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Clinician Perspectives On Fistula Mental Health, Victoria K. Leonard

Doctoral Dissertations

Background – Obstetric fistula is a childbirth injury caused by prolonged labor that leads to stillbirth and incontinence, spurring social exclusion and isolation. These layers of trauma put women with fistula at great risk for psychological suffering, which has profound negative socioeconomic impacts on them, their families, and communities. This study captured treatment as usual at Comprehensive Community Based Rehabilitation in Tanzania (CCBRT), the country’s largest provider of fistula care.

Method – Improving holistic fistula treatment requires engaging the clinicians who care for women with fistula. This study aimed to investigate the training, beliefs, and treatment approaches of nurses and …

Use Cases For Art Therapy Intervention In Clinical Psychedelic Praxis, Kaitlin Maud

Expressive Therapies Capstone Theses

Psychedelic medicine has existed for thousands of years as a traditional, sacred practice and is now in varying stages of legalization for clinical application in the United States. Psychedelic-Assisted Therapy uses specific psychoactive substances to facilitate altered states of consciousness in which clients have access to unconscious material and there is a greater cognitive openness to new perspectives and possibilities. Art Therapy is a modality of psychotherapy with decades of data to support its clinical efficacy in treating mental illness and other chronic conditions. A review of the literature shows a range of use cases for art in the context …

Animation As Therapy For Mental Health Treatment Across Diverse Populations And Contexts, A Literature Review, Daneile Tabana

Expressive Therapies Capstone Theses

Scientific research has explored and identified the beneficial relationship between health and creative expression, recognizing art therapy as a source of healing. Animation has been newly recognized as an art therapy medium with potential for therapeutic healing and increased psychological well-being. This review of the literature on animation therapy explores the history of the modality’s interaction with the population observed and the effects of animation on the cognitive processes, discusses current theoretical orientations and treatment options for treating a range of conditions that affect mood, thinking, and behavior with animation therapy, and considers culturally informed and client-centered practices alongside traditional …

Reclaiming Healing Spaces: A Phenomenological Study On The Transformative Power Of Outdoor Therapy From The Lived Experiences Of Black Clinicians Working With Black Clients, Lynn Murphy

Dissertations

This phenomenological study involved assessing the experiences of Black therapists who engaged Black clients in outdoor therapeutic contexts. The study was founded on the existing literature that shows the quality of the therapeutic relationship is pivotal for client retention and the Western standards that have historically favored treatment within indoor environments. To contextualize this research, a comprehensive literature review was commenced, covering topics such as the decolonization of therapy, the historical and present-day relationship between Blacks and the outdoors in the United States, sedentary lifestyles, the psychological benefits of time spent in nature, various types of outdoor therapy, and the …

Biophilic Design Strategies In Healthcare: Using Nature To Promote Wellness In Small-Scale Mental And Behavioral Health Facilities, Skyler Peckham

University Honors Theses

Designing spaces that promote the health and well-being of the general public has been a highly debated topic for several centuries within the disciplines of architecture, urban planning, and other similar fields. As more research has been done throughout the years, the notion of utilizing nature to promote wellness has become a prominent design strategy. Through the examination of a wide range of scholarship regarding the benefits that nature has for human health and connecting this research to the biophilic evidence-based design strategies of healthcare facilities, I aim to highlight what design aspects truly promote wellness for patients in small-scale …

Controversy In Consciousness: Is The Brainstem Sufficient For Sentience?, Shadia Kawkabani, Kevin P. Kaut

Journal of Neuropsychology and Behavioral Processes

Our understanding of consciousness is quite possibly in need of further discussion, elaboration, and updating. What was once principally the domain of philosophical inquiry has entered the era of advanced research methods and biomedical ethics – both of which have influenced the need to reconsider this most challenging of topics. The challenge for those interested in consciousness is at least twofold: 1) to further operationally define what is meant by consciousness, with a greater understanding of how consciousness can be manifest, and 2) to better identify the neural mechanisms subserving the diverse presentations/manifestations of consciousness, and reconcile the developing literatures …

Shift Your Energy To Shift Your Burnout, Laura Brenner Dds

Articulator Magazine

This article explores why standard burnout treatments like self-care activities and practice ownership often provide temporary relief but fail to address the root cause. The author identifies a common pattern among burnt-out, "Compassionate Caretakers" - a tendency towards people-pleasing, perfectionism, and self-sacrifice driven by a need for validation. In contrast, those who avoid burnout ("Solution Seekers") maintain healthy boundaries, let go of others' problems, and operate from a mindset of win-win solutions. By reframing perspectives through self-awareness and allowing self-compassion, Compassionate Caretakers can shift to become Solution Seekers. This inner work provides the energy to genuinely address external burnout triggers …

Self-Care For Healthcare Professionals, Purnima Hernandez Dda, Ms, Ma, Chwc

Articulator Magazine

This personal narrative chronicles the author's journey to prioritize self-care and adopt a lifestyle medicine approach after experiencing unexplained at the peak of her career. Realizing that succeeding in a profession dedicated to helping others required first helping herself, she immersed herself in learning about diet and lifestyle changes. By making reasonable adjustments to her sleep, nutrition, stress management, movement, and relationships, her health drastically improved within months. The article emphasizes the importance of self-care for healthcare professionals to avoid burnout and chronic lifestyle diseases. It provides a framework for developing a personalized lifestyle plan. Ultimately, the piece is a …

So, You're Going On A Trail Ride, Gabriela Murza, Katelyn Barsnick, Karl Hoopes

All Current Publications

Horse trail rides provide an opportunity for individuals to partner with horses to experience the natural world in a new way. However, we should consider the physical demands it places on both riders and horses. Adequate preparation, including selecting appropriate clothing, employing safe riding practices, and engaging in pre-ride stretches to enhance rider fitness, allows participants to fully appreciate the experience.

Early Detection Of Alcohol Related Dementia Across The Lifespan: An Integrative Literature Review For Primary Care Providers, Kaylee A. Chapman

University Honors Theses

Introduction: Alcohol related dementia (ARD) is a long-term, heterogeneous cognitive impairment that can develop in the course of excessive and prolonged use of alcohol. This integrative literature review evaluated the relevant research, preventative measures, and early detection of brain changes leading to memory impairment as a result of the chronic consumption of alcohol.. Widespread prevention and detection of ARD can be achieved through the support of healthcare professionals in understanding, observing, and catching behavioral patterns ahead of time to properly direct treatment. The risk factors associated with an early diagnosis of dementia include, but are not limited to, abnormal brain …

Exploring How Factors Affecting Exercise Adherence May Inform Strategies To Increase Adherence In General And Depressed Populations: A Literature Review, Henry D. Link

University Honors Theses

Background: Exercise is associated with numerous physical and mental health benefits; however, many people struggle to exercise a sufficient amount and thus do not reap the benefits. Exercise is recognized as an effective treatment for depression with few risks. Professionals must understand the factors affecting exercise adherence to assist individuals of different backgrounds with adhering to exercise over the long term and to avoid common pitfalls that could hinder an individual’s progress.

Objective: This literature review aimed to identify factors affecting exercise adherence and to explore how those factors could inform strategies to increase exercise adherence among depressed …

Strengthening U.S. Jail Systems’ Response To Infectious Diseases: An Evaluation Of The Covid-19 Pandemic, Erinn Bacchus

Dissertations and Theses

Jails across the United States were struck with increased infections and deaths during the COVID-19 pandemic. Studies have shown the structural make up of jails, lack of preparedness plans, and overcrowding contributed to health risks and poor health outcomes both inside jails and local communities. Yet little research has been dedicated to strengthening jail responses to infectious disease outbreaks spanning prevention measures, data collection, and reentry planning. Gaps include information on the (1) myriad infectious disease mitigation strategies used in jails and adherence to CDC prevention guidelines, (2) development of a standardized epidemiologic surveillance system, and (3) experiences working at …

Beyond Fentanyl Test Strips: The Need To Decriminalize All Drug Checking Equipment In Tennessee, Jeremy C. Kourvelas Mph

SMART Policy Briefs

KEY POINTS

• In 2022, Tennessee decriminalized fentanyl test strips (FTS) through Public Chapter 764. Thousands have since been distributed by the state and nonprofit coalitions as a key harm reduction strategy. As of the end of 2023, 44 other states and D.C. had also decriminalized FTS.

• Research indicates that people who use drugs are five times as likely to change their behaviors (including reducing drug use overall) in response to a test result that is positive for fentanyl. People who use methamphetamine are especially likely to change their behaviors.

• However, the law only applies to “narcotic testing equipment used to …

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Who Should Pay The Bill For The Mental Health Crisis In Africa?, Cyprian Mostert, Olivera Nesic Taylor,, Chinedu Momoh, Murad M. Khan Dr., Thomas Thesen, Edna Bosire, Dominic Trepel, Karen Blackmon, Manasi Kumar, Zul Merali

Brain and Mind Institute

No abstract provided.

Adaptations And Transformations: Perceptions Of Change In Academic Motivation, Resilience, And Covid-19 Stress, Ella V. Gregorio

Dissertations, Theses, and Capstone Projects

Of concern to educators, post-COVID-19 assessments have revealed significant achievement gaps in student performance, as well as significant decreases in adolescent mental health. Less is known about changes in achievement motivation. Here we ask how students perceive their own motivation and whether it changed between “before” the pandemic to the present (Fall 2022 - Spring 2023), about three years after the beginning of the pandemic when many school routines were returning to “normal.” To understand how variance in these perceived changes might be related to pandemic-related stressors, trait resilience, and current mental health, we conducted a large survey study (N …

Caring For Our Colleagues: A Guide For Compassionate Action, Karen Foster Dds

Articulator Magazine

This article emphasizes the importance of prioritizing mental health in the dental profession, offering strategies for recognizing warning signs and encouraging proactive support for colleagues in distress, with resources available for assistance.

A Qualitative Exploration Of Well-Being In Cancer Survivorship: Implications For Counselors, Hallie M. Sylvestro, Lindsey K. Umstead, Heather Delgado, Christopher Lawrence, Keith Mobley, Kelly L. Wester, Andrew Wood

Adultspan Journal

Adult cancer survivors represent an important–and growing–population that could benefit from counseling services. This study employed consensual qualitative research to examine the well-being experiences of eight cancer survivors. Findings suggest a broad range of changes to individual well-being following cancer diagnosis and treatment, and indicate counseling can provide an ideal setting for processing such changes. Recommendations for counseling practice and future research are provided.

Examining The Impact Of Internal Family Systems (Ifs) Theory Versus Emotionally Focused Individual Therapy (Efit) On Depression For College Students: A Comparative Study, Laura Anne Bowlin, Hillary Bucher-Brown

School of Psychology, Family, and Community Research Conference

In light of the prevalence of depression in modern society, researchers persist in the quest for effective treatment approaches. This research proposal aims to examine the impact of Internal Family Systems (IFS) Theory and Emotionally Focused Individual Therapy (EFIT) on depression among college students. The study will involve 20 college students recruited from local universities experiencing depression, as measured by the Beck Depression Inventory (BDI). Each participant will undergo ten psychotherapy sessions, randomly assigned to a certified IFS or EFIT therapist. Subsequently, participants will complete a post-test using the BDI. Comparative analysis of the outcomes between the two groups will …

Internal Family Systems And Codependency: Finding Self In Relationship With Another Person’S Addiction, Jillian Ostlund, Mandah Gombosuren

School of Psychology, Family, and Community Research Conference

Codependency is a concept that is currently not considered a disorder in the DSM-V, yet people have been identifying with the traits of codependency since the 1940's (Bacon et al., 2018). In IFS the concept of blending means Parts are not able to differentiate from one another, making it difficult to sense Self Leadership (Schwartz & Sweezy, 2020). The researchers for this proposal were not able to find literature on the treatment of codependency using IFS. It is believed that IFS can help a codependent person to gain access to Self and be able to recover from the effects of …

Is Emotionally Focused Family Therapy Effective In Alleviating Symptoms Of Bulimia Nervosa In Adolescents?, Susan Leonardson

School of Psychology, Family, and Community Research Conference

This study will investigate the effectiveness of Emotionally Focused Family Therapy (EFFT) in alleviating symptoms of bulimia nervosa (BN) in adolescents. Participants will consist of twenty adolescents enrolled in the Emily Program, with a DSM diagnosis of moderate to severe BN, and at least one of their caregivers. The subjects will attend twelve family therapy sessions with a therapist trained in EFFT, and complete the Eating Disorder Examination (EDE) questionnaire. This study aims to determine if EFFT can effectively improve family dynamics to reduce symptoms of BN in adolescents.

Effect Of Emotionally Focused Couples Therapy On Couples' Reported Satisfaction And Intimacy: A Comparison Between Participants With And Without Simultaneous Individual Therapy, Aishleen O'Brien

School of Psychology, Family, and Community Research Conference

While there is ample Emotionally Focused Therapy based research, exploration of simultaneous individual therapy’s importance is limited. This study aims to establish the significance of participating in individual therapy while also joining a partner in emotionally focused couples’ therapy. Individual therapy, in tandem with couples therapy, provides an opportunity to explore one’s own attachment style, as it is interwoven into a romantic relationship. Ultimately, by discerning the nuanced interplay between individual and couples therapy, clinicians can offer tailored, efficacious recommendations that enhance the likelihood of successful outcomes and promote enduring relationship satisfaction.

Parenting Styles Of American And Filipino Mothers: Internal Family System’S Influence On Self-Leadership, Parent-Adolescent Communication, Conflict, Self-Esteem, And Depression, Maria-Sofia Paco, Gracie Cannon

School of Psychology, Family, and Community Research Conference

This abstract investigates the levels of Self-leadership among Filipino, European-American, and African-American mothers, and explores its implications for mother-daughter communication, conflict, depression, and overall self-esteem . Research has demonstrated that Filipino mothers have significantly higher mother-daughter communication and conflict compared to European-American and African-American mothers (Paco, 2007), positing a potential correlation between Filipino mothers (in the Philippines) and their Self-led nature compared to their European-American and African-American counterparts. Furthermore, this study proposes implementing Internal Family Systems (IFS) therapy as a means to enhance Self-leadership and improve mother-daughter communication and self-esteem across these three racial groups, potentially mitigating conflicts and depression. …

Group Narrative Therapy For Adolescents With Eating Disorders, Ramsey Ramsey

School of Psychology, Family, and Community Research Conference

Eating Disorders tend to be treatment-resistant, moreover, adolescents with eating disorders tend to disengage from standard treatments, such as (CBT-E) the standard intervention in treating eating disorders. Research shows that children and adults have greater positive outcomes with the addition of narrative approaches to treatment. Studies show that children and adults have positive outcomes with the addition of narrative approaches to treatment, in addition, group narrative therapy with adults is effective at treating eating disorders beyond behavioral change. This proposal is to explore the efficacy and client engagement of a group narrative therapy curriculum alongside standard CBT-E group treatments.

Navigating Transnational Ties And Belonging: An Intergenerational Family Therapy Approach With South Asian Immigrant Families, Shreya Rangwani

School of Psychology, Family, and Community Research Conference

The diversity of transnational experiences of families and the challenges to their sense of belonging have important implications for the broader sociocultural mental health system. This study aims to examine intergenerational family therapy to support South Asian immigrant families as they deal with the challenges of maintaining cross-cultural relationships. Family therapy for South Asian immigrants have focused on cultural stress and intergenerational conflicts, rather than family-level methods and systemic elements that form the reports of those transnational families. Through this research, the study targets to provide vital insights and realistic techniques for MFT therapists working with South Asian immigrant populations. …

Impact Of Sibling Support On Mitigating The Effects Of Parental Divorce On Children's Attachment Security, Alana Harris

School of Psychology, Family, and Community Research Conference

The study aims to explore the potential mitigating effects of supportive sibling relationships on the attachment security of children from divorced families. Utilizing the Child Attachment Interview (CAI) and Sibling Relationship Questionnaire (SRQ), attachment security and sibling relationship quality will be assessed. We anticipate that supportive sibling relationships will alleviate the adverse impacts of parental divorce on children's attachment security. This study will involve a sample of 80 siblings (40 sibling pairs) aged 7-17 years from divorced families. Findings may inform interventions enhancing attachment and resilience in children during family transitions, emphasizing sibling relationships as a valuable resource for well-being.

Exploring Intergenerational Attachment Transmission: How Are Children's Attachment Styles Affected By Changes In Their Caregiver’S Attachment?, Aisa Gibbons, Anahi Tapia

School of Psychology, Family, and Community Research Conference

Past studies have researched various connections between attachment styles of children and parents. However, no studies have explored how changing parents’ attachment style could impact change in children’s attachment style. This research proposal aims to investigate the relationship between caregiver attachment and child attachment change. We hope to recruit 100 parent-child pairings from schools and therapy clinics. Subjects will complete attachment measuring scales pre- and post parent-treatment. Parents will have 10-15 sessions of EFT to increase secure attachment. Attachment change differences will be analyzed through one-way ANOVA methods. We hypothesize that as parents’ secure attachment increases, their children’s will too.

Therapist Secret Policies And Client Retention, Alexandria Packard, Allison Hanigan

School of Psychology, Family, and Community Research Conference

No-secrets policies are commonly used by many couple therapists to ensure transparency between each individual and the therapist. The current literature is divided on whether the existence of a no-secrets policy creates barriers to treatment. The present study aims to assess the impact of a no-secrets policy on couple retention rates in therapy. We propose to study this by assigning a group of couples to a therapist without a no-secrets policy, and another group of couples to a therapist with a no-secrets policy. Therapy retention will be measured and analyzed as influenced by the independent variable: the no-secrets policy.

Exploring The Impact Of The Blamer-Softening Change Event In Emotionally Focused Couples Therapy On Partners' Self-Esteem: A Longitudinal Intervention Study, Grace Lee

School of Psychology, Family, and Community Research Conference

It is no question that positive romantic relationships are connected to deep feelings of belonging, life satisfaction and positive self-esteem in individuals. However, throughout the course of the relationship, individuals can experience depressive symptoms, anxiety symptoms and negative affect. A significant marker of progress for couples in Emotionally Focused Couples Therapy is the presence of the blamer-softening change event. This event can help alleviate some of the negative symptoms partners experience. Given the well-accepted and understood importance of self-esteem on one’s overall mental health, this study seeks to understand the impact of the blamer-softening change event on each partner’s self-esteem.

What Is The Comparative Effectiveness Of Specific Therapy Modalities In Improving Mental Health Outcomes For Black And Indigenous Clients?, Hailey Clum

School of Psychology, Family, and Community Research Conference

Black and Indigenous clients are frequently underrepresented in therapeutic research and treatment, despite the increase of individuals from these communities seeking therapy services. This qualitative study has been initiated to highlight the lack of supporting evidence for best treatment practices for Black and Indigenous-identifying clients. The goal of this study is to provide evidence-based treatment for master's and doctoral-level clinicians who work with Black and Indigenous patients. The study will analyze various treatment groups, including Black and Indigenous adult participants; and will utilize treatments and interventions from Internal Family Systems (IFS) therapy and Art Therapy.

Zoom Dysmorphia: An Eye-Tracking Study Of Self-View And Attention During Video Conferences, Kathleen H. Stimson

Cognitive Science Senior Theses

This study investigates Zoom Dysmorphia, a heightened self-awareness and self-criticism of perceived physical flaws due to prolonged self-view on video conferencing platforms, with associated behaviors resembling symptoms of Body Dysmorphic Disorder (BDD). Drawing on Veale’s (2001, 2004) and Neziroglu’s (2004) cognitive-behavioral models of BDD and prior studies on BDD which suggest the development and maintenance of BDD through excessive self-focused attention and attentional bias, this study explores the potential cognitive and emotional implications of this phenomenon. Participants engaged in two mock video conferences with self-view enabled in one meeting and disabled the other for comparison. Eye tracking technology monitored their …