Cultivating Trauma Competency: Counselor Development Through Education And Experience, Kayla Bryant

Dissertations, 2020-current

This dissertation explored the development of trauma competency. Considering the prevalence of trauma and the ethical demand for counselors to work within their scope of competence, it is necessary they have skills to work with trauma. The intent of this dissertation was to contribute to the literature by providing strategies for counselor educators aiming to support counselors-in-training in their trauma development. Grounded in attachment theory, these articles acknowledge the personal lived experiences of counselors and their professional needs. The first article, a conceptual manuscript, provides strategies for counselor educators to integrate trauma competencies at the master’s level. Using both experiential …

Exploring Play: Counselor Education Strategies, Online Community Fantasy Play, And Sexuality In The Counseling Space, Nattalie Wolff-Tseng

Dissertations, 2020-current

This dissertation examines the ways that play is constructed and understood in a variety of settings. Using Relational Cultural Theory as a guiding theoretical influence, each portion examines how play influences relationships and how engagement in play and conversations about play can enhance student–teacher relationships, social connection, and the therapeutic relationship. The first section of this dissertation, the conceptual article, explores how play can support counselor education as it encourages creative engagement and discourages perfectionism, which is often noticeable in novice counselors. Play may take many forms in the classroom and offers counselor educators the opportunity to tailor activity to …

Quality Care For Neurodivergent Youth, Emily V. Bogaev

Dissertations, 2020-current

Neurodivergent youth are becoming increasingly present in counseling settings, yet many counseling approaches have historically been shaped by deficit-oriented frameworks that conceptualize neurodivergence as something to be corrected. These perspectives may overlook the lived experiences and strengths of neurodivergent individuals. The purpose of this dissertation was to examine neurodivergence in counseling through three complementary manuscripts addressing conceptual foundations, youth perspectives, and counselor preparation. The first manuscript is a conceptual article that explores neurodivergent-affirming counseling and contrasts affirming frameworks with traditional deficit-based approaches. The second manuscript utilized a qualitative narrative inquiry design to explore neurodivergent youths’ perceptions of neurodivergence and the …

Professional Dispositions In Counselor Education: Building Consensus, Examining Lived Experience, And Advancing Relational Gatekeeping, Jina Yang

Dissertations, 2020-current

The purpose of this dissertation is to investigate how Council for Accreditation of Counseling and Related Educational Programs (CACREP)-accredited programs identify, implement, and assess essential professional dispositions among master’s-level counselors-in-training (CITs). The dissertation includes three components that examine conceptual, experiential, and consensus-based perspectives on professional dispositions within counselor education. The first component presents a conceptual framework for implementing gatekeeping practices that reflect the values of the counseling profession. Drawing on Relational-Cultural Theory (RCT), the article proposes gatekeeping strategies that emphasize mutuality and connection while accounting for sociocultural contextual factors and fostering psychological safety within the hierarchical dynamics inherent in evaluative …

Enhancing Access Through Integrated Behavioral Healthcare: Expanding Counselor Identity And Social Determinants Of Health Competency, Tiffany N. Snow

Dissertations, 2020-current

Abstract

The counseling profession has historically differentiated its identity by emphasizing a wellness-oriented approach. However, this has often led to the exclusion of counselors from integrated behavioral healthcare (IBH). With the 2024 enactment of the Mental Health Access Improvement Act, counselors now have unprecedented opportunities to serve as behavioral health providers in federal medical settings. This three-manuscript dissertation explores the intersection of counselor professional identity, social determinants of health (SDoH) competency, and interprofessional collaboration within IBH.

Manuscript 1 presents a conceptual framework for reconciling traditional counselor identity with the "medical model" of Primary Care Behavioral Health (PCBH), arguing that this …

There’S A Crisis Brewing In Higher Education, Caroline M. Graham

Dissertations, 2020-current

This dissertation addresses the increasing need to enhance crisis preparedness among student affairs practitioners in higher education. With the growing frequency and complexity of campus crises—ranging from mental health emergencies to incidents of violence, the preparedness and self-efficacy of those in student support roles are paramount. This three-manuscript dissertation explores crisis intervention training, crisis self-efficacy, and the lived experiences of student affairs practitioners navigating campus crises. The first manuscript provides a conceptual overview of the gaps in current crisis intervention training within graduate programs, advocating for the integration of core competencies informed by accreditation standards and professional associations. The second …

Unmasking Masculinities In Counseling: From Conformity To Connection, Kyle R. Rose

Dissertations, 2020-current

This dissertation explored the entanglements of professional counseling and masculinities across three manuscripts, to contribute to (1) healthier forms of gender expression within and beyond the spectrum of masculinities for individuals, (2) the counseling profession’s role in transforming hegemonic masculinity within communities, and (3) larger movements to subvert the patriarchy throughout society. The first manuscript is a conceptual article that presented the Relational Cultural Privileged Identity Counseling (RCPIC) model, an integrative framework designed to help counselors address hegemonic masculinity within the therapeutic relationship. Drawing from Relational-Cultural Theory (RCT) and Privileged Identity Exploration (PIE), this model provided a roadmap for compassionate …

Exploring Trauma Education And The Intersection Of Self-Efficacy, Ashlea Yearwood

Dissertations, 2020-current

Trauma education in counselor training programs is not only required for those accredited by the Council for Accreditation of Counseling and Related Educational Programs (CACREP), but a critical component in preparing counselors-in-training to work with clients who have been directly or indirectly impacted by a traumatic event. This three-article dissertation includes a conceptual manuscript, qualitative manuscript, and a quantitative manuscript regarding trauma education for counselors. The conceptual manuscript offers an approach to mitigating compassion fatigue through the utilization of attachment-based supervision when working with counselors-in-training. The qualitative manuscript aimed to utilize an interpretative phenomenological analysis to explore and understand what …

Ethics And Clinical Supervision: Understanding The Needs Of Counselors In Training And Self-Efficacy Development In Clinical Supervisors, Brooke Carroll

Dissertations, 2020-current

This dissertation examines foundational principles of ethics, clinical supervision, and clinical supervisor ethical decision-making self-efficacy development. Counselors-in-training, those who have completed their degrees but are not yet licensed, are profoundly impacted by their experience in clinical supervision. Therefore, it is imperative for the clinical supervisors who are leading this new generation of counselors to embody the highest respect and execution of ethical practice and ethical decision making. To do this, clinical supervisor ethical decision-making self-efficacy must be tended to, developed, and understood. When mastered, these clinical supervisors are better equipped to assist their supervisees through ethical dilemmas and critical incidents. …

Lgbtqia+ Competency In Counseling: Understanding Current Trends, Educational Experiences, And Counselor Identity Implications, Tyler Puryear

Dissertations, 2020-current

This dissertation presents is made up of three manuscripts. The first is a systematized review that synthesizes current literature to better understand the definition, development, and gaps in LGBTQIA+ competency. Eleven major themes were identified: competency frameworks, cultural humility over competence, competence in practice, barriers, intersectionality, subgroups, advocacy, allyship, pedagogy, language, and counselor attitudes. Findings suggest the field must move beyond static competency models toward a cultural humility framework. The qualitative study used constructivist grounded theory (CGT) to explore how recent graduates from counseling programs experienced learning about LGBTQIA+ counseling topics. Five themes emerged: faculty influence on learning, experiential learning …

Burnout And Self-Efficacy: Exploring The Rewards And Challenges Faced By Crisis Counselors Working In Emergency Department Settings, Ellen Dotas

Dissertations, 2020-current

This dissertation explores burnout and self-efficacy in counselors who work with clients in crisis in emergency department settings. Mental health and emergency departments are two areas that tend to report higher levels of burnout than are reported in other occupational fields. While much research has been done on the topics of burnout and self-efficacy, limited information is available about counselors who work in these crisis roles. This dissertation follows a three-manuscript format and includes a conceptual, qualitative, and quantitative manuscript. The conceptual manuscript explores the nature of the crisis assessment itself, focusing on the area of risk assessment. The qualitative …

Clinician Training, Support, And Self-Efficacy In Supporting Patients With Severe Persistent Mental Illness, Jaclyn Sharkey

Dissertations, 2020-current

Abstract

Severe and Persistent Mental Illness (SPMI) has existed long before the contemporary definitions that prevail in the present day. However, traditional perspectives and treatment of SPMI illness have been influenced primarily by the medical model of treatment, resulting in a diagnosis that feels demoralizing and inhibitive for the individual suffering, particularly if they do not share in this belief. The expansion of community-based programs for SPMI patients has provided many opportunities for counselors to work with these clients, however, training and research on how to address population-specific needs is severely lacking within counseling programs and counselor research. As the …

Exploring Ecowellness And Attachment Dynamics: Understanding Parental Experiences, Youth Perceptions, And Counseling Implications, Katelyn Dolieslager

Dissertations, 2020-current

This dissertation investigated the way in which EcoWellness and Attachment Theory implications interact, specifically emphasizing how integrating these components can enhance clinical practice with caregivers and youth. The first component of the dissertation explored how EcoWellness principles could be applied to strengthen child attachment through family engagement in outdoor activities. The conceptual article discussed how shared outdoor play and recreation offer families the opportunity to bond, improve communication, and develop secure attachments. It provides a framework for clinicians to use EcoWellness to help children recognize their connection to the broader natural world, which fosters emotional growth and attachment. The second …

Wellbeing In The Caribbean: Exploring Wellness In Afro-Caribbean Populations, Lynnquell S. Gardiner

Dissertations, 2020-current

Research on Caribbean individuals’ mental health and wellness is scarce in the literature, especially for those residing in Caribbean regions. The purpose of these studies was to examine local definitions of wellness and explore the role of nature for Afro-Caribbean (AC) individuals who make up most of the Caribbean’s population. Using two popular wellness models, relevance of application was explored for use with AC women participants. Interpretative phenomenological analysis (IPA) was further used to explore participants definitions of wellness, existing strengths, and challenges in maintaining balance as it relates to wellness. Family connection, rest, and being in nature were significant …

The Complexities Of The Counselor Identity Amid Mental Health Crisis Response In Higher Education: An Examination Of Ethical And Moral Challenges, Burnout And Support, Shayna Finn

Dissertations, 2020-current

Supporting faculty and students in crisis response on higher education campuses is of growing importance in light of the rising mental health issues that students are experiencing. The focus of this dissertation is to gain an understanding of the experiences of counselor educators due to their unique identities: those of a counselor and educator. The format is a 3-style article dissertation with the first 2 articles being data driven (1 quantitative and 1 qualitative study) and the third article is a conceptual piece. Manuscript 1 focuses on moral injury and burnout for those who identify as a counselor in higher …

Addressing Youth Mental Health Through School Counseling, Advocacy, And Student Voice, Elizabeth Dinwiddie

Dissertations, 2020-current

Youth mental health concerns, both diagnosed and undiagnosed, are a global public health concern. These concerns inevitably manifest in school settings, where K-12 youth are spending significant portions of their time. While schools, districts, and state and federal policies are working to expand mental health support in school settings, school counselors are still the most consistently/universally present mental health professionals in school settings across the United States. The combination of school counselor placement in school settings and training to identify and support youth mental health make them incredible assets in this work. Despite this, school counselors have historically managed inconsistent …

Revolutionizing Counselor Education Through Cultural Humility: A Critical Examination Of Pedagogical Practices, Educators’ Experiences, And Determining Factors, Renee L. Haskins

Dissertations, 2020-current

This dissertation addresses the need for counselor educators and supervisors to cultivate cultural humility to adequately prepare their students and supervisees for the complexities of working with diverse client populations. Emphasizing the ongoing need for self-reflection and the evaluation of biases within multicultural contexts, this series highlights the dynamic nature of competency development in counseling. Through an exploration of personal experiences and perspectives, counselors at all career stages are encouraged to engage in continuous growth, thereby enhancing their capacity to navigate diverse cultural landscapes and serve clients effectively. The first manuscript provides a conceptual exploration, focusing on the pedagogical approach …

Exploring The Intersection Of Mental Health, Self-Advocacy, And Sense Of Belonging Among Rural, First-Generation College Students, Sarah Johnson

Dissertations, 2020-current

This dissertation delves into the intersections of social and cultural capital, self-advocacy, sense of belonging, and the experiences of mental health help-seeking among rural, first-generation college students. Rural, first-generation college students face unique challenges throughout their academic journey, this dissertation aims to contribute to the literature by examining the experiences and support mechanisms that are crucial for this population to be successful in higher education. This dissertation follows a triple-manuscript style, including a conceptual manuscript, quantitative manuscript, and a qualitative manuscript. The conceptual manuscript examined how college counselors can build contextual social and cultural capital among rural, first-generation college students …

Lived Experiences Of Korean Immigrant Women In The U.S., Jinok Lim

Dissertations, 2020-current

Korean immigrant women encounter distinct challenges during and after the immigration process, yet there is a noticeable scarcity of research focusing on this demographic. Immigration, often perceived as a traumatic experience, exerts a profound impact on various facets of immigrants' lives. Despite trauma's potential to yield diverse negative consequences, there exists acknowledgment of positive transformations following such experiences, commonly referred to as posttraumatic growth. This research endeavors to scrutinize the phenomenon of posttraumatic growth in Korean immigrant women. The initial investigation employs a quantitative approach to explore the correlation between immigration-related factors—such as age at immigration, English proficiency, acculturation level, …

The Lived Experience Of Counseling Students In Natural Disaster, Amy M. Sirocky-Meck

Dissertations, 2020-current

After natural disaster, survivors may experience moderate to severe signs and symptoms of emotional distress which may subside or worsen as time passes (Substance Abuse and Mental Health Services Administration, 2022). Adults pursuing higher education when natural disaster strikes experience an additional array of unique issues which may exacerbate symptoms of emotional distress (Wilkinson et al.,2013). To create and improve curricular and co-curricular structures that meet the needs of their students, educators in many health and mental health disciplines can draw from a variety of quantitative and qualitative studies, particularly those focused on how their disciplines’ students navigate the experience …

Affectionately Attached: The Impact Of Attachment Styles On Sexual Self-Concept Among Adults Who Identify As Lgbtgeqiap+, Karli M. Fleitas

Dissertations, 2020-current

The aim of this quantitative research study was to investigate the interplay between attachment orientation and subscales of sexual self-concept among an exclusively LGBTGEQIAP+ adult sample. A Pearson’s correlation coefficient was computed to examine attachment anxiety and avoidance with four subscales of sexual self-concept including, sexual motivation, sexual satisfaction, sexual consciousness, and sexual monitoring. The purpose of this study was two-fold—to compare findings with non-LGBTGEQIAP+ samples and provide new data. The relationships between attachment insecurity (i.e., anxious and avoidant attachment) and sexual motivation and satisfaction were compared to prior findings in the literature. Each test was statistically significant and negatively …

Equitable Counselor Education: Promoting A Sense Of Belonging In Master's Counseling Students, Jessica E. Mastrangelo

Dissertations, 2020-current

The discrepancies in racial and ethnic demographics between counselors, counselor educators, and the clients they seek to serve are prominent (Council for Accreditation of Counseling and Related Educational Programs [CACREP], 2018). Mental health counseling and the field of psychology have a traditionally Eurocentric value system that has positioned the White population to benefit from services and to become clinicians. As such, the centering of the White experience has perpetuated a lack of diversity in the field. As the demographics of the United States population continues to diversify, counseling needs to produce a greater number of racially and ethnically minoritized counselors …

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 …

Nature And Its Place In Professional Counseling: A Qualitative Study Of Expert Views, Experiences, And Future Plans, Matthew V. Bukowski

Dissertations, 2020-current

Recent publications and initiatives within professional counseling indicate a growing interest in the connections between human wellness and the natural world. Despite consistent growth of this trend between the years 2000 and 2021, there has been little dialogue within the profession about the ethical, ideological, and social justice implications of integrating nature therapy with professional counseling and counselor education. This study investigated the views, experiences, and future plans of 10 counselor educators who integrate nature therapy into their professional roles and developed two major themes and 12 subthemes that encapsulate their responses. Participants in the study overall shared a desire …

Informing Consent: A Grounded Theory Study Of Parents Of Transgender And Gender Diverse Youth Seeking Gender Confirming Endocrinological Interventions, Charles F. Shepard

Dissertations, 2020-current

Transgender and gender-diverse (TGD) identity during the Twenty-first Century in the United States has been associated with pervasive patterns of mistreatment and discrimination across social, educational, occupational, legal, and healthcare experiences (Drescher, 2010; James et al., 2016; Stryker, 2008). Despite these trends, affirming stances toward TGD identity has been developing almost simultaneously tracing its roots to Christine Jorgensen’s transition in the 1950s. About a decade later, endocrinological interventions were pioneered that aimed to medically support TGD patients who wished to feminize or masculinize their bodies to be more congruent with their gender identity without surgery. These gender-confirming endocrinological interventions (GCEI) …

Adverse Childhood Experiences And Self-Reported Emotional Well-Being For Well-Functioning Young Adults: The Case Of Burundian College Students, Peace N. Ningabire

Dissertations, 2020-current

As the body of research on adverse childhood experiences (ACEs) has grown over the last few decades, a gap between how individuals and families experience and cope with such adversities in Western societies versus in non-Western communities has also widened. Moreover, many studies conducted in low/middle-income countries on ACEs have looked at marginalized populations, such as children-soldiers, homeless children, refugee camps, etc. The present study, on the other hand, sought to explore childhood adversities, as well as current emotional well-being and coping strategies for Burundian well-educated, high-functioning young adults. A survey of 100 Burundian college students documented many adverse childhood …

Posttraumatic Growth During Covid-19: A Quantitative Analysis Of Individualist And Collectivist Values, Stephanie Chalk

Dissertations, 2020-current

The 2019 Coronavirus Disease (COVID-19) pandemic has spurred a major global crisis. Collective trauma is inevitable. Compared to posttraumatic stress, relatively little research has been conducted on posttraumatic growth. This study examined the associations between individualism-collectivism, coping behaviors, and posttraumatic growth in the context of COVID-19. A total of 314 adult participants were recruited to complete a questionnaire on COVID-19 experiences, individualism-collectivism, coping, and posttraumatic growth. Posttraumatic growth was measured globally and across five factors: relating to others, personal strength, new possibilities, appreciation of life, and spirituality. A t-test found no difference in global posttraumatic growth in participants who were …

The Space Between Black & White: Examining The Lived Experiences Of African American Supervisees In Cross-Racial Supervisory Relationships, Brittany A. Williams

Dissertations, 2020-current

There is a growing trend in the counseling research that addresses the importance of multicultural counseling and specifically the need for effective work with African American clients (Chang, Hays, & Shoffner, 2004). More specifically, attention should be given to African American supervisees in cross-racial supervisory relationships who experience complex forms of discrimination due to the differing cultural identities within the supervisory relationship. While also meeting the needs of the African American clients, increased representation in the field could also be beneficial for the counseling profession and support the growth and development of same race clinicians. This influx of African American …

Undue Police Violence Towards African Americans: A Quantitative Analysis Of Professional Counselors, Darius Green

Dissertations, 2020-current

The purpose of this study was to investigate the extent to which counseling professionals identify and address undue police violence (UPV) in their professional roles. This study investigated circumstances associated with experiencing types of force that counselors identify as undue, the extent of advocacy efforts made by counselors related to UPV, and training received related to UPV. Lastly, this study investigated the relationships between counselors’ attitudes towards officer legitimacy, perceived racism, and beliefs related to UPV and addressing it. An exploratory research design that used descriptive analysis, simple linear regression, and thematic analysis was used to analyze data collected for …