Counseling Commons^™

Mindfulness Matters: Addressing Anxiety And Navigating Toward Wellbeing Through Miea Mindfulness Practices, A Mixed-Methods Study Of Lgbtiq Graduate Writing Students, Kim Westerman

Doctoral Dissertations

ABSTRACT

Mindfulness Matters: Addressing Anxiety and Navigating Toward Wellbeing Through MIEA Mindfulness Practices, a Mixed-Methods Study of LGBTIQ Graduate Writing Students

Anxiety has always been a part of the human experience, even before the phenomenon was conceptualized in the 17^th century and named by Freud in the 19th. And human beings have devised many strategies for addressing anxiety: reducing it, ignoring it, distracting oneself from it, despairing over it, medicating it, engaging with it, moving through it, co-existing with it. The current zeitgeist, more than four years into the COVID-19 global pandemic, situates anxiety as a central facet of …

Supporting Lgbtq+ Students In Rural Schools: Strategies For School Counselors To Enhance Protective Factors, Madison J. Nelson

Counselor Education Capstones

This capstone project explores the research-supported protective measures for LGBTQ+ students in schools, such as Gay-Straight Alliances (GSAs), LGBTQ+-specific anti-bullying policies, and proactive teacher intervention. It also addresses the unique challenges LGBTQ+ students face in rural schools, where social stigma, discrimination, and resistance to LGBTQ+ initiatives are more prevalent (Dahl et al., 2015). The project examines how these rural environments can reduce the effectiveness of protective factors commonly used in other settings. It further presents strategies specifically for school counselors to enhance the implementation and success of these protective factors in rural schools. Through a focus on counselor advocacy, policy …

Barriers To Help-Seeking Behaviors And Interventions For Adolescents With Co-Occurring Disorders, Hannah A. Fisher

Counselor Education Capstones

Adolescent mental health problems have become an extremely prevalent topic for discussion since the coronavirus pandemic. Adolescents experience five major barriers to obtaining mental health professional services including stigma, access to services, mental health professional mistrust, adolescent lack of mental health knowledge, and lack of support. These barriers create obstacles for adolescents seeking proper, affordable, high-quality, and culturally specific mental health care for their mental health needs. There are many different approaches to take to combat the identified barriers. Four different types of approaches are important to consider including what youth can do, what the family of the youth can …

The Use Of Art Therapy On Children With Life-Limiting Conditions, Karissa K. Schillinger

Counselor Education Capstones

Art therapy is a growing therapeutic technique that is noninvasive. The present literature review sets out to determine what effect art therapy has on children with life-limiting conditions. This author completed a literature review that involved analyzing ten research studies on a variety of youth populations. Studies were found about children with cancer, a child with cerebral palsy and a child with a severe neurological disorder. Zero incidences of harm were found when using art therapy. However, the literature was complicated by the type of art therapy provided, small sample sizes, varying duration of treatment, lack of control groups, lack …

Workforce Barriers And Needed Supports To Enhance Behavioral Health Service Provision For Older Adults In Nebraska, Cecilia Y.M. Poon, Shinobu Watanabe-Galloway, Yadi Liu, Charles Yale, Deepanjali Bhale, Erin O. Shcneider, Julia F. Houfek, Christine Chasek, Marley Doyle, Kendra L. Ratnapradipa

Counseling Faculty Publications

Nearly 20% of US older adults have mental health concerns, but few mental health professionals specialize in this population. In Nebraska, where almost 17% of Nebraska’s population is >65 years of age, BHECN conducted a survey to understand provider attitudes about and abilities to serve the state’s older population. Results from this online survey of licensed mental health practitioners in 2022 showed that 61% of responding practitioners were rural, 27% did not provide direct clinical services to older adults, and only 18% of their time was spent working with older adults. Barriers to providing care to older adults included Medicare …

The Inclusion Of Behavioral Healthcare Providers In Primary Care Settings: A Phenomenological Study, Janette A. Hernandez

Dissertations

With the shift toward integrated care, Behavior Healthcare Providers (BHPs) play a crucial role in improving patient outcomes and accessibility to mental health services. However, challenges such as time constraints, role ambiguity, and limited understanding of BHP contributions persist. This qualitative phenomenological study explores the experiences of BHPs in integrated primary care settings. Using semi-structured interviews with eight BHPs, the study examines their roles, challenges, and contributions within healthcare teams. Findings indicate that BHPs enhance collaboration with medical staff and facilitate timely mental health interventions. Yet, barriers such as inconsistent role recognition and workflow inefficiencies hinder full integration. This study …

An Interpretive Phenomenological Analysis Study: The Children Of Black Southern Protestant Theological Leaders, And Mental Health Implications, Kimberly Frantae Paige

LSU New Orleans Theses and Dissertations

According to Lee (2015), most PKs have their own personal stories about their complicated relationship with the church. The kids of Pastors experience pressure to satisfy their parents, peers, and the congregation. They also experience scrutiny and feel they are living “life in the fishbowl” (Benjamin et al., 2021). Meaning their lives and life decisions are constantly on display and discussed or questioned by onlookers; especially the community and members of their congregation (Benjamin et al., 2021). Meanwhile, they are trying to understand who they are, separate from who their parents are, and who society and the congregation thinks they …

Barriers In Reporting Sexual Violence On College Campuses, Amber Hartman

Honors Theses

This thesis is designed to examine the underreporting of sexual violence on college campuses by exploring the systemic, cultural, and logistical barriers that hinder victims from disclosing their assault. Using both qualitative and quantitative methodologies, the research identifies three overarching influences for non-reporting. Fear, shame, and lack of resources are presented as the basis of the decision that victims make to not report. Meta-analysis of the research concludes that there is a profound impact of internalized victim-blaming narratives, fear of repercussions and institutional deficiencies in providing accessible support. Recommendations for solutions emphasize creating trauma-informed policies, improving communication and accessibility of …

The Attachment Repair Hexagon: A Model For Recovery From Infidelity In Evangelical Marriages, Theresa C. Allen, John C. Thomas

Journal of Faith Integration Counseling (JFIC)

Many studies have examined risk factors for infidelity; however, few have investigated how couples recovered from the attachment injury of infidelity. Thus, a grounded theory pilot study was conducted by the lead author to explore the question, “What helps evangelical marriages recover after sexual infidelity by the husband?” Three evangelical couples who were a minimum of two years post-disclosure of infidelity shared their personal accounts of marital recovery. Six major findings emerged from the analysis of the data collected from their semi-structured interviews: 1) developing healthy communication; 2) obtaining support and accountability; 3) maintaining physical separation from the other woman; …

Study Abroad Angst: A Literature Review On The Mental Health Of International Students During Covid-19, Daisuke Akiba, Michael Perrone, Caterina Almendral

Publications and Research

Background: The COVID-19 pandemic presented unique and unprecedented challenges for international students, those studying at institutions of higher education outside of their home countries, due to their distinct circumstances and vulnerabilities. This literature review examines the multifaceted mental health burdens they experienced and highlights the need for targeted support and interventions. Methods: A rigorous search across three databases (i.e., PubMed, PsycINFO, and ERIC) yielded 50 empirical studies for inclusion in this literature review. A six-phase thematic analysis framework was employed to identify and synthesize key themes. Results: Seven prominent themes emerged: (1) academic and professional disruptions; (2) challenges navigating international …

Habit Coach: Customising Rag-Based Chatbots To Support Behavior Change, Arian Fooroogh Mand Arabi, Cansu Koyuturk, Michael O'Mahony, Raffaella Calati, Dimitri Ognibene

Conference papers

This paper presents the iterative development of Habit Coach, a GPT-based chatbot designed to support users in habit change through personalized interaction. Employing a user-centered design approach, we developed the chatbot using a Retrieval-Augmented Generation (RAG) system, which enables behavior personalization without retraining the underlying language model (GPT-4). The system leverages document retrieval and specialized prompts to tailor interactions, drawing from Cognitive Behavioral Therapy (CBT) and narrative therapy techniques. A key challenge in the development process was the difficulty of translating declarative knowledge into effective interaction behaviors. In the initial phase, the chatbot was provided with declarative knowledge about CBT …

Mindfulness In Helping Professions: A Systematic Review Of Interventions And Research Gaps, Yi-Wen Su, Ye Luo

Counselor Education Faculty Publications and Presentations

Mindfulness interventions yield significant benefits such as stress reduction, increased empathy and compassion, and enhanced self-efficacy among counselors. These outcomes are particularly valuable for helping professionals. This systematic review examines mindfulness interventions within mental health professional development programs, evaluating their effectiveness, assessing outcomes, and analyzing the mindfulness measures used. A comprehensive search across three databases identified 19 articles meeting the inclusion criteria. Findings demonstrate that diverse formats of mindfulness interventions effectively enhance mindfulness levels, reduce stress, foster self-compassion, and improve mental health outcomes among counselors and trainees. The review underscores the necessity for future studies to report practical significance to …

Preventing Burnout In Mental Health Counseling Students: A Shared Responsibility, Andrea Devooght, Anita A. Neuer Colburn

Journal of Counselor Preparation and Supervision

Burnout is an ongoing concern for counseling professionals across the career span. Master’s students studying to enter the field are vulnerable to burnout due to multiple factors, including the numerous challenges associated with graduate school and the dearth of experience coping with the pressures of clinical work. The onus of self-care is often placed solely on students, yet the training process allows opportunity for shared responsibility among leaders who encounter counselors in training. Considering the roles of counselor educators, faculty, and administrators; counselor supervisors and workplace leaders; and master’s-level students themselves, the authors apply the 5 P Communitarian Model for …

The Relationship Between International Counseling Students' Needs And Acculturative Stress, Malvika Behl, John Laux

Journal of Counselor Preparation and Supervision

The number of international students enrolled in the Council for Accreditation of Counseling and Related Educational Programs (CACREP) accredited programs has increased by 214 percent since 2015. This study focused on understanding the relationship between acculturative stress and needs among international students enrolled in CACREP-accredited programs. The students in this sample reported low acculturative stress, low financial and cultural needs, average Language and Social needs, and moderate Academic needs. Students' academic, social, cultural, and language needs were positively correlated with their acculturative stress. Acculturative stress and needs did not differ across the length of time students lived in the United …

Is Warmer Better? Examining Counseling Student Responses To Syllabus Tone, Angela I. Sheely-Moore, Leeann Cardaciotto, Krista Malott, Megan Krell, Carlos A. Flores

Journal of Counselor Preparation and Supervision

Researchers in this quantitative study explored the impact of syllabus tone on master-level counseling students (N = 124). Findings indicate statistically significant differences between students’ reactions to syllabi language, with greater student retention of the content within the warm syllabus condition and more favorable perceptions of the instructor and their grading practices. Implications for counselor educators are included.

Use Of A Relational Cultural Framework Of Supervision And Its Influence On Practicum Student Self-Efficacy, Sabrina Butler, Jessica Yanson, Vicki Kelchner

Journal of Counselor Preparation and Supervision

Supervision is one of the foundations of counselor development within counselor training programs and post-education licensure and certification processes. While educators have created many theories to address the supervision needs of counselors in training (CITs), relatively few address relational development and its impact on CITs’ self-efficacy. The researchers sought to address this gap by exploring Relational Cultural Supervision with practicum-level CITs. The researchers conducted a qualitative investigation utilizing a case study to examine the impact of Relational Cultural Supervision on practicum-level CIT reports of self-efficacy in a large CACREP-accredited university in the Southeastern United States. Results indicate that Relational Cultural …

Across The Curriculum: Teaching Lgbtq+ Competencies In Counselor Education, Adriana Euser, Kristin R. Chamberlain

Journal of Counselor Preparation and Supervision

In the U.S., the number of people identifying as lesbian, gay, bisexual, transgender, queer, or other sexual/gender minority identity (LGBTQ+) is increasing. LGBTQ+ individuals utilize counseling services twice as much as individuals in the general population. They are at a higher risk of experiencing depression, suicidal ideation, anxiety disorders, substance abuse, and relationship issues. This population also faces discrimination and marginalization due to the stigma of their gender identity and sexual orientation. Thus, there is a high likelihood that counselors will provide counseling services to LGBTQ+ clients during their careers. Unfortunately, many masters-level counselor education programs do not provide sufficient …

Trauma History And Trauma-Informed Practice Relate To Counseling Student’S Satisfaction With Supervision And Rapport With Supervisor, Nikki Hurless

Journal of Counselor Preparation and Supervision

The effects of traumatic stressors and adversity have implications for relationship outcomes in various professional settings, including clinical supervision. The high prevalence of traumatic experiences among counselors and counselors in training (CIT) suggests a need to explore how CITs experience the supervision relationship in the context of having experienced traumatic and/or adverse events. In recent years, researchers and practitioners have increased attention to trauma-informed practice and principles in clinical supervision, and many have suggested that applying these practices to supervision may improve the supervision relationship and related outcomes. This study explored factors related to CIT satisfaction with supervision and rapport …

The Argument For Clinical Supervision For Early Career School Counselors, Sarah Evans Zalewski, Maiko Xiong, Robert Gilbert

Journal of Counselor Preparation and Supervision

Early career school counselors need support to navigate their professional development as novice counselors, manage programmatic duties, high caseloads, and the effect of the COVID-19 pandemic on the mental health needs of children and youth. Given that school settings are often the first point of entry for mental health services for children and youth, clinical supervision is necessary. Clinical supervision promotes ethical practice, supports the professional growth of early career school counselors, and guards against burnout. This article (a) describes the development needs of early career school counselors and (b) provides recommendations for establishing clinical supervision for early career school …

Adverse Childhood Experiences, Work-Related Stress, And Trauma-Informed Care Among Novice Counselors, Eunae Han, Paul Carrola

Journal of Counselor Preparation and Supervision

The current study examined the prevalence of Adverse Childhood Experiences (ACEs) among novice counselors and demonstrated the relationships among ACEs, work-related stress, and familiarity with Trauma-informed Care. Specifically, the results showed that counselors’ ACEs scores significantly predicted secondary traumatic stress while the ACEs score did not predict burnout and compassion satisfaction. Additionally, the level of familiarity with Trauma-informed Care among novice counselors had a negative association with secondary traumatic stress. The meaning of the results and the limitations of the study are discussed.

Counselors-In-Training As Behavioral Health Consultants In Primary Care: A Focus Group Study, Heather Trepal, Cory Knight, Rosalinda Strano-Burton, Jessica Lloyd-Hazlett, Stacy Ogbeide, Swathi Weaver

Journal of Counselor Preparation and Supervision

Integrated Primary Care (IPC) combines medical and behavioral services so that patients’ physical and behavioral health concerns can be addressed more effectively within primary care settings. The Primary Care Behavioral Health (PCBH) Consultation Model is the gold star framework for IPC and entails team-based care for a broad spectrum of health conditions (i.e., depression, asthma, insomnia) through behaviorally focused appointments. Focus groups were utilized to gain an in-depth understanding of the PCBH internship experience of 12 counselors-in-training working as behavioral health consultants in primary care. Data were analyzed using constant comparison analysis and three themes were identified: (a) benefits to …

An Explorative Study Of Two African American Mentoring Programs At Historically Black Colleges And Universities, Arlen Sims

Morehead State Theses and Dissertations

A capstone submitted in partial fulfillment of the requirements for the degree of Doctor of Education in the Ernst and Sara Lane Volgenau College of Education at Morehead State University by Arlen Sims Gary on November 15, 2024.

A Phenomenological Study Of The Lived Experiences Of K-12 Teachers In Delaware County Facilitating Communal Trauma Processing, Geena Flores

Doctoral Dissertations and Projects

The purpose of this phenomenological study was to analyze the lived experiences of K-12 teachers in Delaware County, PA to understand how they perceive the processing of student trauma that has been passed down through generations in the community. The theory guiding this study was Intergenerational Trauma (IT) as this study seeks to understand the perceptions and intentionality of the teachers working in a community impacted by trauma passed down through generations. Teachers elucidated their experiences and perspectives via interviews, participant journaling, and a focus group. The data collected was analyzed and common themes emerged including the importance of safety …

The Implications Of Adverse Childhood Experiences On Adult Health Perceptions, Angela Cleshette Revis

Doctoral Dissertations and Projects

Adverse Childhood Experiences (ACEs) are traumatic incidents or circumstances children face before age 18 that often manifest as physical and mental health illnesses in adulthood, disproportionately affecting survivors from lower socioeconomic classes, specifically communities of color. This study examines the prevalence and type of illnesses stemming from ACEs in adult patients sampled from a North Carolina public health center, where patients are of lower socioeconomic classes, including those from communities of color. Semi structured interviews among 14 participants were conducted using the Zoom meetings platform to obtain responses from the participants. The results show significant mental health consequences, including early …

The 12-Hour Shift: A Phenomenological Study Of Law Enforcement Trauma, Alexandria Reagan Arthur

Doctoral Dissertations and Projects

The purpose of this qualitative phenomenological study is to better understand the emotional distress that Law Enforcement officers experience in a 12-hour shift of work in the southwest Virginia area. The emotional distress experienced can cause long term psychological and physical reactions. However, there is a stigma associated with the officers seeking mental health treatment which causes the likelihood of this stress to increase. If officers are open to nonjudgmental mental health support, there could be fewer mental health instabilities throughout the LEO career. This transformation could in turn help officers seek assistance during the course of their career as …

Enhancing Spousal Abuse Awareness Among Church Leaders Of The Haitian Seventh-Day Adventist Church, Peggy Filossaint

Doctoral Dissertations and Projects

There is a critical need for Christian church leaders to actively combat spousal abuse, emphasizing that churches must break their silence on this issue, protect victims, and join the fight against domestic violence. The study specifically focused on enhancing awareness and knowledge of spousal abuse among leaders of the Maranatha Haitian Seventh-day Adventist Church. The primary purpose of this research was to equip church leaders with the necessary tools and understanding to effectively address spousal abuse within their congregation. The project aimed to develop a comprehensive protocol for annual training, ensuring that church leaders are well-prepared to navigate the complexities …

Impact Of Disruptive Behavior On Academic Performance, Annie R. Franklin

Doctoral Dissertations and Projects

This study examined the impact of disruptive behavior on academic performance among high school students in the southeastern United States, a critical area of research given the well-documented connection between behavioral issues and educational outcomes. Disruptive behaviors, including absenteeism, fighting, and misconduct, are linked to significant student Grade Point Average (GPA) declines. This study aimed to explore how these behaviors influence academic performance while also investigating the moderating roles of factors such as gender, race, grade level, and English learner (EL) status. Utilizing a correlational research design, the study employed linear regression analysis and the Hayes Process Macro Model to …

A Phenomenological Study Of Pastors' Experiences Counseling Combat Veterans, Yvette M. Rolle

Doctoral Dissertations and Projects

When combat veterans make the transition to civilian life, whether permanently or between deployments, they face mental, physical, and spiritual adjustment (Grimell, 2019; Zogas, 2017). Although the Veterans Administration and local health providers offer services, some combat veterans prefer to seek their pastor’s advice instead or in addition (Bonner et al., 2013). Pastors, even those with little or no formal training in counseling or therapy, are uniquely equipped to guide combat veterans in the spiritual aspect of healing, or at least to accompany them with empathy and the consolation of faith. Yet a gap exists in the literature regarding clergy’s …

Traumatization Of In-Home Supportive Services (Ihss) Workers, Joseph Choi

Doctoral Dissertations and Projects

The purpose of this phenomenological study is to describe Korean-speaking IHSS workers’ experiences with trauma in the Los Angeles area. The theory guiding this study is the ecological view on psychological trauma by Mary Harvey (1996). Harvey’s theory posits that each individual’s reaction to traumatizing events will be influenced by the source of one’s identity, through the combined attributes of community and a sense of belonging. As many Korean-speaking IHSS workers work exclusively with other Korean consumers, this theory can help explain the strong emotional and social ties Korean-speaking IHSS workers feel bound to in their daily operations. It is …

College Females With A History Of Childhood Sexual Abuse: The Impact Of Birth Order And Religious Commitment On Resilience, Courtney Elizabeth Walraven

Doctoral Dissertations and Projects

Traumatology is defined and expanded on concerning the common outcomes and sequela. The short- or long-term effects of trauma are discussed including the diagnosis of posttraumatic stress disorder (PTSD). A description was given of the history and progression of the formal diagnosis of PTSD. A thorough explanation of PTSD diagnostic criteria, risk factors, cultural considerations, and protective factors were provided. A detailed explanation of sexual assault and the implications of this specific trauma on survivors/victims were provided. The impact of child sexual abuse in survivors was reviewed. Commonly used measurements of psychological resilience were reviewed. The impact of religiosity on …