Counseling Commons^™

Using Narrative Theory As A Process-Oriented Exploration Of Attachment: The Development Of A Method In Art Therapy, Taylor Saunders

Expressive Therapies Capstone Theses

Establishing a sense of psychological and emotional safety and security is essential within the therapeutic workspace for individuals to begin growth toward identified goals. Beginning in early childhood and developing throughout their lifespan, people build expectations of safety and security from their experiences of nurture or lack thereof. These early experiences form internal working models (IWM), which influence how individuals expect interpersonal relationships to develop; these patterns form attachment styles. Understanding someone’s attachment style is a way mental health professionals may better understand a client from a more holistic perspective. While there is much research in identifying and assessing a …

Exploring The Benefits Of Expressive Arts Therapy With Survivors Of Sexual Violence, A Literature Review, Allison Dooley

Expressive Therapies Capstone Theses

Sexual violence is a common experience throughout the United States. The aftermath of this traumatic experience impacts the entire body, including the emotional, physical, and mental states of an individual. The distressing symptoms of sexual violence can last from weeks to years. The aftermath of sexual violence can make it difficult for victims to complete daily tasks and can lead to disorders such as Depression or Post Traumatic Stress Disorder. This literature review explores the current treatments used with survivors of sexual violence, which include trauma-focused cognitive behavioral therapy, Eye Movement Desensitization and Reprocessing, and other effective treatments. Due to …

A Systemic Approach To Understanding Burnout Through The Lens Of The United States’ Professional Art Therapy (And Mental Health) Community: A Literature Review, Mary Welch

Expressive Therapies Capstone Theses

Burnout among mental health counseling and art therapy professionals has long been an issue (Meyerson 1998; Prins et al., 2015; Yang & Hayes, 2020; Zeira 2021). While previous research into the causes and reduction of burnout have focused primarily on individual burnout, both in terms of psychology and workplace habits (Rollins et al. 2021), very few studies have been done examining the systemic, institutional, and cultural contributions to burnout in these professions. This paper aims to explore the connection between community standards and the current systems that intersect professional art therapy practice in the United States and the areas in …

Healing Our Connection With Nature: An Expressive Arts Community Engagement Project, Meghan Mccrillis

Expressive Therapies Capstone Theses

A community engagement project was created and implemented, comprised of two events for which the author facilitated nature-based expressive arts experiences to explore the integration of nature and expressive arts therapy. The events were offered to two different groups of community members, one for nature-curious adults held outdoors on the trails of a local conservation trust, and another for young children at a local library. The healing impact of nature connection and nature connection experiences are explored through a literature review, event methods, and the author’s personal experiences of the project via artmaking. The results include an emphasis on nature …

Dance/Movement Therapy As A Transdisciplinary Approach To Treating Trauma, Destany Schadder

Expressive Therapies Capstone Theses

This thesis considers dance/movement therapy as a transdisciplinary approach to treating trauma in the body. It explains what the functions of the brain are, how trauma negatively affects it, and how posttraumatic stress disorder is expressed in both the body and the brain. It discusses multidisplinary approaches, it shows how these approaches leverage the body in treating trauma. Moreover, it demonstrates the benefits and advantages of a dance/movement therapist in supporting individuals who have experienced traumatic events. To achieve these goals, this thesis discusses research by neuroscientists, such as Damassio (1999), who maintain that the body and mind directly affect …

Epistemic Injustice, Endometriosis And Dance/ Movement Therapy: An Autoethnographic Investigation, Kevana West

Expressive Therapies Capstone Theses

As the field of dance/ movement therapy evolves to meet the demands of a rapidly changing social landscape, it is imperative that clinicians think critically about the degree to which our work is steeped in oppressive frameworks and ideologies. This investigation uses testimony to explore epistemic injustice as it relates to the author’s experience of living with endometriosis and the pursuit of professional licensure. Considering the limited amount of research on the condition, along with the perceived absence of literature within the field of dance/ movement therapy, further study is warranted. The experimentation phase of this research incorporated the use …

Toward A Co-Working Posture In Global Mental Health: A Literature Review On The Use Of Photovoice In Partnership With Forcibly Displaced Populations, Bethany Randolph

Expressive Therapies Capstone Theses

Abstract

As of 2020, the number of forcibly displaced people in the world numbered 82.4 million. This radically diverse population, approximately one in every 95 people, only continues to burgeon as wars and conflicts send millions fleeing for their lives. Sadly, on top of the massive allostatic load endured by the forcibly displaced, many are then doubly harmed by global mental health professionals who lack insight into the culture and worldview of the fellow humans they serve. In an effort to support meaningful therapeutic work in the cross-cultural milieu, this paper presents a literature review inquiry into the purpose and …

The Opioid Epidemic And The Need For Arts In Community Based Treatment Options: A Literature Review, Abageal Stasny

Expressive Therapies Capstone Theses

Over the past three decades, the opioid epidemic has devastated communities and the lives of many around the US. The prevalence and complexities of substance use disorder continue to challenge clinicians to find effective treatment options for clients. The focus of this literature review is to develop support for using art therapy as a form of treatment for those with substance use disorder, to distinguish the benefits that community-based art therapy as a form of ongoing treatment could provide, and propose the need for further research that explores the use of community-based art therapy with those with substance use disorder. …

Development And Evaluation Of An Interprofessional Education Course On Integrated Health Care For Nutrition, Public Health, School Counseling, And Social Work Graduate Students, Nadine Bean, Patricia Davidson, Cheryl Neale-Mcfall

International Journal of Health Sciences Education

Interprofessional education (IPE) is essential for enhancing students’ critical thinking skills and ability to integrate other professionals’ knowledge to ensure mutual respect and shared values for patient-centered care. The needs of medically underserved populations (MUPs) to receive behavioral health and nutritional care integrated with primary care services are significant. This research highlights the data outcomes from six offerings of a graduate IPE course on integrated health care. Funding from a Health Resources and Services Administration (HRSA) Behavioral Health Workforce and Education Training (BHWET) grant provided stipends for graduate social work and school counseling students in their final year of field …

Perceived Levels Of Teaching Self-Efficacy Among Advanced Ces Doctoral Students Engaging In External Pedagogical Experiences, Erika Williams

Electronic Theses and Dissertations

This quantitative study examined factors of internal preparation practices (i.e., coursework in college teaching, fieldwork in college teaching, and frequency of supervision) and external pedagogical experiences (i.e., holding a bachelor’s or master’s degree in teaching and adjunct faculty experiences in higher education) and their potential effects on teaching self-efficacy among counselor education and supervision doctoral students. This study identified both significant and non-significant relationships between the stated variables. Contrary to previous research (Suddeath et al., 2020), internal preparation practices did not significantly predict scores of teaching self-efficacy among this population. However, the findings suggest that participants holding a bachelor’s or …

How And Why School Counselors Use Twitter: A Phenomenological Study, Danielle R. Schultz

Electronic Theses and Dissertations

School counselors are often isolated in their role because of the unique nature of their job. Lack of connection, lack of relevant professional development, role ambiguity, high stress, high student-to-school counselor ratios, and lack of professional connections are all contributors to school counselor burnout. School counselors use Twitter, a social media tool, for a variety of purposes. This qualitative phenomenological study explored the lived experience of school counselors who use Twitter to illuminate how and why school counselors use Twitter. This study found that school counselors see the purpose of their Twitter use as professional advocacy, professional connection, and validation. …

Exploring The Phenomena Of Faculty Who Utilize Contemplative Pedagogy In The Helping Professions, Christina Frasher

Electronic Theses and Dissertations

The phenomenon of faculty who utilize contemplative pedagogy in the helping professions is a topic rarely discussed in the literature. In my review of the literature, I have found only one dissertation on faculty perspectives, one dissertation on individuals in higher education, and one study that used the perspective of faculty as the primary data. While this information is valuable, it is not context-specific research on how faculty in the helping professions experience practicing contemplative pedagogy. At present, there are no studies that explore how faculty process and utilize contemplative pedagogy when teaching in the helping profession; this study contributes …

Complex Posttraumatic Stress Disorder: A More Severe Posttraumatic Stress Disorder? A Training For Mental Health Professionals, Sadie K. Baxter

Dissertations, Theses, and Projects

Complex posttraumatic stress disorder (CPTSD) remains elusive to many practitioners due to its lack of recognition in the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders (DSM). Accordingly, this severe psychiatric disorder may become misdiagnosed, underdiagnosed, mistreated, or untreated. Another common misinterpretation is posttraumatic stress disorder (PTSD) as a substitute diagnosis out of misinformation or lack of knowledge. Provided is a conceptualization of CPTSD for clarity on this unique, distinct disorder. Moreover, a further discussion among variables differentiating PTSD and CPTSD is presented, implicating the need for awareness, familiarity and comfort among clinicians, and advocation for the diagnosis …

Career, Academics, Exploration, Shadowing, Application, And Reality Store: Caesars, Brooke Hunstad

Dissertations, Theses, and Projects

Society’s expectation is that once a student graduates from high school, they will do one of two things; enter the workforce or continue their education. The flaw within this expectation is that rarely do high school students experience what their futures may look like depending on their career path. The focus of this curriculum is to provide knowledge and experiences that can help students reach society’s expectation. The population of focus is middle to high school students, preferably juniors and seniors. Research was collected and a literature review was prepared to support the demand of the curriculum in education and …

High School Social Emotional Curriculum, Misty Galvin

Dissertations, Theses, and Projects

High School Social Emotional Learning is a topic that is difficult to implement without being patronizing to the audience. This project seeks to determine best practices for school counselors, including a literature review on barriers to adolescents receiving adequate mental health care. Since the biggest barrier for high schoolers to seek mental health care is the fear of stigma, these lessons are intended to be fun and help reduce the stigma associated with mental health issues. Guided by the ASCA Student Standards: Mindsets and Behaviors, lessons that can be utilized in stand-alone group guidance classes have been curated.

Body Image And Relationship Satisfaction In Middle-Aged Women, Julia C. Solem

Dissertations, Theses, and Projects

The purpose of this study is to examine the connection between positive body image and relationship satisfaction with middle-aged women. Current research (Ambwani & Strauss, 2007) suggests body image and relationship satisfaction has a bidirectional influence. However, much of the current research focuses on a younger demographic, and middle-aged women are often a neglected population. This study seeks to better understand the interpersonal nature of healthy development in body image and relationships in middle-aged women. A phenomenological approach is utilized to observe the lived experiences of middle-aged women in committed relationships with positive body image. Six participants, between the ages …

Addressing Systemic Inequities: A Psychoeducational Group For Advocating For African Americans, Jaree' Barnwell

Educational Specialist, 2020-current

This paper will discuss and describe the development of an open psychoeducational group that will empower people of the community through education to advocate for African American/Black people within institutions that may perpetuate barriers. Acknowledging that one in four people struggle with mental health issues, it is imperative to consider an appropriate treatment modality that destigmatizes mental health and equips participants with information. This group is especially relevant as one in three African Americans, who struggle with mental health concerns, will never receive the appropriate care comparatively afforded to white populations. This thesis will concisely discuss the education system, the …

Beyond Broaching: Existential Meaning Making Of Blackness Within Therapeutic Work, Monica M. Cooper

Educational Specialist, 2020-current

This integrated literature review explores the mental health field’s contribution towards the subjugation of Black people through the means of researching human existence that affirmed white supremacy and bolstered the dehumanization of Blackness. This paper also explores how this negligent behavior on the part of the mental health field trivialized the deep pain and suffering experienced by Black people and provided the means to further dehumanize Blackness. The author provides frameworks to better understand the existential trauma experienced by the Black collective due to racism being embedded in societal narratives and history with the help of the mental health field. …

The Fetishization Of Asian American Women: Where We Are And Where To Go, Genevieve Askin

Educational Specialist, 2020-current

Women of color in the United States suffer from hyper sexualization and fetishization, and Asian American (AA) women are no different. These racial microaggressions and normalized expressions of oppression based on both race/ethnicity and gender contribute to a distinct marginalization that women of color experience. This paper seeks to 1) explore the unique layers of oppression that AA women face, including combating the model minority myth, westernized beauty standards, and fetishization, as well as 2) address the difference in reception between the Stop Asian Hate movement and Black Lives Matter, while defining and critiquing the whitewashing of this field in …

Trauma Healing With The Neurosequential Model Of Therapy And Bal-A-Vis-X, Becky Johnston

Educational Specialist, 2020-current

Stigma related to childhood trauma is shifting with the help of advancements in the understanding of neurobiology and interventions that are proving to be effective for healing. There are immense costs and consequences for survivors of childhood trauma and their loved ones that were not so long ago considered irrelevant and the notion that kids bounce back from adversity was previously popular in the psychological community (Perry & Szalavitz, 2017). The broad strokes of Dr. Bruce Perry’s clinical intervention model, The Neurosequential Model of Therapy (NMT) describes a trauma-sensitive, sequential approach to changing the stress response within mental health counseling. …

Implementing Universal Depression Screening In A College Health Clinic, Marilyn J. Grabau

Doctor of Nursing Practice Scholarly Projects

BACKGROUND: College students are at high risk for depression, and this carries a considerable burden. The American College Health Association supports depression screening on college campuses recognizing that early identification leads to better outcomes.

LOCAL PROBLEM: The project site is a public university located in New England. The college campus health center incorporates medical and counseling services. From August 2019 to December of 2019, 67% of students seen in the counseling center described depressed mood as the presenting concern. Currently there is no routine depression screening in place.

METHODS: This QI project implemented universal depression screening at the student health …

Exploring The Role Of Defense Styles In The Relationship Between Childhood Adversity And Vicarious Trauma, Stewart Nafziger

Dissertations, 2020-current

The National Council for Behavioral Health (2013) estimated that the majority of clients in public behavioral healthcare settings have experienced trauma. Providing high quality mental health services to clients who suffer from traumatic stress can take a toll on the professional (Trippany et al., 2004). Vicarious trauma is a unique form of traumatic stress that results from treating clients who suffer from traumatic stress (McCann & Pearlman, 1990). It has been recognized by the American Counseling Association (2011) as an occupation hazard. Yet, not all professionals who treat clients suffering from traumatic stress develop it. There is a lack of …

Black Girl Magic: The Endurance Of Enslaved Mothers’ Lessons, Briana G. Gaines

Dissertations, 2020-current

Intergenerational trauma involves a traumatic event that began years prior to the current generation and has impacted the ways in which individuals cope with and heal from trauma. Intergenerational trauma can negatively impact families and individuals as a result of unresolved emotions and thoughts about a traumatic event. Motherhood has always been an important role for Black women (Green, 1990) and although all women face challenges in their role as mothers, Black women are faced with unique tasks that their White counterparts are not. Black women are often the transmitter of culture to their children and frequently set the example …

Adolescent Trauma: The Effects On Development And Interventions To Help, Allison Skrentny

Counselor Education Capstones

Trauma is something that can impact everyone in some way. Experiencing trauma at a young age can be even harder for some as they have not had the chance to develop fully socially, emotionally, mentally, and physically. As counselors and educators, it is extremely important to be trauma informed and be able to ensure that the student has necessary supports and resources in place to ensure that they are having all their needs met and able to work through their trauma. Knowing where a child is at developmentally and the obstacles, they may face through their adolescent years make it …

An Interpretative Phenomenological Analysis Of The Lived Experience Of Parental Caregivers For Children With Severe Epidermolysis Bullosa, Michael J. Valentine

Theses and Dissertations

Providing care to child with a chronic, rare diseases has been identified as a major life stressor with a myriad of negative physical and mental health consequences. These stresses have previously been found to create burden that may impair caregiving efforts and increase the risk of mortality for both the caregiver and affected child. Many rare diseases affect children. It is not known how caregiver burden and the source of stress varies by disease. Qualitative methods have been used to understand caregiver experience with the rare disease, epidermolysis bullosa (EB), but no such studies have occurred in the United States. …

Wellness And Professional Quality Of Life In Counselor-In-Training Interns: Assessment Of Wellness And Non-Wellness-Infused Supervision, Ashley J. Blount, Abby L. Bjornsen, Daniel B. Kissinger, Kara Schneider, Lindsay Vik, Jessica Gonzalez-Voller

Journal of Wellness

Introduction: Counselors-in-training (CITs) commonly encounter issues of burnout, compassion fatigue, and/or vicarious traumatization due to the nature of their jobs in the helping profession. Wellness infused supervision may help CITs foster personal wellness and mitigate deleterious effects of helping. This investigation examined connections related to counselor-in-training wellness and professional quality of life during an internship-level supervision course across a wellness and control section.

Methods: A quasi-experimental design was piloted, comparing a wellness-focused supervision internship section with a non-wellness control group supervision internship section during one academic semester. Participants included 15 clinical mental health CITs (9 experimental; 6 control), who were …

Mental Health In Rural Communities: Barriers And Solutions To Access, Andrea Ducharme

Counselor Education Capstones

Rural communities encompass a unique culture and a way of life difficult to find anywhere else. Unfortunately, barriers to mental health services exist more frequently in rural than urban and suburban areas. These barriers include stigma, cultural factors, financial concerns, as well as lack of resources and providers. Solutions to these barriers exist in some part, but also present their own challenges. This literature review explores the problem, causes of the problem in the form of barriers, and solutions to accessing mental health resources in rural areas of the United States. A discussion with suggestions for further action and study …

Effects On Youth Experiencing Homelessness In Public Schools, Abby Golish

Counselor Education Capstones

Abstract

An examination of the issues of youth who are experiencing homelessness is crucial in supporting this vulnerable population. Public schools have a responsibility to assist these students in their academic, career, and social-emotional development. With unique, personal needs, students who are homeless must be understood by school counselors and other school personnel to be appropriately supported. Homelessness can be identified through many characteristics and identified needs. It is key for school counselors to recognize these characteristics and consider the impacts that the school and resources can make on the student’s life. Throughout the paper, the causes of homelessness, potential …

Examining Consent Education As A Preventative Measure For Sexual Violence, Harassment, And Bullying In Adolescents, Alexis Olson

Counselor Education Capstones

This paper is an examination of consent education in K-12 schools in the United States. Each state determines its own consent education policies. Most states do not require consent education despite high rates of adolescent sexual activity and increasing rates of sexual violence in adolescents. This paper examines the integration of adolescent sexual violence, harassment, and bullying. Considerations of current research shows an increase in adolescent experiences of sexual violence and connections to sexual harassment and bullying. Additionally, this paper explores consent education through classroom guidance lessons and cross-curricular implementation. Examination of consent education as a preventative measure for sexual …

Anxiety Patterns In Gifted Adolescents From Parents' Perspectives, Felicia Moreschi

Masters Theses & Specialist Projects

This study explores the connection between giftedness and anxiety. Families of gifted adolescents were invited to participate in a survey to identify themes of anxiety within the school and home settings. The Spence Children’s Anxiety Scale, parent report (Spence, 1999) was used as the survey instrument. A total of 18 participants responded. Several themes were revealed based on the responses to questions on the survey. The themes that emerged have been identified as patterns of anxiety, including separation anxiety, physical injury fears, and social anxiety.