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 …

Young Adults And Early-Onset Psychosis: A Grounded Theory Study Of Experiences Of Identity Development, Katherine Hayden-Lewis, Deborah Rubel

The Qualitative Report

While identity development is a crucial task for young individuals ages 15-25, current research inadequately centralizes identity development in the context of first-time psychosis related to schizophrenia spectrum disorders. This study addresses the knowledge gap by exploring the grand research question, “How does a young person experience their identity development after the first episode of psychosis?”. Constructivist grounded theory methods influenced by critical frameworks were used to collect and analyze data with seven young adults engaged in first episode psychosis programs. Participants were young adults, between the ages of 19-24, that at the time of the study were enrolled in …

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 …

Black Somatic Liberatory Practices: The Africanist Aesthetic In Psychotherapeutic Movement Observation, Ebony Nichols

Counseling and Psychology Dissertations

This critical ethnographic qualitative study explored Black body-based healing practices and coping strategies used to resist and titrate the impact of racism and oppression. It also examined how Black individuals use their bodies to regulate their nervous systems to heal and cultivate liberatory practices. Grounded in theoretical frameworks such as Black Psychology, African Indigenous Healing Systems, Liberation Psychology, and Critical Race Theory, this research investigated the intersections of Black Aesthetics, Psychology, and the body through the lens of the Africanist Aesthetic. The study employed interaction analysis and reflexive thematic analysis to analyze non-verbal and verbal data collected from two focus …

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 …

Early Adolescent Intervention: A Therapy Group For Girls, Madelyn A. Ohm

Educational Specialist, 2020-current

As mental health concerns are on the rise, especially among adolescents, it is important to consider promoting early intervention. Paying attention to the nuances surrounding personal identity and interpersonal relationships during adolescence is crucial. Dialectical-Behavior Therapy (DBT) skills encompass just what is needed to address said nuances, including interpersonal effectiveness skills, emotion regulation skills, distress tolerance, and mindfulness. Thus, the proposed DBT group and therapeutic manual designated for adolescent girls summarizes and explores suggestions for early intervention of mental health services. This, alongside the careful attention to the population’s specific needs and noted modules, allows for the exploration of mental …

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 …

The Mindful Way: A Mindfulness Psychoeducational Group For Latinx College Students, Karen A. Morales

Theses and Dissertations

Researchers have extensively studied mindfulness as a promising intervention that can aid college students in managing stressors. Unfortunately, researchers have underrepresented minority populations like Latinx college students in mindfulness literature. The Mindful Way (TMW) is a culturally responsive psychoeducational group program that aims to close the gap in the literature. The pre-test and post-test of TMW program measures student’s tendency to practice mindfulness, their personal and academic resilience, degree of self-compassion, emotion regulation skills, problematic alcohol consumption, and symptoms of anxiety, depression and post-traumatic stress disorder, before and after participating in the program. The hypothesis of the present study is …

Direct And Mediating Relationships Between Divine Grace, Legalism, And Mental Health, Branwyn H. Mccormick

Senior Honors Theses

Positive psychology has popularized the integration of religious ideas into psychological treatment. According to the literature, the experience of divine grace is correlated with favorable mental health outcomes, whereas legalistic attitudes are correlated with adverse mental health outcomes. It has also been found that the experience of divine grace is a mediator between legalism and mental health. However, the constructs of divine grace and legalism have both been relatively unexplored aside from a few studies using Latter-day Saints (LDS) populations. The current study seeks to analyze relationships between divine grace, legalism, and mental health using a conservative evangelical Christian population. …

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.

Emotionality Stigma Scale: Measurement Development, Reliability, And Validity., Hayley D. Seely

Electronic Theses and Dissertations

Emotions are biological responses to stimuli that allow individuals to derive meaning, appraise experiences, and prepare to respond. However, individuals perceive emotions differently based on emotion socialization which not only dictates the way emotions are viewed and managed but also has been directly linked with mental health outcomes. Furthermore, research shows emotion socialization is informed by demographic variables such as gender such that the expectations of emotionality differ; where women are taught to express emotions, men are taught to conceal. Given the societal rules regarding emotionality, it is possible that emotionality stigma – the stigma around the experience and expression …

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.

A Trauma-Informed Socially Just Approach To Working With Juvenile Justice-Involved Youth Utilizing Expressive Arts Therapy, Ciara Carr

Expressive Therapies Capstone Theses

Youth involved with the juvenile justice system often have a history of trauma and oppression resulting from their positionality and circumstances. Most juvenile justice-involved youth are boys, youth of color, low-income, LGBTQIA2S+, disabled, and traumatized. This literature review explores the history of the juvenile justice system, issues with the present-day model, and trauma-informed and transformative justice approaches to practice. The implementation of socially just, trauma-informed expressive arts therapy programs is proposed as a more equitable practice to replace commonly used punitive practices across the United States. More research is needed to understand the impact of such programs on this population …

Music Therapy As A Support Model In Massachusetts Special Education: A Literature Review, Bonnie Diamond

Expressive Therapies Capstone Theses

Mental health directly impacts student propensity for making academic progress in the public education system. For children with disabilities, it is especially vital to develop and implement techniques within special education that deliver personally tailored benefits. According to the United States Department of Education, music therapy offers highly effective support to a wide range of students within the school setting so that they may achieve academic success and be supported in their social/emotional development (U.S Department of Education, 2011; AMTA, 2021). In examining the multifaceted ways that music therapy can offer support within the structure of education and mental health, …

Making Deception Fun: Teaching Autistic Individuals How To Playfriendly Tricks, Adel Naj, Megan St. Clair, Kacie Massoudie, Jonathan Tarbox, Lauri Simchoni, Marianne Jackson, Angela Persicke

Psychology Division Scholarship

Perspective taking is a critical repertoire for navigating social relationships and consists of a variety of complex verbalskills, including socially adaptive forms of deception. Detecting and being able to use socially adaptive deception likelyhas many practical uses, including defending oneself against bullying, telling white lies to avoid hurting others’ feelings,keeping secrets and bluffing during games, and playing friendly tricks on others. Previous research has documented thatsome Autistic1 children have challenges identifying deception and playfully deceiving others (Reinecke et al., 1997). Thecurrent study employed a multiple baseline across participants design to evaluate the use of multiple exemplar training, rules,modeling, practice, and …

Literature Review Nature-Based Art Therapy Exploring Connections And Relationships, Janell Lopez-Curtis

Expressive Therapies Capstone Theses

Art therapy is a modality used in clinical psychotherapy. It is supported through both quantitative and qualitative research. Branching out from art therapy is nature-based art therapy. This branch of expressive therapies holds the potential to be beneficial as art therapy due to the interconnected access to the scientific fields of ecology, ecopsychology, art therapy, expressive therapies, and other nature-based therapeutic activities; this includes intersectionality in ecological theories such as ecofeminism and deep ecology as well. Through an exploration of literature, this paper will provide definitions and theory-based support through reviewing clinical psychotherapy, evidence-based practices, and art therapy theories. The …

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.

Trauma-Informed Supervision: The Supervisory Needs Of Mental Health Therapists Engaged In Trauma-Related Work, Erynne H. Shatto, James Stefurak Ph.D., Amy E. Rinner, Lacy M. Kantra

Journal of Counselor Preparation and Supervision

We present the need for therapists who engage in trauma-specific work to receive trauma-informed supervision or consultation. This is based on the findings that the emotional labor required of trauma-specific work is high and increases a therapist’s risk for experiencing negative impacts from their work such as vicarious trauma, compassion fatigue, unhelpful transference/countertransference, reminders of their own trauma, and burnout. Further, clients incur risks of receiving iatrogenic care when therapists engaged in trauma-related work are not given appropriate job related resources and/or receive ineffective supervision. We discuss a model for trauma-informed supervision, including supporting theory and initial guidelines for supervisors’ …

Hoping As A Transformational Imperative In Puerto Rico: A Phenomenological And Grounded Theory Study Within Colonized Space, José Luiggi-Hernández

Electronic Theses and Dissertations

As the United States continues to restrict Puerto Rico’s self-determination and imposes oppressive institutions such as the Oversight Board, the people of the archipelago live in precarity and hopelessness. Limited psychological research on colonialism has focused on the detrimental impact of oppression and its influence on the development of fatalism and the inferiority complex. On the other hand, existing psychological theories of hope fail to describe how it is lived within the post-colonial context and to explain the ways in which this psychological phenomenon arises even in the face of systematic dehumanization. As Puerto Ricans show evident signs of hope …

Voiding The Unwanted Self: An Examination Of Racialized Violence In The United States, Benjamin Stark

Dissertations, Theses, and Capstone Projects

This dissertation is concerned with the role of the psychic defenses projection and projective identification in the processes which lead to racialized violence in the United States. The dissertation posits that projection has been less considered as a primary driver of racialized violence than other psychic processes and should be better integrated into psychological research and literature on racialized violence. The thesis begins with a detailed examination of two instances of racialized violence, the first a macro example of nation vs. nation: the United States’ invasion of Iraq in 2003, before which the United States fantasized Iraq was developing weapons …

Therapeutic Approaches To Working With Perinatal Loss Clients: A Grounded Theory Study, Heather H. Olivier

LSU New Orleans Theses and Dissertations

Perinatal loss (i.e., miscarriage, stillbirth, termination, and infant death) is commonly referred to in the literature as an invisible loss, non-loss, and even medical event. It is an ambiguous loss exhibiting the dialectical contradiction between the physical absence and psychological presence of the baby accompanied by disenfranchised grief, a reaction to a loss that is unacknowledged by society. Despite the likelihood of mental health clinicians working with clients who have experienced perinatal loss, there has yet to be a therapeutic model designed specifically for the unique grief and trauma reactions presented in this population. Existing grief models do not address …