The Making Of A Counselor: How My Life Shaped My Purpose, Grace M. Christopherson

Dissertations, Theses, and Projects

This Plan B Project Analysis of Self explores the life experiences of an aspiring school counselor. The goal of a self-analysis project is to further explore the contents of oneself before entering the mental health field. Personal stories and experiences will be debriefed with the purpose of showing what has led to a pursuit in a career as a mental health counselor. Assessment results will also be shown and drawn from further enhancing the analysis of self. Additionally, theoretical orientation will be elaborated on and illustrated. All the different aspects of the analysis of self will reveal development both professionally …

The Development And Piloting Of A Novel Client-Rated Trans And Gender Expansive Clinical Competence Scale For Mental Health Providers, Karen Abraham

Dissertations, Theses, and Capstone Projects

Transgender and gender expansive individuals (TGEI) are people who encompass a broad and comprehensive set of experiences of gender diverse individuals and identities that exist both within and beyond a binary framework. In the United States, the Williams Institute identified a proportion of 0.5% of American adults identifying as transgender (Herman et al., 2022). TGE samples report poorer physical and mental health than their cisgender counterparts across the lifespan (Rastogi et al., 2025; Reisner et al., 2015; Reisner, Poteat, et al., 2016). Health disparities of TGEI relative to their non-TGE counterparts can be seen in the prevalence of mood disorders …

Exploring The Occupational Risks Among Human Service Professionals: A Trauma-Informed Approach To Caring For Others And Ourselves, Shaian Kong

Master of Arts in Human Services

It is known that human service practitioners are often expected to maintain empathy, compassion, emotional regulation, and professionalism during high-stress or uncertain situations. These experiences expose practitioners to a unique intersection of trauma. While helping others through their own trauma, practitioners may also experience symptoms such as intrusive thoughts, emotional exhaustion, sleep disturbances, hypervigilance, and avoidance despite not directly experiencing the traumatic events themselves. Current literature highlights these existing occupational risks that may hinder sustained career development, increased compassion fatigue, and affect workplace standards and support. With things like frequent increase in workloads, workforce shortages, and insufficient professional support, practitioners …

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 …

Integrating Matrescence Into Birth Worker Practice: A Practice Improvement Project, Kelsey B. Green

Doctor of Nursing Practice (DNP) Projects

Background: Perinatal mood and anxiety disorders (PMADs) affect 20–25% of mothers worldwide and are a leading cause of maternal complications. Stigma, fragmented care, and limited provider training leave families vulnerable, while birth workers offer trusted, continuous support.

Problem: Birth workers' maternal mental health (MMH) training is minimal and often excludes matrescence, the developmental transition to motherhood, limiting their ability to distinguish normal adjustment from clinical PMADs and delaying intervention.

Methods: A single-group, pre-/post-test design evaluated a matrescence-informed workshop at Roots Community Health's 2nd Annual Symposium. Anonymous surveys measured knowledge, attitudes, and confidence, analyzed with Mann–Whitney U, Wilcoxon signed-rank tests, and …

Supporting Every Student: Optimizing School-Based Mental Health Services For Students With Intellectual Disabilities, Sarah K. Eggleston

Educational Specialist, 2020-current

Youth with intellectual disabilities (ID) are at considerably greater risk of developing mental health problems compared with the general population; however, their needs are less likely to be identified, and they often face barriers to accessing quality mental health care. School-based mental health professionals (SBMHPs) are uniquely positioned to support students within their natural learning environments, where many common barriers to service provision have been removed. The present study examined the current state of practice among SBMHPs in Virginia in identifying and supporting the needs of students with ID, as well as SBMHPs’ training experiences. An online cross-sectional, mixed-methods survey …

Predictors Of The Mother-Infant Bond: The Role Of Maternal Attachment Style, Parity, Race, And Motherhood Expectations, Samia Qadri

Theses, Dissertations and Culminating Projects

This study examined how maternal attachment style, parity, race, and motherhood expectations, individually and in interaction, predicted the quality of the mother-infant bond during the postpartum period. Grounded in a maternal feminist framework, the study used a quantitative, cross-sectional correlational design. Postpartum mothers aged 20–39 (N = 87) completed validated measures of maternal attachment style, motherhood expectations, mother-infant bonding, and depressive symptoms. Multiple regression compared a Primary Model containing the four focal predictors and planned interaction terms with a Secondary Model that added maternal depressive symptoms as a covariate. Depressive symptoms emerged as the strongest single predictor of bonding, and …

A Systematized Review Of The Effectiveness Of Sbirt On Reducing Adolescent Substance Use In School Settings, Mallory L. Mcivor

Educational Specialist, 2020-current

As substance use remains a pressing public concern for adolescents, the academic, social, and neurological consequences are extensive. Schools are uniquely situated to support large populations of youth during their critical developmental periods, and schools act as the ideal location for substance use prevention and intervention. This study explored the prevalence and influence of substance use on adolescents, the role of school climate in prevention and intervention efforts, and assessed the model Screening, Brief Intervention, and Referral to Treatment (SBIRT) as a suitable framework for school-based interventions. Following a structured search across two databases, 20 studies met inclusion criteria and …

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 …

Pre-Service Teacher Mental Health Bias Toward Students, Rachael Ann Crofford

Graduate Theses and Dissertations

The purpose of this study was to understand mental health bias held by pre-service teachers. Participants in the study were 122 pre-service teachers enrolled in teacher education programs at three universities (two in the Midwest and one in the South) and included 92.6% white, 82% female, and ranged in age from 18-59 years old, with the largest group of participants being 20 years old. This cross-sectional survey study used the Biases Toward Children with Psychological and Behavioral Disorders Scale (Hirsch, 2013), comprised of 21 items using 1-6 Likert scale. In addition, demographic, education experience, mental health training, mental health care …

Making Meaning In Gender Affirming Therapy: Voices Of Transgender And Gender Diverse Individuals, Shelby Freeman

Graduate Theses and Dissertations

Transgender and gender diverse (TGD) people frequently seek out counseling services and experience greater mental health difficulties than the general population. Oppressive political and social structures are often cited as a main contributor to mental health disparities. As antitransgender laws and sentiments increase in the U.S., the likelihood of mental health professionals encountering TGD clients will also increase. This requires specific competencies in how to provide effective gender-affirming mental health services. Affirming MHPs are more accessible to TGD clients now than ever due to increases in provider training and improved attitudes. However, previous research revealed that MHPs who identify as …

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 …

Determinants Of Corporal Punishment And Severe Physical Punishment In Egypt: A Mixed-Methods Analysis For Child Protection Policy, Marwa Moustafa Nassef

Theses and Dissertations

Corporal punishment (CP) and severe physical punishment (SPP) remain a major public health, child rights, and child protection policy concern. In Egypt, despite legislative reforms, survey-weighted analysis of the 2021 Egypt Family Health Survey (EFHS) 2021 (CAPMAS, 2022) reveals prevalence rates of 60.5% for CP and 27.4% for SPP among children aged 1–14 (author’s calculations using EFHS-2021, n=7623), yet evidence distinguishing the determinants of routine corporal punishment from escalation to severe physical punishment remains limited in low- and middle-income contexts. Guided by Bronfenbrenner’s ecological framework, this mixed-methods study identifies key drivers of CP and its escalation to SPP among Egyptian …

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., …

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 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 …

Racism, Coping, And In-Race Heterosexism Among Asian American Sexually Expansive People: A Moderated Moderation Analysis, Miah Theresse A. Sabas

Graduate Masters Theses

Asian American sexually expansive people (AA SEP) are at elevated risk of psychological distress at the intersection of racism and heterosexism (Takeda et al., 2021). Less is known about how AA SEP cope with intersectional oppression, including experiences of in-race heterosexism. With a sample of 105 AA SEP, correlations indicated a positive link between psychological distress (PD; DASS-21, Lovibond & Lovibond, 1995) and racism-related stress (RRS; Brief PEDQ-CV, Brondolo et al., 2005), but not in-race heterosexism (Perceived Racism in Lesbian, Gay, and Bisexual Communities Scale, Sarno et al., 2015). Moderation analyses indicated only active coping buffered the relation between RRS …

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 …

From Body Positivity To Body Power: How Music Therapy And Body Liberation Intersect To Address Body Oppression In The Therapeutic Space–A Literature Review, Katherine M. Perkoski

Expressive Therapies Theses

With the rise of overt fascism, anti–fat bias, anti–intellectualism, anti–multiculturalism, anti–diversity, equity, and inclusion, and the persistence of white, capitalist, cisheteropatriarchy narratives around bodies, music therapists need to recognize how client and therapist bodies show up in practice. In this critical literature review, bodies will be sociopolitically and culturally contextualized, and the intersections of music therapy, body liberation, and body power will be discussed. Music therapists need to address the body oppression faced by sociopolitical identities such as race, gender, disability, age, body size, sexuality, neurodiversity, class, ethnicity, nationality, housing status, and immigration status. The music therapy field needs to …

Dance Movement Therapy Enhances Experiential Master Play In Child Centered Play Therapy: Literature Review, Fallon M. Walsh

Expressive Therapies Theses

This literature review examines the use of Dance movement therapy to enhance trauma processing during Experiential mastery play in Child centered play therapy. The purpose of this review is to evaluate existing research on trauma in adolescents, Dance movement therapy, and Child centered play therapy to understand the support and effectiveness of combining these interventions. The paper discussed research on the following topics: Adverse childhood experiences, Dance movement therapy, Child centered play therapy, Experiential mastery play, and kinesthetic empathy. As this is a growing topic, the discussion section explores the overlap of Dance movement therapy and Child centered play therapy, …

Between Cultures: An Expressive Arts Community Engagement Project On Identity, Belonging, And Cultural Transition Among International Students, Shilpa Ivaturi

Expressive Therapies Theses

International students navigating cultural transition often experience disruptions not only in social adjustment but also in their sense of identity, belonging, and meaning-making. Grounded in expressive arts therapy, cross-cultural psychology, and mythopoetic frameworks of transformation, this thesis explores how creative processes can support international students in reflecting on and integrating their evolving identities during periods of cultural transition. A four-hour trauma-informed expressive arts workshop, structured around the Hero’s Journey arc of departure, initiation, and return, was facilitated across two sessions at a university in the northeastern United States. Seven international students from diverse cultural backgrounds engaged in multimodal practices including …

Embodied Identity In Dementia: Art Therapy As A Pathway To Selfhood, Sarah E. Southwick

Expressive Therapies Theses

Older adults living with dementia have often been erroneously perceived as inhabiting a singular lived experience marked by degeneration in cognitive functioning and considerable losses in self-identity. There is substantial literature to suggest that multisensory stimulation and art therapy are well-positioned as conduits for self-expression. However, a gap exists related to artistic media and how they may be implemented and tailored for people with dementia. This capstone explores the paradigm of selfhood as a subjective essence of being that may be accessed through creative expression and sensory engagement. Arts-based directives were implemented through a person-centered expressive arts therapy framework. Two …

Exploring The Potential For Meaning-Making In Expressive Art Therapies Interventions In Treatment Of Complicated Grief For Gun Homicide Survivors: A Literature Review, Ash Landrein

Expressive Therapies Theses

Research shows that the violent nature of homicide and the extreme lethality of firearms in conflict lead to increased psychological impairment for survivors and communities affected. Black and Latinx communities are disproportionately affected by gun violence, yet are historically underresearched and underserved. Social constraints and systemic negligence complicate and stigmatize the bereavement process. This literature review examined culturally relevant grief practices, theories and components of meaning-making (MM) post-loss, and Expressive arts interventions for facilitating meaning, safety, and reconnection for survivors, through an intersection of race, ethnicity, gender, and age. Cumulative research shows that MM can help individuals experiencing complicated grief …

Becoming A Body-Centered Psychotherapist: Developing A Reflective Method For Navigating Dual Professional Identity In Dance/Movement Therapy Training, Emma Rose Barbosa

Expressive Therapies Theses

The field of mental health counseling frequently prioritizes verbal modalities, often leaving dance/movement therapists (DMTs) in training to navigate clinical environments that diverge from their primary movement-first modality. Without adequate preparation for this tension, emerging DMTs risk losing access to their primary treatment modality at a critical stage of professional development. The literature review highlights the mind-body connection as a theoretical foundation for somatic integration in clinical practice, examines the development of the internal witness through authentic movement practice, and explores selected current perspectives on DMT within individual counseling contexts. To investigate further themes, a heuristic study was conducted during …

Arts-Based Violence Prevention For Youth: A Literature Review, Amber Lynn Isaac

Expressive Therapies Theses

This narrative literature review examines arts-based approaches to violence prevention and trauma-related support among school-aged children and adolescents in school and community settings. Violence is conceptualized as both interpersonal and structural, encompassing physical, emotional, relational, and systemic harms that arise through unequal access to safety, opportunity, and resources. The review then explores how these conditions increase vulnerability to trauma exposure, particularly among youth in marginalized and underserved communities, and considers the psychological impacts of violence on youth development. Centering the resilience of children and adolescents through relational strengths, adaptive coping strategies, and creative capacities, this review then examines the benefits …

Exploring Color-Blind Racial Attitudes And Critical Race Theory - Informed Beliefs Among School Social Workers, Faith E. King

Social Work Doctoral Dissertations

Black Americans face unequal rates of psychological distress and misdiagnosis primarily due to systemic racism embedded in institutions. Despite these alarming realities, current mental health frameworks often cling to biased perceptions of wellness facilitated by White, Eurocentric norms that pathologize communal resilience and cultural expressions of healing. In clinical spaces, these realities are too often erased by the biased meanings and individualistic norms that render Black grief pathological and Black resistance dysfunctional. Dominant therapeutic modalities labeled “evidence-based” remain rooted in racially neutral, individualist assumptions that exclude the lived experiences of Black clients, as they were developed for them. The National …

Influence Of The Discipline Of Authentic Movement Practice On Interpersonal Relationships, Joy Ruben Welts

Educational Studies Dissertations

This mixed methods study explored how practicing the Discipline of Authentic Movement impacts relationships. This research was conducted to fill in the gaps around attunement and use of the Discipline of Authentic Movement as an intervention to support healthy relationships. Five self-selected adults met on Saturday afternoons for eight weeks to practice the Discipline of Authentic Movement. They completed a pre and post Revised Adult Attachment Scale and reflected weekly on their experience through journaling. Participants reported that it was the structure of the Discipline of Authentic Movement that allowed them to feel more comfortable being themselves with others. The …