Counseling Commons^™

A Systematized Review Of The Effectiveness Of Sbirt On Reducing Adolescent Substance Use In School Settings, Mallory L. Mcivor

Educational Specialist, 2020-current

As substance use remains a pressing public concern for adolescents, the academic, social, and neurological consequences are extensive. Schools are uniquely situated to support large populations of youth during their critical developmental periods, and schools act as the ideal location for substance use prevention and intervention. This study explored the prevalence and influence of substance use on adolescents, the role of school climate in prevention and intervention efforts, and assessed the model Screening, Brief Intervention, and Referral to Treatment (SBIRT) as a suitable framework for school-based interventions. Following a structured search across two databases, 20 studies met inclusion criteria and …

Borderline Personality Disorder (Bpd) And Witness Memory: A Beginner’S Guide For Criminal Justice, Forensic Mental Health, And Legal Professionals, Jerrod Brown Ph.D., M.A., M.S., M.S., M.S.

Forensic Scholars Today

Borderline personality disorder (BPD) is associated with emotional instability, impulsivity, interpersonal difficulties, identity disturbance, and stress-related dissociative symptoms that may influence cognitive functioning. Research suggests that BPD may contribute to difficulties with attention, executive functioning, and memory, particularly during periods of emotional distress. These issues, combined with common co-occurring conditions such as trauma exposure, substance use disorders, and sleep disturbances, may affect the encoding, storage, retrieval, and recall of information. This article examines current literature on BPD and discusses how symptoms and associated factors could influence witness memory in forensic and legal settings. Because findings remain mixed, the presence of …

Screening And Treatment Protocols Used In Nicus Across Minnesota For Perinatal Mood & Anxiety Disorders (Pmads), Rachael Witt

Journal of Justice-Informed Social Work Practice and Research

Parents of infants with prolonged neonatal intensive care unit (NICU) hospitalizations are a population that is overlooked in recommended routine screening for perinatal mood and anxiety disorders (PMADs), yet this population is at greater risk for developing diagnosable mental health disorders. Previous research shows that across the US, PMAD screening and treatment practices vary widely, with many NICUs not providing any routine PMAD screening, psychoeducation, or treatment options to parents. The objective of this study was to explore the current mental health screening and treatment protocols used in NICUs across the state of Minnesota to learn if there are areas …

A Holistic Christian Perspective On Wellness For College Students - A Qualitative Analysis, Shari L. Jurgens, Deb Majewski, Jessica Clevering

Movement and Being: The Journal of the Christian Society for Kinesiology, Leisure and Sports Studies

Aim: This study sought to explore the impact of a Christ-centered, holistic wellness course on college-aged students’ understanding of key wellness principles. The goal was to gain insight into how students comprehend and apply these principles considering their spiritual and personal development.

Background: Wellness education for undergraduate students is both timely and essential, especially within Christian higher education, where nurturing the whole person is a core value. A common misconception is that wellness pertains only to physical and mental health. However, Scripture affirms that human flourishing involves a harmony of body, mind, and spirit. A holistic, biblically informed approach to …

Examining The Relationship Between Trauma-Informed Safety Drill Practices And School-Level Chronic Absenteeism In Maine Secondary Schools, Tina Nightingale

Dissertations

School safety practices can influence students' perceptions of safety, emotional well-being, and engagement in the educational environment; however, limited research has examined whether trauma-informed safety drill practices are associated with measurable educational outcomes. The purpose of this quantitative, non-experimental, correlational study was to examine the relationship between trauma-informed safety drill practices and school-level chronic absenteeism in Maine middle and high schools. Guided by trauma-informed care, adolescent neurodevelopment, and Protection Motivation Theory, the study investigated whether higher levels of trauma-informed implementation of safety drills, as measured by the Trauma-Informed Safety Drill Practices Index (TISDPI), were associated with lower rates of chronic …

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 …

Protecting Graduate Students From Burnout With Self-Compassion And Authenticity, Michael S. Leeman, Joshua J. Castleberry, Anna A. Ellenson, Morgan Wallbrown

Journal of Social, Behavioral, and Health Sciences

This study investigated whether practicing self-compassion and embracing one's authentic self could protect graduate students from burnout. Researchers also empirically examined the mediating effect of authenticity in the relationship between self-compassion and burnout. A total of 318 master's degree students in a helping profession completed surveys assessing their levels of self-compassion, authenticity, and burnout. Results found that graduate students with higher levels of self-compassion and authenticity tended to have lower levels of burnout. Additionally, authenticity mediated the relationship between self-compassion and burnout. The findings suggest that practicing self-compassion and embracing one's authentic self may lead to lower levels of burnout …

Exploring Psychological Traits And Feedback Strategies In Physical Therapy Providers Learning Acceptance And Commitment Therapy, Dustin Cox

Journal of Applied Disciplines

Providing treatment interventions to clients with chronic pain is a complex task for any professional. Research suggests that clients with chronic pain experience declines in physical, emotional, and psychological quality of life. Client’s that have chronic pain have complex effects from dealing with this condition in their lives. Clients with chronic pain (i.e., pain lasting > three months) process pain through the emotional and reward circuitry in the brain which is different than client with acute pain. The literature base provides evidence that clients with chronic pain who receive psychologically based interventions along with physical rehabilitation have better outcomes than individuals …

Adaptation Of Moral Integrity Scale To Kazakh Language: A Psychometric Investigation, Madina Ishkibayeva, Nesrullah Okan, Zhazira Abdykhalykova, Nursulu Makhambetova

Higher Learning Research Communications

The present study has been designed to adapt the Moral Integrity Scale (MIS), originally developed by Schlenker (2008), into Kazakh and to examine its psychometric properties among undergraduate students. Moral integrity, a critical component of ethical behavior, is essential in tertiary education, yet few culturally validated tools exist in the Kazakh context. Following a rigorous scale adaptation process (including translation, back-translation, expert review, and pilot testing), the scale was administered to three independent student samples. The results of the exploratory factor analysis (n = 470) revealed a single-factor structure explaining 52.13% of the total variance. Confirmatory factor analysis ( …

Advancing Culturally Relevant Mindfulness In Public Health, Marcus Johnson, Candy Ratliff

The Journal of the Research Association of Minority Professors

Mindfulness-based interventions (MBIs) have gained significant traction in public health, education, and clinical settings due to their demonstrated benefits for stress reduction and psychological well-being. However, these interventions often originate from Eurocentric frameworks that insufficiently reflect the cultural, historical, and structural contexts of diverse and historically marginalized communities. This commentary proposes a Culturally Relevant Mindfulness (CRM) framework that centers the lived experiences, healing traditions, and epistemologies of underrepresented populations. Drawing on interdisciplinary literature and critiques of conventional mindfulness models, the article articulates four guiding principles of CRM: cultural identity affirmation, historical consciousness, ancestral integration, and community-centered practice. Rather than merely …

Values And The Black-White Mental Health Paradox, Tiffany Soignoli

Doctoral Dissertations and Projects

This quantitative cross-sectional study explored the Black-White mental health paradox (BWMHP), which proposes that Black individuals have better or similar mental health than White individuals despite additional stressors, but the etiology of these differences has not been found. While self-esteem has been consistently found to differentiate Black and White adults in relation to the BWMHP, values have not been investigated. Therefore, using a total sample of 191 Black and 191 White American adults (N = 382), values were examined to determine whether they contribute to the differences in depression, stress, and anxiety, leading to better mental health. Chi-square tests of …

Attached To The Algorithm: Investigating The Relationship Between Adult Attachment Styles And Instrumental And Relational Dependency On Large Language Models, Jim Zapf, Ala Yankouskaya, Timothy J. Evans, Andrew J. Graham, Abigail Hill, Troy Backhuus

Journal of Counseling and Psychology

The rapid growth of large language models (LLMs) raises questions for counselors regarding when such tools are used adaptively versus when they foster dependency. Guided by attachment theory and a dual-dimension view of AI reliance, this study examined whether adult attachment styles predict instrumental (task/decision support) and relational (companion-like) dependency on LLMs, whether spiritual engagement relates to these dependencies, and whether levels differ by age. Faculty, staff, and students who had used an LLM completed the LLM-D12 and the ECR-R (N = 515). Analyses showed that instrumental dependency on LLMs was highest among individuals high in avoidance, with modest additional …

Bridging Interprofessional Gaps: A Pilot Study On Aac And Asl Training For Allied Health Profession Students, Angela M. Riccelli, Danielle Osmelak, Leslie Guca, Keith Werosh, Valerie Coolman, Rebecca Kvasnicka

Journal of Applied Disciplines

Interprofessional education (IPE) is recognized as a critical component of health professions training, equipping future clinicians with the skills necessary for collaborative practice and patient-centered care. However, students in speech-language pathology, occupational therapy, and physical therapy programs often have limited exposure to individuals who rely on Augmentative and Alternative Communication (AAC) or American Sign Language (ASL). This study evaluated the impact of a grant-funded, AAC- and ASL-focused IPE event at Governors State University on students’ self-reported interprofessional competencies. Using the Interprofessional Collaborative Competencies Attainment Survey (ICCAS-R) developed by Archibald, D., Trumpower, D., and MacDonald, C.J., in 2009 and revised in …

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 …

Racism, Coping, And In-Race Heterosexism Among Asian American Sexually Expansive People: A Moderated Moderation Analysis, Miah Theresse A. Sabas

Graduate Masters Theses

Asian American sexually expansive people (AA SEP) are at elevated risk of psychological distress at the intersection of racism and heterosexism (Takeda et al., 2021). Less is known about how AA SEP cope with intersectional oppression, including experiences of in-race heterosexism. With a sample of 105 AA SEP, correlations indicated a positive link between psychological distress (PD; DASS-21, Lovibond & Lovibond, 1995) and racism-related stress (RRS; Brief PEDQ-CV, Brondolo et al., 2005), but not in-race heterosexism (Perceived Racism in Lesbian, Gay, and Bisexual Communities Scale, Sarno et al., 2015). Moderation analyses indicated only active coping buffered the relation between RRS …

Caring For The Carers: Exploring The Mental Wellbeing Of Informal Palliative Caregivers Of Cancer Patients In Kenya, James Kariuki, Rose Njiraini

Journal of Global Awareness

Cancer cases have been on the increase globally, and this has led to economic burden on the affected households. One way of reducing the cost of care is through home-based care by informal palliative caregivers who include family members, friends, and other people assigned by the family members to take care of the patient. The objectives of this study were to assess the status of the mental wellbeing of palliative caregivers of cancer patients; to examine the relationship between the ability of the patient to cope with cancer diagnosis and the mental wellbeing of the caregiver; and to investigate the …

Purity Culture And Sexual Shame, Dr. Amanda Gray, Dr. Kat R. Klement

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

We investigated the relationship between Christian purity culture (PC) exposure/endorsement and sexual shame in 1,273 participants. Purity culture (PC) is a belief system predicated on sexual abstinence until heterosexual marriage and traditional gender roles. Correlational data showed that PC exposure was associated with higher sexual shame, particularly among women, and only among those who no longer endorsed PC. However, we did not find a causal relationship between PC exposure and sexual shame. Based on these findings, we provide recommendations for countering sex-negative messages during adolescence to improve healthy sexual development and better health and relationship outcomes.

Exploring The Lived Experiences Of Spouses Of Veterans With Ptsd And Nightmares In Coastal Georgia, Heather Evans

Doctoral Dissertations and Projects

The purpose of this phenomenological study was to understand the lived experiences of spouses of veterans diagnosed with posttraumatic stress disorder (PTSD) with recurring nightmares in coastal Georgia. Since the experience of the spouse of a veteran is a unique experience, the theories that guided this study were Bowen’s family systems theory and Lazarus and Folkman’s stress theory. These theories guided this study in comprehending the complexities of this role and the family dynamics and stress of a spouse of a veteran with PTSD and nightmares. Thematic analysis was used in this study to analyze the data. The literature on …

A Phenomenological Study Of The Experiences Of Facilitators Who Attended A Training Program And Led An Experiential Couple’S Workshop Influenced By The Principles Of Emotionally Focused Therapy, Isabelle Valenciano

Doctoral Dissertations and Projects

The purpose of this transcendental phenomenological study was to describe relationship educators’ lived experiences of attending a facilitator training and leading an experiential couple’s workshop grounded in emotionally focused therapy. Experiential learning theory (Kolb, 1984) was the lens used to gain a better understanding of participants’ concrete, novel experiences. Marriage education programs may be an intervention method for distressed couples seeking relationship assistance, prevention, and preparation. As an intervention, marriage education programs show promise for improving several aspects of relationships (Gordon et al., 2019). The increased number of distressed couples in marriage education workshops and programs indicates the need for …

From Body Positivity To Body Power: How Music Therapy And Body Liberation Intersect To Address Body Oppression In The Therapeutic Space–A Literature Review, Katherine M. Perkoski

Expressive Therapies Theses

With the rise of overt fascism, anti–fat bias, anti–intellectualism, anti–multiculturalism, anti–diversity, equity, and inclusion, and the persistence of white, capitalist, cisheteropatriarchy narratives around bodies, music therapists need to recognize how client and therapist bodies show up in practice. In this critical literature review, bodies will be sociopolitically and culturally contextualized, and the intersections of music therapy, body liberation, and body power will be discussed. Music therapists need to address the body oppression faced by sociopolitical identities such as race, gender, disability, age, body size, sexuality, neurodiversity, class, ethnicity, nationality, housing status, and immigration status. The music therapy field needs to …

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 …

Embodied Identity In Dementia: Art Therapy As A Pathway To Selfhood, Sarah E. Southwick

Expressive Therapies Theses

Older adults living with dementia have often been erroneously perceived as inhabiting a singular lived experience marked by degeneration in cognitive functioning and considerable losses in self-identity. There is substantial literature to suggest that multisensory stimulation and art therapy are well-positioned as conduits for self-expression. However, a gap exists related to artistic media and how they may be implemented and tailored for people with dementia. This capstone explores the paradigm of selfhood as a subjective essence of being that may be accessed through creative expression and sensory engagement. Arts-based directives were implemented through a person-centered expressive arts therapy framework. Two …

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 …

Becoming A Body-Centered Psychotherapist: Developing A Reflective Method For Navigating Dual Professional Identity In Dance/Movement Therapy Training, Emma Rose Barbosa

Expressive Therapies Theses

The field of mental health counseling frequently prioritizes verbal modalities, often leaving dance/movement therapists (DMTs) in training to navigate clinical environments that diverge from their primary movement-first modality. Without adequate preparation for this tension, emerging DMTs risk losing access to their primary treatment modality at a critical stage of professional development. The literature review highlights the mind-body connection as a theoretical foundation for somatic integration in clinical practice, examines the development of the internal witness through authentic movement practice, and explores selected current perspectives on DMT within individual counseling contexts. To investigate further themes, a heuristic study was conducted during …

Arts-Based Violence Prevention For Youth: A Literature Review, Amber Lynn Isaac

Expressive Therapies Theses

This narrative literature review examines arts-based approaches to violence prevention and trauma-related support among school-aged children and adolescents in school and community settings. Violence is conceptualized as both interpersonal and structural, encompassing physical, emotional, relational, and systemic harms that arise through unequal access to safety, opportunity, and resources. The review then explores how these conditions increase vulnerability to trauma exposure, particularly among youth in marginalized and underserved communities, and considers the psychological impacts of violence on youth development. Centering the resilience of children and adolescents through relational strengths, adaptive coping strategies, and creative capacities, this review then examines the benefits …

Influence Of The Discipline Of Authentic Movement Practice On Interpersonal Relationships, Joy Ruben Welts

Educational Studies Dissertations

This mixed methods study explored how practicing the Discipline of Authentic Movement impacts relationships. This research was conducted to fill in the gaps around attunement and use of the Discipline of Authentic Movement as an intervention to support healthy relationships. Five self-selected adults met on Saturday afternoons for eight weeks to practice the Discipline of Authentic Movement. They completed a pre and post Revised Adult Attachment Scale and reflected weekly on their experience through journaling. Participants reported that it was the structure of the Discipline of Authentic Movement that allowed them to feel more comfortable being themselves with others. The …

“There Was Nothing Left To Give”: Experiences Of Compassion Fatigue Among Former In-Patient Psychiatric Clinicians, Katie Ladner

Counseling and Psychology Dissertations

Compassion Fatigue (CF) is a state of emotional and physical exhaustion resulting from prolonged exposure to stressful or traumatic experiences, specifically among healthcare workers, and it negatively impacts their ability to provide care to their patients and perform their jobs effectively (Singh et al., 2020). The purpose of this qualitative study is to explore the lived experiences of compassion fatigue in mental health clinicians who previously worked in in-patient psychiatric hospitals and their subsequent resignations. This phenomenological research explored participants' understanding and descriptions of their CF experiences in their roles within psychiatric hospitals and how CF contributed to their leaving …

Black Maternal Mental Health: Counseling Considerations For Prenatal Depression And Anxiety, Morgan Renee Williams

Educational Specialist, 2020-current

The maternal mortality rate of Black women in the United States is four times higher than white women (Centers for Disease Control and Prevention, 2020). The CDC defines a maternal death as “the death of a woman while pregnant or within 42 days of termination of pregnancy… but not from accidental or incidental causes” (Centers for Disease Control and Prevention, 2024, para. 1). This statistic is a consequence of the inequality within and outside of the American healthcare system (National Academies of Sciences, Engineering, and Medicine, 2020). For the purposes of this research, Black women are defined as any women …

Neurodiversity In Counseling: Counseling Strategies For Supporting Neurodiverse Clients, Emily R. Plowright

Educational Specialist, 2020-current

Neurodiversity recognizes the natural differences in human functioning, including the unique ways that individuals think, learn, and process information. The neurodiversity movement views these differences as valuable, challenging historical beliefs that label them as deficits. Despite growing awareness of neurodiversity, counseling research and practice have largely overlooked the unique needs of neurodiverse clients, resulting in barriers to accessing mental health care. This paper addresses the concept and models of disability to provide context for understanding neurodiversity. Neurodiverse identities, such as attention-deficit/hyperactivity disorder (ADHD), autism spectrum disorder (ASD), specific learning disorders (SLDs), and tic disorder, are explored through their diagnostic criteria …

Exploring Play: Counselor Education Strategies, Online Community Fantasy Play, And Sexuality In The Counseling Space, Nattalie Wolff-Tseng

Dissertations, 2020-current

This dissertation examines the ways that play is constructed and understood in a variety of settings. Using Relational Cultural Theory as a guiding theoretical influence, each portion examines how play influences relationships and how engagement in play and conversations about play can enhance student–teacher relationships, social connection, and the therapeutic relationship. The first section of this dissertation, the conceptual article, explores how play can support counselor education as it encourages creative engagement and discourages perfectionism, which is often noticeable in novice counselors. Play may take many forms in the classroom and offers counselor educators the opportunity to tailor activity to …