Counseling Psychology Commons^™

Exploring The Therapeutic Relationship In Mental Health Therapy With Queer And Disabled Adults, Rachel Womack

Theses and Dissertations--Social Work

Queerness and disability have been shown to be intimately connected, with members of the LGBTQIA+ community significantly more likely to identify as disabled compared to the general population. Though there are roughly 3-5 million queer and disabled individuals living in the United States, this remains a multiply marginalized and understudied population. Owing partially to stigma, minority stress, and discrimination, these individuals face an increased risk of a variety of mental health problems including depression, anxiety, self-harm, PTSD, and suicidality. Additionally, several barriers to mental health treatment exist, including inaccessible services, lack of provider knowledge, and outright discrimination from providers. Though …

Understanding Emerging Adult Mental Health And Attachment: The Roles Of Parental Factors In Childhood, Trauma, And Gender, Christiana A. Howell

Dissertations

Problem

The experience of the parental environment growing up, parental psychopathology in childhood, exposure to trauma throughout the lifespan, insecure adult attachment, and social support have been established as factors that influence mental health in adulthood. These factors have not yet been studied together as a complex model of emerging adult mental health and attachment. The purpose of this study was to develop a theoretically and empirically supported model of these factors to understand how these factors interact to influence mental health in emerging adulthood. Additionally, the purpose was to understand if these factors interact differently based on gender.

Method …

Disability In Education From A Neurodiversity Standpoint: A Multi-Article Dissertation, Isabelle Kluge

Antioch University Dissertations & Theses

This theoretical multi-article dissertation is a broad examination of education, including trends in our school system, juvenile justice system, and cultural/media system to address the disproportionate targeted failure of students with disabilities from a neurodiversity standpoint. Research shows how our current education system is not the practice of freedom for all learners, but rather a reproductive practice that teaches forms of group-based privilege that results in the disproportionate outcome of school failure, oppression, and incarceration for students with disabilities. Creating liberatory learning spaces for neurodiverse students of all races must include challenging White supremacy, neurotypical superiority, and a standardized one-size-fits-all …

Posttraumatic Growth Following Pregnancy Loss, Megan Pinette

Antioch University Dissertations & Theses

Posttraumatic growth (PTG) is positive psychological change that can result from the struggle with trauma or other highly stressful events (Calhoun & Tedeschi, 1999; Calhoun et al., 2010). The aim of this study was to capture the rich narratives of individuals who have experienced pregnancy loss and reported PTG. The narratives of ten participants were investigated to better understand what areas of posttraumatic growth they experienced following this often-devastating loss, as well as the processes that led to this growth. Participants of this study reported experiencing growth in the domains of (a) Relating to Others, (b) Personal Strength, (c) New …

Cps Workers’ Perspectives On Mst-Ipv And Other Interventions For Child Maltreatment And Intimate Partner Violence: A Reflexive Thematic Analysis, Malea Lash

Antioch University Dissertations & Theses

Although the co-occurrence rate of intimate partner violence (IPV) and child abuse and neglect (CAN) is about 40% (Appel and Holden, 1998; Herrenkohl et al., 2008), little research currently exists on integrated treatment for these concerns. Furthermore, no known published studies investigate child protective services (CPS) workers’ perspectives on such treatment. The present study explores the perspectives of CPS workers on treatment for co-occurring IPV and CAN, specifically focusing on Multisystemic Therapy for Intimate Partner Violence (MST-IPV). A total of 18 Connecticut CPS workers participated in semi-structured interviews. Seven participants had experience working with MST-IPV treatment providers, while 11 participants …

Marginalized Sexual- And Gender-Identified Clients In University Counseling Centers: Best Psychotherapy Practices, Sara M. Cauley

Antioch University Dissertations & Theses

Young adults in college experience significant rates of mental health difficulties. The mental wellness of young adults has shown to have a substantial link to future success, health, and well-being. Individuals with marginalized sexual and gender identities (SGM) often hold additional mental health difficulties due to having identities that typically defy societyʼs assumptions and expectations, and these assumptions/expectations are presented to youth from a young age. The distress experienced by SGM individuals can often be relational in nature due to living in and relating to a heteronormative, cisgender society that stigmatizes and oppresses SGM individuals. University Counseling Centers (UCC) typically …

Examining Multicultural Leadership Development Practices In Counselor Education To Foster Future Leaders, Katie N. Schmitz

Antioch University Dissertations & Theses

The purpose of this study was to gain a deeper understanding of how doctoral programs foster leadership development in Counselor Education and identify recommendations for incorporating leadership-related learning outcomes and multicultural leadership identities. Using a Delphi method, the study collected input from sixteen experts in the field of Counselor Education and leadership. Data was examined through the lenses of transformational learning and leadership theories. The research questions were: what are the best practices in teaching and/or fostering multicultural leadership development in Counselor Education, and what are the recommendations for integrating CACREP leadership-related learning objectives in the curriculum? Eight themes were …

Fantasia On A Theme Of Purpose: Using A Music-Guided Scribble Technique To Support Meaning-Making In Older Adult Retiree Musicians, Sophia R. Smith

Art Therapy | Master's Theses

Within the population of older adults, overall well-being corresponds with the ability to self-actualize and seek meaning, but age-related changes combined with ageism and isolation can negatively impact this capacity to maintain a sense of purpose, especially following retirement. It may be that retired musicians are especially vulnerable to this experience later in life due to a loss of the primary method of creative engagement and community that is facilitated by musical performance in a group setting. Integrating phenomenological and ethnographic approaches, this study utilized a qualitative design to understand how music-guided art-making incorporating the scribble technique could support a …

Psychological Effects Of Solitary Confinement, Asia Mclemore

CMC Senior Theses

This thesis critically examines the controversial practice of solitary confinement (SC) in correctional facilities, aiming to elucidate its profound impact on the mental well-being of incarcerated individuals. Through a comprehensive review of empirical studies, theoretical frameworks, and case analyses, it explores the psychological, cognitive, emotional, behavioral, and physical responses of inmates subjected to prolonged isolation, revealing the intricate interaction between environmental deprivation and psychological distress. Key themes investigated include the induction and exacerbation of mental health conditions, including symptoms akin to post-traumatic stress disorder (PTSD), and the conflicting effects of SC on institutional order. Furthermore, the study evaluates the ethical …

Graduate Students' Accessibility To Human Sexuality Training, Samantha B. Rotay

Antioch University Dissertations & Theses

Human sexuality is a basic foundation of the human experience. In graduate school for psychology, students are often taught about sexuality in terms of gender identity and sexual orientation. However, there is a lack of education around sexual functioning in terms of sexual wellbeing, arousal, and disorders. Many psychologists are licensed as general practice clinicians but only a small percentage of psychologists have training in human sexuality. However, many generalist psychologists hold a caseload of couples and individuals who are experiencing sexual concerns. Due to the limited training, therapists are less likely to assist clients in therapy around sexual concerns. …

Parentification And The Protective Factor Of Familismo In The Latine Community, Leury Peña

Antioch University Dissertations & Theses

Parentification, or parent-child role reversal, occurs when children and adolescents take on parental responsibilities within the family (Boszormenyi-Nagy & Spark, 1973). This can include caring for younger siblings, attending to their parents' emotional needs, and assisting with tasks such as translation. Parentification disrupts family dynamics as parents transfer significant responsibilities to the child (Martino & Coburn, 2022). Extensive research consistently demonstrates the negative impact of parentification on children, leading to depression, suicidal feelings, shame, guilt, worry, and social isolation (Jurkovic, 1997). It can also contribute to the development of conduct disorders. Unfortunately, these difficulties often go unnoticed. However, when it …

Maternal Burden: The Interplay Of Parental Burnout, Insomnia, And The Covid-19 Pandemic Among First-Time Mothers, Kaila Kutz

Antioch University Dissertations & Theses

The current study sought to better understand the relationship among parental burnout, insomnia, and first-time motherhood within the context of the novel coronavirus (COVID-19) pandemic. A thorough review of the literature was conducted in order to position this dissertation and its questions within the current research landscape. A quantitative, survey-based research methodology was used to explore the association between the aforementioned variables of interest through correlational analyses. Findings of the study suggest a positive association between parental burnout and insomnia, though nonsignificant findings between motherhood groups in relation to insomnia and parental burnout suggest that continued investigation into these variables …

Measures To Assess The Competence Of Supervisors Of Provisionally Licensed Mental Health Counselors, Jennifer S. Kennett

Antioch University Dissertations & Theses

Supervision is a foundational component of education and training for new counselors. Ensuring provisionally licensed supervisees receive adequate supervision is vital, given the variation in training and experience requirements from state to state. Therefore, the purpose of this study was to evaluate three measures of supervisor competence and experience, the Supervision Experience and Supervisory Competence Assessment (version 2; SE-SC), the Generic Supervision Assessment Test (GSAT), and the Brief Supervisory Working Alliance Inventory (BSWAI) for use in the counseling profession within the United States. The instruments were evaluated for reliability and face validity using a sample of 104 provisionally licensed counselors …

Midas’ Children: Affluent White Families And The Effects Of Parental Bias On Child Outcomes, J. Sema Bruno

Antioch University Dissertations & Theses

Navigating parental biases within White affluent homes assumes family dynamics as yet unexplored within family therapy praxis. This dissertation examines parental biases directed toward domestic laborers employed in affluent White homes and how these biases might affect the parent-child relationship and the emerging values of children in these homes. Research from other fields demonstrates that domestic laborers experience social bias within the workplace; what this highlights is the likelihood that children in these settings are navigating unspoken subtleties of racism and classism in the context of developing socio-emotional maturity and family relationships. The first article within this dissertation critically reviews …

Productivity In Private Practice: Experiences And Best Practices Of Mental Health Counselors, Mark C. Pilger

Antioch University Dissertations & Theses

The purpose of this study is to understand how mental health counselors in private practice conceptualize, approach, and manage productivity, including key strategies and best practices employed through a qualitative study of lived experience. Inclusion criteria for participant eligibility included being a licensed counselor with a degree from a CACREP-accredited counseling program, working primarily in a private practice setting, and with primarily adult clients. Nineteen participants (N = 19) met these criteria and were included in the study. A thematic analysis was utilized by a team of researchers, which resulted in seven primary themes. The primary themes relate to the …

The Ethics Of Involuntary Intervention, Landyn Tipton

Williams Honors College, Honors Research Projects

This is a deep ethical analysis of the act of non-consensual intervention that discusses the distinction between voluntary and involuntary intervention and explains when it would be considered appropriate and inappropriate to intervene in someone else's life. This paper presents an argument for the right to autonomy, including specific scenarios like consensual types of intervention (psychological therapy), religious intervention (specifically involving LGBTQ conversion therapy), and situations where the person is potentially harming themselves or others. There will also be an interpretation of autonomy and the claim to authority through the lens of Utilitarianism and Kantian ethics.

Adjustment Issues In First-Year College Students, Tessa Jones

Williams Honors College, Honors Research Projects

The transition from high school to college marks a critical period of adjustment for students, often accompanied by various stressors affecting mental health. Entering adulthood can be a time of identity crisis and emotional vulnerability, and beginning college only adds to existing pressure. This literature review explores multifaceted aspects of first-year college student adjustment, the impact of COVID-19 on universities, predictors of adjustment, and interventions. Emotional, social, and academic adjustment are intertwined with each other, and all significantly influence well-being. The COVID-19 pandemic exacerbated challenges, leading to heightened stress and decreased social interactions. Establishing connections and support from peers are …

Virtual Supervision Verse Face-To-Face Supervision And How It Impacts Self-Efficacy For Counselors-In-Training, Linda Yousif Yatooma

Wayne State University Dissertations

Abstract

VIRTUAL SUPERVISION VERSE FACE-TO-FACE SUPERVISION AND HOW IT IMPACTS SELF-EFFICACY FOR COUNSELORS-IN-TRAINING

by

LINDA YATOOMA

May 2024

Advisor: Dr. Anita Welch

Major: Counselor Education

Degree: Doctor of Philosophy

The study focuses mainly on counselors-in-training self-efficacy and the impact of clinical supervision. The sample size of 227 counselors-in-training all received some type of clinical supervision. The deliverance of clinical supervision did not have any significance between them. Therefore, virtual clinical supervision is just as effective as face-to-face clinical supervision. Also, the counselors-in-training who were in internship class had a much higher level of self-efficacy than the counselors-in-training in the technique …

Student-Athlete Mental Health: University Of Montana Case Study, Abigail M. Sherwood

Undergraduate Theses, Professional Papers, and Capstone Artifacts

Research suggests that Division I college-student athletes experience higher levels of stress and other behavioral health issues than their non-athlete counterparts, with up to 20% of them suffering from depression (Sudano et al., 2017). Two studies on student athletes’ well-being conducted in 2020, reported that athletes continue to report higher levels of mental health concerns (Johnson, 2022). Since the fall of 2020, rates of mental exhaustion, depression, and anxiety have improved minimally with rates remaining 1.5 to two times higher than reported before the COVID-19 pandemic (Johnson, 2022). Naomi Osaka withdrawing from the French Open in 2021 and Simone Biles …

The Cultural Adaptation Of An Eating Disorders Assessment Tool For South Asian American Women, Neha J. Goel

Theses and Dissertations

South Asians (SAs) are less likely to be screened, referred, and treated for eating disorders (EDs), although they experience these serious health conditions at rates similar to those of their White counterparts. Available ED assessment tools do not adequately capture cultural nuances in the presentation of eating psychopathology in SAs. Thus, the current study culturally adapted the Eating Disorder Examination-Questionnaire (EDE-Q) to enhance its validity, applicability, and cultural relevance for SA women living in the US. During the cultural adaptation phase, the principal investigator consulted with participant experts (N=24) and research experts (n=4) to create the …

Individual And Organizational Challenges To Implementing Prolonged Exposure Therapy In The Military Health System: A Systematic Review Of Client And Provider Perspectives, Paris R. Cloutier

Honors Undergraduate Theses

Military veterans and active-duty service members face high rates of posttraumatic stress disorder (PTSD), a chronic and debilitating condition that is comorbid with other negative psychological and social outcomes. PTSD symptomology in military careers is attributed to unique organizational factors and risks both during and post-deployment. Delivering modern, effective PTSD treatments derived from evidence-based research to the military population is a multi-faceted effort. Among these interventions, prolonged exposure therapy (PE) is a safe and effective trauma-focused treatment for veterans. To yield higher rates of PE success, common challenges faced by both military clients and their clinicians that may be impairing …

An Exploration Of The Lived Experiences And Psychological States Of Migrants And Refugees, Zainab Akef, Senel Poyrazli, Isabel Quintero

The Qualitative Report

UNHCR reports that about 82.4 million individuals were forcibly displaced as they attempted to avoid persecution, conflict, or human rights violations in their home countries. In addition to traumatic experiences, refugees encounter stressors such as low income, reduced social support, and language barriers. This qualitative study aimed to explore the impact of pre-migration trauma and political detainment on mental health outcomes and living conditions. A total of eight interviewees participated in video conferencing interviews. A non-probability convenience sampling using the snowballing technique was utilized to identify participants. Data were analyzed using an inductive approach for thematic analysis. The software Dedoose …

The Menstrual Cycle In Psychotherapy: Interventions, Therapist Engagement, And Blind Spots, Rozita Alaluf

Dissertations and Theses

There is a dearth of literature on psychotherapy and menstruation, except for the treatment and diagnosis of issues associated with premenstrual distress. This study aimed to bridge this gap by investigating the frequency and context of discussions about the menstrual cycle, the factors influencing therapists’ engagement with this topic, and the therapeutic approaches utilized to address the menstrual cycle within psychotherapy.

In phase 1, 118 psychotherapists from various theoretical backgrounds completed a survey on menstruation in clinical practice. The data was analyzed using descriptive statistics. In phase 2, semi-structured interviews were conducted with 7 psychotherapists, primarily identifying their theoretical orientation …

The Role Of Familial Support And Gender In Asian American Students’ Stem Career Development: A Test Of Social Cognitive Career Theory, Xiao Ting Wang

Electronic Theses & Dissertations (2024 - present)

This study, based on Social Cognitive Career Theory (SCCT; Lent et al., 1994, 2000), investigated the role of familial support in the STEM career development of Asian American college students. Participants included 446 first-year undergraduate students who identified as Asian or Asian American and had not declared an academic major. Due to multicollinearity, four initial familial support variables—instrumental assistance, career-related modeling, verbal encouragement, and emotional support—were regrouped into two: performance motivation (instrumental assistance and verbal encouragement) and career mentoring (career-related modeling and emotional support). Structural equation modeling showed acceptable fit for a modified model, and the results partially supported the …

Implementing A Stepped Care Model: A Case Study Of Two College Counseling Centers, Stephanie L Johnson-Kane

Dissertations and Theses

The demand for mental health counseling services has surged, but the capacity of college counseling centers to meet this demand has not kept pace. The effects of COVID-19 have exacerbated this already fragile system of care. College students are enrolling in college with increased levels of anxiety, depression, disordered eating, suicidal ideation, and substance use. College counseling center staff are facing burnout. The waitlist to receive mental health services is at critical capacity. This multi-site case study was designed to foster an understanding of two college counseling centers' implementation of the stepped care approach as a mental health service delivery …

The Lived Experience Of The Covid-19 Pandemic Among Mandate-Resistant Adults In Washington State, Amber N. Peterson

Antioch University Dissertations & Theses

This study examined the lived experience of self-identified, mandate-resistant adults in Washington state. This study explored participants’ experience of the COVID-19 pandemic, from a retrospective framework by uncovering challenges, silver linings, decision-making, and self-reported mental health. Remote interviews were conducted with nine participants. Participants were between 23–31 years old, mostly male, and over half identified as Black. Through semi structured interviews, data was collected and analyzed using Interpretive Phenomenological Analysis (IPA). Participants described their experiences during the COVID-19 pandemic and highlighted significant changes in the way they lived their lives. Most notably, participants described ways in which they defied COVID-19 …

Ain’T I A Survivor Too: Contextualizing Black Women’S Experience Of Sexual Trauma And Healing, Danielle Alyssa Samuel

Antioch University Dissertations & Theses

The double bind of Black womanhood has been long documented in Black feminist literature. This dissertation seeks to greatly contextualize how Black women experience make sense of, and heal from, sexual trauma given the nature of gendered racism in the United States (U.S). Utilizing a convergent parallel design grounded in Black Feminist Theory and hermeneutic phenomenology, the lived experiences of 98 Black women from across the U.S. were investigated. Regression analyses revealed that the frequency of gendered racial microaggressions and the associated appraisal were not significant predictors of participants’ PTSD symptoms. Additionally, PTSD symptoms were inversely predictive of current perceptions …

Ideals Of Benevolence, Acts Of Dysconsciousness: White Women's Pursuit Of Diversity In Nonprofits, Tessa A. Fulmer

Antioch University Dissertations & Theses

Recent political movements such as the Black Lives Matter and #MeToo movements have brought renewed attention to the social roles of White women and their unique position of intersectional privilege and oppression. White women experience the benefits of whiteness while simultaneously experiencing the gendered oppression of womanhood. However, there is a lack of research exploring how White women conceptualize and respond to their own positionality as both White individuals and as women. This study utilizes constructivist grounded theory to examine how White women navigate their social location within the context of working in the nonprofit sector, a space wherein White …

The Development Of Internalized Sexism In Young Adult Women, Kylie Schwabe

Antioch University Dissertations & Theses

The present study utilized Interpretative Phenomenological Analysis in order to examine the lived experiences of young adult, cisgender women and the development of internalized sexism. Eight participants completed semi–structured interviews focused on their relationships with other women and subsequent views of womanhood. Themes found were (a) womanhood is taught by women throughout the lifespan, (b) women are sexually responsible for men, (c) women are emotional caregivers, (d) there are biological bases of womanhood, (e) women are expected to “do it all,” (f) expectations of women are fueled by media portrayal, (g) traditional femininity is seen as oppositional to the feminist …

Frozen By Worry And Fatigue? A Mixed Methods Approach To Understanding The Lived Experiences Of Freezing Of Gait, Sarah M. Ghose

Theses and Dissertations

This study utilized a mixed methods emergent, phenomenological approach to (1) understanding the lived experience of freezing of gait for individuals diagnosed with Parkinson’s Disease and (2) determining the role of anxiety and sleep in freezing of gait outcomes. Participants included 13 adults diagnosed with Parkinson’s Disease (N=14 for qualitative data, N=13 for quantitative data; 23.1% female-identifying, 76.9% male-identifying) who were predominantly white (92.3%) with an average age of 69 years (SD = 6.73 years). Data collection consisted of semi-structured interviews, self-report measures, actigraphic sleep data, and salivary alpha amylase biomarker collection. Results are organized into …