This study is a systematic review of the current literature surrounding intergenerational trauma in Southeast Asian (SEA) immigrant/refugee families. This review was guided upon using the 2020 PRISMA criteria and framework. After a parallel search across several databases, 14 articles were qualified for inclusion after reviewing exclusion criteria. Across these articles, five main aims were examined: the effect of trauma on parent mental health, the effect on child mental health, the effect on parenting, the effect on family dynamics/relationship, and an exploratory aim on current recommended interventions. The literature indicated that negative mental health outcomes were often present in parents and affected the quality of parenting. Child mental health was negatively affected through close interactions with the parent. Certain parenting behaviors and styles were associated with traumatized parents, which led to the development of attachment issues in children. Family dynamics and relationships were impacted by conflicting cultures and beliefs they were raised with in the United States and the ones taught at home by their parents. Current recommendations for interventions involve therapy, understanding culture and context of trauma, and as well as utilizing the support and influence of the community. There are many gaps in current research and more examination of intergenerational trauma amongst SEA populations is needed to better understand this complex issue in order to improve the relationship between parents, children, and overall family suffering from the effects of intergenerational trauma. Further recommendations for research, gaps in literature, and implications for this study are explored.

The COVID-19 pandemic has generated alarming increases in psychological distress and alcohol use behaviors and has caused the greatest increases in depression and anxiety symptoms among college students. Prior studies have examined the impact of COVID-19 broadly on mental health and alcohol use outcomes; however, few studies have examined these impacts in college students. Previous studies have examined individual factors that could moderate the relation between COVID-19 related stressors and mental health and alcohol use outcomes, but knowledge is lacking regarding the role of emotion regulation. The present study aimed to examine the role of emotion regulation in the relation between both COVID-19 stressful experiences and COVID-19 related worry and mental health and alcohol use outcomes, and to explore racial/ethnic differences in their associations. Four hierarchical multiple regression models were conducted to assess main effects of COVID-19 stressors and emotion regulation, as well as moderation of the effect of emotion regulation on depression symptoms, anxiety symptoms, alcohol consumption, and alcohol use disorder (AUD) symptoms during the past year. COVID-19 related worry was associated with greater symptoms of both mental health outcomes, whereas COVID-19 related stressful experiences were associated with both mental health outcomes, more alcohol consumption, and more AUD symptoms. Difficulties in emotion regulation had significant main effects on mental health outcomes and AUD symptoms, but not alcohol consumption. Hispanic/Latinx students reported higher experiences of both COVID-19 related stressors, but consumed less alcohol than did White/European students. This study provides further insight into the nature of COVID-19 related stressors and their subsequent impacts. Implications for prevention and intervention on college campuses are discussed.

Psychological therapy is the process of understanding, treating, and maintaining a healthy psyche. Psychological therapy comes in many shapes and sizes. Different methods of therapy include but are not limited to cognitive behavioral therapy, psychodynamic therapy, psychoanalytic therapy, group therapy, and humanistic therapy. Most of these major therapeutic options fall under the umbrella of “talk therapy”. Although talk therapy is effective, practicing talk therapy exclusively limits not only the capabilities of therapy, but also potential clientele who would benefit from alternatives to talk therapy. Because each psyche is as unique and individual as fingerprints, each person seeking therapy should be able to create a personalized therapy program. Generating unique combinations of various therapy methods that are catered specifically to the client is a way to achieve this lofty goal. This research intends to better understand whether this proposal of combining various therapeutic techniques and methods in order to achieve individualized therapy programs will increase the effectiveness of the therapy being administered. In this meta analysis, the focus will be on animal therapy and poetry therapy used in conjunction theoretically as an example of potential applications for various combinations in conjunctive therapy. Conjunctive therapy is the main idea being piloted in this thesis and is a new form of therapy that involved the usage of two therapeutic techniques together while maintaining and equal prevalence and importance between them.