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Title: DEVELOPING THE COVERT TRAUMATIC EXPERIENCE SCALE (COTES): A RETROSPECTIVE EARLY PSYCHOSOCIAL TRAUMA ASSESSMENT TOOL.
Creator: Vastardis, Tiffany E., Gill, Carman S., Florida Atlantic University, Department of Counselor Education, College of Education
Abstract/Description: The purpose of this study was to develop and explore the factor structure of a retrospective assessment instrument designed to identify the presence of early covert traumas in an individual’s history. Covert traumas are those which are psychosocial, and often interpersonal, in nature (Altobelli, 2017). While a deficiency in the available body of research addressing such traumas currently exists, limited research suggests that experiences of such phenomena may affect individual potential...
Show moreThe purpose of this study was to develop and explore the factor structure of a retrospective assessment instrument designed to identify the presence of early covert traumas in an individual’s history. Covert traumas are those which are psychosocial, and often interpersonal, in nature (Altobelli, 2017). While a deficiency in the available body of research addressing such traumas currently exists, limited research suggests that experiences of such phenomena may affect individual potential across various domains of development, functioning, health, and well-being (van der Kolk, 2014). In addition, the residual effects of such traumas may exacerbate adverse adult outcomes, such as experiences of chronic pain, proclivities towards maladaptive forms of coping, and hindrances to academic and occupational performance and achievement (Felitti et al., 1998). Furthermore, some theorists propose that the impact of such traumas, especially when compounded, may cause more emotional harm than exposure to a single overtly traumatic event (Staggs, 2014).
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Date Issued: 2019
PURL: http://purl.flvc.org/fau/fd/FA00013425
Subject Headings: Evidence-Based Practice, Trauma, Psychometrics--instrumentation, Exploratory factor analysis
Format: Document (PDF)

Title: Fostering Resilience for Adults with Substance Use Disorder: A Clinical Study of an Integrative Group Model.
Creator: Foster, Karrol-Jo Lee, Gill, Carman, Florida Atlantic University, College of Education, Department of Counselor Education
Abstract/Description: The purpose of this research study was to determine the effects of Fostering Resilience™ (FR), a new integrative relapse prevention group protocol for improving relapse risk, internalized shame, and psychological well-being in adults with substance use disorders (SUD). This study also sought to identify any relationship among relapse risk, internalized shame, and psychological well-being. It is the first study to investigate the new FR manualized program model compared to treatment as usual ...
Show moreThe purpose of this research study was to determine the effects of Fostering Resilience™ (FR), a new integrative relapse prevention group protocol for improving relapse risk, internalized shame, and psychological well-being in adults with substance use disorders (SUD). This study also sought to identify any relationship among relapse risk, internalized shame, and psychological well-being. It is the first study to investigate the new FR manualized program model compared to treatment as usual (TAU). The FR model was created based upon direct client experience, the supposition of the intrinsic role shame plays in SUD, and the corresponding belief in the essential value of implementing shame reduction techniques for improving treatment outcomes. Participants were 43 adults with SUD (19 FR and 24 TAU) seeking outpatient treatment. All participants received the 8-week intensive outpatient (IOP) treatment, with the FR group receiving 16 sessions of the manualized FR relapse prevention group protocol in lieu of other TAU group options. Assessments were administered pre and postintervention. Results indicated that the FR treatment group produced a significant reduction in relapse risk (p = .002, ES = .825), shame (p = .004, ES = .763), and psychological wellbeing (p = .008, ES = .679) from baseline to post-intervention, while the TAU comparison group produced a non-significant improvement in relapse risk (p = .209, ES = .264), shame (p = 055, ES = .409) and psychological well-being (p = .088, ES = .456). Correlation results indicated highly significant correlations between all the dependent variables. All correlations dropped post-intervention, although remained significant. The strongest relationship was found between shame and relapse risk at baseline: ALL (n = 43, r = .880), FR (n = 19, r = .869), TAU (n = 24, r = .908). This preliminary study establishes support for the new FR model as a beneficial treatment for significantly improving relapse risk, internalized shame, and psychological well-being in adults with SUD. It also provides important knowledge and insight regarding the critical nature of shame and its role relative to relapse risk and psychological well-being in those with SUD.
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Date Issued: 2018
PURL: http://purl.flvc.org/fau/fd/FA00013109
Subject Headings: Substance abuse--Relapse--Prevention, Resilience, Psychological, Clinical studies, Shame
Format: Document (PDF)

Title: The Impact of Social Support and Stigmatization Upon the Wellness of Females Diagnosed with a Substance Use Disorder.
Creator: Canfield, Irene LeBlanc, Gill, Carman S., Florida Atlantic University, College of Education, Department of Counselor Education
Abstract/Description: Females diagnosed with a substance use disorder (SUD) may experience more stigmatization and need more social support than males. Traditional therapeutic services provide interventions and treatment that is uniform for males and females. The available research on female substance users does not address meaningful connections and relationships with others, and its effect on overall wellness. The objective of this study was to address the importance of social support, stigmatization, and...
Show moreFemales diagnosed with a substance use disorder (SUD) may experience more stigmatization and need more social support than males. Traditional therapeutic services provide interventions and treatment that is uniform for males and females. The available research on female substance users does not address meaningful connections and relationships with others, and its effect on overall wellness. The objective of this study was to address the importance of social support, stigmatization, and wellness. A sample of 232 females diagnosed with SUD, at least 18 years of age, responded to three instruments and a demographic form. The results of this study indicate that income and age are predictors of overall wellness and explained 12% of the variance in wellness, when using a multiple regression analysis, (adjusted R^2 = .119, p = .000). Relationship status and relationship length demonstrated significance as predictors of social support, explaining 5.6% of the variance in social support, using a multiple regression analysis, (adjusted R^2 = .056, p = .001). Number of children, age, and relationship length demonstrated significance as predictors of stigmatization, accounting for 9.4% of the variance in stigmatization, (adjusted R^2 = .094, p = .000). Social support accounted for 4.1% of the variance in stigmatization using a multiple regression analysis, (adjusted R^2 = .041, p = .001). Social support explained 39% of the variance in wellness, (adjusted R^2 = .394, p = .000). Using a hierarchical regression analysis to control for stigmatization, social support explained 44% of the variance in wellness, (adjusted R^2 = .438, p = .000). Finally, social support mediates the relationship between stigmatization and wellness, when using path analysis. This study provided support for specific treatment for females in substance abuse treatment; particularly concerning social support, stigmatization, and wellness. These females with SUD reported that social support increased wellness, correlating with decreased stigmatization. Conversely, females who experienced increased stigmatization and decreased social support also experienced decreased wellness. Social support mediated the impact of stigmatization and wellness.
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Date Issued: 2018
PURL: http://purl.flvc.org/fau/fd/FA00013121
Subject Headings: Substance abuse, Female, Stigma (Social psychology), Social Support
Format: Document (PDF)

Title: BICULTURALISM, FAMILISM, AND PARENTING STYLES OF HAITIAN PARENTS WITH JUVENILE YOUTH: IMPACT OF A FAMILY-BASED INTERVENTION.
Creator: Demezier, Danna, Gill, Carman S., Florida Atlantic University, Department of Counselor Education, College of Education
Abstract/Description: The purpose of this randomized experimental design was to determine the impact of a culturally adapted family-based intervention program on parenting styles. A secondary purpose was to determine the impact of cultural factors, biculturalism and familism, on the parenting styles of parents who participated in the family intervention, as compared to those who did not participate in the intervention. The sample consisted mostly of Haitian parents whose youth, ages 13-17, were involved in the...
Show moreThe purpose of this randomized experimental design was to determine the impact of a culturally adapted family-based intervention program on parenting styles. A secondary purpose was to determine the impact of cultural factors, biculturalism and familism, on the parenting styles of parents who participated in the family intervention, as compared to those who did not participate in the intervention. The sample consisted mostly of Haitian parents whose youth, ages 13-17, were involved in the juvenile justice system in South Florida. Twenty-one parents were randomly assigned to the intervention group (n = 15) and comparison group, or standard of care (n = 6). This study was a substudy of a larger scale study that was conducted at a major university in South Florida. Participants in the family-based intervention group received an evidence-based intervention that was adapted to their cultural needs and language preferences. The intervention lasted between 3-4 months. Participants in the comparison group were those in the standard of care, or treatment as usual group, who were referred to community-based organizations for counseling services. A pretest-posttest design was used to examine the effects of the culturally adapted intervention on parenting styles and familism. Parenting styles were measured using the Parenting Styles and Dimensions Questionnaire (PSDQ, Robinson et al., 1995) and familism was measured using the Attitudinal Familism Scale (Lugo Steidel & Contreras, 2003). T-test analyses were used to determine statistical significance of the variables and gain scores were calculated for the intervention group and comparison group. Pearson’s r correlation coefficient was also used to explore any significant relationships between the dependent variables, parenting styles and familism, and parenting styles and biculturalism. Biculturalism was measured using the Bicultural Involvement Questionnaire (Szapocznik et al., 1980).
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Date Issued: 2021
PURL: http://purl.flvc.org/fau/fd/FA00013675
Subject Headings: Parenting, Parenting--Cross-cultural studies, Haitian Americans, Juvenile delinquency, Family counseling
Format: Document (PDF)

Title: RELIGIOSITY AND SPIRITUALITY AMONG LGBTQ+ INDIVIDUALS: MEDIATION EFFECTS ON MINORITY STRESS AND SYMPTOMS OF DEPRESSION, ANXIETY, AND STRESS.
Creator: Katz, Joshua A., Gill, Carman, Florida Atlantic University, Department of Counselor Education, College of Education
Abstract/Description: LGBTQ+ individuals currently represent 7.1% of the population yet seek mental health services at rates two to four times higher than average, and present with significantly higher rates of depression, anxiety, stress, substance abuse, and suicidality. LGBTQ+ youth have the highest rates of suicidality of any minority group, with a recent poll reporting 22-32% attempted suicide compared to 5% of non-LGBTQ+ youth. These statistics are influenced by discrimination, stigma, and living in a...
Show moreLGBTQ+ individuals currently represent 7.1% of the population yet seek mental health services at rates two to four times higher than average, and present with significantly higher rates of depression, anxiety, stress, substance abuse, and suicidality. LGBTQ+ youth have the highest rates of suicidality of any minority group, with a recent poll reporting 22-32% attempted suicide compared to 5% of non-LGBTQ+ youth. These statistics are influenced by discrimination, stigma, and living in a heterosexist society and can lead to psychological distress, identity concealment, internalized homophobia, and stigma-based rejection explained through Minority Stress Theory. LGBTQ+ polls recently revealed an average of 80% identify as religious and/or spiritual. The purpose of this study is to better understand the risks or rewards of the intersecting identities of religiosity, spirituality and being LGBTQ+. In this quantitative non-experimental design study using Pearson’s R correlation, multiple relationships were found among the variables of spirituality, religiosity, age, being non-white, minority stress, and symptoms. of depression, anxiety, and stress. Multiple regression analysis found that spirituality, religiosity, and minority stress predicted 52% of the variance in depression, anxiety, and stress. Finally, a mediation analysis revealed that religiosity was not statistically significant as a mediator between minority stress and symptoms of depression, anxiety, and stress, but spirituality was statistically significant as a partial mediator of these effects and, therefore, strong emphasis is placed on the benefits spirituality can have among LGBTQ+ individuals.
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Date Issued: 2023
PURL: http://purl.flvc.org/fau/fd/FA00014281
Subject Headings: Spirituality, LGBTQ+ people, Mental health
Format: Document (PDF)

Title: TEACHING HEARING CLIENTS SIGN LANGUAGE IN THERAPY: THE SIGN YOUR FEELINGS INTERVENTION'S EFFECTS ON THE THERAPEUTIC ALLIANCE AND CLIENT OUTCOMES.
Creator: Lopez-Escobar, Grisel M.F., Gill, Carman, Florida Atlantic University, Department of Counselor Education, College of Education
Abstract/Description: The aim of the study was to validate the researcher's new therapeutic intervention, Sign your Feelings, through a four-week randomized control trial (RCT). This intervention involves hearing therapists working with hearing clients. It incorporates (a) discussions about the therapeutic alliance, (b) therapists teaching their clients 36 signs in American Sign Language (ASL) and (c) frequent emotional disclosure as clients learn and practice the signs. This RCT measured the therapeutic alliance...
Show moreThe aim of the study was to validate the researcher's new therapeutic intervention, Sign your Feelings, through a four-week randomized control trial (RCT). This intervention involves hearing therapists working with hearing clients. It incorporates (a) discussions about the therapeutic alliance, (b) therapists teaching their clients 36 signs in American Sign Language (ASL) and (c) frequent emotional disclosure as clients learn and practice the signs. This RCT measured the therapeutic alliance and client outcomes, using the Sessions Rating Scale (SRS) and CORE-10 instrument. Eighty adults from 10 U.S. States participated in the study. Sixteen therapists underwent training before administering the intervention, and sessions took place virtually and in-person. Results did not render statistically significant differences for SRS total scores between the two groups (p =.194). CORE-10 total scores between the two groups were not statistically significant either (p = 0.736). However, results did show a statistically significant negative correlation of r = -.229 (p = .041) between SRS and CORE-10 post-test scores.
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Date Issued: 2022
PURL: http://purl.flvc.org/fau/fd/FA00013999
Subject Headings: Counseling, American Sign Language, Therapeutic alliance
Format: Document (PDF)

American Sign Language (1)	+ -
Clinical studies (1)	+ -
Counseling (1)	+ -
Evidence-Based Practice (1)	+ -
Exploratory factor analysis (1)	+ -

Family counseling (1)	+ -
Female (1)	+ -
Haitian Americans (1)	+ -
Juvenile delinquency (1)	+ -
LGBTQ+ people (1)	+ -
Mental health (1)	+ -
Parenting (1)	+ -
Parenting--Cross-cultural studies (1)	+ -
Psychometrics--instrumentation (1)	+ -
Resilience, Psychological (1)	+ -
Shame (1)	+ -
Social Support (1)	+ -
Spirituality (1)	+ -
Stigma (Social psychology) (1)	+ -
Substance abuse (1)	+ -
Substance abuse--Relapse--Prevention (1)	+ -
Therapeutic alliance (1)	+ -
Trauma (1)	+ -

College of Education (6)	+ -
Department of Counselor Education (6)	+ -
Florida Atlantic University (6)	+ -
Gill, Carman (3)	+ -
Gill, Carman S. (3)	+ -

Canfield, Irene LeBlanc (1)	+ -
Demezier, Danna (1)	+ -
Foster, Karrol-Jo Lee (1)	+ -
Katz, Joshua A. (1)	+ -
Lopez-Escobar, Grisel M.F. (1)	+ -
Vastardis, Tiffany E. (1)	+ -

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