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Full-Text Articles in Counseling

Exploring Help-Seeking Experiences And Barriers Of Ethnic And Racially Marginalized Individuals With Ocd In The United States, Nayara Aparecida Da Costa Silva Beall Jan 2025

Exploring Help-Seeking Experiences And Barriers Of Ethnic And Racially Marginalized Individuals With Ocd In The United States, Nayara Aparecida Da Costa Silva Beall

Antioch University Dissertations & Theses

This qualitative study explored the help-seeking experiences and barriers of ethnic and racially marginalized individuals with OCD living in the United States through a sociocultural model of OCD. Participants included eight adults who self-identified as members of a racial or ethnic marginalized group and with an OCD diagnosis. Individual interviews were conducted to gain an in-depth understanding of participants’ experiences and data was analyzed using a thematic analysis approach. Five themes emerged from the analysis: (1) OCD Emergence, (2) Barriers to Getting Help with OCD, (3) Desire for Help, (4) Ongoing Challenges with OCD, and (5) The Importance of Finding …


Scrupulosity: A Comprehensive Review Of The Research, Julie M. Painley Jan 2025

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 Jan 2025

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 …


Weaving Threads Of Identity: A Qualitative Study On Reconnecting Indigenous Folx, Rachael L. Fuller Jan 2025

Weaving Threads Of Identity: A Qualitative Study On Reconnecting Indigenous Folx, Rachael L. Fuller

Antioch University Dissertations & Theses

This research is a qualitative phenomenological inquiry into reconnecting Indigenous participants’ experiences in how they navigate and integrate their cultural heritage, identity, and intergenerational experiences to shape their present and future lives. Previous literature examines characterizing Indigeneity, navigating multiple spaces, and culture as wellness. Rooted in Tribal Critical Race Theory, semi-structured interviews were conducted with nine participants who self-identified as Indigenous. A thematic analysis highlighted six themes of reconnection: a) oppression, b) ancestors, c) belonging, d) barriers to reconnection, e) learning, and f) connection with community. This research makes a contribution to the growing Indigenous identity literature by providing an …


For Black College Students Who Considered Dropping Out When Grit Wasn’T Enough: A Mixed Methods Study Exploring The Influence Of Family Messaging On Collegiate Outcomes, Dawn M. Wilson Jan 2025

For Black College Students Who Considered Dropping Out When Grit Wasn’T Enough: A Mixed Methods Study Exploring The Influence Of Family Messaging On Collegiate Outcomes, Dawn M. Wilson

Antioch University Dissertations & Theses

Black college student outcomes are well researched areas in education literature. This dissertation sought to explore the influence of academic and ethnic racial socialization on experiences of shame and guilt and examine the association of those relationships on Black college student retention and persistence. This study employed an explanatory sequential mixed methods design to investigate the socialization experiences of 272 Black college students in the US. Conditional process model analyses revealed that academic socialization is associated with experiences of guilt and shame—guilt predicted improved retention outcomes, while shame predicted lower retention outcomes. The analysis also revealed that while ethnic racial …


How Marriage And Family Therapy Graduate Programs Awaken, Develop, And Teach Clinical Intuition: A Hermeneutic Qualitative Phenomenological Study, Jessica Fountas Jan 2025

How Marriage And Family Therapy Graduate Programs Awaken, Develop, And Teach Clinical Intuition: A Hermeneutic Qualitative Phenomenological Study, Jessica Fountas

Antioch University Dissertations & Theses

This research explored how marriage and family therapy graduate programs awaken, develop, and teach clinical intuition. Using criterion-based sampling and snowball sampling, six licensed marriage and family therapists participated in a two-step hermeneutic phenomenological study consisting of individual semistructured interviews and a follow-up focus group. Requirements for participation were licensed marriage and family therapists who were in clinical practice, had experienced the phenomenon of clinical intuition and awakening of clinical intuition, and used clinical intuition in therapy with clients and in systemic supervision with supervisees. The research findings highlighted 14 themes: Reflection of the Experience of Clinical Intuition; Bodily Knowing, …


A Phenomenological Study Of How Parents Of Lgbtqia+ Youth Experience School-Based Sex Education, Alisha Bachman Jan 2025

A Phenomenological Study Of How Parents Of Lgbtqia+ Youth Experience School-Based Sex Education, Alisha Bachman

Antioch University Dissertations & Theses

Empirical research on LGBTQIA+ youth and Comprehensive Sex Education is scarce and now, due to the current political climate, is under threat. Utilizing an interpretive phenomenological approach applying ecological systems and queer theory, this study explored the lived experiences of how parents of LGBTQIA+ youth perceive school-based comprehensive sex education. By isolating the phenomenon of comprehensive sex education, this study focused on the immediate context of influence that comprehensive sex education makes on LGBTQIA+ youth and families. This research used data collected through semi-structured interviews with nine different parents. Four themes emerged from the data: Communication and Education about Sexuality …


The Importance Of Accessibility, Self-Advocacy, And Affirming Care: An Interpretive Phenomenological Analysis Of Transgender And Gender Diverse Older Adults’ Primary Care Experiences, Jason Vaught Jan 2025

The Importance Of Accessibility, Self-Advocacy, And Affirming Care: An Interpretive Phenomenological Analysis Of Transgender And Gender Diverse Older Adults’ Primary Care Experiences, Jason Vaught

Antioch University Dissertations & Theses

The present study explored the lived experiences of Transgender and Gender Diverse (TGD) older adults when receiving primary care. The methodology utilized for this study was Interpretive Phenomenological Analysis (IPA). Three participants completed individual, semi-structured interviews. The themes that emerged included “Lack of Accessibility to Services,” “Need for Self-Advocacy,” and “Value of Affirming Care from Providers.” These results illustrated the multifarious needs that arise for TGD older adults when accessing primary care. The findings provided recommendations for healthcare organizations, primary care physicians, and other healthcare professionals. Specifically, the recommendations emphasized two key practices for physicians treating TGD older adults: (1) …


Memento Mori: A Photo-Elicit Narrative Analysis On Grief, Jared Becknell Jan 2025

Memento Mori: A Photo-Elicit Narrative Analysis On Grief, Jared Becknell

Antioch University Dissertations & Theses

Training and education about grief counseling has been stagnant, stalling the creativity and novel practice when working with bereaved individuals. Counselors in Training often receive minimal education and training in grief, even though clients will ultimately experience this phenomenon. Qualitative research findings provide insights into how individuals actively engage in the grieving process, while promoting their own versions of healing and acceptance through the artifacts kept from deceased loved ones. These findings explore the lived experience of individuals who keep artifacts from a deceased loved one. Results show an active participation in reconnecting to the deceased versus addressing grief symptoms …


Inheriting Power And Pain: An Examination Of Intergenerational Influences In The Stories Of Black Women In Professional Leadership Positions, Angela Banks Jan 2025

Inheriting Power And Pain: An Examination Of Intergenerational Influences In The Stories Of Black Women In Professional Leadership Positions, Angela Banks

Antioch University Dissertations & Theses

This study aimed to explore the stories of Black women in professional leadership roles. Grounded in a Black feminist perspective (Crenshaw, 1989) and informed by historical and intergenerational trauma (Brave Heart, 1999), this study utilized Black storytelling as a methodological framework and employed thematic analysis to examine the narratives of participants. A total of nine Black women in leadership positions across various industries participated in one-on-one interviews. The findings revealed four key themes: (1) What I saw and what others saw in me: Community leadership, (2) Instilled values: The Strong Black Woman Schema, (3) The only one: Sole representation and …


Reality Shock And Systemic Strain: Understanding The Lived Experiences Of Pre-Licensed Mental Health Counselors, Sara Al-Khedairy Jan 2025

Reality Shock And Systemic Strain: Understanding The Lived Experiences Of Pre-Licensed Mental Health Counselors, Sara Al-Khedairy

Antioch University Dissertations & Theses

The counseling profession is struggling to meet the rising demand for mental health care due to a growing workforce shortage driven by burnout, inadequate support, and low compensation—pressures that disproportionately impact pre-licensed clinicians. Despite their critical role in sustaining the field, pre-licensed counselors often face systemic barriers with little structural support. This qualitative study explored the lived experiences of pre-licensed clinical mental health clinicians through social-ecological and reality shock theories. Participants included 14 pre-licensed clinical mental health counselors who had graduated from CACREP-accredited programs within the last five years. Individual interviews were conducted to gain a deeper understanding of participants’ …


Exploring The Lived Experience Of Grief In Adults With Attention Deficit Hyperactivity Disorder, Martina Bauer Jan 2025

Exploring The Lived Experience Of Grief In Adults With Attention Deficit Hyperactivity Disorder, Martina Bauer

Antioch University Dissertations & Theses

The purpose of this phenomenological descriptive-interpretive study was to understand the lived experience of maintaining attention to one’s responsibilities while grieving among adults diagnosed with ADHD who have recently experienced bereavement in the United States. The population for this study included adults aged 18 and over who had experienced the loss of a loved one in the past 5 years and had a current diagnosis of ADHD. Participants were recruited using a sample of convenience via social media, email, and flyers, employing a snowball sampling technique. There were eight participants who met the inclusion criteria and participated in a semi-structured …


Start From Zero: Reimagining Creative Arts Therapy Education In An International Context, Ling Cheun Bianca Lee Jan 2025

Start From Zero: Reimagining Creative Arts Therapy Education In An International Context, Ling Cheun Bianca Lee

Antioch University Dissertations & Theses

This qualitative dissertation examines how Hong Kong-based art therapists trained in Western graduate programs adapt their educations to the cultural, institutional, and sociopolitical realities of their local contexts. Using photovoice methodology informed by decolonial, liberatory, and trauma-informed frameworks—referred to as stir fry praxis—the study centers the experiences of 11 participants navigating professional reentry, identity formation, and systemic constraints. Seven interrelated themes emerged: The evolving and precarious landscape of art therapy in Hong Kong; the dual role of practitioners as therapists and educators; the impact of sociopolitical forces, including self-censorship and limited access to care; the limitations of Western-centric education; grassroots …


Bisexuality: An Individual's Direction Is Society's Detour, Madisyn J. Roberts Jan 2025

Bisexuality: An Individual's Direction Is Society's Detour, Madisyn J. Roberts

Antioch University Dissertations & Theses

This dissertation explores the lived experiences of self-identified bisexual adults through a qualitative, narrative inquiry approach that centers how folx construct their story of sexuality and individual meaning making capacities based on held intersections of identity. Using Queer theory and intersectionality as a theoretical framework, this study investigates and advocates that sexual orientation is not validated or invalidated by its fluidity but aims to understand how bisexuality is an integrative part of an individual’s identity. This dissertation explores how society’s tendency to view sexuality as divided between heterosexuality and homosexuality erases the complexity and spectrum of sexual orientations that exist …


Intersectional Opportunities For Drama Therapy And Counseling, Erica Craig-Mann Jan 2025

Intersectional Opportunities For Drama Therapy And Counseling, Erica Craig-Mann

Antioch University Dissertations & Theses

The purpose of this study was to explore the intersectional possibilities between the fields of drama therapy and mental health counseling through the lens of transformative learning theory. Specifically, the research sought to understand the lived experiences of professionals trained in both disciplines to identify how these fields might mutually inform, strengthen, and enhance one another through collaboration and/or dual training. Data were collected through a qualitative online survey and analyzed using thematic analysis. Five themes emerged: (a) Theoretical and Practical Overlaps and Distinctions; (b) Drama Therapy-Informed Counseling: Embodiment, Creativity, and Experiential Practice; (c) Counseling-Informed Drama Therapy: Frameworks for Practice, …


Reimagining Care: Experiences Of Trauma-Informed Approaches And Deinstitutionalization In Caribbean Child Welfare, Sarah L. Subhan Jan 2025

Reimagining Care: Experiences Of Trauma-Informed Approaches And Deinstitutionalization In Caribbean Child Welfare, Sarah L. Subhan

Antioch University Dissertations & Theses

This study explored the perceptions and experiences of child welfare professionals on trauma-informed care and implications for deinstitutionalization in Trinidad and Tobago. The qualitative study utilized research interviews from 21 participants to inform findings. The participants included professionals from various agencies who work with children in care and protection. Thematic analysis was used to analyze the data, yielding six overarching themes (1) the need for training and capacity building in child protection, (2) systemic and organizational challenges to trauma informed care, (3) cultural and community factors impacting child protection, (4) the need to support family units as a pathway to …


Ecological Attunement: Exploring Eco-Informed Clinical Supervision, Ari C. Bonagofski Jan 2025

Ecological Attunement: Exploring Eco-Informed Clinical Supervision, Ari C. Bonagofski

Antioch University Dissertations & Theses

This dissertation examined what constitutes eco-informed clinical supervision, identified its essential components, described its practical implementation, and analyzed how it expands systemic practice. The lack of attention climate- and nature-related issues receive in the couple and family therapy field coupled with the climate crisis and disconnection from nature create a gap in training and care for those experiencing ecological distress. Clinical supervision is one method of addressing this issue by teaching and developing competence working with climate- and nature-related issues. Using a modified three-part Delphi methodology, this study included two surveys followed by an optional individual interview. Panelists agreed on …


Examining The Relationship Between Bicultural Stress And Mental Well-Being Among Second-Generation Filipino Americans Living In The United States, Krista Parker Jan 2025

Examining The Relationship Between Bicultural Stress And Mental Well-Being Among Second-Generation Filipino Americans Living In The United States, Krista Parker

Antioch University Dissertations & Theses

Research investigating the bicultural and mental health experiences of Filipino Americans, the third largest Asian American group in the United States, are consistently overlooked, with second-generation Filipino Americans (SGFAs) facing greater risk of adverse mental health outcomes. This quantitative study addresses a critical gap in research by examining the relationship between bicultural stress and mental well-being among SGFAs living in the United States. Using a cross-sectional survey design, a multivariate regression analysis examined the relationship between bicultural stress and four mental health constructs (as measured by depression, anxiety, stress, and self-esteem) among 302 SGFA participants. Results from this study strongly …


Cultivating Empathy: A Content Analysis Of Empathic Themes In Best-Selling Children's Books, Elnaz J. Afousi Jan 2025

Cultivating Empathy: A Content Analysis Of Empathic Themes In Best-Selling Children's Books, Elnaz J. Afousi

Antioch University Dissertations & Theses

This study examines the presence and nature of empathic content in best-selling children’s picture books, with a focus on developmental relevance for preschool-aged readers. Using a modified version of the iEPIC empathy coding system, 10 titles from the New York Times best-seller list were analyzed to assess the frequency and complexity of three empathy-related constructs: Emotion or State Description (ESD), Exploring Emotion or State (EES), and Empathic Understanding or Concern (EUC). Results indicate that while all books contained some empathy-related content, ESD3 (self-reflective emotional descriptions) and EUC2/EUC4 (understanding and helping others) were most prevalent, suggesting an emphasis on both intrapersonal …


Experiences Of Civilian Mental Health Providers Who Work With Military Clients: A Dissertation, Lydia P. Perry Jan 2025

Experiences Of Civilian Mental Health Providers Who Work With Military Clients: A Dissertation, Lydia P. Perry

Antioch University Dissertations & Theses

Using a qualitative survey design, this study sought to understand the experiences of fully civilian providers who had achieved self-perceived military cultural competence when working with military or veteran clients or their families. This study also sought a better understanding of what pathways fully civilian providers took in this process, as well as their perceptions of how to better equip other fully civilian providers for work with military and veteran clients and their families. The results of this study yield recommendations for changes in graduate training programs; for example, through more inclusion of the military as a culture in cross …


Humane Education And Animal Assisted Interventions To Reduce Trauma Impacts: A Scholarly Personal Narrative, Nina Wiebalk Jan 2025

Humane Education And Animal Assisted Interventions To Reduce Trauma Impacts: A Scholarly Personal Narrative, Nina Wiebalk

Antioch University Dissertations & Theses

The burgeoning fields of trauma-informed therapy and humane education are increasingly incorporating Animal Assisted Intervention (AAI). Given the growing understanding of trauma’s impact on developing brains, implementing humane education and AAI programs, such as the one I created, is crucial. This study will detail my efforts establishing and managing this program at a small non-profit within a major metropolitan city located within the Eastern United States, an agency dedicated to preventing and treating child abuse and trauma. To support this mission, I collaborated with our Executive Director to launch an AAI and humane education program, training and partnering with two …


Subthreshold Depression In The National Epidemiologic Survey On Alcohol And Related Conditions Iii (Nesarc-Iii): A Quantitative Analysis Of Prevalence, Characteristics, And Burden In A Nationally Representative Sample, Scott T. Young Jan 2025

Subthreshold Depression In The National Epidemiologic Survey On Alcohol And Related Conditions Iii (Nesarc-Iii): A Quantitative Analysis Of Prevalence, Characteristics, And Burden In A Nationally Representative Sample, Scott T. Young

Antioch University Dissertations & Theses

While subthreshold depression (subD) is relatively young for a diagnostic concept at a mere half century old, it has burdened individuals and societies for far longer. Research has established that it is a highly prevalent, clinically important entity with clear links to personal distress and impairment (including increased suicidal ideation and behavior), societal burden (e.g., increased reliance on public assistance programs), and economic costs (both personal and public). Research has also demonstrated that it represents a significant risk factor for incident major depression (MD) and that it likely represents both a prodromal and residual state in the normal course of …


Engendering The Trans Cft: Gender Diverse Experiences Of Couple And Family Therapy Training Programs, Coltan J. Schoenike Jan 2025

Engendering The Trans Cft: Gender Diverse Experiences Of Couple And Family Therapy Training Programs, Coltan J. Schoenike

Antioch University Dissertations & Theses

Mental health literature, including in couple and family therapy (CFT), is sparse when it comes to transgender and gender diverse (TGD) topics. This is all the more the case when it is discussing instances where the provider themself is the one who is TGD. Very little literature exists that acknowledges the existence of trans clinicians and often focuses solely on whether their transness should even be disclosed. This study aimed to address this gap and explore the experiences of TGD CFTs, particularly focusing on training experiences in programs accredited by the Commission on Accreditation for Marriage and Family Therapy Education …


From Street Codes To School Codes: Transformative Educational Intervention For Gang Affiliated Student. An Active Research Study, Alexandra Saldivar Jan 2025

From Street Codes To School Codes: Transformative Educational Intervention For Gang Affiliated Student. An Active Research Study, Alexandra Saldivar

University of the Pacific Theses and Dissertations

Gang-affiliated youth face significant challenges in educational and community settings, often resulting in lower graduation rates, limited career opportunities, and an increased risk for behavioral problems. While gang activity on school campuses has increased in recent years, there is limited research and little effort specifically tailored to meet the needs of this vulnerable population. This study aims to evaluate the effectiveness of the WhyTry intervention, a resilience-focused program designed for at-risk populations, modified with additional counseling and a gang-intervention emphasis to address the unique challenges gang-affiliated students face. The study explores whether the modified WhyTry program can improve academic performance, …


The Geography Of Care: Rural Versus Urban Caregiver Perspectives On Community Resources For Parkinson’S Disease Management, Rebecca Jones Jan 2025

The Geography Of Care: Rural Versus Urban Caregiver Perspectives On Community Resources For Parkinson’S Disease Management, Rebecca Jones

Murray State Theses and Dissertations

This qualitative study investigated the experiences and perceptions of caregivers for individuals with Parkinson's disease (PD) in rural versus urban settings, with particular emphasis on their access to and utilization of community resources. Through semi-structured interviews with 30 caregivers, the research explored how geographical location impacts caregiving challenges, support systems, and resource accessibility. Using Andersen's Behavioral Model of Health Services Use as a theoretical framework, the study revealed both universal caregiving challenges and location-specific barriers. While all caregivers reported significant emotional burden and healthcare system navigation difficulties, rural caregivers faced distinct challenges related to resource accessibility and specialized care availability. …


The Healer's Call: Helping Clients In A Secular World With Spiritual Problems, Brent Taylor Dec 2024

The Healer's Call: Helping Clients In A Secular World With Spiritual Problems, Brent Taylor

Issues in Religion and Psychotherapy

No abstract provided.


Issues In Religion And Psychotherapy Volume 42 Number 1 Dec 2024

Issues In Religion And Psychotherapy Volume 42 Number 1

Issues in Religion and Psychotherapy

No abstract provided.


Front Matter Dec 2024

Front Matter

Issues in Religion and Psychotherapy

No abstract provided.


President's Message: An Eternal Perspective, David T. Seamons Dec 2024

President's Message: An Eternal Perspective, David T. Seamons

Issues in Religion and Psychotherapy

No abstract provided.


Editorial Message Dec 2024

Editorial Message

Issues in Religion and Psychotherapy

No abstract provided.