Counseling Psychology Commons^™

Pill Poppin’ Nation: Substance Use, Mental Health, And Treatment Among Criminal Justice-Involved African Americans, Joi-Sheree' P. Knighton

Theses and Dissertations--Educational, School, and Counseling Psychology

The purpose of this dissertation was to examine substance use-related outcomes among criminal justice-involved African Americans using a multiple manuscript format. The Centers for Disease Control and Prevention has deemed nonmedical prescription opioid use an epidemic. National estimates indicate approximately 3.9% of African Americans engage in nonmedical prescription opioid use. Research suggests African Americans involved in the criminal justice system may be significantly at risk of substance use more generally; yet, there are no known estimates of nonmedical opioid use among this subgroup. Rising rates of nonmedical opioid use also has implications for discussing barriers to treatment among socioeconomically marginalized …

Experiences Of Parents Of Self-Harming Adolescent Children, Sheila Nicole Russell

Walden Dissertations and Doctoral Studies

Adolescent self-harm is a growing epidemic in the United States with thousands of adolescent children being treated in hospitals every year. Despite awareness that self-harm impacts the family unit, little attention has been given to the full impact that self-harm has on parents. Due to this lack of knowledge, counselor educators and supervisors are not equipped to train counselors to work with parents of self-harming adolescent children leaving counselors feeling unprepared to work with parents. The purpose of this phenomenological study was to explore the lived experiences of parents who have self-harming adolescent children. Family systems theory was used to …

"You're Doing Fine, Right?": Adolescent Siblings Of Substance Abusers, Cynthia E. Clarfield

Antioch University Dissertations & Theses

There has been a rising interest in addiction medicine and addiction treatment in both the medical and behavioral health science fields. Research suggests having a family member with a substance abuse problem has negative impacts on both physical and mental health (Orford, Copello, Velleman, & Templeton, 2010a). Despite advances toward understanding the experiences of family members affected by a loved one's addiction, the siblings of substance abusers have been largely excluded from scientific research and literature. As a result, little is known about how siblings experience the impacts of a brother or sister's addiction; even less is known about the …

Young Adults In Transition: Factors That Support And Hinder Growth And Change, Mona Treadway

Antioch University Dissertations & Theses

Young adults between 18 and 24 years of age with mental illness are significantly less likely to receive mental health services than adults in older age groups.Nationally, higher rates of depression, substance abuse, and psychiatric issues are reported in this age group.A therapeutic model referred to as young adult transition programs has emerged to better address the unique developmental challenges found in this age group.This study examined 317 critical incidents that supported or hindered young adults in a therapeutic transition program.The research design used a combination of an instrumental case study and critical incident technique (CIT).Using interviews and the Outcome …

How Eye Movement Desensitization And Reprocessing (Emdr) Trained Therapists Stabilize Clients Prior To Reprocessing With Emdr Therapy, Edward H. Brendler

Antioch University Dissertations & Theses

Helping clients develop resources and stability required to tolerate reprocessing memories can be a considerable part of psychotherapy, particularly with clients who are suffering symptoms related to complex developmental trauma or cumulative multiple-event trauma. There is a paucity of research regarding how experienced EMDR Therapy practitioners experience helping their clients to develop resources required to tolerate reprocessing of trauma memories. This dissertation is an in-depth study of five participants, each a licensed mental health practitioner in the State of Washington, who are trained in EMDR and experienced working with clients who are suffering symptoms of trauma. Each participant was interviewed …

The Evolution Of Parental Self-Efficacy In Knowledge And Skill In The Home Care Of Preterm Infants, A Ribeiro, Jordan Kase

NYMC Faculty Publications

No abstract provided.

Exploring The Multidimensional Structure Of The Wasi-Ii: Further Insights From Schmid-Leiman Higher-Order And Exploratory Bifactor Solutions, Brittany Mcgeehan, Nadine Ndip, Ryan J. Mcgill

Archives of Assessment Psychology

The Wechsler Abbreviated Scale of Intelligence-Second Edition (WASI-II; Wechsler, 2011a) is a versatile and widely utilized brief intelligence measure by assessment psychologists in a variety of clinical settings. Despite the fact that a hierarchical measurement model is implied in the WASI-II Manual (Wechsler, 2011b) and the scores provided by the instrument, a hierarchical measurement model was not specified in the structural validation studies conducted by the test publisher. Due to this shortcoming, two exploratory factor analytic methods (Schmid-Leiman [SL] and exploratory bifactor analysis [EBFA]) were utilized to disclose the higher-order structuring of WASI-II variables. Results from both solutions indicated that …

Principles Of Incorporating Spirituality Into Professional Clinical Practice, Thomas G. Plante

Psychology

Incorporating spirituality into contemporary professional clinical practice has become more common in recent years most notably with the popular interest of mindfulness meditation, mindfulness based stress reduction, and yoga in particular. However, many other spiritual and religiously based assessment and treatment approaches have also been successfully utilized with a great deal of evidence-based research to support their use and effectiveness. The purpose of this brief article is to outline several guiding principles for those professionals interested in integrating spiritual and religious wisdom and approaches into their professional clinical practices in the spirit of diversity and multiculturalism sensitivity and respect. Psychology …

The Lived Experiences Of Emergency Department Personnel In Working With Individuals With Mental Health Needs, Sarah Wohlford-Neubauer

Graduate Theses and Dissertations

Individuals who work in emergency departments and emergency services in the United States have daunting, overwhelming, and difficult tasks to perform. In addition to medical emergencies that include physical trauma and illnesses, emergency personnel treat individuals with psychiatric emergencies. This qualitative research study explored the lived experiences of ten emergency department personnel that had experienced working with individuals with mental health needs. The ultimate purpose of the study was to break down individuals’ experiences into a shared description of a universal phenomenon. The study utilized a phenomenological, qualitative research design to capture the essence of this phenomenon. Participants’ responses to …

Attachment Styles And Trust Propensity In Females With Borderline Personality Disorder, Jacob Matthew White

Graduate Theses and Dissertations

Borderline Personality Disorder (BPD) is one of the most frequently encountered and complex disorders in mental health care. Interpersonal impairment is a central issue for individuals with BPD. This complex disorder has received negative stigma along with historically more females than males receiving this diagnosis (Linehan, 1993). Therefore, this study examined a clinical sample of 30 females diagnosed with BPD. Through the collection of data this study used the following measures: a basic demographic questionnaire gathering specific age, ethnicity, current relationship status, parental relationship status, the Experiences in Close Relationships Scale (ECR; Brennan, Clark & Shaver, 1998), and the Propensity …

A Mother's Spiritual Journey With Her Disabled Son: An Autoethnography, Margaret C. Higgins Edd

Dissertations

Abstract

This autoethnographic research delves into a mother’s experiences with her disabled son over thirty-five years. Beginning with a thick description of the crib accident that resulted in physical and cognitive disabilities that profoundly change the course of both mother and son’s life, this research chronicles the search for meaning, community, and healing as they negotiate the realms of medicine, education, career, family, and spirituality. Models of disability that seek to explain various ways in which society often views disability are examined, but none resonate with the researcher’s intimate experiences nor satisfies her deepest needs for insight and healing. Making …

Home Visiting Programs For Families Of Children Who Are Deaf Or Hard Of Hearing: A Systematic Review, Nannette Nicholson, Patti Martin, Abby Smith, Sheila Thomas, Ahmad A. Alanazi M.Aud.

Journal of Early Hearing Detection and Intervention

Prelingual hearing loss greatly restricts a child’s language development, hindering his or her behavioral, cognitive and social functioning. Although technology such as hearing aids and cochlear implants are an option for providing access to sound, they fail to teach the child how to listen or attend, how to process language (whether visual or spoken), or how to produce language and communicate. Home visiting is widely recognized as a cost-effective intervention service delivery model. Home visiting programs for promoting language development in children who are diagnosed as deaf or hard of hearing have been in existence for over 50 years, yet …

Alleged Insanity: Frank Johnson Sr., Racial Injustice, And The Failure Of The Mental Health Care System In South Carolina, Jonathon P. Johnson

Senior Theses

This thesis is about Frank Johnson Sr. and the circumstances that led to his downfall as a farmer and father of six, to his tragic death in the isolation of a racially segregated mental institution 18 miles away from his home. Using his life and incarceration at the South Carolina State Park mental health facility, I argue that racial injustice contributed to his tragic death and the woefully inadequate treatment thousands of African Americans in South Carolina received during Jim Crow. Additionally, I argue that the tragic circumstances around my great grandfather’s institutionalization and death were part of an enduring …

Relationship Science And Interventions: Where We Are And Where We Are Going, Kieran T. Sullivan, Erika E. Lawrence

Psychology

Relationship distress and divorce often have profound effects on couples and their children. Relationship science has long sought to prevent and alleviate relationship distress; this chapter is a summary of many important recent developments in the field. Ongoing challenges in studying and assisting intimate relationships are also discussed.

Life Balance In Adult Healthy Siblings Of Individuals With Childhood Cancer., Yolanda Williams

Electronic Theses and Dissertations

Siblings of children who were diagnosed with cancer in childhood experience significant stress and psychological difficulties as a result of the cancer. Furthermore, the needs of siblings have often been overlooked in the cancer literature, prompting the need for more studies. The purpose of this dissertation is to examine the life balance and social support outcomes of adults who grew up in the household with a sibling that was diagnosed with cancer. The study sample consisted of 120 adult healthy siblings who grew up in a household with a sibling that was diagnosed with cancer prior to age 19. Participants …

South Asian Women's Sexual Relationship Power: Examining The Role Of Sexism, Cultural Values Conflict, Discrimination, And Social Support, Chandni D. Shah

Open Access Dissertations

The lack of literature examining sexual experiences of South Asian women in dating relationships has important implications for the healthy development of long lasting romantic relationships. It is important to understand South Asian women’s relationship experiences in the context of power and sexism (interpersonal power framework; Pulerwitz, Gortmaker, & DeJong, 2000) and the role of specific sociopolitical factors (e.g., discrimination). Understanding South Asian women’s experiences of power in a sociopolitical context will help professionals when working with them to develop healthier sexual relationships through therapy outreach, and community programming. I used a correlational, quantitative study to examine the associations between …

Visual Sexualities: Exploring An Integration Of Art And Sex Therapies, Jillien Kahn

Journal of Clinical Art Therapy

This research explores the potential of integrating art and sex therapies. Three interviews were performed: two with certified art therapists one with a certified sex therapist, in order to understand how each of these professionals approaches issues of sexuality and creative expression within his or her practice. The resulting data was compared within and between each interviewee, resulting three overarching themes through which the challenges regarding this integration can be understood. It was found that there is great potential for an integration of the two therapies, provided clinicians have access to appropriate training, as well as a deeper understanding of …

Found Object/Readymade Art In The Treatment Of Trauma And Loss, Michal Bat Or, Orna Megides

Journal of Clinical Art Therapy

Found object/readymade art is a familiar expressive medium in art therapy that has been insufficiently explored. The present article theoretically and clinically examines Found object/readymade art as a progressive therapeutic intervention in the treatment of trauma and loss. It aims to show how creating found object/readymade art enables the client to encounter and contain damaged/disconnected memories and provides a space for integrating and meaning-making in the face of rupture and loss. This is discussed through a review of found object/readymade art medium in the history of art and in art therapy and by phenomenological observation of its creating process. Specific …

Intimate Partner Violence In A Conservative Christian Denomination: Prevalence And Risk Factors, Carolyn Sallion-Love

Loma Linda University Electronic Theses, Dissertations & Projects

This study examines the prevalence and risk factors of intimate partner violence (IPV) in a Christian denomination. To date, no studies have been found in the literature that looked at IPV in a Christian denomination in South America, Latin America, and the Caribbean. Little is known regarding how church members from these countries experience victimization from IPV. One 2002 Inter-American Division (IAD) data set provides some insight into IPV; and the Seventh-day Adventist (SDA) Church has analyzed cross-sectional data of more than 7,000 SDA respondents from the study area of interest. Discriminant function analysis (DFA) was used to determine if …

Reciprocity: Caring For America's Caregivers, Courtney Dunn

The Downtown Review: An Interdisciplinary Journal Written and Peer-Reviewed by Mandel Honors College Students at Cleveland State University

Should families be forced to choose between the health of a caregiver and patient? Through the eyes of a woman caring for her husband with Alzheimer's disease, we see that family caregivers suffer tremendous amounts of stress while caring for the patient. Despite the time and efforts required to care for someone with Alzheimer's disease, people every day choose this as an alternative to out-of-home care. This often leads to depression, anxiety, and physical stress which can result in series medical issues. Considering the increase of people with Alzheimer's disease in the United States, this article argues that support programs …

Comparative Organizational Assessments And Partenship Potential For Sekou Pou Nanm-Yo And Asirans Community Counseling Center, Lauren M. Mawe

Sustainability and Social Justice

This paper assesses the organizational capacity of two small Non-Governmental Organizations (NGOs) in Port-Au-Prince Haiti. Each NGO has a staff of under 15 members. At the time of the assessment, they were both in early stages of their development, with one in its first year of operations, and the other in its fifth year. Both embody grassroots, community organizations because of their connections to the communities in which they work, their willingness to travel to those communities, and their predominantly Haitian staff. The fieldwork included interviews, focus groups, and three months of participant observation and work with these organizations. In …

Instilling Hope: Showing Individuals With New Disabilities Between The Ages Of 18 And 24 That Suicide Is Not The Answer, Christine Ann Whiting

Graduate Theses and Dissertations

The purpose of this dissertation is to explore what can be done to mitigate the onset of a disability for young adults aged 18-24 in order to prevent suicidal thoughts or actions. Research suggests that many factors play into suicidal ideation for this young population, including lost hope, lack of coping mechanisms, lack of financial security and bullying. The goal of this research is to determine what rehabilitation professionals can do differently that will hopefully eradicate suicide for this group.

African American Female Offender's Use Of Alternative And Traditional Health Services After Re-Entry: Examining The Behavioral Model For Vulnerable Populations, Carrie B. Oser, Amanda M. Bunting, Erin L. Pullen, Danelle Stevens-Watkins

Sociology Faculty Publications

This is the first known study to use the Gelberg-Andersen Behavioral Model for Vulnerable Populations to predict African American women's use of three types of health services (alternative, hospitalization, and ambulatory) in the 18 months after release from prison. In the multivariate models, the most robust predictors of all three types of service utilization were in the vulnerable theoretical domains. Alternative health services were predicted by ethnic community membership, higher religiosity, and HIV/HCV. Hospitalizations were predicted by the lack of barriers to health care and disability. Ambulatory office visits were predicted by more experiences of gendered racism, a greater number …

Nature Connection: Theory, Evidence And Practice, Matt V. Bukowski

Showcase of Graduate Student Scholarship and Creative Activities

This presentation explores scholarly work at the intersection of mental health and the natural world in a variety of disciplines. My intent is to provide an overview of theoretical perspectives, research-based evidence, and clinical practices that support the idea that experiencing the natural world can improve human mental health outcomes.

Suicidal Ideation In Patients Hospitalized For Emergency Medical Treatment Related To Physical Trauma: Effects Of Posttraumatic Stress And Depression, Erin E. Carney

Masters Theses & Specialist Projects

Survivors of physical trauma may be at increased risk for developing suicidal ideation and behavior both during and after their inpatient hospitalization for medical treatment of wounds. It remains to be understood why a population hospitalized for nonpsychiatric reasons may ultimately develop a desire to take their own life. The current study sought to answer this question by hypothesizing that symptoms of posttraumatic stress (PTS) and depression during the recovery period individually mediated the relationship between physical pain and suicidal ideation. Researchers assessed these relationships in 246 patients who were receiving emergency medical treatment for wounds associated with a physically …

The Relationship Between Counselors' Multicultural Counseling Competence And Poverty Beliefs, Madeline Elizabeth Clark

Counseling & Human Services Theses & Dissertations

The relationship between increased levels of poverty and decreased levels of psychological wellbeing and overall wellness is well documented. Although poverty clearly impacts mental health and wellness, little research in counseling has been conducted exploring the poverty attitudes of counselors. This study explored the relationship between professional counselors’ multicultural counseling competence (MCC), poverty beliefs, and select demographic factors (i.e. counseling specialty, gender, age, ethnocultural identity, poverty counseling experience, and personal poverty experience). Data were collected using survey-based methods from professional counselors of all specialties. Results of a hierarchical linear regression indicate that increased MCC, adjusted for select demographic factors, is …

Examining Changes In College Counseling Clients’ Symptomology And Severity Over An Eight Year Span, Caroline Lee Bertolet

Counseling & Human Services Theses & Dissertations

The current college counseling literature has conflicting findings regarding the extent to which the severity of mental health symptoms has increased for college students. Some researchers claim that over time student’s mental health symptoms have become more complex rather than more severe. This study examined archival data to analyze both the severity and complexity of symptoms in an eight year time span. The study also examined how disruptiveness and treatment demand have changed over the eight year period. The data were analyzed using multiple regression. The results of the study supported perspectives found in the current literature indicating little increase …

Male Psychological Adaptation To Unsuccessful Medically Assisted Reproduction Treatments: A Systematic Review, Mariana Veloso Martins, Miguel Basto-Pereira, Juliana Pedro, Brennan Peterson, Vasco Almeida, Lone Schmidt, Maria Emília Costa

Marriage and Family Therapy Faculty Articles and Research

BACKGROUND Similarly to women, men suffer from engaging in fertility treatments, both physically and psychologically. Although there is a vast body of evidence on the emotional adjustment of women to infertility, there are no systematic reviews focusing on men's psychological adaptation to infertility and related treatments.

OBJECTIVE AND RATIONALE The main research questions addressed in this review were ‘Does male psychological adaptation to unsuccessful medically assisted reproduction (MAR) treatment vary over time?’ and ‘Which psychosocial variables act as protective or risk factors for psychological maladaptation?’

SEARCH METHODS A literature search was conducted from inception to September 2015 on five databases …

Clinician Mindfulness Practice And The Implications For Burnout Mitigation: Mindfulness As A Values Component Of Self-Care, Stephanie Wachter

Counselor Education Theses

Over 40 years after Freudenberger (1975) introduced the term, burnout remains a critical concern among mental health clinicians. Many researchers in recent decades have focused their attention upon burnout prevention, exploring the practices of clinicians, and proposing the possible factors at-play in counselor, therapist, and social workers’ resiliency in the face of vicarious trauma, and other burnout factors. Mindfulness is a growing area of interest in this course of study, with yoga, meditation, and visualizations as some of the exercises associated with the practice and its apparent benefits. This qualitative study examined mindfulness as a component of mental health clinician …

A Feasibility Study Of A Lqts-Specific Workshop: Childrens' Problem-Solving Skills, Coping, Self-Efficacy, And Locus Of Control, Katherine L. Corvi

PCOM Psychology Dissertations

Living with a chronic medical condition in childhood and adolescence requires many critical lifestyle changes and restrictions, which may compromise psychosocial development. Social problem-solving skills have been shown to enhance the ability to cope with both minor and major daily stressors and to minimize psychological problems associated with physical health problems. The research is part of a larger study with children with long QT syndrome (LQTS) and their parents; the present study focuses on the children. This study was developed to examine the feasibility and efficacy of a problem-solving workshop to increase problem solving, self-efficacy, coping, and locus of control …