Digital Commons Network^™

Examining The Relationship Between Therapists’ Attachment-Related Characteristics And The Process And Outcome Of Psychotherapy, Char M. Houben

Dissertations

Although psychotherapy researchers have gleaned greater understanding about how client attachment classifications influence the outcome of psychotherapy, relatively few studies have investigated therapists’ effects and have yielded inconclusive results (Steel et al., 2018). In the current study, we investigated how therapist attachment affects changes in the working alliance and client psychological distress over a course of psychotherapy treatment. We evaluated attachment in a sample of 23 therapist trainees from a university-based training clinic in the U.S. with the recently validated, transcript-based Therapist Attunement Scales (TASc; Talia & Muzi, 2017), which measures attunement by moment-to-moment discursive markers from a single psychotherapy …

Mindfulness And Technology: Evaluating An Online Mindfulness Intervention For Symptoms Related To Sexual Assault, Erica Catherine Johnson

Dissertations

Sexual assault has been found to increase the risk of distressing psychological symptoms including PTSD, depression, somatization, drug and substance use, lower quality of life and experiential avoidance. As such, interventions for reducing the distress and negative impacts of sexual assault are of importance. Mindfulness is of particular interest as it addresses one of the prominent factors known to maintain psychological distress after trauma, experiential avoidance (Polusny et al., 2004; Merwin et al., 2009). Furthermore, an online mindfulness-based intervention can increase the accessibility and reduce the barriers to treatment. A within subjects repeated measures open clinical trial design was used …

Measurement Of Defusion: Further Validation Of The Drexel Defusion Scale, Christopher A. Briggs

Dissertations

Acceptance and Commitment Therapy (ACT) seeks to develop psychological flexibility through the engagement of the six interrelated processes. Four processes employ mindfulness and acceptance strategies and consist of acceptance, defusion, present moment awareness, and the contextualized self. Two other processes, values and committed action, are grouped with present moment awareness and the contextualized self and are termed behavior change strategies. One issue encountered by contemporary behavioral approaches in general, and ACT in particular, is the measurement of the proposed processes. Measurement is complicated by the functional nature of some of the repertoires described making the development of instruments for assessment …

A Single Session Of Acceptance And Commitment Therapy To Promote Health-Related Behavior Change: A Randomized Controlled Trial, Monica Barreto

Dissertations

The Centers for Disease Control and Prevention have identified physical activity, nutrition, and sleep as three key health-related behaviors that can help the prevention of chronic disease. Only a fraction of the population met the recommended guidelines across these domains. It is important to develop interventions that can be simultaneously focused, flexible, efficient, and efficacious as a means of impacting population health. This study examined the efficacy of a single 60-minute Acceptance and Commitment Therapy (ACT) session targeting health-related behavior change and compared it to an information-only wait-list (WL) control condition. Forty-five collegians (Mage = 22.35 [6.91], 78% female, 56% …

Examining The Effects Of Cell Phone Use On Caregiver Supervision And Child Injury Risk, Mckenna Corlis

Dissertations

Unintentional injuries are the leading killer of children in the United States. Research indicates caregiver supervision decreases child injury risk, but has not examined how different distractions may affect this relation. Specifically, research has not considered if and how caregiver cell phone use affects child injury risk. Given the prevalence and distracting effects of cell phones noted in previous studies, it is imperative to examine how caregiver cell phone use and child injury risk relate.

The present study examined how distractions influenced caregivers’ ability to tend to their child and their child’s engagement in risky behavior. Using a within-subjects design, …

Sexual Coercion: The Role Of Communication And Heteronormative Beliefs, Brianna Lindley Forbis

Dissertations

Sexual assault is a pervasive issue on college campuses, with large numbers of students experiencing sexual assault during their college careers (Fisher, Cullen, & Turner, 2000). Sexual assault is often perpetrated by a known offender, which has brought increased attention to forms of sexual assault that do not necessarily include violence or the direct threat of violence. Sexual coercion is one such construct that has received increased attention in the literature, with several studies finding associations between heteronormative beliefs and sexual coercion (Eaton & Matamala 2014; Haworth- Hoeppner, 1998; Vanwesenbeek, 1998). Aims of the current study included further exploring the …

An Examination Of The Relationship Between Adolescent Depression, Anhedonia, And Behavioral Therapy, Alison A. Delizza

Dissertations

Adolescent depression is a significant public health problem, however the current characterization of depression as a categorical label is problematic for understanding individual phenomenology, interindividual variability, and best treatment practices (Lewinsohn, Solomon, Seeley, & Zeiss, 2000). Anhedonia has been posited as a process underlying depression that may contribute to poorer outcomes (Gabbay, 2015). The current project examines large samples of adolescents diagnosed with depression to identify common features at a symptom level and the relationship these features have with behavioral therapy outcomes. Four phases of analyses were completed to 1) examine symptomology of multiple depressed adolescent samples in order to …

Investigation Of A Mindfulness-Based Intervention With Survivors Of Interpersonal Violence, Laura Elise Stayton

Dissertations

Interpersonal violence is a widespread problem that includes intimate partner violence, sexual violence, and stalking. The National Intimate Partner and Sexual Violence Survey conducted by the Centers for Disease Control in 2010 reported that approximately 1 in 5 women and 1 in 59 men have suffered sexual assault in their lifetime (Breiding et al., 2014). In addition, 1 in 4 women and 1 in 7 men have been a victim of physical violence perpetrated by an intimate partner (Breiding et al., 2014). A number of potential negative consequences of interpersonal violence exposure include the development of posttraumatic stress disorder, substance …

Implementation Of A Staff Management System To Increase Consumer Engagement In Group Homes, Jeana L. Koerber

Dissertations

A multi-component staff management system was implemented in three residential group homes for adults with disabilities to examine if it would increase consumer (resident) engagement in leisure activities. The design was a non-concurrent and concurrent multiple baseline design across homes. Participants included consumers who lived in the homes and the direct care staff (DCS) who worked with them: a total of 35 participants. Sessions were an hour in length and occurred twice a day, Monday through Friday. The study lasted approximately 17 weeks in each group home.

There were four phases: (phase A) baseline assessment of consumer engagement and affect, …

The Relationship Between Counselor Trainees’ Personal Therapy Experiences And Client Outcome, Bonnie L. Vanderwal

Dissertations

Research on mental health professionals’ use of personal psychotherapy indicates that a majority of practitioners have participated in their own personal therapy for both personal and professional reasons (Bike, Norcross, & Schatz, 2009; Norcross & Connor, 2005). Psychotherapists typically suggest that engaging in their own personal therapy has aided in their professional development and clinical effectiveness in their work with clients (Orlinsky, Norcross, Ronnestad, & Wiseman, 2005); however, researchers have been unable to conclude that such evidence exists (Clark, 1986; Greenberg & Staller, 1981; Macaskill, 1988; Macran & Shapiro, 1998; Orlinsky, Norcross et al., 2005). Studies often included psychotherapists already …

Functional Analytic Psychotherapy Compared To Watchful Waiting For Enhancing Social Connectedness: A Randomized Clinical Trial With A Diagnosed Sample, Daniel W. M. Maitland

Dissertations

The efficacy of Functional Analytic Psychotherapy (FAP) has not yet been show in randomized controlled trials in any population. The current study utilized a stratified randomization technique conducted by a computer system to assign twenty-three college students recruited for difficulties in interpersonal functioning who scored one standard deviation below the norm on the Fear of Intimacy Scale and met diagnostic criteria via independent assessment for Major Depressive Disorder, Generalized Anxiety Disorder, Social Anxiety Disorder, Avoidant Personality Disorder, or Dependent Personality Disorder to either a FAP condition or a Watchful Waiting Condition to assess the conditions ability to increase social relating …

Combined Effects Of Mdma And Ethanol On Locomotor Activity And Place Conditioning In Male And Female Adolescent Sprague-Dawley Rats, Keli A. Herr

Masters Theses

MDMA, ("Ecstasy") is commonly abused in combination with ethanol (EtOH). Relatively few preclinical studies have investigated sex differences in animal models of polysubstance use. The current study employed a conditioned place preference (CPP) procedure to assess the behavioral effects of the co-administration ofMDMA /EtOH in 32 male and 32 female adolescent Sprague-Dawley rats. Following a 15 min habituation trial, eight 30-min conditioning trials were conducted in two- compartment chambers with different environmental cues. Before each drug conditioning trials, rats were administered intraperitoneal (i.p.) injections of MDMA(6.6 mg/kg), EtOH (1.5 g/kg), MDMA (6.6 mg/kg) and EtOH (1.5 g/kg), or saline. Prior …

The Gender Of Participants In Published Research Involving People With Autism Spectrum Disorders, Erin Watkins

Masters Theses

Research articles involving participants with an autism spectrum disorder and published from 2010-2012 in Autism, Journal of Autism and Developmental Disorders, Journal of Child Psychology and Child Psychiatry, and Research in Autism Spectrum Disorders were examined to determine the reported gender of participants. The overall male:female ratio was 4.62, which is similar to that reported in epidemiological studies, but the ratio was 6.07 in intervention studies. These findings suggesting that males were in a statistical sense over-represented in intervention studies, but not in other kinds of research. Most (82.21%) of these studies included both male and female participants, but …

Slope Of Change Through D-Cycloserine Facilitation Of Exposure Therapy In A Social Anxiety Population, Christina M. Sheerin

Dissertations

The present study sought to add to a growing base of research investigating approaches that facilitate the therapeutic effects of exposure-based therapy for social anxiety disorders. In particular, the approach involves the use of medication adjuvants that work in conjunction with therapeutic learning. This work translates findings from preclinical work to further our understanding of the neurobiological mechanisms that impact extinction learning. Among others, a promising method has been found with the use of D-cycloserine (DCS), a partial NMDA receptor agonist. Evidence of its positive impact in preclinical work has led to its application to clinical populations who suffer from …

A Brief Acceptance And Commitment Therapy Protocol For Depression In An Inpatient Setting: An Effectiveness Study, Lucas Broten

Dissertations

The present study sought to investigate the utility of a brief Acceptance and Commitment Therapy (ACT) protocol for the treatment of depression in an inpatient setting. ACT is a generally promising treatment for a variety of psychological issues. Thirty-nine participants were randomly assigned using and weighted, blocked distribution to either Treatment as Usual (TAU) or individual sessions of ACT in conjunction with treatment as usual (ACT). The study compared re-admission rates between the ACT intervention group and the TAU group at 3 and 6 months. In addition, the study examined the proposed mechanisms of change between groups and depression rates …

Computerized Behavioral Activation Treatment For Major Depressive Disorder And The Effects On Sexual Desire, Anthony G. Bonita

Dissertations

The present study was designed to examine the effects of a computerized behavioral activation treatment program on sexual desire, sexual behavior, and depression symptoms. Seven adults who met criteria for either major depressive disorder or dysthymic disorder were recruited from Kalamazoo, Portage, and surrounding areas in Southwestern Michigan. All participants completed at least five sessions of behavioral activation treatment, and six out of seven participants completed all ten sessions. Symptoms of depression, sexual desire, and sexual behavior were assessed at pretreatment and before each treatment session through a combination of the Beck Depression Inventory – II (BDI-II), the Revised Hamilton …

A Prospective Examination Of Mindfulness Training On The Mitigation Of Postraumatic Stress Symptoms, Abby E. Blankenship

Dissertations

The current study investigated the ability of a one-session computerized mindfulness intervention to mitigate posttraumatic stress disorder (PTSD)-like symptoms in response to a trauma analogue. Ninety-two participants were randomly assigned to either mindfulness training or no treatment. Participants assigned to the mindfulness training completed a 1-hour computerized mindfulness training and practiced their skills for 1 week. All participants were exposed to an analogue for real-life trauma and were assessed at 1- and 2-week follow-up. Participants assigned to the mindfulness condition exhibited significantly lower levels of PTSD-like symptoms at 2-week follow-up in comparison to the no treatment condition. In addition, participants …

Motivational Interviewing Assessment And Behavior Therapy As A Stepped-Care Approach To The Treatment Of Adolescent Depression, Tanya N. Douleh

Dissertations

Depression is a significant public health concern with a lifetime prevalence of 24.01 for adolescents in grades 9-12 (Lewinsohn, Hops, Roberts, Seeley, & Andrews, 1993) and a point prevalence of 4-6% (Kessler, Avenevoli, & Ries, 2001). The risks associated with adolescent onset depression include comorbidity, depressive episodes continuing into adulthood, and suicidality. These risks make it imperative to develop effective treatments to address adolescent depression. Stepped care is an approach to treatment which involves treatment of illness using the least invasive measures first and moving toward more invasive treatment as indicated by ongoing assessment. Through a single-participant design, the current …

Students Of Indian Heritage And United States Citizen Students' Adaptation Of College, Opinions About Mental Illness And Attitudes Toward Seeking Professional Counseling Help, Margaret Omotola Ajayi-Nabors

Dissertations

The present study replicated Baysden's (2002) multi-component model and tested its generalizability on a homogeneous demographic group. This study compared international college students from India (n 0 244) and U.S. student participants (n 0 393) on their adaptation to college, their opinions about mental illness, and their attitudes regarding their professional psychological help-seeking behavior. A structural regression model was utilized to examine if student origin influenced opinions about mental illness, student adaptation to college, and attitudes towards seeking professional psychological help. /// The findings of this project supported Baysden's (2002) multi-component model to understanding international students' use of counseling. More …

Effectiveness Of A Motivational Enhancement Group Treatment In A Community Treatment Program With A Substance Abusing Population, Matthew S. Willerick

Dissertations

Motivational interviewing (MI) is a directive, client-centered intervention to elicit behavior change by assisting clients in the exploration and resolution of ambivalence toward change. MI-inspired approaches have been used in an attempt to facilitate change in a wide variety of domains including alcohol and drug abuse, safe water handling practices, dual diagnoses, gambling, spousal abuse, health related areas, mood and anxiety disorders, and parental engagement. MI seeks to resolve ambivalence in the direction of change by increasing the client's self-efficacy. This is accomplished by combining clientcentered (e.g., reflective listening) and directive strategies (e.g., attending selectively to change statements). The origins …

African American Experiences Of Race Relations In The Supervision Dyad, Brandi L. Pritchett-Johnson

Dissertations

Everything we do is embedded within multiple contexts of collective and individual historical events that culminate in present day encounters. As an increasing number of racial minorities have entered the ranks as mental health practitioners, the configuration of the treatment and the supervision dyad has changed (Owens-Patterson, 2002). The fundamental aim of this study explored, captured, and described the supervision experience from the nuanced perspective of African American supervisors. A qualitative approach was employed using in-depth interviews to capture the complexity of race relations within the supervision dyad through an African Centered framework, aiding in our understanding of supervised training …

Testing The Effectiveness Of An Interactive Multimedia System To Train Clinicians In Behavioral Activation, Suzanne E. Decker

Dissertations

Although many treatments for mental health disorders have been found to be effective in research, community clinicians may not receive training in such empirically supported treatments, and therefore, individuals suffering from disorders may not have access to empirically supported treatment in the community. This study examined the use of an interactive multi-media computerized therapy program, Building a Meaningful Life through Behavioral Activation, as a training tool for mental health clinicians (N=21) using a pre-post study design. Participating clinicians were invited to complete this computer program over the course of several weeks, and to complete knowledge quizzes and written responses …

The Predictive Power Of Therapeutic Alliance On Treatment Retention, James B. Anderson

Dissertations

Therapeutic alliance has long been recognized as an important contributor to successful psychotherapy, and research has demonstrated that it has a moderate and reliable impact on treatment outcome across studies employing a variety of treatment strategies. The current study seeks to build on the alliance literature by examining the degree to which therapeutic alliance is predictive of treatment retention. Two trained raters assessed the alliance between therapists and their patients by watching and rating therapeutic alliance in videotaped psychotherapy sessions. They watched tapes of therapists using two different types of treatment: cognitive modification and supportive therapy. Alliance was assessed via …

Examining The Effectiveness And Efficiency Of Two Delivery Models To Teach Children Abduction Prevention Skills, Kimberly E. Seckinger-Bancroft

Dissertations

Nearly all children receive abduction prevention training. Most traditional education programs increase the learner's knowledge, but often fail to produce concomitant behavior change. Behavioral Skills Training (BST) is a multicomponent, behavior-based training strategy with empirical support demonstrating its effectiveness in teaching children safety skills, behavioral generalization and maintenance over time. BST, however, is restricted by financial, human and time costs and limited resources to implement the training protocol. These factors likely limit widespread adoption of the training model. This study examined the use of computer-based instruction that emphasized active responding and mastery level performance requirements to teach school-aged children abduction …

Informed Consent As A Predictor Of Working Alliance And Perception Of Counselor/Psychotherapist, Scott E. Kerby

Dissertations

Client informed consent is an important component and ethical dimension of counseling and psychotherapy required by each of the mental health professions. The purpose of this study was to examine the extent to which informed consent in counseling/psychotherapy may relate to client perceptions of the working alliance, measured by the Working Alliance Inventory - Short Version (WAI-S) (Tracey and Kokotovic, 1989), and clients' general opinion of the counselor/psychotherapist, measured by the short form of Counselor Rating Form (CRF-S) (Corrigan and Schmidt, 1983). In particular, the study investigated: (1) how discussion and understanding of informed consent related to client perceptions of …

Phenomenological Study Of Resilience In The Lives Of White, Midlife Lesbian Psychologists In Clinical Practice, Melissa A. Lidderdale

Dissertations

The unique experiences and adversities encountered by midlife lesbian therapists have not been directly investigated. How the midlife lesbian women in this study were influenced by their individual experiences and cultural changes, both in general society and within the mental health profession, are paramount to more fully understanding the adversities, support, and resilience that they experienced while becoming psychologists. Due to the scarcity of empirical literature pertaining to the therapist's experience of resilience and the paucity of empirical literature related to resilience in lesbians, phenomenological research methods were chosen for this study. The goal of this study was to provide …

Acceptability Of Interventions To Staff In Long-Term Care Settings For Older Adults: Comparing Ratings And Hierarchical Selection, Jonathan C. Baker

Dissertations

Older adults and their caregivers generally prefer behavioral interventions over medications in treatment acceptability studies (Osterkamp, Mathews, Burgio, & Hardin, 1997). However, previous acceptability studies have primarily examined ratings, which did not force the responder to select between treatment options. Additionally, recent advances in behavioral treatment technologies (Carr & LeBlanc, 2003) and pharmacotherapy (Schneider, 1999) warrant revisiting treatment acceptability for older adults. The present investigation examined treatment acceptability of behavioral, pharmacological, and sensory interventions using a treatment acceptability rating scale, treatment selections, and direct report of treatments used in a six-month window. Fifty-six staff from nursing homes in the Mid-West …

Training The Execution Of Single-Case Research Methodology Skills In An Early And Intensive Behavioral Intervention Setting, Jessa R. Love

Dissertations

Early and intensive behavioral intervention (EIBI) for children with autism is a fruitful area for conducting research on clinically relevant problems in an attempt to investigate some of the unanswered questions about which procedures are most effective and efficient. Unfortunately, it is unlikely that therapists providing these services have received adequate training in conducting relevant single-case design research in this area. Providing such therapists with the skills needed to implement single-case design research protocols could improve the use of the scientist-practitioner model in these settings and greatly expand the base of scientific knowledge in the area.

Behavioral Skills Training (BST; …

Emotion Recognition And The Propensity To Engage In Sexually Coercive Behaviors: A Study With College Males, Beth J. Dietzel

Dissertations

Several variables have been investigated over the past years as risk factors for sexual aggression. Among them, substance use/abuse, family environment, attitudes towards women, and lack of empathy. Although researchers have identified several risk factors, predicting aggressive behaviors continues to be a difficult task. One variable that has received less attention in the literature is men's emotion recognition skills. Do men's emotion recognition skills affect their propensity to aggress?

The purpose of this study was to investigate emotion recognition skills/deficits and how such skills predict propensity to engage in sexually coercive behavior. There were two main goals of this study. …

Combined Cognitive Behavioral Treatment Plus Caregiver Sessions For Childhood Depression, Dikla Eckshtain

Dissertations

Childhood depression is intimately related to the family context and caregiver-child relations, but only a limited number of treatment outcome studies for depressed youth have formally included members of the family in the intervention. To address this discrepancy the present study evaluated the efficacy of adding caregiver sessions to individual cognitive behavioral therapy (CBT) for the treatment of depressed youth. The treatment included 16 individual sessions and 7 caregiver sessions administered in the child's school to promote accessibility. Fifteen children (10 females and 5 males ranging in age from 8-13), who met inclusion criteria based on self-report and interview measures …