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It is crucial for counselors to be aware of their own attitudes and beliefs and to prevent them from influencing the counseling process. The prevalence of obesity is growing and biases against obese people are becoming more apparent. Counselors must become aware of the potential weight bias and what factors

It is crucial for counselors to be aware of their own attitudes and beliefs and to prevent them from influencing the counseling process. The prevalence of obesity is growing and biases against obese people are becoming more apparent. Counselors must become aware of the potential weight bias and what factors influence it. The purpose of the current study was to examine whether counselors- in-training hold negative attitudes toward obese clients and whether the career status of the client affects these perceptions. Seventy-six students in graduate level counseling programs at Arizona State University were randomly assigned one of four vignettes describing either an obese bookkeeper, a normal weight bookkeeper, an obese executive, or a normal weight executive. Negative attitudes were measured using two scales; one evaluating perceived personal characteristics of the client and one evaluating the perceived work efficacy. Results indicated that counselors-in-training perceived the client with more negative characteristics when the client was described as obese rather than normal weight, and also when she was described as having a low status job compared to a high status job. The perceived work efficacy of the presented client was not affected by the client’s weight or job status. It is important for students in counseling programs to receive training regarding weight biases and job status biases.
ContributorsPascal, Brittani (Author) / Robinson Kurpius, Sharon E (Thesis advisor) / Homer, Judith (Committee member) / Horan, John J (Committee member) / Arizona State University (Publisher)
Created2011
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Description
This study explored several training variables that may contribute to counseling trainees' multicultural counseling self-efficacy and multicultural case conceptualization ability. Specifically, this study aimed to examine the cognitive processes that contribute to multicultural counseling competence (MCC) outcome variables. Clinical experience, multicultural knowledge, and multicultural awareness are assumed to provide the

This study explored several training variables that may contribute to counseling trainees' multicultural counseling self-efficacy and multicultural case conceptualization ability. Specifically, this study aimed to examine the cognitive processes that contribute to multicultural counseling competence (MCC) outcome variables. Clinical experience, multicultural knowledge, and multicultural awareness are assumed to provide the foundation for the development of these outcome variables. The role of how a counselor trainee utilizes this knowledge and awareness in working with diverse populations has not been explored. Diversity cognitive complexity (DCC) quantifies the process by which a counselor thinks about different elements of diversity in a multidimensional manner. The current study examined the role of DCC on the relationship between training variables of direct clinical experience with diverse populations, multicultural knowledge, and multicultural awareness and the two training outcomes (multicultural counseling self-efficacy and multicultural case conceptualization ability). A total of one hundred and sixty-one graduate trainees participated in the study. A series of hypotheses were tested to examine the impact of DCC on the relationship between MCC predictors (multicultural knowledge, multicultural awareness, and direct contact hours with diverse clinical populations) and two MCC outcomes: multicultural counseling self-efficacy and multicultural case conceptualization ability. Hierarchical regression analyses were utilized to test whether DCC mediated or moderated the relationship between the predictors and the outcome variables. Multicultural knowledge and clinical hours with diverse populations were significant predictors of multicultural counseling self-efficacy. Multicultural awareness was a significant predictor of multicultural case conceptualization ability. Diversity cognitive complexity was not a significantly related to any predictor or outcome variable, thus all hypotheses tested were rejected. The results of the current study support graduate programs emphasizing counselor trainees gaining multicultural knowledge and awareness as well as direct clinical experience with diverse clinical populations in an effort to foster MCC. Although diversity cognitive complexity was not significantly related to the predictor or outcome variables in this study, further research is warranted to determine the validity of the measure used to assess DCC. The findings in this study support the need for further research exploring training variables that contribute to multicultural counseling outcomes.
ContributorsRigali-Oiler, Marybeth (Author) / Robinson Kurpius, Sharon E (Thesis advisor) / Arciniega, Guillermo M (Committee member) / Nakagawa, Kathryn (Committee member) / Homer, Judith (Committee member) / Arizona State University (Publisher)
Created2013
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Description
As the retention rate of college freshmen increases, Tinto's (1993) model of academic persistence conceptualizes several dimensions of students' voluntary dropout. This study examined both personal and parental factors that may impact the academic persistence decisions of freshmen college students: 1) parental educational attainment; 2) parental valuing of education; 3)

As the retention rate of college freshmen increases, Tinto's (1993) model of academic persistence conceptualizes several dimensions of students' voluntary dropout. This study examined both personal and parental factors that may impact the academic persistence decisions of freshmen college students: 1) parental educational attainment; 2) parental valuing of education; 3) high school grade point average (GPA); 4) residential status (on- versus off-campus); 5) educational self-efficacy; 6) self-esteem; 7) personal valuing of education; 8) perceived academic preparation; and 9) academic expectations. The study sample consisted of 378 freshmen college students at a large southwestern university who were recruited from 23 sections of a 100-level class intended to promote academic success. The participants in this cross-sectional study were restricted to freshman level students and 18 and 19 years old in accordance with Erikson's (1968) Identity stage of psychosocial development. A hierarchical regression analysis revealed that academic persistence decisions were predicted by residential status and self-beliefs, which consisted of: educational self-efficacy, self-esteem, personal valuing of education, perceived academic preparation, and academic expectations. Parental valuing of education was a significant predictor of academic persistence decisions until self-beliefs were added to construct the full model. Although self-beliefs were collectively the most powerful predictors of persistence decisions, accounting for 22.8% of the variance, examination of the beta weights revealed that self-esteem, educational self-efficacy, and personal valuing of education were the most powerful predictors, while academic expectations approached significance. Residential status was also a significant predictor and accounted for a small but significant variance (1.6%) in academic persistence decisions. A significant multivariate difference was found between students living on campus and those living off campus. Follow-up ANOVAs revealed differences in mother's education and in parental valuing of education. These findings suggest that researchers, counselors, and college policy-makers consider on-campus living variables as well as students' self-beliefs when considering academic persistence decisions in college freshmen.
ContributorsWalsh, K. James (Author) / Robinson Kurpius, Sharon E (Thesis advisor) / Kemer, Gulsah (Committee member) / Kinnier, Richard T (Committee member) / Arizona State University (Publisher)
Created2013
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Description
This study examined the role of substance use in the relationship between the working alliance and outcome symptomatology. In this study, two groups of participants were formed: the at risk for substance abuse (ARSA) group consisted of participants who indicated 'almost always,' 'frequently,' 'sometimes,' or 'rarely' on either of two

This study examined the role of substance use in the relationship between the working alliance and outcome symptomatology. In this study, two groups of participants were formed: the at risk for substance abuse (ARSA) group consisted of participants who indicated 'almost always,' 'frequently,' 'sometimes,' or 'rarely' on either of two items on the Outcome Questionnaire-45.2 (OQ-45.2) (i.e., the eye-opener item: "After heavy drinking, I need a drink the next morning to get going" and the annoyed item: "I feel annoyed by people who criticize my drinking (or drug use)"). The non-ARSA group consisted of participants who indicated 'never' on both of the eye-opener and annoyed screening items on the OQ-45.2. Data available from a counselor-training center for a client participant sample (n = 68) was used. As part of the usual counselor training center procedures, clients completed questionnaires after their weekly counseling session. The measures included the Working Alliance Inventory and the OQ-45.2. Results revealed no significant differences between the ARSA and non-ARSA groups in working alliance, total outcome symptomology, or in any of the three subscales of symptomatology. Working alliance was not found to be significant in predicting outcome symptomatology in this sample and no moderation effect of substance use on the relationship between working alliance and outcome symptomatology was found. This study was a start into the exploration of the role of substance use in the relationship between working alliance and outcome symptomatology in individual psychotherapy. Further research should be conducted to better understand substance use populations in individual psychotherapy.
ContributorsHachiya, Laura Y (Author) / Bernstein, Bianca (Thesis advisor) / Tran, Giac-Thao (Committee member) / Homer, Judith (Committee member) / Arizona State University (Publisher)
Created2013
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Description
Technology is rapidly evolving, and mental health professionals are increasingly using technology in their clinical work. In reaction to this shift, it is important that research examines the ethical implications of online behaviors. The current study examined the online practices of graduate students in the mental health field and generated

Technology is rapidly evolving, and mental health professionals are increasingly using technology in their clinical work. In reaction to this shift, it is important that research examines the ethical implications of online behaviors. The current study examined the online practices of graduate students in the mental health field and generated prediction models for online client searches and best practices in informed consent and online disclosure. The sample consisted of 316 graduate students in counseling, clinical, and school programs. Of those with clinical experience, a third had utilized the Internet to find information about their client. Progress in the participants' program, as measured by credits completed or in progress, and years of social networking experience were positively related to online client searches. The vast majority (over 80%) of individuals who conducted an online search did not obtain informed consent prior to the search. Curiosity was the most frequent reason given for conducting a client search. Previous professional discussions and belief that information online is private were not significant predictors of obtaining informed consent. The final analysis examined disclosure of client information and found that lower scores on ethical decision-making and years of social networking experience predicted online disclosure. This study is an important step in understanding the implications of the intersection of technology use, ethics, and clinical practice of graduate mental health professionals.
ContributorsHarris, Sara Elisabeth (Author) / Robinson Kurpius, Sharon E (Thesis advisor) / Tracey, Terence (Committee member) / Kinnier, Richard (Committee member) / Arizona State University (Publisher)
Created2012
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The present study examined whether a history of childhood sexual abuse would be related to attachment to mother, to father, and to friends, mattering to parents and to friends, and coping behaviors. In addition, whether use of force, duration of abuse, and severity of abuse were related to perceived

The present study examined whether a history of childhood sexual abuse would be related to attachment to mother, to father, and to friends, mattering to parents and to friends, and coping behaviors. In addition, whether use of force, duration of abuse, and severity of abuse were related to perceived negative impact of childhood sexual abuse was examined. Gender differences among survivors were also investigated. Specifically, from the initial sample of 258 young adults, 186 who met the age requirement were included in the tests of the hypotheses. All participants were between the ages of 18 and 25. Compared to those with no history of childhood sexual abuse (n = 109), survivors (n = 77) reported lower attachment to father and less mattering to parents. There were no differences in attachment and mattering to friends or in emotion-focused and problem-focused coping. When gender differences were examined among survivors, females reported greater use of problem-focused coping and perceiving their childhood sexual abuse experiences as more negative than did the male survivors. There were no differences among male and female survivors of childhood sexual abuse on emotion-focused coping. Force and severity, but not duration, were linked to more negative perceptions of the childhood sexual abuse. Attachment to mother emerged as a key variable in that attachment to mother was positively related to attachment to friends, mattering to friends, and the use of problem-focused coping. Stronger attachment to mother and attachment to father, but not a history of childhood sexual abuse, were related to more perceived mattering to parents. These results highlight the importance of attachment to caregivers in developing peer attachment and a sense of mattering to friends, problem-focused coping skills, and perceiving childhood sexual abuse as having a less negative impact on their lives. Clinical and research implications and suggestions for future directions are discussed.
ContributorsStaley, Sarah Katheryn (Author) / Robinson Kurpius, Sharon E (Thesis advisor) / Cabianca, William A (Committee member) / Homer, Judith (Committee member) / Arizona State University (Publisher)
Created2011
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Description
Each year, an alarming number of college women are victims of interpersonal violence. In investigating the experiences of college women, the process of disclosure has emerged as an important research focus. Much of the current literature on interpersonal violence disclosure has focused on negative and positive social reactions from informal

Each year, an alarming number of college women are victims of interpersonal violence. In investigating the experiences of college women, the process of disclosure has emerged as an important research focus. Much of the current literature on interpersonal violence disclosure has focused on negative and positive social reactions from informal and formal supports. However, there is a lack of literature understanding how those disclosure reactions are connected to psychological, emotional, and behavioral consequences after the disclosure. Through in-depth, semi-structured interviews with eight diverse college women, the present study explores the nuanced ways survivors experience formal and informal disclosures, interpret disclosure reactions, and experience distress and growth. Using Interpretative Phenomenological Analysis (IPA) following a feminist paradigm, I identified seven themes related to the process of sharing one’s interpersonal violence victimization with others. The themes were organized into two categories that illustrate participants’ disclosure experiences and the psychosocial consequences of disclosure. The findings of this study may be used to inform training for university resource personnel as well as education for individuals within a survivor’s support system.
ContributorsAnderson, Mercedes (Author) / Spanierman, Lisa (Thesis advisor) / Buckman, Lindsey (Committee member) / Pereira, Jennifer (Committee member) / Arizona State University (Publisher)
Created2022
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Description
The onset of the COVID-19 pandemic during the spring of 2020 necessitated a sudden and national transition from in-person to telehealth mental health services. Burgeoning literature has supported the use of telehealth services generally, though there is little research related to its use among graduate-level trainees. The present study utilized

The onset of the COVID-19 pandemic during the spring of 2020 necessitated a sudden and national transition from in-person to telehealth mental health services. Burgeoning literature has supported the use of telehealth services generally, though there is little research related to its use among graduate-level trainees. The present study utilized data collected from a university counseling training center to compare client outcomes, namely ratings of depression and anxiety, between in-person (pre-pandemic; n = 86) and telehealth (intra-pandemic; n = 102) groups. Additionally, I examined treatment format (in-person vs. telehealth) as moderator of the association between client-reported working alliance and client-reported outcomes. Results showed a significant and negative effect of the working alliance on symptoms of depression and anxiety regardless treatment format. Implications for research and practice are discussed.
ContributorsGerton, Jessica M (Author) / Spanierman, Lisa (Thesis advisor) / Bludworth, James (Thesis advisor) / Dillon, Frank (Committee member) / Arizona State University (Publisher)
Created2022
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This study examined the factor structure of supervisee disclosure in clinical supervision. An original survey measure was created for this study, the Supervisee Disclosure Scale (SDS). Through exploratory factor analysis eight specific content areas of supervisee disclosure were identified. The eight specific content areas of supervisee disclosure include: Perceived Clinical

This study examined the factor structure of supervisee disclosure in clinical supervision. An original survey measure was created for this study, the Supervisee Disclosure Scale (SDS). Through exploratory factor analysis eight specific content areas of supervisee disclosure were identified. The eight specific content areas of supervisee disclosure include: Perceived Clinical Inadequacy, Transference Issues, Strengths of the Supervisory Relationship, Clinical Successes, Self, Weaknesses of the Supervisory Bond, Dissatisfaction with the Clinical Setting, and Own Clinical Voice. Furthermore, this study examined the potential relationship of clinical experience with the content areas of supervisee disclosure. The results of this study support a relationship between greater clinical experience and disclosure of items related to Self but not with the other content areas. Additionally, the bi-level factor structure of the Working Alliance Inventory/Supervision-Short (WAI-SS) was validated via confirmatory factor analysis. The bi-level factor structure of the WAI-SS identifies a hierarchical structure of general alliance in addition to the specific factors of task, bond, and goal. Lastly, this study preliminarily evaluated the relationship between WAI-SS factors of general alliance, task, bond, and goal and the preliminary specific content areas of supervisee disclosure. The hierarchical factor of general alliance was a statistically significant predictor for all specific content areas of supervisee disclosure. The preliminary findings of this study, highlight the important differences in the relationships among the specific factors of the supervisory working alliance and content areas of supervisee nondisclosure. The factor of task was not significantly correlated with content areas of supervisee disclosure and the factor of goal was only a significant predictor for two content areas of disclosure: Strengths of the Supervisory Relationship and Dissatisfaction with Clinical Setting. The factor of bond was significantly correlated with six content areas of supervisee disclosure and significantly predicted five content areas: Strengths of the Supervisory Relationship, Clinical Successes, Self, Weaknesses of the Supervisory Bond, and Dissatisfaction with the Clinical Setting. This study contributes specificity to the supervision literature on supervisee disclosure and nondisclosure. The results of this study provide a psychometrically sound foundation for future research to identify aspects of the supervisory working alliance that may reduce supervisee nondisclosure.
ContributorsHachiya, Laura Y (Author) / Bernstein, Bianca L. (Thesis advisor) / Tracey, Terence (Committee member) / Homer, Judith (Committee member) / Arizona State University (Publisher)
Created2018
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This qualitative study investigated the postpartum experiences of mothers who used hypnosis to birth. This research project was based on a constructivist version of Grounded Theory. Qualitative inquiry and analysis were conducted on 15 semi-structured interviews; two pilot interviews were also conducted. Phone and in-person interviews were completed with

This qualitative study investigated the postpartum experiences of mothers who used hypnosis to birth. This research project was based on a constructivist version of Grounded Theory. Qualitative inquiry and analysis were conducted on 15 semi-structured interviews; two pilot interviews were also conducted. Phone and in-person interviews were completed with Caucasian, Hispanic, and multiracial mothers who were between one month and 15 months postpartum. The following 12 major themes emerged: bonded with child, development of self-efficacy, breastfeeding success, family criticism, online support, impact on family, practice effect, amazement to misevaluation, induction overwhelm, holistic benefits, minimal post partum depression, and birth stories. Mothers of two or more children appreciated birth more, reported an increased sense of calm and closeness within their nuclear and extended family, believed that the benefits of hypnosis for birthing assisted in the areas of bonding with their newborn, self-efficacy, breastfeeding and overall postpartum success. First-time mothers appreciated the physical aspect of recovery after delivery. They emphasized the birth narrative despite cultural differences in sharing their stories. Although they attributed much success to the use of hypnosis for birthing, they tended to make more indirect attributions to the bond with their child, self-efficacy, breastfeeding, and overall postpartum success. Mothers who required a c-section, epidural, or induction during birth experienced feelings of guilt and viewed hypnosis as an isolated tool for birth and a tool to reduce guilt and stress postpartum. Mothers who birthed naturally used hypnosis postpartum in more ways. Hispanic mothers expressed greater difficulty with balancing their roles as a career woman and mother. They had different expectations around the participation of their partner during birth preparation and postpartum. Breastfeeding was most important to this group and reflected communal values. Hypnosis for birthing was described as being helpful for mothers who had a psychological history with depression, anxiety, or trauma. Participants reported overall effectiveness of hypnosis for birthing methods despite mixed reactions from birthing professionals, family, and friends. The importance of these findings for counseling psychology is discussed.
ContributorsLafaurie, Enjolie (Author) / Robinson Kurpius, Sharon E (Thesis advisor) / Kinnier, Richard (Committee member) / Arciniega, Guillermo M (Committee member) / Arizona State University (Publisher)
Created2015