Counseling Commons^™

Demographic Congruence On The Therapeutic Relationship Among African American Therapists And Trauma Survivors, Patrice Ann Warren

Doctoral Dissertations and Projects

The purpose of this qualitative phenomenological study was to explore the lived experiences of African American therapists in forming therapeutic relationships with African American adult survivors of childhood sexual trauma. Although the therapeutic alliance is recognized as a critical component of trauma treatment, limited research has examined the role of demographic congruence in therapeutic relationships among African American trauma survivors. Guided by homophily theory, this study explored therapists’ perspectives regarding the influence of shared racial identity on trust, safety, cultural understanding, and therapeutic engagement. Data were collected through semi-structured interviews with 10 African American therapists who had experience treating African …

How Do Veterans Describe Their Experiences With Homelessness In Rural Areas Within Virginia?, V'Tessa J. Watson

Doctoral Dissertations and Projects

Homelessness is a complex issue affecting individuals across the United States and can be understood as a significant public health concern. Veterans are not exempt from this crisis; in fact, veteran homelessness has increased nationwide since the pandemic. In Virginia alone, it is estimated that over 400 veterans are experiencing homelessness, although this figure remains approximate. Previous studies have failed to incorporate veterans’ perspectives on this issue; therefore, the purpose of this phenomenological study is to describe veterans' experiences of homelessness in rural areas throughout Virginia.

Twelve veterans participated in this study, which employed a semi-structured interview approach. A criterion …

A Phenomenological Study Of Binge Eating Disorder And Trauma In Black Women Managed By Religious Coping, Nicole Rae Skinner

Doctoral Dissertations and Projects

The purpose of this phenomenological study was to understand the relationship between trauma, binge eating disorder (BED) and religious coping among Black women in America. Black women are faced with stereotypes such that they are expected to be strong, resulting in avoidance behaviors related to emotions. Core to the issue of BED is an inability to manage difficult emotions in a healthy manner, thus leading to the negative pattern of bingeing. Therefore, guiding this research were two key theories: Gross’s emotional regulation theory and Pargament’s theory of religious coping. The emotional regulation theory addresses how emotions are experienced and an …

Attached To The Algorithm: Investigating The Relationship Between Adult Attachment Styles And Instrumental And Relational Dependency On Large Language Models, Jim Zapf, Ala Yankouskaya, Timothy J. Evans, Andrew J. Graham, Abigail Hill, Troy Backhuus

Journal of Counseling and Psychology

The rapid growth of large language models (LLMs) raises questions for counselors regarding when such tools are used adaptively versus when they foster dependency. Guided by attachment theory and a dual-dimension view of AI reliance, this study examined whether adult attachment styles predict instrumental (task/decision support) and relational (companion-like) dependency on LLMs, whether spiritual engagement relates to these dependencies, and whether levels differ by age. Faculty, staff, and students who had used an LLM completed the LLM-D12 and the ECR-R (N = 515). Analyses showed that instrumental dependency on LLMs was highest among individuals high in avoidance, with modest additional …

Bridging Interprofessional Gaps: A Pilot Study On Aac And Asl Training For Allied Health Profession Students, Angela M. Riccelli, Danielle Osmelak, Leslie Guca, Keith Werosh, Valerie Coolman, Rebecca Kvasnicka

Journal of Applied Disciplines

Interprofessional education (IPE) is recognized as a critical component of health professions training, equipping future clinicians with the skills necessary for collaborative practice and patient-centered care. However, students in speech-language pathology, occupational therapy, and physical therapy programs often have limited exposure to individuals who rely on Augmentative and Alternative Communication (AAC) or American Sign Language (ASL). This study evaluated the impact of a grant-funded, AAC- and ASL-focused IPE event at Governors State University on students’ self-reported interprofessional competencies. Using the Interprofessional Collaborative Competencies Attainment Survey (ICCAS-R) developed by Archibald, D., Trumpower, D., and MacDonald, C.J., in 2009 and revised in …

Determinants Of Corporal Punishment And Severe Physical Punishment In Egypt: A Mixed-Methods Analysis For Child Protection Policy, Marwa Moustafa Nassef

Theses and Dissertations

Corporal punishment (CP) and severe physical punishment (SPP) remain a major public health, child rights, and child protection policy concern. In Egypt, despite legislative reforms, survey-weighted analysis of the 2021 Egypt Family Health Survey (EFHS) 2021 (CAPMAS, 2022) reveals prevalence rates of 60.5% for CP and 27.4% for SPP among children aged 1–14 (author’s calculations using EFHS-2021, n=7623), yet evidence distinguishing the determinants of routine corporal punishment from escalation to severe physical punishment remains limited in low- and middle-income contexts. Guided by Bronfenbrenner’s ecological framework, this mixed-methods study identifies key drivers of CP and its escalation to SPP among Egyptian …

Evaluating Interprofessional And Cultural Competency: A Community-Mental Health Interprofessional Education Event, Megan A. Whitbeck, Carrie A. Griffiths, William F. Miller, Laura M. Skoronski Chavez, Krisy Elrod, Autumn M. Forgione, Anna L. Grippi, John P. Merchant

Journal of Interprofessional Practice and Collaboration

Purpose: This study examined the effectiveness of a mental health focused interprofessional education (IPE) event, where undergraduate and graduate students from four different healthcare disciplines collaboratively completed a case study activity, that included diversity and mental health components.

Methods: A quasi-experimental, one-group pretest–posttest design was used. Participants included 72 undergraduate and graduate students from nursing, occupational therapy, health administration, and counseling programs at a private university. Students engaged in a structured team-based activity emphasizing communication, collaboration, and cultural responsiveness in a mental health care context. Self-reported measures included the Interprofessional Collaborative Competency Attainment Survey (ICCAS) and the Cultural …

The Fivestar Method: An Interchangeable Intervention For Ptsd Nightmares And Waking Traumatic Events, Gregory Sparrow, Valerie Leija, Mark Thurston

Human Development and School Services Faculty Publications

There is a variety of trauma resolution methods that focus on reducing the emotional impact of nightmares and/or waking traumatic memories. The revision of nightmares through imagery rescripting represents one of the effective evidence-based methods. In contrast, traditional dream analysis represents an unlikely intervention for trauma resolution, given cultural assumptions regarding the presumed fixed or predetermined nature of dreams. The co-creative dream paradigm, in contrast, introduces the notion that the dream ego can intervene to shift the dream’s unfoldment toward resolution, both retroactively by reliving the original dream in a new way, and prospectively by preparing for new responses in …

An Attachment Perspective For Help-Seeking Intentions Among Emerging Adult Women Child Sexual Abuse Survivors, Dominique Giroux

Dissertations

Child sexual abuse (CSA) is an adverse childhood experience and a global health issue. Approximately one in four girls encounter CSA per year. Research evidence suggests approximately 50% of CSA survivors encounter sexual revictimization during adulthood (Walker & Wamser-Nanney, 2023), but formal help and intervention can mitigate further psychosocial harm experienced by CSA survivors (Widom et al., 2008). Attachment theory has provided a theoretical framework for identifying individuals at risk for revictimization and help-seeking patterns, such that individuals who have insecure attachment styles report more revictimization frequency, but the literature is mixed about attachment styles and help-seeking (Brenner et al., …

Exploring How Therapist Trainees’ Mentalization, Attachment Styles, And The Working Alliance Impact Treatment Outcomes In Psychotherapy, Hanali Gilbert

Dissertations

A burgeoning area of research within the past 30 years has sought to identify which specific therapist factors contribute to differential treatment outcomes (Barkham et al., 2017). The purpose of the current naturalistic study was to explore how two personal characteristics of therapist trainees, mentalization capacity and attachment styles, impact early treatment outcomes at two Midwestern psychology training clinics. This study also examined whether therapist mentalization and the working alliance interacted to influence client outcomes. Therapists completed the Mentalization Scale (MentS; Dimitrijević et al., 2018) and the Experiences in Close Relationships scale (ECR; Brennan et al., 1998), while the Working …

Attachment Style, The Working Alliance, And Client Self-Disclosure In Individual Psychotherapy, Jennifer S. Baar

Dissertations

Client self-disclosure is a core component of the psychotherapy process and increased levels of client self-disclosure have been shown to predict more positive therapeutic outcomes (Pattee & Farber, 2008; Sloan & Kahn, 2005). Similarly, the working alliance and attachment are constructs that have been studied in psychotherapy research and are consistently associated with therapeutic outcomes. Specifically, stronger working alliance ratings and higher levels of secure attachment have been found to predict more positive therapy outcomes (e.g., Flückiger et al., 2018; Mallinckrodt et al., 2005; Sauer et al., 2010). As these three constructs have been found to influence psychotherapy outcomes, the …

Racism, Coping, And In-Race Heterosexism Among Asian American Sexually Expansive People: A Moderated Moderation Analysis, Miah Theresse A. Sabas

Graduate Masters Theses

Asian American sexually expansive people (AA SEP) are at elevated risk of psychological distress at the intersection of racism and heterosexism (Takeda et al., 2021). Less is known about how AA SEP cope with intersectional oppression, including experiences of in-race heterosexism. With a sample of 105 AA SEP, correlations indicated a positive link between psychological distress (PD; DASS-21, Lovibond & Lovibond, 1995) and racism-related stress (RRS; Brief PEDQ-CV, Brondolo et al., 2005), but not in-race heterosexism (Perceived Racism in Lesbian, Gay, and Bisexual Communities Scale, Sarno et al., 2015). Moderation analyses indicated only active coping buffered the relation between RRS …

Exploring The Simultaneous Processes Of Academic Job Search And Dissertation For Culturally Diverse Doctoral Candidates In Counselor Education Programs, Galaxina G. Wright, Jasmine Griffith, Jasmine Garrison, Inga Antrobus

Journal of Graduate Education Research

Doctoral candidates face several challenges as they complete their academic journeys, particularly as it relates to the unique balance of applying for faculty positions while completing their dissertations. Though both processes have been explored separately within some educational fields, minimal research exists within the field of counselor education (CE) examining simultaneous experiences, particularly those from historically marginalized populations. Guided by the Career Self-Management (CSM) framework and an interpretive phenomenological analysis (IPA), we explored the perspectives of 11 CE candidates from historically marginalized backgrounds engaged in both processes. We identified five main themes and four subthemes that participants experienced. We discuss …

Hope And Resilience For Families Affected By Alcoholism Within The Deaf And Hard Of Hearing (Dhh) Community, Jessica Ellen Kuehne

Faculty Publications and Presentations

This presentation will cover research-based information about family alcoholism, children of alcoholics (COA), and adult children of alcoholics (ACOA) and explore how it impacts the Deaf community. Cultural considerations regarding alcohol use will be included in the presentation. The purpose of the workshop is to engage participants in increasing their knowledge and understanding of working with the unique group. It is important to note that the lack of studies and resources focusing on family alcoholism which impacts a group of COAs and ACOAs in the Deaf community. The presentation will begin with a brief overview of how family alcoholism impacts …

Caring For The Carers: Exploring The Mental Wellbeing Of Informal Palliative Caregivers Of Cancer Patients In Kenya, James Kariuki, Rose Njiraini

Journal of Global Awareness

Cancer cases have been on the increase globally, and this has led to economic burden on the affected households. One way of reducing the cost of care is through home-based care by informal palliative caregivers who include family members, friends, and other people assigned by the family members to take care of the patient. The objectives of this study were to assess the status of the mental wellbeing of palliative caregivers of cancer patients; to examine the relationship between the ability of the patient to cope with cancer diagnosis and the mental wellbeing of the caregiver; and to investigate the …

Intersectionality And Infertility: A Framework For Culturally Responsive Mental Health Counseling, Nouna Jalilzadeh

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

Infertility affects approximately 11% of women of reproductive age in the United States, with 41–46% developing symptoms consistent with posttraumatic stress disorder (PTSD), a prevalence substantially higher than in the general population. Because existing research and clinical literature predominantly focus on female infertility experiences, this article centers women while acknowledging that infertility profoundly impacts individuals across all gender identities. Despite this, mental health counselors frequently lack training in culturally responsive reproductive mental health care, leaving marginalized clients, including racial and ethnic minorities, low-income individuals, immigrants, LGBTQ+ people, and rural residents without adequate support. This theoretical article applies intersectionality theory to …

Considering Consent: What We Can Learn From Bdsm, Jennie Pless, Kate A. Morrissey Stahl, Madison Reeves

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

Consent is a pivotal, defining feature of BDSM. As such, much can be learned by examining conceptualizations of consent among those who engage in BDSM. Using a mixed methods approach, this study explores how 92 BDSM practitioners conceptualize and practice consent. Participants defined consent as an ongoing, enthusiastic, and voluntary agreement. We examine how BDSM practitioners ensure consent, educate others about consent, and handle consent violations. Findings include strategies for consent education and sexual assault prevention. This study highlights the importance of greater awareness and understanding of BDSM and consent.

Transitions From Traditional Gender And Sexuality Roles To Non-Conforming Identities Through Performance Art: A Multiple Case Study, Adrianne Trogden, Dorin Captari-Scirri

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

This qualitative multiple case study examined how two individuals from religiously conservative households navigated transitions from traditional gender and sexuality roles to non-conforming and queer identities through performance art. Using case study methodology, five interconnected themes emerged: Performing Gender - pressure to "act masculine," Performing Sexuality – pressure to "act straight," Performing Art - freedom of expression of gender and sexuality on stage, Shame and fear transformed when accepted sexuality, and Finding one's voice and identity - gender and sexuality. Stage performance art served as an underlying foundation, providing a transformative space for safely exploring previously constrained gender and …

Sex And Stigma: The Cisgender Woman’S Experience, Regin Dean, Kara Schneider, Lucas M. Perez, Tae Joon Kim, Ryan G. Carlson

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

This study examines how sexual stigma and societal expectations affect the self-esteem of college-aged women within the context of casual sex. Using a qualitative, thematic design, participants were recruited through purposive sampling and interviewed using semi-structured protocols. Thematic analysis revealed three overarching domains: Identity & Self-perception (empowerment, femininity and body image, fluidity), Social Factors (familial and cultural expectations, shame and comparison, formative relationships), and Developmental Influences (social media, scrutiny, knowledge gaps). Findings demonstrate how stigma is internalized and reinforced through interpersonal and media influences, underscoring the need for counseling practices that address both individual wellness and systemic advocacy.

Purity Culture And Sexual Shame, Dr. Amanda Gray, Dr. Kat R. Klement

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

We investigated the relationship between Christian purity culture (PC) exposure/endorsement and sexual shame in 1,273 participants. Purity culture (PC) is a belief system predicated on sexual abstinence until heterosexual marriage and traditional gender roles. Correlational data showed that PC exposure was associated with higher sexual shame, particularly among women, and only among those who no longer endorsed PC. However, we did not find a causal relationship between PC exposure and sexual shame. Based on these findings, we provide recommendations for countering sex-negative messages during adolescence to improve healthy sexual development and better health and relationship outcomes.