Counseling Psychology Commons^™

Conceptualizing Therapy As A Spiritual Discipline, Kristen M. White

Faculty Publications - Graduate School of Counseling

Psychological literature is in the beginning stages of reflecting the Church’s shift toward spiritual formation, incorporating theory and research regarding how spiritual disciplines might be relevant to the practice of therapy. This work may be expanded by viewing therapy itself as a spiritual discipline, particularly for the client. This article makes this connection by clearly defining spiritual disciplines and highlighting how therapy is or can be made congruent with them. It further discusses how therapy may be a very useful spiritual discipline within the Church today. Lastly, this article discusses the implications for viewing therapy as a spiritual discipline for …

Healing Through Creativity And Creation: Drama Therapy As Treatment For Individuals With Eating Disorders, Hayley Werner

Student Scholar Symposium Abstracts and Posters

For those living with eating disorders, intervention and effective treatment can mean the difference between life and death. Conventional treatments, such as Cognitive Behavioral Therapy and Dialectical Behavioral Therapy, forms of talk therapy, and Nutritional Counseling, focus solely on the psychological patterns or nutritional science of eating disorders. Though these treatments are effective for some individuals, there is a gap in treatment options that address both the mind and body as one and appeal to the humanity of patients outside of their disorder(s). Herein lies the power and potential of integrating drama therapy as a widely available treatment. Drama therapy …

Are Two Unmatched Minority Statuses Worse Than One? The Impact Of Social Status Similarities On Alliance In A Mock Clinical Interview, Roselee Jeannette Ledesma

Graduate Theses and Dissertations

Strengthening therapeutic alliance through social identity matching has been a strategy used to reduce psychotherapy dropout among racial/ethnic and sexual minority clients. Limited research has examined social identity match by manipulating social identity (e.g., race/ethnicity, sexual orientation) in an analogue therapy setting. This study (1) assessed whether self-reported alliance was positively associated with theoretical proxies of alliance and (2) examined the effects of racial/ethnic and sexual orientation match on therapeutic alliance (self-reported) and proxies of alliance (perceived similarity, liking, blame, empathy, closeness, microaggression proxies, verbal validation, and open body language). Participants (N = 71) were heterosexual White women interested in …

Power In The Counseling Relationship: The Role Of Ignorance, Izaak L. Williams, Peg O'Connor

Journal of Human Services: Training, Research, and Practice

This article explores the role of therapist self-disclosure in clinical settings. Distinctions are made between the enmeshed concepts of privacy, secrecy, and confidentiality to elucidate the role of ignorance in maintaining the power dynamics in therapeutic relationships. While some measure of privacy is essential to counseling practice, secretive behavior (in which the counselor divulges too little about themselves) can have a negative impact on the therapeutic relationship and the client’s therapeutic outcomes. There is, therefore, an under-appreciated and delicate balancing act between withholding information to protect the client and the counselor and revealing enough personal details to empower the client’s …

Reviewing The Heroic Experience: A Humanistic And Existential Counselling Perspective, Peter Bray, Peter James

Heroism Science

Taking a humanistic and existential counselling stance, this brief review of heroism and the heroic experience begins by discussing the utility and structure of Joseph Campbell’s (1949) monomythic narrative of the hero’s journey, whilst considering the Jungian conceptualisation of the archetype and the collective unconscious. With their shared assumptions about transformation and growth, modern psychology and the therapeutic practice of counselling and psychotherapy are reviewed in terms of their utilisation of the hero-journey as a developmental metaphor for clients, particularly in trauma recovery. It is also suggested that, as a metaphor for transformation, Campbell’s hero-narrative may also have the potential …

Development Of The Sexual Minority Affirmative Practice Scale, Ryan Craig Ebersole

Legacy Theses & Dissertations (2009 - 2024)

Literature on the practice of affirmative psychotherapy with sexual minority (SM) clients has steadily increased over the past two decades in recognition of the unique experiences and mental health needs of this marginalized population. SM-affirmative psychotherapy is an approach to psychotherapy that is culturally-responsive, actively affirms the validity of SM identities and experiences, and promotes the resilience of SM clients in the face of stigma. To date, much of the extant research on SM-affirmative psychotherapy has focused on therapist factors and perspectives. Further, most previous research on SM clients’ experiences in therapy has been qualitative, due in part to the …

Client Perceptions Of The Utilization Of Mindfulness Activities In Therapy, Anissa S. Pugh

Dissertations

The aim of the current study was to examine client perceptions of the use of mindfulness activities in the therapeutic process. For this current study, 21 participants completed a seven-item demographic questionnaire, a 39-item Five-Facet Mindfulness Questionnaire (FFMQ), and a 10-item Mindfulness Experience Questionnaire. The present study investigated three research questions. Research Question 1 looked at how clients perceived the effectiveness of the use of mindfulness activities in therapy. The next research question examined how clients viewed the addition of mindfulness activities to be an acceptable treatment approach based on personal values and beliefs. The third research question for this …

Anticipated Therapist Absences: The Therapist’S Lens, Graham Gardner Knowlton

Dissertations (1934 -)

Over the course of a therapist’s career, absences from work are inevitable. Although therapist absences undoubtedly impact the therapy process, the topic has not received sufficient attention to produce helpful guidelines. Instead, clinicians looking to the literature for recommendations find less in peer-reviewed journals regarding therapist absences than they would if they were to turn to popular media geared toward a client audience (Barchat, 1988). This study sought to begin to remedy this research gap using a Consensual Qualitative Research (CQR) research design focusing on anticipated therapist absences. Ten therapists with at least two years of experience post-licensure were asked …

The Cost Of Comforting: Phenomenological Study On Burnout Among Marriage And Family Therapists In Community Settings, Steven Razo

Antioch University Dissertations & Theses

Burnout is best defined as a condition consisting of symptoms of emotional exhaustion, depersonalization, and reduced personal accomplishment (Maslach, 1982). It has been characterized as a process that develops through a variety of work and individual factors. Furthermore, it has been shown to impact one’s career, physical health, and mental well-being. Much of the literature on burnout has been studied on psychologists, psychiatrists, and social workers, with a paucity of studies focused on marriage and family therapist (MFTs). The lack of burnout literature on MFTs is in spite of their employment in many diverse clinical settings. The purpose of this …

The Impact Of Sudden Gains And Deteriorations On The Psychotherapy Process, Joanna Mary Drinane

Electronic Theses and Dissertations

Within the field of psychotherapy research, there has been significant evidence to suggest that people change and improve because of treatment (Lambert & Ogles, 2004). One common phenomenon that has been observed when looking more closely at outcome trajectories has been termed sudden gains/deteriorations. These are defined as sudden changes in outcome (either positive or negative) of 25% or more from the pre-change level of symptoms that are in turn sustained over time (Tang & DeRubeis, 1999). Although there are data regarding how people who experience sudden gains end up after treatment, no studies have examined the impact that sudden …

Evaluating The Attitudes And Practices Of Exercise Prescription Among Psychotherapists, Igor Vasilj

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

Exercise has been shown to improve mood, anxiety, stress, and promote neuroplasticity (Conn, 2010; Donaghy, 2007; Josefsson, Lindwall, & Archer, 2014; Silveria et al., 2013; Stathopoulou et al., 2006). However, limited research on the topic suggests that many psychologists and mental health providers are not incorporating exercise into psychological treatment, and many lack the confidence to do so (Burton, Pakenham, & Brown, 2010; Weir, 2011). The purpose of this study was to evaluate current exercise prescription trends among practicing psychologists and trainees, including identifying their current beliefs, attitudes, training, and the perceived barriers hindering psychotherapists from recommending and prescribing exercise. …

A Meta-Analytic Review Of The Association Of Therapeutic Alliance, Therapist Empathy, Client Attachment Style, And Client Expectations With Client Outcome, Alberto Soto

Theses and Dissertations

The therapeutic alliance has consistently been associated with improved client outcomes across numerous psychotherapy outcome studies. Previous systematic reviews have, however, evaluated the univariate association of the alliance with client outcome. The present meta-analytic review examines the association of the alliance with improved client outcomes after accounting for the presence of therapist empathy, client attachment styles, and client expectations. Across 23 independent studies, the alliance, adjusted for the presence of the other variables, remained as the most robust predictor of improved outcomes r = .258 (SE = .01, p < .001), with a 95% confidence interval of r = .18 to r = .33. After accounting for …

Christian Rational Emotive Behavior Therapy, Lucy C. Phillips

Fidei et Veritatis: The Liberty University Journal of Graduate Research

Albert Ellis was the creator of rational emotive behavior therapy (REBT). Although Ellis opposed organized religion and religious beliefs for most of his life, this type of therapy can be adapted for use with many religious groups, including Christians. This paper will discuss biblical support for REBT as well as incongruences of Christian tenants and REBT. Christian REBT (CREBT) will be explored, including the therapeutic techniques that can be used. The efficacy of CREBT will be covered. Since there is a paucity of randomized clinical trials examining CREBT, Christian cognitive behavioral therapy (CBT) will also be discussed. This paper will …

The Dialogical Principle In Counseling And Psychotherapy: An Exploration Of Martin Buber's "I And Thou", Matthew Martin

Educational Specialist, 2009-2019

The relationship has become increasingly decentralized as counselors and psychotherapists continue to turn towards evidence-based techniques and manualized intervention strategies. Although counselors must learn to incorporate appropriate technique and therapeutic strategy during the process of therapy, these interventions must be predicated on an understanding of the real meeting between counselor and client. Dialogical theory, based on the philosophical anthropology of philosopher Martin Buber, emphasizes the client-counselor encounter as the fundamental source of healing in counseling and psychotherapy. This paper will explore the Dialogical principle found in Martin Buber’s philosophy of “I and Thou,” and how these can be related and …

The Development Of A Short Form Of The Clinically Adaptive Multidimensional Outcome Survey, Peter William Sanders

Theses and Dissertations

The Evidence-Based Practice (EBP) movement has gained considerable influence in the healthcare industry, including psychotherapy. The American Psychological Association's (APA) official stance on EBP encouraged clinicians to used standardized outcome measures in routine practice in order to establish the efficacy of their interventions. Routine Outcome Measurement (ROM) systems were designed specifically to accomplish this purpose, and have been shown to improve client outcomes and provide valuable aggregate data that contributes to empirical literature. Despite this research and the endorsement of the APA's official EBP stance, these measures have not been widely adopted by clinicians. Several studies have found that clinicians …

Understanding The Working Alliance And Alliance Ruptures In Online Psychotherapy From The Therapist's Perspective, Laura Kortz

Legacy Theses & Dissertations (2009 - 2024)

Online psychotherapy using text-based technologies has become increasingly popular in the last two decades, and a burgeoning literature attests to its efficacy as a treatment for a variety of mental health concerns. Moreover, evidence suggests that the working alliance is rated as highly online as it is in face-to-face therapy, yet little is known about how psychotherapists develop strong alliances with their clients in text-based environments. This qualitative study was conducted to investigate psychotherapists’ experiences forming therapeutic relationships with their clients in online environments, identifying and repairing alliance ruptures, and their perceptions of differences and similarities between these processes online …

Grief, Bereavement, And Positive Psychology, Jesse E. Roberts, Andrea J. Thomas, James P. Morgan

Journal of Counseling and Psychology

What does positive psychology have to offer people who are grieving? We explore this question in depth and consider how viewing bereavement and grief through the lens of positive psychology can help to normalize the grieving process and encourage the use of effective coping approaches. We provide research evidence in support of narrative reconstruction, posttraumatic growth, positive emotions, and spirituality as means to help survivors of loss to adjust and even to gain a new sense of meaning. We provide practical suggestions for individuals who are grieving and for those who are in relationship with them.

Understanding Attitude Towards Help Seeking In Predicting Preference For Psychotherapeutic Orientation, Gregory J. Petronzi

Seton Hall University Dissertations and Theses (ETDs)

This research examined the extent to which people’s dispositional qualities predict their psychotherapy preferences. Additionally, this study examined the extent to which people’s attitude toward seeking professional psychological help would predict their psychotherapy preferences above and beyond their dispositional characteristics.

An online survey was administered to participants (N = 312) for remuneration. Personality traits were measured using the HEXACO-60, attachment styles were measured using the Relationships Questionnaire (RQ) and Experiences in Close Relationships Scale- Short Form (ECR-S), attitude toward help seeking was measured with the Attitude Toward Seeking Professional Psychological Help Scale – Short Form (ATSPPHS-SF), and psychotherapy preferences were …

Psychological Attitudes Of Saudi Arabian International Students Toward Mental Health Counseling, Ruba Alajlan

Dissertations

The purpose of this study was to explore the psychological attitudes of Saudi Arabian international students toward mental health services. One of the problems that prompted this research is the scarcity of scientific literature on this issue. This research used a mixed-method study convergent design with a convenience sampling of 162 for quantitative section and 35 for the qualitative. The main validated instrument used was the Beliefs About Psychological Services Scale (BAPS) along with a demography survey and some qualitative open-ended questions. The researcher found that licensed psychologists and professional counselors had the highest statistical representation of relationship with intent. …

Training Psychologists In The Ethical Use Of Language Interpreters: An Evaluation Of Current Practices, Potential Barriers, And Proposed Competencies, Clay A. Frandsen

Theses and Dissertations

Research indicates that general and mental healthcare services have been, and continue to be, underutilized by racial and ethnic minorities. Studies point to the language gap between limited English proficiency (LEP) individuals and mental-health clinicians as one of the factors in perpetuating that gap. Despite the legal and professional mandates that require professionals in healthcare to provide and use language interpreters in giving care, psychologists rarely make use of professional interpreters when conducting psychotherapy. Most clinicians have little experience providing mental-health treatment across differences in language, and it is supposed that clinicians usually receive little or no training on how …

Beyond Mindfulness: Expanding Integration Of Spirituality And Religion Into Psychotherapy, Thomas G. Plante

Psychology

Since the publication of Bergin’s classic 1980 paper “Psychotherapy and Religious Values” in the Journal of Clinical and Consulting Psychology, an enormous amount of quality research has been conducted on the integration of religious and spiritual values and perspectives into the psychotherapy endeavor. Numerous empirical studies, chapters, books, blogs, and specialty organizations have emerged in the past 35 years that have helped researchers and clinicians alike come to appreciate the value of religion and spirituality in the psychotherapeutic process. While so much has been accomplished in this area of integration, so much more needs to occur in order for the …

Stay-At-Home-Fathers Navigating Depression: A Consensual Qualitative Research Study, William Douglas Meyers Caperton

Dissertations (1934 -)

Evidence suggests that the practices through which men are socialized to become masculine may serve both to restrict their potential in ways that lead to psychological distress, and also to restrict the ways in which they respond to such distress (Addis & Mahalik, 2003; Mahalik, Good, Tager, Levant, & Mackowiak, 2012; O’Neil, 2008). While we are beginning to understand masculine depression (Cochran & Rabinowitz, 2000; Magovcevic & Addis, 2008) and paternal depression (Paulson & Bazemore, 2010; Ramachandani & Psychogiou, 2009), almost nothing is known about how SAHFs experience depression, nor their experiences and beliefs regarding help-seeking and psychotherapy. The trend …

Secure-Base Caregiving And Adult Attachment Development Within The Client-Psychotherapist Relationship, Dennis A. Weeks

Walden Dissertations and Doctoral Studies

Recent studies have shown significant improvements in the attachment security of adult therapy clients during therapy, supporting Bowlby's theory that such improvement can be influenced by secure-base caregiving provided by mentors such as therapists. However, because these studies did not measure the secure-base variable, its relationship to client attachment development remains unknown. The present study is the first to evaluate that relationship by measuring clients' pre and posttherapy attachment security using the Relationship Scales Questionnaire and therapists' secure-base caregiving using the Client Attachment to Therapist and Working Alliance Inventory, Short Form. Of 21 initially insecure client participants, 17 experienced high …

Effectiveness Of Psychotherapy For Youth In Poverty: A Benchmarking Study Of A Public Behavioral Health Agency Using A Client Feedback System, Jonathan Kodet

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

Objective: The purpose of this study was to evaluate the effectiveness of a public behavioral health (PBH) agency that had implemented continuous outcome feedback as a quality improvement strategy.

Method: I investigated the pre-post treatment outcomes of 4,389 ethnically diverse youths (6 to 17 years old) at or under the poverty line participating in treatment (from January 2008 to March 2014) for a broad range of primary diagnoses including depression and anxiety disorders (23%); adjustment disorders (27%); Attention Deficit/Hyperactivity Disorder (13%), various V-codes (18%); bipolar disorders (3%); and substance use disorders (2%). I also investigated the treatment outcomes …

A Meta-Analytic Review Of The Relationships Between The Therapeutic Alliance, Empathy, And Genuineness In Individual Adult Psychotherapy., Jacob B. Nienhuis

Electronic Theses and Dissertations

This dissertation explored the relationship between the therapeutic alliance and perceptions of therapist empathy and genuineness through a systematic review and meta-analysis. Alliance, empathy, and genuineness are each integral parts of the therapeutic relationship. Prior meta-analyses demonstrated that alliance, empathy, and genuineness each had a moderate relationship to therapy outcome. No previous analysis has explored how therapist empathy and genuineness contribute to the therapeutic alliance. Studies for this analysis were obtained through a multi-part search strategy. Out of 2,141 obtained abstracts, 46 studies contained enough data for inclusion in the meta-analysis. Thirty-six studies reported alliance/empathy relationships, six studies reported alliance/genuineness …

Same-Sex Couples' Lived Experiences Of The Repeal Of The Defense Of Marriage Act's (Doma) Section Three, Alicia Anne Bosley

Department of Family Therapy Dissertations and Applied Clinical Projects

Same-sex couples are affected by the social and political climates in which they live, as these create the difference between acceptance and legalization, and discrimination and prohibition, of their relationships. This contingence is made increasingly impactful by the privileges and protections afforded to married couples by the federal government; same-sex couples, along with other couples that choose not to, or cannot, marry, are excluded from these benefits. Following the June 26, 2013 ruling that Section Three of the Defense of Marriage Act (DOMA), which defined marriage as between a man and a woman, was unconstitutional, same-sex couples were given access …

Does The Supervisory Working Alliance Moderate Psychotherapy Trainee's Personal Distress Empathy And Trait Arousability As Predictors Of Vicarious Traumatization, Jill Eileen Deltosta

Legacy Theses & Dissertations (2009 - 2024)

This study sought to contribute to the extant literature regarding clinical training and Vicarious Traumatization (VT; McCann & Pearlman, 1990) by exploring aspects of clinical supervision and psychology trainee characteristics as antecedents. By replicating and extending dissertation work by Fama (2003) and Moosman (2002), this study specifically investigated the supervisory working alliance (SWA; Bahrick), personal distress empathy (PDE; Davis, 1983), and trait arousability (TA; Mehrabian, 1995) as they relate to VT in psychology trainees. It was hypothesized that SWA would moderate the relations between PDE and VT, as well as between TA and VT, such that as working alliance increased, …

Seasoned Psychotherapists' Experience Of Difficult Clinical Moments, Kirk J. Honda

Antioch University Dissertations & Theses

Purpose: This phenomenological study was concerned with the clarification of the experience of the difficult clinical moment which is defined as a discrete moment in which the psychotherapist experiences distress as a result of his or her work with a client. Method: Retrospective descriptions of experience of difficult clinical moments were obtained from a diverse sample of ten seasoned psychotherapists in the Seattle area. The interviews were transcribed, analyzed, and summarized, and these summaries were confirmed by each participant as being an accurate representation of their experience. Results: Thematic analysis revealed six themes of experience during a difficult clinical moment: …

Efficacy Of Self-Care And Traditional Mental Health Counseling In Treating Vicarious Traumatization Among Counselors Of Hurricane Katrina Survivors, Mary Alice Many

LSU New Orleans Theses and Dissertations

The population consisted of 9,000 Gulf Coast Licensed Professional Counselors. Surveys were returned by 609 participants. In the researcher-developed demographic survey, 586 individuals responded to the questions regarding age, gender, ethnicity, and years of counseling experience; 585 individuals responded to questions about exposure to prior trauma, and personal Katrina-related losses; 578 individuals responded to the question about the percentage of their work week that was spent counseling victims, and 579 individuals responded to questions regarding the type of mental health care strategy they participated in. There were 439 usable surveys for the PTSD Checklist-Civilian Version (PCL-C) (Weathers, Litz, Huska, & …

How Psychotherapy Trainees Experience Theoretical Orientation Development : A Phenomenological Study, Mark Mason

Legacy Theses & Dissertations (2009 - 2024)

Knowledge and application of theory are integral to the practice of psychotherapy. Despite the focus on theory in clinical training, little is known about how psychotherapy trainees experience, learn about, and develop a theoretical orientation. This phenomenological study used grounded theory methods to examine 15 counseling and clinical psychology doctoral students' experiences developing a theoretical orientation. The specific purpose of the study was to understand in depth these trainees' perspectives on and attributions about learning and developing expertise with a specific theoretical orientation.