Counseling Psychology Commons^™

A Qualitative Meta-Analysis Of The Experiences Of Clients In Psychotherapy For Posttraumatic Stress Disorder: An Empirically Based Process-Oriented Staged Model, Nicholas A. Pierorazio

Graduate Masters Theses

Posttraumatic stress disorder (PTSD) is prevalent and can be highly complex. Guidance for the treatment of PTSD has typically been based on quantitative meta-analyses of randomized controlled trial findings and has focused on the comparative efficacy of specific treatments, rather than how to deliver treatment. There is a need for clinical guidance that highlights moment-to-moment, in-session psychotherapy processes for psychotherapists working with clients with PTSD. In the current study, I conducted a qualitative meta-analysis, focusing on the qualitative literature investigating clients’ perspectives in order to develop an understanding of the preferences, values, and experiences of clients in individual psychotherapy for …

Give Them Their Roses: Honoring Student Affairs Professionals Of Color Combatting Secondary Racial Battle Fatigue At A Historically White Institution, Julián X. Latshang, Julián X. Latshang

Graduate Doctoral Dissertations

This dissertation explores the phenomenon of Secondary Racial Battle Fatigue (SRBF) and its impact on student affairs professionals of color in higher education. Grounded in critical qualitative inquiry and the lived experiences of participants, this study examines how emotional, behavioral, and physiological effects of SRBF manifest both through professionals’ direct racialized experiences and their roles supporting students enduring racial trauma. Framed by Racial Battle Fatigue (Smith, 2010) and Secondary Traumatic Stress (Figley, 1995), the research addresses three guiding questions: (a) How does SRBF manifest in professionals of color? (b) In what ways does it emerge when supporting racially traumatized students? …

How Art Therapy And Emdr Help Asylum Seekers And Refugees Move Towards Healing Trauma: A Literature Review, Anna Mogilevsky

Expressive Therapies Capstone Theses

In the past ten years, there has been a significant rise in the number of asylum seekers and refugee populations worldwide (UNHCR, 2022). Displaced individuals are extremely vulnerable to mental illness because of the compounded trauma experienced in their countries of origin with the stress of immigration, asylum seeking, culture shock, and language barriers. PTSD is affecting 500 million individuals globally, and refugees are especially susceptible to having these symptoms (Farrell, 2020). Art therapy and EMDR are identified as the most promising modalities for treating such trauma.

This literature review examines the various ways EMDR and art therapy have been …

Changing The Narrative: A Meta-Analysis Of Narrative Therapy And It's Changes Since Inception, Elijah J. Shriner

Honors Projects

This meta-analysis examines the effectiveness of narrative therapy across 43 studies involving diverse populations and mental health conditions. Studies included randomized controlled trials, quasi-experimental designs, and case studies, with outcome measures primarily focused on depressive symptoms, interpersonal functioning, and psychological distress. Effect sizes were calculated using Hedges’ g to account for small sample bias. Overall, narrative therapy demonstrated moderate to large positive effects on symptom reduction and client well-being, though variability in study design and reporting limited the precision of some estimates. Findings support narrative therapy as a promising intervention across clinical contexts, while highlighting the need for more rigorous, …

Using Dabke To Embody Sumud: A Literature Review Of Indigenous Palestinian Dance In Relation To Ongoing Trauma, Reema Rustom

Expressive Therapies Theses

This literature review explores the psychological and psychosomatic impacts of political violence on Palestinians living under Israeli military occupation. Drawing from historical, academic, and ethnographic sources, the thesis examines how risk factors such as displacement, home destruction or demolition, and chronic exposure to military aggression contribute to trauma. Utilizing expressive arts therapy as a lens for understanding how arts-based processes support working through trauma, the review identifies existing Palestinian cultural practices that allow for the reclamation of the self, the collective, and the land. This review also highlights protective factors that support the well-being and resilience of Palestinians, such as …

The Neuropsychiatric Value Of Expressive Arts Therapy Integrated With Psychedelic-Assisted Therapy In Treating Alzheimer's Disease And Related Disorders (Adrd), Alicia C. Hesse-Cleary

Expressive Therapies Theses

Neurodegenerative conditions, including Alzheimer's disease (AD), Parkinson's disease, and other dementias, are progressive disorders that lead to white matter damage in the brain, resulting in structural and functional consequences that disrupt neuronal pathways and contribute to significant cognitive and behavioral impairments. Alzheimer’s disease is the most common form and a leading cause of death among older adults. Nearly 97% of patients experience neuropsychiatric symptoms, which are incredibly challenging to treat effectively as the disease progresses and, in some cases, may be untreatable with pharmaceuticals. This situation significantly increases caregiver burden and healthcare costs. Traditional pharmacological treatments for these conditions have …

Hope-Centered Art Therapy Exploring The Emergence Of Relational Narratives In Nurturing Resilience In Children, Niloofar Ojani

Expressive Therapies Theses

This review examines the importance of hope and resilience in art therapy interventions for children by synthesizing current research on how art therapy can foster hope. The data were collected by reviewing published peer-reviewed journals, book chapters, reflective writing, and artmaking—arts-based research methods. The beginning sections delve deeply into the definition of hope and resilience in the context of adverse childhood experiences, or ACEs. Art therapy acts as a creative medium for fostering these qualities. It is discussed that creative expression contributes to emotional regulation, utilizes therapeutic intra- and inter-relationships as a source of hope, and connects the child with …

How Can Tattoos Be Understood As Intermodal Expressive Arts Therapy?: Integrating Visual Art, Personal Narrative, And Embodied Experience: Development Of A Method, Rachel S. Hall

Expressive Therapies Theses

This paper explores the inherent intermodal nature of tattoos through the lens of expressive arts therapy, demonstrating how tattoos integrate visual art, personal narrative, and embodied experience. A group intervention was designed and implemented in an outpatient setting, drawing on existing literature and the Expressive Therapies Continuum (ETC) to examine how tattoos function as therapeutic tools that support identity formation, emotional healing, and self-expression. The intervention guided participants through an intermodal process that began with reflective writing on identity-forming experiences, followed by visual art-making and somatic engagement. This approach illuminated the transformative potential of tattoo conceptualization within a therapeutic context, …

A Method For Developing Multicultural Musical Fluency: Reclaiming A Relationship With Traditional Ashkenazi Music, Rachael Penn

Expressive Therapies Theses

Counseling and music therapy scholars recommend that students and clinicians engage in self-inquiry to explore their cultural values to build multicultural competence. I created an arts-based method for deep reflection using theory and techniques in the literature regarding culture-centered music therapy, including ethnographic inquiry, the cultural unconscious, intersubjective theory, active imagination, embodiment, and artistic reflection. I engaged with music from my own cultural background, which included Ashkenazi klezmer music and Yiddish folksong, to reflect on my cultural values and to build a living relationship with the music. Thematic analysis revealed eight themes, including the function of the music, personal memories …

Why Disability Justice Matters In Mental Health Care And How Drama Therapists Can Help Get It Right, Anish Nakahara

Expressive Therapies Theses

Disability Justice (DJ) is an important, ever-growing aspect of mental health work that must be further explored and implemented if mental health professionals are committed to harm reduction and health equity. Drama therapy (DT) provides a unique accessibility that traditional psychotherapy does not always afford. The emphasis on encounters, relationality, and creative expression provides more avenues through which people can approach DT. Through analysis of current literature, this thesis explored the present relationship between DT and DJ, the relationship between the broader mental health care system and DJ, and how progress can continue toward competent, dignified care for disabled people. …

"La Vida Es Un Carnaval": An Exploration Of Cuban Identity And Nostalgia Through Dance/Movement Therapy - A Community Engagement Project, Maria Fernanda Mendez Mendoza

Expressive Therapies Theses

“La Vida Es Un Carnaval” is a community engagement project and thesis that explores how identity and nostalgic resilience show up through dance/movement therapy with Cuban immigrants living in the United States, specifically Massachusetts. This project brought together six Cuban-born participants, ages 26 to 67, each with their own unique migration stories; from the Rafter Balsero Crisis of 1994, to the “Wet-Foot/Dry-Foot” policy, and family reunification. Through a mix of in-person and online sessions, participants explored their experiences using intermodal activities including dance/movement therapy techniques, conversation, journaling, artwork, and music. Themes of cultural pride, “Cubanía” – Cuban-ness, culture shock, and …

Emotional Pathways: A Literature Review Of Emotion Process In Emotionally Focused Therapy And Drama Therapy, Chiao-Ting Yuan

Expressive Therapies Theses

This capstone thesis explored how emotionally focused therapy (EFT), and drama therapy (DT) could be integrated to improve emotional regulation, self-awareness, and mental healing. Based on attachment theory and emotional process framework, how these two different but complementary interventions could increase emotional participation and transformation was explored. This literature review indicated that although EFT’s structured and verbal approach is different from DT’s creative and embodied skills, the two approaches share common goals and target the same emotional process. In DT, several techniques can be found that are closely related to EFT’s emotional process. These techniques can provide a unique and …

Exploring Predictive Factors For Enabling Behavior In Family Members Of Those With Problematic Substance Use, Joseph Lemieux

Counseling and Psychology Dissertations

The purpose of this study was to gain insight into the underpinning driving forces for enabling behavior in affected family members with loved ones engaged in problematic substance use. With improved clarity and understanding of the variables predictive of enabling behavior, clinicians may be able to treat family members with improved precision and efficacy. Specifically, this study inquired about the relationship between enabling behavior and several variables, including (a) trauma, (b) ethnicity/race, (c) gender, (d) social support, (e) household income, and (f) age. This study surveyed 100 participants identifying as affected family members. Surveys were completed online and consisted of …

God And Psychology: How The Early Development Of Famous Psychologists Influenced Their Work, Chris Dinwiddie

Salubritas: International Journal of Spirit-Empowered Counseling

No abstract provided.

Beyond The Clinical Hour: How Counselors Can Partner With The Church To Address The Mental Health Crisis, Michelle Taylor

Salubritas: International Journal of Spirit-Empowered Counseling

No abstract provided.

A Theology Of Hope For Missing Persons And Lost Causes, Joelle Yanko

Salubritas: International Journal of Spirit-Empowered Counseling

This paper explores how unresolved tragedies—particularly missing person cases and lost causes—serve as profound reflections of the human condition and reveal the necessity of Christian eschatological hope. Missing person cases touch the deepest questions of the human soul and reveal a deep, universal longing for justice and resolution—longings that cannot be fully met within the bounds of this present life. Drawing from theological reflection, the paper argues that both suffering and miraculous resolution ultimately point toward a greater hope found in the Christian vision of union with God. This future-oriented hope, grounded in the resurrection of Christ, invites believers to …

Exploring Biblical Language In Trauma Processing, Kathy B. Hoppe

Salubritas: International Journal of Spirit-Empowered Counseling

Clients may often find themselves struggling with accessing traumatic experiences in therapy, thereby developing an avoidance of trauma that impedes healing. Strategies for reducing trauma processing may be difficult to identify effectively. This project suggests several means by which therapists can utilize the language of scripture, including scriptural narrative, metaphor, and poetry, as a therapeutic intervention with conservative Christian clients who are pursuing trauma processing. The proposed approach assists clients in explaining their traumatic events in a secure setting, hence preventing the common hyperarousal symptoms that are upsetting. The treatment can enhance the effectiveness of evidence-based practices. It incorporates several …

Walking In Promise, Living In Reality: Exploring The Mental Health Implications Of The Pentecostal Discourse Of Divine Calling, Robert D. Mcbain

Salubritas: International Journal of Spirit-Empowered Counseling

Pentecostalism places a strong emphasis on the discourse of divine calling, where individuals believe they are purposefully created, guided, and empowered by God to fulfill a specific mission. This sense of calling profoundly shapes Pentecostals’ sense of identity and purpose. Using Grounded Theory, this study analyzes open, in-depth interviews with Pentecostals in the U.S. to explore the impact of the Pentecostal discourse of divine calling on their mental health. The metaphor of ‘walking in’ one’s calling emerges as the central theme used by participants to explain the interaction between their perception of divine calling, their lived realities, and their mental …

I Am My Body: Post-Traumatic Embodying And The Unexpected Disinterring Of Childhood Spiritual Neglect, Cathy Rowan

Salubritas: International Journal of Spirit-Empowered Counseling

This autoethnographic paper investigates how an embodying approach (Focusing) unexpectedly impacts the author’s spiritual formation in the undoing of childhood relational trauma, which had resulted in a dissociative embodiment reaction. This enlivening and deepening spiritual formation process is described by means of a five-step metaphor, moving from “no-body” (dissociative disembodiment) to “I am my body” (the experience of the bodily indwelling) as her spiritual formation evolves from just intellectual belief to an embodying, experiential Christian spirituality. This life-long process is viewed through various lenses, including children’s spirituality research, trauma theology, faith development models, the writings of Thomas Merton and the …

Hoping Forward, Haley R. French

Salubritas: International Journal of Spirit-Empowered Counseling

No abstract provided.