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

Dissertations

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

Exploring Primary Care Providers’ Compassionate Care And Their Evidence-Based Practice With Death, Grief, And Loss: Patient Experience And Perspective, Kathryn Krzykala

Dissertations

Research on primary care providers’ (PCPs) education regarding Death, Grief, and Loss (DGL) remains limited. Specifically, data is lacking regarding patients' perceptions and opinions on what they need and expect from their PCPs regarding grief and loss. This exploratory mixed-method study comprised 146 participants who had experienced death and non-death loss. It examined participants' perceptions of 1) PCP compassion, 2) PCP utilization of evidence-based grief and loss practices, 3) their own level of comfort discussing DGL with their PCPs during medical visits, and 4) their personal grief and loss experiences. The findings revealed that PCPs' grief-informed evidence-based treatment, as reflected …

An Attachment Perspective For Help-Seeking Intentions Among Emerging Adult Women Child Sexual Abuse Survivors, Dominique Giroux

Dissertations

Child sexual abuse (CSA) is an adverse childhood experience and a global health issue. Approximately one in four girls encounter CSA per year. Research evidence suggests approximately 50% of CSA survivors encounter sexual revictimization during adulthood (Walker & Wamser-Nanney, 2023), but formal help and intervention can mitigate further psychosocial harm experienced by CSA survivors (Widom et al., 2008). Attachment theory has provided a theoretical framework for identifying individuals at risk for revictimization and help-seeking patterns, such that individuals who have insecure attachment styles report more revictimization frequency, but the literature is mixed about attachment styles and help-seeking (Brenner et al., …

Exploring How Therapist Trainees’ Mentalization, Attachment Styles, And The Working Alliance Impact Treatment Outcomes In Psychotherapy, Hanali Gilbert

Dissertations

A burgeoning area of research within the past 30 years has sought to identify which specific therapist factors contribute to differential treatment outcomes (Barkham et al., 2017). The purpose of the current naturalistic study was to explore how two personal characteristics of therapist trainees, mentalization capacity and attachment styles, impact early treatment outcomes at two Midwestern psychology training clinics. This study also examined whether therapist mentalization and the working alliance interacted to influence client outcomes. Therapists completed the Mentalization Scale (MentS; Dimitrijević et al., 2018) and the Experiences in Close Relationships scale (ECR; Brennan et al., 1998), while the Working …

Attachment Style, The Working Alliance, And Client Self-Disclosure In Individual Psychotherapy, Jennifer S. Baar

Dissertations

Client self-disclosure is a core component of the psychotherapy process and increased levels of client self-disclosure have been shown to predict more positive therapeutic outcomes (Pattee & Farber, 2008; Sloan & Kahn, 2005). Similarly, the working alliance and attachment are constructs that have been studied in psychotherapy research and are consistently associated with therapeutic outcomes. Specifically, stronger working alliance ratings and higher levels of secure attachment have been found to predict more positive therapy outcomes (e.g., Flückiger et al., 2018; Mallinckrodt et al., 2005; Sauer et al., 2010). As these three constructs have been found to influence psychotherapy outcomes, the …

Exploring Counselors’ Perceived Preparedness For Private Practice Business Oriented Responsibilities, Corey L. Hancock Jr.

Dissertations

ABSTRACT

The purpose of this study is to understand how fully licensed counselors who graduated from CACREP-accredited programs and did not receive formal business training during graduate school make sense of their preparedness for the business responsibilities of private practice. This study was informed by the theoretical frameworks of relational-cultural theory (RCT; Jordan, 2017) and transformative learning theory (TLT; Mezirow, 1991). Participants were fully licensed counselors with a masters or doctoral degree from a CACREP-accredited counseling program and owned a private practice. Seven participants (n = 7) were included in the study, participating in 60-90 minute semi-structured interviews. An …

Exploring Intimate Partner Relationship Satisfaction Among Women Who Have Experienced Discrimination And Childhood Trauma, Rachel L. Gaglio

Dissertations

Objective: Connections may exist between intimate partner relationship satisfaction outcomes and experiences of childhood trauma and discrimination among women. The majority of existing research highlights individual trauma impacting relationship satisfaction that includes military experience, childhood trauma, domestic violence, and sexual assault, yet there is a gap in research which expands on both childhood trauma and discrimination endured among women in relation to intimate partner relationship satisfaction outcomes, as they relate to intimacy and closeness and resolving conflict and arguments. The present study explored the links between childhood trauma and discrimination experienced by women and their connection in intimate partner relationship …

The Lived Experiences Of Clinical Mental Health Counselors Returning To Clinical Work After Becoming A New Mom: A Phenomenological Study, Kathryn Bohn

Dissertations

The experience of transitioning back to work postpartum can be an emotional rollercoaster for women. One that is often filled with identity tensions and sweeping emotions that range from guilt to relief, anxiety to confidence (Dod, 2025; Franzoi et al., 2023; Garcia-Lorenzo et al., 2023). Postpartum can be an emotionally raw and vulnerable time for new mothers as they navigate physical and emotional changes, maternal stress, and the pressures and demands of new motherhood (LeBlanc, 2023; Maylott, 2023). Professional counselors in a clinical setting, also known as clinical mental health counselors, encounter occupationally specific responsibilities that create unique experiences for …

Our Stories: Black Parents’ Experiences At K-12 Predominantly White Institutions, Jason Thompson

Dissertations

Black parents of Black children attending K–12 predominantly White institutions (PWIs) often experience stress as they navigate school environments where they may be perceived as uninterested, combative, or “token” members of the school community. These deficit-based perceptions can cause Black parents to limit school interactions, question whether their perspectives will be valued, and develop distrust toward school personnel. Although research has examined Black students’ experiences in PWIs, fewer qualitative studies have centered on Black parents’ stories. Capturing these experiences in parents’ own words helps challenge harmful stereotypes and offers schools, especially school counselors, deeper insight into strengthening relationships with Black …

Growing Up Muslim In America: Discrimination And Religious Identity In Emerging Adulthood, Samira Saleh

Dissertations

This study examined the impact of depression and discrimination on religious identity development among emerging adult Muslims (ages 18–29) in the United States, with attention to religious visibility and gender. Using a cross-sectional survey design, participants completed validated measures including the Perceived Islamophobia Scale, Everyday Discrimination Scale, Patient Health Questionnaire-9, and Centrality of Religiosity Scale. Grounded in Arnett’s Theory of Emerging Adulthood and Social Identity Theory, the study addresses gaps in research on Muslim mental health and identity within Western sociopolitical contexts. Participants were recruited via university listservs, Muslim Student Associations, social media, and community organizations, and completed a brief …

The Intersection Of Social Desirability And Cultural Competence In Counselors: Broaching Sexual Topics With Sexually Minoritized (Lgb) Clients, Jareb Kinney

Dissertations

Mental health counselors increasingly work with sexually minoritized clients, yet limited understanding exists regarding how social desirability shapes counselors' perceived cultural competence and their willingness to broach sensitive sexual topics in therapeutic settings. This gap can obscure the subtle ways personal conditioning and professional performance pressures influence clinical practice. This qualitative phenomenological study aimed to explore how social desirability influences mental health counselors' experiences and perceived cultural competence when discussing sex-related topics with sexually minoritized clients. Guided by symbolic interactionism, the study employed a purposive and snowball sampling strategy to recruit ten mental health counselors with direct clinical experience serving …

The Effects Of A Viniyoga-Based Practice On Mental Health Clinicians' Perceived Stress, Burnout, And Quality Of Life, Julie Pate

Dissertations

Psychotherapists often experience stress when treating distressed or emotionally troubled patients due to the emotionally taxing nature of their work, which can lead to burnout and other negative consequences (Bell et al., 2023; Maslach & Leiter, 2016; Simionato & Simpson, 2018) Therapists find it challenging to maintain regular self-care routines (Driscoll, 2023; Baker & Gabriel, 2021; Posluns & Gall, 2020). With the constant demand for counselors (Bureau of Labor Statistics, U.S. Department of Labor, 2024), there is a critical need for effective stress management strategies to mitigate burnout risks (Substance Abuse and Mental Health Services Administration [SAMHSA], 2022; Sibitz, Pils, …

Exploring The Process Of Professional Identity Development For Generation Z Counselors-In-Training Enrolled In Cacrep-Accredited Master's Programs In The Northeastern United States Coun, Jordan G. Shaw

Dissertations

Professional identity development is a central outcome of counselor preparation programs, yet how Counselors-in-Training (CITs) experience this process, particularly during internship, remains underexplored. This qualitative study examines the lived experience of professional identity development among Generation Z CITs enrolled in master’s programs accredited by the Council for Accreditation of Counseling and Related Educational Programs (CACREP) in the Northeastern United States, with specific attention to the implications for counselor education and supervision in a shifting professional landscape.

Using an existential-phenomenological framework and Interpretive Phenomenological Analysis (IPA), in-depth semi-structured interviews were conducted with participants born between 1995 and 2010 who were completing …

The Influence Of Black African American Fathers’ Parenting Styles On Young Adult Children’S Attachment Styles: The Roles Of Gender And Fathers’ Residence, Robert Baptiste Thompson

Dissertations

Parenting

Black African American (BAA) fathers in the United States are frequently mischaracterized as absent or uninvolved, reinforcing deficit-based narratives rooted in historical and systemic racism. Such portrayals obscure the meaningful and sustained roles many BAA fathers play in their families and fail to account for the cultural, structural, and contextual conditions that shape paternal involvement and parenting practices. Although a growing body of research has documented the importance of father involvement for child development, comparatively limited empirical attention has been given to how BAA fathers’ parenting styles influence their children’s attachment—particularly as a function of fathers’ co-residency histories. This …

Assessing The Impact Of Therapeutic Alliance On Client Satisfaction And Unilateral Termination Reasons, Eric Washington

Dissertations

Unilateral termination is a pervasive issue that has persisted since the inception of mental health services. The act of terminating needed services impacts not only on the client but also the provider, community, family, and stakeholders. The therapeutic alliance established during the counseling process is a well-established predictor of outcome in mental health services. The purpose of this study was to examine the relationship between unilateral termination reasons, satisfaction, and working alliance. A total of 390 participants responded to the online survey resulting in the descriptive results of Working Alliance Inventory-12 (M = 3.93, SD = .83), Client Satisfaction Questionnaire-4 …

Link Between Adverse Childhood Experiences And Parenting Styles Of African American Fathers, Tatianna P. Johnson

Dissertations

African American fathers may be more susceptible than fathers of other races to having a negative parenting style due to their high levels of adverse childhood experiences (ACEs). ACEs are traumatic experiences during childhood that can affect a person’s mental and physical health, income and adult parenting style. African American adults tend to have experienced multiple levels of ACEs at a higher rate than White and Asian adults (Maguire-Jack et al., 2021). ACEs can lead to adults experiencing higher levels of alcoholism, depression, health-related issues, mental illness, substance use, and academic problems. The purpose of this cross-sectional study was to …

Historically Minoritized Racial Groups At A Midwestern University: Behaviors, Attitudes, And Beliefs Toward Mental Health And Well-Being, Kemmel Palmer

Dissertations

The rising prevalence of mental health concerns among college students, especially those from historically minoritized racial groups, underscores persistent disparities and substantial barriers encountered within Predominantly White Institutions (PWIs). This qualitative inquiry examined the mental health behaviors, attitudes, and beliefs of college students from five historically minoritized racial groups—Black/African American, Latino/Hispanic, Asian Pacific Islander Desi American, Middle Eastern/Middle Eastern American, and Indigenous/Native American—at a midwestern university. Utilizing a phenomenological methodology, the study employed five focus groups comprising 51 participants representing a wide range of academic levels, gender identities, and sociocultural backgrounds.

The findings from this study reveal deeply embedded and …

Bridging The Gap: Exploring The Intersection Of Formal Mental Health Services And Informal Social Supports In Bipoc Communities, Patrice D. Patton-Campbell

Dissertations

Despite growing awareness of mental health disparities, BIPOC (Black, Indigenous, and People of Color) communities continue to face significant barriers in accessing culturally responsive mental health care. This dissertation explores the intersection between formal mental health services and informal social supports such as family, religious institutions, and community networks to understand which systems are more trusted, accessible, and effective for BIPOC individuals. Grounded in Urban Liberation Psychology and guided by decolonial and culturally responsive care frameworks, this qualitative study draws from focus groups and interviews with 33 participants, including both community members and service providers from the Chicagoland area and …

Intersecting Inequities: Latinx Access To Mental Health Services, Melissa Thorson

Dissertations

This study examined barriers to mental health service utilization among Latinx populations using data from the 2022 National Survey on Drug Use and Health (NSDUH). Through the theoretical frameworks of Minority Stress Theory and Toxic Stress Theory, the study investigated the relationships between age, language proficiency, socioeconomic status, and mental health service access among different Latinx subgroups. Statistical analyses included chi-square tests, multiple regression, and mediation analyses on a sample of Latinx adults (N = 9,852). Results indicated associations between age and English proficiency (χ² = 145.23, p < .001, Cramer's V = 0.38), with 45% of adults aged 50 and older reporting limited English proficiency. Socioeconomic analysis revealed that 32% of older Latinx adults reported family incomes below $20,000, with insurance status partially mediating the relationship between income and service utilization (indirect effect = 0.15, 95% CI [0.08, 0.23]). differences in utilization rates emerged among Latinx subgroups (F(6, 1243) = 8.76, p < .001, η² = 0.12), with Mexican-origin individuals showing higher utilization (10%) compared to Puerto Rican individuals (2-3%). Age and socioeconomic status demonstrated interaction effects (β = 0.18, p < .01), while language proficiency moderated the relationship between age and service utilization (β = 0.24, p < .001). These findings suggest that barriers to mental health service utilization among Latinx populations are complex and interconnected, requiring multilevel interventions that address linguistic, cultural, and socioeconomic factors simultaneously. Implications for healthcare policy and service delivery are discussed, emphasizing the need for culturally responsive and linguistically appropriate mental health services.

Seen And Heard: A Visual Testimony Of Purity Culture Using Qualitative Photovoice Methodology, Amanda Brown

Dissertations

Purity culture, rooted in Christian teachings, has profoundly shaped individuals’ identities, relationships, and perceptions of sexuality, gender, and faith. While popular culture is talking about the effects of purity culture, scholarly literature is lacking. This study employed photovoice methodology to center the voices of those who grew up in purity culture, using photography and personal narratives to explore its long-term effects. The study focused on how individuals who have experienced purity culture articulate and visualize their stories, revealing nuanced insights across seven thematic domains: gender expectations, romantic relationships, faith, mental health, identity formation, sex and sexuality, and healing and …

Investigating The Effects Of Brief Video Interventions On White Undergraduate Students’ Racial Attitudes, Alyssa Powers

Dissertations

In this experimental study, a pretest posttest between-groups design was utilized to investigate the efficacy of two brief multicultural educational video interventions in improving the colorblind and affective racial attitudes of White undergraduate students. Ninety-eight self-identified White undergraduate students from a large, Midwestern university were randomly assigned to one of three conditions: (a) viewing a video on the pervasiveness of individual racism and White privilege in the United States (True Colors); (b) viewing a video on institutional racism in the United States (Segregated by Design); (c) viewing a study tips video as the neutral control condition. Participants’ colorblind and affective …

The Rose That Grew From Concrete: Exploring The Romantic Experiences Of Black Men With Histories Of Childhood Sexual Abuse, Tatyana Nichelle Smith

Dissertations

Contemporary research typically characterizes Black heterosexual relationships by dismal marriage and divorce rates, largely ignoring the reality of how Black men develop attachments with their romantic partners and therefore continuing to perpetuate deficit perspectives of Black men (e.g., the cause of conflictual romantic relationships and “broken” Black families). What may be less understood about these relationships is the influence of childhood trauma, such as childhood sexual abuse, and Black men’s experiences of gender role conflict. Research shows that Black men’s experiences of childhood sexual abuse and socialization about masculinity have important implications for how they come to view themselves and …

Becoming A Beloved Community: A Restorative Reckoning For A Radical Conversion To Transform Discourse In Higher Education, Latasha Tomay Varlack-Butler

Dissertations

This dissertation critically examines the misappropriation of Restorative Justice Discourse (RJD) within three predominantly white institutions (PWIs), analyzing 59 institutional documents through Critical Discourse Analysis, Relational Critical Discourse Analysis, and Rhetorical Criticism (Fairclough, 1995; Vaandering, 2021; van Dijk, 2008). Tribal Colleges and Universities and South African institutions have emerged as exemplars of authentic RJD, countering co-optation within PWIs. The findings demonstrate that RJD as applied in PWIs is framed in ways that attenuate its transformative potential, perpetuating color-evasiveness (Bonilla-Silva, 2017) and obscuring the intersectional experiences of Black, Indigenous, and disabled communities (Crenshaw, 1991; Million, 2009).

Grounded in decolonial praxis (Smith, …

Dying Young, Brianne L. Overton

Dissertations

Death, often perceived as a disruption to daily life, is an inevitable part of the human experience. While older adults may develop familiarity with mortality through the collective experience of personal and familial losses, young adults generally have limited exposure to death. Despite this, young adults, defined as individuals aged 20 to 34, represent approximately 20% of the U.S. population (U.S. Census Bureau, 2020), and the mortality rate within this age group has been rising over the past decade (Woolf & Schoomaker, 2019). Death among young adults is often overlooked in societal narratives and medical research, which primarily focus on …

Shades Of Families: Exploring Intersectionalities Of Cross-Cultural Parenting Experiences In The U.S., Shu-Han Huang

Dissertations

As multiracial and multicultural families continue to grow across the United States, parents must navigate evolving cultural identities, systemic inequities, and increasing social and emotional pressures. These realities underscore the need for parenting resources that are both culturally responsive and emotionally supportive. This transcendental phenomenological study explored the lived experiences of 11 cross-cultural parents raising children in the U.S., with a focus on how intersecting identities and systemic forces shape parenting practices.

Guided by Critical Multiracial Theory and Intersectionality Theory, this study investigated parenting at the personal, familial, societal, and structural levels. Data were collected through semi-structured interviews and analyzed …

Reimagining Discipline: Elementary School Counselors’ Experiences Implementing And Advocating For Restorative Practices As An Alternative To Exclusionary Discipline, Kim Kelly

Dissertations

School counselors are positioned as leaders and advocates within their school communities, playing a critical role in promoting equitable practices and systemic change. Despite decades of research indicating the harmful effects of exclusionary discipline, this approach continues to be implemented in schools across the United States. Emerging literature has indicated restorative practices as an alternative discipline approach that promotes equity, reduces disproportionality in school discipline, and fosters a positive school climate. This research focused on the experience of elementary school counselors advocating for and implementing restorative practices as an alternative to exclusionary discipline. Through a hermeneutic phenomenological and social constructivist …

Trauma-Informed Gatekeeping In Counselor Education And Supervision: An Interpretative Phenomenological Analysis, Leslie E. Davis

Dissertations

Gatekeeping is a challenging ethical and legal obligation for counselor educators and supervisors. Many counseling students demonstrate some sort of problem of professional competence in their counseling programs, and it is critical that counselor educators utilize gatekeeping practices to prevent gateslipping (Brown-Rice & Furr, 2016a; Gaubatz & Vera, 2002; Kimball et al, 2019). According to The Substance Abuse and Mental Health Services Administration (SAMHSA, 2023), there is an increasing need to address trauma as a critical element of providing effective mental health services. Trauma-informed care and trauma-informed principles began to appear in the mental health literature in 2001, and the …

Counseling In The Space Between: Counselor Perceptions Of Empathy And Therapeutic Alliance During Videoconferencing-Based Teleplay Therapy Sessions, Robert M. Lima Jr

Dissertations

Children and adolescents experienced a significant increase in mental health challenges during the COVID-19 pandemic (Czeisler et al., 2020; Hertz et al., 2022; Mpofu, 2023; Oberg et al., 2022; Wilkins et al., 2023). With health facilities closed for non-emergent patients, telemental health therapy offered the possibility of support for those experiencing mental health challenges (Chiauzzi et al., 2020; Cooke et al., 2020; Karimi et al., 2022; E. C. Lee et al., 2023; Racine et al., 2020). While numerous past studies conducted over several years confirmed the efficacy of telemental health counseling (e.g., Feijt et al., 2020; Gloff et al., 2015; …

An Interpretive Phenomenological Analysis Of Counselor's Experience Of Breathwork And Its Impact On Their Therapeutic Practice, Jennifer Zúñiga Agüero

Dissertations

Breathwork, a transpersonal and experiential approach to psychotherapy, has been used for healing and transformation throughout the years. When applied in clinical practice, breathwork can serve as a conduit to access nonordinary states of consciousness for self-exploration and transformation. Traditional psychotherapy does not engage with nonordinary states of consciousness as part of the therapeutic process; thus, research in relation to counselors’ experiences of breathwork and their impact on therapeutic practice has yet to be explored.

Counselors’ experiences of breathwork and the influence they have in clinical practice is the phenomena explored in this research study. Exploring counselor experience with a …

The Role Of Support And Prayer In Enhancing The Psychological Well-Being Of Cancer Patients In Canada, Emmanuel N. Mbah

Dissertations

Purpose of the Study

The purpose of the study was to investigate the role of family support, friends' support, community support, and prayer on the psychological well-being of cancer patients in Canada.

Methodology

A survey research method was used in this study. The survey was distributed through the QuestionPro audience and had 721 viewers, 674 respondents, and 400 participants (i.e., those who completed the survey). The survey completion rate was 59.35%, with an average completion time of 9 minutes. Most participants were Christians (62.0%), some were unaffiliated (29.5%), and the remaining participants were either Muslims, World Religion, Buddhism, Hinduism, etc. …