Counseling Psychology Commons^™

The Relationship Between Adverse Childhood Experiences, Protective And Compensatory Experiences, And Parenting Attitudes Among Fathers, Kylie Schmidt

Dissertations

Adverse childhood experiences (ACEs) are defined as potentially traumatic events that occur in childhood particularly between the ages of 0 and 17 years that negatively influence long-term health, relational functioning, and parenting practices (Centers for Disease Control and Prevention, 2026; Felitti et al., 1998; Merrick et al., 2019). Conversely, protective and compensatory experiences (PACEs) have emerged as protective factors that foster resilience and possibly buffer against the adverse outcomes of ACEs (Narayan et al., 2018). As the existing research has greatly focused on mothers, little is known about how men’s early life experiences shape their parenting attitudes, particularly during the …

The Primary Care Brief Intervention Competency Assessment Tool (Bi-Cat): Examining Reliability And Validity, Arielle Guillod

Dissertations

Within primary care, the Primary Care Behavioral Health (PCBH) model integrates behavioral health services into medical settings through brief, population‑based interventions delivered by behavioral health consultants (BHCs). Although effective performance in this role requires competencies distinct from traditional mental health practice, few psychometrically sound tools exist to assess clinical skills in primary care. The Brief Intervention Competency Assessment Tool (BICAT) is commonly used for this purpose but lacks published evidence supporting its reliability and validity. This dissertation examined the psychometric properties of the BICAT across two studies. Study 1 evaluated factor structure, internal consistency, and construct validity in a heterogeneous …

Examining The Relationship Between Trauma-Informed Safety Drill Practices And School-Level Chronic Absenteeism In Maine Secondary Schools, Tina Nightingale

Dissertations

School safety practices can influence students' perceptions of safety, emotional well-being, and engagement in the educational environment; however, limited research has examined whether trauma-informed safety drill practices are associated with measurable educational outcomes. The purpose of this quantitative, non-experimental, correlational study was to examine the relationship between trauma-informed safety drill practices and school-level chronic absenteeism in Maine middle and high schools. Guided by trauma-informed care, adolescent neurodevelopment, and Protection Motivation Theory, the study investigated whether higher levels of trauma-informed implementation of safety drills, as measured by the Trauma-Informed Safety Drill Practices Index (TISDPI), were associated with lower rates of chronic …

Exploring Primary Care Providers’ Compassionate Care And Their Evidence-Based Practice With Death, Grief, And Loss: Patient Experience And Perspective, Kathryn Krzykala

Dissertations

Research on primary care providers’ (PCPs) education regarding Death, Grief, and Loss (DGL) remains limited. Specifically, data is lacking regarding patients' perceptions and opinions on what they need and expect from their PCPs regarding grief and loss. This exploratory mixed-method study comprised 146 participants who had experienced death and non-death loss. It examined participants' perceptions of 1) PCP compassion, 2) PCP utilization of evidence-based grief and loss practices, 3) their own level of comfort discussing DGL with their PCPs during medical visits, and 4) their personal grief and loss experiences. The findings revealed that PCPs' grief-informed evidence-based treatment, as reflected …

An Untapped Resource: Exploring The Role Of Spirituality In The Psychological Healing Of African Asylum-Seekers From A Counselor’S Perspective, Brittany A. Duncan

Dissertations

This qualitative study explored how counselors perceive and integrate spirituality into the psychological healing of African asylum-seekers, a population facing compounded cultural, legal, and existential challenges. Using interpretative phenomenological analysis, the study examined the lived experiences of eight counselors working with this population. Findings revealed that counselors’ personal sense of religion influenced their comfort and approach in broaching spiritual topics, with both positive (e.g., spirituality as a source of support and community) and negative (e.g., religion as a source of suffering) associations shaping clinical engagement. Many participants reported limited access to trainings geared towards increasing their cultural competence related to …

Three Funny Things: A Multicultural Validation, Jon Hook

Dissertations

This dissertation evaluated the efficacy of Three Funny Things, a humor-based positive psychology intervention (PPI) designed to enhance subjective well-being (SWB) and reduce depressive symptoms. Subjective well-being was operationalized through self-reported happiness, measured by the Authentic Happiness Inventory (AHI), and depressive symptomatology, measured by the Center for Epidemiologic Studies Depression Scale (CES-D). A repeated-measures design was employed across three time points: baseline (Time 1), post-intervention (Time 2), and one-month follow-up (Time 3). Participants (N = 126) represented a racially diverse community sample, including individuals identifying as White (61%), Black or African American (18%), Hispanic or Latino/a (11%), Asian (6%), and …

Assessing The Impact Of Therapeutic Alliance On Client Satisfaction And Unilateral Termination Reasons, Eric Washington

Dissertations

Unilateral termination is a pervasive issue that has persisted since the inception of mental health services. The act of terminating needed services impacts not only on the client but also the provider, community, family, and stakeholders. The therapeutic alliance established during the counseling process is a well-established predictor of outcome in mental health services. The purpose of this study was to examine the relationship between unilateral termination reasons, satisfaction, and working alliance. A total of 390 participants responded to the online survey resulting in the descriptive results of Working Alliance Inventory-12 (M = 3.93, SD = .83), Client Satisfaction Questionnaire-4 …

More Than Trauma: The Story Of Intergenerational Survival, Tiffany Fang

Dissertations

Parental trauma can have a profound effect on children. The process of passing along traumatic experiences, known as the intergenerational transmission of trauma (IGT) and the process of passing along adaptations to these adverse circumstances, known as the intergenerational transmission of resilience (IGR), have been explored in populations such as survivors of the Holocaust and war refugees (Danieli et al., 2017; Kellermann, 2001; Sangalang & Vang, 2017). This study sought to extend findings to Chinese American immigrant families, many of whom experienced trauma in the form of war, sociopolitical violence, and poverty in 20th-century China. Despite the presence of these …

The Development And Validation Of The Measure Of Critical Reflection, Yea Jin Chang

Dissertations

Critical reflection, a component of critical consciousness, is defined as a metacognitive ability that is engaged when identifying, critiquing, and transforming social oppression. This study developed and validated the Measure of Critical Reflection, with items that assess participants’ cognitive ability to critically reflect and are framed to be generalizable across time and social contexts. Items were generated through literature review and interviews with critical consciousness educators and data was collected across two samples for factor structure analysis (N = 300) and replication and validation (N = 286). Results confirmed that a unidimensional model was most appropriate to represent the data …

Investigating Queer Asians' Accultrative Resilience And Wellbeing, Yiyu Cheng

Dissertations

This dissertation examines the role of resilience factors in moderating the effects of acculturative stress on the well-being of queer Asian Americans. A total of 181 survey responses were collected from queer-identified Asian Americans over the age of 18 residing in the United States. Using hierarchical multiple regression analysis, this study explores three models incorporating two identity resilience factors (ethnic identity salience and queer identity salience), two community resilience factors (ethnic community support and queer community support), and two intersectional resilience factors (queer Asian identity salience and queer Asian community support). Well-being was assessed through life satisfaction, negative affect, and …

How Was Rehab? A Follow-Up To A Randomized Effectiveness Control Trial Of A Brief Acceptance And Commitment Therapy Protocol For Inpatient Detoxification Patients, Alexander J. Twohy

Dissertations

Residential treatment for Substance Use Disorders (SUD) is a common treatment modality. However, the literature is sparse on modifiable predictors that affect change during the residential treatment stay. Acceptance and Commitment Therapy (ACT) has been shown to be an effective treatment for SUDs. Weststrate et al. (2023), in a randomized controlled effectiveness trial, compared ACT plus medication management to medication management during detoxification. The addition of ACT increased consumer satisfaction and ACT skills use, while decreasing psychological inflexibility and reducing withdrawal symptoms.

This study explored whether the brief ACT intervention had impacts during participants' subsequent residential stay. Forty out of …

Investigating The Effects Of Drinking Environments On Alcohol Protective Behavioral Strategy Use, Perceived Self-Efficacy, And Perceived Effectiveness Through Experimental Vignette Design, Skyler Hoover

Dissertations

Derived from a Social Cognitive Theory framework (Bandura, 1986), the aim of this study was to assess the impact of different drinking environments on college students’ expected use of alcohol protective behavioral strategies, perceived effectiveness of those strategies, and perceived self-efficacy to use them. To accomplish this, we sought out to create and employ experimental vignettes consisting of a bar/club or party drinking environment in a two-part study. Study one aimed to pilot test the vignettes prior to their use in study two, whose aim was to test our initial hypotheses. Both analytic samples were recruited from a nationwide participant …

Parenting For Wellness: Positive Parenting Factors As Predictors Of College Student Physical Health, Mental Health, And Social Connectedness Through The Lens Of Self-Determination Theory, Mary E. Lamkin

Dissertations

Research suggests that the transition to college can impact college student well-being across the domains of physical health, mental health, and social connectedness (Frech, 2012; Pittman & Richmond, 2008; Xiao et al., 2017). As parents are more heavily connected to their college-aged students when compared to years before cell phones and social media, they likely continue to play a significant role in their child’s well-being, even while they are in college (Wartman & Savage, 2008). Therefore, the aim of this dissertation was to investigate positive parenting behaviors as predictors of wellness in college-aged participants using Self Determination Theory (Ryan & …

Seen And Heard: A Visual Testimony Of Purity Culture Using Qualitative Photovoice Methodology, Amanda Brown

Dissertations

Purity culture, rooted in Christian teachings, has profoundly shaped individuals’ identities, relationships, and perceptions of sexuality, gender, and faith. While popular culture is talking about the effects of purity culture, scholarly literature is lacking. This study employed photovoice methodology to center the voices of those who grew up in purity culture, using photography and personal narratives to explore its long-term effects. The study focused on how individuals who have experienced purity culture articulate and visualize their stories, revealing nuanced insights across seven thematic domains: gender expectations, romantic relationships, faith, mental health, identity formation, sex and sexuality, and healing and …

Bridging The Gap: Exploring The Intersection Of Formal Mental Health Services And Informal Social Supports In Bipoc Communities, Patrice D. Patton-Campbell

Dissertations

Despite growing awareness of mental health disparities, BIPOC (Black, Indigenous, and People of Color) communities continue to face significant barriers in accessing culturally responsive mental health care. This dissertation explores the intersection between formal mental health services and informal social supports such as family, religious institutions, and community networks to understand which systems are more trusted, accessible, and effective for BIPOC individuals. Grounded in Urban Liberation Psychology and guided by decolonial and culturally responsive care frameworks, this qualitative study draws from focus groups and interviews with 33 participants, including both community members and service providers from the Chicagoland area and …

Useful Measures Of Adult Attachment And Object Relations In Psychotherapy, Matilde A. Torallas Huerta

Dissertations

This is a literature review of objective and projective measures of attachment and object relations in adults, with the objective of reviewing outstanding research to identify the key factors for adult attachment assessment considered within attachment and object relations theories, what measures of adult attachment styles and dysfunction work best, and to provide key themes of assistance in the measurement of attachment and object relations in adult clients in psychotherapy. Theoretical foundations of attachment and object relations theory are reviewed as well as objective and projective instruments grouped by format. The 10 themes found to be useful in the assessment …

Self-Awareness And Self-Efficacy In The Novice Professional Phase Of Marriage And Family Therapists After Person Of The Therapist Training, A Comparative Survey, Rubio Betsabé

Dissertations

The study focuses on examining the influence of person-of-the-therapist or self-of-the-therapist training on therapists’ self-reports of self-awareness (as a conscious awareness of one’s internal states and interactions with others) and self-efficacy (perceived beliefs in personal capabilities to perform in ways that give control over events that affect their lives) at the novice professional stage of their career. The study will examine the experiences reported by mental health providers actively providing clinical care by utilizing a survey design focusing on person of the therapist connecting through alumni lists and online solicitation. This research adds to the current literature by using a …

What About The Children? An Exploration Of Family Counselors' Play Therapy Training And Preparedness To Integrate Children Into Family Counseling, Patricia J. Walker Monical

Dissertations

Children are an important part of families, yet family counselor education programs often do not incorporate training for including children in family counseling. At some point in their careers, family counselors and therapists will encounter clients who have children 3–12 years old. The problem is that since these professionals often receive little to no training in play therapy and thus do not typically include young children in family therapy, these younger family members are often overlooked. Research has confirmed that, due to a lack of sufficient training and supervision in play therapy, many family therapists report feeling unprepared to work …

Bipoc Counseling And Health Service Psychology Graduate Students’ Experience Of Racism And Sense Of Belonging: A Conditional Mediation Analysis Of Coping And Social Support, Erica Pinney

Dissertations

This study sought to understand the relationship between experiences of racism within academic settings and sense of belonging to the field of Counseling/Health Service Psychology (C/HSP) for BIPOC graduate students. Further, this study sought to understand the potential mediating role of engagement coping in this relationship, as well as the conditional effect of high, neutral, or low perception of race-related social support from faculty/peers. Two-hundred forty-nine BIPOC C/HSP students responded to survey questions measuring frequency of racial/ethnic microaggressions, sense of belonging to C/HSP, engagement styles of coping with racism (Education/Advocacy and Resistance), and perception of availability of racism-related social support …

Asian Americans’ Experiences Of Covid-Related Discrimination: Collective Identity, Critical Consciousness, And Intergroup Solidarity, Han Na Lee

Dissertations

The outbreak of the coronavirus disease (COVID-19) has stirred fear and panic with a surge of anti-Asian hate in the United States. Racial discrimination was exacerbated by labeling COVID19 as “the Chinese virus” and blaming Asians and Asian Americans as the source of the virus. Within the exacerbated xenophobic and racist rhetoric since the COVID outbreak in 2019, racial discrimination was amplified towards anyone who phenotypically presented as “Asian.” It is unclear how various Asian ethnic individuals identify with their Asian American identity while experiencing the intensified discrimination. Specifically, experiencing COVID-related racism and group-based rejection may increase or decrease Asian …

Reclaiming Healing Spaces: A Phenomenological Study On The Transformative Power Of Outdoor Therapy From The Lived Experiences Of Black Clinicians Working With Black Clients, Lynn Murphy

Dissertations

This phenomenological study involved assessing the experiences of Black therapists who engaged Black clients in outdoor therapeutic contexts. The study was founded on the existing literature that shows the quality of the therapeutic relationship is pivotal for client retention and the Western standards that have historically favored treatment within indoor environments. To contextualize this research, a comprehensive literature review was commenced, covering topics such as the decolonization of therapy, the historical and present-day relationship between Blacks and the outdoors in the United States, sedentary lifestyles, the psychological benefits of time spent in nature, various types of outdoor therapy, and the …

Counselor Education Doctoral Student Supervisors’ Preparedness To Address Indirect Trauma: Compassion Fatigue, Secondary Traumatic Stress, And Vicarious Trauma, Dynetta Clark

Dissertations

Hearing the painful stories of clients (indirect trauma) has been described as an occupational hazard for professionals working with trauma survivors and is becoming more common among mental health professionals. This might include counselors struggling with intrusive thoughts and having flashbacks of victimization, counselors viewing the world as an unsafe and unpredictable place, and/or counselors experiencing a loss of ability to empathize with clients. Clinical supervision is documented as an effective strategy to reduce the adverse effects of indirect trauma symptomology. A signature component of most counselor education and supervision doctoral programs is the training and preparation of students to …

Black Women’S Instagram Usage And Body Dissatisfaction, Shirlee Buchanan Moore Jr.

Dissertations

Within U.S. culture, girls and women of all ages are subject to experiencing body dissatisfaction. This dissatisfaction often results from direct comparison of one’s body to others, often via media depictions. Viewing these images prompts women of all cultures to engage in social comparison and learn to view themselves through an observer’s perspective. The advent of contemporary social media has increased the accessibility of images of others and, subsequently, social comparison of one’s body to others. Research has noted that women of all racial backgrounds utilize social media and experience varying degrees of satisfaction and dissatisfaction with their bodies. Despite …

Understanding The Barriers And Contributions To Success Among African American Graduate Students Pursuing Doctorate Degrees In Clinical Or Counseling Psychology: A Comparative Analysis Of Predominantly White Institutions And Historically Black Colleges And Universities In The U.S., Chelle' Thomas

Dissertations

This study investigated the barriers encountered by African American students in earning doctorate degrees in clinical or counseling psychology at Predominately White Institutions (PWIs) compared to Historically Black Colleges and Universities (HBCUs). This study aims to elucidate the challenges encountered by African American graduate students in their pursuit of doctoral degrees in clinical or counseling psychology. The study focused on analyzing the obstacles and positive impacts experienced by African American graduate students as they strive to obtain doctorates in clinical or counseling psychology. Multiple challenges and contributions have been identified in this a phenomenological qualitative study. The qualitative results indicate …

The Association Between Social Media, Toxic Masculinity, And Depression In Young Adult Males, Anthony Warren

Dissertations

The world is shaped by diverse influences that significantly affect individuals’ internal landscapes, leading to both positive and negative effects with profound implications for society. Role models play a pivotal role in shaping the aspirations of young adult males by providing direct and indirect lessons that leave lasting impressions and influence their worldview. In recent years, social media use, toxic masculinity, and mental health have garnered significant attention in understanding the experiences of young adult males. The focus in this study was to examine the relationships between social media use, toxic masculinity, and depression in young adult males ranging in …

Adverse Childhood Experiences And Career Decision Making In College Students: Investigating The Moderating Effects Of Perceived Covid-19 Impact And Ambiguity Tolerance, Kendall Klumpp

Dissertations

College students face many difficult decisions as they navigate adulthood, including making a decision about their career. Although much research has already been conducted to explore these difficulties, little has explored the potential impact of adverse childhood experiences (ACEs) on one’s career-related cognitions. Further, the COVID-19 pandemic has provided a new context in which difficulties with career-related decisions may be exacerbated. Through the lens of psychological stress, the current study examined the responses of 231 undergraduate students using a university-based online participant recruiting site, SONA. It was predicted that level of ACEs would be positively related with levels of negative …

White Counseling Psychology Doctoral Trainees’ Experiences Broaching Whiteness With White Clients: An Interpretative Phenomenological Study, Zari Koelbel Carpenter

Dissertations

This research builds upon scholarship of critical theorists and critical whiteness studies. The “invisibility” of whiteness has been increasingly acknowledged and attended to in counseling psychology. Further, prominent scholars have continuously urged the field of counseling psychology to acknowledge race as a psychological characteristic of white people (Helms, 2017; Helms & Carter, 1990a). Attention to whiteness is needed, as the majority of the counseling workforce, including doctoral students (55%), identifies as white (American Psychological Association, 2020). As racial identity development can advance the personal and professional development of white counseling psychologists and benefit clients, increased attention is merited for the …

Development And Preliminary Validation Of The Internalized Heterosexist Racism Measure For Sexual Minorities Of Color, Juan Pantoja-Patino

Dissertations

Research on intersectional internalized oppression among sexual minorities of color is scant. One of the reasons as to why such oppression is understudied amongst such population is the lack of psychological measures. At the same time, sexual minorities of color are faced with the negative impact of living in a racist and heterosexist society. Therefore, this study is one of first to develop and preliminarily validate the Internalized Heterosexist Racism Measure (IHRM) that evaluates internalized heterosexist racism in sexual minorities of color. By applying an intersectionality framework, the IHRM was generated from an extensive literature review and then reviewed by …

Exploring The Relationship Between Partner Boundary Flexibility Congruence And Well-Being Outcomes While Work From Home During Covid: The Mediation Of Dyadic Empathy, Huaying Li

Dissertations

This study integrates person-environment fit theory and boundary theory to examine the influence of congruence in work and family boundary management on the well-being of couples working from home during the COVID-19 pandemic. Focusing on the differences in work and family boundary management preferences between spouses, the study assesses the effects on dyadic empathy (empathic concern and perspective-taking), marital satisfaction, and job performance. Utilizing latent congruence modeling with survey data from 222 US employees, the study reveals that congruence (difference) in family flexibility between couples negatively impacts empathic concerns and perspective-taking. Conversely, actual transitions between work and family positively influence …

Long Covid Patients: A Phenomenology Study Exploring Mental Health And Psychosocial Adaptation To Disability, Tonia Joy Lans

Dissertations

In the United States, approximately 1 in 13 long COVID patients experience adverse complications two to three years post-recovery (Centers for Disease Control and Prevention, 2022), including physical, psychological, and cognitive impairment, issues with daily functioning, and difficulties returning to work (del Rio et al., 2020; Greenhalgh et al., 2020; Ladds et al., 2020; Logue et al., 2021). Moreover, collective research has indicated the debilitating complications of long COVID often result in impaired mental health, chronic illness, and disability. While significant research efforts have started to accumulate data to understand and treat the physical and neuro-logical manifestations of this chronic …