Counseling Psychology Commons^™

Proteomic Profiles Of Cytokines And Chemokines In Moderate To Severe Depression: Implications For Comorbidities And Biomarker Discovery, Kathleen T. Watson, Jennifer Keller, Caleb M. Spiro, Isaac B. Satz, Samantha V. Goncalves, Heather Pankow, Idit Kosti, Benoit Lehallier, Adolfo Sequeira, William E. Bunney, Natalie L. Rasgon, Alan F. Schatzberg

Psychology Division Scholarship

Objective: This study assessed the proteomic profiles of cytokines and chemokines in individuals with moderate to severe depression, with or without comorbid medical disorders, compared to healthy controls. Two proteomic multiplex platforms were employed for this purpose. Metods: An immunofluorescent multiplex platform and an aptamer-based method were used to evaluate 32 protein analytes from 153 individuals with moderate to severe major depressive disorder (MDD) and healthy controls (HCs). The study focused on determining the level of agreement between the two platforms and evaluating the ability of individual analytes and principal components (PCs) to differentiate between the MDD and HC groups. …

Ethnic-Racial Socialization Experiences Of Mexican American Youth, Katherine J. Bingham, Elizabeth A. Cutrer-Párraga, Timothy B. Smith

Faculty Publications

Research has shown that ethnic–racial socialization (ERS) predicts education and mental health outcomes for adolescents. However, limited research has evaluated the ERS experiences of Latinx students. The current study examined ERS experiences of Mexican American youth in four focus group interviews that were transcribed and analyzed at both the individual and group level using interpretive phenomenological analysis. Main themes included feeling like an outsider, navigating discrimination, encountering social/emotional difficulties, and achieving a positive identity. Each theme contained two to three subcategories that provide further insight into the Mexican Americans' ERS experiences. Participants reported within-group discrimination, motivation to disprove stereotypes, and …

Knowledge, Experiences, And Perceptions Of Medications For Opioid Use Disorder Among Black Kentuckians, Paris B. Wheeler, Brittany Miller-Roenigk, Jasmine Jester, Danelle Stevens-Watkins

Educational, School, and Counseling Psychology Faculty Publications

Background: Opioid overdoses have continued to increase at higher rates among Black Americans compared to people from other racial groups. Despite demonstrated effectiveness of MOUD in reducing risk of opioid overdose, Black Americans face decreased access to and uptake of MOUD. the current study aimed to examine the knowledge, perceptions, and experiences with MOUD among a sample of Black adults who use prescription opioids nonmedically in order to inform tailored efforts to improve MOUD uptake.

Methods: Data were derived from a larger study assessing cultural and structural influences on drug use and drug treatment among people who use prescription opioids …

Is The Virtual Therapy Experience A Sufficient Means For Person-Centered Therapy? A Systematic Review, Aaron Feibush

Social Work Theses - Archive

Background: American psychologist Carl Rogers is considered the main originator of person-centered therapy (PCT), a psychotherapeutic approach which focuses on self-actualizing abilities of the client which emerge when engaged in an environment of three core conditions established by the therapist: unconditional positive regard, empathy and congruence. Over the last several decades there have been thousands of studies that demonstrate support for these three core conditions as necessary features of effective therapy. However, with the emergence of psychotherapy being conducted via telehealth in the last several years, in particular since the onset of the global COVID-19 pandemic, it remains unknown …

Differentially Unwell: On Mimi Khúc's "Dear Elia", Seo-Young J. Chu

Publications and Research

[...] Inviting readers to reclaim the stigma of unwellness and collectively to "tend to our unwellness, together," Khúc approaches unwellness as a crucial resource for subverting the "wellness and unwellness" dichotomy entirely. After all, the opposite of "wellness" is not "unwellness"; the opposite of "wellness" does not exist. The opposition itself is an artificial framework, one that reductively harms more than it dialogically helps. We need to move away from these simplistic dualisms, Khúc suggests, and towards more generous, trauma-informed epistemologies. [...]

The Experiences Of Religious Students In Counseling Theories Courses, Brian A. Mesimer, Matthew Lyons, Candace Park

Journal of Faith Integration Counseling (JFIC)

We explored the experiences of 10 religious counseling students in their theories course. Analysis using transcendental phenomenology showed that the theory acquisition process is multifaceted, consisting of a variety of affective and cognitive experiences which further student growth.

Exploring Perceptions Of Self-Compassion In Individuals With Complex Trauma Symptomology: A Qualitative Approach, Brooke Roseman

West Chester University Doctoral Projects

The aim of the present study sought to explore the perceptions of self-compassion through the perspectives of individuals who experience complex trauma symptomology and low rates of self-compassion to inform and enhance trauma treatment. Despite a growing accumulation of studies implicating self-compassion as an integral construct for alleviating symptoms associated with complex trauma, most research designs were quantitative and did not investigate the internal processes occurring within the individual. Based on this gap, the current study expanded the scope of the current literature to include a qualitative thematic analytic approach to better understand the nuances of how this population relates …

Addressing Inconsistencies In Grading Practices., Thomas R. Guskey

Educational, School, and Counseling Psychology Faculty Publications

Coming to agreement about the purpose of grading and establishing clearer and more accurate reporting structures can pave the way for more learning-focused grading systems.

Analysis Of Research On The Effects Of Auditory Stimulation On Anxiety And Stress In Clinical And General Populations, Rebecca Lee

CMC Senior Theses

The use of auditory stimulation may be a useful method in treating clinical anxiety disorders, as well as aiding in coping with daily stress among general populations. The understanding of how certain forms of auditory stimulation can increase anxiety and stress is also critical so clinicians and the general population can approach decreasing anxiety and stress in the most effective way possible. The following paper will provide a literature review on studies published after the year 2000, analyzing the various impacts of different types of auditory stimulation, including impacts of music-therapy, music and noise at different frequencies, binaural beat stimulation, …

Variability In Perceptions Of Complementary Health Approaches Among Graduate Student Trainees, Delaney C. Bilodeau

Theses and Dissertations

Complementary Health Approaches (CHAs) encompass a diverse range of practices which are often used both independently and alongside conventional medical treatments. Understanding how graduate students training in different fields perceive CHAs is important because these professional trainees will go on to occupy roles as healthcare practitioners, researchers, policy makers, and consumers. This study used sequential rank agreement methods (Ekstrøm, Gerds, & Jensen, 2019) to investigate variations in perceptions of CHAs in a sample of graduate students (N = 416) from 140 possible training programs. Ratings of CHA familiarity, perceptions of CHA legitimacy, and willingness to recommend CHAs were compared …

Autism-Related Support Services On Mental Health And University Connectedness, Adeline E. P. Rogers

Scripps Senior Theses

College is notoriously challenging, with many student concerns associated with adapting to the new expectations for lifestyle, workload, and socializing that come with transitioning to college and/or university (Gelbar et al., 2015). For college students with autism spectrum disorder (ASD), the impact of these changes can be far more challenging, as their needs can be different from their neurotypical peers. This study implemented an online survey to gather data on autistic students’ feelings of depression, anxiety, stress, university connectedness, experiences with university autism support programs, and basic demographics. Unfortunately, the results found from this study were contaminated by a large …

Evaluating The Role Of Interoceptive Awareness In Insomnia And Across The Sleep Health Spectrum, Lara Lobrutto

Theses and Dissertations

Interoceptive awareness, characterized by a non-judgmental and trusting attitude towards body sensations, is an understudied construct that is implicated in sleep and health outcomes. Interoceptive awareness is cultivated via contemplative and mindfulness-based practices. Given that it may be utilized to reduce pre-sleep arousal, which is a key mechanism in insomnia, interoceptive awareness is posited to be a protective factor for sleep health. A cross-sectional study was conducted among undergraduate university students (N = 420) in the Mid-Atlantic region of the United States to assess the association between interoceptive awareness and sleep outcomes. Participants received a survey link and completed …

The Value Of Descriptive, Multi-Level Rubrics, Thomas R. Guskey, Mctighe Jay, Susan M. Brookhart

Educational, School, and Counseling Psychology Faculty Publications

Single-point rubrics have become popular in schools, but they may be leading teachers astray.

Look Beyond The Satisfaction Survey: A Framework To Evaluate Results Of Professional Learning., Thomas R. Guskey

Educational, School, and Counseling Psychology Faculty Publications

Professional Learning evaluations consider five crucial levels of data to determine effects on teachers' instructional practices and student learning outcomes.

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

Theses and Dissertations--Social Work

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

Psychological Effects Of Solitary Confinement, Asia Mclemore

CMC Senior Theses

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

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

Art Therapy | Master's Theses

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

The Ethics Of Involuntary Intervention, Landyn Tipton

Williams Honors College, Honors Research Projects

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

Adjustment Issues In First-Year College Students, Tessa Jones

Williams Honors College, Honors Research Projects

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

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

Wayne State University Dissertations

Abstract

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

by

LINDA YATOOMA

May 2024

Advisor: Dr. Anita Welch

Major: Counselor Education

Degree: Doctor of Philosophy

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

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

Undergraduate Theses, Professional Papers, and Capstone Artifacts

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

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

Theses and Dissertations

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

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

Honors Undergraduate Theses

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

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

The Qualitative Report

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

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

Dissertations and Theses

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

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

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

Dissertations and Theses

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

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

Theses and Dissertations

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

Associations Between Childhood Trauma And Tobacco Dependence Among Latine Adults: Testing The Protective Effects Of Compassion For Self And Others, Camila Tirado

Theses and Dissertations

Tobacco dependence has posed a significant public health challenge in the United States and disproportionately affects Latine adults' risk of developing a variety of adverse health conditions. Childhood trauma is a recognized risk factor for dependence, overall health, and mental health concerns. Still, the influence of compassion for self or compassion for others in this context remains unclear. This cross-sectional study investigated the moderating effects of self-compassion and compassion for others on the relationship between childhood trauma and cigarette dependence among Latine adults. Data was collected through questionnaires assessing childhood trauma, self-compassion, cultural values and factors, compassion for others, and …

“Black Wom(B)Anhood”: An Explorative Analysis Of Black Women's Narratives Of Healthcare Encounters During And After Pregnancy, Janae A. Baker

Theses and Dissertations

This qualitative study explores the intricate dynamics of patient-provider relationships within the context of prenatal care among Black women and how these experiences may affect their perinatal mental health. The study was conducted using a methodology consisting of structured interviews with 12 participants, snowball sampling facilitated recruitment. Thematic analysis revealed six prominent themes encapsulating the multifaceted interactions between Black women and their healthcare providers during the perinatal period. The findings illuminate nuanced aspects of the patient-provider relationship, shedding light on issues such as: (a) Anticipation of Low Quality Care, (b) Lack of Communication, (c) Listening, (d) Stereotype Threat, (e) Colorism, …

Associations Among Acculturative Stress, Body Ideal Internalization, Body Dissatisfaction And Disordered Eating Behaviors Among Cisgender Heterosexual And Lgbt People Of Color, Taryn Henning

Theses and Dissertations

Research supports the relation between acculturative stress and disordered eating behaviors (DEBs) across racially and ethnically diverse groups of men and women. However, there is minimal research examining factors that further explain the relation between acculturative stress and DEBs. Also, this relation has not been evaluated in racially and ethnically diverse LGBT individuals. The current study aimed to address these gaps by examining the role of thin-, muscular-, and hourglass-ideal internalization and body dissatisfaction as mediators of the relation between acculturative stress and disordered eating behaviors among cisgender heterosexual Black, Latine, Asian American, Multiracial men and women and LGBT men …