Counseling Psychology Commons^™

Childhood Emotional Maltreatment And Its Associations With Internalizing And Externalizing Symptoms In Emerging Adults, Amira C. Wallace

Undergraduate Theses and Capstone Projects

This study examines how childhood emotional maltreatment influences mental health symptoms among college students aged 18 to 25, specifically exploring its association with increased prevalence and severity of depression, anxiety, hyperactivity, and aggression symptoms in emerging adulthood. The relationship between childhood emotional maltreatment and internalizing and/or externalizing mental health symptoms will be assessed using questionnaires. This study aims to provide recommendations for the development of supportive and inclusive academic environments that facilitate informed conversations and interventions regarding childhood maltreatment. Findings could provide valuable information about students with histories of childhood maltreatment to academic institutions, which could in turn be used …

The Moderating Role Of Perceived Resource Abundance In The Links Between Self-Compassion, Self-Coldness, Coping Strategies, And Mental Health, Evan E. Ozmat

Electronic Theses & Dissertations (2024 - present)

Undergraduate students increasingly present to college counseling centers with pre-existing mental health concerns, including depression and suicidal ideation, emphasizing the urgent need for effective interventions and a deeper understanding of contributing factors. Self-compassion—responding kindly to oneself amid suffering—and its theorized counterpart, self-coldness—characterized by self-judgment and isolation—have emerged as key constructs influencing mental health. The two-factor model of self-compassion, grounded in Gilbert’s (2005a) Theory of Social Mentalities (TSM), posits that self-compassion and self-coldness are distinct unipolar continua shaped by evolved safeness and threat-defense systems that regulate social behaviors and mental health outcomes. The present study examines the mediating role of prosocial …

The Development And Piloting Of A Novel Client-Rated Trans And Gender Expansive Clinical Competence Scale For Mental Health Providers, Karen Abraham

Dissertations, Theses, and Capstone Projects

Transgender and gender expansive individuals (TGEI) are people who encompass a broad and comprehensive set of experiences of gender diverse individuals and identities that exist both within and beyond a binary framework. In the United States, the Williams Institute identified a proportion of 0.5% of American adults identifying as transgender (Herman et al., 2022). TGE samples report poorer physical and mental health than their cisgender counterparts across the lifespan (Rastogi et al., 2025; Reisner et al., 2015; Reisner, Poteat, et al., 2016). Health disparities of TGEI relative to their non-TGE counterparts can be seen in the prevalence of mood disorders …

The Intersection Of Mental Health And Demonic Activity, Robert A. Willis

Salubritas: International Journal of Spirit-Empowered Counseling

No abstract provided.

Supporting Every Student: Optimizing School-Based Mental Health Services For Students With Intellectual Disabilities, Sarah K. Eggleston

Educational Specialist, 2020-current

Youth with intellectual disabilities (ID) are at considerably greater risk of developing mental health problems compared with the general population; however, their needs are less likely to be identified, and they often face barriers to accessing quality mental health care. School-based mental health professionals (SBMHPs) are uniquely positioned to support students within their natural learning environments, where many common barriers to service provision have been removed. The present study examined the current state of practice among SBMHPs in Virginia in identifying and supporting the needs of students with ID, as well as SBMHPs’ training experiences. An online cross-sectional, mixed-methods survey …

A Holistic Christian Perspective On Wellness For College Students - A Qualitative Analysis, Shari L. Jurgens, Deb Majewski, Jessica Clevering

Movement and Being: The Journal of the Christian Society for Kinesiology, Leisure and Sports Studies

Aim: This study sought to explore the impact of a Christ-centered, holistic wellness course on college-aged students’ understanding of key wellness principles. The goal was to gain insight into how students comprehend and apply these principles considering their spiritual and personal development.

Background: Wellness education for undergraduate students is both timely and essential, especially within Christian higher education, where nurturing the whole person is a core value. A common misconception is that wellness pertains only to physical and mental health. However, Scripture affirms that human flourishing involves a harmony of body, mind, and spirit. A holistic, biblically informed approach to …

Self-Directed Violence In Athletes, Adela Vavrinova

Graduate Theses and Dissertations

Self-directed violence (SDV) in athletes comprises a spectrum of behaviors, including non-suicidal self-injury (NSSI), suicidality, and self-harming behaviors that can be embed- ded within sport contexts. Competitive sport environments may intensify psychological vulnerability through factors such as performance demands, body-image pressures, injury and rehabilitation stress, and norms that discourage help-seeking. This thesis synthesizes existing literature on SDV among athletes with the aim of clarifying how SDV is concep- tualized and measured, summarizing what is known about prevalence patterns, functions, and contextual risk factors, and identifying prevention and intervention strategies relevant to athlete systems. The reviewed evidence suggests the SDV literature …

No-Show Characteristics Of Rural Clients With Mental Health Conditions, Christy R. Collins, Jose Carbajal

Journal of Human Services: Training, Research, and Practice

The purpose of this study is to report demographic characteristics and appointment compliance factors associated with no-show appointments in a rural clinical setting in East Texas. Describing these variables will expand the existing literature and offer greater clarity not only on why appointments are missed, but also on who is missing them. Therefore, understanding how sociodemographic variables relate to missed appointments may enhance appointment adherence and improve healthcare outcomes for individuals. This study used cross-sectional archival data specifically collected to examine missed appointments among clients at a rural clinic (N = 134). The results indicate that Hispanic/Latino individuals, clients aged …

Experiences Of Stigma And Barriers To Care Among Transgender And Gender Expansive Populations Seeking Mental Healthcare, Amanda Veldorale-Griffin, Elizabeth Banks, Elizabeth Patrick, Judith Cannon, Caidan Thomas Smith

Marriage and Family Therapy Faculty Articles and Research

Transgender and gender expansive (TGGE) people experience increased risk for mental health issues and suicidality, as well as significant barriers to mental healthcare, due to stigma and discrimination, including from mental healthcare providers. A sample of 945 TGGE participants completed self-report surveys, measuring experiences of stigma and barriers to care, and counselor competence. Data were divided into two groups by age and analyzed through linear regressions and one-way ANOVAs. Across groups, participants (approximately 58% of younger participants and 49% of older participants) reported experiencing stigma from a healthcare provider, and all reported some barriers to care, with more than half …

Who Should Be Responding To Mental Health Crises: A Public Perception Study, Bryan E. Phillips

Williams Honors College, Honors Research Projects

This project includes a survey which will be evaluating, out of Police Officers, Paramedics, and Mental Health Clinicians, who Intro to Psychology students believe are best fit to respond to Mental Health Crises as well as what factors may influence said belief. To do this they will be provided with a survey that collects demographic information, personal experiences with each profession, and detailed scenario-based questions with differing variables allowing the participants to decide which profession they believe is best equipped to deal with each scenario. This data will then be put into a research manuscript to be presented via posterboard …

Bridging Worlds Of Care: A Qualitative Exploration Of Integrating Non-Western Healing Modalities With Mental Health Counseling, Douglas Valdez

Antioch University Dissertations & Theses

The aim of the study is to explore the experiences of practitioners who treat individuals presenting with depression and anxiety using culturally integrative non-Western healing modalities. Participants included 15 experienced practitioners (minimum five years of practice) who identified as Traditional Chinese Medicine providers (e.g., acupuncturists, herbalists) and/or Curandero/x/as. The approach was qualitative, utilizing open-ended survey responses collected electronically and analyzed with thematic analysis. Results indicated six primary themes: (a) Philosophies in Healing, highlighting culturally grounded conceptualizations of depression and anxiety; (b) Traditional Chinese Medicine Interventions, including acupuncture, botanical, nutritional, manual, and movement-based practices; (c) Curanderismo Pláticas and Integrative Western Healing …

Accessing Campus Mental Health Services In A Nigerian Southwestern University: Barriers To Academic Success, Caroline Dada

Electronic Theses and Dissertations

Mental health disorders are a significant health concern among higher education institutions in sub-Saharan Africa, including Nigeria. A substantial treatment gap exists in the Nigerian healthcare system, and this gap is further worsened by cultural and religious barriers, which reinforce stigma that discourages students from seeking professional help. This qualitative narrative inquiry explored the barriers students encountered when accessing mental health services at a university in Southwestern Nigeria, to increase service access. Qualitative semistructured interviews were conducted with seven professional mental health providers at a university counseling center between March and April 2025. Inductive thematic analysis was used to identify …

Pow, Bam, Snikt: Using Superheroes To Teach Mental Health, Christopher Dabbs

Journal of Thematic Instruction

Undergraduate psychopathology (abnormal psychology) courses traditionally emphasize case vignettes of individuals with psychiatric disorders to illustrate etiology, nosology, and treatment. While pedagogically useful, these depictions can inadvertently provoke distress in students, potentially impeding engagement and learning. To address this dilemma while continuing to center the same learning outcomes, I formulated a course structure which embedded some course topics in superhero-related material with the express intent to create psychological distance between potentially distressing topics and the learners themselves. This commentary provides background for the course, evidenced-based rationale for specific pedagogical choices alongside topical material recommendations, and ends with personal reflections.

Self-Talk Speaks Loud: A Bibliometric Dissection Of Its Rise In Counseling Practices, Sri Purwanti, Wahyu Nanda Eka Saputra

Buletin Konseling Inovatif

This study aims to map global trends in self-talk using a bibliometric approach. The data source was entirely drawn from the Scopus database, focusing on publications containing keywords related to self-talk, such as self-talk, talk, and relationship. The analysis was conducted on 960 selected documents published between 1975 and 2025. The results show a significant increase in publications since 2020, reflecting a growing need for self-talk approaches that support mental health and psychological well-being. Authors from various countries contributed differently, with the United States dominating in terms of both publication volume and citations, while developing countries such as Indonesia have …

"Chatgpt Told Me To Say It": Ai Chatbots And Class Participation Apprehension In University Students, Daisuke Akiba

Publications and Research

The growing prevalence of AI chatbots in everyday life has prompted educators to explore their potential applications in promoting student success, including support for classroom engagement and communication. This exploratory study emerged from semester-long observations of class participation apprehensions in an introductory educational psychology course, examining how chatbots might scaffold students toward active and independent classroom contribution. Four students experiencing situational participation anxiety voluntarily participated in a pilot intervention using AI chatbots as virtual peer partners. Following comprehensive training in AI use and prompt design given to the entire class, participants employed systematic consultation frameworks for managing classroom discourse trepidations. …

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

Dissertations

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

Walking In Promise, Living In Reality: Exploring The Mental Health Implications Of The Pentecostal Discourse Of Divine Calling, Robert D. Mcbain

Salubritas: International Journal of Spirit-Empowered Counseling

Pentecostalism places a strong emphasis on the discourse of divine calling, where individuals believe they are purposefully created, guided, and empowered by God to fulfill a specific mission. This sense of calling profoundly shapes Pentecostals’ sense of identity and purpose. Using Grounded Theory, this study analyzes open, in-depth interviews with Pentecostals in the U.S. to explore the impact of the Pentecostal discourse of divine calling on their mental health. The metaphor of ‘walking in’ one’s calling emerges as the central theme used by participants to explain the interaction between their perception of divine calling, their lived realities, and their mental …

Mothers Supporting Mothers: A Psychotherapy Group For Postpartum Mothers Struggling With Substance Use, Brittany Hook

Educational Specialist, 2020-current

One topic that is not talked about enough is women’s health and more specifically postpartum women. This is apparent especially when it comes to postpartum care and the diverse experiences women face. The silence around postpartum women’s experiences can be frightening at times. The mental health of postpartum mothers can be overlooked and can lead to concerns of suicide ideation, increase substance use and a decrease in overall wellbeing. When substance abuse is in the picture for postpartum women, a treatment option that can be effective is group counseling. An evidence-based modality that works off the humanistic theory is motivational …

Cultural Self-Harm Differences, Erin E. Simmons

Student Scholar Symposium Abstracts and Posters

This study is based on the evident cultural differences in self-harm behaviors and what those behaviors look like specifically for individuals that identify as Black or African American. Previous literature suggests that cultural differences in self-harm exist but very little research centers Black experiences and their connection to self-harm. Self-harm is considered a broad term, and it encompasses a variety of behaviors, some more common than others, but these common behaviors are typically exclusively explored within only a few demographics with a low Black participant pool. This contributes to the assumed lack of self-harm among the Black community but through …

Unbridled Healing: Identifying The Barriers Of Equine-Assisted Therapy, Sally A. Hamm

Human Development and Family Sciences Undergraduate Honors Theses

Despite the documented benefits of equine-assisted therapy (EAT) for mental health conditions, this complementary approach remains underutilized. This qualitative study investigated barriers preventing wider EAT implementation by examining challenges faced by clients, facilities, and volunteers. Data collected through open-ended surveys from 33 participants and the researcher's autoethnographic observations revealed eight common barriers: Accessibility (48 mentions), Money (43), Time (30), Awareness (23), Physical Factors (13), Relationships (13), Risk (13), and Weather (7). Clients identified financial constraints as their primary barrier, particularly insurance limitations. Facilitators struggled most with accessibility challenges, including lack of resources, trained staff, suitable horses, and appropriate facilities. Volunteers …

Religious Scrupulosity: The Law And The Gospel, Robert J. Chester

Senior Honors Theses

The clear distinction of the law and gospel for the salvation and justification of an individual, highly affects the minds, beliefs, and lives of those who suffer from religious scrupulosity. Religious scrupulosity is known as obsessional fears of thinking or behaving immorally against one’s religious beliefs. Religious scrupulosity affects many in the church, and is a form of obsessive/compulsive thought that can form due to improper emphasis of gospel truth. The way the church preaches and emphasizes certain points of the gospel can change the perception and understanding of many people in the world. The evident distinction between law and …

Direct And Mediating Relationships Between Divine Grace, Legalism, And Mental Health, Branwyn H. Mccormick

Senior Honors Theses

Positive psychology has popularized the integration of religious ideas into psychological treatment. According to the literature, the experience of divine grace is correlated with favorable mental health outcomes, whereas legalistic attitudes are correlated with adverse mental health outcomes. It has also been found that the experience of divine grace is a mediator between legalism and mental health. However, the constructs of divine grace and legalism have both been relatively unexplored aside from a few studies using Latter-day Saints (LDS) populations. The current study seeks to analyze relationships between divine grace, legalism, and mental health using a conservative evangelical Christian population. …

Centering Black Resource-Poor Adolescent Voices: A Critical Phenomenological Study Of Lived Mental Health Struggles While Enduring The Covid-19 Pandemic, Paulette Dispagna

Counseling and Psychology Dissertations

There is a dearth of research in general and qualitative research specifically about the mental health experience of resource-poor Black adolescents living in Boston. This has implications for the field in terms of how adolescents experiencing mental health issues can be supported and how professionals can create more useful mental health treatment. Drawing from the theoretical lens of critical race theory and more specifically, intersectionality, this hermeneutic phenomenological inquiry examined the ways in which experiencing multiple levels of inequality, especially from racism and poverty, affected a Black adolescent’s mental health. Eleven adolescents were interviewed via Zoom. Six major findings included: …

"It Would Ruin My Life”:Pacific Islander Male Adolescents’ Perceptions Of Mental Health Help-Seeking Interpretative Phenomenological Analysis Focus Group Study, Melia Fonoimoana Garrett, Elizabeth Cutrer, G. E. Kawika Allen, Ellie Young, Kristopher J. Urbina, Isabel Medina Hull

Faculty Publications

Given rising mental health concerns among Pacific Islander (PI) adolescents, this population remains underserved by available mental health resources. This interpretative phenomenological analysis with focus groups (IPA-FG) examined the lived experiences and perceptions of 19 male PI adolescents (ages 14–16) from Native Hawaiian, Maori, Samoan, and Tongan backgrounds regarding mental health help-seeking behaviors. Four overarching themes emerged: stigma and judgment, cultural misalignment in professional services, impact of disclosure and perceived punitive consequences, and a complex ecosystem of trusted relationships as mental health support. Notably, participants expressed belief that disclosing mental health challenges would “ruin their lives” and held misconceptions about …

Mindfulness & Mental Health: Balanced Time Perspective As A Mediator, Eddie Trueblood

Masters Theses

Mindfulness is a practice of intentionally paying attention to the present moment in a nonjudgmental way. Being more mindful can decrease symptoms of anxiety, depression, and stress, among other mental and physical health improvements. (Donald et al., 2016; Hofmann et al., 2010; Kabat-Zinn et al.,1992). This study examined if balanced time perspective (BTP) is one of the mechanisms of action of mindfulness in its relationship with depression, anxiety, and stress. BTP refers to a person’s ability to flexibly adapt their time perspective (attention to the past, present, or future, and positive or negative attitudes toward each) to suit the current …

Yoga As A Self-Care Practice For Mental Health Counselors Who Treat Trauma, Kari Michelle Fitzgerald

Graduate Research Theses & Dissertations

Given the high rates of burnout and compassion fatigue among trauma-exposed counselors, understanding effective self-care practices is critical for sustaining clinical effectiveness and well-being. Utilizing Interpretative Phenomenological Analysis (IPA), exploration of the lived experiences of licensed mental health counselors who treat trauma and use yoga as a self-care practice was conducted. Eight participants who were regular yoga practitioners each participated in one semi-structured interview and submitted one pre- and one post-interview reflective journal entry. Thematic analysis was used to identify six major themes; 1) emotional impact and sacred responsibility of clinical work, 2) yoga as a regulating and restorative practice, …

Mental Heath Experiences Of Transracial Adoptees Of The Global Majority (Black, Indigenous, And People Of Color - Bipoc)., Phebe Brako

Antioch University Dissertations & Theses

This qualitative hermeneutic phenomenological study explores the lived experiences of transracial adoptees of the global majority (BIPOC), focusing on their bicultural identity integration and its impact on mental health. During semi-structured interviews, nine participants shared their stories of navigating cultural and racial dynamics as adoptees in predominantly White adoptive families and communities. The findings revealed six core themes: (1) the Quest for Bicultural Identity Formation, (2) Cultural Integration and Adaptation, (3) Navigating Racial and Cultural Tensions, (4) the Role of Family in Cultural Integration, (5) the Importance of Community and Support Systems, and (6) Mental Health and Therapeutic Experiences, addressing …

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

Dissertations

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

Exploration Of Mystical Experiences And Relationship Changes: An Ayahuasca Study, Ginny Jo Reyes

Antioch University Dissertations & Theses

This mixed-methodology dissertation explores how participation in ayahuasca ceremonies at Rythmia Life Advancement Center (Costa Rica) influences relationship dynamics within couples. Looking at this in combination with self-reported mental health changes, the connection to mystical experiences are navigated. Statistical significance and narratives are explored; this study steps into the gap between ancient plant medicine traditions and the modern search for meaning, healing, and connection. Grounded in a social constructionist lens, the study combines pre- and post-surveys (CAGE-AID pre-only; MAT, KMS, RHS, PSS, GAD-7, PHQ-9; MEQ-30 post-only) with semistructured interviews. Quantitatively, participants showed significant reductions in stress, anxiety, and depression, with …

Examining The Relationship Between Bicultural Stress And Mental Well-Being Among Second-Generation Filipino Americans Living In The United States, Krista Parker

Antioch University Dissertations & Theses

Research investigating the bicultural and mental health experiences of Filipino Americans, the third largest Asian American group in the United States, are consistently overlooked, with second-generation Filipino Americans (SGFAs) facing greater risk of adverse mental health outcomes. This quantitative study addresses a critical gap in research by examining the relationship between bicultural stress and mental well-being among SGFAs living in the United States. Using a cross-sectional survey design, a multivariate regression analysis examined the relationship between bicultural stress and four mental health constructs (as measured by depression, anxiety, stress, and self-esteem) among 302 SGFA participants. Results from this study strongly …