Counseling Psychology Commons^™

The Moderating Role Of Perceived Resource Abundance In The Links Between Self-Compassion, Self-Coldness, Coping Strategies, And Mental Health, Evan E. Ozmat

Electronic Theses & Dissertations (2024 - present)

Undergraduate students increasingly present to college counseling centers with pre-existing mental health concerns, including depression and suicidal ideation, emphasizing the urgent need for effective interventions and a deeper understanding of contributing factors. Self-compassion—responding kindly to oneself amid suffering—and its theorized counterpart, self-coldness—characterized by self-judgment and isolation—have emerged as key constructs influencing mental health. The two-factor model of self-compassion, grounded in Gilbert’s (2005a) Theory of Social Mentalities (TSM), posits that self-compassion and self-coldness are distinct unipolar continua shaped by evolved safeness and threat-defense systems that regulate social behaviors and mental health outcomes. The present study examines the mediating role of prosocial …

Academic Satisfaction Of Graduate Students In Mental Health Professions: Mediating Roles Of Burnout And Engagement, Yu Ying Li

Electronic Theses & Dissertations (2024 - present)

Academic satisfaction for students is as critical to their retention and well-being as job satisfaction for working adults; however, it has received limited empirical attention particularly among graduate students in mental health-related programs. One of the barriers to mental health trainees’ satisfaction with their academic training is burnout. The current study evaluated the applicability of Study Demands-Resources (SD-R) framework (Lesener et al., 2020) to trainees. Specifically, this study examined the relations between study demands (i.e., perceived stress), study resources (i.e., supervisory alliance and social support), student burnout, student engagement, and academic satisfaction. It also tested if student burnout and engagement …

A Moderated Mediation Analysis Of Mental Health Literacy, Personal Stigma, And Gender On Help-Seeking Intentions In College Students, Anna M. Gentile

Electronic Theses & Dissertations (2024 - present)

Although many college students experience mental health challenges, help-seeking rates remain disproportionately low relative to reported need (Abelson et al., 2022). Identifying factors that facilitate help-seeking is critical for improving access to mental health support in this population. Prior research has identified mental health literacy as a significant predictor of help-seeking behavior and intentions among college students (Gorczynski et al., 2017; Smith & Shochet, 2011), whereas personal stigma, which is defined as a person’s negative attitude towards people with mental health concerns (Griffiths et al., 2006), has been consistently associated with reduced help-seeking (Abelson et al., 2022). Grounded in the …

Relational Efficacy Beliefs In Supervision Of Master’S Level Counseling Trainees As Predictors Of Counseling Interests And Goals, Taylor Karnilaw

Electronic Theses & Dissertations (2024 - present)

Master's level counseling trainees have condensed training periods before making career-related decisions and are often placed in settings with high rates of burnout and turnover. Supervision has been shown to be a protective factor for burnout and has the potential to be a source of self-efficacy, which has been linked with career-related outcomes like occupational interests and goals (Lent et al., 2018; O’Connor et al., 2018). Moreover, within the context of close relationships, like supervision, efficacy beliefs are believed to be shaped by a network of beliefs, including relation-inferred self-efficacy, self-efficacy, and other-efficacy (Lent & Lopez, 2002). The current study …

The Moderating Effect Of Self-Efficacy On The Relationship Between Social Determinants Of Health And Alcohol Use In A Diverse Adult Sample, Cara L. Fresquez

Electronic Theses & Dissertations (2024 - present)

Heavy alcohol consumption is associated with a range of psychosocial problems and chronic conditions, resulting in approximately 140,000 preventable deaths each year. With these potential consequences in mind, it is understandable that 46% of individuals who consume alcohol report attempting to reduce the quantity of alcohol they drink; however, very few enter formal treatment. Despite this, many people will decrease their heavy drinking over time, presumably due to individual and environmental factors, particularly self-efficacy and protective social determinants of health (SDoH). This study aimed to answer the research question “How is SDoH adversity related to the likelihood of reporting reduced …

Family Routines And Cognitive Emotion Regulation: The Role Of Harsh Parenting And Family Activities, Vidhi Jain

Electronic Theses & Dissertations (2024 - present)

Cognitive emotion regulation (CER), consisting of adaptive and maladaptive strategies, is a critical developmental process linked to various well-being outcomes across the lifespan. Family contexts such as daily routines, parenting, and engagement shape the development of emotion regulation. Existing literature generally links family routines to better CER outcomes (Selman & Dilworth-Bart, 2023), but has not yet investigated the impact of routines in adverse family environments. The present study examined whether harsh parenting and the frequency of shared family activities jointly moderate the relationship between family routines and adaptive and maladaptive CER. A sample of emerging adults (N = 210; …

Effect Of Workload, Burnout, And Flexible Work Practices On The Well-Being Of University Faculty And Staff, Caroline O. Rogers

Electronic Theses & Dissertations (2024 - present)

The present study examined the impact of workload, burnout, and flexible work practices (FWPs) on the well-being of higher education employees from the perspective of Job Demands-Resources (JD-R) theory. A moderated mediation model was hypothesized, wherein workload would be associated with well-being through burnout, and that this association would be attenuated by the presence of FWPs. A total of 477 full-time faculty, staff, and affiliated research foundation employees from a large public university in the Northeast region and a broader range of colleges and universities across the United States of America completed a cross-sectional survey. Validated measures assessed workload (Quantitative …

Social Class Differences Between Client And Therapist: A Grounded Theory Study Of Working-Class Clients' Perspectives, Micah Herman

Electronic Theses & Dissertations (2024 - present)

Although a substantial body of research highlights the importance of broaching differences related to race, ethnicity, gender, and sexual orientation in psychotherapy, considerably less attention has been paid to social class, a dimension of socio-cultural identity that profoundly shapes individuals’ life circumstances, their sense of self, and their relationships with others. In recognition of our limited understanding of how working-class clients perceive and respond to class-based cultural differences between themselves and their therapists, the present grounded theory study addressed (1) how working-class clients experience and make meaning of social class differences in the therapeutic relationship and (2) what clients see …

Psychometric Assessment Of The Facilitative Systemic Intervention Skills Rating System– Spanish Version, Sarah J. Crosky

Electronic Theses & Dissertations (2024 - present)

Despite the growing understanding of therapist factors in client outcomes, there remains limited understanding of the skills that distinguish effective family therapists. The aim of the present study was to assess the interrater reliabilities and factorial structure of a Spanish version of the Facilitative Systemic Intervention Skills (FSIS; Jones et al., 2023a), an observational rating system for evaluating the skillfulness of family therapists in delivering systemic interventions. The FSIS includes eight empirically and theoretically informed systemic therapy skills (Inclusiveness, Empathy for Relational Difficulties, Responsiveness to Safety Concerns, Collaborative Stance, Conceptualizing Family Problems Systemically, Responsiveness to Disparate Goals, Focus on Family …

Providers' Perceptions Of Barriers And Facilitators To Implementing Non-Pharmacological Treatment For Adults With Chronic Pain: A Meta-Synthesis, Mikhaela Mcfarlin

Electronic Theses & Dissertations (2024 - present)

Background. Chronic pain is a public health concern impacting approximately 20% of adults in the U.S. Nonpharmacological interventions are considered first-line treatments for patients with chronic pain, yet nonpharmacological interventions remain significantly underutilized. While previous research has explored barriers from the patient’s perspective, limited attention has been paid to providers’ experiences implementing these treatments. This qualitative meta-synthesis aimed to examine provider-perceived barriers and facilitators to implementing nonpharmacolgical treatments for adults with chronic pain. Methods. Independent reviewers conducted systematic searches across PubMed, PsycInfo, CINAHL, and ProQuest Dissertations using relevant (e.g., “mental health provider”, “nonpharmacological”) and applied inclusion criteria to …

Can Deliberate Practice For Inner Skills Enhance Therapist Trainees’ Mindfulness And Presence When Working With Clients?, Edmund W. Orlowski Iii

Electronic Theses & Dissertations (2024 - present)

A replicated single-case design was used to assess the effectiveness of therapist trainees’ engagement in deliberate practice for inner psychotherapy skills (Rousmaniere, 2019). Deliberate practice (DP) is a structured approach to therapist skill development that involves repeatedly observing and responding to real or simulated clients (Rousmaniere, 2016). It was reasoned that by attending to their inner experience while repeatedly being exposed to challenging clinical material (e.g., a client’s suicidal ideation) outside of therapy, trainees may reduce their experiential avoidance and thus be more mindful and present in sessions with actual clients.

During the five-week baseline phase of the study, four …

The Psychological Impacts Of Homeland Havoc Among First-Generation Raised Americans: An Interpretive Phenomenological Analysis, Raneem Kurzum

Electronic Theses & Dissertations (2024 - present)

The current study explored the psychological experiences of first-generation raised U.S. citizens whose ancestral homelands are affected by ongoing or recent havoc. First-generation raised Americans are defined as the first-generation to be born in the U.S. or those who immigrated to the U.S. during infancy (less than two years of age). While research on trauma, resilience, and identity has previously addressed collective and intergenerational responses within culturally homogenous groups, few studies have examined the cross-cultural psychological impact of homeland turmoil among diverse diasporic populations living in the U.S.

Using Interpretive Phenomenological Analysis (IPA), this qualitative study employed semi-structured individual interviews …

Association Of Illness Perceptions, Illness Perception Incongruence, And Psychological Distress Among Caregivers In The Context Of Chronic Multi-Symptom Illness, Darren Winograd

Legacy Theses & Dissertations (2009 - 2024)

Following the common sense model of self regulation (CSM), how individuals think about an illness (i.e., illness perceptions) influences one’s level of psychological distress (e.g., burden, depression). This is thought to be especially true for illnesses which lack any clear medical etiology, termed chronic multi-symptom illness (CMI). While the impact of illness perceptions are well established predictors of distress among those diagnosed CMI, no known study has considered if illness perceptions similarly impact informal caregivers caring for individuals with CMI. This study therefore sought to examine if illness perceptions held by caregivers caring for individuals with CMI predicted caregiver psychological …

Clinical Supervision Through A Multicultural Lens: Burnout, Vigor, And Supervisee Quality Of Life, Jacob Alexander Moore

Legacy Theses & Dissertations (2009 - 2024)

The present study sought to replicate and extend existing research (Hutman & Ellis, 2020; McNamara et al., 2023) on the relations among perceived clinical supervisor multicultural competency, and physical and psychological quality of life outcomes for supervisees. Utilizing a serial mediation analysis with a sample of 285 mental health supervisees, this study tested the predictive role of multicultural competency (MC) on supervisee quality of life (QoL), as mediated by the supervisor working alliance (SWA) and burnout/vigor (B/V) of the supervisee as a multivariate set, respectively. Multivariate multiple regression analysis was conducted to test the serial mediation hypotheses. Results indicated that …

Development And Initial Validation Of The Supervisor Responsiveness Scale, Ramon Garcia

Electronic Theses & Dissertations (2024 - present)

Theoretically, responsiveness to the emergent needs of supervisees and clients is the primary means by which clinical supervisors help trainees become effective psychotherapists (Friedlander, 2012). To advance understanding and research on this aspect of supervision, the Supervisory Responsiveness Scale (SRS) was developed and assessed psychometrically.

First, 35 items reflecting trainees’ perceptions of their supervisor’s responsiveness, as defined by Friedlander (2012), were developed and rated for clarity, face and content validity by a panel of 12 experienced supervisors. After the item pool was refined based on these ratings, 216 supervisees representing all training levels rated each item on a 1 ( …

The Role Of Familial Support And Gender In Asian American Students’ Stem Career Development: A Test Of Social Cognitive Career Theory, Xiao Ting Wang

Electronic Theses & Dissertations (2024 - present)

This study, based on Social Cognitive Career Theory (SCCT; Lent et al., 1994, 2000), investigated the role of familial support in the STEM career development of Asian American college students. Participants included 446 first-year undergraduate students who identified as Asian or Asian American and had not declared an academic major. Due to multicollinearity, four initial familial support variables—instrumental assistance, career-related modeling, verbal encouragement, and emotional support—were regrouped into two: performance motivation (instrumental assistance and verbal encouragement) and career mentoring (career-related modeling and emotional support). Structural equation modeling showed acceptable fit for a modified model, and the results partially supported the …

"Not Trans Enough": A Qualitative Inquiry Of Non-Binary Individuals' Experiences Of Transphobia Within The Lgbtq+ Community, Alyssa Lombardi

Electronic Theses & Dissertations (2024 - present)

Transphobia has been well-documented to have detrimental impacts on the lives of transgender individuals. However, research typically has not focused on the experience of non-binary individuals, and particularly even less so on their experiences of within-group discrimination. This study used Interpretative Phenomenological Analysis to understand both the experience and expression of transphobia toward non-binary people from within the LGBTQ+ community. Twelve interviews were conducted with six non-binary individuals ranging in age from 23 to 33. Each interview was analyzed and coded, resulting in four superordinate themes: The Experience of Enbyphobia, The Impact of Enbyphobia, The Expression of Enbyphobia, and The …

The Dance Of Storytelling: How Therapists Facilitate Clients' Narrative-Emotion Shifting In Emotion-Focused Therapy For Trauma, Mengfei Xu

Legacy Theses & Dissertations (2009 - 2024)

This qualitative study replicated and extended Friedlander et al.’s (2020) case study of time-limited dynamic psychotherapy (TLDP; Levenson, 2010) by investigating therapist behaviors immediately preceding client narrative-emotion shifting from problem markers to change markers in four successful cases of emotion-focused therapy for trauma (EFTT; Paivio & Pascual-Leone, 2010). The primary goal was to identify therapist behaviors in the early, middle and late phases of treatment that uniquely preceded change shifts as identified by the NarrativeEmotion Process Coding System (NEPCS; Angus Narrative-Emotion Marker Lab, 2015).

The Grass Is Greener On The Other Screen : A Moderated Mediation Analysis Of Social Media Use, Upward Social Comparison, And Social Support On Depression And Social Satisfaction Among College Students, Phoebe Edgerton Long

Legacy Theses & Dissertations (2009 - 2024)

Over the past decade, levels of depression and levels of social media use have risen considerably among college students in the United States. As such, a growing body of research has examined the relation between social media use and negative mental health outcomes among this population. However, research on the link between social media and depressive symptoms produces mixed and at times contradictory results. One evidenced mechanism is upward social comparison, by which a person perceives a peer to be better off than they are on social media, and subsequently makes negative evaluations about themselves. This study seeks to confirm …

Efficacy Of A Single Session Act-Based Intervention For Public Defender Attorneys: A Multiple Baseline Single Case Study, Lawrence Phillip Peterson

Legacy Theses & Dissertations (2009 - 2024)

Every day in the U.S., criminal courts render decisions that affect the people involved for the rest of their lives. Crucial to the functioning of these courts is the mental health of their public defender trial attorneys (Levin et al., 2012), who speak for the innocence and the rights of the accused. Since public defender work is highly demanding, both professionally and emotionally, their psychological distress is often high (Levin et al., 2012).It was reasoned that a brief training that teaches flexible responding skills could increase the psychological flexibility and decrease the general distress experienced by public defender attorneys. In …

Suicidal Ideation Of Asian College Students In The Us : The Roles Of Family Perfectionism, Imposterism, Thwarted Belongingness, Perceived Burdensomeness, And Relational Meaning In Life, Shangyun Zhou

Legacy Theses & Dissertations (2009 - 2024)

Suicide is the first leading cause of death for college-age individuals (17-24) in the US who identify as Asian and Pacific Islanders. Family perfectionism – discrepancy, defined as the perception of a gap between one’s performance and the family’s high standards, was found to be an important risk factor in this population due to the strong emphasis on interpersonal contexts in many Asian cultures. However, the current literature has not provided clear empirical support for the mechanisms through which family perfectionism exerts its impact on suicidal ideation. To fill this gap, the current study attempted to integrate the Interpersonal Theory …

Masculinity And Colorectal Cancer Screening Intent Among Men: Examining Moderated Mediational Effects, Michael G. Verile

Legacy Theses & Dissertations (2009 - 2024)

Masculinity has been theorized to affect engagement in health behaviors and may be helpful in predicting men’s colorectal cancer (CRC) screening intentions. Christy and colleagues’ (2014) proposed a model in which masculinity and social support predict men’s CRC screening intentions by way of engagement in health behaviors, cancer fear, and cancer-related stigma. This study examined how the theory might differ for males based on previous colonoscopy status. 422 men above the age of 45 were recruited using an online survey. Data were analyzed using structural equation modeling to test a modified version of Christy and colleagues’ (2014) theory. A modified …

Applying The Theory Of Planned Behavior To Intentions To Seek Couple Therapy : The Role Of Attachment, Relationship Satisfaction, And Expectations, Allison Ann Megale

Legacy Theses & Dissertations (2009 - 2024)

Although the negative consequences of relationship distress on mental health symptoms have been amply documented (e.g., Beach & Whisman, 2012), many distressed couples do not seek professional help (Cicila et al., 2014). While previous studies identified various barriers to help seeking, such as financial concerns and a lack of childcare (Williamson et al., 2019), there is limited knowledge of psychological factors that encourage distressed couples to seek help. Based on the Theory of Planned Behavior (TPB; Azjen, 1991), the present study examined several predictors of a person’s intention to seek couple therapy. Participants were a convenience sample of 665 adults …

Comparative Effectiveness Of Behavioral Interventions For Mus : A Meta-Analysis, Justin Kimber

Legacy Theses & Dissertations (2009 - 2024)

Medically unexplained symptoms (MUS) are common: 25 to 50% of patients seen in primary care present with MUS (e.g., fibromyalgia, irritable bowel syndrome, and chronic fatigue). Patients with MUS report higher symptom severity, psychological distress, and poorer functioning and quality of life than patients without MUS. To address the needs of patients with MUS, behavioral interventions (e.g., cognitive behavior therapy and exercise) have been used to improve patient outcomes including symptom severity, psychological distress, and quality of life. To date, behavioral interventions have been shown to be efficacious to improve patient outcomes; however, less is known about the comparative efficacy …

Black-White Interracial Contact And Anti-Racist Activism : What Promotes Action In White Americans?, Katheryn Lucille Roberson

Legacy Theses & Dissertations (2009 - 2024)

Racism is a pervasive form of harm which has been found to contribute to negative outcomes for both individuals and society. Toward a more just society, anti-racist activism can create safer environments, reduce structural inequities, and improve interpersonal relations. To address prejudice, many studies have examined how interracial contact reduces prejudice in White Americans; however, less research has focused on the application of these factors on White American antiracist activist behaviors. This study sought to provide further support for Intergroup Contact Theory and the influence of established mediators of empathy and intergroup anxiety on activist behaviors. Data from 384 White …

A Moderated Mediation Model : The Interplay Between Discrimination, Marianismo, Alcohol Use, And Culturative Stress Among Latina College Students, Yajaira A. Cabrera Tineo

Legacy Theses & Dissertations (2009 - 2024)

Although alcohol use is on the rise among young Latina college students, little is known about drinking behaviors among this population. The present study sought to expand the current literature by examining (a) the mediating role of alcohol use in the relationship between perceived discrimination and acculturative stress, in addition to (b) competing models of conditional moderated mediation between perceived discrimination, alcohol use, marianismo beliefs, and acculturative stress, while accounting for nativity. Path analyses were conducted with data from 1243 Latina students between the ages of 18 and 25 from college campuses across the U.S. Mediation analyses indicated that alcohol …

Bystander Intervention Among College Student Drinking Gamers : Sexual Assault Attitudes, Self-Efficacy, And Intent To Intervene, Rena L. Pazienza

Legacy Theses & Dissertations (2009 - 2024)

Heavy and problematic drinking and sexual assault warrant significant concern on U.S.college campuses. Emerging evidence suggests that the risk for sexual victimization is amplified in the context of high-risk drinking behavior—and despite recent attention to sexual assault (e.g., MeToo Movement), rates of perpetration remain largely unchanged. In applying the bystander intervention framework, our understanding of the relation between key factors that may facilitate or prevent behavioral action, or when and how these factors are most salient, is limited. The present study examined whether bystander attitudes and bystander self-efficacy predict bystander intent to intervene while accounting for prior intervention training exposure …

Vicarious Traumatization And Quality Of Life Among Supervisees : Testing Moderation And Mediation, Mackenzie Lee Mcnamara

Legacy Theses & Dissertations (2009 - 2024)

This study sought to replicate and extend existing research (i.e., DelTosta et al., 2019) on predictors of vicarious traumatization among mental health counseling trainees and tested empirically the effects on trainees’ quality of life. The current investigation examined relations among personal distress empathy (PDE), the supervisory working alliance (SWA), mindfulness, vicarious traumatization (VT), and quality of life (QoL) in a sample of 294 mental health counseling trainees in the United States and Canada. Multivariate path analysis was used to test serial mediation of PDE and QoL through the SWA and VT. Additionally, this study examined the extent to which (a) …

Investigating The Role Of Therapist-Client Discussion Of Illness Beliefs On Clients' Treatment Outcome Expectancies And Perceptions Of Working Alliance, Sarah Davina Slotkin

Legacy Theses & Dissertations (2009 - 2024)

The working alliance, conceptualized as an emotional bond and client/therapist agreement on tasks and goals is considered integral to psychotherapy success. However, the mechanisms by which the working alliance develops are poorly understood. The Common Sense Model of Self-Regulation is well supported in understanding the role of patient illness beliefs in physical health management. The present study evaluated the role of discussion of psychotherapy clients’ illness beliefs in the development of working alliance in psychotherapy. Further, the contribution of client expectations for psychotherapy on treatment outcomes was investigated as the mechanism by which discussion of illness beliefs contributes to the …

Black Bisexual Women's Experiences Of Growth Following Gendered Racism And Biphobia, Alexandra Agiliga

Legacy Theses & Dissertations (2009 - 2024)

The psychological impacts of marginalization have been well documented in the social science literature. Black bisexual women are a group that has experienced marginalization and oppression related to their racial, sexual, and gender identities. What has not yet been examined is the extent to which Black bisexual women report experiencing growth following instances of discrimination. Using Interpretative Phenomenological Analysis, this study aimed to explore and understand the growth experiences of Black bisexual women who have experienced biphobia and gendered racism. Semi-structured interviews were conducted with self-identified Black bisexual women, ranging in age from 21 to 63. Nine interviews were completed, …