Counseling Psychology Commons^™

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 …

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 …

Neverland Theory: An Introduction To A Childish-Positive Framework, Daniel M. Gardner

University Honors Theses

Proposes, defines, and defends the beginnings of an original theoretical approach (Neverland Theory) which advocates for the revitalization of psychotherapy through embracing and incorporating more of the "Childish" in clinical practice. Three formal aspects of Childishness are proposed and briefly defined. A literature review of three existing psychotherapies which effectively incorporate the proposed Childish aspects are highlighted and shown to be effective and efficacious. It is argued that prioritization of these aspects contributes to treatment outcome in a way which goes beyond what can be empirically evidenced.

Building Climate Resilience: How Climate Groups Can Channel Anxiety And Grief Into Action, Martin J. Lemke

University Honors Theses

As the impacts of climate change increasingly stress the ecological and social systems of the planet there is also a greater incidence of psychological struggles related to climate instability. Climate change is a significant source of psychological distress for many individuals, often manifesting as climate anxiety and grief. This thesis explores research and therapeutic experience that has been generated as the discipline of psychology seeks to meet this rising challenge. In particular, the fields of ecopsychology, psychodynamic therapy, existential psychology and Indigenous knowledge contributed the majority of the insight to the conclusions drawn along with contributions from potentially applicable emotions …

Reporting Rape: Stigmatizing Reactions To Survivors Who Seek Accountability, Tessa L. Dover, Alyssa Marie Glace Maryn

Psychology Faculty Publications and Presentations

Rape survivors face stigma when disclosing their experiences. We hypothesized that a rape survivor who formally reports their rape would experience more stigma than one who does not, and that this effect will be stronger when the perceiver is a man or low in support for sexual consent. Across two studies using self-report, observational, and psychophysiological measures, we found that a reporting survivor was seen more negatively than an identical survivor who did not report their rape. Men and those low in support for sexual consent also responded more negatively to the survivor. Implications of these findings are discussed.

Neuroscience-Informed Self-Advocacy For Individuals With Psychiatric Disorders, Britta Harbury

University Honors Theses

Self-advocacy is an effective way to foster improved quality of care for people with psychiatric illnesses. By understanding their conditions and needs they are better able to collaborate with their clinicians and form effective treatment plans. Introducing basic neuroscience to individuals with mental illnesses equips them to navigate the American mental healthcare system, which relies on neuroscience to create diagnoses and medications. This thesis aims to create neuroscience-informed mental health resources so that individuals with psychiatric disorders can access information that may help them better advocate for themselves in the future.

Psychometric Evaluation Of The Arthritis Self-Efficacy Scale In Chinese Adults With Rheumatic Diseases: A Cross-Sectional Study, Tzung-Yi Tsai, Ming-Chi Lu, Hanoch Livneh, Miao-Chiu Lin, Ning-Seng Lai, How-Ran Guo

Counselor Education Faculty Publications and Presentations

The Arthritis Self-Efficacy Scale (ASES) was designed to assess the degree of self-efficacy among patients with arthritis. Though the original English version of this instrument has shown a high degree of reliability and validity, a Chinese version of this scale has yet to be validated. Therefore, the aim of this cross-sectional study was to evaluate the psychometric characteristics of the Chinese version of ASES (C-ASES) in a population of Chinese adults with rheumatic diseases (RDs).

Invited Commentary: The Uneven Gender Revolution And The Gender Gap In Depression In The Us, Emily Fitzgibbons Shafer

Sociology Faculty Publications and Presentations

Women suffer depression at higher rates than men. In a meta-analysis using data from 1982-2017, Platt et al. (Am J Epidemiol. XXXX;XXX(XX):XXXX-XXXX) examine trends by age group in the gender depression gap and find no change in the depression gap among adults despite large changes in women's opportunities during the same time period. They do, however, find an increase over time in the gender gap in depression among adolescents. I concur with Platt et al. that likely explanations for their findings involve the social environment. For adult women, the burden of being responsible for the majority of the household labor …

A Dyadic Examination Of Drinking Behaviors Within Military-Connected Couples, James D. Lee, Annamarie Sophia O'Neill, Emily Catherine Denning, Cynthia Mohr, Leslie Hammer

Psychology Faculty Publications and Presentations

High rates of alcohol use have been documented within military personnel and spouses. However, scant research has investigated alcohol consumption behaviors in matched couples or nonclinical veteran samples. The manner in which couples influence one another’s drinking remains unclear. The current study examined hazardous drinking scores and drinking behaviors in a sample of post-9/11 separated service members (most of whom were veterans) and active duty reservists and their spouse/partners; 260 military-connected couples participated in the Study for Employment Retention of Veterans (SERVe) and were recruited from 35 workplace organizations in the Pacific Northwest. Participants completed baseline and daily surveys on …

It’S About Time: Staff Support Contacts And Mentor Volunteer Experiences, Thomas E. Keller, Alison Drew, Hyuny Clark-Shim, Renee Spencer, Carla Herrera

School of Social Work Faculty Publications and Presentations

Formal youth mentoring programs typically rely on volunteers to serve as mentors to young people, with training and guidance from agency staff. A fundamental program practice is to provide ongoing support and supervision to volunteer mentors by engaging in regular contact to monitor the progress of the mentoring relationship and offer guidance and encouragement. Using data from mentors (n = 504) in multiple mentoring programs (n = 55), the current study investigated how the amount of time devoted to these match support contacts was associated with mentor perceptions regarding the nature of their volunteer experience, specifically: the quality of supervision …

Family Features Of Social Withdrawal Syndrome (Hikikomori), Malagón-Amor, Luis Miguel Martín-López, David Corcoles, Anna González, Magda Bellsolà, Alan R. Teo, Antoni Bulbena, Victor Pérez, Daniel Bergé

Psychology Faculty Publications and Presentations

Background: Family may play an important role in the origin, maintenance, and treatment of people with social withdrawal. The aim of this study is to analyze family factors related to social withdrawal syndrome.

Methods: Socio-demographic, clinical, and family data, including family psychiatric history, dysfunctional family dynamics, and history of family abuse were analyzed in 190 cases of social withdrawal with a minimum duration of 6 months that started an at-home treatment program. Data were analyzed at baseline and at 12 months.

Results: In 36 cases (18%) neither the patient nor the family allowed at home evaluation and treatment by the …

Determinants Of Motivation For Mentoring Among Adults Volunteering To Mentor Youth, Miriam Miranda-Díaz, Hyuny Clark-Shim, Thomas E. Keller, Renee Spencer

School of Social Work Faculty Publications and Presentations

Most youth mentoring programs rely on volunteers to serve as mentors to youth. This study investigates factors associated with motivations for volunteering in this capacity, specifically altruistic and self-oriented reasons for becoming a mentor. Because adults who volunteer as mentors and youth mentees typically come from different socio-cultural backgrounds, the study examines demographic characteristics associated with these different motivations. In addition, the study addresses the empathy-altruism hypothesis suggesting that individuals with higher levels of empathy exhibit greater altruistic tendencies. For this analysis, the focus is on ethnocultural empathy and its association with volunteer motivations. The sample consisted of 1,000 volunteers …

High School Completion In Context: Student- And School-Level Factors Related To On-Time Graduation, Mathew C. Uretsky

School of Social Work Faculty Publications and Presentations

Background/Context: There is an expansive body of research concerning high school graduation; however, most studies omit students who persist through four years of high school without earning a diploma. In addition, there is scant research exploring longer-term outcomes among students whose academic trajectories do not fit within the traditional four-year model of high school graduation, including eventual graduation, post-secondary enrollment, or engagement in the workforce.

Purpose/Objective/Research Question/Focus of Study: The current study addresses the substantive gaps in research regarding high school non-completion by examining the college and workforce outcomes of persisters—defined here as students who do not formally …

The Self-Perception Of Flexible Coping With Stress: A New Measure And Relations With Emotional Adjustment, Melanie J. Zimmer-Gembeck, Ellen A. Skinner, Katheryn L. Modecki, Haley J. Webb, Alex A. Gardner, Tanya Hawes, Ronald M. Rapee

Psychology Faculty Publications and Presentations

Objective: To develop a theoretically grounded measure of self-perceived ability to cope with stress in a flexible (i.e. non-rigid) manner and test associations with well-being. Method: Participants in Study 1 (N = 395, 17–56 years) completed surveys to report flexible coping with stress and well-being. In Studies 2 (N = 645, 17–27 years) and 3 (N = 558, 12–19 years), youth completed surveys with the 18-item Self-Perception of Flexible Coping with Stress (SFCS), and coping and well-being measures. Results: Three SFCS factors were supported, which aligned to the conceptualization including multiple coping strategy use (multiple CSU), coping …

Posttraumatic Growth Moderates The Effect Of Posttraumatic Stress On Quality Of Life In U.S. Military Veterans With Life-Threatening Illness Or Injury, Erin Martz, Hanoch Livneh, Steven M. Southwick, Robert H. Pietrzak

Counselor Education Faculty Publications and Presentations

• Facilitating PTG among U.S. Veterans who experienced life-threatening illness or injury can help to bolster quality of life of those individuals.

• It is particularly important to facilitate PTG for those Veterans who, in addition to experiencing life-threatening illness or injury, have experienced PTSD during their service.

• It should not be expected that PTG will eliminate co-occurring distress, such as posttraumatic symptoms.

• This study indicated that across the five interactions that were studied, the participants who reported higher levels of PTG actually experienced higher QoL under increased levels of PTSD.

Privilege And Oppression In Counselor Education: An Intersectionality Framework, Christian D. Chan, Deanna N. Cor, Monica P. Band

Counselor Education Faculty Publications and Presentations

Multiculturalism and social justice are considered major forces in the counseling profession, revolutionizing the complexity of social identity, cultural identity, and diversity. Although these major forces have influenced the profession, many challenges exist with their implementation within counselor education curriculum and pedagogy. A major challenge is the complex dynamics of privilege and oppression that both counselor educators and counseling students face. This article discusses the use of intersectionality to approach counselor education pedagogy and practice.

A Pilot Randomized Clinical Trial Comparing Three Brief Group Interventions For Individuals With Tinnitus, Erin Martz, Margaret Chesney, Hanoch Livneh, Chennettee Jelleberg, Bret Fuller, James A. Henry

Counselor Education Faculty Publications and Presentations

Background: Tinnitus (ie, ear or head noises not caused by external sounds) is common among the general population and is the most prevalent service-connected disability in the United States’ Department of Veterans Affairs system. While numerous clinical interventions have been created to systematically address the range of issues caused by tinnitus, only a few tinnitus interventions have focused on both teaching and assessing coping strategies. The present pilot study involved a randomized clinical trial comparing 3 brief group interventions to a usual-care (UC) group (ie, a wait-list control group): the first intervention based on acceptance and commitment therapy (ACT), a …

Combat Experiences, Personality, Iso-Strain, And Sleep Quality Affect Posttraumatic Stress Among Working Post-9/11 Veterans, Gilbert Patrick Brady Jr., Leslie B. Hammer, Olivia C. Preston, Anna K. Nishen

Student Research Symposium

We investigated the effects of combat experiences (CES), personality traits, sleep quality and iso-strain on posttraumatic stress symptoms (PTSS) among a sample (N=382) of working, post-9/11 Veterans. As prior occupational stress research has neglected the role of personality traits, we sought to examine how two of the Big Five traits (i.e., Neuroticism and Conscientiousness) affected PTSS. Greater scientific understanding of how personality contributes to the post-deployment etiology of PTSD may help customize interventions aimed at reintegrating Veterans. Baseline data were drawn from the five-year, randomized control, Department of Defense-funded “Study for Employment Retention of Veterans” (SERVe). After controlling …

Divergent Interpersonal Paths To Well-Being For Insecurely Attached Emerging Adults, Joel A. Lane

Counselor Education Faculty Publications and Presentations

The present study explored attachment, social support, and well-being among a sample of emerging adults. The model predicted that social support would:1) mediate the relationship between attachment anxiety and well-being, and 2) moderate the relationship between attachment avoidance and well-being. All hypotheses were supported. Implications for counselors are discussed.

Brief Gatekeeper Training For Suicide Prevention In An Ethnic Minority Population: A Controlled Intervention, Alan R. Teo, Sarah B. Andrea, Rae Sakakibara, Satoko Motohara, Monica M. Matthieu, Michael D. Fetters

OHSU-PSU School of Public Health Faculty Publications and Presentations

Background: Suicide is a critical public health problem around the globe. Asian populations are characterized by elevated suicide rates and a tendency to seek social support from family and friends over mental health professionals. Gatekeeper training programs have been developed to train frontline individuals in behaviors that assist at-risk individuals in obtaining mental health treatment. The purpose of this study is to assess the efficacy of a brief, multi-component gatekeeper intervention in promoting suicide prevention in a high-risk Asian community in the United States.

Methods: We adapted an evidence-based gatekeeper training into a two-hour, multi-modal and interactive event for Japanese-Americans …

Counseling Emerging Adults In Transition: Practical Applications Of Attachment And Social Support Research, Joel A. Lane

Counselor Education Faculty Publications and Presentations

Today’s emerging adults (i.e., individuals between the ages of 18 and 29 in industrialized nations) navigate multiple significant life transitions (e.g., entering career life), and do so in a rapidly changing society. While these transitions pose psychological difficulties, a growing body of research has identified attachment and social support as two notably salient protective factors in emerging adulthood. The purpose of the present paper is to inform counseling work with emerging adult clients, particularly those in the midst of one or more transitions. This purpose is important given that the concept of emerging adulthood represents a relatively recent phenomenon that …

Attachment, Social Support Satisfaction, And Well-Being During Life Transition In Emerging Adulthood, Joel A. Lane, Robert S. Fink

Counselor Education Faculty Publications and Presentations

The present study was designed to investigate the relations among attachment, social support satisfaction, and well-being in a cross-sectional sample of emerging adults (N = 213) experiencing one or more normative life transitions. The sample represented a range of educational and vocational backgrounds. The primary hypotheses were that social support satisfaction would mediate the associations between each attachment dimension and well-being. A corresponding theoretical model was tested using structural equation modeling. The model provided an excellent fit to the sample data. Social support satisfaction mediated the association between attachment anxiety and well-being, but not the association between attachment avoidance …

The Imposter Phenomenon Among Emerging Adults Transitioning Into Professional Life: Developing A Grounded Theory, Joel A. Lane

Counselor Education Faculty Publications and Presentations

This study qualitatively explored the imposter phenomenon among 29 emerging adults who were transitioning into professional life. A grounded theory was developed that described the imposter phenomenon, internal and external contributing factors, and its impact in terms of performance and affective reactions. Implications for counselors of emerging adults are discussed.

The Relationship Of Socioeconomic Status And Counseling Outcomes, Lisa D. Hawley, Todd W. Leibert, Joel A. Lane

Counselor Education Faculty Publications and Presentations

This study examined the relationship between various indices of socioeconomic status (SES) and clinical outcomes among clients at a university counseling center. It also explored links between SES and three factors that are generally regarded as facilitative of client change in counseling: motivation, treatment expectancy, and social support. Regression analyses showed that, overall, SES predicted positive changes in symptom checklists over the course of treatment. Individual SES variables predicting positive change were educational attainment and whether or not the client had health insurance. SES was not associated with motivation, treatment expectancy, or social support. Implications for SES research and counseling …

Counseling Emerging Adults In The Midst Of Life Transition: Applying Theory And Research To Practice, Joel A. Lane

Counselor Education Faculty Publications and Presentations

During the past decade, research examining 18- to 29-year-olds has resulted in the recognition of emerging adulthood as being a distinct developmental stage. Changing societal conditions during the latter 20^th century have contributed to a prolonged identity exploration process that extends well into the twenties. This period encompasses both increased autonomy compared to adolescence and also a moratorium from adult responsibilities, resulting in a subjective feeling of being ‘in-between’.

Converging with these changes are the many life transitions that are experienced during emerging adulthood. It is common for an emerging adult to graduate high school, leave home, enter college …

Counseling College Seniors Through The Transition Out Of College: Applying Theory And Research To Practice, Joel A. Lane, Dena Elghoroury

Counselor Education Faculty Publications and Presentations

The senior year of college represents a significant transition, during which individuals prepare to leave behind the freedom of the college experience and to assume ownership of adult roles. Recent research suggests that many of today’s college seniors are experiencing distress and reduced well-being regarding their ability to transition into career life, develop new support networks, and leave behind the freedom of the student lifestyle. This presentation will focus on the psychological implications of the graduation transition. The presenter will utilize his own research and clinical experience to provide attendees with a framework for understanding and working with seniors to …

Attachment, Well-Being, And College Senior Concerns About The Transition Out Of College, Joel A. Lane

Counselor Education Faculty Publications and Presentations

This study examined the relationships among attachment, psychological well-being (PWB), life satisfaction, and concerns about the transition out of college among a sample of college seniors. A path analysis was conducted predicting that PWB and life satisfaction would mediate the relationships between attachment and three types of graduation transition concerns: career, change and loss, and support. Significant mediation effects impacting career concerns and change and loss concerns were discovered. Implications for college counseling are discussed. Keywords: attachment, college graduation, transition.

Attachment Relationships In Emerging Adulthood: Implications For Counselor Education And Supervision, Christina M. Schnyders, Joel A. Lane

Counselor Education Faculty Publications and Presentations

This session will explore the ways that attachment relationships influence emerging adulthood, the developmental stage experienced by individuals between the ages of 18-29. Findings will be presented from two research studies concerning attachment in emerging adulthood. Implications discussed will include adherence to CACREP standards, best practices for counselor educators who teach from a developmental framework, and best practices for supervisors working with emerging adult supervisees.

Study Of Employment Retention Veterans (Serve): Improving Reintegration Of Oregon National Guard And Reserves In The Workplace, Gilbert Patrick Brady, Jr., Leslie B. Hammer

Student Research Symposium

This presentation will provide an overview of the recently funded Department of Defense grant (Principal Investigator, Leslie Hammer, Ph.D.). Since 9/11 over 2.8 million United States military personnel have served in and around Iraq and Afghanistan. By 2018, the number of post-9/11 veterans is projected to top 3.1 million. Of these most recent veterans, 18% have difficulty holding a job and many experience family difficulty. Presently, a third or more of these post-9/11 veterans – some 874,728 service members and counting – have deployed to various global hotspots as active-duty reservists of the U.S. armed forces. Unemployment, underemployment and mental …

The Ethical Implications Of Bartering For Mental Health Services: Examining Interdisciplinary Ethical Standards, Joel A. Lane

Counselor Education Faculty Publications and Presentations

The present paper discusses literature concerning the practice of bartering for counseling, psychological, or social work services in lieu of traditional monetary payment. The author contrasts the language concerning the practice of bartering found in the respective ethical codes for each profession, and presents literature describing both risks and potential benefits of bartering arrangements. The primary risks of bartering include liability concerns and the potential for harmful or exploitive dual relationships. The primary benefits are that bartering makes mental health services available to those who cannot afford traditional fees, and allows for a culturally relevant compensation method for those whose …