Counseling Commons^™

Becoming A Therapist In A Foreign Land: Narratives Of International Trainee Clinicians Of Color In The U.S., Prathma Sharma

Electronic Theses and Dissertations

The focus of this dissertation project is on the community of trainee clinicians of color, who have been consistently overlooked in the literature on mental health. This dissertation employed narrative analysis as a methodological framework to explore the experiences of international trainee clinicians of color as they navigated the complex landscape of mental health training in the United States. In an increasingly globalized world, the voices and perspectives of these individuals offered critical insights into the challenges, triumphs, and unique pathways that shaped their professional development. Much of the literature on diversity and inclusion tends to individualize the challenging experiences, …

A Mixed-Methods Pilot Study Of A 10-Week Wellness Program For Resident Assistants, Emily L. Lee-Chong

Electronic Theses and Dissertations

This mixed-methods pilot study used semi-structured interviews with 15 resident assistants (RAs), complemented by descriptive pre- and post-test data from the Five Factor Wellness Inventory (FFWEL), to explore their lived experiences of participating in a 10-week wellness program grounded in the Indivisible Self Model of Wellness (IS-WEL). The purpose of this study was to examine the program's perceived influence on wellness practices and to explore the feasibility of implementing wellness-focused programming. Using a hermeneutic inquiry approach, the study identified four themes reflecting participants’ experiences throughout the program. Themes highlighted the importance of self-awareness through the IS-WEL model, the value of …

Professional Dispositions In Coaching Education: Icf-Credentialed Coaches’ Perspectives On Development And Assessment, Michelle Renee Thompson

Electronic Theses and Dissertations

This qualitative phenomenological study examined how professional dispositions were defined, experienced, and assessed in coaching education within the rapidly expanding field of professional coaching. The problem addressed was the lack of a clear understanding of professional dispositions in coaching and the absence of a systematic dispositional assessment comparable to that in counselor education. The researcher’s purpose was to explore how credentialed professional-level coaches defined and identified professional dispositions for effective coaching engagements and how these dispositions aligned with constructs in other helping professions. The researcher collected data through semistructured videoconference interviews. Purposeful and snowball sampling yielded 16 U.S.-based coaches who …

Accessing Campus Mental Health Services In A Nigerian Southwestern University: Barriers To Academic Success, Caroline Dada

Electronic Theses and Dissertations

Mental health disorders are a significant health concern among higher education institutions in sub-Saharan Africa, including Nigeria. A substantial treatment gap exists in the Nigerian healthcare system, and this gap is further worsened by cultural and religious barriers, which reinforce stigma that discourages students from seeking professional help. This qualitative narrative inquiry explored the barriers students encountered when accessing mental health services at a university in Southwestern Nigeria, to increase service access. Qualitative semistructured interviews were conducted with seven professional mental health providers at a university counseling center between March and April 2025. Inductive thematic analysis was used to identify …

Building Relationships: Does Perceived Counselor Cultural Humility Improve Client Satisfaction Of Mental Health Services Within Therapeutic Dyads Of Dissimilar Identities?, Noah Schoch

Electronic Theses and Dissertations

A wealth of clinical research has uncovered the presence of mental health treatment disparities and a lack of treatment consistency when working with clients of dissimilar identities. The purpose of this dissertation study was to investigate potential causes for the observed disparities minoritized individuals have experienced and understand if cultural humility was a variable that affected mental health treatment satisfaction when counselor-client had dissimilar cultural identities. This was achieved through the following research questions: (1) What is the relationship between the extent of client perceived racial/ethnic similarity within the therapeutic dyad and client-rated mental health treatment satisfaction? (2) What is …

Family Functioning And Adolescent Outcomes In Wilderness Therapy: A Quanitative Analysis Of Change And Predictive Relationships, Elizabeth Santone

Electronic Theses and Dissertations

This study explored the impact of wilderness therapy on adolescent and family functioning using archival data from a licensed outdoor behavioral healthcare program. The purpose of this research was to examine both individual and systemic changes over the course of treatment and to explore whether improvements in family functioning were associated with youth outcomes. The final sample included 1,293 adolescents who completed the Youth Outcome Questionnaire (Y-OQ 2.01) at intake and discharge. A subset of 454 adolescents and their caregivers also completed the Family Assessment Device (FAD) at both time points. Paired-sample t-tests revealed statistically significant improvements in both adolescent …

Mind The Gap: Intergenerational Perspectives On Mental Illness Within Ghanaian American Communities, Ama Danso-Ayesu

Electronic Theses and Dissertations

This research explores attitudes toward mental illness among Ghanaian immigrants and

first-generation Ghanaian Americans, with particular focus on factors that influence

stigma. Guided by Bronfenbrenner’s Bioecological Model, the study utilized the

Community Attitudes Toward Mental Illness (CAMI) Scale to measure four dimensions

of stigma, including authoritarianism, benevolence, social restrictiveness, and community

mental health ideology. A comparative, cross-sectional design was employed to examine

differences between immigrant and American-born participants. The findings revealed

generational differences where Ghanaian immigrants reported higher levels of

authoritarian and socially restrictive beliefs, while first-generation Ghanaian Americans

demonstrated more benevolent and inclusive attitudes. Interpreted through the ecological

systems …

Likes For Love: Examining The Relationship Of Sociocultural Factors On Social Media Influences Of Instagram Use For Young Black Women, Cheria S. Jackson

Electronic Theses and Dissertations

In recent years there has been a push toward studying ethnic minority women related to the psychological implications of image and beauty, as historically the focus has been on the experiences of European women (Awad et al., 2015). Black women must process sexual development, attitudes, and behaviors through the lens of the sexual scripts and stereotypes of their ethnic group and must negotiate between mainstream and culture specific norms of sexuality (Daniels and Zurbriggen, 2016; Jerald et al., 2017). The presence of these scripts signifies a difference between Black women and other races about how they may internalize and react …

Charter School Counselor's Perceived Barriers To Implementing A Recognized Asca Model Program, Nadene P. Pomerico

Electronic Theses and Dissertations

In 2003, the American School Counselor Association published its first edition of the ASCA National Model—a framework for school counselors to develop and implement comprehensive school counseling programming. This streamlined guidance supports school counselors in developing and implementing comprehensive school counseling programming that prioritizes services to students with systematic intentionality. In addition, the American School Counselor Association released the Recognized ASCA Model Program (RAMP) award. This distinction is awarded to school counseling programs that demonstrate the implementation of the ASCA National Model with fidelity, which includes using data to evaluate the impact of school counseling programming. Through the years, a …

The Experience Of African American Male Counselor Educators Navigating Racial Battle Fatigue, Quincy J. Stephenson

Electronic Theses and Dissertations

A qualitative phenomenological approach was used in this research to explore the lived experiences of African American male counselor educators (AAMCEs) in historically or predominantly White universities who have obtained tenure and promotion. The need for equitable support, recruitment, and retention of faculty of color in counselor education has received more attention from universities in recent years. Although some advancement has occurred, AAMCEs continue to be underrepresented in academia, especially counselor education. There has been research concerning the impact of racism on and resilience of AAMCEs; however, there is a lack of research concerning how this specific population navigates racial …

A Counselor’S Experience: Trauma-Informed Care When Working With Children Diagnosed With Autism Spectrum Disorder, Abbigail Rinard

Electronic Theses and Dissertations

This study sought to understand the lived experience of professional counselors when implementing trauma informed care to children diagnosed with autism spectrum disorder. There are few studies that have assessed the counselors lived experience of implementing TIC, and even fewer that have examined professional counselors experience doing so in a specialized population.

To understand the lived experience of professional counselors, the participants of the study were purposefully selected to include those who have an active professional counseling license, implement TIC, and work with children diagnosed with ASD. The study was conducted with a total of eight participants who have implemented …

Changing The Face Of Power: Understanding Black Female Clinical Supervisors Through The Superwoman Schema, Shanelle V. Clay

Electronic Theses and Dissertations

According to the American Counseling Association Code of Ethics (2014), the counseling profession’s core values include honoring diversity and embracing a multicultural approach to both direct services and supervision. Despite the acknowledgement of multiculturalism in clinical supervision, there is minimal research on the impact of supervisors’ intersectionality on supervision dynamics. This qualitative research study will examine the experience of Black female clinical supervisors and the impact the Superwoman Schema has on their role in supervision. This phenomenological research is grounded in the Superwoman Schema Conceptual Framework and Black Feminist Thought. A total of five superordinate themes and 14 subordinate themes …

The Mediation Effect Of White Racial Affect On Color-Blind Racial Attitudes And Multicultural Counseling Competence, Noah Schieffer Scanlon

Electronic Theses and Dissertations

Racial bias is something that can impact many fields, including the field of psychology. There is growing research in examining the relationship between multicultural counseling competence and color-blind racial attitudes as well as other factors like White racial affect Few studies have examined the potential mediating relationship White racial affect may have on color-blind racial attitudes and multicultural counseling competence. To address this gap, this study provides insight into how White racial affect mediates the relationship between color-blind racial attitudes and multicultural counseling competence among white psychology trainees. This study also further examined the extent to which color-blind racial attitudes …

Voices From The Field: Mental Health Therapists' Perceptions Of Collaboration With Child Protective Services Workers, Tamara P. Fields

Electronic Theses and Dissertations

The child welfare system in the United States requires collaboration across various agencies in the provision of services. Although collaboration between mental health therapists and state agencies is fundamental when the goal is to provide quality care and achieve positive outcomes for families involved with Child Protective Services (CPS), the system is characterized as complicated and fragmented. Using Bronstein’s 2003 model of interprofessional collaboration to understand the dynamics of collaboration between mental health therapists and CPS workers in Texas, this qualitative descriptive research study described mental health therapists’ perceptions of collaborating with CPS workers in delivering therapy services to CPS-involved …

Gatekeeper, Keep Thyself: How Impairment Impacts The Integration Of Counselor Wellness Competencies, Curtis Lee Taylor

Electronic Theses and Dissertations

This quantitative study examined counselor educators’ beliefs regarding the importance of Counselor Wellness Competencies (CWCs) and how effectively they teach them to their counselors-in-training (CIT). This study focused on significant relationships between the importance and effective teaching, self-care, and burnout. Counselor educators who place higher importance on the CWCs reported having higher self-efficacy in teaching them. The findings suggest that counselor educators with more self-care behaviors experienced less burnout and were better able to show congruence between the importance and effective teaching of the CWCs. The conclusion of this report explores limitations and directions for future research.

How Do Expert Forensic Evaluators Do It? A Qualitative Study Exploring Forensic Evaluators’ Lived Experiences Conducting Psychosexual Evaluations Of Sex Offenders With Suspected Autism, Jessica K. Gazzola

Electronic Theses and Dissertations

This qualitative inquiry utilized semi-structured interviews with eight expert forensic evaluators to explore their lived experiences engaging in psychosexual evaluations of sex offenders with a suspected diagnosis of autism. The purpose of this study was to identify current best practices, principles, and challenges faced by forensic evaluators when assessing sex offenders with a suspected diagnosis of autism. The results provide a variety of autism-specific screening tools and assessments used by forensic evaluators in their psychosexual evaluation process. Four emergent themes were developed using a descriptive phenomenological approach and social constructivist framework. These themes encompass forensic evaluators’ role in conducting psychosexual …

Wounded And Healing: Licensed Counselors’ Experience With Personal Suicide Loss And The Impact On Clinical Practice, Supervision, And Self-Disclosure, Shannon Strohl

Electronic Theses and Dissertations

This study sought to explore the lived experiences of licensed counselors who experienced personal suicide loss and the impact of their loss on their professional lives. Of particular interest was the impact of the loss on countertransference, professional direction and choices, and self-disclosure with clients and other professionals in the field (e.g., supervisors, professors, and colleagues). The concept of the wounded healer, as described by Zerubavel and Wright (2012), served as the theoretical framework used to understand the participants’ stories. Previous studies have examined the wounded healer among psychologists; however, few studies explored the experience of licensed counselors as wounded …

Latinx Sleep Health Disparities In Primary Care: The Role Of Patient-Provider Communication, Amy L. Fraire

Electronic Theses and Dissertations

Poor sleep is linked to various adverse health outcomes, and Latinx often experience shorter and poorer sleep relative to non-Hispanic whites (NHWs). Despite growing attention to racial/ethnic sleep health disparities, there is a notable dearth in the literature on patient-provider communication about sleep (Sleep Communication) during primary care visits, particularly among Latinx patients. To address this gap, this study provides initial insights into the incidence of Sleep Communication among Latinx and NHW primary care patients (N = 210), as well as if patient race/ethnicity and Sleep Communication collectively relate to patient satisfaction with their PCP or perceptions of culturally sensitive …

Understanding The Supervision Of Counselors In A Grief Process Who Have Experienced A Client’S Death By Suicide., Sean Abaray

Electronic Theses and Dissertations

This qualitative phenomenological study explored the grief experiences of counselors in supervision who have experienced a client's death by suicide. Given that this phenomenological study aimed to explore a new phenomenon of study, the researcher utilized van Manen’s lived existentials as a process for data analysis. The first chapter of the dissertation introduces the problem and includes the research question. The question is: “How do counselors who have experienced a client's death by suicide experience supervision as they work to deal with the loss?" Following this chapter, the researcher reviews relevant literature selections. During the methodology chapter, the researcher describes …

Self-Efficacy Towards Teaching, Critical Thinking Dispositions, And Supervision Of Teaching Among Ces Doctoral Students, Brenda Everett

Electronic Theses and Dissertations

According to the 2024 CACREP Standards (2023), “ethical behavior, diversity, equity, inclusion, and critical thinking” are essential for counselor preparation. Thus, doctoral students must be equipped to teach and incorporate “culturally sustaining content and strategies across the eight foundational curriculum areas” into counselor training upon graduation (Section 3, p.12). Given the increase in counselor education programs (Field et al., 2020) and the need for self-efficacious counselor educators (Association for Counselor Education and Supervision [ACES] Teaching Initiative Taskforce, 2016) in these programs to teach the next generation of counselors-in-training, there is a continuous need in the literature for research on self-efficacy …

Are Clinicians Primed For Burnout?: A Multidiscplinary Approach To Exploring Counselor Wellness, Anastasha Homa-Earl

Electronic Theses and Dissertations

Though clinician wellness is a “hot topic” in the field of counseling, the current models of examining counselors’ levels of burnout and engagement do not account for the likely role that perception plays the subjective experiences of these constructs. This project attempts to synthesize methodology from the fields of social and cognitive psychology with the latest in industrial-organizational theory on burnout and engagement by applying a priming methodology to the study of mental health professionals’ experiences of work-related burnout and engagement. One hundred sixty-two clinicians participated in a priming experiment disguised as a workplace perceptions survey in an attempt to …

Assessing The Psychological Benefits Of Biophilic Design In Therapeutic Counseling Spaces, Andrew Graf

Electronic Theses and Dissertations

This dissertation explores the intersection of biophilia and counseling, aiming to illustrate the potential benefits of integrating nature-based interventions into therapeutic practice. Biophilia, the innate human tendency to connect with nature, has garnered attention in various fields, yet its implications for counselors remain unexplored. This qualitative study employs a hermeneutic phenomenological approach to investigate the lived experiences of counselors who have incorporated biophilic elements into their practice and the perceptions of clients who have engaged with these interventions.

Through semi-structured interviews with licensed counselors, themes emerged regarding the impact and use of biophilic interventions on the therapeutic process. Findings suggest …

On The Cultivation Of Relational Leadership Mindsets Among Graduate Supervisees In The Mental Health Professions: A Critical Interpretive Synthesis, Cristina Bucur

Electronic Theses and Dissertations

In counseling supervision, leadership is often associated with supervisors’ skills, role, position, and responsibilities. However, supervisees need to learn and practice how to lead also: for example, how to promote others’ well-being, how to support, and advocate for others and self. Graduate supervisee relational leadership in the mental health professions is an intrinsic part of the purposive aspect of counseling supervision. Relational leadership in graduate counseling supervision is a purposive, interpersonal, facilitative, growth oriented, and process-based service in which leaders -expert facilitators and mentors- seek to cultivate leaders, not followers. Relational leadership is mutuality-affirming and mutuality-promoting (e.g., open dialogue, mutual …

Mental Health Counseling For Individuals With Intellectual Disabilities: A Phenomenological Study Of Client Perspectives., Kathleen Nagle Barnett

Electronic Theses and Dissertations

Mental illness is three to four times as prevalent among individuals with intellectual disabilities compared to those without intellectual disabilities (Munir, 2016). There is a body of research supporting the efficacy of mental health counseling to decrease symptoms and behaviors in individuals with intellectual disabilities, but scarce research exists which describes the experiences of these individuals. This interpretive phenomenological analysis was designed to gather information about how individuals with mild intellectual disabilities experience the four common components of psychotherapy that contribute to change (from Lambert, 1992; Thomas, 2006) – client and extra therapeutic factors, relationships factors, expectancy, and model / …

A Comparison Of The Whytry Curriculum And Aggression Replacement Training In Adolescents At Risk For Family Breakdown, Grace Elizabeth Taylor

Electronic Theses and Dissertations

The Prevention and Early Intervention (PEI) division of the Texas Department of Family and Protective Services seeks to provide evidence-based programs to prevent family breakdown. Evidence-based programs are defined as programs that have qualitative and quantitative support of positive outcomes by peer-reviewed articles. Family and Youth Success (FAYS) is a PEI program that seeks to promote resilience in families and youth by offering one-on-one skills-based counseling and group-based learning for children and parents. FAYS utilizes the WhyTry Program and Aggression Replacement Training (ART) as social skills training programs that seek to decrease social problems and aggression and increase social skills. …

Using A Three-Dimensional Theoretical Orientation Matching Model To Predict Therapeutic Outcomes, Daniel Rhodes

Electronic Theses and Dissertations

Matching helpers and clients in a therapeutic setting is inefficient and ineffective. So far, there are no significant and enduring variables that reliably match helpers and clients that lead to positive therapeutic outcomes. This study attempts to match helper and client using theoretical orientation. It uses a quantitative methodology to predict therapeutic outcomes given match quality in the therapeutic dyad. Participants were 30 dyadic pairs—consisting of one helper and one client—who had a pre-existing therapeutic relationship. Each was given an assessment tool, used to measure their theoretical orientation to psychotherapy. Results showed no statistically significant relationships between theoretical orientation match …

Counselors’ Spirituality, Attitudes Toward Suicide, And Self-Efficacy In Conducting Suicide Risk Assessment, Tayler Hendrix

Electronic Theses and Dissertations

The present study aimed to explore the relationship between perceived spiritual support and counselor self-efficacy in conducting suicide risk assessment, and the moderating effects of attitudes about suicide on this relationship. Based on existing theory and empirical evidence, perceived spiritual support was hypothesized to have a positive predictive relationship with counselor self-efficacy in performing suicide risk assessment; further, four different constructs pertaining to attitudes toward suicide were also hypothesized to moderate the strength and direction of this relationship. A sample of Master’s level clinicians and advanced standing Master’s graduate students (N=132) completed on online survey containing instruments measuring perceived spiritual …

On-Campus Mental Health Service Use Among College Students With Autism: A Case Study Applying The Andersen Behavioral Model Of Health Services Use, Estella C. Lilyquist

Electronic Theses and Dissertations

The unique set of impairments and limitations presented by students with autism spectrum disorder (ASD) make the accessing of campus-based nonacademic resources more difficult and complicated than their typically developed peers. Each year, the rate of students entering college with disabilities continues to grow, but their mental well-being is relatively poor. The purpose of this qualitative case study was to apply the conceptual framework of the Andersen behavioral model of health services use (ABMHSU) to the experiences of college students with ASD to understand and predict their utilization of campus-provided mental health resources. The participants were seven college students with …

Meta-Analysis Of Therapeutic Interventions For The Treatment Of Test Anxiety., Thomas Reece

Electronic Theses and Dissertations

This systematic review and meta-analysis was designed to be a practitioner-focused review of the current research into interventions for the treatment of test anxiety. As testing continues to be a large part of students’ academic experiences and the stakes of that testing grow for students, teachers, and schools, there is a need for a synthesis of the literature to provide teachers and schools with some guidance on how best to help their students succeed. In this review, I describe the phenomenon of test anxiety and the current theoretical questions concerning the relationship between test anxiety and test performance. I also …

A Comparison Of The Expressive Language Characteristics In Schizophrenia And Wernicke’S Aphasia, Taylor Thomas

Electronic Theses and Dissertations

Mental illness and language disorders are rarely linked together as a way of making a comparison. In this study, a comprehensive scoping review was initiated to discuss the differential diagnostic characteristics of expressive language in Schizophrenia and Wernicke’s Aphasia (WA). This study will examine the domains of language where there are overlaps between the characteristics of expressive language. Semantics, pragmatics, and discourse will be further examined while comparing what aspects of expressive language are key in each domain. Schizophrenia being classified as a mental illness and WA being classified as an acquired language disorder, there are fundamental properties of language …