Counseling Psychology Commons^™

A Qualitative Meta-Analysis Of The Experiences Of Clients In Psychotherapy For Posttraumatic Stress Disorder: An Empirically Based Process-Oriented Staged Model, Nicholas A. Pierorazio

Graduate Masters Theses

Posttraumatic stress disorder (PTSD) is prevalent and can be highly complex. Guidance for the treatment of PTSD has typically been based on quantitative meta-analyses of randomized controlled trial findings and has focused on the comparative efficacy of specific treatments, rather than how to deliver treatment. There is a need for clinical guidance that highlights moment-to-moment, in-session psychotherapy processes for psychotherapists working with clients with PTSD. In the current study, I conducted a qualitative meta-analysis, focusing on the qualitative literature investigating clients’ perspectives in order to develop an understanding of the preferences, values, and experiences of clients in individual psychotherapy for …

How Art Therapy And Emdr Help Asylum Seekers And Refugees Move Towards Healing Trauma: A Literature Review, Anna Mogilevsky

Expressive Therapies Capstone Theses

In the past ten years, there has been a significant rise in the number of asylum seekers and refugee populations worldwide (UNHCR, 2022). Displaced individuals are extremely vulnerable to mental illness because of the compounded trauma experienced in their countries of origin with the stress of immigration, asylum seeking, culture shock, and language barriers. PTSD is affecting 500 million individuals globally, and refugees are especially susceptible to having these symptoms (Farrell, 2020). Art therapy and EMDR are identified as the most promising modalities for treating such trauma.

This literature review examines the various ways EMDR and art therapy have been …

How Can Art Therapy Help Veterans And Service Members With Ptsd? A Literature Review, Shira Espo

Expressive Therapies Theses

This paper seeks to research the usefulness of art therapy with veterans and service members with posttraumatic stress disorder (PTSD). Theoretically, art therapy is thought to work by allowing access to non-verbal memories to be expressed and transformed into a trauma narrative, to be stored in memory in a way that does not interfere with daily life the way PTSD symptoms do. The method used is a literature review, which studied research articles about art therapy being used to treat veterans and service members with PTSD. Other included topics are the history of PTSD, current theories about PTSD and the …

The Lived Experiences Of Trauma In Autistic Adults: A Thematic Analysis, Briana Trageser

Antioch University Dissertations & Theses

A qualitative research study focused on Autistic adults explored the lived experiences of trauma. Participants included Autistic adults who have either been professionally diagnosed with Autism Spectrum Disorder or who self-identify as Autistic. Data was collected through a survey with 12 open-ended questions. A thematic analysis revealed six themes: (a) adverse childhood experiences, (b) exposure to violence and loss, (c) difficulty relating to others, (d) complex mind and sensory experiences, (e) medical and mental health challenges, and (f) autistic identity. The themes revealed instances of Autistic people experiencing trauma in ways that differ and vary in clinical presentation from their …

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 …

Survivor Experiences Of Male Childhood Sexual Abuse: A Literature Review, Elizabeth Burch B.S., Joseph T. Kenneally Psy.D., Stephanie Zepeda Phd

Psychology from the Margins

The World Health Organization (WHO) recognizes childhood sexual abuse (CSA) as a global health issue. CSA is a human violation that affects both female and male children and has a stronger detrimental impact on mental health than other traumatic childhood experiences. Despite a growing awareness of male survivors of CSA, male survivors are a marginalized group as most CSA research focuses on females. In addition, masculine norms can keep male adults from disclosing further, which can delay support and increase mental health issues. This meta- analysis reviews the current literature on this group of marginalized people and concludes with a …

Affective Depression Mediates Ptsd To Suicide In A Sample Of Treatment-Seeking First Responders, James Whitworth, Jeanine Galusha, Jose Carbajal, Warren Ponder, Donna Schuman

Faculty Publications

Objective: The aim of this study was to examine the associations of comorbid

posttraumatic stress disorder (PTSD), affective or somatic depression, and

suicide among first responders (FRs). Method: We used baseline data from

FRs (N = 232) who sought services at a nonprofit mental health agency specializing

in treating trauma exposed FRs. We conducted two PROCESS simple

mediation models with PTSD as the predictor, affective depression and somatic

depression as the mediators, and suicidality as the dependent variable.

Results: Affective depression significantly mediated the relationship between

PTSD and suicidality, whereas somatic depression did not. The direct effect …

Black Mental Health Clinicians' Experiences And Lessons From The Intersecting Crises Of Black Mental Health, Covid-19, And Racial Trauma: An Interpretive Phenomenological Study, Chanté Meadows

Antioch University Dissertations & Theses

This study explored the experiences of African American mental health clinicians’ during the intersecting crises of the Black mental health crisis, the highly publicized racial tension tied to extrajudicial violence and over-policing of Black Americans, and the COVID-19 pandemic. The pandemic started a global crisis that affected millions of people’s physical and mental health and overall well-being. Shared trauma explores the duality of mental health clinicians’ personal and professional experiences. Grounded in critical race theory and models of trauma, this study explores Black mental health clinicians’ lived experiences and lessons. This is an interpretive phenomenological study with narrative interviews of …

The Necessity Of Trauma-Focused Curricula In Mental Health Graduate Programs: Advocating For Comprehensive Trauma Etiology And Treatment Education With Proposed Course Outline, Aaron S. Gillespie

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

During the past four decades, it has become increasingly clear how prevalent trauma, polytrauma and co-morbid trauma-related disorders are within our shared, global communities. A growing body of research continues to uncover the mind-boggling impact these overwhelming experiences have on individuals, their families, and the communities that support them, including mental health professionals. It behooves us as allied mental healthcare providers to learn what trauma is, how it may affect the individual across the lifespan, as well as how to effectively identify and treat the trauma-related symptoms our clients present with. However, despite a proliferation of research demonstrating the growing …

The Experience Of Providing Direct Care To Children Victims Of Boko Haram Insurgencies In Nigeria, Felicia Etuke

Walden Dissertations and Doctoral Studies

The insurgency of terrorism leaves lasting economic, social, academics, spiritual, religious, and psychological effects, but often children’s psychological welfare is neglected in the aftermath of terrorist attacks. Boko Haram’s presence in Nigeria has left many children orphaned, displaced, and impoverished. Thus, there is a need to highlight the importance of the role that care providers play in securing the psychological health of the child victims of Boko Haram insurgency. This qualitative, phenomenological study explored the experiences of care providers to the child victims of Boko Haram insurgency in Nigeria. Compassion fatigue theory was used as a theoretical framework for the …

Posttraumatic Stress Disorder: Comparing Short-Term, Intensive Therapy To Traditional, Long-Term Therapy, Laura Gonzalez, Sean Kruckenberg

Electronic Theses, Projects, and Dissertations

ABSTRACT

Posttraumatic Stress Disorder (PTSD) is a mental health diagnosis that occurs following a traumatic event, and military veterans are at higher risk of exposure to hazardous or life-threatening situations that may result in psychological trauma. PTSD sufferers experience symptoms such as distressing memories, nightmares, flashbacks, hypervigilance, and heightened arousal. Individuals with PTSD also experience higher rates of depressive and substance use disorders, involvement with the justice system, and self-harm and suicide. Many agencies, such as the Department of Veteran’s Affairs (VA) provide treatment PTSD, however most programs experience dropout rates as high as 36%. Recent studies have shown that …

Improving Veterans’ Psychological Well-Being With A Positive Psychology Gratitude Exercise, Clara Im Adkins

Counseling & Human Services Theses & Dissertations

The demand for therapeutic services and effective counseling interventions aimed at rehabilitating veterans has increased exponentially over the past thirty years. Veterans with PTSD symptoms experience several problems including, relationship issues, lower life satisfaction, suicidal ideation, isolation, and comorbid diagnoses. Current research on veterans diagnosed with PTSD suggests integrating wellness and strength-based approaches aimed at developing positive psychology characteristics into clinical services for veterans. Gratitude is a core construct in positive psychology and has been practiced in cultures all over the world. Gratitude journal interventions have been proven to increase well-being, positive affect, social relationships, optimism, life satisfaction, and lower …

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

Dissertations

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

Development Of A Method For Utilizing Oriental Belly Dance Rhythms To Deepen A Client’S Understanding Of Their Emotions After Experiencing Trauma, And Move Towards Healing, Jenny Nehir Eish-Baltaoglu

Expressive Therapies Capstone Theses

A workshop was offered to local women in North Eastern Ohio who have experienced trauma and are facing uncomfortable emotions or unpleasant memories as a result. A guided body scan, Focusing Oriented Art directives, and improvisational movement explorations were employed to deepen awareness and understanding of the emotions and memories participants wished to have better control over. Three movement rhythms, which are central to the ancient feminine dance form popularly known as belly dance, were explored through improvisational movement both as a group and independently. These movement rhythms included staccato pops and locks, fluid figure eights, and vibratory shimmies. Participants …

Using Child-Centered Play Therapy As An Intervention To Reassess Adhd Diagnoses And Trauma In Children: A Literature Review, Bethany Gibbons

Expressive Therapies Capstone Theses

Although it is difficult to assess, attention deficit hyperactivity disorder (ADHD) is a prevalent diagnosis that exists among children. A major factor that contributes to the complexity of this disorder is the parallel symptoms presented in other diagnoses. Post-Traumatic Stress Disorder (PTSD) in children has been identified as being either comorbid with ADHD, or sharing similar symptoms, which can produce potential misdiagnosis and ultimately lead to ineffective or impertinent treatment. To better determine a child’s diagnosis and plan of treatment, an approach can be implemented to assist in distinguishing between the two disorders. Child-centered play therapy (CCPT) may serve as …

Does Counselor Type Affect A Manualized Treatment?, Cynthia C. Kay

Walden Dissertations and Doctoral Studies

This quantitative study was to determine whether there are differences in client treatment outcomes based upon the type of counselor who conducted an empirically supported treatment called Seeking Safety for persons diagnosed with posttraumatic stress disorder and substance use disorder. Many studies show that counselors’ personal attributes impact treatment; however, this study added to the literature by focusing on a standardized treatment for the co-occurrence disorder of substance use and posttraumatic stress disorder. Archival data from an outpatient treatment facility was used. Clients were provided integrated services, which included psychological and substance use treatment. The participants/clients were men and women …

Police Officer Trauma In Rural Minnesota: A Narrative Study, John J. Littlewolf

Antioch University Dissertations & Theses

We call on police officers to respond to all of society’s tragedies. Whether in our metropolitan areas or our rural communities, law enforcement will respond when called upon. The culture of law enforcement is laden with traits of masculinity. These cultural traits can inhibit the processing of traumatic experiences in the individual. While the nature of law enforcement has remained the same, our scientific knowledge regarding trauma has grown. Trauma has a biological impact which can manifest as stress symptomology or PTSD. Our systematic response to trauma in law enforcement has not kept pace with the body of knowledge on …

Does Ethnic Identity, In-Group Preference, And Acculturation Protect Latinas With A History Of Interpersonal Trauma From Developing Symptoms Of Ptsd?, Evelyn M. Ramirez

Dissertations, Theses, and Capstone Projects

Previous research suggests ethnic identity, a sense of belonging to a particular cultural group, may be protective against symptoms of post-traumatic stress disorder (PTSD). However, the role of ethnic identity, in-group preference (i.e., an individual’s preference for interactions with members of their own ethnic group) and acculturation (i.e., the level of comfort with the mainstream culture) have not been investigated as protective factors for Latinas with a history of interpersonal and sexual trauma. In this study, ethnic identity, in-group preference and acculturation were assessed via self-report on the Scale of Ethnic Experience in two samples of undergraduate Latina and non-Latina …

When A Stone Is Not A Stone: Memories Of Clerical Abuse, Charles V. Sords

Dignity: A Journal of Analysis of Exploitation and Violence

From the fourth to the sixth grades, Charles V. Sords suffered traumatic sexual abuse by Catholic clergy. He suppressed these memories, yet the pain of what happened impacted every aspect of his life. As an adult, several strong, sensory experiences brought the truth of his childhood into focus. He confronted the Church—and the system that protected clerical criminals. This memoir is an account of childhood sexual abuse, the particularly shameful nature of being raped by priests, and how the Catholic Church’s method of handling this and similarly horrifying revelations has re-traumatized survivors.

The Impact Of Service Dogs On Combat Veterans With Posttraumatic Stress Disorder, Christine R. Hansen

Walden Dissertations and Doctoral Studies

Combat veterans with posttraumatic stress disorder (PTSD) related symptoms often require the use of complementary therapeutic aids, such as service dogs, to assist them in their recovery in addition to traditional evidence-based therapy. Anecdotal literature was available on the use of service dogs, but quantitative research has not been conducted to answer the question of what the impact was of the use of service dogs on reducing symptoms of PTSD among combat and non-combat veterans. Attachment theory was one of the most common theoretical frameworks for exploring the use of service dogs for treating combat PTSD. The theoretical framework for …

The Relationship Between Combat Experience, Veteran Pathology And The Pathology Of Their Intimate Partners: What Factors Predict The Pathology Of Veterans And Their Intimate Partners, Edwin A. Brennan

Dissertations

Problem Statement

Military members and their family members who are part of the Global War on Terrorism have experienced deployments and war for over sixteen years and with the resulting toll on both the veteran and their intimate partner. As a result, higher levels of pathology, such as PTSD, Anxiety, and Depression have been experienced by this population. While research has studied the effect of combat on military members, very little research has addressed the effects on family members. Further, no research that has been found by this researcher, has addressed the concept of resonating of pathology between the combat …

Understanding The Relationship Between Anti-Transgender Bias, Non-Affirmation, And Post-Traumatic Stress: A Model Of Internalized Transphobia-Mediated Post-Traumatic Stress., Sebastian Mitchell Barr

Electronic Theses and Dissertations

Transgender people’s increased risk for negative mental health outcomes, when compared to cisgender peers or the general public, has been well documented in the psychological literature. Researchers have begun to establish empirical support for a relationship between anti-transgender bias, non-affirmation of gender identity, internalized transphobia, and other transgender-specific minority stressors. Although little work has explored the mechanisms of this relationship, some psychologists have proposed conceptualizing these factors as potentially traumatic experiences and understanding the poor mental health outcomes as manifestations of complex post-traumatic stress. In this dissertation, I examine whether there is empirical support for this framework by evaluating the …

First Semester Academic Functioning Of College Students : The Role Of Stressful And Traumatic Life Events., Ashlee J. Warnecke

Electronic Theses and Dissertations

A large number of the nearly 20 million students who were attending American colleges in 2015 will not graduate. One factor that may affect the success of students is the influence of past experiences, including past adversity, or exposure to traumatic or non-traumatic stressors. The present study sought to better describe and understand the role of stress/trauma history in college students from low socioeconomic backgrounds. The potential relationship this history has with academic outcomes was explored. Additionally, as not all students with a history of stressful and traumatic life events struggle academically, self-reported resilience, as well as resiliency factors, were …

Social Work Trauma Interventions: Dialectical Behavioral Therapy, Kassie Baumann

Senior Honors Theses

According to Lynne Weilart (2013), in her article on the reasons why people seek out therapy, trauma is the number one reason people attend counseling. Many different trauma-informed approaches are designed specifically to address the consequences of trauma and to facilitate healing. Some of these approaches are as follows: Cognitive Behavioral Therapy (CBT); Dialectical Behavioral Therapy (DBT);Mentalization Based Therapy (MBT); Trauma Systems Therapy (TST); Trauma Assessment Pathway (TAP); and Attachment, Self-Regulation, and Competency (ARC) (de Arellano, Danielson, Ko, & Sprauge, 2008). The effectiveness of each trauma intervention will be examined. DBT is one of these trauma interventions that is growing …

Ptsd, Complex Ptsd, And Childhood Abuse: Gender Differences Among A Homeless Sample, Sabina De Vries, Gerald A. Juhnke, Cherie Trahan Keene

Counseling and Guidance Faculty Publications (Archived)

The current study examined the potential relationship between homelessness, gender, and occurrence of Post-Traumatic Distress Disorder (PTSD) and Complex PTSD. Participants were 90 homeless persons from shelters located in a large, South Central Texas, metropolitan city of approximately 1.9 million persons. The study found that homeless participants reported high levels of childhood emotional, physical, and sexual abuse. Homeless women reported higher rates of childhood abuse and were affected by PTSD at a higher frequency than homeless males. PTSD, Complex PTSD, and traumatic experiences such as childhood abuse appear to be contributing factors to homelessness. Results suggest the need for increased …

The Long-Term Impact Of Maritime Piracy On Seafarers’ Behavioral Health And Work Decisions, D Conor Seyle, Karina Therese G. Fernandez, Alexander Dimitrevich, Chirag Bahri

Psychology Department Faculty Publications

More than 6000 seafarers have been held hostage by pirates in the last ten years. There is a small but developing body of research showing that these seafarers may face lasting challenges in recovery. However, current studies on this question have been limited by a lack of comparison groups, a lack of statistical power, and other methodological challenges. This study contributes to this body of research through a survey of 101 former hostages and 363 seafarers not known to be exposed to piracy from India, the Philippines, and Ukraine. Using clinically validated scales for tracking lasting impact, this research finds …

A Study Of The Effectiveness Of The Crisis Care & Counseling Course Within The Special Operations Forces At The Joint Special Operations University, Mary Ann Quartetti

Doctor of Education (Ed.D)

The Special Operations Forces have experienced a surge in PTSD and suicides in the past several years, now surpassing conventional military branches. Due to the attached stigma for seeking help from mental health professions and potential negative career effects, military personnel are more likely to seek counseling from their unit chaplain. The U.S. military does not require chaplains to have a counseling degree or certification in counseling as a prerequisite to performing duties as a chaplain, although most Masters of Divinity programs do include some counseling courses. The military does provide limited training to its chaplains in counseling. Special Operations …

Words Of Change: How Linguistic Shifts Over The Course Of A Short-Term Exposure Therapy Represent Movement Towards Psychological Health, Zachary A. Kahn

Dissertations, Theses, and Capstone Projects

Exposure therapy is currently considered the “gold standard” in treating posttraumatic stress disorder (PTSD). Though exposure therapy has been increasingly used and studied as an intervention for PTSD in recent years, little is known about the mechanisms of change in this type of treatment. The Trauma and Addiction Project at the City College of New York ran a clinical research trial for individuals with co-morbid PTSD and Substance Use Disorders (SUDs). Participants randomized into the experimental group, Concurrent Treatment with Prolonged Exposure (COPE), participated in a twelve-session therapeutic intervention that combined exposure therapy focused on the participant’s primary trauma with …

Healing From Racism With Compassion Meditation: Effects Of Coping On Mental Health, Courtney Chan

CMC Senior Theses

This study examines whether Compassion Meditation (CM) can help ethnic minority college students heal from race-related stress. The present study hypothesized that through participation in a CM intervention, the augmentation of adaptive coping strategies (i.e., self-compassion) and the reduction of maladaptive coping strategies (i.e., internalization, defined as self-blame, and detachment, defined as social isolation) would reduce depression and PTSD. Participants (N = 9) participated in an 8-session weekly CM intervention and completed three questionnaires at the beginning, middle, and end of the intervention. Results demonstrated that increasing self-compassion predicted decreases in depression, and that reducing coping via detachment predicted …

Ptsd From Childhood Trauma As A Precursor To Attachment Issues, Christy Owen

Fidei et Veritatis: The Liberty University Journal of Graduate Research

The past 20 years have been turbulent regarding Reactive Attachment Disorder (RAD), with conflicting research about its causes, effects, treatment, and prognosis. The current diagnostic criteria in the DSM-5 fails to adequately address this disorder. A number of deviant and maladaptive behaviors common amongst children with RAD are not even mentioned in the diagnostic criteria. As such, the diagnostic definition is almost unidentifiable or incompatible with real-life conduct manifestations of the disorder. Rather, this author contends that RAD is foundationally a unique and extreme form of Posttraumatic Stress Disorder (PTSD) from Early Childhood Trauma. The child endured unspeakable neglect and/or …