Exploring Predictive Factors For Enabling Behavior In Family Members Of Those With Problematic Substance Use, Joseph Lemieux

Counseling and Psychology Dissertations

The purpose of this study was to gain insight into the underpinning driving forces for enabling behavior in affected family members with loved ones engaged in problematic substance use. With improved clarity and understanding of the variables predictive of enabling behavior, clinicians may be able to treat family members with improved precision and efficacy. Specifically, this study inquired about the relationship between enabling behavior and several variables, including (a) trauma, (b) ethnicity/race, (c) gender, (d) social support, (e) household income, and (f) age. This study surveyed 100 participants identifying as affected family members. Surveys were completed online and consisted of …

An Adaptive Paradox: Improvised Drama Therapy And Dialectical Behavior For Eating Disorders In Teens, Krystany Taylor

Expressive Therapies Theses

The complexity of treating eating disorders compels professionals to investigate collaborative and integrative approaches to address psychological rigidity and emotional aversion in affected individuals. Mindfulness within Dialectical Behavior Therapy (DBT) and improvisational theater techniques may contribute to advancing emotional flexibility. This thesis study explored spontaneity in expressive therapy and gauged budding adaptive skills related to emotion regulation in minors with eating disorders. At a behavioral health center in Southern California, I held a dual role as a group facilitator and trainee drama therapist; I therein joined DBT and improvised drama therapy methods into a group treatment setting for ages 14 …

How Can Art Therapy Help Veterans And Service Members With Ptsd? A Literature Review, Shira Espo

Expressive Therapies Theses

This paper seeks to research the usefulness of art therapy with veterans and service members with posttraumatic stress disorder (PTSD). Theoretically, art therapy is thought to work by allowing access to non-verbal memories to be expressed and transformed into a trauma narrative, to be stored in memory in a way that does not interfere with daily life the way PTSD symptoms do. The method used is a literature review, which studied research articles about art therapy being used to treat veterans and service members with PTSD. Other included topics are the history of PTSD, current theories about PTSD and the …

Embedded Roots: Exploring Healing Through Digital Storytelling: Application And Training, Joselyn M. Carvalho

Expressive Therapies Theses

This review examines digital and expressive storytelling in a clinical, community-based health center, focusing on its impact and relationship with trauma. Existing research has explored how digital storytelling serves as an intervention for addressing intergenerational trauma, trauma transmission, identity development, and social systems affecting youth. This community engagement project integrates these ideas with reflections from clinicians, exploring how clinicians' involvement in digital storytelling may influence care, confidence, and cultural understanding. Theories central to this research include Bronfenbrenner's ecological systems theory and systems-based awareness maps, which help examine the broader systems that influence youth as they develop their narratives. The transmission …

Exploring Dance/Movement Therapy Through An Existential-Feminist Lens For Perimenopausal Individuals In The Post-Covid Digital Age: A Literature Review, Karen Schmitz

Expressive Therapies Theses

The goal of this thesis was to understand the impact that perimenopause and the COVID-19 pandemic have on individuals and how existential theory and dance/movement therapy can be applied to enhance quality of life. The literature review first explores historical and current contexts of perimenopause. The second section covers the impact of the COVID-19 pandemic on caregiving individuals, particularly women. Subsequent sections introduce existential theory and dance/movement therapy frameworks, with a concentration on relevant concepts for the specified population. Research shows that during the COVID-19 pandemic, external pressures around appearance, reproductive value, and the societal expectations of women intensified. Overall, …

As If We Could Get Along: Dramatic Reality’S Influence On The Prosociality Of Adolescent Boys With Problematic Sexual Behavior, Joel David Bender

Expressive Therapies Theses

There is a strong need for novel treatment approaches for adolescents with problematic sexual behavior (PSB), considering that historically, treatment approaches for adult sex offenders have been blindly applied to youth. Adolescent boys with PSB are at risk for poor treatment outcomes when they engage in anti-social behaviors and group hostility. Dramatic reality, a core process in drama therapy, may assist in transforming the experience of boys in their capacity to exhibit prosocial behavior, given that dramatic reality inherently augments reality. This community arts workshop used purposive sampling in a day treatment center for adolescent boys with PSB and explored …

Collage As A Facilitator Of Connection And Belonging: An Application Of Art Therapy With Sgm Clients, Noa L. Shems

Expressive Therapies Theses

This research explored themes of connection and belonging in SGM clients in individual art therapy sessions through the medium of collage. An arts-based research method was developed utilizing the medium of collage in session with clients, followed with reflective response collages and journaling to analyze the data observed. Across 5 art therapy sessions, clients engaging in collage facilitated deeper therapeutic rapport and safety, enhanced a sense of connection with the self, and helped to process barriers and desires around clients’ close relationships.

Use Cases For Art Therapy Intervention In Clinical Psychedelic Praxis, Kaitlin Maud

Expressive Therapies Capstone Theses

Psychedelic medicine has existed for thousands of years as a traditional, sacred practice and is now in varying stages of legalization for clinical application in the United States. Psychedelic-Assisted Therapy uses specific psychoactive substances to facilitate altered states of consciousness in which clients have access to unconscious material and there is a greater cognitive openness to new perspectives and possibilities. Art Therapy is a modality of psychotherapy with decades of data to support its clinical efficacy in treating mental illness and other chronic conditions. A review of the literature shows a range of use cases for art in the context …

Maintaining Well-Being: Coping Strategies For Prolonged Traumatic Experiences From The Stories Of Ukrainian Educators During The Wartime, Natalya Rakevich

Educational Studies Dissertations

This qualitative, phenomenological study aimed to better understand how and whether educators can maintain well-being during prolonged trauma. This study examines the experiences of Ukrainian educators living in non-occupied territories during wartime. The following research questions guided the study: What coping strategies do educators use to take care of themselves? What coping strategies do educators use with their students? How do educators perceive mindfulness and storytelling? A conceptual framework was created to better understand the topics of stress, trauma, being, well-being, surviving, suffering, and coping mechanisms through a literature review. Data collection occurred in February and March 2024, two years …

Centering Black Resource-Poor Adolescent Voices: A Critical Phenomenological Study Of Lived Mental Health Struggles While Enduring The Covid-19 Pandemic, Paulette Dispagna

Counseling and Psychology Dissertations

There is a dearth of research in general and qualitative research specifically about the mental health experience of resource-poor Black adolescents living in Boston. This has implications for the field in terms of how adolescents experiencing mental health issues can be supported and how professionals can create more useful mental health treatment. Drawing from the theoretical lens of critical race theory and more specifically, intersectionality, this hermeneutic phenomenological inquiry examined the ways in which experiencing multiple levels of inequality, especially from racism and poverty, affected a Black adolescent’s mental health. Eleven adolescents were interviewed via Zoom. Six major findings included: …

Adverse Childhood Experiences: Healing Through Storytelling And Mindful Narrative Therapy, Julie Kemp

Mindfulness Studies Theses

This study presents research about the nature and prevalence of adverse childhood experiences (ACEs), the mental and physical impacts to individuals exposed to ACEs, and incorporating mindfulness practices into therapeutic approaches to treating them, particularly Mindfulness-Based Narrative Therapy (MBNT). It is important because ACEs have become a global crisis, with the potential for interfering with psychological and physical development, early mortality, and other harmful life outcomes. This thesis provides critical information for mindfulness teachers and practitioners, therapists, educators, regulators, parents, and individuals subjected to ACEs.

The methodology includes extensive literature searches for narrative therapy and mindfulness-based interventions (MBIs) in peer-reviewed …

"They Don't Get It": Marginalized Mothers And Their Experiences With Social Support", Zuleida Herba

Counseling and Psychology Dissertations

Maternal caregivers of children with developmental disabilities (DD) experience a significant burden of care and increased parenting stress, making social support crucial to family well-being. This qualitative study used a feminist, intersectional framework to examine how marginalized mothers of children with DD, who have been less extensively studied than majority mothers (Stober & Franzese, 2018), perceive and experience social support from extended family, friends and community members. It also examined how social supports impact the mother’s quality of life, understanding that the caregiver's well-being is a determining factor for the child's well-being. The study investigated, from mothers’ perspectives, what kind …

Navigating Cultural Transitions: A Drama Therapy Exploration Of Culture Shock Among International Students From South Asia And East Asia, Rithika Gopalakrishnan

Expressive Therapies Capstone Theses

South Asia and East Asia drive the recent surge in US global student enrollment, exceeding one million, collectively representing 60.141% of international students, with China and India contributing 53% alone. These figures underscore the need for focused research into the experiences of South Asian and East Asian international students in the United States, an area currently lacking comprehensive study. This thesis examines culture shock among South Asian and East Asian students at a university in the Northeast, exploring relevant theories, role of media portrayals, and drama therapy interventions. It investigates the effects of culture shock, such as strain, loss, rejection, …

A Trauma-Informed Socially Just Approach To Working With Juvenile Justice-Involved Youth Utilizing Expressive Arts Therapy, Ciara Carr

Expressive Therapies Capstone Theses

Youth involved with the juvenile justice system often have a history of trauma and oppression resulting from their positionality and circumstances. Most juvenile justice-involved youth are boys, youth of color, low-income, LGBTQIA2S+, disabled, and traumatized. This literature review explores the history of the juvenile justice system, issues with the present-day model, and trauma-informed and transformative justice approaches to practice. The implementation of socially just, trauma-informed expressive arts therapy programs is proposed as a more equitable practice to replace commonly used punitive practices across the United States. More research is needed to understand the impact of such programs on this population …

The Preservation Of Ancient Wisdom In Dmt: A Literature Review, Miranda Cox

Expressive Therapies Capstone Theses

Abstract

Dance has a long and evocative history within humanity. This literature review explores the integration and impact dance has within religious and spiritual practices and how dance movement therapy can support these practices within a therapeutic model. Dance profoundly affects individuals during their healing journey and has impacted them through transcendental experiences. The review covers important topics regarding the therapeutic alliance and cultural humility, dance and the history of religion and spiritual practices, and the complications and benefits of religion and spirituality within a clinical therapeutic process. The intention is to explore how dance, religion, and spirituality can work …

Embodied Co-Regulation: A Neuroregulatory-Informed Dance/Movement Therapy Transition Intervention Method For Arousal Regulation For Adolescents In A Partial Hospitalization Program, Anamaria Guzman

Expressive Therapies Capstone Theses

This thesis introduces a novel Dance/Movement Therapy (DMT) approach, focusing on nervous system arousal regulation during transitions between therapy groups. The core of the method involves a brief 5-minute exercise designed to modulate arousal levels, encompassing alertness and energy, aiming to establish a baseline homeostasis. Rooted in Polyvagal Theory and Developmental Neurobiology, the approach assumes the co-regulation of nervous systems within a group therapeutic setting. Two primary outcomes are self-assessed: 1) somatic experiences documented through narratives and 2) nervous system biodata measured using the Flowtime headband monitoring of brainwaves, heart rate, and other biomarkers. Results indicated that all six sessions …

Music Therapy As A Support Model In Massachusetts Special Education: A Literature Review, Bonnie Diamond

Expressive Therapies Capstone Theses

Mental health directly impacts student propensity for making academic progress in the public education system. For children with disabilities, it is especially vital to develop and implement techniques within special education that deliver personally tailored benefits. According to the United States Department of Education, music therapy offers highly effective support to a wide range of students within the school setting so that they may achieve academic success and be supported in their social/emotional development (U.S Department of Education, 2011; AMTA, 2021). In examining the multifaceted ways that music therapy can offer support within the structure of education and mental health, …

A Music Therapist’S Clinical Improvised Songwriting To Explore Countertransference In The Therapeutic Relationship For An Individual With Multiple Disabilities, Isabella Sances

Expressive Therapies Capstone Theses

This qualitative and arts-based capstone thesis discusses working with individuals with multiple disabilities, songwriting in music therapy, intersubjective communication and theory, and countertransference in music therapy, by sharing the literature and presenting a method of how a music therapist’s own clinical improvised songwriting explores countertransference in the therapeutic relationship for an individual with multiple disabilities. Music therapy is used to treat individuals with multiple disabilities. The literature demonstrates that music therapy and improvisation can support communication development in clients with multiple disabilities. However, there is little research regarding countertransference and reflections by music therapists. This thesis explored post-session improvised songwriting …

Utilizing Flow Arts Movement As An Expressive Arts Therapy Tool To Treat Trauma: A Literature Review And Autoethnography, Shannon Mcgrail

Expressive Therapies Capstone Theses

This expressive arts-based autoethnography research explores the effectiveness of using flow arts movement as a tool of expressive arts therapy to treat symptoms of trauma for individuals who experienced a traumatic event in their lifetime. While research on the use of flow arts movement to treat mental illness is in its early stage, much can be drawn from the literature on expressive arts therapy and dance/movement therapy research with a range of populations addressing trauma. Through exploration of trauma through neuroscience, mind, body, and integrated mindfulness through flow, this work aims to bring an understanding of using intermodal expressive arts …

Feldenkrais And Music Informed Listening: A Neurophenomenological Perspective On Autism, Arona Primalani

Expressive Therapies Capstone Theses

Phenomenologists identify the subjective body and its felt-senses as the basis for human development and consciousness, including mental health. Several mental health disorders, when viewed from a phenomenological perspective, share common symptomology related to varying extents of fractured selves, which in turn hinders dynamic interaction between individuals, their actions, and their relationships with their social and material worlds. Autism is one such condition. Hence, I created an intervention to investigate how listening, which foster subjective and intersubjective experiences, lies at the heart of somatic and arts-based interventions. This thesis, first, begins with a summary of the presenting symptoms observed in …

Re-Member Selfhood A Drama Therapy Intervention, Option 1, Angelique Beauchêne

Expressive Therapies Capstone Theses

Re-member Selfhood is a specific trauma-informed, drama therapy, intervention designed to meet the needs of adults with exposure to trauma and traumatic stress, who have pertinent adverse childhood experience scores and/or experience persistent trauma cycles over the lifespan concurrent with somatization. The aim of this thesis was to introduce an intervention which could function as indirect exposure and assist in the integration process taking the whole being of trauma sufferers into account, including body, mind, and soul. Additionally, the hope of this intervention is to decrease perceived physical pain, assist in the integration of the rejected aspect of self, and …

Coming Out, Letting Go, Getting Naked: A Community Engagement Arts Based Project, Tim Aumiller

Expressive Therapies Capstone Theses

Creating a healthy sexual minority identity remains a challenge in the 21^st century, despite significant advances in social acceptance and civil rights. Sexual minorities are more likely than cis gender heterosexuals to be exposed to traumatic events, and experience shame and mental and physical health symptoms as a result. Despite this, sexual minorities do overcome obstacles to develop resilience. While the coming out process looks different depending on the background of the individual, many gay men find connection and build community through this often difficult process where even rejection may play a part. The author found connection and community …

The Use Of Music Therapy To Mitigate Trauma-Related Music Associations And Restore Personal Relationships With Music, Courtney Pitzer

Expressive Therapies Capstone Theses

For many people, music is positively associated with nostalgic memories, emotions, and experiences. But for some, it can be a painful reminder of the past. This literature review examines how music serves as a cue for reexperiencing trauma and demonstrates ways in which music therapy may be beneficial in reframing and reassociating those connections. Drawing from existing trauma treatment models such as CBT and exposure therapy, this review highlights the unique potential of music therapy in allowing clients to expose themselves to the activating stimulus while maintaining elements of safety within the music. This thesis prompts further exploration of desensitization …

Utilizing Art Therapy To Address Perfectionism In Patients Suffering From Eating Disorders: The Need To Diversify Treatment Approaches, Zara Goldberg

Expressive Therapies Capstone Theses

Perfectionistic behaviors are highly common in people with eating disorders. This study investigates the relationship between perfectionism, shame, and the ways in which art therapy can be utilized as a primary tool in eating disorder treatment. Based on the research below and the results of this study, integrating art therapy protocols in combination with talk based theoretical work around perfectionism can improve recovery and decrease struggles with perfectionism in persons with eating disorders. Patients at a residential eating disorder center participated in four consecutive weekly group therapy sessions that integrated art therapy protocols into a preexisting talk therapy based group …

The Anatomical Embodiment Of Morning Routines In The Reduction Of Anxiety: An Intervention, Natalie Wright

Expressive Therapies Capstone Theses

The topic under investigation is whether physically embodying a morning routine that was designed through the lens of Laban Bartenieff Movement Analysis (LBMA) will reduce daily symptoms of individuals diagnosed with Generalized Anxiety Disorder.

Since morning routines play a significant part in one’s preparation for the day, I created an individualized LBMA morning routine for a specific client to embody. In addition to the routine, the client documented the process of their anxiety levels on a weekly basis. This client was a white, female, 19-year-old, lesbian college student who was previously diagnosed with Generalized Anxiety Disorder (GAD). The movement analysis …

Mothering In The Covid-19 Pandemic: A Feminist Relational Discourse Analysis, Erin Spencer

Counseling and Psychology Dissertations

The COVID-19 pandemic significantly altered the caregiving landscape, presenting distinct challenges for parents. While existing literature highlights the considerable increase in parenting stress and burnout during this period (Griffith et al., 2022), it also foregrounds the indispensable and often invisible labor of mothering¾emphasizing the disproportionate burdens placed on mothers as they bridged gaps in societal infrastructure (O’Reilly & Green, 2021). Grounded in matricentric feminist theory, this qualitative study delves into the dominant ideologies and social constructs shaping normative motherhood as a framework for understanding maternal stress and resilience during a global health crisis. Semi-structured interviews were conducted with 15 mothers …

Literature Review Nature-Based Art Therapy Exploring Connections And Relationships, Janell Lopez-Curtis

Expressive Therapies Capstone Theses

Art therapy is a modality used in clinical psychotherapy. It is supported through both quantitative and qualitative research. Branching out from art therapy is nature-based art therapy. This branch of expressive therapies holds the potential to be beneficial as art therapy due to the interconnected access to the scientific fields of ecology, ecopsychology, art therapy, expressive therapies, and other nature-based therapeutic activities; this includes intersectionality in ecological theories such as ecofeminism and deep ecology as well. Through an exploration of literature, this paper will provide definitions and theory-based support through reviewing clinical psychotherapy, evidence-based practices, and art therapy theories. The …

Overcoming The Inner Critic: The Therapeutic Use Of Self-Portraits With Older Adults, Brenda Echeverry

Expressive Therapies Capstone Theses

Older adults are a growing and vulnerable population who experience discriminatory practices that impact their access to equitable housing, employment, and healthcare which was made even more obvious during the Coronavirus pandemic in the United States. A community engagement project was developed and facilitated by the writer to support older adults with the psychological effects of surviving the pandemic. This project also helped to increase accessibility to expressive arts therapy in the writer’s local community. Expressive arts therapy is an effective and accessible method to support mental health and wellness for people of all ages. Engagement with the arts helps …

Expressive Arts Therapy To Support Positive Experiences Of Embodiment Among Rural Lgbtq+ Adults: A Literature Review, Ann Stromgren

Expressive Therapies Capstone Theses

This paper investigates the use of expressive arts therapy to support LGBTQ+ adult clients in rural communities. Caring professionals in rural areas often lack training on how to work with LGBTQ+ clients, and best practices for clinical mental health counseling with rural LGBTQ+ clients have yet to be defined. Some evidence suggests that using “metronormative” best practices with rural clients may be irrelevant or cause harm (Giano et al., 2020). Although some recommendations exist for using expressive therapies with LGBTQ+ clients, they are rarely evidence-based, as very few empirical studies exist evaluating the effectiveness of expressive therapy interventions with LGBTQ+ …

Overcoming The Inner Critic: The Therapeutic Use Of Self-Portraits With Older Adults, Brenda Echeverry

Expressive Therapies Capstone Theses

Older adults are a growing and vulnerable population who experience discriminatory practices that impact their access to equitable housing, employment, and healthcare which was made even more obvious during the Coronavirus pandemic in the United States. A community engagement project was developed and facilitated by the writer to support older adults with the psychological effects of surviving the pandemic. This project also helped to increase accessibility to expressive arts therapy in the writer’s local community. Expressive arts therapy is an effective and accessible method to support mental health and wellness for people of all ages. Engagement with the arts helps …