Counseling Commons^™

A Qualitative Phenomenological Study Of African American Millennial Couples' Perceptions Of Dual Trauma And The Impact On Marital Satisfaction, Christopher Ray Merrell

Doctoral Dissertations and Projects

The purpose of this phenomenological study is to describe African American millennial married couples’ experiences with unresolved trauma in the North Texas Region, Texas. The theory guiding this study is John Bowlby’s Attachment Theory. Multiple traumatic experiences and relationship fractures that inhibit marital satisfaction among African American millennials are also examined. Trauma, viewed from a generalized perspective and conceptual form, is defined as an uncontrollable and sudden event with highly adverse outcomes that may persist. Among African Americans, trauma from interpersonal distress, historical events, racial barriers, and socioeconomic stressors often hinders the pursuit of healthy marriages. This study examines millennial …

Heroes Of Medicine In The Rio Grande Valley: Documentary Interview With Dr. Cynthia Cavazos Gonzalez, Cynthia Cavazos Gonzalez, Raquel Elena Orellana

Heroes of Medicine in the Rio Grande Valley

Cynthia Cavazos Gonzalez PhD is an Associate Professor of Clinical Practice at UTRGV in Edinburg, Texas and she is the clinic director of the UTRGV Psychology training clinic. She completed a doctoral degree in Clinical Psychology from California School of Professional Psychology in Fresno, California. Her doctoral degree is in Clinical Psychology with a major specialization in Neuropsychology and minor specialization in Health Psychology. She completed an APA-accredited pre-doctoral internship at UTMB in Galveston with a major emphasis in hospital consultation, outpatient psychotherapy, and psychological and neuropsychological evaluations with diverse populations. She completed an informal neuropsychology post-doctoral residency in Texas …

“We're Human. We Are Just Human”: Experiences Of Trans And Two-Spirit Individuals In The Midwest, Gwen Avery Donner

Honors Thesis

In the United States today, gender can be a hot button topic, seemingly controversial and assigned as political, and within conservative regions the topic of gender becomes more taboo. Unfortunately, this view can lead to the stigmatization and discrimination of individuals who fall outside of the socially constructed gender binary. In order to explore how living in the conservative landscape of the Midwest impacts individuals who reside outside of the gender binary, 11 semi-structured, qualitative interviews with Trans and/or Two-Spirit individuals were conducted in which they were asked about their lived experiences. The findings of the interviews revolved around two …

Clinicians’ Perceived Preparedness To Support Clients Who Have Co-Occurring Disorders, Jessica A. Love Jordan, Joseph Day

Journal of Applied Disciplines

Co-occurring mental health and substance use disorders are prevalent, yet many clinicians feel underprepared to provide integrated care for this population. This study explores the factors influencing clinicians' perceived preparedness and objective knowledge in treating clients with co-occurring disorders. Data were collected from 131 clinicians using the CODECAT EZ 2.0 and TIP ZIP assessments to evaluate their competence in co-occurring disorders treatment. Results indicate that while participants held positive attitudes toward integrated care, their practical knowledge and skills were often rated as average or below. Education, clinical experience, and continuing education were found to significantly influence both perceived preparedness and …

Nursing Interventions To Reduce Anxiety And Psychological Distress In Breast Cancer Patients In The Us, Alexis Abboud, Al Araydeh Mifleh

The Cardinal Edge

Background Breast cancer patients frequently experience psychological challenges, such as anxiety, distress, and diminished quality of life (QoL). Nursing interventions show promise in addressing these issues; however, a comprehensive synthesis of their impact is lacking. This review evaluates the effectiveness of nursing interventions in reducing anxiety and psychological distress while improving QoL.

Research Question What nursing interventions effectively reduce anxiety and psychological distress and improve QoL among breast cancer patients in the United States?

Methods A systematic review was conducted following PRISMA 2020 guidelines. Searches of CINAHL, APA PsycInfo, and Medline identified studies published in the last five years in …

Exploring The Lived Experiences Of Unfaithful Partners: Perceptions Of Forgiveness And Commitment To Rebuilding Trust After Infidelity, Ana De La Cruz Arciniega

Doctoral Dissertations and Projects

Infidelity has significant emotional and relational consequences; however, limited research has examined the lived experiences of unfaithful partners, particularly their perceptions of forgiveness and commitment to rebuilding trust. This phenomenological study described the lived experiences of unfaithful partners and explored how they understood forgiveness and engaged in trust-rebuilding efforts following infidelity. Thirteen participants (seven males and six females), aged 30 to 65, who had engaged in emotional, physical, virtual, or paid sexual affairs were recruited through social media, private therapeutic practices, affair recovery programs, and church networks. Participants completed individual 45-minute semi-structured interviews conducted via Zoom. Interviews were transcribed, member-checked, …

The Benefits Of A Holistic Biblical Approach To Adolescent Substance Use Treatment And Prevention, Amberlin D. Salas

Doctoral Dissertations and Projects

Adolescent addiction is increasingly problematic in the United States, including substance use and other addictive behaviors that carry a risk of continued adult addiction if not resolved effectively. Current treatment models are primarily limited to meeting the mental, emotional, and physical needs, but have gaps in treating areas such as spirituality and healthy parental relationships. From a biblical standpoint, Christian principles are relevant to all areas of need in the addicted individual, and considering a holistic biblical approach to address all areas of life could fill the gaps left by conventional addiction interventions. To understand the possible implications of a …

A Phenomenology Of Sexual Assaults On College Campuses, Karon R. Williams

Doctoral Dissertations and Projects

The rate of sexual assaults for women, lesbian, gay, bisexual, and transgender (LGBT) individuals on college campuses is reported at a higher rate compared to males and is continuing to rise at a staggering rate, causing this to become a national issue. The purpose of this phenomenological study is to understand the subjective experience, campus culture, psychological disorders, and changes in students' religious beliefs after a sexual assault. Victims’ perceptions and campus norms reporting sexual violence and assault incidents help to explain institutional support systems, the afterlife, and long-term outcomes of victims, prevention programs, and services. The frameworks for this …

The Impact Of Covid-19 On Women Caregivers Of The Sandwich Generation, Keri L. Burns

Doctoral Dissertations and Projects

The purpose of this phenomenological study is to describe female members of the sandwich generation’s experiences as care providers during and post-COVID-19 in Central Florida. At this research stage, female members of the sandwich generation are understood as women in midlife who occupy dual caregiving roles for dependent children and aging parents, and whose lived experiences offer insight into caregiving experiences during a global pandemic. (Steiner & Fletcher, 2017). As life expectancy has increased and financial insecurity has been a concern for all generations, the sandwich generation caregivers, specifically women, have become more focused on providing varying levels of care …

Exploring The Relationships Between Differentiation Of Self, Family Unit Functioning, And Posttraumatic Growth In Adult Female Survivors Of Domestic Minor Sex Trafficking, Samantha Stokesberry

Doctoral Dissertations and Projects

The purpose of this dissertation was to explore the relationships between differentiation of self (DoS), family unit functioning (FUF), and posttraumatic growth (PTG) in adult female domestic minor sex trafficking (DMST) survivors in the United States. A Bowen Family Systems Theory framework was used for the theoretical foundation of this study and the research was explored from a Christian worldview. A sample of 30 adult female DMST survivors between the ages of 25-55 completed an anonymous online survey that included four measures: a demographics form, The Differentiation of Self Inventory – Revised (DSI-R), the Family Unit Functioning Questionnaire (FUF-Q), and …

The Effectiveness Of Mode Deactivation Model Group Counseling In Improving The Emotional Wellness Of Junior High School Students, Ananda Dwi Rahmadanti, Muya Barida, Sri Hartini, Aprilia Setyowati

Buletin Konseling Inovatif

This study was motivated by the low level of emotional wellness among some junior high school students, characterized by difficulties in recognizing, understanding, and managing emotions adaptively, thereby impacting social behavior and learning processes at school. Previous studies have shown that emotion regulation-based interventions are effective in improving adolescents' emotional well-being. However, counseling interventions in schools that specifically target emotional regulation patterns to improve students' emotional wellness are still relatively limited in guidance and counseling services. Therefore, this study aims to examine the effectiveness of group counseling using the Mode Deactivation Counseling (MDC) model in improving the emotional wellness of …

The Phoenix Trauma Response Model (Ptrm): An Integrative And Innovative Approach To Trauma Recovery And Growth, Latesha S. Holloman, Lauren B. Robins, Tammie Willis, Courtney V. Morris

Journal of Human Services Scholarship and Interprofessional Collaboration

Trauma is increasingly understood as a developmentally consequential experience that shapes identity, regulation, and relational functioning across the lifespan. Although trauma-informed care, resilience theory, posttraumatic growth, and narrative approaches have expanded understanding of recovery, few frameworks articulate a structured developmental progression that integrates prevention, intervention, and intergenerational transformation within a unified model. The Phoenix Trauma Response Model (PTRM) addresses this gap by introducing a cyclical, phase-based framework organized around four interrelated processes: Recognition, Reframing, Reclamation, and Replication of Strength. Central to the model is the construct of conversion potential, defined as the structured capacity to translate distress into purposeful …

Diagnostic Trends And Service Enhancements In Deaf Mental Health: A Longitudinal Analysis, Kent Schafer, Steve Hamerdinger, Frank Wu, Rie Sakai Bizmark, Charlene Crump

JADARA

A longitudinal study investigated mental health diagnostic trends and patterns among Deaf and Hearing individuals using a comprehensive dataset from Alabama Department of Mental Health spanning 2004-2024 (Deaf=4,547; Hearing=2,056,188). Chi-square analysis revealed significant proportional differences in diagnoses between the groups. Deaf individuals showed significantly higher proportions of psychotic (12.93% vs. 8.33% Hearing), mood (20.76% vs. 18.84% Hearing), and personality (0.58% vs. 0.43% Hearing) disorders. These findings suggest that increased access to specialized and competent mental health services for individuals who are Deaf, particularly following the increase of staffing patterns for the Office of Deaf Services in 2015,contributed to more accurate …

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.

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 …

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 …

The Counseling Experiences Of Gifted Adults, Kelli Busbee, Theodore Remley

Adultspan Journal

In this transcendental phenomenological study, we followed the traditions of Moustakas and explored the counseling experiences of adults who had been identified as gifted during their school years and had experienced counseling for issues related to anxiety, depression, perfectionism, or hypersensitivity. We identified the following themes after interviewing participants: (1) growing up gifted; (2) challenges for gifted individuals at the college level; (3) living with anxiety and depression as a gifted adult; (4) medication and tools used by gifted adults; (5) being a perfectionist and dealing with hypersensitivity as a gifted adult; (6) experiences in counseling as a gifted adult; …

Assessment Perception: Delivery Matters, Nicole Marie Arcuri Sanders, Chelsey Simmons

Journal of Counselor Preparation and Supervision

Perception shapes how individuals experience the world and guides their actions toward personal goals. In counseling, clients’ accurate understanding of assessment results is essential for informed decision-making and effective treatment engagement. Mental health clinicians have an ethical responsibility to communicate findings in ways that safeguard client welfare and empower both clients and stakeholders to collaborate in care. This conceptual manuscript introduces the BRIEF (Brief, Relevant, Interpretive, Empathetic, and Factual) Feedback Integration Framework, a structured model for delivering assessment feedback ethically and accessibly. Integrating cognitive, developmental, and cultural considerations. BRIEF provides counselors, supervisors, and educators with a practical strategy for improving …

Determinants Of Critical Thinking In The Ai Era: The Mediating Role Of Self-Efficacy In Digital Literacy And Students’ Social Interaction, Annisa Arrumaisyah Daulay, Atikah Asna, Devi Eka Yulita Br Tarigan

Buletin Konseling Inovatif

The importance of critical thinking in higher education has become increasingly prominent amid the rapid advancement of digital technology and artificial intelligence. This study aims to examine the effects of social interaction and digital literacy on students’ critical thinking skills, with self-efficacy serving as a mediating variable. Employing a quantitative approach with path analysis, data were collected from 650 university students during the 2024/2025 academic year and analyzed using SmartPLS. The results indicate that self-efficacy has a significant effect on critical thinking (β = 0.455, p < 0.001) and functions as a mediator linking digital literacy (β = 0.286, p < 0.001) and social interaction (β = 0.166, p = 0.001) to critical thinking ability. Furthermore, digital literacy exerts a significant indirect effect on critical thinking through the enhancement of self-efficacy (indirect effect = 0.234, p < 0.001). These findings underscore that strengthening digital literacy and social interaction within educational curricula, along with fostering students’ self-efficacy, can effectively enhance critical thinking skills, which are essential for addressing academic and professional challenges in the digital era.

The Impact Of Communication On Generational Trauma, Claudia Abalo

Doctoral Dissertations and Projects

Trauma has occurred since God made man, and it has been passed down through generations. Now, even though generational trauma may not end until our Lord and Savior Jesus Christ returns (Revelations 21:4), in the meantime, the Scriptures encourage us to love one another as God loves us (John 13:34-35), to care for each other, and to share our burdens with one another (Galatians 6:2). However, there is limited research as to whether sharing our burdens such as discussing traumatic experiences within the home impacts generational trauma. Therefore, this qualitative, interpretative phenomenological study aimed to answer how the children of …

Teaching Peace, Stopping Bullying: The Transformative Power Of Kh Ahmad Dahlan’S Psychoeducation, Wahyu Nanda Eka Saputra, Anya Ahda Mahira, Salsa Puspita Dwi Djajuli

Buletin Konseling Inovatif

Bullying in schools remains a serious problem that negatively impacts students' academic and psychological development. A safe and violence-free learning environment is crucial to supporting the achievement of national education goals, thus requiring effective interventions to reduce bullying behavior. This study aims to test the effectiveness of group counseling services using psychoeducational techniques based on the teachings of KH. Ahmad Dahlan in reducing bullying behavior. The scope of the study focuses on the application of peaceful values in junior high schools as a prevention strategy and as a positive character development strategy for students. This study used a quantitative approach …

The Efficacy Of Rapid Counseling With Single-Session Music Therapy On Enhancing Emotion Regulation In Response To Activating Events, Aloysius Selo Aryobimo Oentarto

Buletin Konseling Inovatif

This study examines the efficacy of Rapid Counseling with Single-Session Music Therapy (RCSSMT) in enhancing emotion regulation in response to activating events. Many daily circumstances are uncontrollable, often leading individuals with negative thought patterns to experience distress and anxiety, known as activating events. Music therapy, as a holistic approach, acts as an emotion-focused coping strategy by calming physiological stress responses and preparing the individual for cognitive restructuring. This research employed a single-subject pre-test, post-test, and follow-up design, with the subject being SG, who had the lowest initial score on the Emotion Regulation Questionnaire. The scores showed a gradual but significant …

Gardening As A Psychosocial Well-Being Activity For Adults: Integrating Eco-Wellness And Developmental Theory, Christopher T. Belser, Helene Tavormina, Ann O'Hanlon

Adultspan Journal

Prior research has demonstrated the myriad of benefits that gardening can offer individuals, ranging from physical, mental, emotional, and social benefits. Though the counseling literature has begun to address the nature-wellness connection via EcoWellness theory (Reese & Myers, 2012), little attention has been paid to the benefits of gardening as a psychosocial well-being activity for adult populations. In this manuscript, authors offer a conceptual framework built on EcoWellness theory, psychosocial development theory, life-span, life-space career theory, and selection, optimization, and compensation theory that contextualizes gardening as a beneficial activity for young adults, middle adults, and older adults. Authors present specific …

Digital Morality And National Values: Pancasila As An Ethical Compass For Technology-Enhanced Counseling In Indonesia, Dominikus David Biondi Situmorang, Hendrik Tuaputimain, Muqaffi Muqaffi, M. Solehuddin

Buletin Konseling Inovatif

The very fast development of Artificial Intelligence (AI), Virtual Reality (VR), Augmented Reality (AR), and Mixed Reality (MR) in the last decade have changed the way of mental health practice internationally, including Indonesia. Although these technologies extend reach, deepen therapeutic engagement, and facilitate clinical analysis, they also present serious ethical challenges with respect to privacy, algorithmic bias, depersonalization, and disparity. This integrative review draws on literature from counseling, digital ethics, immersive technologies, and Indonesian philosophical studies to consider how Pancasila can serve as a culturally situated ethical guide for technology-mediated counseling. The results disclose four overarching themes: shifting role of …

Enhancing Self-Esteem In Adolescents During Acute Inpatient Psychiatric Hospitalization: A Mixed Methods Study, Praveen Injeti, Julie D. Kugel, Dragana Krpalek, Liane Hewitt, Lida Gharibvand

The Open Journal of Occupational Therapy

Background: Low self-esteem (LSE) can negatively impact adolescent mental health, leading to suicidal ideation (SI). Social stressors, such as peer rejections, are considered a source of stress that can contribute to LSE, SI, and subsequent admission to psychiatric facilities. This study aimed to assess the effectiveness of an occupational therapy intervention to improve self-awareness and self-esteem during short-term hospitalization.

Method: The research used a mixed methods approach to evaluate the impact of a psychoeducational intervention by an occupational therapist on 16 adolescents. The Rosenberg Self-esteem Scale (RSES) was used before the intervention (pretest), immediately after the intervention (posttest …

A Phenomenological Study Of The Personal And Professional Experiences Of U.S. Police Leaders Who Led Their Agency Through A Line-Of-Duty Death, Elizabeth A. Cary

Doctoral Dissertations and Projects

The purpose of this phenomenological study was to describe the personal and professional experiences of police leaders from across the United States who led their agencies through line-of-duty deaths (LODD). The social constructivist worldview guided this study as Creswell and Poth (2025) suggest that it captures complicated and multifaceted subjective meanings of individuals. Transformational leadership theory was the lens through which this research was conducted. Police leaders are faced with personnel, political, societal, and generational challenges following the events of Ferguson, George Floyd, the COVID-19 pandemic. This is on top of the already stressful and traumatic work police officers face …

Examining The Psychological Impact Of Adverse Childhood Traumatic Experiences In Adult Survivors: Creating A Community Of Awareness And Intervention, Lawanda T. Mobbs

Doctoral Dissertations and Projects

Childhood trauma encompasses experiences such as abuse, neglect, and household dysfunction, experiences which have profound and lasting effects on an individual’s development and well-being. These behaviors can manifest in many ways. The intricate interplay between childhood trauma, mental health challenges, and maladaptive behaviors creates a complex clinical picture, often requiring specialized and trauma-informed approaches within the community. Understanding the efficacy of interventions tailored to this population is crucial for improving the quality of life and fostering resilience. Despite extensive research, there remain significant gaps in understanding the full scope of these effects and how to mitigate them. This study investigated …

Examining Perceived Problem-Solving Skills, Parenting Styles, And Biblical Principles: Insights From Parents Or Guardians Of African American Teen Males, Dorothy Farrow

Doctoral Dissertations and Projects

This quantitative study examined the relationship among parenting styles, the use of biblical principles in parenting, and the problem-solving skills of African American male teenagers aged 14 to 17 years in Cuyahoga County, Ohio, as perceived by their parents or guardians. The study addressed a significant gap in existing literature by integrating biblical teachings with established psychological theories on parenting. The primary theoretical frameworks included Baumrind's parenting styles theory and Bandura's social cognitive theory. Using the Kruskal–Wallis H and chi-square tests, the study assessed the potential relationships among parenting styles, biblical use in parenting, and parent-perceived problem-solving skills of their …

Bridging Theory And Self-Development In Human Services And Counselor Education, Kristy Carlisle

Journal of Human Services Scholarship and Interprofessional Collaboration

Counselor and human services education increasingly recognize self-awareness as a core component of professional competence and ethical practice. This conceptual manuscript presents a pedagogical framework that integrates major helping theories as tools for structured self-reflection and self-development among students and practitioners. Drawing from experiential learning theory, reflective practice, and models of counselor identity formation, the approach encourages learners to view themselves through theoretical lenses such as person-centered, cognitive-behavioral, and existential frameworks, paralleling the very lenses through which they will view their clients in practice. By engaging in guided reflective activities, students examine personal beliefs, emotions, and behaviors to enhance self-understanding, …

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 …