Counseling Psychology Commons^™

A Phenomenological Investigation Of Counselors' Perceived Degree Of Preparedness When Working With Suicidal Clients, Heather Danielle Dahl

Counseling & Human Services Theses & Dissertations

Little is known of counselor perspectives of their training and level of preparedness when working with suicidal clients. Although professional standards and guidelines regarding counselor competency in this area exists, training may not be occurring throughout a trainee's program, or is occurring inconsistently. The purpose of this phenomenological inquiry was to understand the essence of counselors' perceived degree of preparedness working with suicidal clients, and to provide clinical and training recommendations in this subject area. Using individual semi-structured interviews, 10 participants were recruited, using maximum variation and criterion sampling who had previous experience working with suicidal clients. The results of …

A Grounded Theory Of Suicidality In Children Ten And Younger, Katherine Angela Heimsch

Counseling & Human Services Theses & Dissertations

Once every two days in the United States, a child aged 5 to 14 years old dies by suicide (World Health Organization, 2010). When viewed on a spectrum that includes suicidal ideation, verbalizations, behaviors, and attempts, the problem of youth suicidality is actually far greater than the numbers of completed suicides suggest (Cheng, Tao, Riley, Kann, Ye, Tian...Hu, 2009). This study examined suicidality in children ages 10 and younger, and included the characteristics of suicidal children, factors that influence childhood suicidality, and treatment implications. The researcher conducted 12 semi-structured qualitative interviews with experienced treatment providers and performed a content analysis …

College Health And Mental Health Outcomes On Student Success, Daniel Joseph St. John

Counseling & Human Services Theses & Dissertations

This study explores the relationship between college students' utilization of university counseling services and university health services, and student academic performance. Data was collected using an archival data set including university counseling center records, health center records, and academic reports from institutional research at a large, public southeastern university. The primary variables of this study included: number of sessions in the university counseling center and/or university health center, instances of new initiated contacts, treatment variables, GPA, and degree completion. The overarching hypothesis of this study is that students who receive mental health services are significantly more likely to experience student …

Role Ambiguity Of Counseling Supervisors, Aaron Gabriel Shames

Counseling & Human Services Theses & Dissertations

Supervisors often find themselves in the midst of ambiguity seeking clarity of their role and professional identity within the counseling field. Supervisors wear many hats, the most prominent ones being educator, counselor, and gatekeeper for the profession. Counseling supervisors are expected to establish and maintain a complex blend of professional, educational, and therapeutic relationships with their supervisees. This process involving multiple roles often presents conflicts. One such conflict experienced by supervisors has been termed role ambiguity. The purpose of this phenomenological inquiry was to explore what experiences counseling supervisors have with role ambiguity and how they experience role ambiguity. Themes …

Development Of The Profession Of Counseling In Kenya, Uganda, And Tanzania: A Grounded Theory Study, Mueni Joy Maweu Mwendwa

Counseling & Human Services Theses & Dissertations

The positive mental health of a country's population has a direct correlation to that country's economic and social advancement. As a result, the development of the counseling profession is critical. Even though fewer than half of African member states have an existing mental health policy in place, initiatives to establish mental health policies and develop the counseling profession are underway across the African continent. In general, there is a significant deficit of counseling literature, and specifically, research on the development of the counseling profession in Africa. This grounded theory study sought to explore the experiences of counseling leaders related to …

Investigating Similarities And Differences As Measured By The Durel And Gsq Between Three Subgroups Attending A Local Aa Meeting To Develop A Profile Of Long Term Attendees, Keesha Masean Kerns

Counseling & Human Services Theses & Dissertations

Alcoholics Anonymous groups are growing in popularity due to their cost effectiveness and history of dependability. Although the program clearly has the numbers to support its popularity, skeptics continually analyze its claims of effectiveness through research. While research pertaining to AA is diverse, very little is presented concerning factors that contribute to retention in the program. The primary purpose for this quantitative study was to investigate the similarities and differences in the various stages of participants of a sample attending a local AA program, identify variables that contribute to retention in the AA sample, and to use Grounded Theory to …

Initial Development And Validation Of The Rural Competency Scale, Cassandra Gail Pusateri

Counseling & Human Services Theses & Dissertations

Rurality is a term that can be used to describe rural residency and the cultural characteristics of rural individuals and areas. The counseling profession has increased its attention to culture with the development of the multicultural counseling competencies (Sue, Arredondo, & McDavis, 1992) and assessments designed to measure competency levels for providing services to diverse clientele (e.g., Kim, Cartwright, Asay, & D'Andrea, 2003; LaFromboise, Coleman, & Hernandez, 1991; Ponterotto, Gretchen, Utsey, Rieger, & Austin, 2002; Sodowsky, Taffe, Gutkin, & Wise, 1994). However, the commonly used definitions of culture as well as the instruments available to measure multicultural counseling competence do …

Counselor Demographics, Client Aggression, Counselor Job Satisfaction, And Confidence In Coping In Residential Treatment Programs, Erik Braun

Counseling & Human Services Theses & Dissertations

Counselors at residential agencies are sometimes assaulted by physically aggressive clients (Flannery & Walker, 2001, 2008). As a possible result of this professional hazard, mental health professionals typically resign from residential counseling positions after approximately 14.6 weeks (Connis, 1979). Although job satisfaction and counselor confidence in coping with client aggression have been widely studied individually in the context of residential settings, researchers have examined these variables together. The overarching purpose of this study was to examine the association between counselor demographic characteristics, agency/environmental characteristics, and crisis intervention training and job satisfaction and confidence in coping with client aggression. Data were …

Experiences Of The Process And Outcomes Of Group Dream Work, Penny Makris

Counseling & Human Services Theses & Dissertations

Clients often wish to discuss their dreams in counseling sessions in order to make sense of their waking experiences. Although the efficacy of dream work has been indicated in numerous studies, other studies indicate that a majority of therapists report a lack of knowledge in working with dreams. The purpose of this qualitative heuristic design study was to explore the experiences of individuals participating in dream work groups that use the Ullman method as a foundation for exploring and finding meaning and waking life relevance from dreams. The Ullman method features a series of structured steps in which all group …

Experiences And Perceptions Of Mental Health Professionals Considered Effective In The Diagnosis And Treatment Of Adults With Attention Deficit Hyperactivity Disorder, Bonita H. Erb

Counseling & Human Services Theses & Dissertations

Attention Deficit Hyperactivity Disorder (ADHD) is a disorder that has been documented in medical and mental health literature for over 100 years (Still, 1902). ADHD is a neurobiological based disorder characterized by three major symptoms identified at clinical levels and validated by diagnostic criteria established for the diagnosis of children before the age of seven (Diagnostic and Statistical Manual of Mental Disorders, 4 th edition-Text Revision; DSM-IV; American Psychiatric Association, 2000). The three diagnostic criteria are inattention, impulsivity, and hyperactivity that have been observed at clinical levels.

Because many signs of the disorder were believed to discontinue …

The Effectiveness Of Anger Management Programs With Court Mandated Clients: A Provider Perspective, Mary A. Sanderfer

Counseling & Human Services Theses & Dissertations

Arrest for criminal offenses sometimes result in court systems mandating that offenders attend anger management treatment programs. Mandated anger management treatment places a demand on mental health professionals to provide these services. In order to prepare counselors to be effective in providing services, it is important for counselor educators to examine counselors' beliefs and attitudes about mandated anger management treatment. Using a survey method, this study asked counselors to rate the degree they perceived the anger management treatment they provide to be effective and to rate the degree they perceived they were prepared in their training programs to provide anger …

An Exploration Of The State-Trait Continuum In Counseling And Positive Psychology, Michael A. Keefer

Counseling & Human Services Theses & Dissertations

Counselors value remaining positive in the face of adversity. Consequently, positive psychology has placed an emphasis on uncovering how long-enduring positive traits (e.g., hope, wisdom, and creativity) can be developed from short-term positive states. This search has resulted in positive psychology's conceptualization of a state-trait continuum. This study explores the state-trait continuum by examining possible quantitative relationships between a state instrument (the Learning Environment Preferences) and a trait instrument (the Myers-Briggs Type Indicator). Research question 1 found a significant predictive relationship between two MBTI scales (S-N and J-P) and the LEP's cognitive complexity index. Research question 2 found a significant …

Factors Impacting Counselor Competency When Counseling Sexual Minority Intimate Partner Violence Victims, Ryan Hancock

Counseling & Human Services Theses & Dissertations

A queer theory perspective and grounded theory techniques were used to examine perceptions of counselor competency with sexual minority intimate partner violence victims. Ten counselors participated in two rounds of individual interviews. Results indicate that beneficial aspects of competency development occurred prior to, during, and after their graduate counseling program. Training deficits and personal impediments were also identified. Implications for professional associations, supervisors, and counselor educators are discussed.

Using The Counseling Center Assessment Of Psychological Symptoms - 34 (Ccaps-34) To Predict Premature Termination In A College Counseling Sample, Sean B. Hall

Counseling & Human Services Theses & Dissertations

Swift and Greenberg (2012) observed that variables influencing the decision to drop out fluctuate according to the primary presenting problem, the amount of structure in therapy, the length of treatment, and the clinical setting. Due to these reports, researchers may focus on predictors of premature termination (PT) in treatment settings where the unique situational characteristics may have an idiosyncratic influence on the decision to withdraw from services (Phillips, 1985; Swift & Greenberg, 2012). The purpose of this exploratory study was to examine client characteristics that impact dropout in University Based Clinics (UBC). Results from the logistic regression analysis indicated higher …

Conditions For Empathy In Medicine: A Grounded Theory Study, Hannah Barnhill Bayne

Counseling & Human Services Theses & Dissertations

Previous research in the medical setting has credited empathy with improving treatment outcomes and patient satisfaction, though operational definitions of the concept are widely varied and indicate inconsistencies in conceptualization and subsequent assessment. The purpose of this grounded theory study was to examine the role of empathy in the medical setting. A model of conditions for empathy in medicine was developed through in-depth interviews with 21 healthcare professionals, utilizing their professional experiences and perspectives to structure the multi-level model. The seven levels of the model indicate the layers of complexity inherent in facilitating optimal empathy in medicine and add to …

Treating Trauma Survivors With Neurofeedback: A Grounded Theory Study Based On The Practices Of Experienced Mental Health Professionals, Christine L. Currie

Counseling & Human Services Theses & Dissertations

Neuroscience, the mental health field, and the concept of trauma as an underlying factor in mental and physical disorders have been inextricably linked since the inception of the mental health professions. Numerous quantitative studies have indicated that neurofeedback may be effective in ameliorating trauma symptoms; however, there is a paucity of research exploring the factors that produce those positive outcomes. The purpose of this qualitative grounded theory study was to explore the factors and processes that influence treatment outcomes when neurofeedback is used with trauma survivors. Thirty interviews were completed with ten experienced mental health and neurofeedback professionals identified through …

The Relationship Of Cognitive Development Level, Supervision, And Counselor Skills In Preparing Counselors, Margaret Jean Jensen

Counseling & Human Services Theses & Dissertations

The focus of this study was the exploration of specific developmental dimensions that may have an impact on the counselor training process, which ultimately will affect the quality of care offered by counselors to clients. Specifically, the relationship of cognitive developmental level and counseling competency skills was examined to determine if a relationship exists between the two dimensions and if so, can a counselor trainee's developmental level predict his or her level of counseling skills. Thirty master level counseling students (trainees) participated in this study during practicum or internship. The trainees were rated by their supervisors on both a measure …

A Mixed Methodological Analysis Of The Role Of Culture And Diagnostic Variance Among Counselors And Counselor Trainees, Elizabeth A. Prosek

Counseling & Human Services Theses & Dissertations

As the U.S. population continues to diversify, counselors are challenged to respond to the interface of culture and mental health concerns of clients (Gushue, Constantine, & Sciarra, 2008). It is important for counselors when making clinical decisions to reflect on the diverse needs of clients as well as the potential impact of cultural factors on mental health (Sue & Sue, 2008). Accordingly, this study sought to investigate the clinical decision-making process among counselors and counselor trainees and how, if at all, cultural factors influence the case conceptualization of clients. The study also investigated how counselors and counselor trainees collect and …

The Role Of Supervisor-Supervisee Cultural Differences, Supervisor Multicultural Competence, And The Supervisory Working Alliance In Supervision Outcomes: A Moderated Mediation Model, Stephanie A. Crockett

Counseling & Human Services Theses & Dissertations

As the United States population grows more diverse, many counseling professionals have called for attention to the cultural issues present in clinical supervision. Existing research suggests that the supervisor's level of multicultural competence and the strength of the supervisory working alliance may affect the relationship between supervisor-supervisee cultural differences on supervision outcomes. Accordingly, the study sought to address how cultural differences between the supervisor and supervisee, supervisor multicultural competence, and the supervisory working alliance impact supervisee counseling self-efficacy and satisfaction with supervision.

The study examined the plausibility of a moderated mediation model, derived from the literature, using a sample of …

Supervision Competencies For Counselor Education Doctoral Graduates: A Delphi Study, Anita Ann Neuer

Counseling & Human Services Theses & Dissertations

Counselor educators and supervisors are familiar with the use of competencies for training future clinicians but the extant literature lacks a set of competencies for use in training future counselor supervisors. The purpose of this study was to develop and validate a list of supervision competencies experts agree should be demonstrated by new doctoral counseling graduates for their work with master's students, pre-licensed or licensed counselors, and doctoral students. The research design included two expert panels, an amended Delphi poll, and a content validity assessment. These procedures resulted in a consensus list of 33 supervision competencies that appear to be …

Attitudes Of Counselors Regarding Ethical Situations Encountered By In-Home Counselors, Justin Douglas Lauka

Counseling & Human Services Theses & Dissertations

This survey study explored the attitudes of in-home and outpatient counselors in Virginia regarding ethical situations encountered by in-home counselors. Differences in responses were examined across several variables to identify any relationships among those constructs that are salient to in-home counseling and ethics. Of 108 participants, no significant differences were found between the two groups. One variable was found to predict counselors' responses: the percent counselors provide counseling services compared to case management. The item seen as most ethical involved telling a client to apply for needed services, surprising, given its directive nature that runs counter to the counseling profession. …

The Preparation Of Master's Level Professional Counselors For Positions In College And University Counseling Centers, Brian M. Shaw

Counseling & Human Services Theses & Dissertations

College and university counselors are tasked with performing a multitude of roles and meeting a variety of client needs unique from other counseling settings. It is important to examine the ability of counselors who work in these settings to determine if they have been adequately prepared. This study investigated the adequacy of preparation of entry-level master's level professional counselors for work in college and university counseling centers. Adequacy of preparation was examined by surveying college and university counseling center directors about their perceptions regarding the ability of entry-level master's level professional counselors to perform specific roles and meet relevant client …

Counselor Attitudes Toward The Harm Reduction Approach In Substance Abuse Treatment, Nicole Marie Kyser

Counseling & Human Services Theses & Dissertations

In the United States, the preferred method for treating alcohol and drug addictions is the abstinence based approach. While most American mental health professionals use this approach, studies over time have demonstrated that relapse rates remain high. In Europe, the harm reduction approach, in which the primary goal is to decrease the harms associated with substance use, is beginning to be implemented as an additional approach to abstinence. Although the outcomes of the harm reduction approach are not yet clear, countries that utilize harm reduction have seen a decrease in crime, wages lost, and hospitalizations due to alcohol and drug …

The Effectiveness Of Counselors As Care Managers In Improving Self-Management And Medical Outcomes In Persons With Poorly Controlled Diabetes, Ularisi Rebecca Green

Counseling & Human Services Theses & Dissertations

This study investigated whether providing counselors as care managers to individuals who were having difficulty managing their Type II diabetes improved their self-management, health, and functioning. Counselors used the Motivational Interviewing Model and met weekly over a six month period with patients who had Type II diabetes who had been identified as not functioning well in managing their disease. The success of the intervention was determined by a number of measures including physical symptoms of patients; patients' perceptions of the care they received; and patients' self-efficacy in managing their diabetes. The results of this study suggested that providing counselors as …

Urban School Counselors' Perceptions Of Low-Income Families, Rebekah F. Cole

Counseling & Human Services Theses & Dissertations

There is a paucity of research on the topic of professional school counselors and their perceptions of families. The purpose of this phenomenological, qualitative study was to examine how urban professional school counselors perceive low-income families in their schools. To accomplish this investigation, ten school counselors in two urban school districts were interviewed twice and were then sent an email with follow-up questions. The data was analyzed for themes and patterns, which were subjected to verification procedures. Three categories emerged from the data: urban school counselors' perceptions of the low-income families in their schools, effects of school counselors' perceptions on …

Inpatient Group Psychotherapy: Predicting Attendance And Participation, Sharon E. Silverberg

Counseling & Human Services Theses & Dissertations

Inpatient group psychotherapy is one of the primary talk therapy interventions offered to patients necessitating acute psychiatric treatment. Research indicates that patients who attend and participate in group psychotherapy sessions while admitted to psychiatric hospitals have a lower rate of recidivism and are more successful in the community utilizing lower levels of psychiatric care. Unfortunately, not all patients attend group psychotherapy while admitted to a psychiatric facility and therefore do not benefit, possibly contributing to non-compliance with community-based treatment and readmissions to inpatient psychiatric institutions for stabilization and safety. This lack of participation in group psychotherapy deprives the patient the …

The Influence Of Rape Empathy And Demographic Variables On Counselor Rape Myth Acceptance, Julia M. Forman

Counseling & Human Services Theses & Dissertations

In 2007, 248,300 individuals were raped (National Crime Victimization Survey [NCVS], 2007). It is likely that counseling professionals will provide services to rape survivors, and they should be aware of their biases towards survivors so that they can provide the most competent care possible. Some biases and attitudes may stem from the acceptance of rape myths. Rape myth acceptance (RMA) can lead to blaming the survivor for an attack (Campbell & Raja, 1999) and other consequences, including the exacerbation of psychological and physical symptoms (Campbell, Ahrens, Sefl, Wasco, & Barnes, 2001). Furthermore, a lack of rape empathy may inflict injury …

The Association Between Parental Perceptions Of Children's Residential Mental Health Treatment And The Parent-Child Relationship, Susanne Elizabeth Preston

Counseling & Human Services Theses & Dissertations

Residential mental health treatment for children as an intervention for children is increasing, potentially affecting the relationship within families. The purpose of this study was to examine the parental perspectives of the associations between the parent-child relationship and children's residential mental health treatment. This study explored parental perspectives of specific aspects of the parent-child relationship: parental support, satisfaction with parenting, parental involvement, communication, and limit setting-and the association between these aspects and the child's residential mental health treatment. Paired samples t-tests were conducted; resulting in statistically significant changes on all scales measured, with varying effect sizes. Results indicated parents …

The Role Of Optimism And Working Alliance And Its Utility In Predicting Therapeutic Outcomes In Counseling Relationships, Michael A. Hauser

Counseling & Human Services Theses & Dissertations

Achieving positive therapeutic outcomes is the goal of all involved in the mental health field. The last 10 years have seen ever increasing demands for recognition of the elements that constitute empirically supported treatments (EST) and research on those elements, not only by professionals in the mental health field but also by third party providers (health insurance companies) and clients. Yet over the course of this increasing demand, research has repeatedly, and authoritatively, demonstrated that the most significant and consistent contributor to therapeutic outcome is the working relationship between client and counselor, not specific theoretically-bound techniques.

In spite of the …

Traumatic Stress As A Predictor Of Suicidality, Sherry Malana Todd

Counseling & Human Services Theses & Dissertations

Suicide is a deliberate act of annihilation against one's self due to a crisis of problem solving. Far too many youth are dying by their own hands resulting in suicide being the third leading cause of death for 10-19 year olds (CDC, 2005). Suicide is particularly problematic for adolescents due to the impulsivity inherent in adolescent development. Since 1980, the national suicide rate of African American youth has increased by 114 percent (CDC). Suicidality has been positively correlated with depression and posttraumatic stress disorder (PTSD; Kessler et al., 1999). Suicidality is more prevalent when a person experiences a tragic or …