The effectiveness of a pre-graduation animal assisted therapy internship site was investigated through an ethnographic, phenomenological methodology with mixed-methods components. A total of 12 participants who fit into either the category of supervisor, intern, or administrator involved in the animal assisted therapy practice, were interviewed. A research team analyzed the qualitative interview data and researcher participant field notes and came to a consensus of eight major themes: ranch environment, ranch modalities, community impact, counselor development, relationships, partnership, sense of purpose, and the COVID-19 pandemic. Past historical client data were analyzed (n = 47) to investigate effectiveness of the AAT internship cite through the lens of the clients. Historical client data was divided into three categories, dependent on the client's age and the assessment taken: Adult Self Report (ASR), Youth Self Report (YSR), and Child Behavior Checklist (CBCL). A paired t-test was run for each assessment group to compare the means of the pre-assessment scores and the means of the post assessment scores for the total problems scale and anxiety problems scale. There was a statistically significant decrease in anxiety problems for the CBCL group. There was a marginally statistically significant decrease in total problems for the CBCL group. There were …

Within this research study, a qualitative phenomenological approach was used to explore the lived experiences of Black master's students (n = 10) who engage in mentorship in CACREP-accredited counselor education programs. The participants in this study represent different ACES regions in the United States, including SACES, NARACES, and NCACES. Six themes were discovered as a result of participants' experiences: (a) impact of mentorship, (b) benefits of mentorship, (c) qualities within mentoring relationships, (d) composition of mentoring relationships, (e) saliency and influence of identity, and (f) barriers to mentorship and program satisfaction. Furthermore, I offer suggestions for increasing support for Black master's students in counseling programs as well as recommendations for supporting the professional and personal development of this population.

This photovoice study explored the lived experiences of nine Puerto Rican mental health professionals who provided postdisaster counseling services to children. Due to the complex and multilayered experiences of Puerto Rican mental health professionals, this study used intersectionality as the theoretical lens to facilitate thematic analysis of the data. Results from coresearchers' narratives and photographs generated seven major themes: (a) la politiquería of disasters; (b) the impact of compounding disasters; (c) Puerto Rico se levanta: strategies for collective healing; (d) impact of disasters on children; (e) experiences with clients; (f) awareness, action, change; and (g) supporting, connecting, and transforming. The results and discussion provide awareness into the experiences of Puerto Rican clinicians who formed part of disaster response efforts in their own community. Clinical, educational, and research implications are drawn from coresearchers' narratives and insight.

The purpose of this descriptive multiple case study was to explore how counselors implement multicultural and social justice counseling competencies (MSJCC) when providing therapy to Black, Indigenous, and Womxn of Color. This study was informed by critical theory and intersectionality theory to capture the complex dynamics of identity and power through semi-structured interviewing, observations of archived counseling sessions, review of archived client case records, and administration of the Multicultural Awareness, Knowledge, and Skills Survey–Counselor Edition–Revised (MAKSS-CE-R), and the Social Justice Scale (SJS). The six doctoral student co-researchers provided rich portrayals of their experiences implementing the MSJCC, the role of identity, and the impact of power relations. Data revealed one overarching theme (the omnipresence of cultural humility), five themes (learning is a process, it starts with me: the catalyst of self-awareness, this is my identity, understanding clients in context: attending to power and intersectionality, and social justice is awareness: advocacy is intentional and active), and eight corresponding subthemes. Co-researchers provided insight into their experiences of barriers, oppression, resilience, and advocacy. Implications and conclusions from this research provide recommendations for mental health counselors, education programs, and research.

Mindfulness is a practice that has the potential to help counseling students build a variety of skills that are necessary for clinical efficacy, including therapeutic presence, attunement, empathy, cognitive flexibility, and non-reactivity. However, mindfulness is rarely taught to students in mental health training programs, which makes it an untapped possibility to improve counselor education. Additionally, rarely do researchers explore the role of counselor mindfulness and counselor trauma on clients' perceptions of therapeutic presence. Therefore, the purpose of this study is to explore the effects of a 15-week mindfulness training program for counseling students to understand its effect on client's perceptions of therapeutic presence, counselor state mindfulness development, and counselor trauma symptoms. Participants in this cluster-randomized controlled intervention were masters counseling students currently enrolled in clinical practicum accredited by the Counsel for the Accreditation of Counseling and Related Educational Programs (CACREP). Counselors provided data at three timepoints on their state mindfulness, trauma symptoms, and therapeutic presence. Clients provided data at three timepoints on their perceptions of their counselor's therapeutic presence. We analyzed data through repeated measures ANOVA and two-level longitudinal hierarchical linear models. Implications for counselor education, professional counselor development, and future research are offered and limitations are discussed.

Child-centered play therapy (CCPT) is an empirically endorsed approach for children facing specific clinical concerns and life circumstances alike. The majority of research to date has accrued data about clients from secondary sources, such as adult report and observation. The purpose of this study was to explore children's perceptions of participating in CCPT by implementing a developmentally accessible interview medium, allowing children to share their experiences directly. Ten children between the ages of 4 and 7 who had completed at least eight sessions of CCPT were invited to create a drawing and respond to an interview protocol with their counselor. Data sources included the picture produced, a transcript of the interview between the child and counselor, and observation notes of the interview process. Using a phenomenological approach, three themes were identified to describe children's awareness and experience of the intervention: expressions of relationship, experiences in the playroom, and reluctance to engage in counselor-directed activity. The first two themes reflect children's report of the intervention and the third represents reactions to the research activity. Findings from this study support conclusions that children are aware of relationship between themselves and their counselor and recognize the uniquely unstructured features of play therapy and …

The current study sought to explore play therapists' barriers to engaging parents in their clinical work as well as understand the relationship between play therapist characteristics and their attitudes toward parents. Using a demographic questionnaire, Therapist Barriers to Engaging Parents (TBEP), and the Counseling Self- Estimate Inventory (COSE), 136 members of the Association for Play Therapy were surveyed to explore predictors to engaging with parents. Overall, play therapists reported low scores on barriers to engaging parents indicating play therapists are likely to report positive attitudes toward working with parents. Through two multiple regression analyses measuring the predictive value of self-efficacy subscales including Dealing with Difficult Clients and Counseling Process, play therapist identification as a parent, years of experience, and hours of training on parent engagement, both models demonstrated statistically significant findings with large effect sizes. This study found that play therapist self-efficacy was the strongest predictor of play therapists' attitudes toward parents accounting for approximately 80% of the variance in the models. Play therapists' identification as a parent as well as years of practice also predicted their barriers to engaging parents. Hours of training in parent engagement had no relationship to TBEP scores. Implications for practice include a need to …

Neuroscience is a relevant topic for counseling and counselor education, and it is a required area of competency for accredited counseling education programs. Despite this required competency, current counseling literature scarcely addresses neuroscience in counselor education. I have designed the present study to address this scarcity by exploring counselor educators' experiences of incorporating neuroscience into the counselor education curriculum using a consensual qualitative research (CQR) approach. The purpose of this study is to create a foundational understanding of (a) what elements of neuroscience counselor educators are currently including in their courses, and (b) the experience of counselor educators with teaching neuroscience. I interviewed eight counselor educators about their experiences learning and teaching neuroscience. Six domains emerged from the interviews: (1) participants' background and experience, (2) influence of neuroscience on participants' teaching, (3) personal, academic, and professional responses to neuroscience, (4) ethical concerns and recommendations for neuroscience, (5) areas of interest and future research in neuroscience, and (6) counseling literature and publication in neuroscience. The information shared by the participants will contribute to future research of teaching effectiveness and outcomes using neuroscience in counselor education.

Professional counseling associations and ethical accrediting bodies mandate that counseling programs, counselor educators, and leaders in the counseling field uphold a commitment to the recruitment, employment, and retention of ethnically and culturally diverse faculty. Despite written standards and growth in the profession, faculty of color in counselor education programs continue to be significantly underrepresented at the assistant professor, associate professor, and full professor ranks. Additionally, the overall percentage of faculty of color decreases as academic rank increases, which suggests issues related to retention and promotion. Mentorship has been recommended as an important and necessary strategy to retain and promote historically marginalized people. However, little is known about how mentoring is used as a retention strategy for faculty of color in counselor education. The purpose of this phenomenological study was to examine the perspectives of faculty of color in counselor education programs accredited by CACREP, and their perception of mentorship, retention, and promotion. The primary researcher utilized a social constructivism paradigm, transcendental phenomenological approach, and responsive interviewing approach to semi-structured interviews. Fifteen participants employed at CACREP-accredited universities across the U.S. participated in this study. Four major themes were identified: perception of cultural climate, structural elements of mentorship, perceptions of mentorship experiences, …

Multicultural (MC) counseling and social justice (SJ) are foundational parts of counselors' professional identity, and they are fostered through a developmental process that counselor educators facilitate. The purpose of this study was to explore the relationship between counselor educators' ethnic/racial identity development (ERI), their social justice orientation (SJO) and their multicultural teaching competence (MCTC). MCTC was examined using the constructs of knowledge and sensitivity. Data was collected from a nationally distributed online survey. Data were analyzed using four hierarchical regression models in order to control for socially desirable responding. Results indicated that ERI was a significant predictor of MCTC-Knowledge (p < .001) and that SJO was a significant predictor of MCTC-Sensitivity (p < .001). Socially desirable responding was not significantly related to MCTC. Results suggest the importance of attending to ERI and SJO as separate processes in training future counselor educators.

Polyamory is an identity that describes the ability to experience romantic love with more than one romantic partner at a time. Polyamory is often perceived as being perverse, amoral, and relationally broken or deficient; however, people who identify as polyamorous are found to be as mentally healthy and happy as people who are monogamous. Clients who identify as polyamorous may experience their counselor as lacking familiarity with and knowledge of polyamory or as actively working against their identity. This study was a phenomenological inquiry designed to illuminate the counseling experiences of polyamorous people. Data were collected through semistructured interviews with eight participants and analyzed with a modified van Kaam method with relational-cultural theory as the framework. The three major findings that constitute the essence of this inquiry were: (a) participants experienced disappointment and disrespect in the counselor's ignorance of their vital identities, (b) the necessities of trust and connection between participant and counselor for empowerment and growth, and (c) the complementary nature of relationality in polyamory and counseling. These findings indicated counselors should seek a baseline of education on polyamory. The implications for counselor educators were to strive to envelope counselors-in-training in a culture that supports developing multicultural competency and …

Reports from the World Health Organization (WHO) indicate tremendous advancement in the fight against HIV/AIDS infection through prevention, provision of high-quality treatment options, and psychosocial services to infected and affected individuals and communities. However, there is still a considerable number of new infections occurring among children, especially in sub-Saharan Africa. Researchers highlight the benefits of HIV status disclosure to children. Yet, there is limited research concerning the ways counselors navigate the process of status disclosure to children with an HIV diagnosis. The purpose of this study was to examine the experiences of counselors regarding status disclosure to children living with HIV in Uganda, and to determine their self-identified training needs. I utilized a phenomenological qualitative research method and conducted individual interviews using a semi-structured interview protocol with 10 counselors from three HIV care centers in the central region of Uganda. Findings indicated six overarching themes including: (1) counselors' roles and responsibilities, (2) impact of age in the disclosure process, (3) motivations for disclosure, (4) challenges and barriers, (5) counselor preparations and trainings for disclosure, (6) and post-disclosure interventions. Study results highlight the critical role played by counselors during the HIV status disclosure process and the need for additional training and …

This study examined the effectiveness of caregiver consultations in caregiver's child's play therapy process through a program evaluation lens. Archival data was used from a counseling clinic located in the central southwestern United States. Quantitative data was collected from caregiver who filled out assessments (PSI-4 and CBCL) about their child's progression through play therapy and both groups frequency of attendance. A regression analysis was used to determine if caregivers perceived changes from the initial session and up to 10 weeks later. Additionally, retention rates over a course of 60 weeks were analyzed. Key findings suggest there is a high dropout rate from play therapy between the initial session before 10 weeks. For those whose therapy extended up to 60 weeks, consultation attritions continued. Due to low attrition numbers the effect of caregiver filled out assessments was unable to be confirmed, but this study did show a need for an intervention focused on caregiver retention to reduce attrition rates. The body of this study shows how to thoroughly conduct a program evaluation based on a specific variable and provides suggestions for explaining evaluation findings to stakeholders.

Assessment is a core component of the counseling identity. While previous literature has explored child clinicians' attitudes and use of standardized assessment instruments, less is known about the assessment practices of counselors providing play therapy to young children. The purpose of this qualitative study was to explore the subjective experiences of counselors who regularly use standardized social, emotional, and behavioral tests in their play therapy practice. Eleven professional counselors in the United States who regularly used standardized tests in play therapy participated in this study. The primary researcher utilized a transcendental phenomenological approach within a social, constructivist paradigm, along with an adapted phenomenological data analysis method. Six major themes were identified: professional development journey, use of standardized tests to enhance play therapy process, considerations for implementation in play therapy, counselor theoretical orientation and standardized tests, challenges in using standardized tests in play therapy, and advocacy and social justice issues. Implications for counselor education, clinical practice, and social justice advocacy are provided, along with recommendations for future research.

This study replicated components from Babcock et al. (2013) by examining an Imago-based Safe Conversations (SC) workshop using Gottman's psychometrically established instruments for couple functioning. Participants were 28 married heterosexual couples (N = 56) with a mean age of 27.30 years (SD = 10.16), 89.3% non-Hispanic, 78.6% Black or African-American, 85.7% first time married, 75% with at least a bachelor's degree, and a median household income in the $100,000-150,000 range. Couples independently completed the online SC workshop, The Toolbox for Couples, within a 2-week timespan. For each of three variables regarding marital quality assessed at pre- and post-workshop—(a) marital friendship, (b) conflict management, and (c) marital adjustment—multilevel dyadic analysis was conducted for four outcomes: (a) overall Time*Gender interaction effect, (b) effect for women, (c) effect for men, and (d) interclass correlation between men and women. From pre- to post-test, participants improved on all three variables: Out of the 12 analyses, 11 yielded statistically significant improvement with one very large, six large, and five medium effects. Results suggested that women may benefit more or be more sensitive to the effect of marital friendship, conflict management may be more important to men, and whereas both distressed and non-distressed couples can benefit regarding …

The purpose of this transcendental phenomenological inquiry was to explore college-aged women's experiences of body positivity and self-acceptance. I applied a conceptual framework that blended feminist identity development model (FIDM) and relational cultural theory (RCT) to answer the following questions: (a) what are the lived experiences of college-aged women who identify as having a positive and accepting body image? and (b) how do college-aged women's intersecting identities contribute to the development of positive and accepting body image? Ten college-age women participated in the current study. The participants provided detailed accounts of their experiences of body image throughout their life. Five overarching themes were identified through data analysis of the interview transcripts: (a) advocating for self and others, (b) beauty expectations and societal definitions, (c) intersecting identities, (d) journey of acceptance, and (e) relationships and community. Participants offered insight into the development of their current position of body positivity and self-acceptance that serve as implications for other relevant contexts. Implications and recommendations drawn from the participants' experiences can inform preventative and treatment care in educational settings, family environments, clinical practice, and integrated care.

Children experience a multitude of benefits in response to interactions with nature. Despite documented effects, children have increasingly spent less time outdoors over the last century and experienced higher rates of physical and emotional illnesses. Although child-centered play therapy (CCPT) is a culturally and developmentally responsive mental health treatment for children, researchers have limited study of environmental structure and materials employed in the therapeutic process of CCPT. In this study, I sought to further research on the integration of nature with CCPT by providing CCPT in an outdoor, contained playroom equipped with traditional CCPT toys and additional nature materials. Participants were 13 children in the southwestern U.S. with parent-reported attentional or self-regulation concerns (9 males, 6 females; ages 5-10, mean age M = 8.0). Parents reported participants' racial identities were 13% Black (n = 2), 13% Latinx (n = 2), 7% Turkish (n = 1), and 67% White (n = 10). Participants received 8 weeks of twice-weekly CCPT in an outdoor playroom. Results of two repeated measures ANOVAs revealed statistically significant improvement in attention on the Brown EF/A Scales and statistically significant improvement in social-emotional competencies on the SEARS-P. Results of this study illustrate the possible benefits of theoretically integrating …

Depression in childhood is a significant mental health concern, impacting cognitive, affective, social, behavioral, and physical domains. Children who experience depressive symptoms are at an increased risk for physical and mental health, social, and behavioral problems throughout adulthood. Children who are marginalized due to their socioeconomic status, racial and ethnic identities are at an increased risk to experience depression and limited access to mental health care. Further, previous research has demonstrated limited efficacy of depression treatments for young children. In this study, I examined the efficacy of child-centered play therapy [CCPT], a culturally and developmentally responsive treatment, on depression among young children. Participants were 71 children from five Title 1 elementary schools in the southwestern U.S. referred by school personnel for depressive symptoms (49 males, 22 females; ages 5-9, mean age M = 6.21). The sample consisted of 14 (19.7%) African American, 3 (4.2%) Asian American, 15 (21.1%) biracial, 19 (26.8%) Caucasian, and 20 (28.2%) Latino children. Participants were randomly assigned to eight weeks of twice-weekly CCPT treatment group (n = 34) or a waitlist control group (n = 37). Results of doubly multivariate repeated-measures MANOVA revealed statistically significant improvement in depressive symptoms for children who participated in CCPT on …

Virginia Axline developed a new field of child psychotherapy by applying a nondirective approach to the burgeoning experimentation of utilizing play in therapeutic work with children. While much biographical information is available regarding other leaders in the fields of counseling and psychology, historical research into Axline and her development of child-centered play therapy represent a gap in the literature. The purpose of the current study was to: 1) examine the professional contributions of Virginia Axline; 2) gather personal information regarding Axline that contributes to deeper understanding of her theory; and 3) identify life circumstances or events that influenced Axline's professional contributions. Historical methodology was utilized to locate and examine artifacts and materials necessary to create an interpretive biography of Axline's life and work, with a focus on her professional influences, experiences, and contributions. Historical methods utilized include historiography, oral history, and interpretive biography, with an emphasis on established and accepted source criticism and data synthesis processes. The research yielded a number of historically significant and previously unknown documents valuable to the field of CCPT including personal correspondence, academic writings, and interviews, as well as academic and government records. The research also established new information about and understandings of several of …

Childhood poverty is a prevalent concern in the United States and is associated with poor psychological and academic outcomes. Psychosocial stressors associated with life in poverty may interrupt the development of a positive self-concept, ultimately hampering the academic achievement of children in poverty. As the therapeutic objectives of child-centered play therapy (CCPT) support the development of an increasingly positive self-concept, I explored the impact of CCPT on the academic achievement of children in poverty. Participants were composed of 55 students between the ages of 4-7 years old from seven Title 1 elementary schools in the southern United States. Of the 55 study participants, 12 (22%) were female and 43 (78%) were male. Regarding participant ethnicity, 7 (13%) were African American, 1 (2%) was Asian American, 5 (9%) were multi-racial, 35 (64%) were Latino, 6 (11%) were Caucasian, and 1 (2%) did not report ethnicity. Participants were randomly assigned to either a 16 session CCPT treatment group (n = 25) or a waitlist control group (n = 30). A mixed between-within ANOVA was conducted to evaluate improvement in academic achievement scores between treatment and control groups across time. Results indicated a statistically significant interaction effect on the Early Achievement Composite Score …

In this study, I examined the impact of child-centered play therapy (CCPT) on the social and emotional functioning and mindful expressions of preschoolers in Head Start preschool programs. Participants were 23 children from two Head Start preschool programs in the southwestern U.S. who qualified for free or reduced lunch and were referred by school personnel for behavioral or academic concerns (18 males, 5 females; ages 3-5, mean age = 3.74). The sample consisted of 1 (4.3%) African American, 5 (21.7%) Caucasian, 14 (60.9%) Latino, and 3 (13%) multiracial children. Participants were randomly assigned to eight weeks of twice-weekly CCPT experimental groups (n = 11) or a waitlist control group (n = 12). Results of the independent samples t-tests revealed statistically significant improvement in preschool children's empathy and responsibility for children who participated in CCPT on the Social Emotional Assets and Resiliency Scale for Preschool. Practically significant findings revealed that CCPT may influence specific mindful expressions including curiosity and openness as well as overall social-emotional competence, emotional knowledge and expression, and empathy and responsibility in Head Start preschool children. Results of this study support the effectiveness of CCPT with disadvantaged preschool children.

This study aimed to explore the ability to capture the theoretical constructs of Adlerian crucial Cs (capable, connect, count, and courage) through creation of a self-report instrument for children. After following a four-phase process to develop the Crucial Cs Self Report (CCSR), including use of an expert panel, field reviews, preliminary testing, and final administration, the researcher utilized a series of exploratory factor analyses to explore the internal factor structure and relationships between items and resulting factors. The final EFA sample consisted of 112 children between the ages of 8 and 12 years recruited from various settings including three elementary schools, two mental health counseling clinics, and one private practice mental health agency. Exploratory factor analysis revealed a three-factor structure with 14 items. Refined model identified three factors later named count/significance, connect/belonging, and capable/striving. This initial exploration into the constructs of the Crucial Cs provides increased understanding of the widely used concepts. Further exploration and validation of the CCSR can help support parents and teachers in their efforts to foster healthy development of children as well as allow professionals and researchers to conceptualize progress and measure effectiveness of counseling intervention more accurately.

Assessment is a foundational part of counseling practice, which includes the process of providing assessment feedback to those tested. Millions of children are assessed across the United States through the public-school system, hospital, agency, and private practice settings. Though millions of children are assessed yearly, there has been little research surrounding providing assessment feedback with children. In this study, the author qualitatively explored children's experiences with a developmentally appropriate feedback model, the young children's assessment feedback (YCAF). Participants included ten 6 to 10-year old children, who had not previously gone through psychoeducational testing within the last year. Participants completed a battery of psychoeducational assessments and the YCAF feedback process. Data sources included session transcriptions, session observation notes, child interviews, parent interviews, and expressive arts observation notes. In order to explore the perceptions regarding the YCAF, the author utilized interpretative phenomenological analysis to understand the children's feedback experiences. Findings included the following themes: freedom for self-direction, self-concept, therapeutic relationship, affective responses of child, systemic shifts, and developmental considerations. The themes show that the children in this study saw a variety of benefits and experiences surrounding receiving their own personalized, developmentally appropriate assessment feedback.

The purpose of the present study was to explore a theoretically based social-cognitive model of posttraumatic stress disorder (PTSD) by investigating attachment-related and social-cognitive predictors of PTSD in a sample of 125 post-9/11 U.S. combat veterans. Subjects completed an online survey assessing PTSD symptomology, attachment-related internal working models, perceived social support, and mentalizing capacity. Path analysis provided empirical support for a respecified version of the model. More negative internal working model of self and poorer mentalizing capacity predicted higher PTSD symptom levels. Contrary to previous findings, greater perceived social support predicted higher, not lower, PTSD symptom levels. Mentalizing capacity mediated the relationship between internal working model of self and PTSD symptoms in a complementary manner, whereas perceived social support as a mediator was dampening. The relationship between internal working model of others and PTSD symptom levels was fully mediated by perceived social support, which buffered the effect of negative working model of others on PTSD symptom levels. These findings underscore the importance of social-cognitive processing, rooted in early attachment experiences, in the development and symptomology of PTSD in trauma-exposed veterans. In preparing clients for trauma work, clinicians may consider employing modalities that promote earned secure attachment and highlight mentalization in …