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Early Adolescent Intervention: A Therapy Group For Girls, Madelyn A. Ohm 2025 James Madison University

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 …


Perspectives Of Clients And Counselors Regarding Premature Dropout And Unsuccessful Long-Term Therapy: Similarities And Differences In Perspectives, Danilo Salli 2025 James Madison University

Perspectives Of Clients And Counselors Regarding Premature Dropout And Unsuccessful Long-Term Therapy: Similarities And Differences In Perspectives, Danilo Salli

Educational Specialist, 2020-current

Whether it manifests as premature dropout from therapy or unsuccessful long-term treatment, psychotherapy does not work for everybody who engages in it. The current paper aimed to synthesize and compare information regarding premature dropout and treatment failure from the perspectives of the two parties who participate in psychotherapeutic treatment: therapists and clients. Eight main studies were used in the literature review, each focusing on either/both therapist’s and/or client’s perspectives of the reasons for premature dropout or treatment failure. The current paper concluded that communication between therapists and clients is key to reducing unsatisfactory results in psychotherapy and presented a list …


Not All Superheroes Wear Capes: Understanding The Lives Of Asian American Student Caregivers, Angela Ji 2025 James Madison University

Not All Superheroes Wear Capes: Understanding The Lives Of Asian American Student Caregivers, Angela Ji

Educational Specialist, 2020-current

There exists an invisible army of children who sacrifice their childhoods and shoulder responsibilities expected of adults; these children are called young caregivers. Young caregivers provide significant assistance for their family on a regular basis. The existing literature shows that youth caregiving is associated with negative physical and mental health impacts that vary depending on the cultural background associated with families. It is also clear that the complexities and nuances of different ethnic groups influence the lived experiences of young caregivers. Unfortunately, there is limited information exploring racial and cultural implications of caregiving for children. This study sought to address …


Connection Over Control: A Radically Open-Dialectical Behavior Therapy-Based Counseling Group For Avoidantly Attached College Students, Tara Pollnitz 2025 James Madison University

Connection Over Control: A Radically Open-Dialectical Behavior Therapy-Based Counseling Group For Avoidantly Attached College Students, Tara Pollnitz

Educational Specialist, 2020-current

Attachment avoidance is marked by a deep-seated mistrust of others, excessive self-reliance, and suppression of attachment needs. Feelings of boredom, disengagement, and uncertainty regarding how to proceed with treatment are common among practitioners treating avoidant clients. In this paper, the author examines attachment avoidance as a clinical concern, presents a conceptualization of attachment avoidance as a process related to emotional overcontrol, and explores the potential impact of intervention during college to provide a rationale for a counseling group to address attachment avoidance through radically open dialectical behavior therapy. Subsequently, the origins and theoretical foundation of radically open dialectical behavior therapy …


Empowering Nurses, Enhancing Mobility: A Qi Initiative Using Plof And Clof To Promote Patient Ambulation, Kaela Nguyen 2025 The University of San Francisco

Empowering Nurses, Enhancing Mobility: A Qi Initiative Using Plof And Clof To Promote Patient Ambulation, Kaela Nguyen

Master's Projects and Capstones

The quality improvement project involves the intervention of implemented mobility educational flyers about the mobility tools, Clinician Reported Level of Function (CLOF) and Patient Reported Level of Function (PLOF) and aims to increase patient mobility post surgery. The quality improvement project was conducted in two medical surgical units in a San Francisco hospital. To address unmet mobility goals, during change of shift, in-services on the educational flyers about the mobility tools (CLOF and PLOF), were utilized to provide education about the importance of mobility, how to utilize the mobility tools, and correctly document ambulation. More than twenty flyers were posted …


There’S A Crisis Brewing In Higher Education, Caroline M. Graham 2025 James Madison University

There’S A Crisis Brewing In Higher Education, Caroline M. Graham

Dissertations, 2020-current

This dissertation addresses the increasing need to enhance crisis preparedness among student affairs practitioners in higher education. With the growing frequency and complexity of campus crises—ranging from mental health emergencies to incidents of violence, the preparedness and self-efficacy of those in student support roles are paramount. This three-manuscript dissertation explores crisis intervention training, crisis self-efficacy, and the lived experiences of student affairs practitioners navigating campus crises. The first manuscript provides a conceptual overview of the gaps in current crisis intervention training within graduate programs, advocating for the integration of core competencies informed by accreditation standards and professional associations. The second …


Unmasking Masculinities In Counseling: From Conformity To Connection, Kyle R. Rose 2025 James Madison University

Unmasking Masculinities In Counseling: From Conformity To Connection, Kyle R. Rose

Dissertations, 2020-current

This dissertation explored the entanglements of professional counseling and masculinities across three manuscripts, to contribute to (1) healthier forms of gender expression within and beyond the spectrum of masculinities for individuals, (2) the counseling profession’s role in transforming hegemonic masculinity within communities, and (3) larger movements to subvert the patriarchy throughout society. The first manuscript is a conceptual article that presented the Relational Cultural Privileged Identity Counseling (RCPIC) model, an integrative framework designed to help counselors address hegemonic masculinity within the therapeutic relationship. Drawing from Relational-Cultural Theory (RCT) and Privileged Identity Exploration (PIE), this model provided a roadmap for compassionate …


Exploring Trauma Education And The Intersection Of Self-Efficacy, Ashlea Yearwood 2025 James Madison University

Exploring Trauma Education And The Intersection Of Self-Efficacy, Ashlea Yearwood

Dissertations, 2020-current

Trauma education in counselor training programs is not only required for those accredited by the Council for Accreditation of Counseling and Related Educational Programs (CACREP), but a critical component in preparing counselors-in-training to work with clients who have been directly or indirectly impacted by a traumatic event. This three-article dissertation includes a conceptual manuscript, qualitative manuscript, and a quantitative manuscript regarding trauma education for counselors. The conceptual manuscript offers an approach to mitigating compassion fatigue through the utilization of attachment-based supervision when working with counselors-in-training. The qualitative manuscript aimed to utilize an interpretative phenomenological analysis to explore and understand what …


Ethics And Clinical Supervision: Understanding The Needs Of Counselors In Training And Self-Efficacy Development In Clinical Supervisors, Brooke Carroll 2025 James Madison University

Ethics And Clinical Supervision: Understanding The Needs Of Counselors In Training And Self-Efficacy Development In Clinical Supervisors, Brooke Carroll

Dissertations, 2020-current

This dissertation examines foundational principles of ethics, clinical supervision, and clinical supervisor ethical decision-making self-efficacy development. Counselors-in-training, those who have completed their degrees but are not yet licensed, are profoundly impacted by their experience in clinical supervision. Therefore, it is imperative for the clinical supervisors who are leading this new generation of counselors to embody the highest respect and execution of ethical practice and ethical decision making. To do this, clinical supervisor ethical decision-making self-efficacy must be tended to, developed, and understood. When mastered, these clinical supervisors are better equipped to assist their supervisees through ethical dilemmas and critical incidents. …


Lgbtqia+ Competency In Counseling: Understanding Current Trends, Educational Experiences, And Counselor Identity Implications, Tyler Puryear 2025 James Madison University

Lgbtqia+ Competency In Counseling: Understanding Current Trends, Educational Experiences, And Counselor Identity Implications, Tyler Puryear

Dissertations, 2020-current

This dissertation presents is made up of three manuscripts. The first is a systematized review that synthesizes current literature to better understand the definition, development, and gaps in LGBTQIA+ competency. Eleven major themes were identified: competency frameworks, cultural humility over competence, competence in practice, barriers, intersectionality, subgroups, advocacy, allyship, pedagogy, language, and counselor attitudes. Findings suggest the field must move beyond static competency models toward a cultural humility framework. The qualitative study used constructivist grounded theory (CGT) to explore how recent graduates from counseling programs experienced learning about LGBTQIA+ counseling topics. Five themes emerged: faculty influence on learning, experiential learning …


Burnout And Self-Efficacy: Exploring The Rewards And Challenges Faced By Crisis Counselors Working In Emergency Department Settings, Ellen Dotas 2025 James Madison University

Burnout And Self-Efficacy: Exploring The Rewards And Challenges Faced By Crisis Counselors Working In Emergency Department Settings, Ellen Dotas

Dissertations, 2020-current

This dissertation explores burnout and self-efficacy in counselors who work with clients in crisis in emergency department settings. Mental health and emergency departments are two areas that tend to report higher levels of burnout than are reported in other occupational fields. While much research has been done on the topics of burnout and self-efficacy, limited information is available about counselors who work in these crisis roles. This dissertation follows a three-manuscript format and includes a conceptual, qualitative, and quantitative manuscript. The conceptual manuscript explores the nature of the crisis assessment itself, focusing on the area of risk assessment. The qualitative …


Clinician Training, Support, And Self-Efficacy In Supporting Patients With Severe Persistent Mental Illness, Jaclyn Sharkey 2025 James Madison University

Clinician Training, Support, And Self-Efficacy In Supporting Patients With Severe Persistent Mental Illness, Jaclyn Sharkey

Dissertations, 2020-current

Abstract

Severe and Persistent Mental Illness (SPMI) has existed long before the contemporary definitions that prevail in the present day. However, traditional perspectives and treatment of SPMI illness have been influenced primarily by the medical model of treatment, resulting in a diagnosis that feels demoralizing and inhibitive for the individual suffering, particularly if they do not share in this belief. The expansion of community-based programs for SPMI patients has provided many opportunities for counselors to work with these clients, however, training and research on how to address population-specific needs is severely lacking within counseling programs and counselor research. As the …


Examining The Effectiveness Of Imago Relationship Therapy In Married Couples, Anne Erickson 2025 James Madison University

Examining The Effectiveness Of Imago Relationship Therapy In Married Couples, Anne Erickson

Dissertations, 2020-current

Imago Relationship Therapy (IRT) is a structured couples counseling approach designed to enhance relational satisfaction by fostering empathy, communication, and emotional attunement. Despite its widespread use, empirical research on IRT remains limited. This dissertation examines the effectiveness of IRT through three distinct manuscripts: a conceptual analysis of IRT’s application for parents of autistic children, a quantitative study assessing its impact on relationship satisfaction, and a qualitative study exploring critical incidents in therapy.

The quantitative study employed a single-subject research design in which monogamous couples participated in six weekly IRT sessions facilitated by a certified therapist. Relationship satisfaction was measured at …


Exploring Ecowellness And Attachment Dynamics: Understanding Parental Experiences, Youth Perceptions, And Counseling Implications, Katelyn Dolieslager 2025 James Madison University

Exploring Ecowellness And Attachment Dynamics: Understanding Parental Experiences, Youth Perceptions, And Counseling Implications, Katelyn Dolieslager

Dissertations, 2020-current

This dissertation investigated the way in which EcoWellness and Attachment Theory implications interact, specifically emphasizing how integrating these components can enhance clinical practice with caregivers and youth. The first component of the dissertation explored how EcoWellness principles could be applied to strengthen child attachment through family engagement in outdoor activities. The conceptual article discussed how shared outdoor play and recreation offer families the opportunity to bond, improve communication, and develop secure attachments. It provides a framework for clinicians to use EcoWellness to help children recognize their connection to the broader natural world, which fosters emotional growth and attachment. The second …


Serving Minority Women Survivors Of Intimate Partner Violence, Consuelo Valentina Riso 2025 James Madison University

Serving Minority Women Survivors Of Intimate Partner Violence, Consuelo Valentina Riso

Educational Specialist, 2020-current

Intimate partner violence (IPV) is a widespread public health concern that disproportionately affects women, particularly those belonging to minorities. In the United States, the prevalence of IPV among Latina women is influenced by intersecting factors such as immigration status, socioeconomic stressors, cultural values, and systemic barriers. Research and community initiatives addressing IPV among Latina women have included crisis hotlines, domestic violence shelters, advocacy programs, and bilingual services within community health centers. Research also highlights that culturally tailored services yield better outcomes than trauma-informed approaches alone.

Additionally, online interventions are emerging as promising tools to expand safe, accessible, and bilingual support, …


A Counselor’S Experience: Trauma-Informed Care When Working With Children Diagnosed With Autism Spectrum Disorder, Abbigail Rinard 2025 Duquesne University

A Counselor’S Experience: Trauma-Informed Care When Working With Children Diagnosed With Autism Spectrum Disorder, Abbigail Rinard

Electronic Theses and Dissertations

This study sought to understand the lived experience of professional counselors when implementing trauma informed care to children diagnosed with autism spectrum disorder. There are few studies that have assessed the counselors lived experience of implementing TIC, and even fewer that have examined professional counselors experience doing so in a specialized population.

To understand the lived experience of professional counselors, the participants of the study were purposefully selected to include those who have an active professional counseling license, implement TIC, and work with children diagnosed with ASD. The study was conducted with a total of eight participants who have implemented …


Changing The Face Of Power: Understanding Black Female Clinical Supervisors Through The Superwoman Schema, Shanelle V. Clay 2025 Duquesne University

Changing The Face Of Power: Understanding Black Female Clinical Supervisors Through The Superwoman Schema, Shanelle V. Clay

Electronic Theses and Dissertations

According to the American Counseling Association Code of Ethics (2014), the counseling profession’s core values include honoring diversity and embracing a multicultural approach to both direct services and supervision. Despite the acknowledgement of multiculturalism in clinical supervision, there is minimal research on the impact of supervisors’ intersectionality on supervision dynamics. This qualitative research study will examine the experience of Black female clinical supervisors and the impact the Superwoman Schema has on their role in supervision. This phenomenological research is grounded in the Superwoman Schema Conceptual Framework and Black Feminist Thought. A total of five superordinate themes and 14 subordinate themes …


Laws, Professional Ethics, Policies And School Counselors With A Biblical Worldview, Reagan North PhD, Brittany Hill-Morales 2025 Liberty University

Laws, Professional Ethics, Policies And School Counselors With A Biblical Worldview, Reagan North Phd, Brittany Hill-Morales

Faculty Publications and Presentations

No abstract provided.


Integrating Positive Psychology And Spirituality To Foster Meaning And Well-Being In Older Adults, Crystal Morris 2025 St. Mary's University

Integrating Positive Psychology And Spirituality To Foster Meaning And Well-Being In Older Adults, Crystal Morris

Adultspan Journal

This perspective article explores the integration of positive psychology interventions (PPIs) and spirituality in therapy to foster meaning and well-being in older adults. It highlights exercises such as the positive introduction, positive legacy, character strengths, mindfulness, mindful-based yoga, and a manifestation prayer journaling. The interventions presented are tools to support older adults that may experience depression, difficult life transitions, and the search for renewed meaning. Therapists who integrate PPIs and spirituality into therapy can promote a holistic, non-pathological approach to treatment.


Transgender Meta-Analysis Study On Healthcare Affirming Care, Beck A. Munsey, Ryan Holliman 2025 Tarleton State University

Transgender Meta-Analysis Study On Healthcare Affirming Care, Beck A. Munsey, Ryan Holliman

Journal of Counseling Sexology & Sexual Wellness: Research, Practice, and Education

This study explored the extent to which educational interventions impact knowledge, attitudes, and comfort, of healthcare providers in treating transgender patients through a meta-analysis. Twenty studies that met criteria for inclusion were selected for the study. Research suggests current methods of training healthcare professionals positively impacts knowledge, attitudes, and comfort, but does not decrease transphobia, leading to negative impacts on transgender patients’ care in healthcare settings. The authors highlight some ways training programs can add training modules for future researchers to look at specifically to attitudes and believes about healthcare professions serving transgender patients.


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