Counselor Education Commons^™

Training In Trauma-Responsive And Anti-Racist Telehealth: A Model For Behavioral Health Clinicians And Providers, Ritchie Rubio

Psychology Division Scholarship

Telehealth's uptake in behavioral health services has been accelerated by the COVID-19 pandemic. However, many clinicians continue to lack focused training in providing trauma-informed and culturally-responsive telehealth care. This article outlines a model curriculum that was created to instruct and coach behavioral health providers in California on how to integrate anti-racist and trauma-responsive techniques into telehealth. Topics like evidence-based trauma therapies, racial/ ethnic trauma, marginalized communities, digital divide, and provider selfcare were all covered in the nine-part curriculum. Every three-hour session included evidence-informed didactic content, telehealth skills practice, and concrete planning for implementation. Trauma-responsive frameworks such as the tri-phasic model …

Cultural And Structural Barriers Of Utilizing Mental Health Services In A School-Based Setting For Latinx Populations, Silvia Lozano, Bridgette Guadalupe Calderon

Electronic Theses, Projects, and Dissertations

This qualitative research study aimed to reduce mental health service disparities in Latinx communities and helps fill in the gap by addressing cultural and structural barriers to utilizing MHS in a school-based setting for Latinx youth. There is limited research regarding Latinx parents’ perspectives and the reservations they have on utilizing school-based mental health services (MHS) for their children. This study identified six important themes: cultural factors, trust and rapport, reservations, access and awareness, parental involvement and challenges, and school-based resources. Implications for school districts are that they can use these findings to increase early intervention mental behavioral health programs …

Is The Virtual Therapy Experience A Sufficient Means For Person-Centered Therapy? A Systematic Review, Aaron Feibush

Social Work Theses - Archive

Background: American psychologist Carl Rogers is considered the main originator of person-centered therapy (PCT), a psychotherapeutic approach which focuses on self-actualizing abilities of the client which emerge when engaged in an environment of three core conditions established by the therapist: unconditional positive regard, empathy and congruence. Over the last several decades there have been thousands of studies that demonstrate support for these three core conditions as necessary features of effective therapy. However, with the emergence of psychotherapy being conducted via telehealth in the last several years, in particular since the onset of the global COVID-19 pandemic, it remains unknown …

Feasibility Of Influencing Clinician Perceived Knowledge And Competence Of Human Trafficking Via A Continuing Education Workshop, Rachel Wakefield

College of Graduate Studies: Theses & Dissertations

Previous research has examined the complex mental and social health deficits of those who were trafficked that clinicians have to treat therapeutically (Litam, 2017; Pascual-Leone et al., 2017). Other research has explored how continuing education workshops often change the knowledge, competence, and attitudes of attendees to use more effective and evidenced techniques and skills (Neimeyer et al., 2009; Raghavan et al., 2008). However, there is a lack of understanding about how a complex topic, specifically treatment considerations of those who were trafficked, changes the knowledge and competence of continuing education workshop attendees. The purpose of the current study is to …

Exploring The Therapeutic Relationship In Mental Health Therapy With Queer And Disabled Adults, Rachel Womack

Theses and Dissertations--Social Work

Queerness and disability have been shown to be intimately connected, with members of the LGBTQIA+ community significantly more likely to identify as disabled compared to the general population. Though there are roughly 3-5 million queer and disabled individuals living in the United States, this remains a multiply marginalized and understudied population. Owing partially to stigma, minority stress, and discrimination, these individuals face an increased risk of a variety of mental health problems including depression, anxiety, self-harm, PTSD, and suicidality. Additionally, several barriers to mental health treatment exist, including inaccessible services, lack of provider knowledge, and outright discrimination from providers. Though …

Ideals Of Benevolence, Acts Of Dysconsciousness: White Women's Pursuit Of Diversity In Nonprofits, Tessa A. Fulmer

Antioch University Dissertations & Theses

Recent political movements such as the Black Lives Matter and #MeToo movements have brought renewed attention to the social roles of White women and their unique position of intersectional privilege and oppression. White women experience the benefits of whiteness while simultaneously experiencing the gendered oppression of womanhood. However, there is a lack of research exploring how White women conceptualize and respond to their own positionality as both White individuals and as women. This study utilizes constructivist grounded theory to examine how White women navigate their social location within the context of working in the nonprofit sector, a space wherein White …

The Development Of Internalized Sexism In Young Adult Women, Kylie Schwabe

Antioch University Dissertations & Theses

The present study utilized Interpretative Phenomenological Analysis in order to examine the lived experiences of young adult, cisgender women and the development of internalized sexism. Eight participants completed semi–structured interviews focused on their relationships with other women and subsequent views of womanhood. Themes found were (a) womanhood is taught by women throughout the lifespan, (b) women are sexually responsible for men, (c) women are emotional caregivers, (d) there are biological bases of womanhood, (e) women are expected to “do it all,” (f) expectations of women are fueled by media portrayal, (g) traditional femininity is seen as oppositional to the feminist …

Emdr Gaming Recovery And Insight Protocol (E-Grip): An Approach For Treating Video Game Addiction, Manjit Bath

Antioch University Dissertations & Theses

The prevalence of video game addiction has escalated with the advancement of digital technologies, posing significant psychological and social challenges. This dissertation introduces the eye movement desensitization and reprocessing (EMDR) Gaming Recovery and Insight Protocol (E-GRIP), a novel therapeutic approach designed to address the complexities of video game addiction. Grounded in the principles of EMDR therapy and incorporating insights into video game culture, E-GRIP aims to treat individuals struggling with problematic gaming behaviors by integrating their gaming experiences and preferences into the therapeutic process. The E-GRIP methodology extends the conventional EMDR framework by including an in-depth exploration of the client’s …

Ethically Managing Theories Of Agency In Counseling And Psychotherapy, Jeffrey S. Reber, Jacob D. Tubbs, Jacob A. Larson

Issues in Religion and Psychotherapy

Informed by personal and professional cultures, clients and therapists inevitably hold various assumptions and attributions about the possibility of free will. Given that these “theories of agency” may not always align, and in light of the ethics codes for psychotherapists and counselors, it is imperative, as a matter of cultural competence and responsivity, that therapists seek training in understanding different cultures of agency. To that end, and to help therapists navigate cultural differences and mitigate the risk of personal and professional values imposition, this article provides a conceptual framework for organizing the common formal and informal theories of agency that …

The African American Dream Deferred: Exploring The Relationship Between The “American Dream” And The Black American Millennial Reality, Simonleigh P. Miller

Seton Hall University Dissertations and Theses (ETDs)

The purpose of this qualitative study is to highlight and bring understanding to the lived experiences of Black American millennials. This study was conducted from the constructivist and critical research paradigms and utilized Reflexive Thematic Analysis methods to analyze qualitative data. The study places specific focus on Black or African American millennials’ associated thoughts and feelings regarding their current reality and positionality within the American context, and its relation to the idealized reality of the American Dream. The influence of the American Dream on the African American millennial reality was explored to gain a better understanding of how, or if …

From Exploration Of Classism To Anticlassist Counseling: Implications For Counselors And Counselor Educators, Lucy Parker-Barnes, Suzanne Degges-White, David A. Walker, Scott Wickman, Bellamy Linneman, Courtney Rowley, Robert Giansante, Noel Mckillip

Journal of Counselor Preparation and Supervision

Classism is a recently studied, but historically present, form of oppression. Despite much attention to inclusion of underrepresented clients in counseling literature, there has been little focus on the presence of classism in academic settings. In an effort to close this gap, a study of 202 individuals, aged 18 to 38, was conducted to explore the relationships among perceived classism, ethnicity, and socioeconomic status. Only 4.5% of the participants had never experienced any incidents of classism. African American individuals were more likely to experience interpersonal classism and working class/poor individuals were more likely to experience interpersonal and systemic classism. Recommendations …

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. …

Counseling Experiences In Physically Disabled Individuals, Leah Schulze

Honors Projects

This pilot study covers the effects that counseling has on the physically disabled community. 5 individuals were interviewed on a mid-sized college campus about their experiences.

Understanding Factors Associated With Clinician Confidence To Identify And Treat Ptsd And Complex Ptsd, Parad Meier

Counseling and Psychology Dissertations

ABSTRACT

This dissertation explores mental health clinicians’ experiences and self-identified confidence to identify and treat post-traumatic stress disorder (PTSD) and Complex PTSD. PTSD is a highly prevalent mental health condition that impacts an estimated 24.4 million individuals in the United States (PTSD United, 2019). Complex PTSD has just emerged for the first time with official diagnostic criteria in the publication of the ICD-11 in 2019 for use beginning in January 2022 (WHO, 2019). There is very little existing research that considers the experience or confidence of clinicians who work with clients who have PTSD and Complex PTSD, which is troubling …

Pornography: Social, Emotional And Mental Implications Among Adolescents, William K. Canady

National Youth Advocacy & Resilience Conference

This presentation will explain the historical development of pornography. It will highlight four segments: 1- Porn’s impact on brain development of reward pathways, ultimately increasing the appetite for more porn. 2- Porn can be a false substitute for real intimacy, resulting in decreased sexual satisfaction with a real person and increased verbal and physical aggression. 3- Porn promotes sex trafficking, promotes multiple sex partners and reduced STD prevention. 4- A review of interventions available to assist clients in navigating a lifestyle away from pornography.

Testing Barriers To Non-Suicidal Self-Injury With College Students: Narcissistic Traits As Moderators, Philip Stoner

Dissertations

Research on non-suicidal self-injury (NSSI) has produced mixed findings, resulting in a lack of clarity regarding these behaviors (Klonsky & Meuhlenkamp, 2007). To address this, Hooley and Franklin (2018) developed the Benefits and Barriers Model (BBM) to provide a comprehensive understanding of NSSI, in which they identified the barriers that commonly prevent people from engaging in these behaviors (e.g., self-esteem, shame, and peer-bonding motivations/social norms). They also identified adverse childhood experiences (ACEs) as a distal predictor of NSSI, which aids people in overcoming the barriers to engaging in these behaviors. Recent NSSI literature has shown that college women in the …

The Gender Freedom Model: A Framework For Helping Transgender, Non-Binary, And Gender Questioning Clients Transition With More Ease, Rae Mcdaniel, Laurel Meng

Journal of Counseling Sexology & Sexual Wellness: Research, Practice, and Education

Transgender/non-binary experiences and identities are often represented in academic literature through narratives of distress and are often pathologized through a medical lens. This holds implications for the field of psychotherapy, as interventions aimed to support transgender/nonbinary individuals often focus solely on risk mitigation. This article presents a therapeutic framework that rests on three pillars—Play, Pleasure, and Possibility—as the focal points for reimagining work with transgender/non-binary clients. This model aims to help this population explore gender transition with more ease through building practical skills, cultivating personal and collective pride, and centering pleasure equity.

The Impact Of Creative Arts On Meaning Reconstruction And Loss Adaptation In Widowed Adults, Dani Baker-Cole

Antioch University Dissertations & Theses

In counseling, helping grieving clients find meaning after significant loss is a unique, multidimensional, and lengthy process. This is particularly true in Western societies, where antithetical linear grief models, supported by hegemonic expectations to move on after loss, add exhausting pressure to speed up an individual’s natural grieving process. For that reason, this study examined how creative arts interventions such as using traditional art media and expressive writing, combined with postmodern, nonlinear, culturally sensitive bereavement models, help individuals explore their loss narrative to make meaning and adapt to loss. Specifically, this study examined the impact of a switch from traditional …

Examining Face-To-Face And Online Supervisee Disclosure Within The Supervisory Alliance, Letitia D'Aria Unger Johnson

Antioch University Dissertations & Theses

The purpose of this research was to examine face-to-face and online supervisee disclosure within the supervisory alliance. Just as client care pivoted to online platforms, as a result of the COVID-19 pandemic, so did clinical supervision, which was uncharted territory for many, including those familiar with online counseling. The methodology used was consensual qualitative research (CSR). Eight participants were recruited as a sample of convenience, and semistructured interviews were conducted via Zoom. Results indicated domains such as important characteristics of the supervisory relationship, importance of communication, supervisor characteristics related to self-disclosure, positive aspects and negative aspects of online supervision, and …

Imposter Phenomenon And Ces Doctoral Students, Michael Drane

Antioch University Dissertations & Theses

The aim of the study was to explore the lived experience of counselor education and supervision students who reported experiencing symptoms of imposter phenomenon (IP). The population included counselor education and supervision students in their first year of their program, with a sample of convenience (N = 4). The method used in this study was an interoperative phenomenological analysis. Data analysis revealed four major themes: (a) counselor education students express self-doubt, lack of confidence and concern about competence, (b) students rate different levels of competence in counselor education and supervision roles, (c) instructor feedback impacts student perceptions of competence, and …

A Practical Application Of Self Psychology In Counseling, A. Jordan Wright

Journal of Counselor Preparation and Supervision

Self psychology has undergone a significant evolution since it was initially developed and proposed by Heinz Kohut, including broadening conceptions of what purposes selfobjects can serve for individuals. Its application to counseling has been as an organizing framework and overarching theory of human development and psychopathology. The concept of selfobjects, however, has the potential to provide specific guidance and technique in micro-interactions within counseling. Individual moments within counseling present opportunities for a counselor to intervene, and self psychology can provide a deliberate decision-making tool for how to respond. Being deliberate in interventions throughout counseling has the potential to improve outcomes. …

Impact Of Aging Information On The Continuing Education Preferences Of Behavioral Health Clinicians, Nicholas Schmidt

Dissertations

The United States population is aging rapidly and the behavioral health workforce is ill-prepared to meet the concurrent rise in demand for services for older adults. Clinicians specializing in working with older adults make up a very small portion of providers and the majority of service provision falls on general practitioners. The discipline of counseling has emphasized multicultural competencies in training and practice but has not specified standards of competence for work with older adults; little is known about the interests and training preferences of Licensed Professional Counselors (LPCs). This study examined the impact of receiving foundational information about aging …

Telehealth Best Practice: A Call For Standards Of Care, Donna S. Sheperis, Arielle Smith

Journal of Technology in Counselor Education and Supervision

Teletherapy is an approach to working with clients that mental health providers have used in some form for years. However, the onset of COVID forced the provision of therapy into teletherapy almost exclusively for a period of time. Currently, mental health providers conducting therapy virtually are not required to be trained in telehealth and are operating without consistent uniform standards of practice. This manuscript pulls from the current literature and guidelines across counseling, psychology, psychiatry, family therapy, and social work to provide a Proposed Standards of Practice for Telehealth. Such standards benefit mental health counselor by grounding practice in common …

Treatment Access For Dual Diagnosis Substance Use And Mental Health Disorders, Pedro Banuelos

Electronic Theses, Projects, and Dissertations

In 2018, of 1.3 million Latinx adults in the United States facing concurrent issues with substance use disorders (SUD) and mental health disorders (MHD) 93% remained untreated for either diagnosis. This is concerning since Substance Abuse and Mental Health Services Administration (SAMHSA) data reveals that this population is at greater risk for suicidal thoughts, plans, and attempts. They also face structural barriers such as employment, housing, legal involvement, and insurability that further impede access to treatment.

This study’s purpose was to examine barriers to accessing treatment for Latinx populations confronting co-occurring SUDs and MHDs. This study used a qualitative design …

Borderline Personality Disorder: Interventions For Adolescents And Caregivers, Addison Odum

Evidence-Based Social Work Practice Guide Series

Borderline personality disorder (BPD) encompasses a wide range of symptoms characterized by emotional dysregulation, including challenging interpersonal relationships, impulsivity, disturbances in cognition and identity, and is often accompanied by intentional self-injury and suicidal behaviors. In this guide, emphasis is placed on three aspects of intervention: (1) clinical interventions for adolescents who meet the criteria for BPD; (2) interventions clinicians can teach to parents/caretakers so they can better work with their child’s diagnosis; and (3) due to the negative impact this can have on adolescents, clinical interventions for parents/caregivers diagnosed with or exhibiting common symptoms of BPD is also provided.

Moth To A Flame: An Investigation Of The Personality Traits And Early-Life Trauma Histories Of Women Who Have Survived Adult Relationships With Men With Pathological Narcissism, Michelle D. Roberts

Dissertations

Although emotional and psychological abuse, in addition to physical assault, are now commonly accepted as aspects of Intimate Partner Violence (IPV), narcissistic abuse as a subset of IPV is not widely recognized or understood. Due to the extremely debilitating, chronic mental health effects of narcissistic abuse (Bremner, 2008; Campbell, 2002; Yoon et al., 2009), this study sought to explore the experiences, personalities, early-life (childhood) trauma histories and mental health outcomes of heterosexual women who self-identify as having been in an adult romantic relationship with a man with pathological narcissism. Specifically, this study aimed to identify the nature and frequency of …

Pledged Into Harm: Sorority And Fraternity Members Face Increased Risk Of Sexual Assault And Sexual Harassment, Melissa L. Barnes, Alexis Adams-Clark, Marina N. Rosenthal, Carly P. Smith, Jennifer J. Freyd

Dignity: A Journal of Analysis of Exploitation and Violence

The purpose of this manuscript is to examine the risk of sexual exploitation (both assault and harassment) associated with sorority and fraternity membership on U.S. college campuses. The results from this study come from data collected through an online survey. Participants (N=883) at a large Pacific Northwestern university provided information related to their sorority or fraternity membership, experiences of sexual violence (i.e., assault and harassment), and alcohol use. We both replicated and extended past research. Corroborating prior research, Greek-affiliated students experienced higher rates of sexual assault than non-affiliated students. We extended past research by focusing on sexual harassment …

How Psychotherapists Practice In The Digital Era, Josh Weinstein

Dissertations, Theses, and Capstone Projects

The digital era, marked by digital devices connected via high speed data networks, has altered human experience in profound ways over the past 40 years. The potential for novel forms of human relating and fulfillment of desire has led to myriad changes in behavior, thought and unconscious activity. While many adapt or thrive in expanded reality, for some, the digital can be context, source and/or location for psychological affliction. When those who suffer seek psychological relief, how psychotherapists listen for, conceptualize and work with the effects of the digital matter a great deal. While theoretical and quantitative research literature exists …

Cuban Immigrants’ Experience With Acculturation And How They Cope In The United States, Lourdes Araujo

Dissertations

Objective: This research examines how Cuban immigrants experience cope and adapt to the United States. Cuban immigration is associated with specific stressors related to the immigration experience and the necessary process of acculturation and assimilation. These major stressors can result in mental health concerns among Cuban immigrants; however, no studies have examined how acculturation may influence Cuban immigrants’ coping skills and resultant mental health concerns. This unique study is the first to examine the coping skills Cuban immigrants use during acculturation and the effects of these skills on Cuban immigrants’ mental health. Methods: Seventeen participants completed a semistructured interview and …

Seeing The Shadow Women: The Hidden Victims Of Prostitution, Donna M. Hughes

Dignity: A Journal of Analysis of Exploitation and Violence

A group of hidden victims of prostitution has been brought to light by Ingeborg Kraus, a trauma therapist in Germany, and Andrea Heinz, a woman with experience in the sex trade in Canada. Dignity has published four articles by these two writers in the last year. Their nascent body of work is uncovering important new information and perspectives on prostitution. Through their own experience and interviews with wives of sex buyers and women with sex trade experience they show us a more holistic view of the harm of prostitution. They write about the wives and families of men who are …