Breaking The Silence: Investigating The Impact Of Stigma On Help-Seeking Behaviors Among Adults With A History Of Adverse Childhood Experiences In Ghana, Deborah Amoako-Atta

West Chester University Graduate Theses, Dissertations, and Final Projects

In Ghana, cultural beliefs often silence open discussion about mental health. Many view emotional struggles as spiritual weakness, leading to stigma and avoidance of care. For adults who experienced Adverse Childhood Experiences (ACEs), this silence can worsen the long-term impact of trauma. While Western research links stigma to reduced help-seeking and shows that trauma knowledge can promote openness, little is known about how these relationships function within Ghana’s cultural context. This cross-sectional study examined how stigma and trauma knowledge influence help-seeking behaviors among 103 Ghanaian adults (ages 19-62, M = 30.0; 49% women) with childhood adversity histories. Participants completed anonymous …

A Poetic Call For And A Reflection And Commentary On Clarity, Understanding, Hope, Courage, And Compassion, Carroy U. Ferguson

Psychology Faculty Publication Series

Finding a published poem I had written as a teenager, titled “The Heavens Weep.” this article uses that poem as the basis for a commentary that reflects on the state of the world today (2026),  As a commentary, the article uses the poetic and metaphoric words in the poem as a relevant "reality check" for what is still going on today.  In essence, the commentary is about a call for Clarity, Understanding, Hope, Courage, and Compassion, or what I call Archetypal Energies, Higher Vibrational Energies that operate deep within our individual and collective psyches to creatively urge us to "see" …

Showpony, George Theodore Ellington

Undergraduate Theses, Professional Papers, and Capstone Artifacts

The poetry collection Showpony focuses on the real-life experiences of a woman in her twenties during the 1970s, who is treated by psychiatrist Dr. Robert J. Stoller at UCLA in a desperate attempt to make her normal. Mrs. G struggles with homicidal and suicidal thoughts, psychosis, as well as her homosexuality and transgender identity. Showpony examines the ways in which psychology has pathologized these experiences and the ramifications for patients, particularly those who have been publicly showcased as examples of their conditions used to train future students. The collection critiques the exploitation of patients by psychiatrists and psychologists, highlighting unethical …

Conceptual Concerns Regarding The Content Validity Of The Construct Of Gender Dysphoria In The Diagnostic And Statistical Manual Of Mental Disorders, Fifth Edition, Text Revision, Waverley Vesely

Theses and Dissertations

The diagnostic classification of gender dysphoria in the DSM-5-TR elicits a number of clinical, political, and philosophical concerns, ranging from those that are diagnostic and taxonomical in nature to those that fall within the domains of ontology, phenomenology, and hermeneutics. Part of the reason for the complexity of studying the diagnostic and nosological validity of gender dysphoria as an extant diagnostic classification is that, unlike many disorders, gender dysphoria is inextricably tethered to identity. While the recent change from gender identity disorder to gender dysphoria has nominally removed the status of disorder, in practice, both clinicians and the general population …

Hoarding And The Hoarded Home: A Phenomenological And Psychoanalytic Study, Brianna Stich

Electronic Theses and Dissertations

While research on hoarding tends to isolate hoarders from the homes they hoard and in which they live, the hoard and the hoarder share a life in the home. This study explores how hoarders live with and live through their hoard at home. It combines psychoanalysis and phenomenology within a unique methodological framework to provide a hermeneutic reading of the psychological significances of the hoarded home. In this study, the contemporary conceptualization of hoarding is historically situated and critiqued from a phenomenological perspective, and the view that hoarding is a single, behaviorally-defined syndrome that is explainable by a cognitive-behavioral model …

Our Teens Are Not Okay, But They Can Be: An Application Of The Family Firo Method To Improve Parent-Adolescent Communication About Suicide, Janene Pack Lpc, Cmhc, Peder Schillemat

Issues in Religion and Psychotherapy

This article explores the critical role of parent-teen communication in the mental well-being of teenagers, with a particular focus on its connection to suicide risk. A particular focus is on teens who live in Utah as the suicide rate for Utah teens and young adults is almost twice the national average. Despite the focus on families and religion in Utah, a significant number of teens continue to struggle with loneliness, hopelessness, and even thoughts of suicide. One key contributing factor to this struggle is the lack of open, supportive communication between Utah teens and their parents. The absence of effective …

Parental Grief And Loss After Gender Transition: Navigating Ambiguous And Disenfranchised Loss In Latter-Day Saint Families, David Haralson, Chelsea Johnson, Jeff Bennion, Orion Maxfield

Issues in Religion and Psychotherapy

Parents of transgender or gender nonconforming children sometimes experience profound grief and loss, particularly within religious communities that hold specific doctrines regarding gender. This article examines the unique challenges faced by parents in The Church of Jesus Christ of Latter-day Saints (LDS Church) when a child undergoes gender transition. By exploring the concepts of ambiguous loss and disenfranchised grief, we aim to provide a framework for understanding these parents' emotional experiences. The intersection of LDS doctrines and policies on gender with contemporary gender theories creates complex emotional environments for families to navigate. We present the Integrity and Investment Model as …

Religion's Role In Shaping Psychopathological Narratives, Andrea Gonzalez Mendoza

The Graduate Review

Understanding the interplay between religion and psychopathology is essential for clinicians navigating the complexities of mental health diagnosis and treatment. This paper explores the nuanced relationship between belief systems and diagnostic frameworks, shedding light on how religious beliefs influence the perception, assessment, and treatment of mental disorders. Drawing upon historical and current-day research, this paper examines how religious interpretations shape the presentation and understanding of psychopathological symptoms. In doing so, this paper argues that psychopathology cannot be understood without considering the influence of religion on its conceptualization. The latter is illustrated by looking at historical diagnostic patterns and how they …

Illness Terminable And Interminable: A Lacanian Exploration Of Medical Assistance In Dying, Matthew Devine

Electronic Theses and Dissertations

More and more people worldwide are requesting euthanasia, physician-assisted suicide (PAS), or medical assistance in dying (MAiD). Arguments in favor of expanding access to MAiD tend to prioritize the rational, competent, autonomous subject who has the right to make decisions about their body, including their death. Some have argued that this perspective – common in biomedical and bioethical literature – tends to neglect the fact that requests for assisted dying involve a relational structure: a relationship between the subject who requests an assisted death and the Other to whom this request is addressed. After reviewing relevant psychoanalytic approaches to suicide …

The Potential For Improv As A Therapeutic Tool In The Context Of Dialectical Behavior Therapy: Suggestions For Dbt Clinicians, Jocelyn Borden

University Honors Theses

This thesis explores the theoretical and practical intersections between improvisational theater and Dialectical Behavior Therapy (DBT), proposing that the core tenets of improv closely align with the philosophical foundation and therapeutic goals of DBT. Aimed at mental health professionals, this work provides a conceptual framework and praxis for incorporating improv-based activities into DBT skills training to enhance client engagement, experiential learning, and emotional resilience. Through an examination of improv theory, parallels with DBT principles, and practical suggestions for integration, the thesis outlines how applied improvisation can be used as a supplemental tool in traditional DBT treatment. The final section includes …

Bridging The Gap: Exploring The Intersection Of Formal Mental Health Services And Informal Social Supports In Bipoc Communities, Patrice D. Patton-Campbell

Dissertations

Despite growing awareness of mental health disparities, BIPOC (Black, Indigenous, and People of Color) communities continue to face significant barriers in accessing culturally responsive mental health care. This dissertation explores the intersection between formal mental health services and informal social supports such as family, religious institutions, and community networks to understand which systems are more trusted, accessible, and effective for BIPOC individuals. Grounded in Urban Liberation Psychology and guided by decolonial and culturally responsive care frameworks, this qualitative study draws from focus groups and interviews with 33 participants, including both community members and service providers from the Chicagoland area and …

An Adaptive Paradox: Improvised Drama Therapy And Dialectical Behavior For Eating Disorders In Teens, Krystany Taylor

Expressive Therapies Theses

The complexity of treating eating disorders compels professionals to investigate collaborative and integrative approaches to address psychological rigidity and emotional aversion in affected individuals. Mindfulness within Dialectical Behavior Therapy (DBT) and improvisational theater techniques may contribute to advancing emotional flexibility. This thesis study explored spontaneity in expressive therapy and gauged budding adaptive skills related to emotion regulation in minors with eating disorders. At a behavioral health center in Southern California, I held a dual role as a group facilitator and trainee drama therapist; I therein joined DBT and improvised drama therapy methods into a group treatment setting for ages 14 …

Embedded Roots: Exploring Healing Through Digital Storytelling: Application And Training, Joselyn M. Carvalho

Expressive Therapies Theses

This review examines digital and expressive storytelling in a clinical, community-based health center, focusing on its impact and relationship with trauma. Existing research has explored how digital storytelling serves as an intervention for addressing intergenerational trauma, trauma transmission, identity development, and social systems affecting youth. This community engagement project integrates these ideas with reflections from clinicians, exploring how clinicians' involvement in digital storytelling may influence care, confidence, and cultural understanding. Theories central to this research include Bronfenbrenner's ecological systems theory and systems-based awareness maps, which help examine the broader systems that influence youth as they develop their narratives. The transmission …

Measuring The Effects Of Adverse Childhood Experiences (Aces) On Adolescents’ Self-Esteem And Self-Appraisal: How Can School-Based Interventions Help?, Kayla M. Moses

Undergraduate Theses and Capstone Projects

This paper explores the lasting impact of Adverse Childhood Experiences (ACEs) on adolescents’ self-esteem and self-appraisal, with a focus on the role of school-based interventions in mitigating these effects. Adverse Childhood Experiences (ACEs) encompass various forms of trauma such as physical, emotional, or sexual abuse, neglect, and familial dysfunction during childhood. Due to adolescence being a critical period of identity formation and emotional development, Adverse Childhood Experiences (ACEs) can significantly undermine adolescents' self-esteem, leading to lasting negative effects. These effects include various emotional, social, and psychological challenges, ultimately changing one’s life trajectory. Based on numerous theoretical foundations, it is supported …

A Creative Introduction To Narrative Therapy: Harnessing The Power Of Stories, Art, And The Person-Of-The-Therapist, Marissa Mueller

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

This paper describes a proposed graduate-level academic elective course for mental health practitioners in training. The course content is organized across a total of 10 class sessions. Topic areas include introductions to the theory and techniques of narrative therapy, including expressive art approaches, the importance of social justice work through collective narrative practice and liberation psychology, the construction and analysis of stories of self and personal myths, and a focus on developing the person-of-the-therapist. Each class session will review that week's lecture content, assigned readings, small and large group discussion prompts, and in-class activities. The course prioritizes centering student experiences …

“But How Do I Start?” A Beginner’S Guide To Your First Qualitative Project, Jason B. Whiting Phd, Bria Nicole Davies

The Qualitative Report

Many new qualitative researchers feel overwhelmed and struggle to find direction in existing books and articles about qualitative methodology. Qualitative methods have a long history that includes different philosophies, practices, and methods, and there are endless ways to interpret and use these tools within these traditions. This article introduces basic qualitative methods with the intent to guide a first-time researcher through a first social science research project, such as a thesis or dissertation. It frames the process as a five-step journey with guidelines to follow and additional resources that can be accessed related to each phase. Although the craft of …

Weighted Family History Density Of Substance Use: Influence On Participant Substance Use Onset, Escalation, And Duration, Carleigh A. Litteral

Theses and Dissertations--Psychology

Substance use disorders impose a staggering toll on the United States (U.S.), straining healthcare systems, destabilizing communities, and profoundly impacting both individuals and families. Approximately one in six Americans aged 12 and older had a past-year substance use disorder in 2022 (Key Substance Use, 2022), and nearly one-third of adults experience a substance use disorder in their lifetime (Wu, 2010), contributing to an economic burden exceeding $400 billion annually (National Drug Threat Assessment, 2011). Family history of substance use disorders is a key predictor of vulnerability, with individuals who have affected relatives being 2–8 times more …

The Healer's Call: Helping Clients In A Secular World With Spiritual Problems, Brent Taylor

Issues in Religion and Psychotherapy

No abstract provided.

Issues In Religion And Psychotherapy Volume 42 Number 1

Issues in Religion and Psychotherapy

No abstract provided.

Front Matter

Issues in Religion and Psychotherapy

No abstract provided.

President's Message: An Eternal Perspective, David T. Seamons

Issues in Religion and Psychotherapy

No abstract provided.

Editorial Message

Issues in Religion and Psychotherapy

No abstract provided.

Investigating Anomalous Experiences In Schizophrenia Spectrum Disorders, Pavan Brar

Electronic Theses and Dissertations

The self-disorder model provides a phenomenological framework for understanding how the core symptoms of Schizophrenia Spectrum Disorders (SSDs) are rooted in an instability of minimal selfhood. This instability involves a range of ‘anomalous experiences’: transformations in an individual’s perceptual field and sense of being an agent of action. The explanatory value of this theoretical model can be summarized in two claims about the role of anomalous experiences in self-disorders: (1) anomalous experiences express a common trait-like disturbance that is characteristic of SSDs, and (2) anomalous experiences contribute to the progression of self-disorders into SSDs. Although hypotheses consistent with the first …

A Radical Ethnography Of Asian American Mental Health, Sofia Huang

Electronic Theses and Dissertations

Anti-Asian racism and violence in the U.S. both historically and currently impacts the Asian American community, leading to widespread fear and negative mental health consequences for Asian Americans. This has been widely discussed in the media due to the rise in anti-Asian rhetoric and attacks during the COVID-19 pandemic. However, psychological literature does not typically address the effects of the history and politics of Asian America on Asian American mental health. In particular, psychological literature does not engage with radical political perspectives which situate Asian American mental health within the broader context of structural oppression and processes of racialization. This …

A Brief Values-Based Intervention For Increasing Distress Tolerance In Overcontrol, Katherine Hyde Brott

Graduate Theses and Dissertations

Overcontrol is a transdiagnostic personality syndrome underlying difficult-to-treat psychopathology. Current treatments options are limited, and those that do exist are both cost- and time-prohibitive. Brief interventions are one pathway to improving the care of people with overcontrol. This study had two major aims: (1) evaluate a brief values-based intervention to increase distress tolerance in people with overcontrol and (2) examine the correlates of overcontrol using a novel, theoretically derived transdiagnostic measure of overcontrol. Participants (n = 177) were randomly assigned to one of three conditions: values clarification only, linking values to emotion, or a control condition. They then completed a …

A Confirmatory Factor Analysis Of The Psi-4-Sf In Parents Of Children With Autism Spectrum Disorder, Paige Weir

LSU Doctoral Dissertations

The factor structure of the Parenting Stress Index - Short Form (PSI-4-SF) was evaluated among parents of children with autism spectrum disorder (ASD). Two hypotheses were tested: (1) the original PSI-4-SF model would yield an unsatisfactory fit, and (2) a three-factor alternative model would improve fit compared to the original and other models. A sample of 205 parent-child dyads was analyzed using confirmatory factor analysis (CFA) with the lavaan package in R Studio. Preliminary analyses included descriptive statistics, normality checks, and assessments of skewness and kurtosis. Results supported the first hypothesis, showing poor fit indices for the original PSI-4-SF model. …

Neverland Theory: An Introduction To A Childish-Positive Framework, Daniel M. Gardner

University Honors Theses

Proposes, defines, and defends the beginnings of an original theoretical approach (Neverland Theory) which advocates for the revitalization of psychotherapy through embracing and incorporating more of the "Childish" in clinical practice. Three formal aspects of Childishness are proposed and briefly defined. A literature review of three existing psychotherapies which effectively incorporate the proposed Childish aspects are highlighted and shown to be effective and efficacious. It is argued that prioritization of these aspects contributes to treatment outcome in a way which goes beyond what can be empirically evidenced.

The Rainbow Wave: Rethinking Lgbtq Representation In Psychedelic-Assisted Therapy Research, Tyler King

University Honors Theses

This thesis critically evaluates the representation and inclusivity of LGBTQ+ populations in psychedelic-assisted psychotherapy (PAT) research from 2000 onwards, amidst the resurgence of interest in psychedelics for mental health treatment. Through a quantitative analysis of published studies, it investigates the prevalence and depth of gender identity and sexual orientation data collection, revealing a significant gap in demographic data pertinent to these populations. This research aims to highlight the ethical and scientific necessity for more inclusive study designs that incorporate the unique psychological experiences and needs of LGBTQ+ individuals. Recommendations are proposed for enhancing inclusivity in research methodologies, including organizational buy-in, …

Family Fragments: Pressure And Proximity In First-Episode Psychosis, Cassandra B. Seltman

Dissertations, Theses, and Capstone Projects

This study explores the value of assuming a position that decenters the identified patient in families with a member with schizophrenia. Instead, a systemic view of the family is taken, as subject to pressures from without and within, and utilizing observable processes for the management and discharge of tension. It attempts the difficult balance of thinking dynamically without sacrificing scientific rigor, considering the social without discounting the biological, and exploring the functionality of the family without collapsing into blame, reductive cause-and-effect thinking, and the search to prioritize one true origin.

When treating family members as discrete units around an identified …

Aligning With Adolescents: A Literature Review Of Art Therapy In Residential Treatment Programs, Olivia Moore

Expressive Therapies Capstone Theses

Adolescents in residential treatment programs throughout the United States are a specialized population that demonstrate resiliency and hope every day. Many adolescents in these programs have experienced prominent levels of trauma that impact their ability to function in lower-level programs, foster homes, and in their communities. Residential treatment approaches may look like locked facilities with trauma-informed staff who provide programming options, mental health care, and safe living conditions for adolescents. Without strength-based approaches to treatment, this population may struggle to overcome their trauma, mental health challenges, and developmental needs. In this literature review, art therapy was offered to provide developmentally …