CLINICAL RESEARCH & PUBLICATIONS
At Noble Rowan Counseling, we're not only dedicated practitioners serving the Philly metro area, we're also active contributors to the field of trauma-informed care nationally and globally.
This page highlights research and publications authored by our therapists, reflecting our deep investment in evidence-based treatment and the ongoing science of trauma, resilience, and healing. Research Translation Briefs provide concise, research-informed summaries designed to help clinicians translate emerging evidence into practical, real-world application while maintaining attention to context, implementation, and clinical nuance.
We believe that staying engaged with the research means better engagement with our clients to achieve better outcomes overall.
Pre-Print Publications
June 2026 | Carole Showell
This pre-print is an early phase of an implementation study examining systemic barriers impacting the integration of neuroscience-informed interventions in psychotherapy. This exploratory study was conducted as part of doctoral coursework. This exploratory pilot study examined the relationship between self-perceived neuroscience competency and demonstrated neuroscience-informed knowledge and skills among master’s-level psychotherapists. Grounded in implementation science and workforce development frameworks, the study explores how clinicians conceptualize neuroscience-informed practice and identifies potential barriers to the translation of neuroscience research into routine behavioral healthcare. Findings suggest that familiarity with neuroscience concepts may not necessarily correspond with translational clinical competency or research appraisal skills.
Evaluation of Pilot Training Outcomes: 27-Week Synchronous Neurocultural DBT Training
This blog post reviews preliminary outcomes from a 27-week neuroscience-informed DBT pilot training designed to support translation of neuroscience concepts into real-world psychotherapy practice. The discussion explores participant engagement, perceived competency changes, and broader implications for workforce training, implementation science, and neuroscience integration in behavioral healthcare.
Research Translation Briefs
Research-supported PTSD treatments remain underutilized despite decades of strong outcome research supporting interventions such as PE, CPT, and EMDR. Cox and Codd (2024) argue that psychotherapy faces a dissemination and implementation problem in which popular trauma narratives and non-research-supported approaches often spread more effectively than evidence-based treatments. The article highlights the importance of research literacy, implementation science, and translational competency in improving trauma treatment quality and accessibility.
Cox, C. D., & Codd, R. T. (2024). Advocates of research-supported treatments for PTSD are losing in lots of ways: What are we going to do about it? Research on Social Work Practice, 34(4), 347–359. https://doi.org/10.1177/10497315231206754
Implementation science examines why evidence-based healthcare innovations often fail to reach routine clinical practice despite strong research support. Dollar and Bahraini highlight that effective implementation depends not only on the intervention itself, but also on organizational support, contextual adaptation, workforce training, and stakeholder engagement. The article emphasizes the importance of implementation science in reducing the research-to-practice gap and improving healthcare quality across diverse populations and systems.
Dollar, K. M., & Bahraini, N. H. (2025). Bridging the research-to-practice gap: Implementation science approaches to transform health care delivery. Psychological Services, 22(3), 403–408. https://doi.org/10.1037/ser0000979
Confusion surrounding evidence-based medicine (EBM), evidence-based practice (EBP), empirically supported treatments (ESTs), and evidence-informed care contributes to inconsistencies in psychotherapy training and implementation. Puljak examines how these terms evolved across healthcare disciplines and how conceptual ambiguity may affect clinical decision-making, research interpretation, and treatment dissemination.
Puljak, L. (2022). The difference between evidence-based medicine, evidence-based (clinical) practice, and evidence-based health care. Journal of Clinical Epidemiology, 142, 311–312. https://doi.org/10.1016/j.jclinepi.2021.11.015

