Counseling Psychology Commons^™

Young Adults In Transition: Factors That Support And Hinder Growth And Change, Mona Treadway

Antioch University Dissertations & Theses

Young adults between 18 and 24 years of age with mental illness are significantly less likely to receive mental health services than adults in older age groups.Nationally, higher rates of depression, substance abuse, and psychiatric issues are reported in this age group.A therapeutic model referred to as young adult transition programs has emerged to better address the unique developmental challenges found in this age group.This study examined 317 critical incidents that supported or hindered young adults in a therapeutic transition program.The research design used a combination of an instrumental case study and critical incident technique (CIT).Using interviews and the Outcome …

Early Psychosis And Trauma-Related Disorders: Clinical Practice Guidelines And Future Directions, Casey A. Cragin

Antioch University Dissertations & Theses

Despite very high rates of trauma-related disorders among individuals with early psychosis, no clinical practice guidelines for the treatment of comorbid early psychosis and trauma-related disorders exist to date. Indeed, the routine exclusion of individuals with past and current psychosis from participation in trauma research and practice has limited the accumulation of research evidence that could inform such clinical practice guidelines. While preliminary research evidence suggests that traditional, empirically supported treatments for trauma-related disorders can be safely and effectively employed to reduce symptoms of posttraumatic stress and chronic psychosis, it remains unclear whether such treatments are appropriate for individuals in …

Graduate Students And Geropsychology: Growing Need And Lacking Interest, Samantha Marie Hague

Antioch University Dissertations & Theses

As the population of older adults continues to grow with time, the need for geropsychology clinicians also grows. Many barriers exist that contribute to why elderly individuals are not receiving adequate psychological treatment. This study explores why graduate psychology students are often disinterested in working with older adults and whether it is possible that student interest could increase with more geropsychology graduate coursework and practicum training opportunities. This study also explores the possible connection between quality of elderly relationships and interest in working with the elderly. The results of this study support that Clinical and Counseling Psychology graduate programs lack …

The Process Of Resolving Spiritual Struggle Following Adulthood Trauma, Aimee L. Keith

Antioch University Dissertations & Theses

Spiritual struggle has been described as a disruption in religious practice and spirituality resulting in questioning beliefs, experiencing discord within religious communities, decreasing spiritual practices, and experiencing painful cognitions such as the belief that one is being punished by God. This study used constructivist grounded theory to explore how women identifying as Protestant Christians at the time of the traumatic event resolve their spiritual struggles. Eleven conceptual categories, which are presented in a stage model, emerged from the data. The stages were Experiencing an Event Discordant with Beliefs, Emotional Reaction (following the traumatic event), Questioning (of beliefs, suffering and identity), …

Double Whammy: Interpretive Phenomenological Analysis Of Older African Americans Experiencing Hiv & Age Related Comorbidities, James W. Chavers

Antioch University Dissertations & Theses

HIV among older African Americans represents one of the fastest and largest growing populations of infected groups in America (CDC, 2008). With the availability of anti-retrovirals (ARV), or AIDS cocktail drugs, HIV has become a chronic illness. As African Americans are living longer with HIV, they are encountering the diseases that are consonant with aging. The effect of aging with HIV and an age-related comorbid condition can be physically and emotionally debilitating. Many of these older adults are also dealing with poverty, stigma, poor healthcare access, and limited social support. The purpose of this study was to explore how these …

How Eye Movement Desensitization And Reprocessing (Emdr) Trained Therapists Stabilize Clients Prior To Reprocessing With Emdr Therapy, Edward H. Brendler

Antioch University Dissertations & Theses

Helping clients develop resources and stability required to tolerate reprocessing memories can be a considerable part of psychotherapy, particularly with clients who are suffering symptoms related to complex developmental trauma or cumulative multiple-event trauma. There is a paucity of research regarding how experienced EMDR Therapy practitioners experience helping their clients to develop resources required to tolerate reprocessing of trauma memories. This dissertation is an in-depth study of five participants, each a licensed mental health practitioner in the State of Washington, who are trained in EMDR and experienced working with clients who are suffering symptoms of trauma. Each participant was interviewed …

Reducing Adolescent Anger And Aggression With Biofeedback: A Mixed-Methods Multiple Case Study, Jedidiah S. Savard

Antioch University Dissertations & Theses

Adolescent anger, aggression, and violent outbursts are social problems significantly affecting each of us. Individual therapeutic management of pathological anger is treated in various ways depending on practitioners’ theoretical orientations and competency levels. Popular psychological individual and group therapies addressing anger and aggression in adolescents focus primarily on cognitive-behavioral techniques that manage anger’s symptoms. Evidence-based cognitive-behavioral therapies often require clients to self-identify emerging antecedents of anger without assistance; such therapies employ predetermined strategies to assist the client to emotionally de-escalate prior to an angry or aggressive episode. However, cognitive responses to an emotional upheaval stemming from an emergence of anger …

Is Knowing Half The Battle? The Effects Of Acceptance And Commitment Therapy Compared To Psychoeducation On Stigma Towards Mental Illness, Rebecca L. Fountain

Murray State Theses and Dissertations

Both Acceptance and Commitment Therapy (ACT) and Psychoeducation have been shown to reduce stigmatizing thoughts towards individuals with mental illness. The present study compared the effects of a 50 minute ACT and 50 minute psychoeducation workshop on levels of stigma in college students (N = 76). Psychological flexibility and knowledge about mental illness were examined as potential mechanisms by which the workshops generated stigma reduction. Participants were randomly assigned to either workshop with pre and post scores on the Community Attitudes Towards the Mentally Ill scale used as the primary dependent variable. Both workshops were effective in reducing levels …

Romantic Interest Selection From An Imago Relationship Therapy Perspective, Lauren O. Patterson

College of Graduate Studies: Theses & Dissertations

Imago Relationship Therapy (IRT) is a model of couples therapy that is not empirically validated (Jakubowski et al., 2004). IRT proposes that individuals select Romantic Interests (Interests) that are similar to their Childhood Caregivers (Caregivers) in an effort to heal childhood wounding (Hendrix, 1988). The current study sought to evaluate the IRT proposition of romantic interest selection by evaluating patterns in romantic interest selection, particularly the relationship between Caregiver and Interest personality characteristics, adult attachment dimensions, gender, and geographical location of origin. In addition, the study considers similarities in participant narratives of positive and negative experiences with Caregivers and Interests. …

Exploring The Multidimensional Structure Of The Wasi-Ii: Further Insights From Schmid-Leiman Higher-Order And Exploratory Bifactor Solutions, Brittany Mcgeehan, Nadine Ndip, Ryan J. Mcgill

Archives of Assessment Psychology

The Wechsler Abbreviated Scale of Intelligence-Second Edition (WASI-II; Wechsler, 2011a) is a versatile and widely utilized brief intelligence measure by assessment psychologists in a variety of clinical settings. Despite the fact that a hierarchical measurement model is implied in the WASI-II Manual (Wechsler, 2011b) and the scores provided by the instrument, a hierarchical measurement model was not specified in the structural validation studies conducted by the test publisher. Due to this shortcoming, two exploratory factor analytic methods (Schmid-Leiman [SL] and exploratory bifactor analysis [EBFA]) were utilized to disclose the higher-order structuring of WASI-II variables. Results from both solutions indicated that …

Integrating Forgiveness Therapy And The Treatment Of Anger: A Randomized Controlled Trial, Michael Schaefer Ballard

Electronic Theses and Dissertations

Although the costs of uncontrolled anger are well-known, interventions for anger are less frequently studied and less effective than interventions for either depression or anxiety (NAMA, 2012). One hundred eighty-seven patients requesting anger management treatment at an outpatient counseling center in Denver participated in this study. They were randomly assigned to one of two treatments: an experimental treatment integrating forgiveness therapy and anger management, or anger treatment as usual. Treatment consisted of twelve 90-minute sessions held once a week in small groups led by group facilitators. Participants in both treatment conditions reported clinically significant decreases in state anger and increases …

Psychotherapists' Experiences Utilizing The New Posttraumatic Stress Disorder Diagnostic Criteria In Dsm-5, Linda Jacobus

Walden Dissertations and Doctoral Studies

The fifth and most recent edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), has presented revised diagnostic criteria for posttraumatic stress disorder (PTSD). The impact of the new diagnostic criteria upon the day-to-day experiences of mental health professionals, including diagnosis, treatment, and insurance billing has remained unclear. Using the adaptive information processing model as a theoretical framework, this multiple case study explored how licensed clinicians experienced utilization of the revised diagnostic criteria for PTSD. Fifteen mental health practitioners who had experience in the treatment of clients presenting PTSD symptoms were interviewed. Data from participant interviews were analyzed …

An Exploration Of The Relationships Between Self Compassion And Burnout : Secondary Traumatic Stress And Compassion Satisfaction Among Providers Who Work With Children And Families Who Have Experienced Trauma, Binlin Xia

Theses, Dissertations, and Projects

The field of social work education has witnessed a soaring need to help providers cope with the negative emotional impact of working with clients who have experienced trauma. This study explored the association between self compassion and the experience of burn out (BO), secondary traumatic stress (STS) and compassion satisfaction (CS) among mental health providers who specifically work with children and youth who have experienced trauma. This quantitative study employed a survey in addition to two open-ended questions in a sample of 60 participants using a convenience sampling process.

The findings suggest that self compassion serves as a strongly correlated …

Polyfidelity And The Dynamics Of Group Romantic Relationships, Jeff R. Peterson

Walden Dissertations and Doctoral Studies

Monogamy is considered the romantic norm for establishing family and kinship. Alternative relationships such as polyfidelity, that is, a group romantic relationship, often face prejudice and social stigma resulting in a greater need for mental health counseling services compared to those who are not stigmatized. Yet counselors and counselor educators lack both understanding and cultural competency for serving this population. The purpose of this study was to better understand the dynamics of a polyfidelity relationship, as well as how a counselor might better serve the needs of individuals engaged in this type of relationship. In this study, 14 participants described …

Applying A Cognitive-Behavioral Model To Conceptualize Burnout And Coping For Teachers In Urban Schools, Daniel Camacho

Dissertations

Teachers in urban schools, facing a myriad of daily stressors and oftentimes without sufficient knowledge and skills to manage the social and emotional needs of their students and themselves, experience stress and burnout at levels that cause them to leave the teaching profession at alarming rates. Research pertaining to teaching stress, burnout, and coping has largely been devoted to enumerating the stressors that teachers experience, the impact of burnout on teachers and their students, and relating type of coping strategies that teachers employ. This body of literature falls short of illuminating what makes the teaching profession so inherently stressful, the …

Relationship Quality Associations Family Values For Online Graduate Students With Intimate Partners, Tracy J. Jones-Garcia

Walden Dissertations and Doctoral Studies

Previous research found that relationship quality (RQ) for intimate couples may be adversely effected in times of stress, potentially decreasing marital satisfaction up to 36% during a four-year period for high stress couples. Previous research indicated family values (FV) may mediate RQ in stressful times; however, no research has examined this relationship for online/blended program graduate students. Students in these programs experience unique stress, change, and at times, physical distance from an intimate partner. Coombs's theory on values consensus postulated that the more alike family values are in a relationship, the better the RQ will be. The purpose of this …

Understanding The Mental Health Needs Of Immigrant Women With A History Of Trauma, Shalunda D. Allen Sherrod

Walden Dissertations and Doctoral Studies

A significant percentage of undocumented immigrants who come to the United States include women suffering from trauma and abuse. In Southwest Texas, many immigrant women begin their stay in the United States, as residents of an immigration Residential Detainment Center (RDC). Social workers in RDCs are challenged to understand their roles and responsibilities in treating the mental health need of these women. The purpose of this study was to explore the perceptions of social workers, in RDCs, regarding their roles and responsibilities in meeting the mental health needs of immigrant women with a history of personal trauma. Using action research …

The Effect Of Emotionally Validating And Invalidating Responses On Emotional Self-Efficacy, Gregory Witkowski

Walden Dissertations and Doctoral Studies

The power of abuse, either in childhood or in adulthood, is clear in many cases. Yet certain types of abuse are harder to detect and understand. Emotional invalidation is one type of abuse that is characterized by an incongruence or minimization of another person's emotions. This experimental study explored effects of emotional invalidation and emotional validation on people's level of emotional self-efficacy. Participants (n = 230) were recruited through Quest Mindshare using a survey created through SurveyMonkey, and randomly placed into 3 groups. All participants were given a survey that asked them to choose how certain pictures made them feel. …

The Experiences Of Parenting Coordinators Working With Couples Engaged In Intimate Partner Violence, Ann M. Ordway

Walden Dissertations and Doctoral Studies

In families where parents present with intimate partner violence dynamics, courts routinely impose restraints restricting communications between those parents. However, the same courts also routinely fashion arrangements whereby those same parents share custody of their children. Children in families with this dynamic are often used as communication facilitators and triangulated by parental conflict. This grounded theory study generated a theory about parenting coordination work with high conflict couples with intimate partner violence dynamics. This theory may have utility for parenting coordinators working more effectively with the described population. Semi-structured interviews were conducted with 10 professional parenting coordinators who have worked …

Offender Recidivism: A Quantitative Study Of Motivational Risk Factors And Counseling, Nazak Dadashazar

Walden Dissertations and Doctoral Studies

The prison system releases over 590,000 inmates annually, adding to the current 5 million ex-offenders on supervised release. The purpose of this study was to explore the problem of increasing recidivism by identifying ex-offenders' dynamic risk and criminogenic need factors using the Level of Service Inventory-Revised (LSI-R), coupled with or without mental health services during reentry in relation to recidivism. This quantitative, nonexperimental, cross-sectional study included data collected from a sample of 128 male recidivist and nonrecidivist federal ex-offenders currently on supervised release, who were recruited during probation office meetings within the South Texas region. Regression analysis yielded statistical significance …