Counseling Commons^™

Becoming A Therapist In A Foreign Land: Narratives Of International Trainee Clinicians Of Color In The U.S., Prathma Sharma

Electronic Theses and Dissertations

The focus of this dissertation project is on the community of trainee clinicians of color, who have been consistently overlooked in the literature on mental health. This dissertation employed narrative analysis as a methodological framework to explore the experiences of international trainee clinicians of color as they navigated the complex landscape of mental health training in the United States. In an increasingly globalized world, the voices and perspectives of these individuals offered critical insights into the challenges, triumphs, and unique pathways that shaped their professional development. Much of the literature on diversity and inclusion tends to individualize the challenging experiences, …

A Poetic Call For And A Reflection And Commentary On Clarity, Understanding, Hope, Courage, And Compassion, Carroy U. Ferguson

Psychology Faculty Publication Series

Finding a published poem I had written as a teenager, titled “The Heavens Weep.” this article uses that poem as the basis for a commentary that reflects on the state of the world today (2026),  As a commentary, the article uses the poetic and metaphoric words in the poem as a relevant "reality check" for what is still going on today.  In essence, the commentary is about a call for Clarity, Understanding, Hope, Courage, and Compassion, or what I call Archetypal Energies, Higher Vibrational Energies that operate deep within our individual and collective psyches to creatively urge us to "see" …

Exploring Primary Care Providers’ Compassionate Care And Their Evidence-Based Practice With Death, Grief, And Loss: Patient Experience And Perspective, Kathryn Krzykala

Dissertations

Research on primary care providers’ (PCPs) education regarding Death, Grief, and Loss (DGL) remains limited. Specifically, data is lacking regarding patients' perceptions and opinions on what they need and expect from their PCPs regarding grief and loss. This exploratory mixed-method study comprised 146 participants who had experienced death and non-death loss. It examined participants' perceptions of 1) PCP compassion, 2) PCP utilization of evidence-based grief and loss practices, 3) their own level of comfort discussing DGL with their PCPs during medical visits, and 4) their personal grief and loss experiences. The findings revealed that PCPs' grief-informed evidence-based treatment, as reflected …

Determinants Of Corporal Punishment And Severe Physical Punishment In Egypt: A Mixed-Methods Analysis For Child Protection Policy, Marwa Moustafa Nassef

Theses and Dissertations

Corporal punishment (CP) and severe physical punishment (SPP) remain a major public health, child rights, and child protection policy concern. In Egypt, despite legislative reforms, survey-weighted analysis of the 2021 Egypt Family Health Survey (EFHS) 2021 (CAPMAS, 2022) reveals prevalence rates of 60.5% for CP and 27.4% for SPP among children aged 1–14 (author’s calculations using EFHS-2021, n=7623), yet evidence distinguishing the determinants of routine corporal punishment from escalation to severe physical punishment remains limited in low- and middle-income contexts. Guided by Bronfenbrenner’s ecological framework, this mixed-methods study identifies key drivers of CP and its escalation to SPP among Egyptian …

Between Cultures: An Expressive Arts Community Engagement Project On Identity, Belonging, And Cultural Transition Among International Students, Shilpa Ivaturi

Expressive Therapies Theses

International students navigating cultural transition often experience disruptions not only in social adjustment but also in their sense of identity, belonging, and meaning-making. Grounded in expressive arts therapy, cross-cultural psychology, and mythopoetic frameworks of transformation, this thesis explores how creative processes can support international students in reflecting on and integrating their evolving identities during periods of cultural transition. A four-hour trauma-informed expressive arts workshop, structured around the Hero’s Journey arc of departure, initiation, and return, was facilitated across two sessions at a university in the northeastern United States. Seven international students from diverse cultural backgrounds engaged in multimodal practices including …

Exploring The Potential For Meaning-Making In Expressive Art Therapies Interventions In Treatment Of Complicated Grief For Gun Homicide Survivors: A Literature Review, Ash Landrein

Expressive Therapies Theses

Research shows that the violent nature of homicide and the extreme lethality of firearms in conflict lead to increased psychological impairment for survivors and communities affected. Black and Latinx communities are disproportionately affected by gun violence, yet are historically underresearched and underserved. Social constraints and systemic negligence complicate and stigmatize the bereavement process. This literature review examined culturally relevant grief practices, theories and components of meaning-making (MM) post-loss, and Expressive arts interventions for facilitating meaning, safety, and reconnection for survivors, through an intersection of race, ethnicity, gender, and age. Cumulative research shows that MM can help individuals experiencing complicated grief …

An Equity-Based And Culturally Responsive Bill Of Rights For Early Childhood Students Of Color With Exceptionalities, Evette Simmons-Reed, Michelle Frazier Trotman Scott, Gloria Tardash, Mildred Boveda, Donna Y. Ford

Perspectives on Early Childhood Psychology and Education

The COVID-19 pandemic exacerbated existing disparities in early intervention (EI) and early childhood special education (ECSE) services for culturally and linguistically diverse (CLD) disabled children, exposing critical gaps in access, services and support. systemic inconsistencies in implementation, training, and funding, remain barriers limit opportunities for CLD students to benefit, despite the aims of the Individuals with Disabilities Improvement Act (IDEA). To address these inequities, this manuscript proposes an expanded and updated Culturally Responsive Equity-Based Bill of Rights for EI and ECSE. Building upon Ford and colleagues' (2018) work, this revised document extends protections to children aged zero to five, emphasizing …

Guest Editor's Introduction: Methodological Innovations For Advancing Early Childhood Educational And Psychological Research, Anthony Mangino Ph.D.

Perspectives on Early Childhood Psychology and Education

The goal of this special issue is to provide you, the inquisitive reader and developmental scientist, with some of the methodological tools to aid in augmenting your analytic capacity.

Unveiling Embodied White Supremacy: Therapists’ Experiences And Its Imprint On Therapeutic Relationships In Dance/Movement Therapy, Melody E. Gamba

Counseling and Psychology Dissertations

This qualitative, arts-informed research study explored how White-identifying dance/movement therapists experience and articulate their awareness of embodied White supremacy within therapeutic relationships. Grounded in critical race theory, relational-cultural theory, and embodied critical transformation theory, the study addressed a gap in dance/movement therapy literature concerning how White supremacy is not only cognitively understood, but also somatically felt, relationally enacted, and professionally navigated. The purpose of the study was to understand how White-identifying dance/movement therapists perceive, kinesthetically experience, and make meaning of embodied White supremacy in therapeutic practice, and to explore how these embodied experiences influence therapeutic presence, attunement, and the potential …

Relationships Between Therapists And Diverse Children's Populations And Their Effects, Brenda Sanchez Vega

Undergraduate Honors Theses

Roughly around 13.8% of children and adolescents in the United States receive some sort of counseling or therapy; the main focus of the research is on racial/ethnic minoritized children. Because APA’s ethical codes don’t address all possible situations, positive client-therapist relationships are bound to develop, including dyads or dual relationships, improving treatment progress. With the United States continuing to grow in diversity, there’s still a big gap in the literature surrounding minority children in therapy. Speculating if therapy approaches are used effectively for all children, including minoritized children. Based on past research already conducted, developing a positive client-therapist dual relationship …

Growing Up Muslim In America: Discrimination And Religious Identity In Emerging Adulthood, Samira Saleh

Dissertations

This study examined the impact of depression and discrimination on religious identity development among emerging adult Muslims (ages 18–29) in the United States, with attention to religious visibility and gender. Using a cross-sectional survey design, participants completed validated measures including the Perceived Islamophobia Scale, Everyday Discrimination Scale, Patient Health Questionnaire-9, and Centrality of Religiosity Scale. Grounded in Arnett’s Theory of Emerging Adulthood and Social Identity Theory, the study addresses gaps in research on Muslim mental health and identity within Western sociopolitical contexts. Participants were recruited via university listservs, Muslim Student Associations, social media, and community organizations, and completed a brief …

Perspectives Of University Leaders On Adoption And Scaling E Mental Health Support For Students: An Exploratory Analysis, Choongo Mulungu, Esin Nisan Yildirim

Journal of Human Services: Training, Research, and Practice

ABSTRACT

University students face rising mental health challenges, yet adoption of digital support services in higher education remains limited, especially in the Global South. This qualitative study explored perceptions of 18 senior administrators from universities across Africa, Europe, Asia, and North America. Findings revealed a significant implementation gap, with few institutions offering formal platforms. Leaders cited barriers including limited institutional prioritisation, counsellor overload, financial ambiguity, ethical concerns, and absent policy frameworks. Addressing these challenges requires deliberate policy action, equitable resource allocation, and culturally responsive strategies for sustainable integration.

Rural Voices On The Opioid Epidemic In Deep East Texas, Jose Carbajal, H. Stephen Cooper

Journal of Human Services: Training, Research, and Practice

Opioid use is a major concern in the United States. Rural communities face even greater difficulties in addressing opioid use and related challenges. An appreciative inquiry was employed to assess the degree to which the opioid crisis has affected the rural region of Deep East Texas and to develop recommendations for a regional action plan. One hundred and eight participants attended eleven conversation cafés across the region. Response analysis revealed eight primary themes and 11 sub-themes. Community awareness and education are crucial in combating the opioid crisis, as some participants were unaware of the prevalence of prescription opioid abuse in …

No-Show Characteristics Of Rural Clients With Mental Health Conditions, Christy R. Collins, Jose Carbajal

Journal of Human Services: Training, Research, and Practice

The purpose of this study is to report demographic characteristics and appointment compliance factors associated with no-show appointments in a rural clinical setting in East Texas. Describing these variables will expand the existing literature and offer greater clarity not only on why appointments are missed, but also on who is missing them. Therefore, understanding how sociodemographic variables relate to missed appointments may enhance appointment adherence and improve healthcare outcomes for individuals. This study used cross-sectional archival data specifically collected to examine missed appointments among clients at a rural clinic (N = 134). The results indicate that Hispanic/Latino individuals, clients aged …

A Phenomenological Exploration Into The Interpersonal Relationships And Mental Health Impacts Of Physical Activity, Movement, And Play On The Lived Experiences Of Caribbean Mothers, Janelle Chase-Mayers, Theresa D. Thomas

Journal of Interprofessional Practice and Collaboration

Purpose: To explore the impact of wellness strategies incorporating movement, physical activity, and play on the mental health and interpersonal relationships of Caribbean mothers aged 25 and older.

Methods: A phenomenological study was conducted in 2021 to delve into the lived experiences of seven Caribbean mothers. Semi-structured interviews were employed to gather rich, qualitative data on their perceptions of wellness, motherhood, and the role of movement and physical activity in their lives.

Results: Over 700 codes resulted in 6 themes and 100 subthemes. Thematic analysis revealed six key themes: 1. Family of Origin Influences: Participants discussed how …

Protecting Those Who Protect Us: A Blueprint For Mandatory Mental Wellness Standards For First Responders, Joy Hutchinson

Faculty & Staff Scholarship

First responders, including firefighters, law enforcement officers, emergency medical technicians (EMTs), dispatchers/telecommunicators, and corrections officers, serve as the backbone of public safety in the United States. Their work requires rapid decision-making, repeated exposure to traumatic events, and sustained emotional regulation in high-stakes environments (Hoell et al., 2023; Vig et al., 2020). Despite their critical roles, mental health support across these professions remains inconsistent, optional, and largely reactive rather than preventative, with many systems relying on self-referral only after crisis onset (Burke, 2021; Johnston et al., 2025).

Between 2021 and 2025, U.S.-based research has documented alarming levels of burnout, depression, anxiety, …

Bridging Worlds Of Care: A Qualitative Exploration Of Integrating Non-Western Healing Modalities With Mental Health Counseling, Douglas Valdez

Antioch University Dissertations & Theses

The aim of the study is to explore the experiences of practitioners who treat individuals presenting with depression and anxiety using culturally integrative non-Western healing modalities. Participants included 15 experienced practitioners (minimum five years of practice) who identified as Traditional Chinese Medicine providers (e.g., acupuncturists, herbalists) and/or Curandero/x/as. The approach was qualitative, utilizing open-ended survey responses collected electronically and analyzed with thematic analysis. Results indicated six primary themes: (a) Philosophies in Healing, highlighting culturally grounded conceptualizations of depression and anxiety; (b) Traditional Chinese Medicine Interventions, including acupuncture, botanical, nutritional, manual, and movement-based practices; (c) Curanderismo Pláticas and Integrative Western Healing …

"Why Don't I Talk To A Therapist?": Motivations And Reflections Of Female-Identifying Chinese Immigrants Seeking Psychotherapy For Depression, Qiuyi Wei

Antioch University Dissertations & Theses

This phenomenological study explored the lived experiences of Chinese immigrants and temporary residents struggling with depressive symptoms and their process of seeking and accepting psychotherapy support. The study aimed to describe the factors that motivated participants to enter therapy for depression while also addressing their internal concerns about treatment. Nine female-identified Chinese immigrant adults with such experiences were recruited. Participants’ perceptions of their depressive symptoms and the factors contributing to their decision to seek professional therapy were explored through in-depth, semi-structured qualitative interviews conducted in Mandarin. The interview transcripts were analyzed in Mandarin using interpretative phenomenological analysis, through which four …

Illuminating Secrets Of Harmful Supervision: A Narrative Inquiry Into The Lived Experiences Of Marriage And Family Therapy Supervisees Of Color During Clinical Supervision And The Effects On Their Personal And Professional Identity, Danielle Garcia Gomez

Antioch University Dissertations & Theses

Harmful supervision is a critical yet often underexamined issue for supervisees of color (SOC), whose lived experiences are underrepresented in clinical supervision literature. Given the hierarchical and evaluative nature of clinical supervision, power dynamics are placed at the center of professional training, thereby creating conditions where unchecked supervisory power can lead to harm. Within Marriage and Family Therapy (MFT), research on harmful supervision is limited, despite the profession’s emphasis on relational dynamics. This qualitative study aimed to amplify the voices of SOC victim-survivors of harmful supervision and to answer the research question: How have harmful supervision experiences affected the personal …

Navigating Family, Culture, And Well-Being: A Qualitative Study Of First-Generation Adult Children Of Middle Eastern Immigrants In The United States, Ramona Amely

Antioch University Dissertations & Theses

The purpose of this study is to explore the lived experiences of first-generation adult children of Middle Eastern immigrant parents/caregivers living in the United States. This was a phenomenological study with reflexive thematic analysis. Participants (N=10) were interviewed via Zoom, and transcripts were analyzed using Reflexive Thematic Analysis (RTA). The results included four themes: (1) Migration Contact and Cultural Formation, (2) Bicultural Identity Development, (3) Family System Adaptation, and (4) Emotional Socialization and Psychological Impact. This study highlights how first-generation adult children of Middle Eastern immigrants navigate complex, interwoven processes of bicultural identity development, family adaptation, and emotional socialization shaped …

Unveiling Othering Experiences In Multiethnic Families: Narratives Of Identity And Belonging Among White/Hispanoamerican Women, Maria-Esther Wood

Theses and Dissertations (Comprehensive)

This dissertation explores the lived experiences of multiethnic Hispanoamerican women as they navigate identity, belonging, and familial othering within the context of multiethnic family systems. Using qualitative narrative inquiry, the study centres the voices of nine women residing in Ontario, each with one white parent and one Hispanoamerican parent, ranging in age from 19 to 65. Guided by Dewey’s three-dimensional model of narrative analysis, the research explores how personal stories reflect broader patterns of othering and belonging, the central research question asks: What specific forms of othering related to identity and belonging—inclusive of discrimination and racist treatment—do multiethnic Hispanoamerican women …

Accessing Campus Mental Health Services In A Nigerian Southwestern University: Barriers To Academic Success, Caroline Dada

Electronic Theses and Dissertations

Mental health disorders are a significant health concern among higher education institutions in sub-Saharan Africa, including Nigeria. A substantial treatment gap exists in the Nigerian healthcare system, and this gap is further worsened by cultural and religious barriers, which reinforce stigma that discourages students from seeking professional help. This qualitative narrative inquiry explored the barriers students encountered when accessing mental health services at a university in Southwestern Nigeria, to increase service access. Qualitative semistructured interviews were conducted with seven professional mental health providers at a university counseling center between March and April 2025. Inductive thematic analysis was used to identify …

Between Self, Family, And Becoming: Mindfulness And The Transition Experiences Of Latinx Clinical Counseling Graduate Students, Orlando R. Alvarez

Antioch University Dissertations & Theses

Latinx graduate students transitioning into their first semester of clinical counseling master’s programs often navigate substantial challenges as they embark on their academic journeys. While transitions into any new role can be difficult, the changes that accompany the beginning of a graduate program have been associated with increased role and identity strain, anxiety, depression, and feelings of fraudulence and imposterism, negatively impacting student success, performance, and attrition rates (Halladay et al., 2019; Murphy, 2021; Vidic & Cherup, 2019). Although mindfulness practices provide benefits for graduate student wellbeing, there is no current scholarship that has examined how mindfulness practices support Latinx …

Experiences Of Title Ix Investigations For Bipoc Survivors Of Sexual Violence, Tiffini Vo

Antioch University Dissertations & Theses

Sexual violence is among the most common crimes on college campuses. Nearly one in four undergraduate women experience sexual violence during college, yet reporting remains low (Spencer et al., 2020). Some students avoided reporting because of fear of criticism, backlash, blame, and shame (Lorenz et al., 2023). These responses not only influence reporting decisions but can also contribute to persistent psychological harm. A common consequence of sexual assault is the survivor developing post-traumatic stress disorder (PTSD), depressive and anxiety symptoms, and suicidality, demonstrating the severity of the crime perpetrated against them (Rothman et al., 2021). Even more so, those who …

Bipoc Supervisors And Their Cross-Ethnoracial Supervisees: An Exploratory Dyadic Interdependence Study On Cultural Humility, Ethnocultural Empathy, Supervisory Alliance And Ethnoracial Identity Development, Karen Andal Neri

Antioch University Dissertations & Theses

There is an ongoing need for more relational, process-oriented multicultural supervision training models and research to address multicultural issues through a sociocultural perspective in cross-ethnoracial supervision. BIPOC therapists have often reported inadequate multicultural education and training as well as responsiveness from their White supervisors. As supervisors themselves, BIPOC therapists are often overlooked and understudied in the couple/marriage, family therapy (C/MFT) field, which remains predominantly Eurocentric. As a process-oriented model, multicultural orientation (MCO), especially its primary organizing pillar, cultural humility, appears highly relevant to BIPOC supervisors working across ethnoracial and cultural lines with their supervisees. However, neither the MCO nor broader …

Journey Through, Cathan B. Tautfest

Graduate Student Portfolios, Professional Papers, and Capstone Projects

Journey Through is the Master's Portfolio for the University of Montana for Author Cathan Tautfest. This paper serves as the capstone graduation requirement for students of the School of Social Work. Over the final semester of the Master's program, this Portfolio was created, reviewed by committee, and defended before its publication. This Portfolio is a culmination of three years and thousands of hours to demonstrate mastery of the ten Social Work competencies, the elements of Social Work Practice, and critically reflect on time spent in the School of Social Work's Master's of Social Work (MSW) program. This Portfolio reflects on …

Development And Evaluation Of The Sex Positivity Inventory For Counselors, M. Ashley Burks, Jennifer Gerlach, Joshua C. Watson

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

The purpose of the study was to clarify the definition of sex positivity and identify sex-positive attitudes, knowledge, and skills through the development and evaluation of the Sex Positivity Inventory for Counselors (SPI-C). The exploratory factor analysis supported a six-factor, 34-item scale, accounting for 32.9% of the variance within the study. The SPI-C had an excellent internal consistency of 0.96 and consisted of the following factors: 1) Procedural Sex Positivity, 2) Comfortability with Sexuality, 3) Perceived Sex Positivity, 4) Fundamental Sex Education, 5) Sexological Worldview, and 6) Unconditional Positive Sexual Regard. Implications for practice, counselor education, and supervision are discussed.

From Shame To Self-Compassion: Understanding The Experiences And Characteristics Of Self-Identified White Anti-Racist Clinical Counselors In Maine, Rachel B. Wells

Counseling and Psychology Dissertations

Following the rise of the cultural competence movement, clinical counselors demonstrate a fundamental paradox of perpetuating and mitigating racial oppression within the mental health field. There is a growing need for accountability and systemic change as demographic and sociopolitical shifts occur across Maine and the nation. Grounded in Critical Race and Critical Feminist theories, this critical narrative qualitative study explored the experiences, characteristics, and interests served by seven White, self-identified anti-racist clinical counselors in Maine. Clinicians participated in semi-structured interviews, which were then analyzed using a feminist voice-centered relational method, the Listening Guide. Findings revealed the significance of witnessing the …

A Quantitative Exploration Of Risk And Protective Factors Affecting The Mental Health Of Chitimacha Tribal Youth, Daphnie Vilcan-Tanner

LSU New Orleans Theses and Dissertations

This study examines the relationships between demographics, risk factors, and protective factors with mental distress among Chitimacha Tribal adolescents aged 12 to 18. Using a Positive Youth Development framework, the research aimed to identify the prevalence of mental distress, trauma, discrimination, and protective factors, as well as their collective and individual impacts on mental health. Data were collected through online surveys completed by 73 participants residing on or near the Chitimacha Tribal Reservation. Descriptive statistics and multiple linear regression analyses were conducted to analyze the data. Results revealed that while trauma and discrimination collectively predicted mental distress, family and community …

Religion's Role In Shaping Psychopathological Narratives, Andrea Gonzalez Mendoza

The Graduate Review

Understanding the interplay between religion and psychopathology is essential for clinicians navigating the complexities of mental health diagnosis and treatment. This paper explores the nuanced relationship between belief systems and diagnostic frameworks, shedding light on how religious beliefs influence the perception, assessment, and treatment of mental disorders. Drawing upon historical and current-day research, this paper examines how religious interpretations shape the presentation and understanding of psychopathological symptoms. In doing so, this paper argues that psychopathology cannot be understood without considering the influence of religion on its conceptualization. The latter is illustrated by looking at historical diagnostic patterns and how they …