Multicultural Psychology Commons^™

The Development And Piloting Of A Novel Client-Rated Trans And Gender Expansive Clinical Competence Scale For Mental Health Providers, Karen Abraham

Dissertations, Theses, and Capstone Projects

Transgender and gender expansive individuals (TGEI) are people who encompass a broad and comprehensive set of experiences of gender diverse individuals and identities that exist both within and beyond a binary framework. In the United States, the Williams Institute identified a proportion of 0.5% of American adults identifying as transgender (Herman et al., 2022). TGE samples report poorer physical and mental health than their cisgender counterparts across the lifespan (Rastogi et al., 2025; Reisner et al., 2015; Reisner, Poteat, et al., 2016). Health disparities of TGEI relative to their non-TGE counterparts can be seen in the prevalence of mood disorders …

Clinical Considerations For Black Student Athlete Development, Jahnia Margarita Green

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Black student athletes exemplify the complexity of navigating intersecting identities at pivotal points in their development. They are also more likely to make premature commitments to their athletic identity and in turn suffer from psychological distress during times of transition (Beamon, 2012). The focus on Black collegiate athletes is informed by persistent mental health challenges associated with higher levels of competition or transitions (e.g., injury or retirement) within collegiate athletics (Brewer & Petitpas, 2017; Menke & Germany, 2019). This paper aims to develop culturally informed clinical considerations through the analysis of the Black student athlete experience and structural aspects of …

Barriers And Bridges: Exploring Factors That Shape Mental Health Service Utilization In Rural America, Margaret Wiwuga

Educational Specialist, 2020-current

Despite disproportionately higher suicide mortality rates and comparable prevalence of mental illness across urban and rural communities in the United States, rural populations across the nation experience significantly lower access to and utilization of mental health services, naturally leading to worse comprehensive outcomes. This literature review examines multifaceted factors shaping mental health service use in rural America, taking note of both barrier and enabling factors that impede or enable these unique populations’ willingness and ability to access and use mental health services. Ten articles published prior to September 9, 2025, were selected from the James Madison University Libraries’ Psychology and …

The Integration Of Mental Health Services Within The Black Church: A Literature Review Of Systematic Inequalities, Stigma, And Culturally Responsive Approaches, Grace N. Wingate

Honors College Theses

Black American Christians in predominantly Black churches often face limited access to adequate mental health resources due to historical mistrust, systemic inequalities, and cultural stigma. These barriers are rooted in longstanding distrust of psychological services, the underrepresentation of Black mental health care professionals, and the high cost and inaccessibility of care. Additionally, stigma within Black Christian communities may discourage individuals from seeking help from mental health professionals, particularly when such care is perceived as conflicting with religious beliefs. Despite these challenges, Black churches remain central and trusted institutions within their communities, positioning them as crucial sites for mental health support. …

No-Show Characteristics Of Rural Clients With Mental Health Conditions, Christy R. Collins, Jose Carbajal

Journal of Human Services: Training, Research, and Practice

The purpose of this study is to report demographic characteristics and appointment compliance factors associated with no-show appointments in a rural clinical setting in East Texas. Describing these variables will expand the existing literature and offer greater clarity not only on why appointments are missed, but also on who is missing them. Therefore, understanding how sociodemographic variables relate to missed appointments may enhance appointment adherence and improve healthcare outcomes for individuals. This study used cross-sectional archival data specifically collected to examine missed appointments among clients at a rural clinic (N = 134). The results indicate that Hispanic/Latino individuals, clients aged …

Religiosity And Spirituality: The Mental Costs And Benefits Of Belief In A College Setting, Tyler Geis

Masters Theses

The relationship between religiosity and spirituality (R/S) with mental health has been widely discussed in more recent years. This thesis examines factors related to religiosity, spirituality, depression, anxiety, and stress, as well as how various stigmas toward mental health, mental health treatment, and mental health treatment seeking may relate to R/S and mental health. Previous literature has identified religious coping with hardship, positive and negative dimensions of sin and behavior, the structure of different religious groups, and overall spiritual wellbeing as factors related to R/S, mental health, and beliefs about mental health . However, most previous literature come to differing …

Accessing Campus Mental Health Services In A Nigerian Southwestern University: Barriers To Academic Success, Caroline Dada

Electronic Theses and Dissertations

Mental health disorders are a significant health concern among higher education institutions in sub-Saharan Africa, including Nigeria. A substantial treatment gap exists in the Nigerian healthcare system, and this gap is further worsened by cultural and religious barriers, which reinforce stigma that discourages students from seeking professional help. This qualitative narrative inquiry explored the barriers students encountered when accessing mental health services at a university in Southwestern Nigeria, to increase service access. Qualitative semistructured interviews were conducted with seven professional mental health providers at a university counseling center between March and April 2025. Inductive thematic analysis was used to identify …

Bridging Worlds Of Care: A Qualitative Exploration Of Integrating Non-Western Healing Modalities With Mental Health Counseling, Douglas Valdez

Antioch University Dissertations & Theses

The aim of the study is to explore the experiences of practitioners who treat individuals presenting with depression and anxiety using culturally integrative non-Western healing modalities. Participants included 15 experienced practitioners (minimum five years of practice) who identified as Traditional Chinese Medicine providers (e.g., acupuncturists, herbalists) and/or Curandero/x/as. The approach was qualitative, utilizing open-ended survey responses collected electronically and analyzed with thematic analysis. Results indicated six primary themes: (a) Philosophies in Healing, highlighting culturally grounded conceptualizations of depression and anxiety; (b) Traditional Chinese Medicine Interventions, including acupuncture, botanical, nutritional, manual, and movement-based practices; (c) Curanderismo Pláticas and Integrative Western Healing …

Experiences Of Title Ix Investigations For Bipoc Survivors Of Sexual Violence, Tiffini Vo

Antioch University Dissertations & Theses

Sexual violence is among the most common crimes on college campuses. Nearly one in four undergraduate women experience sexual violence during college, yet reporting remains low (Spencer et al., 2020). Some students avoided reporting because of fear of criticism, backlash, blame, and shame (Lorenz et al., 2023). These responses not only influence reporting decisions but can also contribute to persistent psychological harm. A common consequence of sexual assault is the survivor developing post-traumatic stress disorder (PTSD), depressive and anxiety symptoms, and suicidality, demonstrating the severity of the crime perpetrated against them (Rothman et al., 2021). Even more so, those who …

Receptions Of Mental Health Emergency Services In New York City, Daniel R. Samost

Dissertations, Theses, and Capstone Projects

Mental health emergency response has become a highly scrutinized topic following the Black Lives Matter movement and several notable incidents of mental health emergency service users being killed by police responders. Qualitative interviews were conducted with mental health emergency service users to better understand the experience of using mental health emergency services, garner critical feedback of the service, and explore recommendations to improve future response. A total of 23 participants conducted interviews and detailed 40 incidents of mental health emergency service utilization. These interviews were then coded and analyzed. There were a few major findings from the data. Just over …

Connecting Through Context: A Culturally Relevant Mental Health Resource For K-12 School Counselors, Erica Knebel

Master's Projects and Capstones

This field project, Connecting Through Context: A Culturally Relevant Mental Health Resource for K–12 School Counselors, explores the intersection of decolonial theory, culturally relevant pedagogy, and school-based mental health practices. Rooted in both personal and academic experiences, the project addresses the significant gap in culturally responsive mental health resources for immigrant and refugee students, with a personal emphasis on those from Southeast Asian backgrounds. With nearly 27% of the U.S. student population being immigrants, traditional Western mental health models, centered on talk therapy and medication, often fall short in effectively supporting culturally diverse students. Through a literature review grounded in …

Cultural Self-Harm Differences, Erin E. Simmons

Student Scholar Symposium Abstracts and Posters

This study is based on the evident cultural differences in self-harm behaviors and what those behaviors look like specifically for individuals that identify as Black or African American. Previous literature suggests that cultural differences in self-harm exist but very little research centers Black experiences and their connection to self-harm. Self-harm is considered a broad term, and it encompasses a variety of behaviors, some more common than others, but these common behaviors are typically exclusively explored within only a few demographics with a low Black participant pool. This contributes to the assumed lack of self-harm among the Black community but through …

Lgbtq+ Client Experiences And Opinions On Therapist Cultural Humility, Elliot Dulyk, Dasean L. Young

Honors College Theses

LGBTQ+ people (i.e., individuals from gender or sexual minorities) are at a heightened risk for mental health issues and often face barriers in receiving quality mental healthcare. The use of cultural humility practices by therapists has been correlated with improved therapeutic relationships and therapy outcomes. Practicing cultural humility involves engaging in critical self-evaluation, lifelong learning, and having an other-oriented stance. The present study examined 54 LGBTQ+ people’s perceptions of their therapists’ cultural humility and their positive and negative identity-related experiences in therapy. We conducted an online survey of LGBTQ+-identifying individuals who were ages 18 or older and currently attend or …

Impacts On College-Aged Asian American Mental Health, Zahra Soherwardy

Senior Theses

This study explores the relationship between different forms of racial harassment and mental health issues in Asian American college students. Asian American mental health is a growing concern in the field of public health. Asian Americans have the lowest treatment rates and some of the highest stigma levels of any demographic. They are also impacted by the model minority myth and discrimination, further alienating them from getting help. The topics of subtle racism, blatant racism, and current racial discrimination were compared to depressive symptoms, anxiety, self-esteem, and four domains of aggression using survey data. Subtle racism was found to be …

Centering Black Resource-Poor Adolescent Voices: A Critical Phenomenological Study Of Lived Mental Health Struggles While Enduring The Covid-19 Pandemic, Paulette Dispagna

Counseling and Psychology Dissertations

There is a dearth of research in general and qualitative research specifically about the mental health experience of resource-poor Black adolescents living in Boston. This has implications for the field in terms of how adolescents experiencing mental health issues can be supported and how professionals can create more useful mental health treatment. Drawing from the theoretical lens of critical race theory and more specifically, intersectionality, this hermeneutic phenomenological inquiry examined the ways in which experiencing multiple levels of inequality, especially from racism and poverty, affected a Black adolescent’s mental health. Eleven adolescents were interviewed via Zoom. Six major findings included: …

The Cultural Mechanisms Of Mental Health Stigma In Asian Americans, Vaishnavi Suren

UNF Graduate Theses and Dissertations

Asian Americans show hesitation seeking professional mental health services, as well as stigmatized attitudes towards help-seeking for mental health treatment in general. While the link between this stigma and lack of help-seeking is clear in past studies, there is a gap in the literature in looking at how various cultural mechanisms important to traditional Asian cultures interact with one another to contribute to mental health stigma. The goal of the current study was to examine intergenerational conflict, saving face, and temporal orientation to predict mental health stigma among Asian Americans. Participants (N = 208) were all second-generation Asian American …

South Asian American Experiences Of Microaggressions And Wellbeing: The Moderating Role Of Social Support, Archita Birla

College of Graduate Studies: Theses & Dissertations

Although the South Asian American community is rapidly expanding in the United States (South Asian Americans Leading Together [SAALT], 2015), there remains a dearth of psychological research regarding the impacts on mental health and wellbeing affecting this diverse community. Racial microaggressions, or verbal or behavioral actions indicating hostile or negative attitudes toward marginalized individuals (Sue et al., 2007), negatively impact People of Color (POC) mental health and wellbeing (Forrest-Bank & Jenson, 2015a; Nadal, Wong, et al., 2015). Some research exists on South Asian American communities and microaggressions (Houshmand et al., 2014; Poolokasingham et al., 2014) but there is limited research …

Exploring The Mental Health Of Korean-American Elderly Immigrants, Iris Minkyung Kim

Antioch University Dissertations & Theses

This study sought to understand the mental health of Korean-American elderly immigrants using the theoretical frameworks Erikson’s Stages of Psychosocial Development and Interpersonal Psychotherapy Theory (IPT). To achieve this purpose, this study incorporated a qualitative thematic analysis and conducted in-depth interviews with 10 elderly Korean immigrants living in the United States. From these interviews, eight themes were identified: (a) multifaceted immigration experiences, (b) immigration challenges, (c) complex language barriers, (d) personality constructs impacting experience, (e) the importance of relationships, (f) limited information and access to support, (g) life satisfaction and dissatisfaction, and (h) advice for future immigrants. These themes indicate …

Mental Heath Experiences Of Transracial Adoptees Of The Global Majority (Black, Indigenous, And People Of Color - Bipoc)., Phebe Brako

Antioch University Dissertations & Theses

This qualitative hermeneutic phenomenological study explores the lived experiences of transracial adoptees of the global majority (BIPOC), focusing on their bicultural identity integration and its impact on mental health. During semi-structured interviews, nine participants shared their stories of navigating cultural and racial dynamics as adoptees in predominantly White adoptive families and communities. The findings revealed six core themes: (1) the Quest for Bicultural Identity Formation, (2) Cultural Integration and Adaptation, (3) Navigating Racial and Cultural Tensions, (4) the Role of Family in Cultural Integration, (5) the Importance of Community and Support Systems, and (6) Mental Health and Therapeutic Experiences, addressing …

Exploring Mental Health Concerns And Loneliness Among East Asian International Students In U.S. Universities, Shihan Xu

Antioch University Dissertations & Theses

This study examined the unique stressors encountered by international college students, with particular attention to East Asian international students, whose collectivistic cultural values contribute to their mental health status and reported symptoms. Following the COVID-19 pandemic, the rise in stress levels and loneliness highlighted the need for further examination. Using data collected in 2024 through the Counseling Center Assessment of Psychological Symptoms-34 (CCAPS-34) and the UCLA Loneliness Scale, the study surveyed East Asian international students enrolled in universities in the United States to identify prevalent mental health concerns and explore the correlation between loneliness and self-reported symptoms among East Asian …

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 …

Cultural Concepts Of Distress Education For Clinicians, Leilani Jolene Santos Cancio

Capstone Projects and Master's Theses

The Adult System of Care (ASOC) program at Monterey County Behavioral Health supports adults with mental health and co-occurring substance use disorders. Despite serving a diverse population, there is limited training that addresses the complex intersection of culture and mental health. This project involved a workshop for ASOC clinicians focused on cultural concepts of distress, specifically "ataque de nervios," a syndrome common in Hispanic and Latino individuals. The workshop aimed to enhance clinicians' understanding of how cultural identity impacts mental health symptoms. Pre and post-workshop surveys assessed knowledge gains. The project yielded positive outcomes, with clinicians gaining valuable insights into …

Study Abroad Angst: A Literature Review On The Mental Health Of International Students During Covid-19, Daisuke Akiba, Michael Perrone, Caterina Almendral

Publications and Research

Background: The COVID-19 pandemic presented unique and unprecedented challenges for international students, those studying at institutions of higher education outside of their home countries, due to their distinct circumstances and vulnerabilities. This literature review examines the multifaceted mental health burdens they experienced and highlights the need for targeted support and interventions. Methods: A rigorous search across three databases (i.e., PubMed, PsycINFO, and ERIC) yielded 50 empirical studies for inclusion in this literature review. A six-phase thematic analysis framework was employed to identify and synthesize key themes. Results: Seven prominent themes emerged: (1) academic and professional disruptions; (2) challenges navigating international …

A Qualitative Study On Workplace Mental Wellbeing In The Singapore Context, Chad C E Yip, M. Anthony Machin, Yong Wah Goh

The Qualitative Report

Workplace wellbeing is essential for the employee as well as the organisation, but it may not adequately capture the way wellbeing is experienced in Singapore due to its diverse multi-ethnic society imbued with Eastern and Western values. The present study explores Singaporean employees’ understanding and perspectives in relation to how they experience wellbeing at the Singapore workplace. With a total of 31 participants consisting of full-time Singaporean employees from 17 industries, we used reflexive thematic analysis (Braun & Clarke, 2013) to interpret the data and develop the themes. These 13 themes are: accomplishment, autonomy, co-worker relationship, employee recognition, fairness, learning …

The Impact Of Asian American Cultural Centers On Sense Of Belongingness For Asian American Undergraduate Students, Malina B. Maladore

PsyD Program in Clinical Psychology Doctoral Dissertations (New England)

This dissertation examines the role of cultural centers and experiences of microaggressions in shaping the ethnic identity of Asian American undergraduates in U.S. higher education institutions. Utilizing Phinney’s model of ethnic identity development, a study with 175 participants revealed a positive correlation between reported microaggressions and sense of ethnic belonging in students attending universities with cultural centers. The findings highlight the complexities of belongingness and the potential impact of cultural centers on ethnic identity and experiences of microaggressions. This research contributes to a deeper understanding of Asian American students’ experiences in higher education. This dissertation is available in open access …

“It’S Always An Admixture Of So Many Identities”: Interpretative Phenomenological Analysis Of Indigenous Kalasha Cultural Identity, Fahad Riaz Choudhry Dr, Karen Jennifer Golden, Miriam Sang-Ah Park

The Qualitative Report

This case study examined how an Indigenous Kalasha participant in northern Pakistan makes sense of his multi-faceted identity. The interpretative phenomenological analysis method was used to analyze data from an in-depth, single person case study. Our selected participant was a 36-year-old male postgraduate student from an Indigenous marginalized tribe, which is an ethnic and religious minority group in the northern Hindukush mountain region of Pakistan. Results are presented in four superordinate themes: (1) Identity: admixture of a number of identities, (2) Changing culture and its psychological impact, (3) Cultural protective factors against psychological problems and (4) Mental health perspective. …

Mental Health Attitudes And Perspectives Of Arab Americans: Beliefs Associated With Stigma, Treatment, And The Origins Of Pathology, Sadie Knill, Liam Browning, Nicole Oska, George Kidess, Liza Hinchey, Arwa Saleem, Malaak Elhage, Arash Javanbakht

Medical Student Research Symposium

Purpose:

Arab Americans are one of the largest ethnic groups in the United States. Despite elevated incidence of mental illness and diminished rates of treatment within this community, the mental health of Arab Americans, along with their attitudes towards mental health, has not received adequate study. Unique cultural interpretations of mental illness may engender stigma, exacerbating disparities in treatment. This study aimed to assess the attitudes and perspectives of Arab Americans concerning mental illness, with the goal of identifying and addressing barriers to treatment.

Methods:

Using an anonymous bilingual Qualtrics survey, we assessed Arab and non-Arab participants (n = 294; …

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. [...]

A Phenomenological Exploration Of Intracommunity Attitudinal And Experiential Barriers To The Utilization Of Psychotherapeutic Services In Bipoc Populations, Jade Turner

Calvert Undergraduate Research Awards

This study used Interpretative Phenomenological Analysis to explore the role that intracommunity attitudes and beliefs and negative mental healthcare experiences play in determining treatment-seeking behavior in BIPOC communities. Through in-depth semistructured interviews, five participants shared their perspectives and experiences, providing rich and nuanced insight into the subjective landscape of mental healthcare avoidance among racial and ethnic minority populations. The analysis revealed five overarching themes (pray it away, isolated and invisible, fear, perceived importance of racial matching, and therapeutic experiences profoundly impact treatment-seeking) shedding light on the nuanced ways in which BIPOC individuals make sense of and navigate mental health within …

Life After Discharge: Predicting Longitudinal Trajectories Of Community Integration And Global Functioning In Black Individual With Traumatic Brain Injury, Chimdindu Ohayagha

Theses and Dissertations

The onset of traumatic brain injury (TBI) begins a chronic health pathway that contributes to various impairments and comorbidities across the lifespan. Common consequences of TBI include mental health issues, cognitive impairments, and reduced functional independence, all of which impact how an individual integrates into their community. Community integration is a primary goal for rehabilitation after TBI. Studies show that racially/ethnically minoritized individuals have a higher incidence of TBI, higher rates of mortality, and report poorer functional and community integration outcomes. Limited studies have explored longitudinal outcomes of community integration in a Black-only sample of individuals with TBI. Additionally, no …