Counseling Psychology Commons^™

An Exploratory Study Of Session Limited Models Of Therapy Outcomes In An Employee Assistance Program, Ivy C. Donaldson

Electronic Theses and Dissertations

Employee Assistance Programs (EAPs) have grown increasingly popular over recent years. The prevalence of organizations utilizing and investing in EAP services for their employees has grown; however, companies that purchase EAPs are not well-informed as to which session-models are most effective for various diagnoses. The current study is the first to explore treatment outcomes of session-limited models (measured by Therapist Perception of Change, TPC) for diagnoses (anxiety and depression) in an EAP delivery system. Outcomes were measured by TPC ratings including: a) Regressed, b) remained at Baseline, c) Improved, and d) issue was Resolved. Analyses (Chi-Square and =t-test) were used …

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 …

Implications Of Parents’ Work Travel On Youth Adjustment, Lorey Wheeler, Anisa M. Zvonkovic, Andrea R. Swenson, Caitlin Faas, Shelby Borowski, Ruth Nutting

Nebraska Center for Research on Children, Youth, Families, and Schools: Faculty Publications

Guided by ecological, work–family spillover and crossover frameworks, this study examined mechanisms linking parental work travel (i.e. nights per year) to youth adjustment (i.e. externalizing and internalizing behaviors) through youth’s perceptions of parenting (i.e. knowledge, solicitation) with traveler and youth gender as moderators in a sample of 78 children in 44 two-parent families residing in the United States. The findings from multilevel analyses suggested that mothers’ travel nights predicted lower levels of maternal knowledge, with variation by traveler and youth gender. Mothers’ and fathers’ work travel and perceived parenting were predictors of youth’s externalizing behaviors, whereas only fathers’ work travel …

Teaching Msw Students Suicide Assessment, Intervention, And Postvention In Rural Areas, Aisling Del Quest, Randall Nedegaard

Contemporary Rural Social Work Journal

This teaching note argues the need for enhanced suicide assessment and intervention training for MSW students preparing for rural social work practice. A detailed outline of a suicide elective course is presented, addressing rural specific challenges. After course completion, students (N = 49) reported feeling better prepared to work with suicidal clients and better able to conduct an accurate assessment and suggest appropriate interventions.

Concordance Of Illness Representations: The Key To Improving Care Of Medically Unexplained Symptoms, Lisa M. Mcandrew, Myrna L. Friedlander, L. Alison Phillips, Susan L. Santos, Drew A. Helmer

Educational & Counseling Psychology Faculty Scholarship

How can effective patient-provider relationships be developed when the underlying cause of the health condition is not well understood and becomes a point of controversy between patient and provider? This problem underlies the difficulty in treating medically unexplained symptoms and syndromes (MUS; e.g., fibromyalgia, chronic fatigue syndrome), which primary care providers consider to be among the most difficult conditions to treat.¹ This difficulty extends to the patient-provider relationship which is characterized by discord over MUS.¹ In this article, we argue that the key to improving the patient provider relationship is for the patient and provider to develop congruent …

The Lived Experience Of Daughters Who Have Absent Fathers: A Phenomenological Study, Sibhon Jolette Brown

Walden Dissertations and Doctoral Studies

The problem that this study focused on was the difficulties and challenges experienced by daughters who had absent fathers. The purpose of this qualitative phenomenological study was to explore the lived experiences of daughters who grew up with absent fathers, and the effects on them as adults at home, in school, in their neighborhoods, and in their decision-making processes. The sample consisted of 20 daughters who grew up with absent fathers. Data were collected using face-to-face semi-structured interviews, and analyzed using 5 phases of Hycner's (1999) phenomenological research. Results indicated that participants' lived experiences of home life were characterized by …

Factors Impacting Parental Acceptance Of An Lgbt Child, Dani E. Rosenkrantz

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

Chrisler’s (2017) Theoretical Framework of Parental Reactions When a Child Comes Out as Lesbian, Gay, or Bisexual suggests that parental reactions to having a non-heteronormative child are impacted by a process of cognitively appraising information about their child’s identity and experiencing and coping with emotional responses, both of which are influenced by contextual factors such as a parent’s value system. However, some religious values can challenge parents in the process of accepting a lesbian, gay, bisexual, or transgender (LGBT) child. The purpose of this study was to test a model that examines the influence of cognitive-affective factors (cognitive flexibility, emotional …

Blessing Or Bs? Examining The Therapy Experiences Of Transgender And Gender Nonconforming Clients Obtaining Referral Letters For Gender Affirming Medical Treatment, Holly Brown

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

Transgender and gender nonconforming (TGNC) people who pursue gender affirming medical interventions, such as hormone therapy and surgery, are required to supply their physicians with referral letters from mental health professionals (Coleman et al., 2012). The process by which TGNC people are required to obtain referral letters before accessing gender affirming care is often referred to as gatekeeping in the TGNC literature (Budge, 2015; Cavanaugh, Hopwood, & Lambert, 2016). Despite implications that the current gatekeeping system may have for the relationship between TGNC clients and their therapists, few studies have examined TGNC individuals’ experiences related to obtaining referral letters in …

Exploring Critical Consciousness, Facilitating Black Liberation, Della V. Mosley

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

The current study aimed to uncover processes and experiences that led individuals to critically engage in racial justice activism, specifically the Black Lives Matter movement. A constructivist grounded theory approach was utilized under critical-ideological and Black feminist paradigms in order to build a practical theory related to developing critical consciousness about oppression facing the Black community. Black activists in the movement between the ages of 23 and 60 (N=12) participated in intensive individual interviews. The result of the study is a co-constructed theory of racial justice activism development (the Critical Consciousness of Anti-Black Racism [CCABR] model) that can be used …

Utilizing Animal Metaphors In Child Psychotherapy: An Integrative Approach For Therapists, Tricia J. Gordon

The Graduate Review

Despite a plethora of therapeutic approaches utilized when working with children, there is still a need for empirically based, child-centered, developmentally appropriate methodologies. This research aims to provide a greater understanding of the use of action-based metaphors when working with clients in early to middle childhood, while integrating various treatment modalities. While there are a countless number of metaphorical possibilities, there is a lack of research with a focus on the specific use of animal metaphors in child therapy. This child-friendly integrative approach proposes that therapists adjust their current working model to see the client as a whole, while integrating …

Parental Relationship Quality And Stereotypic Role Endorsement As Predictors Of Marriage Attitudes Of African Americans, Bernasha Monique Anderson

Dissertations

Bernasha M. Anderson

Loyola University Chicago

PARENTAL RELATIONSHIP QUALITY AND STEREOTYPIC ROLE ENDORSEMENT AS PREDICTORS OF MARRIAGE ATTITUDES OF AFRICAN AMERICANS

As the marriage rate of African Americans continues to decline, concern has been expressed about the stability of the African American family system among members of the community. There is currently a dearth of studies examining marriage attitudes among African Americans in the counseling psychology literature. The current study sought to expand the existing scholarship by exploring parental relationship quality and stereotypic role endorsement as predictors of African American women and men's marriage attitudes. Additionally, gender was examined as …

Best Practices In Global Mental Health: An Exploratory Study Of Recommendations For Psychologists, Kimberly Hook

Dissertations

This qualitative study aimed to provide best practice recommendations for psychologists who work within the field of global mental health. Global mental health seeks to improve mental health treatment equity on a worldwide scale, through mechanisms such as task shifting, advocacy on a governmental/community/systems level, and through capacity building. Global mental health is a growing field, and there have been calls for increased engagement in these efforts from the psychological community. Nevertheless, few recommendations are in place regarding how to practically move towards these goals in an ethical, culturally-relevant manner, though other related disciplines, such as psychiatry and public health, …

“The Best Thing That’S Happened In My Life”: The Journey Toward Acceptance Of One’S Lgbtq Child In A Sample Of Cuban-Americans And Puerto Ricans, Roberto Luis Abreu

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

Acceptance by a parental figure is one of the most important protective factors for LGBTQ (Lesbian, Gay, Bisexual, Transgender, and Queer) youth and young adults (e.g., Ryan, 2009, 2010). Lack of parental acceptance may lead to a disruption in parent-child relationships and may increase risk for maladaptive behaviors and poorer psychosocial outcomes in LGBTQ youth (e.g., Bouris et al., 2010). Researchers have called for more inclusive samples and methods to better understand the experiences of families from diverse ethnic and racial backgrounds (e.g., Heatherington & Lavner 2008). Specific to Latinas/os, cultural factors and theoretically informed interventions that facilitate parental acceptance …

Video-Based Approach To Engaging Parents Into A Preventive Parenting Intervention For Divorcing Families: Results Of A Randomized Controlled Trial, Emily B. Winslow, Sanford Braver, Robert Cialdini, Irwin Sandler, Jennifer Betkowski, Jenn-Yun Tein, Lisa Hita, Mona Bapat, Lorey Wheeler, Monique Lopez

Nebraska Center for Research on Children, Youth, Families, and Schools: Faculty Publications

The public health impact of evidence-based, preventive parenting interventions has been severely constrained by low rates of participation when interventions are delivered under natural conditions. It is critical that prevention scientists develop effective and feasible parent engagement methods. This study tested video-based methods for engaging parents into an evidence-based program for divorcing parents. Three alternative versions of a video were created to test the incremental effectiveness of different theory-based engagement strategies based on social influence and health behavior models. A randomized controlled trial was conducted to compare the three experimental videos versus two control conditions, an information-only brochure and an …

Influence Of Selected Factors On A Counselor's Attention Level To And Counseling Performance With A Virtual Human In A Virtual Counseling Session, John Hart

Electronic Theses and Dissertations

Virtual humans serve as role-players in social skills training environments simulating situational face-to-face conversations. Previous research indicates that virtual humans in instructional roles can increase a learner's engagement and motivation towards the training. Left unaddressed is if the learner is looking at the virtual human as one would in a human-to-human, face-to-face interaction. Using a modified version of the Emergent Leader Immersive Training Environment (ELITE-Lite), this study tracks visual attention and other behavior of 120 counselor trainees counseling a virtual human role-playing counselee. Specific study elements include: (1) the counselor's level of visual attention toward the virtual counselee; (2) how …

Mediation Of Same-Sex Couples For Copareting, Tamie O'Neil

Walden Dissertations and Doctoral Studies

Scholarly literature supports that individuals who identify as lesbian, gay, bisexual, transgender, and queer face inequities as a result of living in a heteronormative society. However, scholarly literature lacks body of research available that provides insight as to the experiences that counselors have while providing mediation to same-sex couple regarding coparenting. Thus, a literature gap exists pertaining to the lived experiences of counselors who provide mediation for same-sex couple coparenting. The purpose of this hermeneutic phenomenological study was to develop an understanding of counselors who provide same-sex couple coparenting. The theoretical framework used in this study was the equity theory, …

Alabama Cacrep And Non-Cacrep Graduate Students' Perceptions Of Readiness To Counsel Clients With Substance Use Disorders, Keli M. Brothers

Counselor Education

A quantitative survey study was conducted to assess counselor perceptions of competence to counsel clients with substance use disorders based on educational experiences. The 31 participants included counseling graduates from two North Alabama universities, one with Council for Accrediting of Counseling and Related Educational Programs (CACREP) certification and one without, and Alabama members of NAADAC, the Association for Addiction Professionals. There were no significant differences found in perceptions of competence to counsel between CACREP and non-CACREP certified graduates. However, a positive correlation was found between participants’ understanding of addiction and perceptions of readiness to counsel clients with substance use disorders.

Ethnic Identity Development Among 1.5 And 2nd Generation Immigrants Across Ten Years : A Discriminant Analysis, Hirah Mir

Legacy Theses & Dissertations (2009 - 2024)

Ethnic identity is a major component of the psychological development and well-being of adolescents and adults. In the United States, immigrants are often tasked with balancing their minority culture and a dominant White American culture. This study used the two-dimensional Racial/Cultural Identity Development (R/CID) Model to illustrate progression toward an integrated ethnic identity, in which individuals identify with and integrate their minority ethnic group and the dominant group. An integrated identity is achieved at the Integrative Awareness status of the R/CID Model. Individuals at this status are found to possess more psychological resources to cope with psychosocial crises as compared …

Marianismo Beliefs, Ethnic Identity Commitment, And Acculturative Stress Among Recent Latina Young Adult Immigrants, Lauren E. Dasen

Legacy Theses & Dissertations (2009 - 2024)

Because young adult, Latina/o immigrants encompass a rapidly growing minority group in the U.S., there is need for empirical literature focusing on their mental health and the ways in which it relates with identity and culture. The primary aim of the present study was to examine the relations among dimensions of marianismo beliefs and indices of acculturative stress as moderated by ethnic identity commitment among recent Latina young adult immigrants.

Intraethnic Discrimination And Psychological Distress : The Moderating Role Of Collective Self-Esteem Among Black Young Adults, Abigail Ingrid Nicolas

Legacy Theses & Dissertations (2009 - 2024)

The predominant focus of research examining the relation between ethnic discrimination and psychological distress among Black individuals has been on between-group, or interethnic, discrimination. Little is known about the impact of within-group, or intraethnic, discrimination. This study sought to serve as an initial investigation of the relation between intraethnic discrimination and psychological distress. Using social identity theory as a framework, it was posited that intraethnic discrimination experiences would result in psychological distress due to experience of in-group (Black) rejection and absence of in-group support for self-enhancement. Additionally, the study assessed the extent to which ethnicity-related identity collective self-esteem and private …

Making Sense Of The Mix : Understanding The Role Of Family Dynamics In The Racial Identity Experiences Of Black-White Emerging Adults, Crystal Austin

Legacy Theses & Dissertations (2009 - 2024)

As a population, Black-White (B-W) biracial individuals have been relatively overlooked and underserved in the psychological literature. Although some theoretical attention has been paid to the racial identity development of biracial individuals, research is lacking on the psychological processes influencing the identity experiences of these individuals (Rockquemore et al., 2009). Specifically, little is known about how adults’ family-of-origin dynamics influence the racial identity construction process of B-W individuals.

Help-Seeking Attitudes Of Black College Students : The Effects Of Racism, Cultural Mistrust, And Campus Racial Climate, Megan Cusick Brix

Legacy Theses & Dissertations (2009 - 2024)

Black college students utilize mental health services less often than other racial groups, despite experiencing psychological distress (Kearney, Draper, & Baron, 2005; Sontag-Padilla et al., 2016). Black students face a number of unique barriers including experiences with racism, poorer adjustment, and cultural mistrust, which have been linked to poor retention outcomes (Iacovino & James, 2016), particularly at predominantly White institutions (PWIs). While there is a need for mental health service utilization among this population, a number of factors impact students' willingness to seek services. The current study examined the role of race-related stress, cultural mistrust, and campus racial climate in …

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 …

Privilege And Oppression In Counselor Education: An Intersectionality Framework, Christian D. Chan, Deanna N. Cor, Monica P. Band

Counselor Education Faculty Publications and Presentations

Multiculturalism and social justice are considered major forces in the counseling profession, revolutionizing the complexity of social identity, cultural identity, and diversity. Although these major forces have influenced the profession, many challenges exist with their implementation within counselor education curriculum and pedagogy. A major challenge is the complex dynamics of privilege and oppression that both counselor educators and counseling students face. This article discusses the use of intersectionality to approach counselor education pedagogy and practice.

A Pilot Randomized Clinical Trial Comparing Three Brief Group Interventions For Individuals With Tinnitus, Erin Martz, Margaret Chesney, Hanoch Livneh, Chennettee Jelleberg, Bret Fuller, James A. Henry

Counselor Education Faculty Publications and Presentations

Background: Tinnitus (ie, ear or head noises not caused by external sounds) is common among the general population and is the most prevalent service-connected disability in the United States’ Department of Veterans Affairs system. While numerous clinical interventions have been created to systematically address the range of issues caused by tinnitus, only a few tinnitus interventions have focused on both teaching and assessing coping strategies. The present pilot study involved a randomized clinical trial comparing 3 brief group interventions to a usual-care (UC) group (ie, a wait-list control group): the first intervention based on acceptance and commitment therapy (ACT), a …

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. …

An Examination Of Relations Among Fear, Guilt, Self-Compassion, And Multicultural Attitudes In White Adults, Whitney W. Black

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

Structural racism is often perpetuated by well-intentioned White individuals who passively accept or are unaware of its existence. However, when their perceptions and understanding of the world are challenged through learning about structural racism, White people may experience emotions such as fear, and guilt, which seem to serve either a debilitating or a motivating role in multicultural attitude development. Self-compassion, which is the ability to process distressing emotions without resorting to avoidance of the emotional experience, may help White individuals work through strong negative affect that accompanies an awareness of structural racism and ultimately aid in the development of multicultural …

Counselor Educators‘ Lgbt(Q) Social Attitudes: An Association With Critical Consciousness, Reiko Miyakuni

All Capstone Projects

LGBTQ individuals are at a higher risk for mental health problems and have a greater need for mental health related services than their heterosexual and cisgender counterparts, due to discrimination, harassment, and violence, and yet they continue to face discrimination in mental health care settings. Furthermore, the lack of LGBTQ counseling competency continues to be documented. Counselor educators play a critical role in shaping students’ attitudes toward LGBTQ persons; however, their social attitudes towards LGBTQ identities and LGBTQ equality remain unknown. The purpose of this study was to examine the nature of LGBT social attitudes of counselor educators who teach …

Wrestling For The Souls Of The Survivors: Helping Partners Who Are Married To Survivors Of Childhood Sexual Abuse, John N. Raymond

Doctor of Ministry

For some who partake in the wonders of marriage, the experiences of pleasant memories and successful challenges mark their dreams in their twilight years. For couples where one or both experienced childhood sexual abuse (CSA), marital challenges have far greater negative effect on each of the marital partners—their twilight dreams may not be so pleasant. Although many couples experience setbacks and hardships, for the couple affected by CSA, the setbacks are experienced with greater intensity and duration. This dissertation will highlight research quantifying the negative long-term consequences of CSA. I also will give examples of qualitative research that describes the …

Black Individuals' Lived Experiences With Racial Microaggressions And Implications In Counseling, Letitia V. Browne-James

Walden Dissertations and Doctoral Studies

The problem of racial microaggressions in the United States has important implications for counseling due to the mental and physical health concerns individuals who experience them may develop. Although the current literature addresses racial microaggressions among Black individuals and implications for counseling, no qualitative studies that included the voices of Black individuals using relational cultural theory were found. Therefore, the purpose of this study was to explore the lived experiences of Black individuals who have encountered racial microaggressions and learn their perspectives on what counselors can do to help them in counseling. Adding this perspective will help fill this gap …