Counseling Psychology Commons^™

Does Social Media Promote Disordered Eating?, Carly Feldstein

Dissertations and Theses

Hispanic people are the largest and fastest-growing minority group in the U.S. with a total of 18.5% of the U.S population being of Hispanic descent (United States Census Bureau, 2020). Although eating disorders (ED), particularly those involving binge eating, comprise a significant health concern, EDs are often overlooked in the Hispanic culture (Higgins et al., 2016; Opara & Santos, 2019). Hispanic individuals have comparable rates of anorexia nervosa, bulimia nervosa, and an even higher rate of binge eating disorders compared to non- Hispanic (NH) White individuals (Higgins et al., 2016). Within Hispanic adults, the lifetime prevalence of EDs is higher …

A Proposal To Develop And Pilot-Test The Effects Of A Culturally Adapted Stigma Intervention For Latinos, Sandy Ahumada

CMC Senior Theses

The bulk of research examining barriers to mental health services (MHS) for Latinos focuses on financial obstacles such as socioeconomic status and insurance coverage. Unfortunately, less work has been done on cultural barriers such as stigma. The purpose of this proposed study is to develop and pilot-test a culturally adapted contact intervention for Latinos that reduces stigma and increases help-seeking intentions. This study will test the differential efficacy of utilizing psychoeducation with the newly developed interpersonal contact intervention (PIC) as opposed to psychoeducation (P) only. Participants (n=324) will fill out pre- (T1), post- (T2), and 1-week follow-up (T3) …

“I Knew I Wanted More For Myself”: Sexual Minority Men’S Narratives About Getting Help For Intimate Partner Violence, Jonathan Ryser-Oatman

Theses and Dissertations--Educational, School, and Counseling Psychology

Sexual minority men experience intimate partner violence (IPV) at rates similar to, if not higher, than heterosexual individuals (Finneran & Stephenson, 2013). IPV is associated with a range of negative health outcomes in this population, such as increased risk for depression and anxiety (Miller & Irvin, 2017) and increased sexual risk-taking and subsequent HIV acquisition (Craft & Serovich, 2005; Houston & McKirnan, 2007). Many barriers prevent sexual minority men from getting help for IPV including stigma-related stressors, socioeconomic status, HIV status, perceived lack of helping resources, and a lack of knowledge about IPV (Duke & Davidson, 2009; Edwards, Sylaska, & …

When Worlds Collide: An Intersectional Approach To Understanding The Relationship Experiences Of Bisexual-Identifying Asian Men With Same And Different Gender Partners, Cheryl Kwok

Theses and Dissertations--Educational, School, and Counseling Psychology

The relationship experiences of bisexual-identifying men of color have been neglected in psychological studies of race, gender, and sexuality. Few studies, if any, have examined the relationship experiences of Asian bisexual men, even though this population’s multiple marginalized and stigmatized social identities increase their health risks (Bryant-Davis, 2007; Carter, 2007; Ching et al., 2018). Bisexuality is commonly defined by an individual’s intimate partner attraction and/or behavior (e.g., Swan & Habibi, 2018), making relationship experiences fundamental to bisexual identity. More generally, intimate relationships can contribute to and/or pose challenges to psychological well-being (Feinstein, et al., 2016; Whitton et al., 2018), yet …

"Now Thinking About It, It's Freedom": Conceptualizing Sexual Pleasure For Fat, Queer Women, Carolyn Elizabeth Meiller

Theses and Dissertations--Educational, School, and Counseling Psychology

Research considering the positive aspects of sexuality, such as pleasure, within a cultural context is especially important for groups of people that are often seen as separate from the experience of sexuality, such as fat, queer women. Due to perceptions of their bodies and how their sexuality goes against traditional heteronormativity, fat, queer women's experiences with sex and pleasure are under represented. Using a critical sexuality framework, the present study sought to explore the definitions and experiences of sexual pleasure for fat, queer women.

In the present study, constructivist grounded theory methods (Charmaz, 2014) were used to analyze the definitions …

Relationship Between Wellness, Resilience, And Vicarious Trauma Among Clinical Mental Health Counselors Serving Interpersonal Violence Survivors, Elizabeth O'Neill Hunter

Walden Dissertations and Doctoral Studies

Interpersonal violence (IPV) can result in the traumatization of primary survivors, as well as the mental health professionals who support them, which is referred to as vicarious trauma (VT). VT is an occupational hazard that if unaddressed can lead to significant personal and professional disruption. Clinical mental health counselors (CMHCs) who provide counseling services to IPV survivors are at increased risk of integrating the traumatic session content into their worldview. VT can lead to psychological distress including symptoms of post-traumatic stress disorder and can threaten the quality and ethical nature of the counseling relationship. The purpose of this quantitative survey …

The Effect Of Acupuncture On The Stress Levels Of Patients With Posttraumatic Stress Disorder In Ghana, Derrick Tettey Dicker

Walden Dissertations and Doctoral Studies

Around the world, the use of acupuncture is increasingly becoming a common alternative treatment for the symptoms often associated with posttraumatic stress disorder (PTSD). However, the treatment of acupuncture appears to be lacking in Ghana because mental health professionals, patients, and the government representatives are largely unaware of its potential efficacy. The purpose of this study was to examine the effect of acupuncture treatment on patients with PTSD in Ghana. The study was conducted through the lens of psycho-physiological trauma. A research question was formulated to investigate the association between the independent variable, acupuncture treatment, and the dependent variable, the …

Relationship Between Perceived Social Support, Phase Of Program, And General Health In Phd Ces Students, Sara Moubayed

Walden Dissertations and Doctoral Studies

Counselor education and supervision (CES) doctoral students face various challenges throughout their doctoral journey. A quantitative, correlational study was conducted to determine if there is a predictive relationship between the independent variables of perceived social support and phase of program (core courses, internship, or dissertation) and dependent variables general health, somatic symptoms, anxiety/insomnia, social dysfunction, and severe depression in PhD CES students (N = 73). The goal of the study was to contribute to a greater understanding of the general health of CES PhD students. Self-Determination theory and basic psychological need theory were applied as the theoretical framework of this …

Divine Narcissism: Raising A Secure Middle-Aged Adult, Rachel Sachs Riverwood

Antioch University Dissertations & Theses

Utilizing an arts-based feminist autoethnographic stance and method, this dissertation is an evocative exploration of the process and experience of attempting to develop a cohesive identity and build a secure attachment to the self. The author uses countercultural methods—prioritizing and centralizing her experience and uncovering and acting in defiance of oppressive norms—to identify and experience their impact on her identity and intra- and inter- personal relationships. Various tensions are explored, including the suppression of self and desire, self-objectification, fearful-avoidant attachment, and shame; and their influence on engaging in emotional and sexual intimacy is examined. Critique on the role of female …

Examining Mental Health And Resiliency Factors Of Gifted And Talented Students Participating In An Accelerative, Residential Program, Kevin Kusy

Graduate Research Theses & Dissertations

Early intervention around mental health and wellness is a vital piece for the school system to address when working holistically with students. The American School Counselor Association (ASCA) and the Substance Abuse and Mental Health Services Administration (SAMHSA) emphasize the importance for schools to develop a comprehensive systemic framework around the academic, social, and emotional needs of students. By using the Multi-tiered System of Supports (MTSS), school districts can administer Universal Mental Health Screening (UMHS), a Tier 1 intervention, to help identify students who may be considered at risk for mental health and wellness issues. Unfortunately, less than 15% of …

Lived Experiences Of Counselor Educators During Their Supervisory Relationship With International Counselors In Training, Vera Lucia Chimbanda

Graduate Research Theses & Dissertations

Relational cultural theory (RCT) offered a lens for understanding clinical supervisors’ perceptions of working with international counselors in training (ICTs). All 10 participants were professional counselor educators in the role of clinical supervisors and trained in the United States who worked with ICTs by regularly providing clinical supervision for at least one semester within the last three years. They all participated in a virtual interview using an encrypted HIPAA-protected audio-conferencing platform. The findings suggest the clinical supervisors perceived their overall experiences working with ICTs led to growth-fostering relationships and cultural awareness that enriched their lives. The growth resulted from cross-cultural …

The Effect Of Depression On Adolescent Deviant Behavior And The Mediating Effect Of Autonomy, Theresa Lee

University of the Pacific Theses and Dissertations

The purpose of this study was to synthesize the relations among the adolescent need for autonomy in decision making process, depression, and tendencies for deviant or risk-taking behaviors as adolescents. Background variables such as socio-economic status, sex, race, previous academic achievement, parent warmth and support, resistance to peer pressure were controlled for. Using the NICHD database set, multiple regression analyses revealed that adolescent autonomy was not correlated with adolescent depression, and earlier depression at sixth grade was not a significant mediator of the effect of earlier deviant behaviors at sixth grade on later adolescent deviant behaviors. More importantly, however, the …

A One-Session, Brief Acceptance And Commitment Therapy Workshop For Chronic Pain Patients: A One-Sample Pretest-Posttest Prospective Exploratory Study, Kelly Anne Thomas Ms

Graduate Theses, Dissertations, and Problem Reports (ETD)

Chronic pain affects one in every four persons (NIH, 2010). For individuals residing in rural communities where chronic pain treatment is often not accessible (Artnak et al., 2011), a one-session brief mental health intervention is a critical healthcare need. More specifically, acceptance and commitment therapy (ACT) for chronic pain is a novel treatment approach in need of more research (Society of Clinical Psychology, 2016). This current study contributes to the gap in the literature by implementing an ACT workshop in a rural healthcare setting for individuals with chronic pain. It was hypothesized that the workshop would increase adaptive coping mechanisms …

A Deeper Inquiry Into The Transitional Needs Of Student Veterans, Nathan Calvin Bridendolph Jr

Graduate Theses, Dissertations, and Problem Reports (ETD)

Previous research revealed that veterans transitioning to post-secondary institutions have unique characteristics (PNPI, 2018; Wurster et al., 2013) and may suffer from a constellation of physical, psychological, and social problems that can impact their ability to perform to their full potential on campus (Ackerman et al., 2009; Alschuler & Yarab, 2016; Igielnik, 2019). Despite knowing the struggles student veterans (SVs) face when transitioning to campus, no studies were found that directly gain SVs’ input on what they believe will help their transition. The current study sought to gain a holistic perspective of SV needs by using the biopsychosocial model and …

Self-Efficacy, Trait Mindfulness, And Self-Compassion As Predictors Of Risk Of Substance Use Relapse, Jonathan Nauser

Graduate Theses, Dissertations, and Problem Reports (ETD)

Previous research has demonstrated relationships among mindfulness, self-efficacy, and substance use relapse. Contrasting research has found mindfulness and self-efficacy are not consistently negatively associated with substance use relapse demonstrating a need for further research. An additional factor that has been found to associated with substance use is self-compassion; however, it has yet to be examined in relation to the process of relapse. The current study assessed self-efficacy, self-compassion, and mindfulness and their associations with substance use relapse, with the aim of predicting relapse risk. Higher levels of relapse risk were found to be negatively associated with self-efficacy, trait mindfulness, and …

Recruiting And Retaining School Psychologists: The Role Of District Level Administrative Supervisors, Ellie L. Young, Rachel Butler, Timothy B. Smith, Sterling Hilton, Alivia Smith

Faculty Publications

A shortage of school psychologists has been evident since the profession was initially recognized as a distinct field, and there is insufficient research on what current administrative supervisors are doing to address this problem. This qualitative study examined the perceptions of district level administrative supervisors regarding recruitment and retention of school psychologists. Participants reported the following: (a) school psychology graduate programs not producing enough school psychologists, (b) challenges of finding school psychologists to hire, (c) competing with neighboring school districts, and (d) trying to recruit and retain in a worker’s market that favors the school psychologist. These administrative supervisors also …

Forgiveness And Gratitude As Mediators Between Religious Commitment And Well-Being Among Latter-Day Saint Polynesian Americans, Davis Kealanohea Kane, G. E. Kawika Allen, Timothy B. Smith, M Ming, Aaron Jackson, Derek Griner, Elizabeth Cutrer-Parraga

Faculty Publications

An abundance of research has investigated well-being as it relates to religiosity and character strengths, such as forgiveness and gratitude. However, few studies have investigated how increases in forgiveness and gratitude might explain why religious commitment enhances well-being, particularly for U.S. ethnic/racial minority populations. This study investigated if the character strengths of forgiveness and gratitude mediated the relationship between religious commitment and well-being among Latter-day Saint Polynesian Americans – a fast growing, yet understudied, population. Results indicated that forgiveness and gratitude fully mediated the relationship between religious commitment and self-esteem, and gratitude partially mediated the relationship between religious commitment and …

Comparing Depression And Anxiety Among Athletes And Nonathletes In A College Counseling Center Population., Alexandria Kinder

Graduate Theses, Dissertations, and Problem Reports (ETD)

This study focused on self-reported rates of anxiety and depression when first presenting to a college counseling center at a state university in the mid-Atlantic region. The self-reported measures are the Counseling Center Assessment of Psychological Symptoms-62 (CCAPS-62) and Standardized Data Set (SDS), data forms that are supported through the electronic medical record system, Titanium. The data compared clinical populations of non-student-athletes and student-athletes to understand how the additional athlete identity may contribute to mental health. This study employed a between-subjects, quantitative-descriptive, cross-sectional, design to define and describe the nature of the relationships between one continuous dependent (anxiety or depression) …

“They Let Me Loose, Will You Hold Me Tight?” Adult Adoptees And Their Romantic Partners' Experience Of Attachment After Participating In The Hmt Program, Bethany Baker

Antioch University Dissertations & Theses

Adult adoptees may be blocked from feeling securely attached to their romantic partners and they may not even know it or what to do about it. The literature shows adult adoptees being overrepresented in insecure attachment styles, and not enough attention has been paid to the effect this has had on adoptees in their romantic relationships. In fact, no known study, to date, has provided an attachment-based psychoeducational approach for this marginalized population. The purpose of this introductory qualitative study was to explore the experiences and meaning-making of attachment, specifically related to adoption, for the adult adoptee and their romantic …

I’M So Satisfied: A Qualitative Approach To Understanding The Process Of Marriage Satisfaction Among African American Couples, Rashida Spence

Antioch University Dissertations & Theses

The current study uses a strengths-based framework to identify the process of marriage satisfaction among 1 same-sex African American married couple and 5 heterosexual African American married couples. Six themes emerged through qualitative analysis demonstrating that marriage satisfaction is a co-constructed experience created between couples through a series of interactions cultivating healthy conditions that strengthen relationship functioning and promote well-being. Based on the results the experience of marriage satisfaction is formed by the organizing concepts of connection, intentionality, purpose, sentiments of peace, authentic communication, and well-being. Results are discussed in association with existing research, as well as, Self-Determination, and Relationship …

Promoting Success For First-Generation Students Of Color: The Importance Of Academic, Transitional Adjustment, And Mental Health Supports, Sophie W. Schuyler, Jonique R. Childs, Timothy A. Poynton

Journal of College Access

Nearly 1 in 3 college students (30%) are first-generation students of color (FGSOC), possessing the intersectional identity of being both a first-generation college student and a racial minority. FGSOC face increased psychological and social difficulties in college when compared to students in other groups, resulting from cultural differences, lack of academic preparedness, stigma surrounding socioeconomic status, racial discrimination, and marginalization. This article summarizes peer-reviewed literature related to three types of supports that can improve the college experience and promote the academic success of FGSOC: academic supports, transitional adjustment supports, and mental health supports. The reviewed literature is framed by a …

Interpersonal Trauma And Mental Health Among Lgbq+ College Students: Examining Social Support And Trauma-Related Drinking As Mediators, Eryn Delaney

Theses and Dissertations

Despite the increased risk of childhood, adulthood, and lifetime interpersonal trauma among LGBQ+ individuals, existing research that has examined the influence of interpersonal trauma on mental health has primarily focused on LGBQ+ adolescents and samples of LGBQ+ community-based adults, and less on LGBQ+ emerging adults in college. Additionally, limited work has focused on mechanisms that might explain the relations between these variables. Thus, the current study tested the relations between interpersonal trauma (i.e., childhood sexual abuse, adulthood sexual victimization, and lifetime physical assault and IPV) and mental health outcomes (i.e., anxiety symptoms, depressive symptoms, and PTSD symptoms), and examined social …

Expand Your Horizon: Investigating An Online Intervention For Weight Bias Internalization, Alexandria Davies

Theses and Dissertations

Weight bias internalization (WBI; i.e., self-directed weight stigma or the degree to which individuals apply negative weight-based stereotypes to themselves), is problematic because it is associated with increased stress, emotional eating, healthcare avoidance, and exercise avoidance. Thus, WBI exacerbates health disparities and there is an urgent need to create treatments that address this concern. The current study examined the preliminary effectiveness of a previously developed online body gratitude journaling intervention (i.e., Expand Your Horizon) compared to an active control writing condition in emerging adult women with WBI. Racially/ethnically diverse women (N=100; n=49) or Expand Your Horizon ( …

Medical Cannabis And Counselor Education: Examining The Relationship Between Counselor Education Curriculum And The Incorporation Of Medical Cannabis, Anne Catherine Adrian

Graduate Research Theses & Dissertations

The focus of this study was to examine the status of medical cannabis instruction in counselor education curriculum programs. There is evidence to indicate that medical cannabis use may be beneficial in mental health care. However, there is limited research on medical cannabis in counselor education. The following research questions provided a framework of investigation for this study: What is the status of the inclusion of medical cannabis content in counselor education curriculum programs and what are the plans to incorporate this content in the future?

In this study, a non-experimental design was used to describe or examine associations between …

Navigating Integration: A Grounded Theory Of Practicing Clinicians' Experiences Integrating Neuroscience In Their Mental Health Clinical Practice, Barbara K. Skodje-Mack

All Graduate Theses, Dissertations, and Other Capstone Projects

The purpose of this study was to generate a grounded theory from practicing clinicians’ experiences integrating neuroscience in their mental health clinical practice. The research consisted of interviews with eight practicing clinicians across Minnesota. The qualitative study design relied upon the Corbin and Strauss (2015) Grounded Theory and theoretical sampling. Participants in this study described taking complex neuroscience information and translating it into user-friendly concepts and applying clinical interventions that affect the mind-body symbiotic relationship, providing a holistic way to address mental and physical health. The participants integrated neuroscience knowledge alongside other psychotherapy theories and utilized psychoeducation approaches to further …

Stress, Coping, Social Support, And Marriage Satisfaction In Parents Of Children With Congenital Heart Defects, David Kropff

Walden Dissertations and Doctoral Studies

Congenital Heart Defects (CHDs) are the most common type of birth defect in the United States. Children diagnosed with CHD require specialized intervention and a myriad of additional supports resulting in higher levels of stress for their parents. The purpose of this study was to analyze the impact of parental stress (parental distress, parent-child dysfunctional interaction, difficult child, and total parental stress), parental support (spouse/parenting partner relationship), and parental coping (maintaining social support, maintaining family integration, and understanding the healthcare situation) on marriage satisfaction among parents with children who have a CHD. Minuchin’s structural family theory was used to guide …

Counseling System Documentation And The Relationship Between Treatment Plans And Client Outcomes, Moraima N. Frangiosa

Walden Dissertations and Doctoral Studies

The purpose of this qualitative study was to provide a method for evaluating counseling services delivered to patients during treatment. The evaluation of the study required the use of methods that are repeatable and effective that would allow a clinic to continue using them over time to grow a database of valuable information about counseling and patient outcomes. The new database would allow the clinic to change counseling methods and approaches of delivery to promote organizational change. The evidence-based practice (EBP) for counseling therapy would encourage the connection between public administration and public policy in the health care system. Public …

Exploring The Dating Experiences Of Biracial Women, Camela Callaway-Higgins

Walden Dissertations and Doctoral Studies

Census data highlight swiftly changing demographics in the United States with over 9 million people self-identifying as multiracial. Scholars agree that the multiracial population has been historically understudied, and that this population may have differing experiences from the majority and other minorities. The purpose of this study was to gain a better understanding of the dating experiences of women who self-identify as Latina and Caucasian. This study was grounded in literature pertaining to the unique experiences of multiracial individuals, with emphasis on biracial relationship experiences, family influence on biracial identity and experiences, and the history of biracial identity theory development. …

Counselors’ Experience Implementing The Multicultural Orientation Framework With Interpersonal Trauma Clients, Dalad Srisuppak

Walden Dissertations and Doctoral Studies

Counselors are integrating the Multicultural Orientation (MCO) framework and cultural humility practices to address limitations of cultural competency models for cross-cultural counseling. This hermeneutic phenomenological qualitative study explored the lived experiences of counselors using the MCO framework with clients with interpersonal trauma. The MCO conceptual framework guided the study. Seven licensed mental health counselors from community-based agencies in South Florida shared their experience through individual videoconference semi-structured interviews. Data were collected, transcribed, and analyzed using the hermeneutic circle to identify seven themes: (a) counselors’ identity as a guide, (b) counselors’ culture and background influence whether White or minority/multicultural, (c) being …

African American Mothers’ Experience In The Neonatal Intensive Care Unit, Lauren Magruder

Walden Dissertations and Doctoral Studies

Black/African American (B/AA) mothers struggle disproportionately with problems related to childbirth. B/AA mothers have higher rates of premature births, infant death prior to age one, and death during childbirth. The purpose of this research was to add to present knowledge regarding B/AA mothers who have had a baby in the Neonatal Intensive Care Unit (NICU). Womanist theory was selected as a framework for the study because it focuses on the intersection of gender and race in relation to B/AA women. The experience of B/AA women in U.S. society is unique, in that it involves several pervasive stereotypes and controlling images. …