Counseling Commons^™

Recovery From Borderline Personality Disorder Through Dialectical Behavior Therapy, Carla D. Chugani, Ashley R. Seiler, Tina R. Goldstein

The Qualitative Report

This article presents a qualitative investigation of the perspectives and experiences of recovery from borderline personality disorder from six individuals who were treated with comprehensive dialectical behavior therapy. Data were collected via semi-structured interviews, transcribed, and coded using a six-step analysis process. Six primary themes emerged: (1) belief about recovery, (2) current experience of self, (3) facets of recovery, (4) motivating factors, (5) external supports to recovery, and (6) characteristics required for recovery. Overall, the findings took a dialectical form in which participants often described conflicting experiences (e.g., feeling recovered while also continuing to experience heightened emotional sensitivity). We conclude …

Flint’S Children: Narratives On Hope, Christin L. Carotta, Amy E. Bonomi, Karleigh Knox, Morgan C. Blain, Brianna F. Dines, Jaquan Cotton

The Qualitative Report

Hope plays an important role in resiliency, well-being, and buffering against adversity. To explore children’s experiences with hope while developing in low-income communities, we conducted interviews with twenty-one children residing in Flint, Michigan, ages 9-12 years. Research questions focused on the specific hopes children have, the importance they ascribe to different hopes, and their experiences of feeling hopeful or less hopeful about desired outcomes. Children expressed interrelated hopes across multiple social-ecological domains, including hopes for themselves, hopes for their interpersonal relationships, and hopes for the community. Children placed particular importance on their hopes of helping others, which included providing for …

Nurturing Self: Psychotherapeutic Implications Of Women's Reflections On The Meaning Of Their Cherished Possessions, Stephanie L. Martin

The Qualitative Report

Experiencing the importance of one’s personal treasures is ubiquitous to the human experience, but what is the depth and meaning of this lived phenomenon? An interpretive phenomenological method was used to explore the meaning and significance of women’s experience of their cherished personal possessions. Nine women participated in three individual semi-structured phenomenological interviews each. Interpretive analysis revealed that women’s experience of their cherished personal possessions is one of nurturing self. Through their cherished personal possessions, women nurture their sense of self by connecting with others, affirming personal experience, supporting self through change, and cultivating a sense of self. Implications for …

Translation And Validation Of An Online Suite Of Assessments In American Sign Language, Deb Guthmann, Janet Titus, Jared Embree, Josephine Wilson

JADARA

Abstract

This article reports on a National Institute on Disability, Independent Living, and Rehabilitation Research (NIDILRR) Disability and Rehabilitation Research Project (DRRP; Federal Grant # 90DP0067). The project is being conducted by investigators in the Substance Abuse Resources and Disability Issues (SARDI) Program in the Boonshoft School of Medicine at Wright State University (WSU), in collaboration with nationally recognized experts on Deaf culture and substance abuse/mental health. The goal of this DRRP is to develop and test an online suite of instruments in American Sign Language (ASL), validated for deaf consumers, assessing substance use, mental health, and occupational interests. The …

Acculturation And Filial Piety As Mediators Of The Relationship Between Caregiver Burden And Gender-Role Expectations In Hispanic-American Rehabilitation Services Students, Roy K. Chen, Bryan S. Austin, Chien-Chun Lin

Internet Journal of Allied Health Sciences and Practice

Purpose: Hispanic-Americans are the largest ethnic minority group in the United States. The need to care for older Hispanics has become an important issue as they now enjoy longer life expectancies due to better access to healthcare and less labor participation in hazardous occupations. The present study examined whether the association between caregiver burden and gender-role expectations is mediated by acculturation and filial piety. Method: The sample consisted of 93 Mexican-American rehabilitation services students enrolled at a large public university in Texas. The four instruments used in the study were the Zarit Burden Interview, the Bem Sex-Role Inventory, the Acculturation …

Perceptions Of Being A Woman And Strategies For Women’S Body Image Resilience, Lauren L. Mclean, Amanda C. Laguardia

The Qualitative Report

Although the negative effects of female body objectification are well established, there is a lack of qualitative research examining how women can develop resiliency against body image issues and low self-esteem. Through the current phenomenological qualitative study, we sought to explore how participants defined being a woman, particularly a woman with healthy self-esteem. In addition, we explored several resiliency strategies, based on Choate’s (2005) theoretical model of body image resilience, that women could potentially use to combat some of the effects of objectification. Results indicated that female participants experience normative beliefs and gender expectations that a woman with a healthy …

Walking On Eggshells: The Lived Experience Of Partners Of Veterans With Ptsd, Tiffany A. Beks

The Qualitative Report

This phenomenological study examined the descriptions of lived experience among female partners of veteran men with combat-related posttraumatic stress disorder (PTSD) via internet discussion forums. Personal, self-initiated written accounts of 30 partners were analyzed with respect to meaning, challenges, coping responses, and role in veterans’ healing and rehabilitation. Following data analysis, five descriptive themes emerged: all-consuming effect of the illness, walking on eggshells, ambiguous loss, alone, and facing PTSD as a unit. The central meaning of these themes describes the widespread priority of the veterans’ illness, and the resulting isolation, grief, and apprehension experienced by intimate partners as they assume …

Deaf Seniors: Experiencing Oppression, Audrey K. Frank Ph.D.

JADARA

The article was written because of the huge need to collect data on oppression experienced by deaf seniors. Open-ended responses were collected from 91 participants aged 50 years and older from five states in the areas of health care, lack of communication with family members, neighborhood, workplace, and hearing children taking over their deaf parents’ role. In the health care field and workplace, deaf seniors had experienced oppression when they did not have the full communication accessibility. There was a lack of awareness of understanding how to make it fully communication-accessible through interpreters and technology and also, the implications of …

The Fertility Problem Inventory And Infertility-Related Stress: A Case Study, Staci L. Born, Jennifer J. Preston

The Qualitative Report

More than seven million people of childbearing age in the United States experience infertility. Oftentimes, for women, the experience of infertility is stressful. The Fertility Problem Inventory (FPI) has been used to quantitatively measure women’s experience of infertility-related stress. However, the construct of infertility-related stress is poorly described in existing literature. The purpose of this case study was to understand how women experience the FPI as a measure of infertility-related stress. To address this issue, women who were undergoing infertility treatment completed the FPI and participated in unstructured interviews. Archival documents were also retrieved to corroborate findings and satisfy saturation. …

Sexual Attraction In The Therapy Room: An Exploration Of Licensed Marriage And Family Therapists’ Experiences And Training, Rafiah Prince

Department of Family Therapy Dissertations and Applied Clinical Projects

The client-therapist relationship is an essential part of therapy and is central in helping clients achieve therapeutic goals as the joining process facilitates the change process. However, in an effort to create a space for change, there is a possibility that professional boundaries may become blurred wherein a client may express a sexual attraction toward their therapist. To explore this phenomenon, the researcher employed convergent parallel mixed method design to explore the experiences of Licensed Marriage and Family Therapists (LMFTs) who have experienced sexual attraction from their clients. The study was conducted online through a secure forum. Implications for clients, …

An Exploration Of Home-Based Therapists’ Supervisory Experiences: A Phenomenological Inquiry, Cherre Camper

Department of Family Therapy Dissertations and Applied Clinical Projects

In-home family therapy has become one of the most common options of treatment for providing services to families who do not typically utilize a private clinic (Lawson, 2005; Reiter, 2000; Yorgason, McWey, & Felts, 2005). Researchers have given some attention to the topic of home-based therapy and to general supervision, but little attention has focused on the actual supervision experiences of home-based therapy providers. This phenomenological study explored the supervision experiences of seven past and current in-home therapists: marriage and family therapists (MFTs) and social workers (MSWs). Semi-structured interviews were conducted with the participants, and data was analyzed to develop …

The Art Of Solution-Focused Brief Therapy: Experiential Training For Novice Therapists In Creative Collaborative Language, Lori Ann Pantaleao

Department of Family Therapy Dissertations and Applied Clinical Projects

Novice solution-focused brief therapists often have difficulty delivering scaling questions within the languaging of their clients. To help beginning Solution-Focused Brief Therapy (SFBT) trainees, this researcher has created the metaphorically enhanced scaling question (MESQ) training program. By incorporating a meaning making system such as the metaphor, the scaling question becomes expressive and symbolic to the client and his or her own story. The MESQ objective is to assist novice therapists in facilitating the SFBT scaling question creatively through the use of metaphor. A metaphor is a created meaning isomorphic to its original meaning or experience. The metaphor will be co-constructed …

Enhancing The Couple Alliance And Developing A Dyadic Orientation In Discursive Couples Therapy: A Conversation Analysis Of Therapists', Samira Y. Garcia

Department of Family Therapy Dissertations and Applied Clinical Projects

The purpose of this study is to develop an interpretative understanding of how discursive therapists’ linguistic actions enhance the couple alliance. Additionally, this study includes an exploration of whether these models hold up to a common factors conversation in the practice of couples therapy. The couple alliance is the central relationship in couples therapy. Previous research suggests that therapists’ actions might have an effect on enhancing this alliance by creating a dyadic orientation. In postmodern/discursive models of practice, therapists’ actions have gone mostly unexplored, leaving therapists with little understanding of what is done in the process of couples therapy that …

Nsu Master Of Science In School Counseling Curriculum 2016, Nova Southeastern University

Abraham S. Fischler College of Education and School of Criminal Justice College Archive

No abstract provided.

Comparing Outcomes From An Online Substance Abuse Treatment Program And Residential Treatment Programs For Consumers Who Are Deaf: A Pilot Study, Josphine Wilson Ph.D., Deb Guthmann Ed.D., Jared Embree, Susan Fraker

JADARA

Numerous barriers exist when attempting to provide culturally appropriate substance use disorder (SUD) treatment to persons who are Deaf, including a lack of accessible community-based treatment providers. To address these barriers, the Deaf Off Drugs and Alcohol (DODA) Program has provided culturally and linguistically appropriate cessation and recovery support services via a telemedicine program to Deaf individuals who are clinically diagnosed with a SUD. This study was conducted to assess whether an online SUD treatment program, such as DODA, is an effective way to serve the Deaf population, which is underserved due to communication and other cultural barriers. DODA’s effectiveness …

Conflict In Families And Nursing Home Placement: A Phenomenological Study, Stephen John Pidwysocky

Department of Conflict Resolution Studies Theses and Dissertations

In the limited qualitative research about families who have placed a family member in a nursing home, conflict is identified as a significant problem (Lashewicz & Keating, 2009; Lashewicz et al., 2007). Whether it is related to absence of filial responsibility on the part of adult children, (Ganong & Coleman, 2005; Piercy, 1998), adult child ambivalence (Bengtson et al., 2002; Lüscher & Pillemer, 1998), female and male gender caregiving roles (Spitze & Trent, 2006; Dayton-Ingersoll, 2003; Aronson, 1992), differences in levels of commitment on the part of adult children to assist older parents (Silverstein et al., 2008), adult children being …

Using Interpersonal Process Recall (Ipr) To Examine The Effects Of Equine Assisted Activities On The Personal And Professional Development Of Student Therapists, Dianna Isabel Giraldez

Department of Family Therapy Dissertations and Applied Clinical Projects

The Introduction to Equine Assisted Family Therapy course offered at Nova Southeastern University (NSU) provides Master’s and Doctoral level student therapists the opportunity to learn how to conduct an equine session and how to utilize horses as part of the therapeutic process. Students learn about the underlying theories and framework behind the equine activities and methodology, as well as participate in the equine activities themselves. For the purpose of this study, classroom discussions centered around processing the students’ experiences and were further enriched by viewing photographs and videos that had been taken of the students conducting the equine activities. The …

Hope-Focused Solutions: A Relational Hope Focus Of The Solution-Building Stages In Solution-Focused Brief Therapy, Jenna A. Wilson

Department of Family Therapy Dissertations and Applied Clinical Projects

The positive psychotherapy focused on for this study is Solution-Focused Brief Therapy (SFBT). Insoo Kim Berg and Yvonne Dolan (2001) once described the essence of Solution-Focused Brief Therapy (SFBT) as the “pragmatics of hope and respect” (p. 1) and despite Berg and Dolan’s declaration of hope’s importance in SFBT, little process research has been published looking at the “pragmatics” of hope in SFBT practice. Hope is seen as a common factor in psychotherapy since the human relationship, also known as the therapeutic alliance, is a foundation of psychotherapy. Hope plays a significant role in every human interaction and it is …

Attachment, Anxiety, And Depression: A Study Of Women In Residential Treatment With Their Children At The Susan B. Anthony Recovery Center (Sbarc) (1995-2010), Gary Miles Forrest

Department of Family Therapy Dissertations and Applied Clinical Projects

The Susan B. Anthony Recovery Center (SBARC) in Pembroke Pines, Florida is a residential center where women live with their children while receiving treatment for a variety of co-occurring substance abuse and mental health issues and while participating in mandatory parenting classes. Unlike most women's residential treatment centers, which address only the woman and her problems, SBARC treats the mother-infant/child dyad. I designed and created a database to examine the data previously available only in the paper client records of over 800 women who received treatment at SBARC from 1995 through 2010 in a previous project. This nonexperimental, retrospective explanatory …

Uncovering Meanings Of Death, Trauma, And Loss As Experienced By Hospice Bereavement Coordinators: A Phenomenological Study, Rochelle S. Clarke

Department of Family Therapy Dissertations and Applied Clinical Projects

This study examined the experiences of Hospice Bereavement Coordinators (HBCs) and Hospice Chaplains working with grief narratives from patient-family units exhibiting signs of anticipatory or complicated grief. While a significant amount of research has been conducted on Hospice employees, no qualitative studies have examined the interpretation of meaning from employees whose primary role focused on the psychosocial-spiritual aspects of clients exhibiting anticipatory or complicated grief. The researcher identified shared meaning of death, trauma, and loss from six participants in the context of a high stress and high loss environment. This study‘s findings revealed ten central themes: Death is an earthly …

Mapping The Hidden: An Interpretative Phenomenological Analysis Of Multigenerational Family Secrets, Tracy Oliver

Department of Family Therapy Dissertations and Applied Clinical Projects

Family secrets can be a driving force, whether explicitly or implicitly, for many seeking therapy. Despite this, there is little qualitative research examining how individuals experience and make sense of their family secrets. Through this study the researcher examined the phenomenon of family secrets amongst five individuals from different families. Qualitative research using Interpretative Phenomenological Analysis (IPA) along with a Bowen Family Systems Theory approach was used to explore multigenerational family secrets. Purposive sampling was used to select that participants and data was collected through semi-structured interviews. A genogram was also drafted to identify multigenerational relationships and the history of …

Metaphoric Generative Genograms: A Journey To Bring Genograms To Life Through Metaphorical Components, Elisa Garcia

Department of Family Therapy Dissertations and Applied Clinical Projects

The purpose of this dissertation is to offer a greater understanding of the potential of genograms through my clinical work from a Bowen Family Systems lens. I account for how I processed and effectively blended metaphorical components, by examining six cases from my two-year journal entries, of bringing genograms to life in sessions. I also explain how I created a useful tool, the Metaphoric Generative Genogram, that can benefit other clinicians working with children and families in the foster care community.

Exploring The Lived Experiences Of Marriage And Family Therapy Students Who Study Bowen Family Systems Theory, And Relating Those Experiences To Concepts Of Differentiation Of Self And Emotional Intelligence: An Interpretative Phenomenological Analysis, Tracey-Ann Dushane Spencer

Department of Family Therapy Dissertations and Applied Clinical Projects

Bowen Family Systems Theory’s (BFST) concept of differentiation of self has the ability to contribute to the self-development of the therapist, and is considered the technique of this theory (Kerr & Bowen, 1988). Emotional intelligence is an essential skill for Marriage and Family Therapists (MFTs), as it provides the ability to accurately perceive, express, and evaluate emotions in one’s self and others to facilitate thought, and the regulation of emotions in order to enhance emotional and intellectual growth (Salovey & Mayer, 1997). This study explored the lived experiences of Marriage and Family Therapy students who studied BFST and related those …

Serving Military Families: Perceptions Of Educational Counseling In A Virtual Environment, Taryn Stevenson

CCAC Theses and Dissertations

The advances in communication technology over the past 20 years have significant implications for the delivery of psycho-educational therapeutic services to populations that have been historically underserved due to remote locations lacking trained providers. One such population is military families, who also suffer from a negative stigma of asking for outside help or education for personal growth. This population also faces increasing mental health needs due to military deployment in Operation Iraqi Freedom (OIF) and Operation Enduring Freedom (OEF). These operations have increased the number of returning service members who have been physically and mentally injured. The effect that these …

Coming Out, Coming Together, Coming Around: An Interpretative Phenomenological Analysis Of Families' Experiences Adjusting To A Young Family Member's Disclosure Of Non-Heterosexuality, Denise M. Fournier Rodriguez

Department of Family Therapy Dissertations and Applied Clinical Projects

Young people who identify as lesbian, gay, or bisexual (LGB) are disclosing their sexual identity--or coming out--at progressively younger ages, making it more important than ever for the general population to understand, tolerate, and accept diversity in sexual identity. This study was designed to fill the gap in the existing literature about how the coming out process affects LGB young people's families of origin. Three LGB young people participated in the study, along with a member of each of their families. The researcher conducted semi-structured interviews with each of the participants, as well as a conjoint interview with each of …

Living With Uncertainty: The Impact On Breast Cancer Survivors And Their Intimate Partners, Kimberley Dockery

Department of Family Therapy Dissertations and Applied Clinical Projects

This study explored the lived experiences of breast cancer survivors and their intimate partners. The research was informed by a social constructionist framework and phenomenological method of inquiry. While the body of literature on the physical, psychological, and social health of breast cancer survivors is growing, only a few studies have focused solely on the lived experience of survivorship and the uncertainty of recurrence. This study sought to explore the construction of meaning in the couples' context and experiences of surviving breast cancer. The present study examined how breast cancer survivors make meaning of their survivorship in context of living …

Same-Sex Couples' Lived Experiences Of The Repeal Of The Defense Of Marriage Act's (Doma) Section Three, Alicia Anne Bosley

Department of Family Therapy Dissertations and Applied Clinical Projects

Same-sex couples are affected by the social and political climates in which they live, as these create the difference between acceptance and legalization, and discrimination and prohibition, of their relationships. This contingence is made increasingly impactful by the privileges and protections afforded to married couples by the federal government; same-sex couples, along with other couples that choose not to, or cannot, marry, are excluded from these benefits. Following the June 26, 2013 ruling that Section Three of the Defense of Marriage Act (DOMA), which defined marriage as between a man and a woman, was unconstitutional, same-sex couples were given access …

Trauma And The Use Of Formal And Informal Resources In The Deaf Population: Perspectives From Mental Health Service Providers, Stephanie W. Cawthon, Bentley W. Fink, Paige Johnson, Sarah Schoffstall, Erica Wendel

JADARA

Using grounded theory analysis, the current study identifies the perspectives of therapists and counselors regarding the nature of informal and formal resources supporting the treatment of deaf individuals with trauma. Nineteen counselors and therapists were interviewed, and accessibility, formal support, informal networks, and gaps in resources were identified as salient themes. Subsequent analysis identified concerns with confidentiality as a strong theme. This study emphasizes the need for counselors and therapists to become mindful of utilizing resources to support the treatment of trauma while being concerned with confidentiality.