Counseling Commons^™

Embedded Roots: Exploring Healing Through Digital Storytelling: Application And Training, Joselyn M. Carvalho

Expressive Therapies Theses

This review examines digital and expressive storytelling in a clinical, community-based health center, focusing on its impact and relationship with trauma. Existing research has explored how digital storytelling serves as an intervention for addressing intergenerational trauma, trauma transmission, identity development, and social systems affecting youth. This community engagement project integrates these ideas with reflections from clinicians, exploring how clinicians' involvement in digital storytelling may influence care, confidence, and cultural understanding. Theories central to this research include Bronfenbrenner's ecological systems theory and systems-based awareness maps, which help examine the broader systems that influence youth as they develop their narratives. The transmission …

Exploring Dance/Movement Therapy Through An Existential-Feminist Lens For Perimenopausal Individuals In The Post-Covid Digital Age: A Literature Review, Karen Schmitz

Expressive Therapies Theses

The goal of this thesis was to understand the impact that perimenopause and the COVID-19 pandemic have on individuals and how existential theory and dance/movement therapy can be applied to enhance quality of life. The literature review first explores historical and current contexts of perimenopause. The second section covers the impact of the COVID-19 pandemic on caregiving individuals, particularly women. Subsequent sections introduce existential theory and dance/movement therapy frameworks, with a concentration on relevant concepts for the specified population. Research shows that during the COVID-19 pandemic, external pressures around appearance, reproductive value, and the societal expectations of women intensified. Overall, …

As If We Could Get Along: Dramatic Reality’S Influence On The Prosociality Of Adolescent Boys With Problematic Sexual Behavior, Joel David Bender

Expressive Therapies Theses

There is a strong need for novel treatment approaches for adolescents with problematic sexual behavior (PSB), considering that historically, treatment approaches for adult sex offenders have been blindly applied to youth. Adolescent boys with PSB are at risk for poor treatment outcomes when they engage in anti-social behaviors and group hostility. Dramatic reality, a core process in drama therapy, may assist in transforming the experience of boys in their capacity to exhibit prosocial behavior, given that dramatic reality inherently augments reality. This community arts workshop used purposive sampling in a day treatment center for adolescent boys with PSB and explored …

Collage As A Facilitator Of Connection And Belonging: An Application Of Art Therapy With Sgm Clients, Noa L. Shems

Expressive Therapies Theses

This research explored themes of connection and belonging in SGM clients in individual art therapy sessions through the medium of collage. An arts-based research method was developed utilizing the medium of collage in session with clients, followed with reflective response collages and journaling to analyze the data observed. Across 5 art therapy sessions, clients engaging in collage facilitated deeper therapeutic rapport and safety, enhanced a sense of connection with the self, and helped to process barriers and desires around clients’ close relationships.

The Mindful Way: A Mindfulness Psychoeducational Group For Latinx College Students, Karen A. Morales

Theses and Dissertations

Researchers have extensively studied mindfulness as a promising intervention that can aid college students in managing stressors. Unfortunately, researchers have underrepresented minority populations like Latinx college students in mindfulness literature. The Mindful Way (TMW) is a culturally responsive psychoeducational group program that aims to close the gap in the literature. The pre-test and post-test of TMW program measures student’s tendency to practice mindfulness, their personal and academic resilience, degree of self-compassion, emotion regulation skills, problematic alcohol consumption, and symptoms of anxiety, depression and post-traumatic stress disorder, before and after participating in the program. The hypothesis of the present study is …

Development Of The Integrated-Cultural Well-Being Index (Icwi): A Content Validity & Inter-Rater Reliability Study With Experts In Clinical Mental-Health Counseling, Brandon L. Selby

LSU New Orleans Theses and Dissertations

Abstract

This dissertation study developed and validated the Integrated-Cultural Well-Being Index (ICWI), a psychological measurement that assessed well-being across both Individualist-Cultural (IC) and Collectivist-Cultural (CC) dimensions. Grounded in Bronfenbrenner’s Process-Person-Context-Time (PPCT) model, the ICWI was conceptualized to reflect the multidimensional nature of well-being in modern integrated societies, where cultural boundaries are increasingly fluid. The ICWI consists of ten latent dimensions of well-being: self-determination, social relationships, self-enhancement, self-contentment, cultural identity, cultural coping skills, communalism, cultural spirituality, life satisfaction, and mental health.

A three-phase expert validation process was conducted, employing both content validity and inter-rater reliability methodologies. Content validity was assessed using …

Unbridled Healing: Identifying The Barriers Of Equine-Assisted Therapy, Sally A. Hamm

Human Development and Family Sciences Undergraduate Honors Theses

Despite the documented benefits of equine-assisted therapy (EAT) for mental health conditions, this complementary approach remains underutilized. This qualitative study investigated barriers preventing wider EAT implementation by examining challenges faced by clients, facilities, and volunteers. Data collected through open-ended surveys from 33 participants and the researcher's autoethnographic observations revealed eight common barriers: Accessibility (48 mentions), Money (43), Time (30), Awareness (23), Physical Factors (13), Relationships (13), Risk (13), and Weather (7). Clients identified financial constraints as their primary barrier, particularly insurance limitations. Facilitators struggled most with accessibility challenges, including lack of resources, trained staff, suitable horses, and appropriate facilities. Volunteers …

Psychological Treatment Behind The Walls:Insights From The Inside, Rogelio Serrano

Psychology Division Scholarship

Repeated eras of mass incarceration, criminalization of marginalized communities, and substance use policies have created a revolving door of justice involved populations. The ever-increasing prison population has repeatedly become the largest contingency of mental health clientele for an overburdened mental health system. Those who work with formerly incarcerated individuals in the community often don’t know the unique set of challenges faced by practitioners within the system. Increased understanding and coordination of care can offer opportunities for sustained recovery and reduced levels of recidivism. In this presentation participants will learn about the unique insights on mental health treatment that can be …

Direct And Mediating Relationships Between Divine Grace, Legalism, And Mental Health, Branwyn H. Mccormick

Senior Honors Theses

Positive psychology has popularized the integration of religious ideas into psychological treatment. According to the literature, the experience of divine grace is correlated with favorable mental health outcomes, whereas legalistic attitudes are correlated with adverse mental health outcomes. It has also been found that the experience of divine grace is a mediator between legalism and mental health. However, the constructs of divine grace and legalism have both been relatively unexplored aside from a few studies using Latter-day Saints (LDS) populations. The current study seeks to analyze relationships between divine grace, legalism, and mental health using a conservative evangelical Christian population. …

Inked Insight: A Consensual Qualitative Research Study Exploring The Perspectives Of Visibly Tattooed Counselors, Megan Ashley Lalonde-Pittman

Counseling & Human Services Theses & Dissertations

This study explored the experiences of visibly tattooed mental health counselors (VTMHC) through consensual qualitative research (CQR), examining how visible tattoos were perceived to have impacted the participants (N=14) professional experiences, development, and relationships within the counseling field. Seven domains arose from the data: Prejudices experienced by VTMHC, VTMHC Interactions with others, Culture experienced by VTMHC, Appearances of the VTMHC, Professional therapeutic work of the VTMHC, Workplace environment of the VTMHC, Processing the experience of being a VTMHC The implications for multicultural education and future research are explored.

Acculturation Experiences Of International Students In The U.S. Cacrep-Accredited Counselor Education Programs: Challenges, Support Systems, And Systemic Barriers, Nargiza Amirova

Counseling & Human Services Theses & Dissertations

International students significantly enrich U.S. counselor education and supervision programs by contributing diverse cultural perspectives that inspire teaching, research, and professional growth. Yet, these students often face complex challenges including cultural adjustment, language barriers, social isolation, and the academic demands of counseling academic programs that impact their educational outcome s and psychological well-being. Systemic barriers, such as visa restrictions and institutional unawareness, further complicate their experiences. This study explored acculturation experiences of international students enrolled in CACREP-accredited counselor education programs in the United States.

Using Interpretative Phenomenological Analysis (IPA), in-depth interviews were conducted with seven international students on J1/F1 visas, …

The Mediation Effect Of White Racial Affect On Color-Blind Racial Attitudes And Multicultural Counseling Competence, Noah Schieffer Scanlon

Electronic Theses and Dissertations

Racial bias is something that can impact many fields, including the field of psychology. There is growing research in examining the relationship between multicultural counseling competence and color-blind racial attitudes as well as other factors like White racial affect Few studies have examined the potential mediating relationship White racial affect may have on color-blind racial attitudes and multicultural counseling competence. To address this gap, this study provides insight into how White racial affect mediates the relationship between color-blind racial attitudes and multicultural counseling competence among white psychology trainees. This study also further examined the extent to which color-blind racial attitudes …

Supporting Lgbtq+ Youth In Disaffirming Legal Climates, Sarah Hibner-Kiperman Phd, Madeleine Reardon Ma, Caitlin Johnson M.A., Nina Michon Ma, Liz Ballinger B.A., Jesse Chen Ma, Sahar Altweej Ma, Gabriel Delong Ma

Great Lakes Regional Counseling Psychology Conference

Psychologists are ethically charged with providing culture-responsive, affirming care to LGBTQ+ youth clients as legal climate continue infringing on their rights (ACLU, 2025; APA, 2023; NASP, 2020). This roundtable serves to facilitate conversation about how to support our LGBTQ+ community members seeking affirming care, when laws may limit this ability.

Maintaining Well-Being: Coping Strategies For Prolonged Traumatic Experiences From The Stories Of Ukrainian Educators During The Wartime, Natalya Rakevich

Educational Studies Dissertations

This qualitative, phenomenological study aimed to better understand how and whether educators can maintain well-being during prolonged trauma. This study examines the experiences of Ukrainian educators living in non-occupied territories during wartime. The following research questions guided the study: What coping strategies do educators use to take care of themselves? What coping strategies do educators use with their students? How do educators perceive mindfulness and storytelling? A conceptual framework was created to better understand the topics of stress, trauma, being, well-being, surviving, suffering, and coping mechanisms through a literature review. Data collection occurred in February and March 2024, two years …

Adult Sexual Grooming: A Systematic Review, Christin Aletky, Bonita Sharma, Jose Carbajal, Tia Eubank

Journal of Social Work in the Global Community

Grooming is the manipulation and intimidation of people into acts that may appear consensual but are in fact exploitative and harmful, activities they would not have chosen otherwise. Different legal definitions and shifting social perspectives on consent complicate efforts to determine whether a given behavior is a result of informed consent or a response to grooming behaviors. Most studies on grooming and sexual assault focus on adults grooming and abusing children—research on adults grooming other adults is scarce. Therefore, the purpose of our study is to conduct a systematic review of current research on the grooming of adults. We used …

Centering Black Resource-Poor Adolescent Voices: A Critical Phenomenological Study Of Lived Mental Health Struggles While Enduring The Covid-19 Pandemic, Paulette Dispagna

Counseling and Psychology Dissertations

There is a dearth of research in general and qualitative research specifically about the mental health experience of resource-poor Black adolescents living in Boston. This has implications for the field in terms of how adolescents experiencing mental health issues can be supported and how professionals can create more useful mental health treatment. Drawing from the theoretical lens of critical race theory and more specifically, intersectionality, this hermeneutic phenomenological inquiry examined the ways in which experiencing multiple levels of inequality, especially from racism and poverty, affected a Black adolescent’s mental health. Eleven adolescents were interviewed via Zoom. Six major findings included: …

The Effectiveness Of Cognitive Behavioral Therapy (Cbt) And Medication For Treating Major Depressive Disorder In Adults 18-45 And Factors Contributing To Treatment Resistance: A Case Series., Shavon R. Romita, Lindsay Gietzen

Pacific Journal of Health

Cognitive behavioral therapy (CBT) and antidepressant medications are often used to treat major depressive disorder (MDD). After examining the existing research on the treatment of MDD, a study was conducted using a vignette methodology to determine if there is a decreased rate of symptoms for patients who are currently being treated for MDD by a mental health professional utilizing CBT and antidepressant interventions. The study explored the effectiveness of CBT in reducing depressive symptoms when antidepressants alone had limited efficacy. The target population included adult patients experiencing MDD, with some presenting additional challenges such as cultural barriers, difficult diagnoses, and …

Adverse Childhood Experiences: Healing Through Storytelling And Mindful Narrative Therapy, Julie Kemp

Mindfulness Studies Theses

This study presents research about the nature and prevalence of adverse childhood experiences (ACEs), the mental and physical impacts to individuals exposed to ACEs, and incorporating mindfulness practices into therapeutic approaches to treating them, particularly Mindfulness-Based Narrative Therapy (MBNT). It is important because ACEs have become a global crisis, with the potential for interfering with psychological and physical development, early mortality, and other harmful life outcomes. This thesis provides critical information for mindfulness teachers and practitioners, therapists, educators, regulators, parents, and individuals subjected to ACEs.

The methodology includes extensive literature searches for narrative therapy and mindfulness-based interventions (MBIs) in peer-reviewed …

Mindfulness & Mental Health: Balanced Time Perspective As A Mediator, Eddie Trueblood

Masters Theses

Mindfulness is a practice of intentionally paying attention to the present moment in a nonjudgmental way. Being more mindful can decrease symptoms of anxiety, depression, and stress, among other mental and physical health improvements. (Donald et al., 2016; Hofmann et al., 2010; Kabat-Zinn et al.,1992). This study examined if balanced time perspective (BTP) is one of the mechanisms of action of mindfulness in its relationship with depression, anxiety, and stress. BTP refers to a person’s ability to flexibly adapt their time perspective (attention to the past, present, or future, and positive or negative attitudes toward each) to suit the current …

A Happy Medium?: Using Image Generators To Explore Solution-Focused Art Therapy’S Miracle Question, Daniel A. Hernried

Art Therapy | Master's Theses

This mixed methods, randomized, single-session study tested whether integrating text-to-image generations into Solution-Focused Brief Art Therapy alters therapeutic rapport and short-term outcomes relative to traditional artmaking materials. Participants were assigned by coin flip to create using either a text-to-image generator or convention media (23 per group), completing immediate and three-day follow-ups. Alliance was measured using DREAM (Dimensions of Regard, Empathy, and Authenticity Metric), and problems were rated pre/post; groups did not differ significantly on DREAM total or facets, and both modalities produced reliable pre-to-post reductions in problem severity. At the same time, process differences were pronounced: the AI condition showed …

Can Deliberate Practice For Inner Skills Enhance Therapist Trainees’ Mindfulness And Presence When Working With Clients?, Edmund W. Orlowski Iii

Electronic Theses & Dissertations (2024 - present)

A replicated single-case design was used to assess the effectiveness of therapist trainees’ engagement in deliberate practice for inner psychotherapy skills (Rousmaniere, 2019). Deliberate practice (DP) is a structured approach to therapist skill development that involves repeatedly observing and responding to real or simulated clients (Rousmaniere, 2016). It was reasoned that by attending to their inner experience while repeatedly being exposed to challenging clinical material (e.g., a client’s suicidal ideation) outside of therapy, trainees may reduce their experiential avoidance and thus be more mindful and present in sessions with actual clients.

During the five-week baseline phase of the study, four …

Mental Heath Experiences Of Transracial Adoptees Of The Global Majority (Black, Indigenous, And People Of Color - Bipoc)., Phebe Brako

Antioch University Dissertations & Theses

This qualitative hermeneutic phenomenological study explores the lived experiences of transracial adoptees of the global majority (BIPOC), focusing on their bicultural identity integration and its impact on mental health. During semi-structured interviews, nine participants shared their stories of navigating cultural and racial dynamics as adoptees in predominantly White adoptive families and communities. The findings revealed six core themes: (1) the Quest for Bicultural Identity Formation, (2) Cultural Integration and Adaptation, (3) Navigating Racial and Cultural Tensions, (4) the Role of Family in Cultural Integration, (5) the Importance of Community and Support Systems, and (6) Mental Health and Therapeutic Experiences, addressing …

Exploring The Use Of Somatic Skills And Techniques In Clinical Supervision, Areka D. Foster

Antioch University Dissertations & Theses

This study explores the lived experiences of clinical supervisors who engage in somatically oriented supervision. Informed by relational-cultural theory and polyvagal theory, the research employs a grounded theory methodology to investigate the potential development of a somatic supervision framework. Eleven participants completed semi-structured interviews and data were analyzed using both thematic analysis and grounded theory techniques. Eleven core themes emerged: (a) conceptualizations of somatic supervision, (b) integration of somatic techniques in supervisory practice, (c) theoretical foundations for somatic supervision, (d) attunement to countertransference, (e) the supervisory relationship, (f) trauma-informed approaches, (g) somatic techniques and practices, (h) initiating and structuring somatic …

Initial Validation Of The Measure Of Practical Existential Wellbeing, Bryant L. Moore

Antioch University Dissertations & Theses

According to the theory of existential psychology, all humans experience existential anxiety, a negative feeling that results from the understanding of certain unavoidable truths. If left unchecked, existential anxiety can lead to symptoms of mental illness. Much work has been done to explore and measure existential anxiety, but little has focused on protective factors within existential theory. This dissertation proposes the construct of existential wellbeing, representing protective factors corresponding to different existential domains. To assess this construct, a new instrument, the Measure of Practical Existential Wellbeing (MPEW), was developed, distributed, and analyzed in relation to other established measures. The MPEW …

Exploring The Perceptions Of Technology Use Of Clinicians And Their Clients, Chase M. Torbergson

Antioch University Dissertations & Theses

The research question guiding this study was: What is the perceived understanding of technology use by clinicians for their work with clients? Fourteen participants completed an online qualitative survey exploring their experiences with technology and media in clinical practice. A thematic analysis revealed four primary themes. The first theme, variations in counselor online media usage, highlighted differences in how counselors engaged with online platforms for education, client connection, and self-care. The second theme, counselor assessment of, and dialogue around, online media use, captured varying levels of intentionality in exploring clients’ digital habits, ranging from minimal inquiry to regular, structured discussions. …

What About The Children? An Exploration Of Family Counselors' Play Therapy Training And Preparedness To Integrate Children Into Family Counseling, Patricia J. Walker Monical

Dissertations

Children are an important part of families, yet family counselor education programs often do not incorporate training for including children in family counseling. At some point in their careers, family counselors and therapists will encounter clients who have children 3–12 years old. The problem is that since these professionals often receive little to no training in play therapy and thus do not typically include young children in family therapy, these younger family members are often overlooked. Research has confirmed that, due to a lack of sufficient training and supervision in play therapy, many family therapists report feeling unprepared to work …

A Ticket To The Show: Reclaiming The Margins Of Film History Through The Orphan Film Movement, Charlotte Roi

Antioch University Dissertations & Theses

This dissertation explores the history, development, and legacy of the Orphan Film Movement (OFM), a vital initiative dedicated to identifying, preserving, and promoting cinematic works that have been neglected, forgotten, or left without clear copyright holders. Through the lens of Critical Archival Theory, the research traces the emergence of the OFM from its foundational roots in the broader film preservation movement and examines its evolution through academic, institutional, and community-based advocacy. Drawing on historical research, symposium analysis, and theoretical engagement, this study demonstrates how the OFM reshapes historical narratives, democratizes preservation practices, and redefines what constitutes cultural memory in film …

Exploration Of Mystical Experiences And Relationship Changes: An Ayahuasca Study, Ginny Jo Reyes

Antioch University Dissertations & Theses

This mixed-methodology dissertation explores how participation in ayahuasca ceremonies at Rythmia Life Advancement Center (Costa Rica) influences relationship dynamics within couples. Looking at this in combination with self-reported mental health changes, the connection to mystical experiences are navigated. Statistical significance and narratives are explored; this study steps into the gap between ancient plant medicine traditions and the modern search for meaning, healing, and connection. Grounded in a social constructionist lens, the study combines pre- and post-surveys (CAGE-AID pre-only; MAT, KMS, RHS, PSS, GAD-7, PHQ-9; MEQ-30 post-only) with semistructured interviews. Quantitatively, participants showed significant reductions in stress, anxiety, and depression, with …

Scrupulosity: A Comprehensive Review Of The Research, Julie M. Painley

Antioch University Dissertations & Theses

This dissertation presents a comprehensive analysis of the current research on scrupulosity, a subtype of obsessive–compulsive disorder (OCD) characterized by intrusive thoughts and compulsive behaviors related to religious and moral concerns. The dissertation identifies key similarities and differences from OCD, and directs focus to thematically related yet unsubstantiated theoretical work in psychology that helps elucidate the core features and etiological factors of scrupulosity as differentiated from other OCD subtypes. The study addresses the critical dearth of research on scrupulosity, aiming to fill significant gaps in the literature regarding its historical context, varied presentation and prevalence in different cultural contexts, and …

The Lived Experiences Of Trauma In Autistic Adults: A Thematic Analysis, Briana Trageser

Antioch University Dissertations & Theses

A qualitative research study focused on Autistic adults explored the lived experiences of trauma. Participants included Autistic adults who have either been professionally diagnosed with Autism Spectrum Disorder or who self-identify as Autistic. Data was collected through a survey with 12 open-ended questions. A thematic analysis revealed six themes: (a) adverse childhood experiences, (b) exposure to violence and loss, (c) difficulty relating to others, (d) complex mind and sensory experiences, (e) medical and mental health challenges, and (f) autistic identity. The themes revealed instances of Autistic people experiencing trauma in ways that differ and vary in clinical presentation from their …