Counseling Psychology Commons^™

Childhood Emotional Maltreatment And Its Associations With Internalizing And Externalizing Symptoms In Emerging Adults, Amira C. Wallace

Undergraduate Theses and Capstone Projects

This study examines how childhood emotional maltreatment influences mental health symptoms among college students aged 18 to 25, specifically exploring its association with increased prevalence and severity of depression, anxiety, hyperactivity, and aggression symptoms in emerging adulthood. The relationship between childhood emotional maltreatment and internalizing and/or externalizing mental health symptoms will be assessed using questionnaires. This study aims to provide recommendations for the development of supportive and inclusive academic environments that facilitate informed conversations and interventions regarding childhood maltreatment. Findings could provide valuable information about students with histories of childhood maltreatment to academic institutions, which could in turn be used …

Turning To The Sacred: The Role Of Religious/Spiritual Coping In Psychological Outcomes Of Childhood Interpersonal Trauma, Vanessa S. Tomasik

College of Graduate Studies: Theses & Dissertations

Adverse Childhood Experiences (ACEs) are widespread and associated with significant and lasting psychological consequences, including posttraumatic stress symptoms (PTSS) and dissociation. Much of the existing literature has focused on adult trauma or narrowly examined childhood abuse and neglect, with comparatively limited attention given to other forms of childhood adversity such as witnessing intimate partner violence, parental separation, or household dysfunction. As a result, the differential psychological impact of distinct types of ACE exposure (i.e., maltreatment vs. household dysfunction) remains insufficiently understood. Emerging literature on coping identifies religious and spiritual (R/S) coping as an important factor in trauma adaptation. Positive R/S …

Breaking The Silence: Investigating The Impact Of Stigma On Help-Seeking Behaviors Among Adults With A History Of Adverse Childhood Experiences In Ghana, Deborah Amoako-Atta

West Chester University Graduate Theses, Dissertations, and Final Projects

In Ghana, cultural beliefs often silence open discussion about mental health. Many view emotional struggles as spiritual weakness, leading to stigma and avoidance of care. For adults who experienced Adverse Childhood Experiences (ACEs), this silence can worsen the long-term impact of trauma. While Western research links stigma to reduced help-seeking and shows that trauma knowledge can promote openness, little is known about how these relationships function within Ghana’s cultural context. This cross-sectional study examined how stigma and trauma knowledge influence help-seeking behaviors among 103 Ghanaian adults (ages 19-62, M = 30.0; 49% women) with childhood adversity histories. Participants completed anonymous …

Victims Of Bravery (2): Secondary Trauma And Impacts Of Acts Of Bravery On Key Family Members Of Australian Civilian Bravery Award Recipients, Tom Voigt, Susan Balandin, Angela Dew

Heroism Science

We explored the experiences of key family members of Australian civilian bravery award recipients using a constructed grounded theory approach. Twenty-four family members participated in qualitative interviews during 2019–2020. Eighteen reported experiences consistent with possible secondary trauma and negative impacts on mental health and well-being. Participants described helplessness in supporting award recipients, limited knowledge of post-traumatic stress disorder (PTSD) and post-traumatic stress syndrome (PTSS), and insufficient support for managing their own emotional responses. They also reported anxiety, uncertainty, hypervigilance, behavioral adjustments, social isolation, and sadness associated with living with a person they perceived as changed by the aftermath of heroic …

The Relationship Between Adverse Childhood Experiences, Protective And Compensatory Experiences, And Parenting Attitudes Among Fathers, Kylie Schmidt

Dissertations

Adverse childhood experiences (ACEs) are defined as potentially traumatic events that occur in childhood particularly between the ages of 0 and 17 years that negatively influence long-term health, relational functioning, and parenting practices (Centers for Disease Control and Prevention, 2026; Felitti et al., 1998; Merrick et al., 2019). Conversely, protective and compensatory experiences (PACEs) have emerged as protective factors that foster resilience and possibly buffer against the adverse outcomes of ACEs (Narayan et al., 2018). As the existing research has greatly focused on mothers, little is known about how men’s early life experiences shape their parenting attitudes, particularly during the …

The History And Importance Of Self-Compassion: Lack Of Application In Male Demographics?, Marshall Spilane

Summer Research Showcase

Self-compassion has become an important part of mental health research, though its adoption in male populations has been slower than in others. The objective of this literature review is to expose a lack of implementation of self-compassion practices in male communities. This literature review explores this gap in adoption and provides an example of how research can move forward. The data were collected by analyzing current literature and compiling it. Current research on self-compassion has found evidence that self-compassion can improve emotional regulation and lessen depression symptoms. Many factors could influence the gap in adoption; some research suggests that mental …

Repairing Workplace Trust: A Process-Based Classroom Exercise For Management Education, Luke A. Langlinais Ph.D.

Posters

Trust is essential in every workplace, but conflicts, mistakes, and broken promises are inevitable. This project develops an experiential classroom exercise in which students diagnose workplace trust violations, examine the perspectives and emotions of both parties, and practice selecting and communicating evidence-based reparative actions. The exercise translates organizational behavior research into a practical learning experience that develops not only managerial competence but also the character, empathy, and relational wisdom needed to build healthy organizations and promote human flourishing.

I gratefully acknowledge peer review feedback on this project, and I am accountable for writing of this product without generative AI and …

A Poetic Call For And A Reflection And Commentary On Clarity, Understanding, Hope, Courage, And Compassion, Carroy U. Ferguson

Psychology Faculty Publication Series

Finding a published poem I had written as a teenager, titled “The Heavens Weep.” this article uses that poem as the basis for a commentary that reflects on the state of the world today (2026),  As a commentary, the article uses the poetic and metaphoric words in the poem as a relevant "reality check" for what is still going on today.  In essence, the commentary is about a call for Clarity, Understanding, Hope, Courage, and Compassion, or what I call Archetypal Energies, Higher Vibrational Energies that operate deep within our individual and collective psyches to creatively urge us to "see" …

The Primary Care Brief Intervention Competency Assessment Tool (Bi-Cat): Examining Reliability And Validity, Arielle Guillod

Dissertations

Within primary care, the Primary Care Behavioral Health (PCBH) model integrates behavioral health services into medical settings through brief, population‑based interventions delivered by behavioral health consultants (BHCs). Although effective performance in this role requires competencies distinct from traditional mental health practice, few psychometrically sound tools exist to assess clinical skills in primary care. The Brief Intervention Competency Assessment Tool (BICAT) is commonly used for this purpose but lacks published evidence supporting its reliability and validity. This dissertation examined the psychometric properties of the BICAT across two studies. Study 1 evaluated factor structure, internal consistency, and construct validity in a heterogeneous …

Exploring Primary Care Providers’ Compassionate Care And Their Evidence-Based Practice With Death, Grief, And Loss: Patient Experience And Perspective, Kathryn Krzykala

Dissertations

Research on primary care providers’ (PCPs) education regarding Death, Grief, and Loss (DGL) remains limited. Specifically, data is lacking regarding patients' perceptions and opinions on what they need and expect from their PCPs regarding grief and loss. This exploratory mixed-method study comprised 146 participants who had experienced death and non-death loss. It examined participants' perceptions of 1) PCP compassion, 2) PCP utilization of evidence-based grief and loss practices, 3) their own level of comfort discussing DGL with their PCPs during medical visits, and 4) their personal grief and loss experiences. The findings revealed that PCPs' grief-informed evidence-based treatment, as reflected …

Becoming A Body-Centered Psychotherapist: Developing A Reflective Method For Navigating Dual Professional Identity In Dance/Movement Therapy Training, Emma Rose Barbosa

Expressive Therapies Theses

The field of mental health counseling frequently prioritizes verbal modalities, often leaving dance/movement therapists (DMTs) in training to navigate clinical environments that diverge from their primary movement-first modality. Without adequate preparation for this tension, emerging DMTs risk losing access to their primary treatment modality at a critical stage of professional development. The literature review highlights the mind-body connection as a theoretical foundation for somatic integration in clinical practice, examines the development of the internal witness through authentic movement practice, and explores selected current perspectives on DMT within individual counseling contexts. To investigate further themes, a heuristic study was conducted during …

Feasibility Of Staff Training In Facilitating Affirmative Moving With Unhoused Lgbtq+ Individuals, Sujin Ma

Expressive Therapies Dissertations

Homelessness-service environments require non-clinical frontline staff to manage frequent crises and provide relational support to sexual and gender minority (SGM) individuals with extensive trauma and minority stress histories. However, staff training often prioritizes didactic knowledge over embodied skills that support emotional regulation, attunement, and identity-affirming engagement. Grounded in trauma-informed care, minority stress theory, and somatic learning, this mixed-methods study examined the feasibility and preliminary patterns of change associated with an embodied staff training designed to prepare non-clinical workers to facilitate Affirmative Moving (AM), a brief movement-based, LGBTQ+-affirming support group model.

The study was conducted between July and September 2025 at …

Neurodiversity In Counseling: Counseling Strategies For Supporting Neurodiverse Clients, Emily R. Plowright

Educational Specialist, 2020-current

Neurodiversity recognizes the natural differences in human functioning, including the unique ways that individuals think, learn, and process information. The neurodiversity movement views these differences as valuable, challenging historical beliefs that label them as deficits. Despite growing awareness of neurodiversity, counseling research and practice have largely overlooked the unique needs of neurodiverse clients, resulting in barriers to accessing mental health care. This paper addresses the concept and models of disability to provide context for understanding neurodiversity. Neurodiverse identities, such as attention-deficit/hyperactivity disorder (ADHD), autism spectrum disorder (ASD), specific learning disorders (SLDs), and tic disorder, are explored through their diagnostic criteria …

An Equity-Based And Culturally Responsive Bill Of Rights For Early Childhood Students Of Color With Exceptionalities, Evette Simmons-Reed, Michelle Frazier Trotman Scott, Gloria Tardash, Mildred Boveda, Donna Y. Ford

Perspectives on Early Childhood Psychology and Education

The COVID-19 pandemic exacerbated existing disparities in early intervention (EI) and early childhood special education (ECSE) services for culturally and linguistically diverse (CLD) disabled children, exposing critical gaps in access, services and support. systemic inconsistencies in implementation, training, and funding, remain barriers limit opportunities for CLD students to benefit, despite the aims of the Individuals with Disabilities Improvement Act (IDEA). To address these inequities, this manuscript proposes an expanded and updated Culturally Responsive Equity-Based Bill of Rights for EI and ECSE. Building upon Ford and colleagues' (2018) work, this revised document extends protections to children aged zero to five, emphasizing …

Guest Editor's Introduction: Methodological Innovations For Advancing Early Childhood Educational And Psychological Research, Anthony Mangino Ph.D.

Perspectives on Early Childhood Psychology and Education

The goal of this special issue is to provide you, the inquisitive reader and developmental scientist, with some of the methodological tools to aid in augmenting your analytic capacity.

Playing The Part Online: A Role-Based Telehealth Intervention Supporting Trauma Integration In Adults, Mary Schwabenland

Expressive Therapies Theses

This study explores a telehealth-adapted, role-based drama therapy intervention designed to support trauma integration in adults. Grounded in trauma theory, experiential approaches, and drama therapy frameworks, the intervention utilized interoceptive awareness, metaphor, and role embodiment to explore emotional material in dramatic reality, with aesthetic distance serving as an adjustable mechanism of activation and containment. A qualitative thematic analysis was conducted on clinical session notes from five adult clients. Five themes emerged from the analysis, including: aesthetic distance and modes of engagement; aesthetic quality and symbolic coherence; role narrative as integration pathway; intervention as catalyst within ongoing process; and therapist positioning …

Co-Active Therapeutic Filmmaking: A Methodology Pilot Project, Blair Webber

Expressive Therapies Theses

This pilot project examined the intersection of drama therapy and filmmaking. Drawing on the Co-Active Therapeutic Theater model from drama therapy and digital storytelling and participatory video methods from social work research, this methodology designed and delivered a co-created filmmaking intervention at a residential treatment center for adult men with co-occurring mental health and substance use disorder. Four participants made a seven-minute-long short fictional film based on their definition of active recovery and a theme of recovery they wished to share with an audience. It was screened at the treatment center for staff and their fellow residents. Data collection was …

Relationships Between Therapists And Diverse Children's Populations And Their Effects, Brenda Sanchez Vega

Undergraduate Honors Theses

Roughly around 13.8% of children and adolescents in the United States receive some sort of counseling or therapy; the main focus of the research is on racial/ethnic minoritized children. Because APA’s ethical codes don’t address all possible situations, positive client-therapist relationships are bound to develop, including dyads or dual relationships, improving treatment progress. With the United States continuing to grow in diversity, there’s still a big gap in the literature surrounding minority children in therapy. Speculating if therapy approaches are used effectively for all children, including minoritized children. Based on past research already conducted, developing a positive client-therapist dual relationship …

Utilizing Self-Determination Theory In Therapy For Veterans With Substance Use And Mental Health Disorders, Carlos A. Tinoc

Electronic Theses, Projects, and Dissertations

Substance use disorder (SUD) has increasingly affected U.S. veterans, with rising misuse of alcohol and opioids. Many veterans also confront mental health issues, including Post-Traumatic Stress Disorder (PTSD). To explore this issue further, the researcher will investigate the effectiveness of Self-Determination Theory (SDT) in addressing substance use and mental health disorders (dual diagnosis) among veterans. Previous research on the implementation of SDT for dual-diagnosis patients has not sufficiently addressed the veteran population. The researcher will review existing systematic literature reviews on the topic of SDT implementation in the treatment of SUDs and mental health disorders among both civilian and veteran …

Examining The Relationship Between Executive Functions And Resilience, Joseph W. Toland

Electronic Theses, Projects, and Dissertations

The direct and indirect associations of executive functions (EF) and resilience hint towards a strong association between these variables, however there are still gaps in the literature. The current study aims to explore the relationship between EF's (inhibition, shifting, and updating) and resilience. We hypothesize that EF's scores will generally correlate with resilience. Specifically, we hypothesize that inhibition scores will positively correlate to resilience scores. That shifting scores will positively correlate to resilience scores. That updating scores will correlate positively with resilience scores. Finally, the strength of the association between EF's and resilience will change depending on which EF's is …

Beyond Victimhood, Expanding Narratives: A Generative Inquiry With Trafficking Survivors, Giacomo Chiara, Celiane Camargo-Borges, Diego Romaioli, Alberta Contarello

The Qualitative Report

This study is a generative inquiry with survivors of trafficking from a social constructionist perspective. Inspired by the principles of Appreciative Inquiry, its focus is collaboration between researchers and trafficking survivors with a view to shaping and understanding their trafficking experiences together, expanding understanding of the topic and co-constructing a relational space in which counter-narratives on victimhood can be generated. It consisted of 10 interviews with women survivors of trafficking at the Italian Anti-Trafficking System. These women were from a range of nations and their experiences of exploitation varied. Taking a constructionist approach to research, we formulated an episodic-generative interview …

An Expressive Arts Therapy Literature Review: Spiritual Experiences And Dsm-5 Assessment In Bipoc Communities, Amanda Paige Rodriguez

Expressive Therapies Theses

Spiritual and non-ordinary experiences such as clear-hearing, visions, and spiritual perception are frequently interpreted within Western mental health systems through diagnostic frameworks rooted in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). For Black, Indigenous, and other People of Color (BIPOC), these interpretations may overlook cultural, spiritual, and ancestral contexts in which such experiences hold meaning rather than indicate pathology. This literature review examines how DSM-5 frameworks conceptualize spiritual experiences in BIPOC communities and explores assessment practices that may reduce the risk of misdiagnosis.

A literature review methodology was employed, drawing on sixteen peer-reviewed articles representing qualitative, quantitative, and …

Utilizing Dungeons And Dragons With Expressive Arts Therapy To Analyze Sense Of Connection Socially And To The Self: A Literature Review And Autoethnography, Neve N. Johnson

Expressive Therapies Theses

This expressive arts-based autoethnography explores the use of tabletop role-playing games (TTRPGs) as a tool in expressive arts therapy to foster self-expression and connection to oneself and others. Research on the use of TTRPGs as a viable therapeutic medium is in its early stages, particularly for the widely-renowned fantasy TTRPG Dungeons & Dragons (D&D). Geek Therapy, a therapy surrounding “geek culture” and affinities, emerged in 2011 and began research questioning if such affinities as costume play, anime, video games, or TTRPGs could be tools for self-expression in therapy. This has led to a range of current literature on the therapeutic …

Setbacks And Stigmas: The Career Consequences Of Mental Health Treatment For Soldiers In Combat Roles, Micah Mark Marchand

LSU Master's Theses

This study examines how potential career consequences, perceived stigma, and confidentiality concerns influence mental health help-seeking among United States Army Soldiers, with particular attention to differences across Military Occupational Specialty (MOS) categories. Despite the availability of behavioral health services, many service members delay or avoid treatment due to fears that seeking care may negatively impact their careers, including risks to promotion, deployment eligibility, and retention. Guided by Systems Theory, this research explores how interconnected military structures, policies, and cultural norms shape these perceptions and behaviors.

Using a confidential survey design, data were collected from current service members and recently separated …

I Think You Overuse That Word: A Theoretical Examination From Multiple Lenses Of "Why Relational Beings Have Become Hesitant To Commit.", Rafe Karen

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

This paper serves as a companion to a documentary film that explores the shifting landscape of modern relationships. The film presents personal narratives about dating, connection, and commitment, and the paper offers an experiential exploration of these themes, focusing on dating dynamics, social media, online dating, lack of connection, Coronavirus 2019 (Covid-19), video games, and the effects of overwhelming choice. Drawing from existing literature and insights gained during the filmmaking process, the paper analyzes broader societal and psychological patterns shaping modern relationships. Using a combination of filmed interviews and direct observation, the study examines the lived experiences of individuals navigating …

Assessment Perception: Delivery Matters, Nicole Marie Arcuri Sanders, Chelsey Simmons

Journal of Counselor Preparation and Supervision

Perception shapes how individuals experience the world and guides their actions toward personal goals. In counseling, clients’ accurate understanding of assessment results is essential for informed decision-making and effective treatment engagement. Mental health clinicians have an ethical responsibility to communicate findings in ways that safeguard client welfare and empower both clients and stakeholders to collaborate in care. This conceptual manuscript introduces the BRIEF (Brief, Relevant, Interpretive, Empathetic, and Factual) Feedback Integration Framework, a structured model for delivering assessment feedback ethically and accessibly. Integrating cognitive, developmental, and cultural considerations. BRIEF provides counselors, supervisors, and educators with a practical strategy for improving …

Victims Of Bravery (1): Impacts Of Acts Of Bravery On Australian Civilian Bravery Award Recipients, Tom Voigt, Angela Dew, Susan Balandin

Heroism Science

We admire those who perform acts of bravery involving physical risk and life-threatening trauma, yet little attention is given to civilians who experience negative consequences following such acts. This study examined unintended consequences through qualitative interviews with 24 Australian civilian bravery award recipients using constructivist grounded theory and thematic analysis. Three major themes emerged: (1) Direct impacts, including high psychological distress, physical and health impacts, financial and employment consequences, and lack of formal counseling support; (2) Changes within, including hypervigilance, avoidance behaviours, anger, alcohol misuse, and social isolation; (3) Then and now, encompassing relationship difficulties, changed life approaches, and regret. …

Humanity Is Evolving Its Consciousness: The Role Of Archetypal Energies As Guides During An Unfolding Weeding Out And Alignment Process, Carroy U. Ferguson

Psychology Faculty Publication Series

Humanity is evolving its consciousness at individual and collective levels.  Given these seemingly tumultuous times, as of this writing (January 2026), to make such a statement may sound like a strange thing to say.  However, I suggest that if you are alive today and if you are reading these words, these are the very times for which you were born—to assist Humanity as it evolves its consciousness with your unique gifts, whatever they may be.  That is, this period of our individual and collective human being-ness may be characterized as an unfolding period of weeding out and alignment with the …

Pilot Study: Role Of Social Support And Stress On Anxiety In First-Year College Students, Erin N. Smith, Deven L. Dancy, Lauren E. Nee, Kali Rebuck, Stephanie J. Shirk

Journal of Applied Disciplines

Research indicates worsening mental health, especially anxiety, in college populations; yet few studies have investigated anxiety and related factors in this population. This study examined the impacts and interrelations among anxiety, stress, and social support in first year, first semester college students. In a sample of 119 students, the following models of the impact of social support in the stress-anxiety relation were tested: 1) a direct impact of social support, 2) a moderating effect of social support, and 3) an indirect impact of social support. Results indicated that the indirect model of the influence of social support best fit the …

The Integration Of Culture, Identity, And Belongingness In Emdr Therapy: Practitioners’ Perspectives, Robert Anthony Richards

Counseling and Psychology Dissertations

This dissertation examines how EMDR (Eye Movement Desensitization and Reprocessing) practitioners approach power dynamics, identity, and belongingness in therapy from a multicultural and social justice perspective. Using a qualitative narrative research design guided by intersectional feminist epistemology, the study investigates how privilege, positionality, and belongingness influence clinicians’ approaches to EMDR therapy. Semi-structured interviews were conducted with nine EMDR-trained practitioners from diverse sociocultural backgrounds to explore how relational, systemic, and contextual factors influence their clinical work. Thematic analysis was used to illuminate how EMDR practitioners navigate complex power dynamics both within the therapeutic alliance and in broader sociocultural contexts. Participants emphasized …