Counseling Commons^™

Initial Psychometric Evaluation Of An Observer-Rated Measure Of Shared Decision Making Practices In Youth Psychotherapy, Jennifer Lc Herbst

Theses and Dissertations

SDM is a process by which clinicians and clients collaboratively make treatment decisions; this process may improve the alliance and clinical outcomes. SDM in youth psychotherapy is understudied, and a critical gap in the field is the paucity of established measures designed to assess SDM practices in youth psychotherapy. This project aimed to fill this gap by examining the score reliability and validity of a novel observer-rated measure of SDM designed for youth psychotherapy—the Shared Decision Making Practices in Youth Mental Health scale (SDM-YMH)—and using the measure to investigate linkages between SDM practices, the alliance, and clinical outcomes. Therapy tapes …

Faith-Based Counseling Versus Traditional Psychotherapy: A Phenomenological Evaluation Of African American Protestant Experiences, Shannon Gray

Dissertations

This phenomenological study was designed to evaluate the experiences of African American Christian adult clients within traditional psychotherapy and faith-based counseling settings. Research has shown various therapist/counselor identities affect Christian African American clients, and that Christians as well as African Americans have historically been less likely to pursue traditional psychotherapy for a variety of reasons. Participants were six African American Christian adult participants (three traditional psychotherapy participants and three faith-based counseling participants). All participants were asked open-ended questions about their experiences in traditional psychotherapy or faith-based counseling. In addition, they were asked to evaluate several aspects of their therapy/counseling experience …

The Draw Of The Wild: How To Easily Integrate Nature Into Clinical Practice, Jason T. Duffy

Journal of Counselor Preparation and Supervision

For thousands of years many societies and people have intuitively recognized the wellness-enhancing power of the natural world as well as its ability to assist people in the construction of a sense of purpose and meaning. More recently, research emanating from the field of ecotherapy as well as other fields has begun to build empirical support for the efficacy of the natural world in promoting mental and physical health. This conceptual manuscript provides the rationale for integrating nature into clinical practice and describes flexible, concise, and easy ways for counselors to utilize ecotherapy in their work with clients, including, ironically, …

The Language-Dream Relationship In Multilinguals, Brittany Dishaun Burkes

Dissertations

According to the United States Census Bureau, the United States alone is host to around 350 languages. When it comes to investigating languages in dreams by multilinguals, some studies have focused heavily on only two languages—Spanish and English. The purpose of this study was to add to the understanding of how language use relates to the dream content of multilinguals. This study recruited the assistance of nine polylingual individuals. The participants were instructed to record their dreams in the languages in which they occurred for 2 weeks. After 2 weeks, the participants translated their dreams into English in order for …

Toward Holistic Mental Wellness: A Literature Review Of Mindfulness-Based And Focusing-Oriented Art Therapies, Lesley Vernon

Expressive Therapies Capstone Theses

Modern day living, for all its benefits, is synonymous with record levels of stress. The mental health clinician’s role is to assist clients in accessing the skills and tools necessary to reduce and alleviate the symptoms of stress-induced anxiety. Mindfulness is emerging as a potent and effective tool to restore one’s state of well-being. Likewise, engaging in art therapy has been shown to reduce stress and foster resilience. Grounded in humanistic and existential theories, this literature review aimed to assess the impact and effectiveness of two intermodal holistic therapies, specifically mindfulness-based art therapy (MBAT) and focusing-oriented art therapy (FOAT). A …

Trauma Healing With The Neurosequential Model Of Therapy And Bal-A-Vis-X, Becky Johnston

Educational Specialist, 2020-current

Stigma related to childhood trauma is shifting with the help of advancements in the understanding of neurobiology and interventions that are proving to be effective for healing. There are immense costs and consequences for survivors of childhood trauma and their loved ones that were not so long ago considered irrelevant and the notion that kids bounce back from adversity was previously popular in the psychological community (Perry & Szalavitz, 2017). The broad strokes of Dr. Bruce Perry’s clinical intervention model, The Neurosequential Model of Therapy (NMT) describes a trauma-sensitive, sequential approach to changing the stress response within mental health counseling. …

Counseling Experiences In Physically Disabled Individuals, Leah Schulze

Honors Projects

This pilot study covers the effects that counseling has on the physically disabled community. 5 individuals were interviewed on a mid-sized college campus about their experiences.

Understanding Factors Associated With Clinician Confidence To Identify And Treat Ptsd And Complex Ptsd, Parad Meier

Counseling and Psychology Dissertations

ABSTRACT

This dissertation explores mental health clinicians’ experiences and self-identified confidence to identify and treat post-traumatic stress disorder (PTSD) and Complex PTSD. PTSD is a highly prevalent mental health condition that impacts an estimated 24.4 million individuals in the United States (PTSD United, 2019). Complex PTSD has just emerged for the first time with official diagnostic criteria in the publication of the ICD-11 in 2019 for use beginning in January 2022 (WHO, 2019). There is very little existing research that considers the experience or confidence of clinicians who work with clients who have PTSD and Complex PTSD, which is troubling …

Mindfulness As An Effective Conceptual Tool For The Pastoral Care Of Western Christians, Beth Virostek

Honors Scholars Collaborative Projects

The rapprochement of mindfulness within Christian ministries of the West is integrally important as mindfulness continues to grow as a field and be utilized in the secular world as a tool for growth and the promotion of subjective well-being. If this rapprochement is not attempted, the conflicts surrounding Christians approaching and utilizing mindfulness will continue. In recent decades, the application of mindfulness in a variety of areas has exploded. The neuroscience research has followed, citing great benefits to the practice of and the trait of mindfulness. However, Christians remain hesitant in approaching mindfulness for fear of it being heretical in …

Pornography: Social, Emotional And Mental Implications Among Adolescents, William K. Canady

National Youth Advocacy & Resilience Conference

This presentation will explain the historical development of pornography. It will highlight four segments: 1- Porn’s impact on brain development of reward pathways, ultimately increasing the appetite for more porn. 2- Porn can be a false substitute for real intimacy, resulting in decreased sexual satisfaction with a real person and increased verbal and physical aggression. 3- Porn promotes sex trafficking, promotes multiple sex partners and reduced STD prevention. 4- A review of interventions available to assist clients in navigating a lifestyle away from pornography.

Testing Barriers To Non-Suicidal Self-Injury With College Students: Narcissistic Traits As Moderators, Philip Stoner

Dissertations

Research on non-suicidal self-injury (NSSI) has produced mixed findings, resulting in a lack of clarity regarding these behaviors (Klonsky & Meuhlenkamp, 2007). To address this, Hooley and Franklin (2018) developed the Benefits and Barriers Model (BBM) to provide a comprehensive understanding of NSSI, in which they identified the barriers that commonly prevent people from engaging in these behaviors (e.g., self-esteem, shame, and peer-bonding motivations/social norms). They also identified adverse childhood experiences (ACEs) as a distal predictor of NSSI, which aids people in overcoming the barriers to engaging in these behaviors. Recent NSSI literature has shown that college women in the …

The Gender Freedom Model: A Framework For Helping Transgender, Non-Binary, And Gender Questioning Clients Transition With More Ease, Rae Mcdaniel, Laurel Meng

Journal of Counseling Sexology & Sexual Wellness: Research, Practice, and Education

Transgender/non-binary experiences and identities are often represented in academic literature through narratives of distress and are often pathologized through a medical lens. This holds implications for the field of psychotherapy, as interventions aimed to support transgender/nonbinary individuals often focus solely on risk mitigation. This article presents a therapeutic framework that rests on three pillars—Play, Pleasure, and Possibility—as the focal points for reimagining work with transgender/non-binary clients. This model aims to help this population explore gender transition with more ease through building practical skills, cultivating personal and collective pride, and centering pleasure equity.

The Impacts Of Learning 2 Breathe On Rumination, Adessa Flack

West Chester University Doctoral Projects

The present study examined the impact of Learning2Breathe (L2B), a mindfulness-based stress reduction program developed for use with adolescents on rumination. The program was applied to rumination in college-age men and women. Our experiment utilized a quasi-experimental design. The sample consisted of 50 undergraduate students that were placed in either the experimental or control group. Data was collected pretest and posttest through a variety of measures including the Rumination Reflection Questionnaire (RRQ) which consisted of a rumination and reflection subscale, and the Mindfulness Attention Awareness Scale (MAAS). A two-way mixed ANOVA design was used to analyze data. There was no …

The Impact Of Creative Arts On Meaning Reconstruction And Loss Adaptation In Widowed Adults, Dani Baker-Cole

Antioch University Dissertations & Theses

In counseling, helping grieving clients find meaning after significant loss is a unique, multidimensional, and lengthy process. This is particularly true in Western societies, where antithetical linear grief models, supported by hegemonic expectations to move on after loss, add exhausting pressure to speed up an individual’s natural grieving process. For that reason, this study examined how creative arts interventions such as using traditional art media and expressive writing, combined with postmodern, nonlinear, culturally sensitive bereavement models, help individuals explore their loss narrative to make meaning and adapt to loss. Specifically, this study examined the impact of a switch from traditional …

Examining Face-To-Face And Online Supervisee Disclosure Within The Supervisory Alliance, Letitia D'Aria Unger Johnson

Antioch University Dissertations & Theses

The purpose of this research was to examine face-to-face and online supervisee disclosure within the supervisory alliance. Just as client care pivoted to online platforms, as a result of the COVID-19 pandemic, so did clinical supervision, which was uncharted territory for many, including those familiar with online counseling. The methodology used was consensual qualitative research (CSR). Eight participants were recruited as a sample of convenience, and semistructured interviews were conducted via Zoom. Results indicated domains such as important characteristics of the supervisory relationship, importance of communication, supervisor characteristics related to self-disclosure, positive aspects and negative aspects of online supervision, and …

Imposter Phenomenon And Ces Doctoral Students, Michael Drane

Antioch University Dissertations & Theses

The aim of the study was to explore the lived experience of counselor education and supervision students who reported experiencing symptoms of imposter phenomenon (IP). The population included counselor education and supervision students in their first year of their program, with a sample of convenience (N = 4). The method used in this study was an interoperative phenomenological analysis. Data analysis revealed four major themes: (a) counselor education students express self-doubt, lack of confidence and concern about competence, (b) students rate different levels of competence in counselor education and supervision roles, (c) instructor feedback impacts student perceptions of competence, and …

Addressing The Mental Health Disparities Among Black Children During Natural Disasters: A Clinical Perspective And Response To The Covid-19 Pandemic., Brittany Reed

DSW Capstone Projects

The experiences of Black children resulting from the events surrounding the Covid-19 pandemic present a projection to create long-term mental health effects at higher rates than their peers of other races. While the long-term effects of this pandemic are still considered ongoing, the disparities within the Black community will subsequently develop into a trickle-down effect of secondary traumatic experiences faced by Black children. Then, where does that leave Black children and their mental health? This capstone project aims to examine how the Covid-19 pandemic will affect Black children, explore the mental health challenges and disparities faced by Black children resulting …

A Practical Application Of Self Psychology In Counseling, A. Jordan Wright

Journal of Counselor Preparation and Supervision

Self psychology has undergone a significant evolution since it was initially developed and proposed by Heinz Kohut, including broadening conceptions of what purposes selfobjects can serve for individuals. Its application to counseling has been as an organizing framework and overarching theory of human development and psychopathology. The concept of selfobjects, however, has the potential to provide specific guidance and technique in micro-interactions within counseling. Individual moments within counseling present opportunities for a counselor to intervene, and self psychology can provide a deliberate decision-making tool for how to respond. Being deliberate in interventions throughout counseling has the potential to improve outcomes. …

Dance Movement Therapy For Clients With Attention Deficit Hyperactivity Disorder: A Literature Review, Holly Inman

Expressive Therapies Capstone Theses

The overall focus of this thesis study is to take a closer look at how dance movement therapy could beneficially impact people diagnosed with attention deficit hyperactivity disorder. The literature reviewed focuses on the history of dance movement therapy along with several methods of the therapeutic practice, the beginning stages of attention deficit hyperactivity disorder re- search as well as the current treatment methods, and the current work being done with dance movement therapy and clients with this diagnosis. Many of the symptoms considered within this diagnosis are supported by the structure of dance movement therapy, serving as a beneficial …

Impact Of Aging Information On The Continuing Education Preferences Of Behavioral Health Clinicians, Nicholas Schmidt

Dissertations

The United States population is aging rapidly and the behavioral health workforce is ill-prepared to meet the concurrent rise in demand for services for older adults. Clinicians specializing in working with older adults make up a very small portion of providers and the majority of service provision falls on general practitioners. The discipline of counseling has emphasized multicultural competencies in training and practice but has not specified standards of competence for work with older adults; little is known about the interests and training preferences of Licensed Professional Counselors (LPCs). This study examined the impact of receiving foundational information about aging …

Telehealth Best Practice: A Call For Standards Of Care, Donna S. Sheperis, Arielle Smith

Journal of Technology in Counselor Education and Supervision

Teletherapy is an approach to working with clients that mental health providers have used in some form for years. However, the onset of COVID forced the provision of therapy into teletherapy almost exclusively for a period of time. Currently, mental health providers conducting therapy virtually are not required to be trained in telehealth and are operating without consistent uniform standards of practice. This manuscript pulls from the current literature and guidelines across counseling, psychology, psychiatry, family therapy, and social work to provide a Proposed Standards of Practice for Telehealth. Such standards benefit mental health counselor by grounding practice in common …

Children As Mischievous Spirits: Legitimizing Child Cruelty And Filicide In Contemporary Africa, Chima Agazue

Dignity: A Journal of Analysis of Exploitation and Violence

The belief that certain humans are spiritual entities and the belief that some people are spiritually possessed can be found across histories and cultures. While these individuals are not always viewed in the negative or treated inhumanely, cases abound whereby degrading and inhumane treatments are meted out to some of them. In the African continent, certain groups of people, particularly children are linked to certain mischievous spirits due to their unusual appearance, aberrant behavior, disability, chronic illness, psychopathology or exceptional ability. Some are also suspected and consequently mistreated due to events surrounding their birth. Such children are known by different …

Studio Expressive Arts Therapy: Towards A Classroom Method That Incorporates Art And Music, Michael Greenberg

Expressive Therapies Capstone Theses

This thesis explored the ways in which expressive arts therapy (ExAT) could be incorporated into a small therapeutic high school’s visual arts program. Through the development and implementation of a method, intermodal exchange between visual art and music was integrated into both the school’s art program and its group counseling offerings. Informed by a literature review of studio art therapy (SAT) as related to ExAT, three different interventions were used to fit within the frameworks of the high school’s offerings. The first intervention focused on making music with a few students within art classes while the rest of the class …

Exploring Tactile Art-Making With Deafblind Students And Their Families: An Opportunity For Creative Play, Alice Rodgers

Expressive Therapies Capstone Theses

The impact of a deafblind diagnosis on an individual’s mental health and the well-being of the family involved can be profound. However, current research and available literature for the mental health treatment and therapy practices of deafblind persons and their families is limited (Kyzar et al., 2016; “WFDB Global Report 2018,” n.d.). This thesis used the Leeds Family Psychology and Therapy Service principles (Leeds FPTS) and the Expressive Therapies Continuum with established deafblind teaching strategies to facilitate an original arts-based community project entitled: “Things We Like.” This project provided an opportunity for deafblind students (ages three to 22) and their …

How The Expressive Therapies Continuum Informs Intermodal Transfers, Erin M.L. Little

Expressive Therapies Capstone Theses

Expressive arts therapy (ExAT) is a therapeutic approach that incorporates visual art, music, drama, and dance/movement into the counseling environment. An essential element in ExAT practice is the intermodal transfer, an intentional shift between arts modalities to enhance clients’ understanding and realization. Currently, no theoretical guidelines for intermodal transfers exist in the field of ExAT. In search of a theoretical structure, the author of this Capstone Thesis proposed that the Expressive Therapies Continuum (ETC) informed intermodal transfers. Predominantly presented as an art therapy approach, the ETC originally intended to include all expressive therapies. Yet, there is minimal recent literature that …

The Use Of Animal-Assisted Interventions To Treat Child Victims Of Sexual Abuse, Stephanie Johnston

Counseling Psychology | Master's Theses

This study examines the therapeutic benefits of incorporating dogs into the mental health treatment of child victims of sexual abuse in both formal and informal settings. In 1962, Dr. Boris Levinson began incorporating his dog into therapy sessions with his child clients. He noticed that incorporation of dogs into psychotherapeutic treatment encouraged communication in withdrawn children and published his results in 1969, initiating a widespread interest in animal-assisted therapy (AAT). Other variations of AAT soon followed in the form of animal-assisted activities (AAA). The human-animal bond can be a powerful tool that effectively improves mental health and can play a …

Treatment Access For Dual Diagnosis Substance Use And Mental Health Disorders, Pedro Banuelos

Electronic Theses, Projects, and Dissertations

In 2018, of 1.3 million Latinx adults in the United States facing concurrent issues with substance use disorders (SUD) and mental health disorders (MHD) 93% remained untreated for either diagnosis. This is concerning since Substance Abuse and Mental Health Services Administration (SAMHSA) data reveals that this population is at greater risk for suicidal thoughts, plans, and attempts. They also face structural barriers such as employment, housing, legal involvement, and insurability that further impede access to treatment.

This study’s purpose was to examine barriers to accessing treatment for Latinx populations confronting co-occurring SUDs and MHDs. This study used a qualitative design …

Everyday Memory In People With Down Syndrome, Yingying Jennifer Yang, Zachary M. Himmelberger, Trent Robinson, Megan Davis, Frances Conners, Edward Merrill

Department of Psychology Faculty Scholarship and Creative Works

Although memory functions in people with Down Syndrome (DS) have been studied extensively, how well people with DS remember things about everyday life is not well understood. In the current study, 31 adolescents/young adults with DS and 26 with intellectual disabilities (ID) of mixed etiology (not DS) participated. They completed an everyday memory questionnaire about personal facts and recent events (e.g., school name, breakfast). They also completed a standard laboratory task of verbal long-term memory (LTM) where they recalled a list of unrelated words over trials. Results did not indicate impaired everyday memory, but impaired verbal LTM, in people with …

Understanding Black Experiences And Access Barriers In The Expressive Arts Activities And Therapies, Jadea Harris, Ana K. Marcelo

Psychology

Black individuals in America experience racism, discrimination, and microaggressions that can affect their mental and physical health. (Alvarez, Liang, & Neville, 2016). Unfortunately, Black individuals typically do not seek out mental health treatment because of mistrust, stigma, misdiagnosis, and lack of culturally sensitive approaches to treatment (NAMI, 2002). One way to encourage Black individuals to seek mental health support and to provide more support could be through expressive arts. Expressive outlets may act as a protective barrier against adverse experiences and serve as an opportunity to bring healing amongst uncomfortable feelings of racial trauma and more. Historical and empirical evidence …

Borderline Personality Disorder: Interventions For Adolescents And Caregivers, Addison Odum

Evidence-Based Social Work Practice Guide Series

Borderline personality disorder (BPD) encompasses a wide range of symptoms characterized by emotional dysregulation, including challenging interpersonal relationships, impulsivity, disturbances in cognition and identity, and is often accompanied by intentional self-injury and suicidal behaviors. In this guide, emphasis is placed on three aspects of intervention: (1) clinical interventions for adolescents who meet the criteria for BPD; (2) interventions clinicians can teach to parents/caretakers so they can better work with their child’s diagnosis; and (3) due to the negative impact this can have on adolescents, clinical interventions for parents/caregivers diagnosed with or exhibiting common symptoms of BPD is also provided.