Counseling Psychology Commons^™

Black American Students With And Without Disabilities: Stress And Coping Strategies, Gabriel Asare Sarpong

Theses and Dissertations

This study examined if perceived level of stress for Black /African American students was exacerbated by their disability status. This study also examined the relationship between Africultural coping, minority stressors (racial minority stress, disability related stress) and perceive stress level. 123 students who identified themselves as Black/African American enrolled in two Midwestern universities participated in the online survey of this study (n = 39 with disabilities; n= 84 with no disabilities). Results showed that Black students with disabilities reported higher level of perceived stress compared to those with no disabilities. Racial minority stressors, and societal barrier component of disability related …

The Effects Of Telehealth Training On Parents Of Children With Autism In Albania, Freskida Griffiths

Theses and Dissertations

The present study evaluated telehealth training with parents on techniques for working with their children with autism spectrum disorder in Southeastern Europe. The purpose of this study was to research the effects of telehealth training on the parents and the increase of mands on the children. The participants of this study included three mothers and three children, which totaled six participants. Parents were trained on how to increase functional communication in their child. Telehealth training was based on an effective training package called Behavior Skills Training (BST). BST consist of instructions, modeling, rehearsal, and feedback. The resources needed for the …

Impact Of A Culturally-Relevant Support Program And Latinx Adolescents' Help Seeking Services: An Academic-Latinx Community Service Partnership To Enhance Culturally Responsive Services For Latinx Immigrant Youth., Lisa S. Fuentes

Theses and Dissertations

Latinxs, in general, report logistical barriers that contribute to utilizing fewer healthcare services and/or not knowing how to navigate the healthcare system. In addition to underutilizing healthcare services, Latinx immigrant youth also report higher levels of negative attitudes towards mental health. However, little is still known regarding factors that impact these attitudes with Latinx immigrant youth, as well as the community support efforts that are available to this specific group. Using a semi-structured interview on 12 Latinx immigrant youth, this master’s thesis explored: (1) the attitudes towards mental health, (2) attitudes towards mental health services, (3) and the experiences of …

Can School Be A Source Of Trauma? Assessing Academic Traumatic Stress As A Mechanism Underlying The Health Outcomes Of Black Undergraduate Students, Ebony A. Lambert

Theses and Dissertations

Research examining Black students’ school experiences demonstrates that exposure to oppressive power dynamics in schools may lead to adverse physiological and psychological consequences. Recent conceptualizations in public discourse further posit that traumatic educational experiences, operationalized here as academic trauma or the cumulative toll of adverse and oppressive experiences in academic settings, may influence Black students’ wellbeing even after they have graduated. However, academic trauma has yet to be investigated empirically, and the health contributions of such educational harm remain unstudied. Moreover, little is known about how culturally-relevant personal characteristics (e.g., emotion regulation strategies) influence Black students’ reactivity to academic trauma. …

An Intuitive Eating Intervention For College Women With Disordered Eating: Evaluating Two Accessible And Affordable Approaches, Carolyn B. Burnette

Theses and Dissertations

Undergraduate women of all racial and ethnic groups engage in disordered eating behaviors (DEBs) at alarming rates. Most women do not receive treatment, with the largest disparities observed in women of color and those at higher weights. Prevailing interventions have limitations that could exacerbate these disparities, such as an emphasis on the thin ideal, which is often considered less relevant for some women of color. This is concerning, as disordered eating is often chronic and symptom crossover is common. Thus, a transdiagnostic, inclusive secondary prevention approach could enhance outcomes by addressing the spectrum of DEBs in diverse women. The purpose …

Work Hope And Work Volition: Exploring The Influence Of Community College Students’ Rurality And Socioeconomic Status, Jesse A. Wingate

Theses and Dissertations

Data from a sample of community college students (N = 478) in Virginia were used to examine relations among rurality, socioeconomic status, work hope, and work volition. Socioeconomic status, work hope, and work volition were positively associated. However, rurality, measured both as a continuous and categorical variable, was not correlated with work hope or work volition. Additional analyses showed convergence between measures of work hope and work volition confirming construct similarity. Results, limitations, implications, and recommendations for future study are included.

Treatment Of Infidelity As A Clinical Issue In Couple Therapy: A Critical Review Of The Literature, Wilhelmina Emma Stamps

Theses and Dissertations

Infidelity is perhaps the most challenging issue confronting couple therapists and has a high prevalence amongst couples in both clinical and community settings. Despite significant expansion of this field of research in recent years, there has not been a comprehensive review of the literature since 2005. Without such a review, it is problematic for clinicians and researchers to determine best practices and areas needing further inquiry. This article builds on the two most recent reviews (Allen et al., 2005; Blow & Hartnett, 2005) and provides a systematic critical review of the literature on infidelity published in the last 15 years. …

“Is Therapy For Me?” Perceptions Of Therapy Inclusivity And Willingness To Seek Help Among Black Emerging Adults, Randl B. Dent

Theses and Dissertations

Mental health issues are prevalent among Black emerging adults; however, they tend to underutilize mental healthcare services. The goals of the current study were to examine whether: (1) perceived therapy inclusivity would predict willingness to utilize mental healthcare services and (2) the relationship between perceived therapy inclusivity and willingness would be moderated by two indices of racial identity (i.e., centrality and private regard). Results provide evidence that greater perceptions of therapy inclusivity are associated with greater willingness to seek mental health services even after controlling for factors, such as gender, self-stigma, and previous mental healthcare utilization. Additionally, there was no …

A Meta-Analysis Investigating The Correlation Between Treatment Integrity And Youth Client Outcomes, Ruben G. Martinez

Theses and Dissertations

Objective: The relation between treatment integrity and youth client outcomes in psychosocial treatment research has implications for therapist training, study design, and study interpretation. Despite work done in this area, this relation remains unclear. The aim of the current study was to meta-analyze and describe characteristics of investigations of integrity and outcome in youth.

Method and Analytic Plan: A total of N = 30 studies were identified. Conceptual and methodological factors were coded. Pearson’s r represented the magnitude of the integrity-outcome correlation. Robust variance estimation was used to account for dependency of within-study effect sizes. Two models were run with …

A Microlongitudinal Study Of Menopause Symptoms And Problematic Eating In Midlife Women, Dana R. Schreiber

Theses and Dissertations

Women in midlife are at risk for engagement in problematic eating behavior which is associated with negative mental and physical health outcomes. Despite this risk, little is known about precipitating factors that may increase risk in this population. One specific, yet unstudied, factor that may increase risk for problematic eating in midlife women is menopause, which is characterized by distinct symptomatology (e.g., vasomotor symptoms, negative mood, sleep). The purpose of the current study was to investigate the associations among psychological, behavioral, and social symptoms of menopause and problematic eating behavior in midlife women using both retrospective and prospective methodologies. As …

An Integrated Exploration Of The Contextual, Relational, And Individual Factors That Impact High School Completion Among African Americans, Lesley B. Winchester

Theses and Dissertations

African American students are consistently reported as having among the lowest high school graduation rates when compared to other races (U.S. Department of Education, 2018). While many studies have sought to explore the potential risks of high school dropout, the intention of this study is to examine the factors that support the exemplary resilience of those students who do complete high school. The present study adopts the framework of García Coll et al.’s, (1996) integrative model of developmental competencies in minority children, as it seeks to identity whether and how contextual (spiritual, educational, cultural); relational (caregiver psychological and physical …

Self-Affirmation Theory And The Change Of Perception Of Self And Threats, Isaac Wicker

Theses and Dissertations

In today’s American culture, people experience high rates of distress and depression (Kessler et al., 2005). Self-affirmation theory has been shown to help people reduce stress and defensiveness in the face of a wide variety of stressors. A shortcoming of self-affirmation exercises is that there are barriers to using them in naturalistic settings. One such barrier is that the affirmation content needs to be regulated so that it is not closely related to the salient stressor or else the effects of the affirmation could be counteracted. The current study sought to use a prompt-guided value selection for the self-affirmation exercise …

Childhood Sexual Abuse, Personality, And Risk Recognition, Emily M. Harms

Theses and Dissertations

The purpose of the study was to examine the influence of childhood sexual abuse (CSA) and personality in predicting risk recognition among college-aged women. Participants included 223 female undergraduate students at Illinois State University. Students were presented the opportunity to receive extra credit for participating in the study. Participants completed a demographics questionnaire, the Big Five Inventory, and the Personality Inventory for the DSM-5 – Brief Form. Participants then read through a risk recognition vignette that was divided into 13 scenes and were asked to indicate when they were no longer comfortable in the situation and when they would leave …

Conceptualization Of Body Image And Eating Disorders Among South Asian American Women: A Qualitative Investigation, Neha J. Goel

Theses and Dissertations

Though it is known that eating disorders (EDs) affect individuals of all racial/ethnic backgrounds (Cheng, Perko, Fuller-Marashi, Gau, & Stice, 2019), people of color tend to be overlooked in the ED literature. South Asian Americans, a specific subset of individuals traditionally categorized within the larger umbrella group of “Asians,” have been notoriously neglected in both the broader mental health literature, and in the ED literature (Inman, Devdas, Spektor, & Pendse, 2014; Iyer & Haslam, 2003, 2006). Currently, very little information exists on the etiology and presentation of EDs amongst South Asian communities. Even less is known about culturally-specific barriers to …

Racism, Healthcare Provider Trust, And Medication Adherence Among Black Patients In Safety-Net Primary Care: A Strength-Based Approach, Mickeal Pugh Jr

Theses and Dissertations

Integrated primary care has been incorporated into a variety of healthcare settings. The benefits of these services are empirically supported by a plethora of studies, which highlight the integration of behavioral and physical healthcare to be beneficial for both patient and healthcare providers. Integrated care models are typically incorporated in Veterans Affairs hospitals, general primary care facilities, and community clinics. Community-based clinics, such as safety-net clinics, typically serve underrepresented populations, and research has shown several mental and physical health disparities to exist among minority populations. Further, the minority stress model posits that distal and proximal minority-based stress processes can result …

Race, Health, And Social Support On Campus: An Exploration Of Discrimination On Health And Fraternity/Sorority Membership For African American College Students, Alexandra M. Munson

Theses and Dissertations

African American college students face a myriad of unique race related stressors on campus, yet there is a gap of knowledge on how these experiences may impact overall health as well as what may mediate these effects. The goal of the current study was threefold. First, it was to better understand the relationship between health outcomes and the experience of discrimination on college campuses for African American students. Second, it further investigated the research of Pieterse & Carter (2007), to explore if perceived discrimination influences health outcomes above and beyond general life stress in the emerging adult population. Lastly, it …

One Jump Forward, Two Jumps Back: A Qualitative Study Of Parental Issues Raising Adolescents With Autism, Molly Anne Rosenbaum

Theses and Dissertations

There have been numerous investigations seeking to quantify the experience of parents raising adolescents of autism, but remarkably few have looked at the total experience qualitatively, as reported by parents. The present study was conducted along with a larger study for adolescents with autism participating in the PEERS® social skills group intervention, which includes simultaneous parent sessions. This study analyzed comments made in the parent group, identifying the issues parents reported spontaneously through a qualitative analysis of 12 unstructured hour-long sessions including parents (n = 16) and graduate student clinicians. The purpose of this investigation was to explore the …

A Hermeneutic Exploration Of The Therapeutic Process Of Clinicians At An Eating Disorder Treatment Center, Sabree Anne Crowton

Theses and Dissertations

Eating disorders remain extremely difficult to treat and investigation has revealed that manual-based eating disorder treatment outcomes have failed to improve over the second half of the last century. Various studies have observed that clinicians use evidence-based treatments for eating disorders inconsistently and often exclude fundamental theoretical techniques. Some argue that this departure from evidence-based practice may in some cases be the efforts of clinicians to develop methods more sensitive to real world situations. It stands to reason that some of the techniques currently being used by clinicians are promising treatment approaches. The purpose of this study was to explore …

Video Prompting Delivered Via Augmented Reality To Teach Transition-Related Math Skills To Adults With Intellectual Disabilities, Giulia Cacciatore

Theses and Dissertations

The purpose of this study was to determine the effectiveness of a video-based instruction packet as a method of teaching math-based vocational skills delivered through augmented reality to three adults with intellectual disabilities. The dependent variable was the percentage of steps performed correctly to solve each selected type of math problem. The independent variable was the video-based math intervention delivered via augmented reality, which modeled the individual steps for solving three different multi-step math problems: (1) adjusting a recipe to serve a different number of people, (2) calculation of salary, (3) calculation of unit prices. Visual and statistical analysis demonstrated …

Beauty As A Confounding Variable: Refining Measure Of Viewing Time, Rachael Caryn Pinkerman

Theses and Dissertations

Current research on viewing time measures of sexual attraction fail to explore potential confounding variables of viewing time. One viewing time measure, the LOOK, has been shown to be reliable over time and generally correlated with self-reported sexual orientation but has been unable to differentiate between a non-offending group and an offending group of individuals. This study utilizes the LOOK to examine the relationship between viewing time and a potential confounding variable of viewing time, beauty, using two constructs of beauty (facial beauty and full-body beauty). Facial beauty scores were created by measuring the degree of adherence to four universal …

Look Again—Traditional Women As Nontraditional Students: A New Face In Higher Education, Candi Jones Newell

Theses and Dissertations

This study explored the experiences of 13 culturally traditional women who returned to higher education as nontraditional students. An individual unstructured interview, with guiding questions, was held with each woman. This provided the opportunity for these women to articulate their experience. The interviews were transcribed and interpreted using a synthesis of qualitative methods based upon Kvale's method. Seven themes emerged: (a) participants would tell a woman considering a return to school to "do it!" (b) participants saw spousal support as significant in their ability to return to school, (c) participants saw their families as generally supportive of their return to …

Psychotherapy Utilization And Presenting Concerns Among Asian International And Asian American Students In A University Counseling Center, Hannah La Stokes

Theses and Dissertations

To date, there has not been research that disaggregates the experiences of Asian American and international Asian college students seeking psychotherapy in college campus settings. We examined archival data collected over the course of a 17-year period that focused on experiences of Asian American, international Asian, and European American students at a large university in the intermountain west, US. More specifically, we used archival data to identify differences between the aforementioned groups of students in regard to psychotherapy utilization, presenting concerns, distress levels endorsed at intake, and distress levels endorsed at termination. Results were calculated based on findings from the …

Navigating Conflicts Between Religious And Professional Values: Psychologists' Experiences, Michael Ray Williams

Theses and Dissertations

The issue of psychotherapists' values in psychotherapy has become increasingly challenging as philosophers have questioned the viability of concepts such as objectivity and relativism. Historically, psychotherapists have relied on notions such as bracketing or suspending their own values to avoid the moral and ethical implications that such values might be active in psychotherapy. Acknowledging that psychotherapists' values are active in psychotherapy raises a host of important issues, including how to appropriately navigate value conflicts. This study explored the experience of psychotherapists as they navigate conflicts between their religious and professional values. Qualitative interviews with eight religiously committed psychologists were transcribed …

Reducing The Impact Of Disabilities In Developing Nations: Implications From A Parent Delivered Behavioral Intervention In Macedonia, Sophie Visick Rindlisbaker

Theses and Dissertations

Autism spectrum disorder (ASD) is recognized the world over as a major public health issue. Autism is highly prevalent, persists across the lifespan, and is characterized by behaviors that can profoundly impair typical functioning. Interventions based on behavioral strategies have proven effective, but there are significant barriers to care, including cost, intensity of treatment, and access to qualified practitioners. The impact of ASD and obstacles to appropriate care are magnified by systemic limitations in developing countries. Parent training holds promise as a method of disseminating therapy to underserved areas. This study investigated the effectiveness of a pyramidal parent training intervention …

Video-Based Interventions For Teaching Calendar Skills To Individuals With Autism, Malinda Glasgow

Theses and Dissertations

Video-Based Instruction (VBI) is an evidence-based practice that has been used for teaching new skills to individuals with disabilities for over two decades. VBI involves the use of pre-recorded videos to teach new skills. Benefits of VBI include flexibility in when the instruction is provided to students and allows students to receive instruction while the teacher is working with another person. A multiple baseline across participants design was used to evaluate the impact of the independent variable of VBI, upon the dependent variables of (a) the percentage of steps completed correctly to make novel calendar entries; (b) the timeliness of …

Pyramidal Parent Training For Children With Autism Spectrum Disorder In Southeast Europe, Laura Lyn Knecht

Theses and Dissertations

Families of children with autism spectrum disorder (ASD) in developing countries may not have as much access to needed behavioral services as families living in developed countries. Caregivers of children with ASD in developing countries would benefit from an affordable, efficient parent training to teach them behavior techniques to use with their children. Pyramidal training is a cost-efficient method of training individuals through peers and would be a supportive intervention for families in developing countries. This study used a repeated acquisition design across three variables to examine whether a caregiver could train another caregiver on three behavioral interventions. These interventions …

Stack The Deck: An Intervention For Regulating Verbal Participation In Students With Autism Spectrum Disorder, Katherine Ensign Montgomery

Theses and Dissertations

Some students with autism spectrum disorder (ASD) struggle with social reciprocity, or the ability to engage in chains of back-and-forth conversation, interfering with other students' ability to respond to a question that is posed by the teacher in classrooms. The participants were 11 fifth grade students with autism spectrum disorder. We used a simple differential reinforcement intervention within a token system in direct instruction sessions for math to help balance the participation in a class of children with ASD as well as lower the number of talk-outs made by all students. Using a single-subject design, data were analyzed for changes …

The Influence Of Therapist-Patient Religious/Spiritual Congruence On Satisfaction With Therapy: A Review Of Research, Tammy E. Henderson

Theses and Dissertations

The goal of this review was to examine the relationship between mental health and religion and/or spirituality. Specifically, it was believed that religion and spiritual congruence had a positive influence on satisfaction with therapy. Indeed, the literature reviewed suggests that therapists should be more open to addressing a patient's religious and/or spiritual beliefs as it could lead to more attuned therapeutic sessions. The importance of congruence between patient and therapist is a factor that can impact the therapeutic alliance, based on the literature, this concept appears to hold true for those that are or are not religiously and/or spiritually inclined.

Negative Outcomes Associated With Childhood Sexual Abuse, Kristen N. Silbert

Theses and Dissertations

The purpose of the study was to examine whether attachment insecurity, global self-esteem, sexual self-esteem, and subjective well-being mediate the relationship between childhood sexual abuse (CSA) and sexual assault during college. The participants included 158 female college students from Illinois State University. Students were granted the opportunity to receive extra credit for participating in the study. Participants completed a demographics questionnaire, the Rosenberg Self-Esteem Scale, the Sexual Self-Esteem Inventory, the Experiences in Close Relationships Questionnaire, the Positive and Negative Affect Schedule, the Satisfaction with Life Scale, the Hot Topics Questionnaire, and the Sexual Experiences Survey. Of the 158 participants, 108 …

Language Translation For Mental Health Materials: A Comparison Of Current Back-Translation And Skopostheorie-Based Methods, Amelia Kathleen Black

Theses and Dissertations

As mental health professionals seek to disseminate information in many languages in order to meet the needs of an increasingly diverse population, it is important to consider the methods of written translation that the field is choosing to employ. The method chosen for translation can affect the accuracy and usability of the translated text. This study begins with a survey of current literature, the results of which suggest that the most popular translation method in the mental health field is back-translation, a translation method based in the premise that translating a text back into its original English after it has …