Counseling Commons^™

A Mixed Methods Examination Of Interdisciplinary Strategies For Addressing Trauma And Chronic Pain In Group Therapy, Kara Marceil Schneider

Theses and Dissertations

Chronic pain and trauma are distinct yet interconnected public health concerns, each significantly affecting physical, psychological, and social well-being. The comorbidity of these conditions highlights a critical need for integrated treatment approaches. This dissertation explores interdisciplinary strategies that merge group counseling and physical therapy to address trauma symptomology and chronic pain within a group therapy setting. Grounded in the biopsychosocial model, somatic therapy principles, and the gate control theory of pain, this multi-manuscript dissertation employs a mixed methods design to examine counselor experiences, intervention feasibility, and participant outcomes.

Navigating Adventure Therapy: Using Existential Theory As A Guide, Cian L. Brown, David D. Christian, Patrick L.R. Mcmillion, J. Reece Mclain

Counseling, Leadership, and Research Methods Faculty Publications and Presentations

A clinician's theoretical orientation serves as a foundational guide that embodies their values and beliefs for creating therapeutic change. Adventure therapy (AT) is an experiential modality that uses kinesthetic experiences as metaphors to promote client growth. Due to its transtheoretical nature, AT practitioners often end up being atheoretical in their facilitation, thus decreasing the potential benefits to clients. In this manuscript, we propose the use of existential Theory to guide AT by integrating the existential givens and welts with key components of AT. A case example is provided to demonstrate guided application.

The Importance Of Faith Integration In Student Motivation In Graduate Counseling Program Selection, Timothy J. Evans, Andrew J. Graham, Jim Zapf, Ronnie L. Pace

Journal of Counseling and Psychology

This study examines the role of faith integration in motivating graduate counseling students to select faith-based programs and its impact on their perceived preparedness to integrate faith into counseling practice. Using a quantitative approach, 239 participants from five graduate counseling programs completed a survey exploring their motivations for becoming counselors, reasons for program selection, and perceptions of faith integration in their education. Results revealed that students motivated by spiritual factors, such as pleasing God or influencing others spiritually, were significantly more likely to choose programs emphasizing faith integration and shared spiritual values. Older students placed greater importance on faith integration …

Exploring The Stigma Of Mental Health In Oneness Pentecostal Churches From A Pastoral Perspective, Jannett Liburd

Doctoral Dissertations and Projects

The purpose of this phenomenological study was to explore the stigma of mental health in Oneness Pentecostal churches in the Northeast from a pastoral perspective. The theory guiding this study is Sigmund Freud’s object relational theory (ORT), as it focuses on the past experiences an individual has with an object, person, or event, and how the experience, whether negative or positive, shapes the person’s attitude and behavior in the future. Mental health stigma is a phenomenon with which individuals may have had a harmful experience. In the study, the central research question was: What are the lived experiences of Oneness …

The Meaning And Essence Of Depression And Loneliness In Widowhood: Discovering The Healthy Construct Of Self-Efficacy, Christine M. Ward

Doctoral Dissertations and Projects

The purpose of this phenomenological study will be to describe the lived experience of widows aged 65-80 who lost their husbands within the past five years in one of three counties in Washington State: Pierce, Kitsap, or Mason. The two theories guiding this study will be Bowlby’s Attachment Theory and Bandura’s Social Learning Theory, (SLT), as they relate to post-loss identity and mourning. Both serve as vital tools for surviving and recovering from the impact of losing a spouse. When these affectional attachments are lost, a widow’s quality of life can be lessened or even damaged. A widow will go …

Pastoring The Pastor: Self-Care Among African American Clergy, Alexander Jamerison

Doctoral Dissertations and Projects

When self-care is effectively implemented, it can help individuals avoid or reduce mental health challenges throughout their lives (Luis et al., 2021). Unfortunately, research indicates numerous mental health challenges faced by clergy (Chan & Chen, 2019; Jackson, 2013; Gallagher, 2019; Edward, 2020). To assist ministers in cultivating a healthier life and a more effective ministry, this study will specifically explore the relationship between self-care and mental health challenges among African American clergy. The literature on this subject will identify historical, cultural, and spiritual influences. It will also examine specific mental health concerns, effective self-care practices, and relevant outcomes. Although research …

Quantifying Experiences Of Religious Abuse Among Sexual And Gender Minority Populations, Joshua Sink

Doctoral Dissertations and Projects

A niche venue of research around religious trauma and spiritual abuse has demonstrated adverse outcomes of individuals who feel manipulated or harmed by institutions or individuals holding an imbalance of religious power. While general claims are often made that religion is a positive force on health and psychological wellness, religious trauma is usually associated with PTSD, anxiety, depression, and other pathological symptoms. Interestingly, an area where religion is not related to positive outcomes is among sexual and gender minorities, who show poorer health, higher suicidal rates, and poorer psychological well-being correlated with higher religiosity. While research has been conducted to …

Exploration Of Adventure-Based Counseling And Its Impact On The Self-Concept Of At-Risk Youth, Kendall Kern, Mary Bess Pannel, Todd Davis, Thales Barbosa

Journal of Academic Underperformance

Background: Integrating experiential therapy techniques with physical activity and nature improves aspects of self-concept: social connectedness, resilience, and healthy coping skills in the short-term for at-risk, underperforming youth (Kraft & Cornelius-White, 2020). Kraft and Cornelius-White (2020) found that wilderness therapy counselors that taught communication skills and prioritized “group cohesion in group therapy” led to positive “changes to self-concept” (p. 350-351). Purpose: The researchers hypothesize that community-based adventure therapy will have a positive impact on the self-concept in at-risk, rural youth. Methodology/Approach: The researchers utilized a quasi-experimental model to assess the impact of adventure therapy on rural at-risk youth (N~6) after …

Therapists’ Inclusion Of Forgiveness During Cognitive Processing Therapy For Post-Traumatic Stress Disorder, Marybeth Goodman

Doctoral Dissertations and Projects

This study investigated whether the inclusion of an evidence-based forgiveness therapy during a course of Cognitive Processing Therapy (CPT) for Post-Traumatic Stress Disorder (PTSD) improved the efficacy of the treatment. This quasi-experimental, quantitative study examined 201 completed episodes of care from CPT-trained and rostered clinicians. Participants were divided into two groups. Group one contained clinicians who used no less than 46 minutes of an evidence-based forgiveness therapy intervention (n = 102), and group two (n = 99) contained clinicians who did not utilize an evidence-based forgiveness intervention. Pre- and post-treatment PTSD symptom severity was measured using the PTSD Checklist for …

The Lived Experiences Of Young Adult Children Of Veterans Attachment In Responses To Unique Lifestyle Challenges, Amanda M. Fife

Doctoral Dissertations and Projects

The purpose of this phenomenological study is to describe young adult children of veterans’ experiences with frequent relocations. Military-connected youth experience unique stressors that their civilian peers do not encounter and may experience frequent disruptions in attachment relationships. The theories guiding this study are John Bowlby and Mary Ainsworth’s attachment theory, Norman Garmezy’s resiliency theory, and Lazarus and Folkman’s transactional theory of stress and coping. These theories provide the structural framework for understanding the meaning of attachment, factors that promote resiliency, and structures for coping with stress. Individual interviews were conducted with each of the 10 selected participants that meet …

Family Poison: A Phenomenological Study Of The Role Of Toxic Parental Influence On Romantic Relationships, Kimberly Eichelberger-Searcy

Doctoral Dissertations and Projects

This phenomenological study sought to describe the lived experiences of adult survivors of toxic parents across the United States. The assumption was that toxic parental influence impacts romantic relationships. The following research questions framed this study: “How do adult survivors of toxic parents describe their experiences growing up with a toxic parent in the United States? How do adult survivors describe the effects of growing up with a toxic parent?” and “How do adult survivors of toxic parents describe the impact of their childhood experiences on their intimate/romantic relationships?”. The two theoretical frameworks guiding this study were Bowlby’s attachment theory, …

Impacts Of Early Childhood Trauma On Later Emotional, Behavioral, Educational, And Social Abilities, Stacey Merrill

Doctoral Dissertations and Projects

Early childhood trauma has a long-lasting impact on individuals’ social interactions, mental health, academic skills, behaviors, and parenting skills for the future generations. Understanding how early interpersonal developmental trauma impacts an individual during adolescence can help providers and caregivers know how to help them become successful students and later adults. Helping individuals early in their development can prevent the cycle of abuse from continuing. Trauma informed care can help bridge the gap between those with and without known traumas. This study consisted of an interpretive phenomenological qualitative design using semi-structured interviews to understand the impact of early trauma on adolescence …

Building Resilience In Ministry With Effective Supports Amid The Covid-19 Pandemic: A Phenomenological Study Of Long-Tenured Pastors In The Southeastern United States, Tina Marie Powell

Doctoral Dissertations and Projects

This phenomenological study, which involved long-tenured pastors in a southeastern state in the United States, explored how these pastors framed resiliency in ministry during COVID-19 and what tools or practices helped them to be resilient. The study also explored the effects of social distancing on the demands of ministry, on pastors, and their congregations, and if earlier resiliency practices continued to suffice. Pastors were often the first professionals people went to when guidance was needed in every aspect of life. Pastors aided with not only spiritual guidance, but also, they were sought after for guidance in mental health and emotional …

Identifying Effective Counseling Strategies For Working With Women Who Endorse A Strong Black Woman Schema: Exploring The Perspectives Of African American Clinicians, Jacqueline Javonne Hill

Doctoral Dissertations and Projects

African American women underutilize mental health services despite experiencing high rates of psychological distress. Existing literature has not fully explored how the Strong Black Woman (SBW) schema influences this behavior. The purpose of this phenomenological study was to understand how the lived experiences of African American women positively influenced or impeded their help-seeking behaviors to address mental health problems through the lens of African American women mental health clinicians via Zoom Video Communications. This study addressed the gap in research on how cultural norms, systemic barriers, and therapeutic strategies shape access to care for this population.

Semi-structured interviews were conducted …

السايبركوندريا وعلاقتها بأعراض اضطراب التشوه الوهمي للجسم لدى طلبة جامعة اليرموك, Ali Saleh Jarwan, Sondus I. Al-Abbasi

Journal of the Association of Arab Universities for Research in Higher Education مجلة اتحاد الجامعات العربية للبحوث في التعليم العالي

هدف المقال الكشف عن السايبركوندريا وعلاقتها بأعراض اضطراب التشوه الوهمي للجسم لدى طلبة جامعة اليرموك، وتكونت عينة الدراسة من (692) طالبًا وطالبة، اختيروا بالطريقة المتيسرة. أظهرت نتائج الدراسة أن مستوى السايبركوندريا لدى طلبة جامعة اليرموك متوسط، ووجود فرق دال إحصائيًا في تقديرات أفراد عينة الدراسة لمستوى السايبركوندريا في الأبعاد جميعها تبعًا لمتغير الجنس لصالح الإناث، وفرق دال إحصائيًا في الأبعاد جميعها باستثناء بُعد عدم الثقة تبعًا لمتغير المعدل التراكمي لصالح جيد فما دون، وعدم وجود فرق دال إحصائيًا في الأبعاد جميعها تبعًا لمتغير الكلية. وأشارت النتائج إلى أن مستوى أعراض اضطراب التشوه الوهمي للجسم لدى طلبة جامعة اليرموك منخفض، وعدم …

As Good As It Gets? Comparing Clients’ And Treatment Providers’ Perceptions Of Engagement Barriers And Facilitators For Exposure And Response Prevention Ocd Treatment, Samuel Mutschler-Aldine

University Honors Theses

This mixed-methods study compared clients' and providers' sentiments toward research-based themes on barriers and facilitators of client engagement in treatment. For individuals with Obsessive-Compulsive Disorder (OCD), engagement in Exposure and Response Prevention (ERP) therapy is a crucial ingredient of successful treatment and symptom remission. Therefore, it is imperative to thoroughly understand the perspectives on engagement barriers and facilitators of people with field experience: ERP patients and therapists.

The researcher administered two Qualtrics surveys to thirty current providers and six current or former clients of ERP for OCD. Each survey contained five-point, Likert-style scales to measure the level each participant agreed …

Family-Based Support As A Social Determinant Of Health-Protective Factor For Children With Autism Spectrum Disorder, Bisola Duyile, Naomi J. Wheeler

Department of Counseling Scholarship and Creative Works

Parents of children with autism spectrum disorder (ASD) demonstrate resilience and resourcefulness in managing the demands of caregiving. This study highlights the critical role of family based support as a social determinant of health-protective factor (SDHPF) that enhances the well-being of parents, helping to mitigate depressive symptoms. Using a secondary dataset of 199 parents/ caregivers of children with ASD, this study examines how family based support, child symptom severity, and financial resources (income) influence parental mental health. The findings show that strong family support is positively associated with lower levels of depression, underscoring the strength of social networks in enhancing …

Perceptions Of Spirituality And Of God: A Psychological Qualitative Study, Christopher E. Peck, Timothy B. Smith, Jamila Mastny

Faculty Publications

The majority of people living in the U.S. report that spirituality is an important part of their life that is influential to their well-being. However, individuals vary widely in how they conceptualize spirituality, which often stems from and overlaps with their conceptualizations of God or so-called “God image”. Examination of people’s experiences of spirituality and conceptualization of God can enable psychologists to improve their understanding of individuals’ core personal experiences. This study evaluates both spirituality and God image, as well as the relationship between these two constructs, using qualitative hermeneutic analysis of interviews with 63 adults (51% women, 49% men, …

Counselor Education: Digital Delivery With Confidence, Nicole Marie Arcuri-Sanders, Alisha Davis

Educational Sciences and Organizations

Counselor education programs are required to demonstrate a clear framework, effective implementation, and overall program effectiveness. The pandemic’s surge in online instruction influenced CACREP’s (2024) digital delivery (DD) standards, addressing ethical and legal implications alongside student outcomes. Guidance from digital health initiatives, telemental health ethics and legal practices can be invaluable in clarifying DD protocols for counselor education programs. Understanding the parallels between DD and digital health regulations (e.g., HIPAA, ACA [2014], and NBCC [2023] ethical codes) provides a solid foundation for protecting both students and programs. Integrating technology and modeling digital health practices can enhance counselor education, benefiting both …

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 …

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 …

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 …

Book Review: Fundamentals Of College Admission Counseling: A Textbook For Graduate Students And Practicing Counselors, Brenda Gerhardt

Journal of College Access

No abstract provided.

Understanding Anti-Racism In Counselor Education: A Narratology Of Anti-Racist Pedagogy In Sociocultural Courses, Danielle G. Rodgers

Counseling & Human Services Theses & Dissertations

Counselors have the privilege to join children, adolescents, and adults from all walks of life in a journey of working towards mental and emotional wellness. Our code of ethics outlines “honoring diversity and embracing a multicultural approach in support of the worth, dignity, potential, and uniqueness of people within their social and cultural contexts” (p.3) and promoting social justice as two of our core professional values (American Counseling Association [ACA], 2014). The ACA also stated in their Antiracist Statement in 2020 that “we have a moral and professional obligation to deconstruct institutions which have historically been designed to benefit White …

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 …

Mapping Our Tears: Risd Cry, Yimiao Wang

Masters Theses

RISD CRY is a participatory project empowering the RISD community to share their experiences of emotional vulnerability. The project includes physical sign-in forms in campus facilities, a Google Doc sign-in form, illustrations of participants’ comments, and an online campus map where individuals can mark where they have cried. This multi-format engagement fosters community connection, challenges the stigma surrounding emotional expression, and provides a platform for solidarity among individuals facing stress and burnout.

Beyond its tactical goals, RISD CRY also interrogates the cultural frameworks through which emotional struggle is perceived and processed. It critiques the institutional impulse to measure, diagnose, and …

Living In Action: A Critical Phenomenological Study Of School-Based Mental Health Counselors’ Engagement In Social Justice Practices, Kerry Whiterell

Graduate Doctoral Dissertations

This study argues that a problem facing school-based mental health counselors is that neither traditional counseling psychology practices nor the public educational system in the United States were designed to meet the needs of students experiencing intersectional oppression. This study therefore described and compared traditional counseling psychology theory and practices with that of liberation psychology, and outlined social justice frameworks that are applicable to school-based mental health counselors. The overarching research question for this study then asked, “What are the experiences of social justice-oriented mental health counselors who work within public schools in Massachusetts?” To answer this question, a critical …

Give Them Their Roses: Honoring Student Affairs Professionals Of Color Combatting Secondary Racial Battle Fatigue At A Historically White Institution, Julián X. Latshang, Julián X. Latshang

Graduate Doctoral Dissertations

This dissertation explores the phenomenon of Secondary Racial Battle Fatigue (SRBF) and its impact on student affairs professionals of color in higher education. Grounded in critical qualitative inquiry and the lived experiences of participants, this study examines how emotional, behavioral, and physiological effects of SRBF manifest both through professionals’ direct racialized experiences and their roles supporting students enduring racial trauma. Framed by Racial Battle Fatigue (Smith, 2010) and Secondary Traumatic Stress (Figley, 1995), the research addresses three guiding questions: (a) How does SRBF manifest in professionals of color? (b) In what ways does it emerge when supporting racially traumatized students? …

Examining The Relationship Between Biblical Characters And Mental Health: Identifying A Christian's Well-Being, Shanetia Sharie Chapman

Masters Theses

This thesis aims to examine the intersection between biblical texts and mental health within the framework of Christian belief systems. Through a critical analysis of key biblical narratives involving figures who exhibit experiences analogous to contemporary psychological struggles, this study investigates the influence of scriptural interpretation on believers’ perceptions of mental health and their coping mechanisms. By employing textual analysis, the research seeks to evaluate the potential of biblical teachings as therapeutic resources. Ultimately, this thesis aims to contribute to developing culturally and theologically informed approaches to mental health awareness and support within Christian communities.