Digital Commons Network^™

A Qualitative Study Into Modern Psychoanalytic Joining And Mirroring Through Psychotherapeutic Exchanges, Tricia Shihui Wang

Electronic Theses and Dissertations

This dissertation intends to address current deficits in knowledge regarding the modern psychoanalytic interventions of joining and mirroring, including substantial definition issues in the literature and the absence of current writings on the psychotherapeutic interventions of joining and mirroring in practice. The focus of the study was on the ever-dynamic landscape between modern analytically-informed practitioners and their clients in psychotherapeutic exchange(s) that the practitioners believed encompassed joining and/or mirroring interventions. Participants were six experienced practitioners who described their clinical work as being informed by modern psychoanalysis and who have engaged or were currently engaging in individual psychotherapy with a client. …

Parent Emotion Socialization And Emerging Adult Internalizing Symptoms: Differences And Moderation By Rurality, Cheston West

Electronic Theses and Dissertations

Emerging adulthood is a unique developmental period from late adolescence to late 20s during which individuals experience a multitude of developmental transitions and are at an increased risk for internalizing symptoms. Parent emotion socialization in childhood can also contribute to risk for internalizing symptoms and is shaped by parent gender and sociocultural context. Rurality is a sociocultural context that has implications for parenting, but less research has explored how parent emotion socialization varies by rurality. The present study examined maternal and paternal emotion socialization in relation to rurality and emerging adult internalizing symptoms. Participants were 270 emerging adults (18-29 years …

Coping Strategies And Self-Compassion As Protective Factors In The Infant And Early Childhood Mental Health Workforce, Megan Wolff

Electronic Theses and Dissertations

The mental health field experiences high levels of stress, resulting in a greater risk of poor professional quality of life, likely exacerbated by the additional stress associated with COVID-19. The present study examined the effect COVID-19 stress had on the professional quality of life of the infant and early childhood mental health (IECMH) workforce and whether coping strategies and self-compassion acted as protective factors. Results indicated that higher COVID-19 stress was associated with higher burnout and secondary traumatic stress (STS) and lower compassion satisfaction (CS). The results also showed that the pathway from COVID-19 stress to burnout was moderated by …

Validating An Internet Gaming Disorder Measure During Covid-19: Video Game Use, Distance Learning, And Impacts Of Covid-19 On Gaming Behavior, Christin Collie

Electronic Theses and Dissertations

For most students, playing video games is a popular, enjoyable activity to do in their leisure time. While many people play video games for fun, some do develop problems associated with their play. Excessive engagement in video game play can lead to significant impairment and clinically significant levels of harm. However, there are several important gaps in the research literature which limit understanding of potential harm. First, little is known about the gaming behavior of students, ranging from middle-school to graduate school, specifically as it relates to their reasons for playing video games and their time spent playing. Second, concerns …

Borderline Personality Disorder And Violent Crime: The Moderating Role Of Sex And Race, Genevieve Allison

Electronic Theses and Dissertations

People receiving treatment for substance use disorders (SUD) are at risk of justice involvement. Although it is well-established that borderline personality disorder (BPD) increases risk for criminal involvement, it is unclear whether this relationship exists among people with SUDs. Furthermore, prior research has found sex and race differences in the relationships between BPD and justice involvement as well as violence, but these moderators have not been explored within a substance using sample. The current study utilized a sample receiving SUD treatment to examine whether BPD is associated with prior violent charges and, if race and sex moderated this relationship. Results …

Analyzing Emerging Adulthood Narratives And The Role Of Anxiety In Developmental Functioning, Daryl Parungao

Electronic Theses and Dissertations

Emerging adulthood is a developmental period characterized by the themes of identity exploration, instability, feeling in-between, being self-focused, and exploring possibilities (Arnett, 2006). Emerging adults are at higher risk for anxiety as they navigate novel developmental experiences and responsibilities (Kranszler et al., 2019). This study explores whether these themes map on to the experiences of modern-day emerging adults, and whether developmental functioning corresponds to anxiety. College students completed standard questionnaires and provided free-text responses about adjusting to adulthood. Identity exploration and instability were perceived as the most positive and negative aspects of aging, respectively, though response-type varied by participant demographics. …

The Effects Of Stigma On Quality Of Life And Psychological Outcomes In Participants With Varying Reports Of Subjective Cognitive Decline., Lauren Flaherty

Electronic Theses and Dissertations

Background: Diagnostic labels such as cognitive impairment, dementia or MCI often carry associated stigmatization. Stigma can lead to social isolation and rejection; increasing the likelihood of loneliness, depression, and anxiety. Depression and anxiety can be predictive of cognitive function; depression and anxiety are linked to stigma. Subjective cognitive decline (SCD) can be indicative of actual cognitive impairment. Subjective impairment and stigma can significantly predict quality of life. The aim of the proposed dissertation study was to explore whether higher SCD scores associate with more internalized stigma, and if this stigma mediates the relationship between SCD and depression, SCD and …

Self-Regulation, Emotion Regulation, & Social Problem-Solving: Common & Distinct Pathways To Depression, Michelle L. Buffie

Electronic Theses and Dissertations

The present study examined the relationships among three psychological constructs: self-regulation (SR), emotion regulation (ER), and social problem-solving (SPS), and their connection to depressive symptomology. SR, ER, and SPS arose from independent, well-established literature bases and each has demonstrated links to psychopathology. The theories underlying these constructs, however, suggest overlap in their operationalization and measurement. Despite these concerns, no empirical investigations to date have examined the measurement and predictive validity of measures of SR, ER, and SPS in the context of one another. Undergraduate students aged 18-29 (N = 592) completed three self-report measures each of the constructs interest, …

Inhibitory Control And Mentalizing: Potential Contributing Factors To Maladaptive Interpersonal Behaviors Associated With Depressive Symptoms, Eliot Fearey

Electronic Theses and Dissertations

The current project considered the role of inhibitory control and mentalizing as vulnerability factors for engagement in excessive reassurance seeking, negative feedback seeking, and conversational self-focus among a sample of 222 older adolescents. It was hypothesized that lower levels of both inhibitory control and mentalizing would exacerbate the effect of elevated depressive symptoms on higher levels of the three interpersonal behaviors. Additional analyses further explored the role of self-reported gender identity. Models tested inhibitory control and mentalizing separately. In assessing inhibitory control, a self-report measure of impulsivity was used as a proxy for inhibitory control, and the Go/No-Go task was …

'Bleeding-In-The-World': A Qualitative Study Of Self-Cutting And Blood, Sadie Mohler

Electronic Theses and Dissertations

This dissertation is an existential, phenomenological study of the role and meaning of blood in self-cutting. Using in-depth, open-ended interviews with participants who self-cut, the author gathered data on the multisensorial experience of blood and bleeding in self-cutting. Data analysis was organized around the lifeworld existentials of corporeality, temporality, spatiality, communication, and relationality. The impact of blood and bleeding across each lifeworld dimension emphasized highly relevant, and previously unstudied, aspects of the lived experience of self-cutting. The six themes identified and explored are (a) blood as an animate abject; (b) bleeding and control; (c) bleeding is a process and the …

An Experimental Investigation Into The Effects Of Trait And State Self-Criticism On The Benefits And Barriers To Non-Suicidal Self-Injury, Melissa Jankowski

Electronic Theses and Dissertations

Non-suicidal self-injury (NSSI; e.g., harming oneself without the intent to die) is a leading health concern, and research indicates rates of NSSI are increasing. Despite the clear negative implications of NSSI, mechanisms that reinforce the continual engagement in these behaviors remain unclear. The Benefits and Barriers Model (Hooley & Franklin, 2017) proposes there are barriers that prevent most individuals from engaging in these deleterious behaviors; however, once these barriers are eroded, one becomes more likely to engage in NSSI. One such barrier is a positive association with the self. Self-criticism is generally understood as a trait lowering desire to avoid …

Look, But Don’T Touch: Impact Of Covid-19 On The Nicu Caregiver, Rebecca C. Otwell-Dove

Electronic Theses and Dissertations

Admission of an infant into the neonatal intensive care unit (NICU) is an experience that has been associated with a variety of both positive and negative health outcomes for parent and child. While both the setting name and the admitted population alludes to a sole focus on the affected infant, what often remains underrecognized is the impact on the ones who care for the newborn long before and longer after their NICU stay. Given the recency and unprecedented impact of the COVID-19 pandemic, very little research has examined the impact of COVID-19-specific stress on the experience of parents of infants …

Investigating The Shared And Unique Mechanisms Of The Development Of Comorbid Eating Disorder-Anxiety Symptoms During Adolescence., Leigh Cara Brosof

Electronic Theses and Dissertations

Introduction: Eating disorders are associated with significant morbidity, psychiatric comorbidity, and impairment. Despite the detrimental outcomes associated with eating disorders, effective treatments for eating disorders are lacking. One factor that has impeded the identification of targets for intervention in eating disorders is the high comorbidity rate with other psychiatric disorders. Comorbidity models can inform treatments by showing which mechanisms are shared in comorbidity and which mechanisms are unique to specific disorders. Anxiety disorders are the most frequently co-occurring disorders with eating disorders, as 85% of individuals with eating disorders have a comorbid anxiety disorder. One mechanistic process in both anxiety …

Co-Rumination, Romantic Relationships, And Depressive Symptom Development In Adolescence, Jessica L. Shankman

Electronic Theses and Dissertations

The present research aimed to better understand the associations among romantic involvement, co-rumination with friends, and depressive symptom development in a sample of 338 adolescents (ages 14-19 years). Using a multi-method, longitudinal study design, the present study examined whether co-rumination (self-reported and observed) mediated the relationship between romantic involvement and depressive symptoms over time. Next, analyses separately tested whether this process was further moderated by positive friendship quality, whether youth discuss romantic experiences during problem talk with friends, and/or gender. Analyses also tested whether romantic relationship quality among romantically involved youth influenced depressive symptoms over time via co-rumination.

Results supported …

The Combined Benefits Of Dispositional Mindfulness And Trait Self-Compassion As Potential Buffers Of The Effects Of Perceived Stress On Sleep Quality In College-Aged Young Adults., Jackie Ma

Electronic Theses and Dissertations

Using a nonclinical sample of 108 undergraduates between the ages of 18 to 25 years old, this cross-sectional study investigated the relationship between dispositional mindfulness (as measured by the Five Facet Mindfulness Questionnaire; Baer et al., 2006) and sleep quality (as measured by the Pittsburgh Sleep Quality Index; Buysse et al., 1989). Second, it evaluated the association between trait self-compassion (as measured by the Self-Compassion Scale; Neff, 2003b) and sleep quality. Third, it aimed to test for an interaction effect between dispositional mindfulness and trait self-compassion as buffers against the adverse effects of perceived stress on sleep quality. Results showed …

A Life Lived With Schizophrenia: When Mother’S Love Is Kept In The Dark Exploring Maternal Communication And Attachment Organization In Families With Schizophrenia, Myrsini Stefanidou Marini

Electronic Theses and Dissertations

In recent years, research into the transgenerational transmission of attachment styles has shown that a mother’sattachment style often predicts the attachment style of her infant. Fearsome parental behavior has been found to predict disorganized attachment in infants, which is further associated with a range of mental health disturbances in adolescence. Furthermore, regular patterns of disturbed communication between mother and child have also been found to lead to ‘schizophrenic’ thinking and behavior in the child’s life. While acknowledging that genetic and other biological factors contribute to the emergence of schizophrenia, this study focused on disorganized attachment and disturbed communication between mother …

The Role Of Emotion Dysregulation In The Relationship Between Anhedonia And Opioid Craving, Rachelle Kromash

Electronic Theses and Dissertations

Research on factors that predict opioid cravings is lacking. Anhedonia may be a predictor of cravings and particularly relevant to cravings when people struggle to regulate emotions but has yet to be examined among justice-involved populations. This study aimed to examine the relationship between anhedonia, opioid cravings, and emotion dysregulation (ED) in this population. Participants completed several measures. The results showed that anhedonia and opioid cravings were significantly related at the bivariate level, but not in moderation models. The DERS-36 total score and ‘DERS Impulse’ subscale had a significant, positive effect on cravings in moderation models. In a higher severity …

Coping Flexibility And Academic Resilience Among Low-Ses College Students., Benjamin J. Calebs

Electronic Theses and Dissertations

College students coming from a background of poverty may experience academic impairment due to their experiences of chronic economic adversity. However, despite the stressors associated with poverty and the potential deleterious consequences of this form of adversity, many low-socioeconomic status (low-SES) college students show high academic achievement. One predictor of resilient outcomes that has been studied outside of academic contexts is coping flexibility, the ability to use a range of different coping behaviors to meet the demands of different stressful situations. Coping flexibility has been found to be positively associated with psychological adjustment in a variety of populations, yet it …

The Relationship Of Minority Stress With The Mental Health Of Lgbtq College Students On A Christian Campus With Non-Affirming Policies, Ethan Nicholas Smetana

Electronic Theses and Dissertations

One foundational concept of the Minority Stress Model (Meyer, 2003) is that the stress is based on persisting social processes and structures. Consequently, research to further the available pool of empirical evidence on how institutions based in the dominant culture affect minorities is needed and valuable. This study seeks to examine the effects of dimensions of minority stress on the mental health outcomes of LGBTQ students at a Christian university with a non-affirming school policy. Further, this study is interested in how gratitude affects the impact that minority stress has on mental health as a potential protective factor. Participants were …

Capitalizing On Stress: Improving Affect And Self-Efficacy Through An Arousal Reappraisal Intervention, Angel Long

Electronic Theses and Dissertations

Stress is a non-specific reaction to the body (Jamieson et al., 2018), defined as a feeling of tension when one’s personal resources are taxed or exceeded (Folkman & Lazarus, 1985). Coping mechanisms for stress often focus on reducing associated features (Connor-Smith & Flachsbart, 2007). However, stress can produce challenge states, mindsets where individuals perceive personal resources as greater than situational demands (Jamieson et al., 2013). Challenge states are more likely to elicit positive behavior (Jamieson et al., 2018) and improved cognitive performance (Jamieson et al., 2010). One prospective mechanism to foster challenge states is arousal reappraisal, a cognitive mechanism …

The Use Of An Evidenced Based Mobile App For Ptsd Treatment: A Randomized Controlled Trial Of Stair Coach, Jason Brooks

Electronic Theses and Dissertations

Many individuals experience traumatic events within their lifetime and between 7 and 9% will be diagnosed with PTSD (Kilpatrick et al., 2013; National Center for PTSD, 2018); however, many will not receive treatment due to a variety of barriers, including stigma, limited mental health literacy, high cost, lack of transportation, and other factors (Blais et al., 2014; Chikovani et al., 2015; Hom et al., 2017; Gavrilovic Kantor et al., 2017; Kulesza et al., 2015). Mobile apps may offer a way to overcome some these barriers (Kantor et al., 2017). Prior research demonstrated the feasibility and efficacy of mobile apps for …

Examining The Utility Of Hope Interventions To Mitigate The Effect Of Discrimination On Distress In African Americans, Sunia H. Choudhury

Electronic Theses and Dissertations

Hope is a positive psychology resource that utilizes one’s perceptions of strengths to create clear goals, produce multiple pathways to reach goals, overcome barriers, and generate the energy needed to pursue goals by increasing positive affect and satisfaction, while reducing negative problem orientations (Magyar-Moe, 2014). Hope interventions also significantly reduce psychological distress (Rustøen, Cooper, & Miaskowski, 2011). Discrimination is a significant barrier to quality of life for African Americans (Bilkins, Allen, Davey, & Davey, 2016). Discriminatory experiences increase levels of distress (Brown, et al., 2000). However, it is unknown if hope interventions can protect African Americans against distress caused by …

How Animal-Assisted Therapy Is Understood And Perceived By Health Care Providers And The General Public In Canada, Healey M. Gardiner

Electronic Theses and Dissertations

The incorporation of dogs to assist humans with various activities has been documented for centuries. When a dog is included in treatment to meet an individual’s therapeutic goal it is known as Animal-Assisted Therapy (AAT). Little is known about how AAT is understood and perceived among healthcare professional and public populations in Canada. Although AAT has increased in popularly, limited research exists regarding its efficacy. Further, variation exists in the understanding and perceptions of AAT among the general pubic and healthcare professionals, possibly due to a lack of awareness of existing operational definitions and distinctions between classifications of “assistance animals.” …

Embodied And Empowered: Evidence For Ashtanga Yoga As A Novel Intervention For Women With Disordered Eating, Nicole A. Dignard

Electronic Theses and Dissertations

Eating disorders are a set of polysymptomatic disorders defined by characteristic disturbances in weight/shape, eating, and their control (Cooper, 2017). Drawing on existing models of objectification, embodiment, and positive body image, Ashtanga yoga was expected to be a beneficial intervention for those with eating disorders. These theoretical frameworks suggest that Ashtanga yoga may promote well-being by supporting improvements in embodiment and disrupt pathways postulated to promote pathology, such as self-objectification and body dissatisfaction. Participants were invited to participate in an 8-week Ashtanga yoga intervention of twice weekly 75-minute classes at a local community centre. Participants in two studies completed specialized …

Parenting Practices, Technology Use, And Preschoolers' Self-Regulation During Covid-19: A Thematic Analysis, Rachel Katzman

Electronic Theses and Dissertations

The COVID-19 pandemic has caused unprecedented challenges and as a result, the health behaviours and stress levels of Ontarian families have been negatively impacted. The purpose of this study was to explore preschoolers’ self-regulation, parenting stress, and technology use in Ontario within the context of the COVID-19 pandemic. Participants included 11 parents of preschool-aged children who participated in interviews for the Children’s Technology and Media Use During the COVID-19 Pandemic study. Five themes were generated regarding parenting stress: stress related to their added role as teachers, stress related to their parenting role, cancelled and missed events, isolation, and lack of …

Are You My Nurse? The Effects Of Patient-Delivered Gender Microaggressions On Women Trainees’ Clinical Work In Integrated Primary Care, Julia Ratchford Kauffmann

Electronic Theses and Dissertations

Gender microaggressions are a form of sexist discrimination that have detrimental effects on women’s psychological well-being. Unfortunately, these sexist occurrences are commonplace in the United States and can be experienced in a variety of ways. As such, there is a need to understand behavioral health providers’ experiences with patient-delivered gender microaggressions. In doing so, we may be able to better support women behavioral health trainees’ during their clinical development by potentially understanding the ways in which women trainees are affected by sexist patient encounters. Therefore, the present study sought to apply the Social Cognitive Model of Counselor Training and the …

Exploring The Intersections Of Stigma And Masculinity In The Illness Perceptions Of Men Living With Fibromyalgia: An Interpretative Phenomenological Analysis, Christine L. Motzny

Electronic Theses and Dissertations

Fibromyalgia is a musculoskeletal condition characterized by widespread pain, fatigue and cognitive problems. While it affects between 2-7% percent of the population in the United States, the biopsychosocial impacts of the disease on the lives of those affected are so substantial that it is considered to have one of the highest cost burdens comparative to other chronic pain conditions. Fibromyalgia has historically been deemed a contested illness due to the complexity of its presentation and lack of clear etiology. As a result, people with fibromyalgia often feel misunderstood and stigmatized. Like other pain conditions, fibromyalgia is more commonly diagnosed in …

Inviting The Perspectives Of Refugee Mental Health Interpreters: A Critical Narrative Analysis, Emme Y. Paik

Electronic Theses and Dissertations

The research literature lacks examination into several areas concerning mental health interpretation for refugee clients. This includes the management of interpreters’ vicarious trauma and retraumatization, interpreter’s perspectives on the appropriateness of hiring refugees as mental health interpreters, how interpreters define their trauma as well as their clients’ trauma, and support that interpreters seek for their traumatic responses from their work. The literature is also missing an analysis of how oppressive power differentials are repeated in workplace institutions, specifically for refugee mental health interpreters. Thus, this study aimed to invite the perspectives of refugee mental health interpreters on several issues pertaining …

Contributions Of Social Support To Mitigate The Impact Of The Covid-19 Pandemic On Pediatric Depressive And Irritability Symptoms, Alexandra Mactavish

Electronic Theses and Dissertations

Prior research, including my initial research on the mental health of children inSouthwestern Ontario, highlighted the broad, widespread impact of the COVID-19 pandemic on the mental health of adults, children, and youth, globally, including the potential for social support to attenuate the harmful impact of the pandemic. Social support, one’s belief that others will help in times of need, may protect against the impact of myriad life stressors on the development of psychopathology. The present study examines the potential for social support to mitigate the longitudinal impact of the COVID-19 pandemic on children’s irritability and depressive symptoms. Families (N = …

Coping Self-Efficacy As A Moderator In The Relationship Between Trauma And Disordered Eating, Bethany Owens Raymond

Electronic Theses and Dissertations

Disordered eating behaviors are associated with a myriad of detrimental health and mental health consequences (Ackard et al., 2003; Bryla, 2003; Karkkainen et al., 2018; Quick & Byrd-Bredbenner, 2013). Previous research identifies trauma as a risk factor for disordered eating behaviors and eating disorders (Brewerton, 2007). For instance, individuals with eating disorders are more likely to report trauma than individuals with no such history (Lejonclou et al., 2014). However, because not all individuals with a history of trauma exhibit disordered eating, it is important to identify what factors might moderate this relationship. The current study aims to investigate coping-self efficacy …