Counseling Commons^™

Adaptation Of Moral Integrity Scale To Kazakh Language: A Psychometric Investigation, Madina Ishkibayeva, Nesrullah Okan, Zhazira Abdykhalykova, Nursulu Makhambetova

Higher Learning Research Communications

The present study has been designed to adapt the Moral Integrity Scale (MIS), originally developed by Schlenker (2008), into Kazakh and to examine its psychometric properties among undergraduate students. Moral integrity, a critical component of ethical behavior, is essential in tertiary education, yet few culturally validated tools exist in the Kazakh context. Following a rigorous scale adaptation process (including translation, back-translation, expert review, and pilot testing), the scale was administered to three independent student samples. The results of the exploratory factor analysis (n = 470) revealed a single-factor structure explaining 52.13% of the total variance. Confirmatory factor analysis ( …

An Ai Perspective On Counseling Supervision, Emily A. Brinck, James L. Soldner, Hung Jen Kuo, Scott A. Sabella, Trenton J. Landon, Charles P. Bernacchio, Elizabeth A. Boland

Special Education and Rehabilitation Counseling Faculty Publications

The increased use of technology-assisted distance counseling practices is one result of COVID’s impact on behavioral health, including in counselor education and the delivery of supervision. First, technology-assisted distance supervision needed for “real time” communication grew. Furthermore, there is an emergence of artificial intelligence (AI) technologies that have the potential to contribute to aspects of supervision; however, current evidence remains emerging, context-dependent, and at times mixed, warranting cautious interpretation of their effectiveness. The article offers an overview of using AI in clinical supervision, examines the benefits and potential concerns of AI from different perspectives, and considers the significance of using …

Breaking Bread And Barriers: Interprofessional Strategies To Improve Mental And Nutritional Health In Family Caregivers, Candy Ratliff

The Journal of the Research Association of Minority Professors

Family caregivers provide essential unpaid support to individuals with chronic illness, disability, dementia, and age-related decline; however, caregiving responsibilities often place caregivers at increased risk for psychological, physical, nutritional, and social challenges. This literature review examines the mental health and nutritional implications of family caregiving and explores barriers that contribute to declining caregiver wellness. Findings reveal elevated rates of depression, anxiety, emotional exhaustion, social isolation, food insecurity, sleep disturbances, financial strain, and chronic stress among caregivers. The literature further highlights the interconnected relationship between mental health, nutrition, and overall quality of life. Given the multidimensional nature of caregiver burden, interprofessional …

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 …

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 …

A Phenomenological Study On The Family Dynamics Of African American Heirs' Property Owners In The Southeastern U.S., Yolanda Nanette Robertson-Zellars

Doctoral Dissertations and Projects

The purpose of this phenomenological study is to explore the lived experiences of African American heirs’ property owners in the Southeastern United States. Bowen’s Family Systems Theory (BFST) and the Theory of Resilience and Relational Load (TRRL) are the lens through which these experiences are viewed. Each theory provides applicable concepts that guide the query with the participants as they share their interpretations of the phenomenon. Furthermore, the study seeks to understand the biopsychosocial aspects of the interpersonal relationships that family members confront when addressing issues of co-tenancy as owners of inherited land. This hermeneutic phenomenological study employed a hybrid …

The Effects Of Exercise-Related Interventions On The Treatment Of Mental Health, Physical Wellness, And Quality Of Life: A Quantitative Study, Leah Elizabeth Starr

Doctoral Dissertations and Projects

This research study includes the overview, literature review, methodology, findings, and discussion of a six-week study pending defense. The purpose of the study is to further support Pilates as an evidence-based treatment to enhance physical and mental wellness and improve quality of life. This includes specific variables of interest such as anxiety, depression, dissociative and posttraumatic stress symptoms, stress, and improvements in overall quality of life and physical health. The theoretical framework for the study is somatic psychology and polyvagal theory. The importance of this study is to validate the use of Pilates as an effective form of treatment for …

Advancing Culturally Relevant Mindfulness In Public Health, Marcus Johnson, Candy Ratliff

The Journal of the Research Association of Minority Professors

Mindfulness-based interventions (MBIs) have gained significant traction in public health, education, and clinical settings due to their demonstrated benefits for stress reduction and psychological well-being. However, these interventions often originate from Eurocentric frameworks that insufficiently reflect the cultural, historical, and structural contexts of diverse and historically marginalized communities. This commentary proposes a Culturally Relevant Mindfulness (CRM) framework that centers the lived experiences, healing traditions, and epistemologies of underrepresented populations. Drawing on interdisciplinary literature and critiques of conventional mindfulness models, the article articulates four guiding principles of CRM: cultural identity affirmation, historical consciousness, ancestral integration, and community-centered practice. Rather than merely …

A Qualitative Study Of Multiracial Individuals Sharing Black And White Racial Identities Within The Southeastern United States, Carissa N. Jackson

Doctoral Dissertations and Projects

Racial identity can be complex, especially when considering those with a biracial or multiracial identity (Holliday, 2019). American society often conceptualizes race through a monoracial lens, leaving individuals with multiracial identities marginalized, sometimes forcing them into an unchosen identity and resulting in a potential loss autonomy (Albuja et al., 2020; Albuja et al., 2019; Harris et al., 2021; Mitchell, 2022; Rozek & Gaither, 2021; Song, 2021). The purpose of this phenomenological study was to better understand social, emotional, mental, and relational impact of living in a monoracially lensed society on individuals with Black and White multiracial identities in the southeastern …

Values And The Black-White Mental Health Paradox, Tiffany Soignoli

Doctoral Dissertations and Projects

This quantitative cross-sectional study explored the Black-White mental health paradox (BWMHP), which proposes that Black individuals have better or similar mental health than White individuals despite additional stressors, but the etiology of these differences has not been found. While self-esteem has been consistently found to differentiate Black and White adults in relation to the BWMHP, values have not been investigated. Therefore, using a total sample of 191 Black and 191 White American adults (N = 382), values were examined to determine whether they contribute to the differences in depression, stress, and anxiety, leading to better mental health. Chi-square tests of …

The Effects Of Miscarriage On African American Men, Serita E. Baysmore

Doctoral Dissertations and Projects

The purpose of this descriptive phenomenological study was to describe the lived experience of African American men who have endured the loss of a child through miscarriage. Schlossberg’s transition theory, developed in 1981, was used to identify how men work through their grief by focusing on how they enter into, move through, and move out of the transition. By centering the descriptions on lived experiences, semi-structured interviews were utilized with African American men from a North Texas church, which boasts a predominantly African American population, and by word of mouth. After completion of the interviews, the data were analyzed according …

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 …

The Black American Women, Mental Health, Self-Stigma, And The Church, Sylvia D. Dorsey

Doctoral Dissertations and Projects

The purpose of this qualitative phenomenological study is to explore the lived experiences of Christian Black American women who underutilize mental health services due to a perceived notion of self-stigma of Christian Black American women seeking mental health services and how the church may play a role. A transformational theory guides this study. In a transformative framework the study focuses on looking at marginalized groups that have power differentials and are viewed as being less important in society and to understand their life experiences. Stigma and self-stigma are the dominating factors that contribute to the underutilization of mental health services …

The Missing Baby: Investigating The Effects On Psychological Distress, Marital Couple Quality, The Timing Of Bereavement Care And Grief Adaptation Among Fathers Following Perinatal Loss., Sharon L. Green

Doctoral Dissertations and Projects

Extensive research on maternal perinatal loss has been conducted for decades. In contrast, there is much less research on bereaved fathers following perinatal loss, specifically, studies that examine bereaved fathers’ psychological distress, time it takes for the health care provider to deliver bereavement care, and the impact it has on grief adjustment. The purpose of this study was to investigate bereaved fathers’ psychological distress, length of time to receive bereavement care, and marital couple quality and their impact on perinatal grief adaptation. The study design was quantitative, nonexperimental, descriptive, and correlational. Study participants were 200 bereaved fathers who were administered …

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 …

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., …

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 …