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Full-Text Articles in Multicultural Psychology

Reimagining Care: Experiences Of Trauma-Informed Approaches And Deinstitutionalization In Caribbean Child Welfare, Sarah L. Subhan Jan 2025

Reimagining Care: Experiences Of Trauma-Informed Approaches And Deinstitutionalization In Caribbean Child Welfare, Sarah L. Subhan

Antioch University Dissertations & Theses

This study explored the perceptions and experiences of child welfare professionals on trauma-informed care and implications for deinstitutionalization in Trinidad and Tobago. The qualitative study utilized research interviews from 21 participants to inform findings. The participants included professionals from various agencies who work with children in care and protection. Thematic analysis was used to analyze the data, yielding six overarching themes (1) the need for training and capacity building in child protection, (2) systemic and organizational challenges to trauma informed care, (3) cultural and community factors impacting child protection, (4) the need to support family units as a pathway to …


A Pedagogy Of Self: A Critical Autoethnography Evaluating The Self And The Lessons Of Exposure, Experience, Action, And Inaction, Jeremy Grisham Jan 2025

A Pedagogy Of Self: A Critical Autoethnography Evaluating The Self And The Lessons Of Exposure, Experience, Action, And Inaction, Jeremy Grisham

Antioch University Dissertations & Theses

This dissertation is a critical autoethnography, which evaluates a lifetime of experience through the lens of an educational theory in critical pedagogy, and two psychological theories in liberation psychology and feminist therapy. These theoretical frameworks will help me evaluate how the lessons of my life have acted in both oppressive ways, and ways in which I have supported and benefited from systemic oppression. This research demonstrates that the existence of my own diagnosed psychopathologies, which have provided symptomatic pressures, have ultimately stemmed from systemic pressures, even those systems of which I have inherently benefited. Through this research, I conclude that …


Examining The Relationship Between Bicultural Stress And Mental Well-Being Among Second-Generation Filipino Americans Living In The United States, Krista Parker Jan 2025

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

Antioch University Dissertations & Theses

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


Frozen: A Grounded Theory Of Transgenerational Trauma Cycles In The Evangelical Slavic Diaspora Of Former Soviet Union Refugees, Yulia Shtareva Jan 2025

Frozen: A Grounded Theory Of Transgenerational Trauma Cycles In The Evangelical Slavic Diaspora Of Former Soviet Union Refugees, Yulia Shtareva

Antioch University Dissertations & Theses

This dissertation builds on historical and scientific assertions that Former Soviet Union immigrants survived distinct political traumas, resulting in unique, culturally adaptive behaviors and beliefs. Using constructivist grounded theory, it examined how these behaviors manifest in the evangelical Slavic community (ESC) of former Soviet Union Refugees (FSURs) in the U.S. The researcher asserts that (a) adaptations are generationally preserved in the ESC through a “cycle of authoritarianism,” and (b) survival strategies became maladaptive in new social environments. Narratives from eight young adults raised in the ESC were analyzed alongside a literature review and lived experience. Findings show that coping strategies …


Engendering The Trans Cft: Gender Diverse Experiences Of Couple And Family Therapy Training Programs, Coltan J. Schoenike Jan 2025

Engendering The Trans Cft: Gender Diverse Experiences Of Couple And Family Therapy Training Programs, Coltan J. Schoenike

Antioch University Dissertations & Theses

Mental health literature, including in couple and family therapy (CFT), is sparse when it comes to transgender and gender diverse (TGD) topics. This is all the more the case when it is discussing instances where the provider themself is the one who is TGD. Very little literature exists that acknowledges the existence of trans clinicians and often focuses solely on whether their transness should even be disclosed. This study aimed to address this gap and explore the experiences of TGD CFTs, particularly focusing on training experiences in programs accredited by the Commission on Accreditation for Marriage and Family Therapy Education …


Exploring The Imposter Phenomenon Among Spanish Esl Doctoral-Level Psychology Students, Celia E. Arauz Jan 2025

Exploring The Imposter Phenomenon Among Spanish Esl Doctoral-Level Psychology Students, Celia E. Arauz

Antioch University Dissertations & Theses

In this study, I examined the impostor phenomenon experienced by bilingual Latina/o doctoral-level psychology students with English as a second language (ESL) who attend predominantly White institutions. To address the lack of literature, I explored how individuals perceive and cope with experiences generated by cultural, linguistic, and racialized academic environments, using the Clance Impostor Phenomenon Scale (CIPS) and interpretative phenomenological analysis. Seven participants completed demographic questionnaires, CIPS screening, and semistructured interviews. I analyzed participants' narratives in an Adlerian framework, emphasizing inferiority, belonging, and purposeful thriving. Findings demonstrated impostor feelings were prevalent. Students experienced multiple challenges when attending mainstream programs. Despite …


Therapist Competency Using Transference-Focused Psychotherapy To Treat Borderline Personality Disorder., Rachel J. Altman Apr 2024

Therapist Competency Using Transference-Focused Psychotherapy To Treat Borderline Personality Disorder., Rachel J. Altman

Antioch University Dissertations & Theses

Empirical research on clinician experience of competency treating borderline personality disorder is scarce, and that which does exist focuses on the negative experiences of those who treat this population. Utilizing an interpretive phenomenological analysis approach, this qualitative research investigation explored the lived experience of feelings of competency in clinicians treating borderline personality disorder using the evidence-based model of Transference-Focused Psychotherapy. To better comprehend this phenomenon and address research questions, data were collected via one, semi-structured interview given to five different clinicians who practice Transference-Focused Psychotherapy. Four themes emerged from the researched data: Positive treatment outcomes for patients, Using negative countertransference …


Exploring Viability In Help-Seeking Attitudes And Preferences Among Black Christian Churchgoers: A Case For Interprofessional Collaboration Between Black Churches And Mental Health Professionals, Samanda Bryant Hagan Jan 2024

Exploring Viability In Help-Seeking Attitudes And Preferences Among Black Christian Churchgoers: A Case For Interprofessional Collaboration Between Black Churches And Mental Health Professionals, Samanda Bryant Hagan

Antioch University Dissertations & Theses

Support for collaborative partnerships between Black churches and mental health professionals is on the rise. Yet, little attention has been given to if and how the numerous barriers that Black people face in both domains, among others, affects mental health help-seeking attitudes and preferences on a sociocultural level. When there are negative consequences to mental health treatment utilization, either perceived or real, within every context of one’s lived experience, self-concealment may be a more favorable option. Using a quantitative, cross-sectional research design, the current study explores the relationship between self-concealment and religious and professional mental health help-seeking attitudes and preferences …


Marginalized Sexual- And Gender-Identified Clients In University Counseling Centers: Best Psychotherapy Practices, Sara M. Cauley Jan 2024

Marginalized Sexual- And Gender-Identified Clients In University Counseling Centers: Best Psychotherapy Practices, Sara M. Cauley

Antioch University Dissertations & Theses

Young adults in college experience significant rates of mental health difficulties. The mental wellness of young adults has shown to have a substantial link to future success, health, and well-being. Individuals with marginalized sexual and gender identities (SGM) often hold additional mental health difficulties due to having identities that typically defy societyʼs assumptions and expectations, and these assumptions/expectations are presented to youth from a young age. The distress experienced by SGM individuals can often be relational in nature due to living in and relating to a heteronormative, cisgender society that stigmatizes and oppresses SGM individuals. University Counseling Centers (UCC) typically …


My World's On Fire, How 'Bout Yours? An Investigation Of How Privilege Fosters And Maintains Climate Denial, Morgan A. Chester Jan 2024

My World's On Fire, How 'Bout Yours? An Investigation Of How Privilege Fosters And Maintains Climate Denial, Morgan A. Chester

Antioch University Dissertations & Theses

The present study investigates the phenomenon of climate denial through a new theoretical framework of privilege. The analysis utilizes a feminist orientation that builds on a historical interpretation through the lens of colonialism. Through the dissection of current multidisciplinary understandings of climate denial and new concepts discovered in the review of academic literature and popular media, a compilation of theory, relationship, and connection is made. Systems of power and privilege are examined and connected to the mechanisms and maintenance of climate denial. The resulting analysis illuminates that settler colonialism, supported by connected ideologies of White supremacy, ableism, and patriarchy inform …


The Lived Experience Of The Covid-19 Pandemic Among Mandate-Resistant Adults In Washington State, Amber N. Peterson Jan 2024

The Lived Experience Of The Covid-19 Pandemic Among Mandate-Resistant Adults In Washington State, Amber N. Peterson

Antioch University Dissertations & Theses

This study examined the lived experience of self-identified, mandate-resistant adults in Washington state. This study explored participants’ experience of the COVID-19 pandemic, from a retrospective framework by uncovering challenges, silver linings, decision-making, and self-reported mental health. Remote interviews were conducted with nine participants. Participants were between 23–31 years old, mostly male, and over half identified as Black. Through semi structured interviews, data was collected and analyzed using Interpretive Phenomenological Analysis (IPA). Participants described their experiences during the COVID-19 pandemic and highlighted significant changes in the way they lived their lives. Most notably, participants described ways in which they defied COVID-19 …


Graduate Students' Accessibility To Human Sexuality Training, Samantha B. Rotay Jan 2024

Graduate Students' Accessibility To Human Sexuality Training, Samantha B. Rotay

Antioch University Dissertations & Theses

Human sexuality is a basic foundation of the human experience. In graduate school for psychology, students are often taught about sexuality in terms of gender identity and sexual orientation. However, there is a lack of education around sexual functioning in terms of sexual wellbeing, arousal, and disorders. Many psychologists are licensed as general practice clinicians but only a small percentage of psychologists have training in human sexuality. However, many generalist psychologists hold a caseload of couples and individuals who are experiencing sexual concerns. Due to the limited training, therapists are less likely to assist clients in therapy around sexual concerns. …


Disability In Education From A Neurodiversity Standpoint: A Multi-Article Dissertation, Isabelle Kluge Jan 2024

Disability In Education From A Neurodiversity Standpoint: A Multi-Article Dissertation, Isabelle Kluge

Antioch University Dissertations & Theses

This theoretical multi-article dissertation is a broad examination of education, including trends in our school system, juvenile justice system, and cultural/media system to address the disproportionate targeted failure of students with disabilities from a neurodiversity standpoint. Research shows how our current education system is not the practice of freedom for all learners, but rather a reproductive practice that teaches forms of group-based privilege that results in the disproportionate outcome of school failure, oppression, and incarceration for students with disabilities. Creating liberatory learning spaces for neurodiverse students of all races must include challenging White supremacy, neurotypical superiority, and a standardized one-size-fits-all …


Midas’ Children: Affluent White Families And The Effects Of Parental Bias On Child Outcomes, J. Sema Bruno Jan 2024

Midas’ Children: Affluent White Families And The Effects Of Parental Bias On Child Outcomes, J. Sema Bruno

Antioch University Dissertations & Theses

Navigating parental biases within White affluent homes assumes family dynamics as yet unexplored within family therapy praxis. This dissertation examines parental biases directed toward domestic laborers employed in affluent White homes and how these biases might affect the parent-child relationship and the emerging values of children in these homes. Research from other fields demonstrates that domestic laborers experience social bias within the workplace; what this highlights is the likelihood that children in these settings are navigating unspoken subtleties of racism and classism in the context of developing socio-emotional maturity and family relationships. The first article within this dissertation critically reviews …


Exploring Consciousness In Millennial African American Men: Using Video Ethnography To Convey Meaning Within The African American Male Experience, Mark L. Gumm Jan 2024

Exploring Consciousness In Millennial African American Men: Using Video Ethnography To Convey Meaning Within The African American Male Experience, Mark L. Gumm

Antioch University Dissertations & Theses

The purpose of this research dissertation was to investigate and explore consciousness in millennial African American men. This study defined consciousness in the form of self-concept or self-conceptualization, the image we have of ourselves (Carl, Rogers; Akbar, 1991). The research question under investigation is how do African American college men define identity, masculinity, and self-concept under the umbrella of consciousness? In addition the relation to environmental factors which include type of schooling, household dynamics, high-school mentorship, and college readiness. Investigative approaches also include asking questions regarding socio-economic status, academic achievement and success. Sub-questions included: “how do African American men explain …


Historical Trauma Informed Approach To Treatment: A Proposed Suicide Prevention Program For Native American Youth, Christine E. Faris Jan 2024

Historical Trauma Informed Approach To Treatment: A Proposed Suicide Prevention Program For Native American Youth, Christine E. Faris

Antioch University Dissertations & Theses

Suicide is a significant public health concern across the world. It is the second leading cause of death for children and young adults ages 10-34 (CDC, 2016). In 2021, suicide rates were highest among American Indian/Alaska Native (AI/AN) persons, and AI/AN youths had the highest rates of suicide compared to their same-aged peers from other racial and ethnic groups (Stone, Mack, & Qualters, 2021). Historical trauma, or unresolved trauma caused by colonization that gets passed down from generation to generation, has been used as a framework for understanding the high rates of social problems and suicide that plague AI/AN communities. …


Examining Multicultural Leadership Development Practices In Counselor Education To Foster Future Leaders, Katie N. Schmitz Jan 2024

Examining Multicultural Leadership Development Practices In Counselor Education To Foster Future Leaders, Katie N. Schmitz

Antioch University Dissertations & Theses

The purpose of this study was to gain a deeper understanding of how doctoral programs foster leadership development in Counselor Education and identify recommendations for incorporating leadership-related learning outcomes and multicultural leadership identities. Using a Delphi method, the study collected input from sixteen experts in the field of Counselor Education and leadership. Data was examined through the lenses of transformational learning and leadership theories. The research questions were: what are the best practices in teaching and/or fostering multicultural leadership development in Counselor Education, and what are the recommendations for integrating CACREP leadership-related learning objectives in the curriculum? Eight themes were …


Ain’T I A Survivor Too: Contextualizing Black Women’S Experience Of Sexual Trauma And Healing, Danielle Alyssa Samuel Jan 2024

Ain’T I A Survivor Too: Contextualizing Black Women’S Experience Of Sexual Trauma And Healing, Danielle Alyssa Samuel

Antioch University Dissertations & Theses

The double bind of Black womanhood has been long documented in Black feminist literature. This dissertation seeks to greatly contextualize how Black women experience make sense of, and heal from, sexual trauma given the nature of gendered racism in the United States (U.S). Utilizing a convergent parallel design grounded in Black Feminist Theory and hermeneutic phenomenology, the lived experiences of 98 Black women from across the U.S. were investigated. Regression analyses revealed that the frequency of gendered racial microaggressions and the associated appraisal were not significant predictors of participants’ PTSD symptoms. Additionally, PTSD symptoms were inversely predictive of current perceptions …


The Impact Of Acculturation On The Marital Relationship Of Iranian Immigrants, Hassan Kalantari Jan 2024

The Impact Of Acculturation On The Marital Relationship Of Iranian Immigrants, Hassan Kalantari

Antioch University Dissertations & Theses

This current study will focus on the impact of acculturation on the marital relationships of Iranian Immigrants. Understanding the behaviors and values of Iranian culture and how these evolve through socialization within the context of North America is crucial, particularly given the increasing population of Iranian immigrants in the United States. Clinicians working with Iranian couples must grasp the cultural background of these couples to minimize judgment and pathologizing in order to effectively support the adjustment process. An interpretative phenomenological methodological approach was used to develop a more complete understanding of the relationship between levels of acculturation and their impact …


Maternal Burden: The Interplay Of Parental Burnout, Insomnia, And The Covid-19 Pandemic Among First-Time Mothers, Kaila Kutz Jan 2024

Maternal Burden: The Interplay Of Parental Burnout, Insomnia, And The Covid-19 Pandemic Among First-Time Mothers, Kaila Kutz

Antioch University Dissertations & Theses

The current study sought to better understand the relationship among parental burnout, insomnia, and first-time motherhood within the context of the novel coronavirus (COVID-19) pandemic. A thorough review of the literature was conducted in order to position this dissertation and its questions within the current research landscape. A quantitative, survey-based research methodology was used to explore the association between the aforementioned variables of interest through correlational analyses. Findings of the study suggest a positive association between parental burnout and insomnia, though nonsignificant findings between motherhood groups in relation to insomnia and parental burnout suggest that continued investigation into these variables …


Ideals Of Benevolence, Acts Of Dysconsciousness: White Women's Pursuit Of Diversity In Nonprofits, Tessa A. Fulmer Jan 2024

Ideals Of Benevolence, Acts Of Dysconsciousness: White Women's Pursuit Of Diversity In Nonprofits, Tessa A. Fulmer

Antioch University Dissertations & Theses

Recent political movements such as the Black Lives Matter and #MeToo movements have brought renewed attention to the social roles of White women and their unique position of intersectional privilege and oppression. White women experience the benefits of whiteness while simultaneously experiencing the gendered oppression of womanhood. However, there is a lack of research exploring how White women conceptualize and respond to their own positionality as both White individuals and as women. This study utilizes constructivist grounded theory to examine how White women navigate their social location within the context of working in the nonprofit sector, a space wherein White …


Black And African American Young Adult Male Experiences: Implications For Building Resilience And Survival Skills Within Educational Settings And Public Spaces, Akimma Wright-D'Abreau Jan 2024

Black And African American Young Adult Male Experiences: Implications For Building Resilience And Survival Skills Within Educational Settings And Public Spaces, Akimma Wright-D'Abreau

Antioch University Dissertations & Theses

The aim of this study is to better understand, from the perspective of Critical Race Theory, the experiences of adolescent males who are Black and living in the United States and to examine how they build resilience and survival skills. Participants were between the ages of 18 and 26 and asked to recall adolescent experiences as part of a semi-structured interview with a Black Storytelling approach. There were six participants and data were analyzed using thematic analysis. According to the results, there were seven themes: (1) Policing In the United States of America Comes in Many Forms, (2) Recognizing Racism …


From East To West: Exploring The Mental Health Of Punjabi Immigrants Residing In British Columbia, Jasleen Kaur Jan 2024

From East To West: Exploring The Mental Health Of Punjabi Immigrants Residing In British Columbia, Jasleen Kaur

Antioch University Dissertations & Theses

Mental health has been a topic that is slowly gaining more acknowledgement and awareness over time. However, despite the elevation in awareness, there are many cultures where mental health issues remain subject to stigma, which discourages an individual from seeking, or even acknowledging, mental health treatment and services. This study focuses upon varying perceptions of mental health by exploring in-depth the perception of mental health within the Punjabi community and how Punjabi culture affects such perceptions. Specifically, this research study examines how young adults who immigrated from Punjab, India to British Columbia (B.C.) perceive and respond to mental health concerns. …


Parentification And The Protective Factor Of Familismo In The Latine Community, Leury Peña Jan 2024

Parentification And The Protective Factor Of Familismo In The Latine Community, Leury Peña

Antioch University Dissertations & Theses

Parentification, or parent-child role reversal, occurs when children and adolescents take on parental responsibilities within the family (Boszormenyi-Nagy & Spark, 1973). This can include caring for younger siblings, attending to their parents' emotional needs, and assisting with tasks such as translation. Parentification disrupts family dynamics as parents transfer significant responsibilities to the child (Martino & Coburn, 2022). Extensive research consistently demonstrates the negative impact of parentification on children, leading to depression, suicidal feelings, shame, guilt, worry, and social isolation (Jurkovic, 1997). It can also contribute to the development of conduct disorders. Unfortunately, these difficulties often go unnoticed. However, when it …


The Pulse Of Connection: Professors' Experience Of Positive Relationships With Students–An Interpretative Phenomenology And Photovoice Study, Ileya N. Grosman Jan 2024

The Pulse Of Connection: Professors' Experience Of Positive Relationships With Students–An Interpretative Phenomenology And Photovoice Study, Ileya N. Grosman

Antioch University Dissertations & Theses

In higher education, the focus on student success often takes center stage in research and the professor-as-teacher practice. While numerous empirical studies concentrate on the growth and development of undergraduate students, this dissertation delves into professors’ relational and felt experiences in positive teaching-learning relationships. Four terminal-degreed professors from four different schools and three different disciplines–education, humanities, and leadership–engaged in photography and were then interviewed. Participants reflected on their photographs and their experiences in a teaching-learning relationship with their students. The present study aimed to illuminate the unspoken language of connection by utilizing interpretive phenomenology and photovoice to uncover professors’ relational …


Bipoc Faculty Processing Of Microagressions, Gladys Lopez Guitron Jan 2024

Bipoc Faculty Processing Of Microagressions, Gladys Lopez Guitron

Antioch University Dissertations & Theses

This study explores the lived experiences of microaggressions encountered by BIPOC faculty within Council for Accreditation of Counseling and Related Educational Programs (CACREP) accredited counseling programs, using a feminist theoretical framework. The research addresses the following question: What is the lived experience of microaggressions in academia for BIPOC faculty in CACREP-accredited programs? To ensure participant anonymity, data was collected through an online survey hosted on SurveyMonkey. The survey included demographic items and open-ended questions with clear and concise written instructions. Data was collected from eight participants. Thematic analysis revealed six key themes: (1) personal characteristics embedded in microaggressions, (2) failure …


The Grief Of Identity Formation: How Non-Death Loss Complicates Trans Identity Narratives, R. Frank Jan 2024

The Grief Of Identity Formation: How Non-Death Loss Complicates Trans Identity Narratives, R. Frank

Antioch University Dissertations & Theses

Trans members of the Lesbian, Gay, Bisexual, Transgender, and other marginalized sexual and gender identities (LGBT+) community may be at risk of erasure from both dominant sociocultural scripts and clinical psychological research. Identity development experts have asserted that identity is fixed by late adolescence, with some room for evolution depending on context (Marcia, 2002; Sokol, 2009). Research about grief suggests that anything that has been lost has the potential to be experienced through the lens of grief (Chapple et al., 2016; Collings, 2007). This grief of non-death loss has been linked to loss of relationships, expected life trajectory, and self-concept. …


Preparing Counselors To Meet The Needs Of Transgender Clients, Kristy Carangi Sep 2023

Preparing Counselors To Meet The Needs Of Transgender Clients, Kristy Carangi

Antioch University Dissertations & Theses

This exploratory quantitative study tests the effectiveness of a three-hour Transgender Training Intervention for increasing the gender identity competence of counselors and counselors-in-training. Participants (N = 4) were recruited online and completed the 20-item Counselor Competence Gender Identity Survey (CCGIS) before and after the virtual training intervention. Data were analyzed using descriptive statistics. Results indicated that mean total CCGIS scores increased from 127.0 in the pretest to 138.75 in the posttest, a 9.25% increase. The largest gains were made on the Gaining Knowledge/Skills to Counsel Gender Diverse Individuals subscale (CCGIS-KS). Mean scores on the CCGIS-KS increased from 24.25 in the …


"The Power To Heal And Cure": Adaptations Of Western Therapy By American Indian And Alaska Native Therapists, Calleaghn B. Kinnamon Jan 2023

"The Power To Heal And Cure": Adaptations Of Western Therapy By American Indian And Alaska Native Therapists, Calleaghn B. Kinnamon

Antioch University Dissertations & Theses

The legacy of colonialism has created a modern-day reality where Indigenous populations of the United States (US) experience mental, physical, and emotional distress at disproportionately higher rates than other cultural groups in the country. Increased distress translates to an increased need for supportive services. Because the field of Western Psychology is based in colonialistic EuroWestern worldviews which positions that worldview as superior, Indigenous clients and communities have often experienced further harm in their encounters with mental health services. In recent decades, there has been increasing attention to adapting research, training, academic and clinical work in ways that are culturally appropriate …


Traditional Healing In Psychology On The Caribbean Island Of Montserrat, West Indies, Yvette Adelcia Cabey Jan 2022

Traditional Healing In Psychology On The Caribbean Island Of Montserrat, West Indies, Yvette Adelcia Cabey

Antioch University Dissertations & Theses

In Montserrat, traditional healing medicines consist of herbal treatments and customary therapeutic methods such as ritual practices and herbal teas also known as “Bush and Weed” (Duberry, 1973, p.1). The purpose of this study is to discuss herbs known as “Bush,” in Montserrat, and how they benefit psychological wellbeing among the communities in Montserrat. A subsequent intention of this study is to address how an understanding of Montserratian Traditional Healing remedies can be beneficial to Western Psychological practice and enhance the efficacy for psychological healing. The gap in the literature indicates that few studies are examining mental health methods in …