Counseling Commons^™

Sacred Medicine: Indigenous Healing And Mental Health, Sonia Lucana, John Elfers

The Qualitative Report

This participatory action research was designed to create guidelines and strategies to improve the delivery of mental health services to immigrants from Central and South America to the US. The demand for appropriate strategies for addressing the mental health needs of this population is increasing. This study recruited 17 traditional healers and their clients in the US and Peru to share their understanding of mental health needs, the conditions for which someone might seek treatment, and those aspects of traditional cosmology and practice that could inform modern approaches. The findings identified patterns of generational trauma still evident from colonialism, the …

Psychologists' Use Of Touch In Individual Psychotherapy With Deaf And Hard-Of-Hearing Clients, Caroline M. Kobek Pezzarossi Ph.D, Irene W. Leigh Ph.D, Daniel S. Koo Ph.D

JADARA

The use of touch in psychotherapy is a topic often undiscussed in graduate training programs. Stenzel and Rupert’s 2004 study showed that nearly 90% of clinicians never or rarely offered touch to clients during a session. This study examined the use of touch in a psychotherapeutic setting with culturally Deaf clients, since touch is a culturally accepted, even expected, practice. Results indicated that there was no statistically significant difference among culturally Deaf therapists compared with the Stenzel and Rupert’s (2004) findings, but there is a statistically significant difference in those who identify as hearing and work with culturally Deaf clients. …

A Critical Imaginal Hermeneutics Approach To Explore Unconscious Influences On Professional Practices: A Ricoeur And Jung Partnership, Rosa Bologna, Franziska Trede, Narelle Patton

The Qualitative Report

Professional relationships are at the heart of professional practice. Qualitative studies exploring professional practice relationships are typically positioned in either the social constructivist (interpretive) paradigm where the aim is to explore actors’ subjective understandings of their relationships and relational practices, or in the critical paradigm where the aim is to reveal objective unconscious structures and hidden power plays influencing actors’ practices. This paper introduces critical imaginal hermeneutics as a systemic philosophical and methodological approach situated on the juncture of the social constructivist and critical paradigms where the dual aim is to explore both actors’ subjective understanding and meaning-making processes associated …

Bourdieu And Jung: A Thought Partnership To Explore Personal, Social, And Collective Unconscious Influences On Professional Practices, Rosa Bologna, Franziska Trede, Narelle Patton

The Qualitative Report

This paper introduces a thought partnership between Pierre Bourdieu and Carl Jung used to explore clinical play therapists’ understanding and critical reflexivity of unconscious influences on their relational practices with parents. The partnership is situated within a broader methodological partnership between Paul Ricoeur and Jung discussed by the authors in another paper in this issue. The purpose of the Bourdieu and Jung partnership is to design a comprehensive theoretical tool kit that enables the exploration of the interrelated nature of personal, social, and collective unconscious influences on professional practices. The paper discusses seven Bourdieusian and ten Jungian thinking tools and …

Training Through Naming: A Process Of Psychotherapist Skill Development Utilizing Recursive Frame Analysis, Michael D. Reiter, Wonbin Faith Jung, Jessica Popham, Caitlin Fitzgerald, Emily Garcia, Mariana Guzman De Perez, Tiffany Lockhart, Noelle Villanueva

The Qualitative Report

Recursive frame analysis (RFA) is both an advanced qualitative research method and a therapeutic tool that is used to map psychotherapy discourse. RFA tracks the therapeutic conversation to show how the therapy talk moves from one act to another. This paper describes the implementation of a training process for family therapy students in a family therapy clinic and the student therapists’ experiences of learning through this process, called Naming the Session. We present the organic development of the training process, its roots in RFA, and the student therapists’ perceptions of how Naming the Session impacted them as trainees. We further …

Application Of Self-Efficacy Training In Group Aural Rehabilitation: An Interprofessional Collaborative Model, Stephen D. Roberts, Nancy A. Delich

JADARA

Few studies have explored self-efficacy training with persons with hearing loss (PHLs), yet alone with their communication partners (CPs). The purpose of this mixed-method study was to examine the impact of self-efficacy training as a framework for an Interprofessional Psychosocial Group Aural Rehabilitation (IPGAR) workshop with PHLs and their CPs. Four PHLs and their four CPs consented to participate in the IPGAR workshop that employed interventions including short lectures, psychosocial exercises, communication strategies training, speech perception training, adaptive/stress reduction exercises, and group discussions relevant to mutually established shared goals for each couple. The participants reported improved communication abilities in the …

Post-Secondary Employment And Education Outcomes Of Young Adults Reporting Both Vision And Hearing Impairments In The High School Longitudinal Study Of 2009, Emily M. Lund

JADARA

This article reports the post-secondary education and work activities of 43 young adults who reported a history of both hearing and vision disabilities (i.e., deafblindness [DB] in Wave 4 of the High School Longitudinal Study of 2009. Most of the sample reported having worked, attended post-secondary education, or both since completing secondary education. Approximately half of the sample still lived with their parents, and most reported receiving financial support from their parents. Thus, although engagement in work and education was relatively high, most participants had not achieved financial independence.

Expanding Qualitative Research Interviewing Strategies: Zoom Video Communications, Lisa M. Gray, Gina Wong-Wylie, Gwen R. Rempel, Karen Cook

The Qualitative Report

The proliferation of new video conferencing tools offers unique data generation opportunities for qualitative researchers. While in-person interviews were the mainstay of data generation in qualitative studies, video conferencing programs, such as Zoom Video Communications Inc. (Zoom), provide researchers with a cost-effective and convenient alternative to in-person interviews. The uses and advantages of face-to-face interviewing are well documented; however, utilizing video conferencing as a method of data generation has not been well examined. The purpose of this paper is to examine the specific attributes of Zoom that contribute to high quality and in-depth qualitative interviews when in person interviewing is …

Struggles, Coping Mechanisms, And Insights Of Childless Teachers In The Philippines: A Descriptive Phenomenological Approach, Randy Ale Tudy, Ida G. Tudy

The Qualitative Report

The phenomenon of childlessness has elicited interest among professionals all over the world. However, this phenomenon received little interest, particularly in the Philippine context. The purpose of this study was to describe the struggles, coping mechanisms, and insights of childless teachers in the Philippines. We employed a descriptive phenomenological research design. Ten childless teachers participated in the semi-structured key informant interview (KII), and the data were analyzed using Colaizzi’s method. Results revealed the following themes: embarrassment, incompleteness, and pressures for their struggles; escapism and optimism for their coping mechanism; and work commitment and acceptance for their insights. Although being childless …

From Isolation To Communication: Connecting Adults Who Have Hearing Loss With Their Communication Partners, Stephen D. Roberts, Nancy A. Delich

JADARA

As Baby Boomers enter the late adulthood stage of life, hearing loss continues to be one of the most prevalent, chronic, and isolating conditions facing older adults today. Research has focused on the negative consequences of hearing loss on the health and the person’s well-being, but it is equally important to recognize that hearing loss also leads to communication loss. The resulting social isolation and the collateral effects of hearing loss on the communication partner are the focus of this mixed-method study that explored the hearing loss-related quality of life for both parties. Five overarching themes emerged from the analysis, …

How To Be Unfaithful To Eurocentrism: A Spanglish Decolonial Critique To Knowledge Gentrification, Captivity And Storycide In Qualitative Research, Marcela Polanco, Nathan D. Hanson, Camila Hernandez, Tirzah Le Feber, Sonia Medina, Stephanie Old Bucher, Eva I. Rivera, Ione Rodriguez, Elizabeth Vela, Brandi Velasco, Jackolyn Le Feber

The Qualitative Report

From a position of academic activism, we critique the longstanding dominance del production of knowledge that solely implicates fidelity to Eurocentric methodological technologies en qualitative research. Influenced by an Andean decolonial perspective, en Spanglish we problematize métodos of analysis as the dominant research practice, whereby las stories o relatos result en su appropriation, captivity and gentrification, first by researchers’ authorship and later by the publishing industry copyrights. We highlight the racializing and capitalist colonial/modern Eurocentric agenda del current market of knowledge production that displaces to la periphery all knowledge o relatos that do not subscribe to Euro-US American methodological parameters …

Exploring The Professional Development Of Mft Students Enrolled In Equine Assisted Family Therapy Coursework: An Experiential Learning Modality, Natalie Rothman

Department of Family Therapy Dissertations and Applied Clinical Projects

Equine assisted activities have been utilized in various manners with multiple populations in therapeutic and educational environments. A graduate level marriage and family therapy program in South Florida is currently offering Equine Assisted Relational Learning (EARL) activities focused on teaching a specific sub-model of Equine Assisted Psychotherapy (EAP), known as Equine Assisted Family Therapy (EAFT). The experiential nature of EAP and EARL transforms abstract concepts such as thoughts and mannerisms into tangible experiences, as well as highlights behavioral patterns. The unique and innovative theoretical foundation of EAFT is being taught, demonstrated, and utilized to assist graduate level therapists with professional …

Particular Resonances: A Review Of Jonathan Wyatt’S Therapy, Stand-Up, And The Gesture Of Writing: Towards Creative-Relational Inquiry, David A. G. Clarke Phd

The Qualitative Report

I want to start with talking a little about resonances.

To resonate means to meet. To vibrate with something in some way. Jonathan’s book is full of resonances. It is crafted of them. Resonances between disciplines; therapy, stand-up, writing. Resonances between characters in these worlds. Resonances between knowing, ethics, and the real. Resonances between affective states of personing– which isn’t quite the same as being human. And resonances between the author and the reader; Jonathan’s stories touch us with their humour, their caring for the process of inquiry, and their openness. He confesses things that I’m sure we can …

Consequences Of Sexism In Counselor Education: A Collective Analytic Autoethnography, Michael P. Chaney, Alcia A. Freeman, Jennifer Boswell, Stephanie Crockett, Erin Binkley

The Qualitative Report

In this article we used collective analytic autoethnography to explore experiences and perceptions of sexism among five counselor educators. Based on analysis of narrative data, we introduced a model that illustrates how sexism was experienced and given meaning by participants. Sexist events lead to positive (empowerment, sexism externalization, advocacy, and relationships with others) and negative (low self-confidence, internalized sexism, negative affect, institutional sexism) consequences within their personal and professional lives. Implications of this model are discussed and directions for future research are presented.

An Interprofessional Collaborative Approach To The Development Of A Content Valid Interview Questionnaire For Persons With Hearing Loss And Their Communication Partners, Nancy A. Delich, Stephen D. Roberts

JADARA

An assessment instrument needs to be valid in order for data to be accurately interpreted and applied. Currently, few rigorous content evaluations have been conducted on hearing-related questionnaires. This study describes a multiphase approach for obtaining content validity evidence in the development of a questionnaire that explores quality of life for persons with hearing loss and their communication partners. A panel of 15 interprofessional experts evaluated 41 questionnaire items for content relevance and content clarity. Findings revealed an overall scale of .99 for content relevance and .85 for content clarity, indicating high content validity for the revised 40-item questionnaire.

Exploring Relationships Between Needs And Solutions In Solution Focused Brief Therapy: A Recursive Frame Analysis, Annette Bovee-Akyurek, Ronald J. Chenail, Kara Erolin

The Qualitative Report

Focus is a critical component in solution focused brief therapy (SFBT; de Shazer et al., 1986), yet little research has been conducted on how SFBT therapists utilize the clients’ focus on their awareness of needs to relationally build solutions (Reiter & Chenail, 2016). To address this gap, we reviewed the notion of utilizing clients’ focus in SFBT conceptually and presented the results of our discovery-oriented qualitative study of a classic training case conducted by one of SFBT’s co-developers, Insoo Kim Berg (1994). We explored how Berg appeared to demonstrate relationally focused solution development. The findings suggest that Berg’s therapeutic style …

Exploring Counselors’ Personal Guiding Theories: A Qualitative Study In Portraiture, Amy L. Barth, Jane E. Rheineck, Carrie Merino Dr.

The Qualitative Report

A personal guiding theory of counseling is an important component of professional identity development for counselors. We utilized the qualitative methodology of portraiture to explore how professional counselors understand their own personal guiding theories of counseling. Three research portraits are shared that demonstrate how participants use the counseling relationship as the means to incorporate their personal guiding theories into their work with clients. Implications for counselors and counselor educators and future research are presented.

A Practical Resource For The Social Sciences: A Book Review Of Bruce Friedman’S The Research Toolkit - Problem Solving Processes For The Social Sciences, Sarah E. Faubert

The Qualitative Report

Bruce D. Friedman provides an invaluable resource for social science researchers and practitioners to add to their “toolkit.” This book provides practical and straightforward guidance for understanding and conducting qualitative and quantitative research. As a social science researcher, sessional instructor, and doctoral student, reading this book answered important questions I had regarding the research process and implications of social science research. This review will discuss the primary tenets of the book as well as the relevance of this toolkit for student-researchers.

Pedagogical Perspectives On Counselor Education: An Autoethnographic Experience Of Doctoral Student Development, Anna Elliott, Beronica M. Salazar, Brittany L. Dennis, Lynn Bohecker, Tiffany Nielson, Kirsten Lamantia, David M. Kleist

The Qualitative Report

There is minimal literature related to understanding what training factors contribute to the development of qualified counselor educators. Specifically, we wondered if counselor education doctoral students are effectively prepared for their roles as instructors. We chose an autoethnographic phenomenology method as a means for exploring the experiences of doctoral students’ pedagogical development in a doctoral instructional theory course. We sought to understand the essence of our experience through written reflection, photography, and group reflective processes. Analysis revealed the value we all obtained through the instructional theory course, experiential learning, and self-reflection, which contributed to increased self-efficacy as emerging counselor educators. …

An Exploration Of The Lived Experience Of Women Who Had Abortions And The Effects Of The Abortion Secret On Their Relationships: An Interpretive Phenomenological Analysis, Marckdaline Johnson

Department of Family Therapy Dissertations and Applied Clinical Projects

The United States Supreme Court decision in the Roe v. Wade (1973) case provides women with a right to privacy and the liberty to make decisions concerning their reproductive lives. With this, women who become pregnant are offered the right to choose between keeping their pregnancy and terminating the pregnancy by way of abortion. Since Roe v. Wade (1973), many women have exercised their reproductive liberties, as evidenced by the termination of over 60 million pregnancies via legal abortion in the United States. Still, secrecy among women with a history of abortion remains a common phenomenon. Studies conducted on abortion …

Clinical Director Perspectives On Decision Making Of Family Involvement With Clients At Inpatient Substance Abuse Treatment Centers, Lauren Amber Serdencuk

Department of Family Therapy Dissertations and Applied Clinical Projects

Literature supports that family members of individuals who abuse substances are significantly influential, whether it be positive or negative (Liddle et al., 2001). Evidence-based family therapy decreases substance use by adolescents (Slesnick et al., 2006). The purpose of this study was to gain the perspectives of clinical directors regarding decision making of family involvement at inpatient substance abuse treatment centers. Clinical directors were the focus of this study due to their experience, credentials, and their ability to oversee all clients and programs in a substance abuse treatment center. Purposeful sampling was utilized to obtain participants. Saturation was reached at three …

An Autoethnography Of A Bilingual Therapist Working With Haitian Clients: Reconnecting To Home, Marie Philomise Joseph

Department of Family Therapy Dissertations and Applied Clinical Projects

This evocative autoethnographic study is a very personalized account of my life as a Haitian American and a bilingual family therapist working with Haitian refugee earthquake survivors. The study focused on the lived experiences and challenges encountered as a family therapist trained in systemic techniques, linguistic terminology, and the Westernized psychotherapy approach to engaging Creole-speaking clients in therapy. Other challenges that existed were uncovered during the integration of the use of Haitian Creole language and Solution-Focused Brief Therapy (SFBT) tenets as the preferred model. It explored this therapist’s narrative in the process of providing psychotherapy to these clients, emerged a …

The Development Of Self-Efficacy To Work With Suicidal Clients, Gregory M. Elliott, Richard W. Audsley, Lisa Runck, Ashley A. Pechek, Adriana De Raet, Angelica Valdez, Brandon J. Wilde

The Qualitative Report

Suicide is a public health crisis which counselors must be prepared to address. In this grounded theory study, the researchers advance a model to show how counselors develop self-efficacy to work with suicidal clients. Counselor educators may use this model to improve programmatic training and supervision of students.

A Multicase Study Exploring Women’S Narratives Of Infertility: Implications For Counselors, Staci L. Born, Christin L. Carotta, Kristine Ramsay-Seaner

The Qualitative Report

Infertility affects 6.7 million women in the United States (Chandra, Copen, & Stephen, 2013). Women’s experiences with infertility are not only influenced by biological health factors, but also by social, cultural, and personal variables. Given the prevalence and complexity of infertility, additional research is needed to further examine the nuances of women’s experiences. The purpose of this multicase study, as informed by four individual cases, was to explore how women construct their infertility narratives. Review of reflective journals found five common elements: (1) Emotional Rollercoaster, (2) Mind-Body (Dis)Connection, (3) Secret Identity, (4) Supportive vs. Constrained Communication Patterns, and (5) Fatalistic- …

In Search Of The Recognition Of Expatriate Complexity: Interpretative Phenomenological Analysis Of Psychotherapy Experience, Mojca Filipic Sterle, Lesley L. Verhofstadt, Pam Bell, Jan De Mol

The Qualitative Report

Expatriates experiencing emotional distress and a call for globally oriented psychotherapy receive an increased focus in the research agendas. That one may better understand how expatriates may be helped in times of distress, the insight in their actual psychotherapy experience may serve as a valuable avenue. The aim of this qualitative study was to illuminate the lived experience of psychotherapy and the meaning that expatriates attributed to these experiences within their expatriate context. Semi-structured interviews were utilized for the data collection and Interpretative Phenomenological Analysis (IPA) was employed for data analysis. The following themes emerged from the expatriates’ narratives about …

Godspeed: Counselor Education Doctoral Student Experiences From Diverse Religious And Spiritual Backgrounds, Alyse M. Anekstein, Lynn Bohecker, Tiffany Nielson, Hailey Martinez

The Qualitative Report

Amidst growing literature regarding the importance of spirituality within counseling and counselor education, little is known of the experiences of doctoral students regarding their religious and spiritual backgrounds while matriculating through their doctoral program. This research explored the experiences of four researcher-participant counselor education doctoral students from diverse religious and spiritual backgrounds. This exploration deepened their understanding of the role their religious and spiritual identities played in their thoughts, emotions, challenges, and strengths of their experiences. A phenomenological autoethnography method was used for this study. A unique data analysis procedure was developed called Integrative Group Process Phenomenology (IGPP), which was …

Multilayered Analyses Of The Experiences Of Undocumented Latinx College Students, Yue Shi, Laura E. Jimenez-Arista, Joshua Cruz, Terrence S. Mctier Jr., Mirka Koro-Ljungberg

The Qualitative Report

Being the target of constant discrimination and marginalization can often cause intense negative psychological reactions and shame for undocumented students. The following qualitative study describes past and current undocumented Latinx students’ experiences of educational inequality in higher education influenced by labels associated with “being undocumented.” In this study we used a constructivist theoretical perspective which enabled us to focus on undocumented participants’ perspectives, experiences, meaning-making processes, values, and beliefs. Data was collected through hour-long, semi-structured interviews with five undocumented students. Student narratives were analyzed using a multi-layered analysis approach: (1) narrative, (2) thematic, and (3) critical incident analysis. Findings for …

A Place To Belong: A Support Group Curriculum For Hearing Adolescents Of Deaf Parents (Kodas), Meghan L. Fox

JADARA

Hearing children of deaf parents (C/Kodas) comprise a unique group that carries experiences as interpreters, protectors, and advocates. Kodas also have distinct experiences family dynamics and are bilingual and bicultural. Consequently, Kodas have complex identities and related identity development processes with few places to find support. There is a need for culturally sensitive and informed programs to create spaces for Kodas to process complexities and connect with others similar to them. This manuscript focuses on presenting an original research-informed support group program (Kids of Deaf Adults: A Place to Belong) for adolescent Kodas.

“I Am Just Like Everyone Else, Except For A Nine-Digit Number”: A Thematic Analysis Of The Experiences Of Dreamers, Joanna Méndez-Pounds Ph.D., Denise A. Nicholas, Natali Gonzalez, Jason B. Whiting

The Qualitative Report

This qualitative thematic analysis study explored the experiences of DREAMers, undocumented students raised in the US awaiting the passage of the DREAM Act. We used a phenomenologically-informed textual analysis which resulted in a summary essence of the experience of DREAMers, describing how even though DREAMers are like other contributing members of society “except for a nine-digit number,” certain characteristics make their experience unique. Two websites containing experiences of individuals identifying as DREAMers as they wait for the passage of the DREAM Act, were analyzed to draw out specific themes that represented DREAMers’ experiences. Results revealed the following themes, Uncertainty about …

Addressing Opioid Misuse And Abuse Through Interprofessional Engagement And Education, Marta J. Brooks, Suzanne E. Holm, Shelene Thomas, Amy J. Rich

Internet Journal of Allied Health Sciences and Practice

Purpose: The purpose of this initiative was to develop and implement an interprofessional panel aimed to expose a university audience to the magnitude of opioid misuse and abuse, as well as demonstrate each health professional’s role in curbing the epidemic. Further, this experience was to provide a platform for interprofessional discussion and to share with attendees tangible action items to begin combatting the opioid epidemic.

Methods: An interdisciplinary committee of healthcare professionals collaborated to initiate a dialogue around opioid misuse and abuse to highlight the power of interprofessional (IP) collaboration in addressing the opioid epidemic. Each panel member shared …