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Full-Text Articles in Counseling Psychology

Exploring Generational Difference Of Acculturation, Ethnic Identity And Racial Identity In Liberian Immigrants And Their Children Living In The United States, Breezie J. Gibson Aug 2021

Exploring Generational Difference Of Acculturation, Ethnic Identity And Racial Identity In Liberian Immigrants And Their Children Living In The United States, Breezie J. Gibson

Dissertations

Prior literature on immigrants has focused on the impact of acculturation for groups such as Asians and Hispanic or Latinx immigrants (Orjiako & So, 2014; Sall, 2019). Compared to these two groups, the literature on Black immigrants’ experience of acculturation is scarce. In addition to the minimum visibility of Black immigrants in the acculturation literature, there is also limited knowledge relating to differences in the ethnic identity and racial identity of Black immigrants because these immigrants are often grouped monolithically with minimum attention to their diverse countries of origin. Understanding the influence of acculturation, ethnicity, and race is important because …


Contingent Reinforcement And Instructed Generalization In A Laboratory Analog Of Functional Analytic Psychotherapy: A Mixed Within-Group, Between-Group Design, Rebecca Rausch Aug 2021

Contingent Reinforcement And Instructed Generalization In A Laboratory Analog Of Functional Analytic Psychotherapy: A Mixed Within-Group, Between-Group Design, Rebecca Rausch

Dissertations

Functional Analytic Psychotherapy emphasizes using social interactions in the therapeutic relationship to enhance interpersonal outcomes. The proposed mechanism of action in FAP is reinforcement provided by the therapist responding contingently to client improvements as they occur in session. The result is a stronger therapeutic relationship and improved social relating in daily life. Generalization is expected due to functional similarities inherent in interpersonal interactions and explicit attempts to link in-session learning to clients’ life via verbal descriptions and homework. The present study was a laboratory-based analog of the proposed processes occurring in FAP.

Using a modified fast friends’ procedure (FFP) and …


Workplace Microaggressions Experienced By Sexual Minorities: Relationships To Workplace Attitudes, Mental Health, And The Role Of Emotional Distress Tolerance, Dylan Richard Aug 2021

Workplace Microaggressions Experienced By Sexual Minorities: Relationships To Workplace Attitudes, Mental Health, And The Role Of Emotional Distress Tolerance, Dylan Richard

Dissertations

Overt discrimination against sexual minorities in the workplace has been a topic of research and current political debate. However, little is known about a more nuanced form of workplace discrimination against sexual minorities: microaggressions. However, research has established clear mental health consequences of everyday microaggressions (e.g., increased depressive and anxiety symptoms, suicidality, lower life satisfaction, and physical health symptoms) against racial and sexual minorities. The current study aimed to explore correlates of microaggressions in the workplace, specifically workplace attitudes (e.g., job satisfaction and job stress) and mental health symptoms (e.g., depression, anxiety, and stress). Further, emotional distress tolerance (EDT) was …


Changing Criminal Thinking: An Examination Of Heterogeneity In Treatment Effects In A Sample Of Justice-Involved Persons With Dual Diagnoses, Michael Lester Aug 2021

Changing Criminal Thinking: An Examination Of Heterogeneity In Treatment Effects In A Sample Of Justice-Involved Persons With Dual Diagnoses, Michael Lester

Dissertations

Recent studies have indicated variability in cognitive change for justice-involved persons with mental illness exposed to treatments for criminal thinking and psychiatric risk factors. Research suggests that proactive styles of criminal thinking may be more difficult to change than impulsive or reactive styles. To date, however, no studies have identified risk factors for a limited response or modeled observed disparities in responsivity to interventions aimed at reducing criminal thinking. Using an archival dataset comprising 206 probationers with a dual diagnosis who were exposed to active CBT-based treatment, a latent profile analysis modeled unobserved heterogeneity in treatment response per observed changes …


The Power Of Presentation: How Attire, Cosmetics, And Posture Impact The Source Credibility Of The Female Expert Witness, Alexandra Repke Aug 2021

The Power Of Presentation: How Attire, Cosmetics, And Posture Impact The Source Credibility Of The Female Expert Witness, Alexandra Repke

Dissertations

While previous research has examined behavior-based presentation styles of the female expert witness in light of source credibility, further research is required to examine the effect of other modifiable factors on her credibility, since perceived credibility affects the intermediate judgments that lead to ultimate legal decisions. This study investigated the impact of both behavior-based (i.e., posture) and appearance-based (i.e., attire and cosmetic use) factors on the female expert witness’ source credibility Model attractiveness served as a covariate in this study. A four-way (2 x 2 x 2 x 2) between-subjects analysis of covariance (ANCOVA) revealed that, beyond an effect of …


Attachment Quality Across Contexts: The Mediating Role Of Cognitive-Affective Traits, Christian Ammons Aug 2021

Attachment Quality Across Contexts: The Mediating Role Of Cognitive-Affective Traits, Christian Ammons

Dissertations

Attachment quality throughout the lifespan has been found to be impacted by a variety of factors including prior attachments with parents and other adults (Rholes, Simpson, & Friedman, 2006). The mechanisms that impact the transmission of attachment to parent-child attachment quality has not been fully explored. Individual differences such as traits involving appraisal of self and others and affective components have been found to be important in relationship functioning across contexts (Eisenberg, 2000). Thus, the current study evaluated the relationship between adult attachment quality and parent-child attachment quality and specifically examined the mediating effects of cognitive-affective traits (i.e. trait forgiveness, …


Racial Identity, Masculinity, And Academic Help-Seeking Behaviors In African American Male College Students, Walter T. Malone Aug 2021

Racial Identity, Masculinity, And Academic Help-Seeking Behaviors In African American Male College Students, Walter T. Malone

Dissertations

The purpose of this study was to examine the influence of Black racial identity attitudes, as measured by the Cross Racial Identity Scale (CRIS), and masculine norms, as measured by the Conformity to Masculinity Norms Index -46 (CMNI-46), in relation to men's academic helpseeking behavior. Participants were 120 African American undergraduate males at a historically White university in the Midwest region of the United States. Four hypotheses were designed to help guide the measure's influences on two academic help-seeking variables, avoidance and perceived benefits. The first and second hypotheses both focused on the effects of Black college men's racial attitudes. …


Clinicians' Use Of Mhealth Applications In Interventions For Substance Use Disorders, James Daniel Bender Jul 2021

Clinicians' Use Of Mhealth Applications In Interventions For Substance Use Disorders, James Daniel Bender

Dissertations

The purpose of the study was to examine how clinicians are identifying, evaluating, and utilizing mHealth apps as treatment adjuncts with their clients who have a substance use disorder. A sample of 93 participants (20 males, 72 females, and 1 not listed) completed measures of demographics and inquiries about their use and evaluation of mHealth apps in their practices. Clinicians who work at mental health centers and private practicing clinicians were recruited. The majority of the sample (71%) reported that they had not utilized mHealth apps with their clients who have a substance use disorder diagnosis. Participants who have attended …


Black Men’S Perception Of Their Father-Son Relationship, Shaakira E. Jones Jun 2021

Black Men’S Perception Of Their Father-Son Relationship, Shaakira E. Jones

Dissertations

The purpose of this study is to investigate the perceptions that Black men have of their relationships with their fathers, specifically, adult sons’ retrospective perceptions of their fathers’/father figures’ involvement and nurturance during childhood, and their current emotional availability. The aim is also to explore whether perceptions of their fathers predict Black men’s current psychological well-being. The following measures are used: (a) a demographic questionnaire, (b) the Nurturant Fathering Scale (NFS, Finley & Schwartz, 2004; Williams & Finley, 1997), (c) the Father Involvement Scale (FIS, Finley & Schwartz, 2004), (d) the Lum Emotional Availability of Parenting Scale (LEAP; Lum & …


Moth To A Flame: An Investigation Of The Personality Traits And Early-Life Trauma Histories Of Women Who Have Survived Adult Relationships With Men With Pathological Narcissism, Michelle D. Roberts Mar 2021

Moth To A Flame: An Investigation Of The Personality Traits And Early-Life Trauma Histories Of Women Who Have Survived Adult Relationships With Men With Pathological Narcissism, Michelle D. Roberts

Dissertations

Although emotional and psychological abuse, in addition to physical assault, are now commonly accepted as aspects of Intimate Partner Violence (IPV), narcissistic abuse as a subset of IPV is not widely recognized or understood. Due to the extremely debilitating, chronic mental health effects of narcissistic abuse (Bremner, 2008; Campbell, 2002; Yoon et al., 2009), this study sought to explore the experiences, personalities, early-life (childhood) trauma histories and mental health outcomes of heterosexual women who self-identify as having been in an adult romantic relationship with a man with pathological narcissism. Specifically, this study aimed to identify the nature and frequency of …


The Development Of The Country Satisfaction Scale, Daewon Kim Jan 2021

The Development Of The Country Satisfaction Scale, Daewon Kim

Dissertations

In light of nation-wide events and its impact on mental health, this study developed the Country Satisfaction Scale (CSS) to measure individual’s country satisfaction. This study interviewed 7 participants in the United States to generate scale items, collected data for preliminary factor analysis (N = 371), and for final factor analyses (N = 802). The results confirmed a 3-factor (Systemic Structures, Equality & Acceptance, and Resources & Benefits) structure with two additional complementary factor models: second-order 3-factor model and bifactor-(S-1) model with general (G) factor and 2 specific factors. Further validity tests also confirmed the CSS. The results of this …


Cuban Immigrants’ Experience With Acculturation And How They Cope In The United States, Lourdes Araujo Dec 2020

Cuban Immigrants’ Experience With Acculturation And How They Cope In The United States, Lourdes Araujo

Dissertations

Objective: This research examines how Cuban immigrants experience cope and adapt to the United States. Cuban immigration is associated with specific stressors related to the immigration experience and the necessary process of acculturation and assimilation. These major stressors can result in mental health concerns among Cuban immigrants; however, no studies have examined how acculturation may influence Cuban immigrants’ coping skills and resultant mental health concerns. This unique study is the first to examine the coping skills Cuban immigrants use during acculturation and the effects of these skills on Cuban immigrants’ mental health. Methods: Seventeen participants completed a semistructured interview and …


Acculturation, Psychological Well-Being And Substance Use Behaviors In Asian Indian Americans, Sonia Y. Amin Dec 2020

Acculturation, Psychological Well-Being And Substance Use Behaviors In Asian Indian Americans, Sonia Y. Amin

Dissertations

The American population is becoming more diversified with increases in the number of immigrants and refugees entering the country. These new Americans bring distinct cultural values, traditions, and worldviews. With this diversity, an important need has arisen to better understand the interplay of culture, physical, and mental health concerns that affect specific racial and ethnic populations. This increase in knowledge and awareness will aid in the development and provision of culturally-sensitive mental health services. The stress of immigration and the multifaceted sociocultural and psychological adaptations involved in adjusting to living in a new country with a Eurocentric dominant culture can …


Examination Of Cranial Electrotherapy Stimulation (Ces) On Depressive And Anxiety Symptoms Of Caregivers: A Double Blind Experimental Study, Reginald Gerard Jefferson Nov 2020

Examination Of Cranial Electrotherapy Stimulation (Ces) On Depressive And Anxiety Symptoms Of Caregivers: A Double Blind Experimental Study, Reginald Gerard Jefferson

Dissertations

The caregiver population has recently been recognized in society as a population highly susceptible to problems related to increased anxiety, burden, and abnormal psychological well-being. This experimental pretest post-test 2-group double-blind study was designed to measure the efficacy of cranial electrotherapy stimulation (CES) on anxiety and depressive symptoms of caregivers. Changes in anxiety and depressive symptoms were identified using pre- and posttest measures of State-Trait Anxiety Inventory and Beck Depression Inventory. Caregivers were assigned a pre-coded CES device. Neither the researcher nor the caregiver knew whether a device was active or sham until the completion of the entire study. This …


Racial/Ethnic Identity Modeling: An Exploration Of The Effects Of Bilingualism On Racial/Ethnic Identity Expression And Self-Esteem In Multiple-Race Black/African American Adults, Tritia Miyako Finley Oct 2020

Racial/Ethnic Identity Modeling: An Exploration Of The Effects Of Bilingualism On Racial/Ethnic Identity Expression And Self-Esteem In Multiple-Race Black/African American Adults, Tritia Miyako Finley

Dissertations

The psychological well-being and racial/ethnic identity expression of bilingual multiple-race individuals mixed with Black/African American and another minority racial/ethnic category are largely underrepresented topics in current scholarly literature despite their growing population in the United States. In the current study, the sociohistorical and political processes of colonialism and coloniality were discussed to provide context for the critical examination of familial foreign language ability (FLA), self-esteem (SE), and Black/African American racial/ethnic identity (BRI) expression among multiple-race Black/African American adults (N = 204). Using structural equation modeling, results indicated that higher levels of FLA were related to higher levels of SE. …


Assessing A Cognitive Model Of Trauma-Related Sleep Disturbance, Rebecca Chesher Sep 2020

Assessing A Cognitive Model Of Trauma-Related Sleep Disturbance, Rebecca Chesher

Dissertations

Sleep disturbance is a symptom of many mental health disorders that may negatively affect cognition and mood. Trauma-related sleep disturbance is a core reaction of traumatic stress and PTSD, similar to symptoms experienced by individuals with insomnia or other sleep-wake disorders. Although the cause and symptom progression of trauma-related sleep disturbance may be very different, research and clinical practice assess and treat it with measures and interventions designed for general insomnia. Using a cognitive model of insomnia modified for trauma-related sleep disturbance, the current study assessed the relations between select trauma and sleep variables within the proposed constructs of: 1) …


Career Influences: A Phenomenological Study Of Career Influences Of African American Women In The Counseling Profession., Tamara L. Ford Sep 2020

Career Influences: A Phenomenological Study Of Career Influences Of African American Women In The Counseling Profession., Tamara L. Ford

Dissertations

The current literature concerning African American women in the counseling profession is limited. Research is available regarding women in the profession; however, research on African American women is scarce. This study seeks to add to the body of literature by exploring the reasons African American women become counselors, thereby improving recruitment techniques to increase representation in the field and improve mental health care for the African American community. This qualitative research study used a phenomenological approach to explore, interpret, and describe the lived experiences of eight African American women who are Licensed Clinical Mental Health Counselors currently practicing in the …


Mindfulness And Technology: Evaluating An Online Mindfulness Intervention For Symptoms Related To Sexual Assault, Erica Catherine Johnson Aug 2020

Mindfulness And Technology: Evaluating An Online Mindfulness Intervention For Symptoms Related To Sexual Assault, Erica Catherine Johnson

Dissertations

Sexual assault has been found to increase the risk of distressing psychological symptoms including PTSD, depression, somatization, drug and substance use, lower quality of life and experiential avoidance. As such, interventions for reducing the distress and negative impacts of sexual assault are of importance. Mindfulness is of particular interest as it addresses one of the prominent factors known to maintain psychological distress after trauma, experiential avoidance (Polusny et al., 2004; Merwin et al., 2009). Furthermore, an online mindfulness-based intervention can increase the accessibility and reduce the barriers to treatment. A within subjects repeated measures open clinical trial design was used …


The Mediating Effects Of Drinking Refusal Self-Efficacy On The Associations Between Alcohol Protective Behavioral Strategies And Alcohol Use Outcomes, Kray Scully Aug 2020

The Mediating Effects Of Drinking Refusal Self-Efficacy On The Associations Between Alcohol Protective Behavioral Strategies And Alcohol Use Outcomes, Kray Scully

Dissertations

Alcohol use continues to pose a serious public health problem at universities across the U.S., largely due to the extent of consumption and frequency of negative consequences experienced among college students. Alcohol protective behavioral strategies (PBS-A) are an empirically supported repertoire of safe drinking behaviors college students can use to monitor and control their alcohol consumption as well as limit harm while drinking. However, there remains a need to better understand how cognitive mechanisms, such as drinking refusal self-efficacy (DRSE), help explain college student safe alcohol use behaviors to enhance evidenced-based intervention and prevention efforts. Recently, studies that examined the …


Natural Disasters And Attachment Quality: The Mediating Roles Of Self-Compassion And Positive Mental Health, Alexandra Teller Aug 2020

Natural Disasters And Attachment Quality: The Mediating Roles Of Self-Compassion And Positive Mental Health, Alexandra Teller

Dissertations

Emerging adults exposed to natural disasters may develop posttraumatic stress symptoms, mood disorders, and anxiety disorders. Attachment quality has been found to be negatively associated with psychopathology in emerging adult hurricane survivors; however, the mechanisms by which this occurs have not yet been explored fully. Self-compassion may act as a protective factor against developing psychopathology while potentially promoting positive mental health outcomes following hurricane exposure. Furthermore, positive mental health has been identified as a potential resilience resource and may be impacted by attachment quality and self-compassion. The present study investigated the relationships between attachment quality, self-compassion, positive mental health, posttraumatic …


Brief Intervention With Holland’S Theory And Vocational Calling: Three Conditions With Pre-Existing Calling Status As A Covariate, Nathan Ross Aug 2020

Brief Intervention With Holland’S Theory And Vocational Calling: Three Conditions With Pre-Existing Calling Status As A Covariate, Nathan Ross

Dissertations

In a series of workshops, Holland’s RIASEC Theory and elements of Cognitive Information Processing Theory were infused with vocational calling language. Participants were largely college freshman in a community learning group and students participating in an extra credit opportunity in the School of Psychology. An in-person quasi-experimental design compared outcomes between three career workshops (i.e., Holland, Calling, and Control) on career decision-making self-efficacy, cognitive and emotional career decision-making difficulties, and vocational identity. The Calling workshop outperformed Holland and Control for all measured career variables (i.e., career decision-making self-efficacy, cognitive career decision-making difficulties, emotional and personality career decision-making difficulty, and vocational …


Romantic Relational Aggression Among College Students: A Moderated Mediation Study Of Attachment Style, Romantic Jealousy, Mate Value, And Relationship Investment, Skylar Hicks Aug 2020

Romantic Relational Aggression Among College Students: A Moderated Mediation Study Of Attachment Style, Romantic Jealousy, Mate Value, And Relationship Investment, Skylar Hicks

Dissertations

Most of the research on intimate partner violence has concentrated on overt physical and verbal aggression, and less is known about relational aggression in the framework of romantic relationships. Relational aggression is more prevalent in college students’ romantic relationships compared to physical aggression and may be a risk factor for intimate partner violence. Additionally, a number of adverse correlates have been associated with romantic relational aggression, suggesting that it is worthy of study independent of its association with intimate partner violence. The present study explored the relationships among adult attachment, romantic jealousy, mate value, relationship investment, and romantic relational aggression …


Posttraumatic Stress Symptoms And Alcohol Outcomes: The Mediating Role Of Drinking Motives And Protective Behavioral Strategies, Hallie R. Jordan Aug 2020

Posttraumatic Stress Symptoms And Alcohol Outcomes: The Mediating Role Of Drinking Motives And Protective Behavioral Strategies, Hallie R. Jordan

Dissertations

The present study evaluated the sequentially mediating role of drinking motives (i.e. social, enhancement, coping, conformity) and alcohol protective behavioral strategy (PBSA) subtypes (i.e. serious harm reduction [SHR], stopping/limiting drinking [SLD], manner of drinking [MOD]) on the relationships posttraumatic stress symptoms had with hazardous drinking and alcohol-related negative consequences in college students. Participants were 492 (50.8% men) traditional age (i.e. 18 to 25 years old) college students reporting past 30 day alcohol consumption and the experience of at least one potentially traumatic event over their lifetime. Participants reported their gender and completed measures of posttraumatic stress symptoms, drinking motives, PBS …


Student-Athlete Success: An Examination Of Parenting, Grit, Academic Success, And Mental Health Outcomes, Jackson Howard Aug 2020

Student-Athlete Success: An Examination Of Parenting, Grit, Academic Success, And Mental Health Outcomes, Jackson Howard

Dissertations

Factors such as poor adjustment, substance misuse, and mental health concerns have been found to be detrimental to college student success. Considering this, researchers have focused on investigating protective factors, which may enhance performance in higher education. Specifically, non-cognitive traits, such as grit, or an ability to maintain determination and passion for long-term goals in the face of adversity, and positive parenting strategies, such as psychological autonomy granting, have been tied to positive outcomes for college students in higher education. Conversely, overparenting behaviors and negative outcomes, such as burnout, have been found to be damaging to student success. Student-athletes are …


Exploring The Relationship Between Mindfulness, Self-Compassion, And Empathy In Student Therapists, Nicole Montes Aug 2020

Exploring The Relationship Between Mindfulness, Self-Compassion, And Empathy In Student Therapists, Nicole Montes

Dissertations

Literature suggests that the practice of mindfulness may foster self-compassion within the practitioner. Mindfulness is also associated with increased empathy towards others. The current study explored the relationship between a mindfulness intervention and student clinicians’ levels of self-compassion and empathy towards a mock “client.” Graduate student clinicians were randomly assigned to two groups: one that participated in a mindfulness exercise then viewed a mock client video, and another that did not participate in the mindfulness exercise and went directly to viewing the mock client video. Participants’ levels of empathy towards the client and self-compassion were measured. The results revealed no …


Psychometric Properties Of The College Athlete Psychological Screening Tool: Validation Of The Depression And Anxiety Subscales, Joseph C. Case Jul 2020

Psychometric Properties Of The College Athlete Psychological Screening Tool: Validation Of The Depression And Anxiety Subscales, Joseph C. Case

Dissertations

The aim of the present study was to gain a better understanding of the descriptive psychometric properties of the College Athlete Psychological Screening (CAPS) measure. The CAPS is a newly developed assessment screening measure designed to assess 14 common problem areas for college athletes. For the present investigation, 395 participants completed the 108-item CAPS measure. To establish criterion validity, participants also completed the Beck Depression Inventory (BDI) and the Beck Anxiety Inventory (BAI). The present study had three research questions. Question one discussed the descriptive psychodynamic properties (Cronbach’s alpha, means, and standard deviations) of the 14 CAPS subscales. Question two …


Cultural Homelessness, Self-Esteem, And Skin Color Satisfaction Among Latinxs, Josephine M. Almanzar Jul 2020

Cultural Homelessness, Self-Esteem, And Skin Color Satisfaction Among Latinxs, Josephine M. Almanzar

Dissertations

This study explored feelings of cultural homelessness, self-esteem, and skin color satisfaction among Latinxs. A close interest was placed in examining responses of participants who identified as racially Black or Afro-Latinx. Through an electronic survey, the study aimed to answer the four research questions: (1) Is there a correlation between cultural homelessness, self-esteem, and skin color satisfaction; (2) Do participants of different self-perceived skin colors differ in self-esteem, cultural homelessness, and skin color satisfaction; (3) Does age moderate the relationship between self-perceived skin color and self-esteem; and (4) Does age moderate the relationship between self-perceived skin color and cultural homelessness. …


Social And Individual-Level Identities And College Male Alcohol Use Behaviors: Examining The Utility Of Protective Behavioral Strategies, Robert Bearden Whitley May 2020

Social And Individual-Level Identities And College Male Alcohol Use Behaviors: Examining The Utility Of Protective Behavioral Strategies, Robert Bearden Whitley

Dissertations

Recent literature has consistently identified conformity to traditional masculine norms as motivating hazardous drinking behaviors of college men. Given the high prevalence of hazardous drinking among college men and the particular negative consequences that emerge secondary to it, additional research is needed in this area to better identify possible intervention targets. The present study sought to better elucidate the proximity of male norm conformity to drinking behaviors through including a specific identity factor related to alcohol use: drinking identity. Secondary to this goal, this study also sought to examine how these factors of identity predicted the safe drinking behaviors of …


Adult Criminal Offenders Recollection Of Childhood Exposure To Trauma And Its Impact, Taneshia V. Sims Apr 2020

Adult Criminal Offenders Recollection Of Childhood Exposure To Trauma And Its Impact, Taneshia V. Sims

Dissertations

Trauma can occur at any age and occurs as a result of an individual experiencing or witnessing an event that threatens or has the potential to threaten their life, well-being, or psychological state of mind. The type, duration, and effect of the trauma varied per person and experiences were shared that had negative effects that could last for the duration of their lifetime. The identification of specific risk factors may help in the development of specialized treatment options that may provide an individual with a greater chance of learning skills that could teach them how to deal with the effects …


Attitudes And Beliefs Of Christian Denominations Toward Mental Health, Javier Velez Apr 2020

Attitudes And Beliefs Of Christian Denominations Toward Mental Health, Javier Velez

Dissertations

This empirical study assessed common attitudes and beliefs toward mental health services in the varying denominations of Christian churches. Specifically, the objective of this study was to identify the effects of Christian denomination on attitudes toward seeking mental health treatment and to identify whether there are racial and age differences that also impact those attitudes within the church. The study sought to answer the following questions: (a) What is the difference in attitudes and beliefs between different races toward mental health services in the church among Christians? (b) Is there an age difference in attitudes and beliefs toward mental health …