Clinical Psychology Commons^™

Scrupulosity Ocd And How It Can Affect Our Clients’ Relationship With God, Annabella Hagen

Issues in Religion and Psychotherapy

This article explores various aspects of scrupulosity OCD, starting with the misconceptions about OCD that persist in society and their impact on treatment, along with a discussion of the disorder’s prevalence. It examines common OCD themes, provides a deeper understanding of religious scrupulosity, and clarifies how individuals become trapped in the scrupulosity OCD cycle. Specific triggers within the LDS Church are highlighted, alongside religious considerations such as distinguishing scrupulosity from genuine religiosity and discerning between spiritual promptings and OCD-driven thoughts. The article also addresses barriers to care unique to the LDS community and offers clinician recommendations, including an overview of …

Parental Grief And Loss After Gender Transition: Navigating Ambiguous And Disenfranchised Loss In Latter-Day Saint Families, David Haralson, Chelsea Johnson, Jeff Bennion, Orion Maxfield

Issues in Religion and Psychotherapy

Parents of transgender or gender nonconforming children sometimes experience profound grief and loss, particularly within religious communities that hold specific doctrines regarding gender. This article examines the unique challenges faced by parents in The Church of Jesus Christ of Latter-day Saints (LDS Church) when a child undergoes gender transition. By exploring the concepts of ambiguous loss and disenfranchised grief, we aim to provide a framework for understanding these parents' emotional experiences. The intersection of LDS doctrines and policies on gender with contemporary gender theories creates complex emotional environments for families to navigate. We present the Integrity and Investment Model as …

Helping Clients Grieve The Loss Of Their "Happily Ever After", Karen J. Gilmore, Joseph Chamberlain

Issues in Religion and Psychotherapy

ABSTRACT

Helping Clients Grieve the Loss of Their “Happily Ever After”

One of the most prominent attacks on marriage comes in the form of pornography and sex addiction. In this article I will explore what pornography and sex addiction is, why it can be highly addictive, how pornography and sex addiction can impact the marriage and lead to betrayal trauma, and how to understand the losses that can come from this type of trauma as well as the ensuing grief which may accompany this process. Additionally, I will identify ways to understand how grief presents in betrayal trauma, how to …

Pow, Bam, Snikt: Using Superheroes To Teach Mental Health, Christopher Dabbs

Journal of Thematic Instruction

Undergraduate psychopathology (abnormal psychology) courses traditionally emphasize case vignettes of individuals with psychiatric disorders to illustrate etiology, nosology, and treatment. While pedagogically useful, these depictions can inadvertently provoke distress in students, potentially impeding engagement and learning. To address this dilemma while continuing to center the same learning outcomes, I formulated a course structure which embedded some course topics in superhero-related material with the express intent to create psychological distance between potentially distressing topics and the learners themselves. This commentary provides background for the course, evidenced-based rationale for specific pedagogical choices alongside topical material recommendations, and ends with personal reflections.

9th Gsep Research Symposium - 2025

GSEP Research Symposium

The Ninth Annual GSEP Research Symposium, themed "Building Bridges to Elevate Humanity: Innovations and Insights in Education and Psychology", was hosted by the Pepperdine University Graduate School of Education and Psychology (GSEP) on June 19–20, 2025, at the historic Château d’Hauteville in Switzerland and virtually via Zoom.

This hybrid symposium convened a vibrant global community of students, alumni, faculty, and scholars to share research that addresses real-world challenges, advances scholarly inquiry, and builds pathways for inclusive collaboration and leadership. Spanning a wide array of topics—from artificial intelligence and mental health to trauma-informed practices, educational equity, social justice, and cross-cultural leadership—the …

The After Effects Of The Covid-19 Pandemic On The Mental Health Of International V/S Domestic Students - A Qualitative Study, Keerat Sidhu Bhatti

Doctoral Dissertations

The COVID-19 pandemic significantly impacted the mental health of both international and domestic graduate students, exacerbating social isolation, financial strain, and psychological distress. This qualitative study examines the long-term effects of the pandemic on these student populations, exploring shared and divergent experiences, coping strategies, and evolving priorities. While both groups faced heightened anxiety and academic disruptions, international students encountered additional stressors, including cultural displacement, visa uncertainties, and limited support networks. Domestic students, in contrast, struggled with routine disruptions but had greater access to familial and social support. Across both groups, the pandemic prompted a reassessment of personal and professional priorities, …

Trainee Countertransference And Competency In Bereavement Therapy: Strengths And Limitations Of The Wounded Healers, Meghan Paynter

Electronic Theses and Dissertations

Countertransference is a common experience in therapy, happening among clinicians of all stages of their career and the outcomes of this experience hinge largely on how countertransference is managed. Challenging topics, such as grief, only make countertransference harder to manage effectively and the management of this experience improves with practice and time—something trainees have not yet ascertained. Given the pervasiveness of grief as a human experience, also indiscriminate in nature, the experiences of trainees experiencing countertransference are important to understand, including what is experienced, how they experience it, and how it impacts their process and self-perception of confidence and competence …

Better Serving Those Who Serve: Supporting Psychological Wellness Of Lgb Military Personnel In The Post “Don’T Ask Don’T Tell” Era, Anne Neuweiler

Electronic Theses and Dissertations

Few studies have been able to explore lesbian, gay, and bisexual military personnel’s experiences in military mental healthcare settings. This study examined the experience of LGB servicemembers in military counseling environments, as well as how to support these servicemembers in military mental health and military communities. Six participants volunteered for the study and six semi-structured interviews were completed with LGB servicemembers who had contact with mental health. Three research questions guided the present study and a transcendental phenomenological frame was used to analyze the data and themes emerged. Research question one yielded three themes: 1) “I'm Definitely not Gay”: The …

The Multicultural Orientation Framework In Couple Therapy, Jasmine R. Davis

Electronic Theses and Dissertations

Couples’ cultural values and beliefs are important to their relational connection. Cultural values and beliefs can be sources of strength in relationships, but they can also lead to impasses. As such, clinicians and researchers could benefit from a cultural framework to inform conceptualization and treatment when working with couples. The Multicultural Orientation (MCO) framework has three pillars: cultural humility, cultural comfort, and cultural opportunities. The MCO framework is empirically supported for use in individual and group psychotherapy but has not been applied to couple therapy. This dissertation includes two parts. First, we outline a conceptual framework for the application of …

Supervisee Barriers To Disclosure And The Supervisory Working Alliance, Rachel G. Hughitt

Electronic Theses and Dissertations

This study investigated barriers influencing supervisees’ willingness to disclose clinical errors in mental health training contexts, with a focus on the supervisory working alliance (SWA) as a potential moderating factor. Participants read two vignettes – one describing a clinical error and the other a client concern – and were asked to indicate which case they would discuss with their supervisor. They also completed the Brief Supervisory Working Alliance Inventory–Trainee Form (BSWAI-T) and the Supervisee Disclosure in Supervision Scale (SDSS), which assessed the quality of the supervisory alliance and perceived barriers to disclosure, including fear of negative evaluation, lack of confidence, …

The Developmental Cohort Model Of Interpersonal Process Groups: A Clinician's Guide For University Counseling Centers, Lauren Caldas

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

The purpose of this paper is to outline a clinician's manual that guides providers in the development, facilitation, and maintenance of long-term interpersonal process groups (IPGs) within university counseling centers (UCCs). This manual also presents a new model: The Developmental Cohort Model (DCM), which utilizes a stepped model throughout a traditional student's college timeline. I will present this manual in the context of the Developmental Cohort Model (DCM), but it can certainly remain useful for any type of IPG. Research suggests that group therapy is an effective way to increase access to mental health care (Burlingame & Strauss, 2021) and …

Investigating The Effects Of Drinking Environments On Alcohol Protective Behavioral Strategy Use, Perceived Self-Efficacy, And Perceived Effectiveness Through Experimental Vignette Design, Skyler Hoover

Dissertations

Derived from a Social Cognitive Theory framework (Bandura, 1986), the aim of this study was to assess the impact of different drinking environments on college students’ expected use of alcohol protective behavioral strategies, perceived effectiveness of those strategies, and perceived self-efficacy to use them. To accomplish this, we sought out to create and employ experimental vignettes consisting of a bar/club or party drinking environment in a two-part study. Study one aimed to pilot test the vignettes prior to their use in study two, whose aim was to test our initial hypotheses. Both analytic samples were recruited from a nationwide participant …

Drinking To Compensate: Expanding Upon The Motivational Model Of Alcohol Use, Douglas J. Glenn

Psychology Theses & Dissertations

The motivational model of alcohol use identifies four key drinking motives – coping, conformity, social, and enhancement – as important proximal antecedents of problematic drinking. However, applications of this model have been inconsistent in explaining drinking outcomes. Specifically, it is unclear under which conditions each drinking motive can be a risky or benign indicator of drinking behaviors. The current study theorized that a problematic drinking to compensate behavior could emerge across all drinking motives when alcohol is used to counteract a psychosocial (i.e., nondrinking) deficit. It was hypothesized, at the cross-sectional and daily level, that the associations between each drinking …

From Heroic Imagination To Belonging-Focused Healing: A Tribute To Philip Zimbardo, Agnieszka Wilczynska

Heroism Science

This article offers a reflective account of the Polish adaptation of the Heroic Imagination Project (HIP), a global educational initiative founded by Philip Zimbardo to promote everyday heroism through psychological awareness. As HIP took root in Poland, we developed a robust infrastructure of certified trainers, academic collaborators, and educational centers, reaching over 250 schools and 800 educators. Grounded in core psychological principles -- such as the bystander effect, social conformity, and prejudice -- the program empowered participants to resist negative social influences and cultivate moral courage. The experience also gave rise to Belonging Focus Therapy (BFT), a psychobiological and sociocultural …

Evaluating Generative Ai For Depression Diagnosis: Implications For Counselor Education And Supervision, Matthew Rensi, Chung-Fan Ni, Leo Gonzalez, Jr., Mindi Barta, Cass Dykeman, James Geisler

Journal of Technology in Counselor Education and Supervision

This study evaluated the efficacy of three Generative AI tools—ChatGPT, Claude, and Gemini— in identifying Major Depressive Disorder (MDD) from 119 written clinical case descriptions. Each AI tool determined if cases met DSM-5 criteria for MDD. The results showed significant performance variations, with Gemini demonstrating an accuracy of 97%. These findings suggest the potential for AI assistance in clinical practice, while also underscoring the importance of professional judgment. The implications for counselor education include opportunities to integrate AI tools into training programs, particularly in courses on psychopathology and clinical skills. Educators can use these tools to enhance students’ diagnostic skills …

Exploring The Environmental Impacts Of Telemental Health Counseling: Balancing Accessibility, Sustainability, And Climate Concerns, Daniel Bates, Greg Peterson, Vanessa Sinclair

Journal of Technology in Counselor Education and Supervision

In response to the COVID-19 pandemic, a nation-wide quarantine was mandated, which had a significant impact on the economy, healthcare, and lifestyle. It also dramatically changed the way mental health services were delivered. Many clinicians in private practice and at agencies rapidly transitioned the administration of mental health treatment to an online platform. The rapid upsurge of utilization of telemental health counseling (TMHC) yielded unexpected environmental benefits that have come to light by recent research. Some researchers shared concerns of TMHC efficacy compared to in-person counseling, however, other research comparing TMHC to in-person found comparable therapeutic outcomes. Research has also …

The State Of Telemental Health Training And Education In Cacrep-Accredited Counselor Education Master’S Programs, Jocelyn Novella, Davide Mariotti

Journal of Technology in Counselor Education and Supervision

Despite the frequent use of telemental health (TMH) to deliver clinical mental health counseling, there are few specific guidelines for the teaching of this important topic in CACREP-accredited counselor education programs. This study examined TMH training and education in master’s-level CACREP-accredited counselor education programs by surveying CACREP liaisons (n = 62). The results were analyzed using frequencies, and questions were cross-tabulated with basic information about the programs’ faculty, students, and method of teaching. Results will inform current practices in the training of counselors in this expanding delivery system.

Evaluating Counseling Skills Through Language Style Matching: A Computer-Aided Text Analysis Of Suicide And General Counseling Transcripts, Chung-Fan Ni, Justin Jacques, Charles Silber, Cass Dykeman

Journal of Technology in Counselor Education and Supervision

This pilot study applies Computer-Aided Text Analysis (CATA) to examine Language Style Matching (LSM) in counseling transcripts, offering a novel metric for counselor education and supervision. Analyzing 50 suicide-focused and 100 general counseling sessions using LIWC-22 software, we found high LSM scores in both contexts (suicide-focused: M = 0.906; general: M = 0.903). Bayesian analysis provided moderate evidence (BF01 = 5.048) in support of the null hypothesis, indicating no significant difference between the two session types. The consistently high LSM suggests counselors effectively build strong alliances and align with client goals across topics. LSM analysis provides an objective measure of …

"Chatgpt Told Me To Say It": Ai Chatbots And Class Participation Apprehension In University Students, Daisuke Akiba

Publications and Research

The growing prevalence of AI chatbots in everyday life has prompted educators to explore their potential applications in promoting student success, including support for classroom engagement and communication. This exploratory study emerged from semester-long observations of class participation apprehensions in an introductory educational psychology course, examining how chatbots might scaffold students toward active and independent classroom contribution. Four students experiencing situational participation anxiety voluntarily participated in a pilot intervention using AI chatbots as virtual peer partners. Following comprehensive training in AI use and prompt design given to the entire class, participants employed systematic consultation frameworks for managing classroom discourse trepidations. …

The Potential Mediating Role Of Perfectionistic Self-Presentation In The Relationship Between Other Stigma, Self-Stigma, And Attitudes Towards Mental Health Help-Seeking In Asian Americans, Trevor E. Taone

Clinical Psychology Dissertations

The importance of understanding why individuals decided to engage in mental health care cannot be overstated. This importance is further highlighted in the need to examine the different factors that may help researchers and clinicians to obtain more insight into why populations with a higher demand for mental health services, such as Asian Americans, possess negative attitudes toward seeking mental health care. Stigma has been identified as a significant barrier that influences these attitudes towards help-seeking. Other stigma and self-stigma, in particular, play an important role in understanding why individuals may possess negative views about mental health care help-seeking. With …

العزلة الاجتماعية وعلاقتها بالأفكار اللاعقلانية لدى طلبة المدارس, Feras Qurit'e Al-Jobour, Ali Abdullah Al-Hourani

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

هدفت الدّراسة إلى الكشف عن مستوى كل من العزلة الاجتماعية والأفكار اللاعقلانية، والعلاقة بينهما لدى طلبة المدارس. اعتمدت الدراسة على المنهج الوصفي الارتباطي، وتكوّنت عيّنة الدّراسة من (831) طالباً وطالبة (476 طالباً و 355 طالبة)، تم اختيارهم بالطّريقة المُتيسرة في الفصل الدراسي الثاني للعام الدراسي (2023/2022)م. ولتحقيق أهداف الدراسة؛ جرى استخدام مقياس العزلة الاجتماعية ومقياس الأفكار اللاعقلانية اللذين أعدا لغايات هذه الدراسة، بعد التحقق من صدقهما وثباتهما. أظهرت نتائج الدراسة أن مستوى كل من العزلة الاجتماعية والأفكار اللاعقلانية جاء متوسطاً، وأن هناك علاقة ارتباطية موجبة دالة إحصائياً بينهما. كما أظهرت النتائج أيضاً عدم وجود فروق دالة إحصائياً في مستوى كل …

The Potential For Improv As A Therapeutic Tool In The Context Of Dialectical Behavior Therapy: Suggestions For Dbt Clinicians, Jocelyn Borden

University Honors Theses

This thesis explores the theoretical and practical intersections between improvisational theater and Dialectical Behavior Therapy (DBT), proposing that the core tenets of improv closely align with the philosophical foundation and therapeutic goals of DBT. Aimed at mental health professionals, this work provides a conceptual framework and praxis for incorporating improv-based activities into DBT skills training to enhance client engagement, experiential learning, and emotional resilience. Through an examination of improv theory, parallels with DBT principles, and practical suggestions for integration, the thesis outlines how applied improvisation can be used as a supplemental tool in traditional DBT treatment. The final section includes …

Reading Patients' Personalities The Sentence Completion Way, Stephen P. Joy, Lawrence Mccloskey, Wilson Mcdermut

Archives of Assessment Psychology

Previous research has shown that reliable, valid measures of major personality traits can be derived from a sentence completion test, the Rotter Incomplete Sentences Blank (RISB). However, all previous samples consisted of undergraduates. Here, we report findings for two clinical samples (N = 120) to whom a variety of self-report inventories and structured clinical interviews were also administered. RISB-based ratings of Extraversion and Neuroticism were consistently correlated with relevant variables in both samples and displayed convergent and discriminant validity vis a vis self-reported traits. RISB-based ratings of Psychoticism were clearly associated with relevant variables in one sample with mixed but …

Do Resiliency And Coping Skills Moderate The Relationship Between Mood Disorders And Parenting Styles Due To Parental Relationship Distress?, Tiffany Burks

Electronic Theses and Dissertations

Parental relationship dynamics such as intimate partner violence (IPV), interpersonal distress (IPD), and parental alienation (PA) can significantly affect both mental health and parenting practices. This study examined whether personal strengths, specifically resilience and problem-focused coping, could help buffer these negative outcomes. Correlational analyses showed that IPV, IPD, and PA were positively associated with symptoms of depression and anxiety. IPV and PA were also negatively associated with the use of an authoritative parenting style. In contrast, resilience and problem-focused coping were linked to fewer mood-related symptoms and greater use of authoritative parenting. Multiple regression analyses revealed that IPV significantly predicted …

Mindfulness As A Buffer Against Death Anxiety: Implications For End-Of-Life Care, Chad Alexander

University Honors Theses

Death anxiety, defined as the distress associated with the awareness of mortality, has profound psychological and cultural impacts. Western societies often respond to death salience through avoidance and medicalization, reinforcing defensive strategies described by Terror Management Theory. This project aimed to investigate whether mindfulness can serve as a buffer against death anxiety. A structured literature review was conducted using PsycINFO, PubMed, the Portland State University Library, and Google Scholar between January 2025 and April 2025. One study found that mindfulness moderated the effects of death anxiety on health-related quality of life in people living with HIV. Two experiments linked mindfulness …

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 …

A Qualitative Meta-Analysis Of The Experiences Of Clients In Psychotherapy For Posttraumatic Stress Disorder: An Empirically Based Process-Oriented Staged Model, Nicholas A. Pierorazio

Graduate Masters Theses

Posttraumatic stress disorder (PTSD) is prevalent and can be highly complex. Guidance for the treatment of PTSD has typically been based on quantitative meta-analyses of randomized controlled trial findings and has focused on the comparative efficacy of specific treatments, rather than how to deliver treatment. There is a need for clinical guidance that highlights moment-to-moment, in-session psychotherapy processes for psychotherapists working with clients with PTSD. In the current study, I conducted a qualitative meta-analysis, focusing on the qualitative literature investigating clients’ perspectives in order to develop an understanding of the preferences, values, and experiences of clients in individual psychotherapy for …

How Art Therapy And Emdr Help Asylum Seekers And Refugees Move Towards Healing Trauma: A Literature Review, Anna Mogilevsky

Expressive Therapies Capstone Theses

In the past ten years, there has been a significant rise in the number of asylum seekers and refugee populations worldwide (UNHCR, 2022). Displaced individuals are extremely vulnerable to mental illness because of the compounded trauma experienced in their countries of origin with the stress of immigration, asylum seeking, culture shock, and language barriers. PTSD is affecting 500 million individuals globally, and refugees are especially susceptible to having these symptoms (Farrell, 2020). Art therapy and EMDR are identified as the most promising modalities for treating such trauma.

This literature review examines the various ways EMDR and art therapy have been …

A Method For Developing Multicultural Musical Fluency: Reclaiming A Relationship With Traditional Ashkenazi Music, Rachael Penn

Expressive Therapies Theses

Counseling and music therapy scholars recommend that students and clinicians engage in self-inquiry to explore their cultural values to build multicultural competence. I created an arts-based method for deep reflection using theory and techniques in the literature regarding culture-centered music therapy, including ethnographic inquiry, the cultural unconscious, intersubjective theory, active imagination, embodiment, and artistic reflection. I engaged with music from my own cultural background, which included Ashkenazi klezmer music and Yiddish folksong, to reflect on my cultural values and to build a living relationship with the music. Thematic analysis revealed eight themes, including the function of the music, personal memories …

"La Vida Es Un Carnaval": An Exploration Of Cuban Identity And Nostalgia Through Dance/Movement Therapy - A Community Engagement Project, Maria Fernanda Mendez Mendoza

Expressive Therapies Theses

“La Vida Es Un Carnaval” is a community engagement project and thesis that explores how identity and nostalgic resilience show up through dance/movement therapy with Cuban immigrants living in the United States, specifically Massachusetts. This project brought together six Cuban-born participants, ages 26 to 67, each with their own unique migration stories; from the Rafter Balsero Crisis of 1994, to the “Wet-Foot/Dry-Foot” policy, and family reunification. Through a mix of in-person and online sessions, participants explored their experiences using intermodal activities including dance/movement therapy techniques, conversation, journaling, artwork, and music. Themes of cultural pride, “Cubanía” – Cuban-ness, culture shock, and …