediated the relationship between physical aggression and 10-year marital adjustment levels whereas positive support behavior mediated the relationship between …

Relationship Education And Marital Satisfaction In Newlywed Couples: A Propensity Score Analysis., Rebecca J. Cobb, Kieran T. Sullivan

Psychology

The purpose of this study was to investigate whether premarital relationship education and characteristics of relationship education in a community sample of newlywed couples predicted marital trajectories over 27 months. Newlywed couples (N = 191) completed measures of marital satisfaction 9 times over 27 months, and prior to marriage they provided information about relationship education and demographic, personal, and relationship risk factors for marital distress. Propensity scores (i.e., the probability of receiving relationship education) were estimated using the marital distress risk factors, and used to derive a matched sample of 72 couples who participated in relationship education and 86 couples …

Predictors Of Binge Eating In College Women, Emily E. Prather

Dissertations

Binge eating has received increased attention in the psychological literature, as the health consequences are becoming increasingly well known. The prevalence of subclinical binge eating (i.e., binge eating that is not associated with a diagnosable eating disorder) is elevated among college women, some of whom will go on to develop more serious problems. Thus, improved understanding of subclinical binge eating in this population can help to inform prevention and intervention strategies.

In a sample of 472 college women this study evaluated the relationships among four theoretically relevant factors hypothesized to predict binge eating: trait anger, anger suppression, impulsivity, and emotion …

Narrative Identity Development For Novice Psychotherapists In Clinical Training, Dana Michelle Satterlee

Doctor of Psychology (PsyD)

Abstract Narrative identity is “the internalized, evolving story of the self that each person crafts to provide his or her life with a sense of purpose and unity” (Adler, 2012, p. 367). This identity is distinct from the broad dispositional traits and the characteristic adaptations for contextualized behaviors. It provides the self with a sense of purpose, meaning, and unity across time and situations (McAdams & Olson, 2010). Researchers have developed ways of measuring innovative moments (IMs), or shifts in narrative identity that occur in psychotherapy. Researchers have also explored narrative identity processing as it seems to occur across the …

Narratives Of Illness, Difference, And Personhood, John P. Mctighe

School of Social Work Faculty Publications

Using narrative theory, the chapter examines how ideas and attitudes about mental disorder are shaped by cultural values and stereotypes, and how the experience of trauma can shatter the narrative of self and world. Placing the question of illness, differentness, and personhood within a social justice perspective, it challenges clinicians to consider how the vocabulary of illness is used to frame experience and, in many cases, to minimize, marginalize, or discount the individual's own lived experience.

The Moderating Effect Of Resilience Factors On Bully Victimization And Subsequent Psychological Adjustment Problems Among Adolescent Girls, Alexandra Hayley Quinn

Antioch University Dissertations & Theses

Bully victimization is linked to poor psychological adjustment, low self-esteem, and social withdrawal in children and teens. However, little research to date has examined the unique experiences of adolescent girls, the specific contributions of various subtypes of bullying, and the utilization of comprehensive instruments to examine the constructs of psychological adjustment and bully victimization. Further, researchers studying these issues have called for more studies to examine buffering factors that may protect teen girls from the psychological insults associated with peer victimization. This study advances research in the field by utilizing standardized self-report measures to examine the relationship between bully victimization …

Trauma In Patients With Serious Mental Illness: The Acceptability And Impact Of A Brief Psychoeducational Intervention For Trauma In The General Acute Inpatient Psychiatric Setting, Kevin E. A. Giangrasso

PCOM Psychology Dissertations

Prevalence rates of posttraumatic stress disorder (PTSD) for individuals with serious mental illnesses (SMIs) are high, with an estimated 49% to 100% being exposed to potentially traumatic events. The consequences of these disorders are serious and lasting, with PTSD being the costliest of mental health disorders. At the same time, established evidence-based treatments for PTSD are often not feasible in treatment settings utilized by individuals with SMIs, namely the general acute inpatient psychiatric hospital. Psychoeducational approaches have been incorporated as a component of evidence-based interventions for trauma and have been feasibly implemented in the general acute inpatient psychiatric hospital. The …

Culturally Sensitive Social Work And Mental Health Practice With The Amish, Julissa J. Coblentz Ms.

Williams Honors College, Honors Research Projects

With the growing number of Amish in the United States today, it is important for social workers and mental health practitioners serving this population to do so in a way that is sensitive to their culture. Even though the Amish live a unique, simplistic lifestyle which enables them to focus on the things which they value such as church membership and family, occasionally, they do have mental health and social service needs. This study attempts to explore specific culturally sensitive behaviors which social workers and mental health practitioners can utilize in striving to meet these needs. The researcher compiled a …

Institutional Aggression: Psychometric Development Of A Predictive Risk Assessment Screening Tool, Lauren Spotts M.S.

PCOM Psychology Dissertations

Aggression among those with mental illnesses has been extensively reviewed. Research has shown that aggression within an institutional or hospital setting, that is presently termed “Institutional Aggression,” threatens the ability to provide a safe and therapeutic environment for both patients and staff. Although earlier measures have been designed to address this construct, the present study examines Institutional Aggression based on the parameters of the Overt Aggression Scale (OAS; Yudofsky, Silver, Jackson, Endicott, & Williams, 1986). The purpose of the current study was to determine the predictive relationship between clinical and sociodemographic factors and the rate of Institutional Aggression with the …

Weighing In: Therapeutic Benefits Of Online Communities For Individuals With Eating Disorders, Cheri L. Greenfield

Educational Specialist, 2009-2019

The treatment of eating disorders involves a complex approach. In recent years, a number of websites have developed in an attempt to meet the needs of individuals struggling with this set of disorders. Some of these websites are nationally recognized organizations dedicated to improve treatment and provide educational resources, while other websites have been authored by individuals with eating disorders in an attempt to create a safe community of support. This project explores various components found in online communities, examines characteristics of eating disorders, and evaluates the worth of such resources, even when in perceived contrast with traditional treatment. Rather …

Time Travel With Gilles Deleuze, John M. Winslade

Special Education, Rehabilitation & Counseling Faculty Publications

My focus here will be on working in therapy with an elastic concept of time built on Deleuze’s readings of time as a synthesis of the past, present and future. This interest has particular value for the construction of remembering conversations. I shall speak to the value I can see for this field of practice. The poststructuralist philosopher Gilles Deleuze has much to offer narrative practice through the concepts he developed. I intend to explore some specific aspects of his reconceptualization of time in this presentation.

Incarceration And Reintegration: How It Impacts Mental Health, April M. Marier, Alex Alfredo Reyes

Electronic Theses, Projects, and Dissertations

ABSTRACT

Background: Previous criminal justice policies have been non-effective leading to overpopulated prisons and unsuccessful reintegration. There is a lack of effective supportive and/or rehabilitative services resulting in high rates of recidivism and mental health implications. Objective: This study investigated the perceived impact that incarceration and reintegration with little to no supportive and/or rehabilitative services has on the mental health status of an individual. The emphasis was on participant perception and not on professional reports because of underreporting and lack of attention to mental health in the criminal justice system. Methods: Focus groups in the Inland Empire and Coachella Valley …

Effects Of Mindfulness Training On First Year Doctoral Students’ Therapeutic Relationships, Joel Simons

Doctor of Psychology (PsyD)

The quality of the relationship established between client and clinician during psychotherapy has been found to be a robust, common, and curative factor regardless of clinician theoretical orientation. The positive impact of therapeutic relationships remains distinct from technique and accounts for the greatest amount of therapeutic change that is within clinicians’ control. The growth of effective mindfulness-based treatments has led some to postulate that mindfulness may improve clinicians’ ability to establish positive therapeutic relationships. If that is true, then mindfulness practice may be particularly relevant to early clinical training when students are learning basic relational skills. This study examined the …

Responsible Self-Stewardship For Counselor And Counselee Well-Being, Lisa S. Sosin

Faculty Publications and Presentations

This column, published in the Center for Counseling and Family Studies Quarterly e-magazine, provides information on responsible self-stewardship for counselor and counselee well-being. This edition covers the use of process notes to help counselors recognize and responsibly manage personal reactions that could potentially interfere with successful treatment. A case study and implications are provided.

The Neurobiology Of Burnout: A Christ-Centered Perspective On Managing Stress, Fear And Depression For Optimal Teaching And Functioning, Lisa S. Sosin

Faculty Publications and Presentations

This presentation focuses on developing a bio-psycho-social-spiritual toolbox for effectively managing stress, fear, and depression to support optimal teaching and functioning. Learning outcomes for the presentation include describing the neurobiology of burn out, exploring responses to stressful situations found in the Scriptures, practicing using tools introduced in the presentation to help regulate stress, fear, and depression, and applying content and skills taught in the presentation to develop a personal bio-psycho-social-spiritual toolbox for effectively managing stress, fear, and depression.

Identity-Related Dysfunction: Integrating Clinical And Developmental Perspectives, Erin A. Kaufman, Marilyn J. Montgomery, Sheila E. Crowell

Faculty Publications - Graduate School of Counseling

Recent changes to the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders highlight the importance of identity dysfunction within several psychiatric diagnoses. Despite a long-standing tradition of identity research and theory in the developmental literature, there is limited work establishing intersections between clinical and developmental conceptualizations of identity problems. The relative lack of integration between decades of clinical and developmental work is unfortunate, and likely limits progress in both areas. In this commentary, the authors argue for greater interdisciplinary collaboration and highlight contributions from developmental and clinical theories, which, if integrated, could enhance identity scholarship. The developmental psychopathology …

The Foundations Of Hope In Therapy, John M. Winslade

Special Education, Rehabilitation & Counseling Faculty Publications

Hope is a necessary construct in narrative therapy but we need to be careful how we think about it. It does not lie in the essence of persons. There are not categories of people who are hopeful or hopeless. Rather, hope lies in the stories that we use to make sense of our lives but dominant stories from the world around us sometimes interfere with our access to hopeful stories. Therapy can help us reconnect with these stories, leading to the exercise of personal agency in our own lives. This presentation will explore how to help people do this through …

Women, Alcoholics Anonymous, And Related Mutual Aid Groups: Review And Recommendations For Research, Sarah E. Ullman, Cynthia J. Najdowski, Ericka B. Adams

Psychology Faculty Scholarship

Recent literature reviews and meta-analyses have supported the effectiveness of Alcoholics Anonymous (AA) in helping members stop drinking and maintain sobriety. Despite the extensive body of research on AA, less attention has focused on differences in the efficacy of the program for and experiences of women as compared to men. Such a focus is warranted given that there are significant gender differences in the development and progression of alcoholism, impact of drinking, and response to treatment. This review synthesizes results of extant research on women in AA and similar mutual aid groups focused on problem drinking to describe the state …

Trauma Severity And Defensive Emotion-Regulation Reactions As Predictors Of Forgetting Childhood Trauma, Bette L. Bottoms, Cynthia J. Najdowski, Michelle A. Epstein, Matthew J. Badanek

Psychology Faculty Scholarship

Using a retrospective survey, we studied a sample of 1679 college women to determine whether reports of prior forgetting of sexual abuse, physical abuse, and other traumas could be explained by trauma severity and individual differences in the use of defensive emotion-regulation reactions (i.e., repressive coping, dissociation, and fantasy proneness). Among victims of physical abuse (but not sexual abuse or other types of trauma), those who experienced severe abuse and used defensive reactions were sometimes more likely to report temporary forgetting of abuse, but other times less likely to report forgetting. We also found unanticipated main effects of trauma severity …

The Effects Of Revictimization On Coping And Depression In Female Sexual Assault Victims, Cynthia J. Najdowski, Sarah E. Ullman

Psychology Faculty Scholarship

To examine the effects of being revictimized, 555 women completed 2 mail surveys 1 year apart, reporting their experiences of sexual assault, the strategies they used to cope with those experiences, and feelings of depression. Path analyses, controlling for baseline coping and depression, revealed that those who were revictimized during the study reported using more maladaptive and adaptive coping strategies than did those who were not revictimized (β = .11 and β = .16, respectively). Further, women who were revictimized reported more depression than others (β = .15). This effect was explained in part by revictimized women's increased maladaptive coping. …

The Experience Of Mental Health Service Use For African American Mothers And Youth, Richard Thompson, Barbara L. Dancy, Tisha R. A. Wiley, Sylvia P. Perry, Cynthia J. Najdowski

Psychology Faculty Scholarship

Little is known about African American families’ experiences with mental health services. A purposive sample of 40 dyads of African American youth (aged 13 to 19) and their mothers participated in a cross-sectional qualitative research design using semi-structured interviews that elicited information about their past experiences and satisfaction with mental health services. Though rarely received, group and family therapy were perceived favorably. However, both mothers and youth reported dissatisfaction centered on medication and lack of professionalism, confidentiality, and concern by providers. The failure of mental health services providers to meet basic standards of quality and professionalism may explain the low …

Prospective Changes In Attributions Of Self-Blame And Social Reactions To Women’S Disclosures Of Adult Sexual Assault, Cynthia J. Najdowski, Sarah E. Ullman

Psychology Faculty Scholarship

The present longitudinal study examined relations between self-blame attributions and social reactions to disclosure in a community sample of adult sexual assault victims (N = 555). Cross-lagged panel analyses showed that neither characterological self-blame nor behavioral self-blame related to negative social reactions over the 1-year follow-up period. In contrast, characterological but not behavioral self-blame predicted fewer positive reactions over time. Although positive reactions did not reduce self-blame, negative reactions led to greater characterological, but not behavioral, self-blame during the course of the study. Thus, relations between self-blame and social reactions were not reciprocal but rather quite complex. The effects …