Digital Commons Network^™

Age Bias In Clinical Judgment: Moderating Effects Of Ageism And Multiculturalism, Kristin Pyne

Electronic Theses and Dissertations

The proportion of older adults in the United States is growing rapidly (U.S. Census Bureau, 2014) and mental health concerns in older adults are expected to increase rapidly (Choi, DiNitto & Marti, 2015). Despite increasing caseloads of older adults, few practicing psychologists have received specific training or specialization in geropsychology (American Psychological Association, 2016). Simultaneously, a growing body of literature demonstrates differential treatment of older adults in psychotherapy (Kessler & Bowen, 2015, Kessler & Schneider, 2016, Mejia et al., 2018). The present study aimed to examine the prevalence of clinical bias toward older adults among clinical trainees and to explore …

Underachieving Profoundly Gifted Adolescents, Marisa Soto Harrison

Electronic Theses and Dissertations

Underachieving Profoundly Gifted Adolescents is a phenomenological study that explores the lived experiences of five underachieving profoundly gifted adolescents. Profoundly gifted individuals are those whose IQ scores are at the 99.9th percentile. This study was a means to explore factors that contribute to underachievement among this subpopulation of gifted students. In-depth interviews with young adults provided insight into the personal experiences of underachievement in profoundly gifted adolescents. Parents also took part in interviews to provide an additional perspective on the underachievement experience. Findings indicated five themes that contribute to underachievement among this population. Expectations were a major contributor to underachievement. …

The Casc Framework: An Assessment Model For Students With Intellectual And Developmental Disabilities, Laurel A. Snider

Electronic Theses and Dissertations

School psychologists pay a critical role in providing assessment and intervention services within the realm of special education. Within this role, they are highly likely to interact with students with intellectual and developmental disabilities (IDD). Students with IDD are characterized by significantly lower than average cognitive and daily living skills that may be comorbid with difficulties with communication, social skills, or other domains. With these differences in mind, dominant assessment practices have been criticized as lacking social and empirical validity when applied to this population. Although students with IDD frequently undergo evaluations, they continue to face significantly poorer post-school outcomes …

A Phenomenological Study Of The Experiences Of Military Families, Who Have Children With Disabilities And Maladaptive Behavior, With School-Based Mental Health Personnel, Londi J. Segler

Electronic Theses and Dissertations

This qualitative study used a phenomenological approach to capture the lived experiences of military families who have children with disabilities and maladaptive behavior to note risk and protective factors that might impede the mental health development of that population of student. Through interviews with at-home-caregivers, I explored their experiences with public school staff, outside mental health services, and school psychologists. Study findings revealed that participants felt they were going to battle with school staff who were not willing to incorporate culturally responsive practices when working with their children. School staff who implemented regular bi-directional communication were more likely to gain …

What Remains? An Interpretative Phenomenological Analysis Of Therapists’ Psychological Boundaries In Crisis Work, Dana Santiago

Electronic Theses and Dissertations

Little attention has been given to clinicians who work primarily with clients in crisis. The current study explored therapists’ psychological boundaries in crisis work. Qualitative data was collected from two semi-structured interviews with current mental health crisis professionals (n = 5). An Interpretative Phenomenological Analysis was used to gain access into participants’ perceptions and understandings of their experiences. Findings revealed 4 superordinate themes: Professional Self, Impacted Self, Relational Self and Evolving Self along with 11 subthemes that related to psychological boundaries. Results suggest psychological boundaries are fluid and closely tied with self-awareness and support from other professionals.

System Update: Technology Based Intervention For Students With Intellectual And Developmental Disabilities, Marisa C. Simoni

Electronic Theses and Dissertations

Post-school outcomes are unfavorable to students with intellectual and developmental disabilities (IDD). Despite these outcomes and significant academic challenges, students with IDD have the potential to learn adaptive and life skills that lead to a more independent and fulfilling life through intentional intervention strategies. This dissertation explores technology-based interventions for students with IDD. Manuscript 1 presents a synthesis of literature related to technology, IDD, and a system of supports that schools utilize for tiered intervention delivery. Based on the findings, a new framework, Systems of Support for Technology Intervention (SSTI), is introduced to help guide school psychologists in choosing appropriate …

The Effects Of Adverse Childhood Experiences On Behavioral Outcomes, Jennifer Thomas

Electronic Theses and Dissertations

This study intends to explore the intersection of two vulnerable populations, early childhood development and risks associated with exposure to adverse childhood experiences (ACEs). This study examines how age plays a role in the long-term relationship between ACEs and internal and external behaviors. This study seeks to answer the question of: How does age influence the relationship between number of ACEs and internal and external behaviors? The participants in this study include those aged 0 – 16 from the National Survey of Child and adolescent Well-Being (NSCAW) dataset. The NSCAW study consists of five waves of data where Wave I …

Cultural Wealth Of First-Generation College Students And Its Effects On Well-Being, Persistence, And Major Satisfaction, Eve M. F. Sussman

Electronic Theses and Dissertations

Although understanding of FGCS’s success in higher education has been enhanced over the last decade, less is known about their career and educational development, and how their strengths and assets promote college success. The purpose of this study was to explore the relations between first-generation college student (FGCS, [N= 130]) cultural wealth variables, work volition, and outcomes (i.e., academic major satisfaction, persistence, and well-being) using the Critical Cultural Wealth Model (CCWM; Garriott, 2020). Results of regression analyses partially supported CCWM propositions. Significant, positive correlations were observed between resilience and work volition, academic major satisfaction, and well-being. Significant, positive …

A Qualitative Study Of Non-Relational Foster Families Experiences Navigating The Education System, Emma Grace Topf

Electronic Theses and Dissertations

This qualitative study used a phenomenological approach to capture the lived experience of non-relational foster families navigating the Colorado public education system. While most research on children in foster care looks at all sub-populations of foster care combined, this is the first known study to focus solely on non-relational foster families navigating the education system. I explored non-relational foster parents experience navigating the education system for the school-age children in their care through a semi-structured two-interview approach. Four levels of data analysis were completed (descriptive coding, emergent coding of themes, a priori coding of research questions, and a priori coding …

How 6-12th Grade Staff Support Students With Depression: A Pilot Study To Develop Measures Of Implicit Associations, Explicit Attitudes And Helping Behavior, Paul M. Thompson

Electronic Theses and Dissertations

Students with emotional disabilities are disproportionately suspended and expelled in K-12 schools. Attribution theory suggests individuals are less likely to provide assistance to others if they believe the individuals are responsible for their own difficulties. To test attribution theory, this study created new measures of explicit attitudes and implicit associations of licensed 6-12th grade staff regarding students with depression as well as a helping behavior measure of staff toward students with depression. The survey was distributed within a single school district in the western United States. A majority of the sample (N = 52) held a mental health license (60%), …

A Phenomenological Exploration Of Korean Adoptees’ Multiple Minority Identities, Jared Utley

Electronic Theses and Dissertations

Since the end of the Korean War, Korean children have been placed for international adoption due to their marginalized status in South Korea. In the United States, Korean children have predominantly been adopted to White families through transracial adoption (Bergquist, 2003; Lee, 2003). Transracial adoption describes the process of children being placed in a home where there are racial differences with one or both adoptive parents. Through international transracial adoption, Korean adoptees may undergo events that impact the salience and development of multiple minority identities, including: racial, ethnic, cultural, and as an adoptee. These experiences may be shaped by interactions …

Identification Of Gifted Characteristics Using The Behavioral Assessment Scale For Children—Third Edition, Kristine Zytka

Electronic Theses and Dissertations

Children who are gifted are at-risk for being misidentified with emotional and behavioral disorders (Daniels & Piechowski, 2009; Mullet & Rinn, 2015; Webb, 2016). Challenges exist in conclusively defining giftedness, assessing giftedness, and understanding common behavioral patterns among gifted individuals (Bracken & Brown, 2006; McClain & Pfeiffer, 2012). Because gifted children typically exhibit common behavioral patterns, it is important for school psychologists to understand gifted behavioral characteristics, how to assess these characteristics, and how to differentiate between common gifted behavior and maladaptive behavior (Daniels & Piechowski, 2009; Webb, 2016). This study examined the value of the BASC-3 in identifying gifted …

Caballerismo In Latinx Men In Higher Education, Victor Carrasco

Electronic Theses and Dissertations

Latinx men continue to be marginalized in higher education, and more research is needed to understand how to retain them using anti-deficit frameworks (Cook et al., 2012). Studies have investigated caballerismo as a protective factor for LatinX men. Caballerismo is defined by egalitarian beliefs, affiliation, positive family relationships, and empathy (Arciniega et al., 2008; Neff, 2001). Despite its promise as an anti-deficit framework, little is known about how caballerismo informs Latino students’ experiences in higher education. Therefore, this study addresses the following research questions: a) How does caballerismo manifest in Latinx men in higher education, b) how does caballerismo intersect …

An Examination Of Relational Health, Belonging, And Self-Compassion In Chinese International Students, Elizabeth A. Harris Shaffner

Electronic Theses and Dissertations

Chinese international students (CISs), the largest segment of international students coming to the US to study at institutions of higher education (IIE, 2016), are reported to experience more acculturative stress than other international students because of the vast differences in social and cultural norms between the United States and China (Li & Glasser, 2005; Yeh & Inose, 2003). The present study used Relational-Cultural Theory (RCT) as the framework to explore the ways undergraduate CISs struggle and thrive in the face of acculturative stress and to understand how positive and negative outcomes are associated with their relational health, sense of campus …

Perceived Quality Of Clinical Supervision And Level Of Vicarious Trauma In Therapists-In-Training, Jessica L. Mantia

Electronic Theses and Dissertations

This study examined the relationship between perceived quality of clinical supervision and levels of vicarious trauma (VT) and secondary traumatic stress (STS) in a sample of novice therapists who reported working with survivors of sexual trauma. The researcher included therapist’s personal sexual trauma history and history of therapy for sexual trauma as covariate variables. Results did not support the predictive value of clinical supervision in determining level of VT or STS in this population. There were no meaningful differences among groups based on personal history of sexual trauma or participation in therapy. A high percentage of participants in this sample …

A Meta-Analytic Review Of The Relationship Between Interpersonal Trauma And Committed Romantic Relationships, Geneva Polser

Electronic Theses and Dissertations

The effects of trauma can be wide reaching and long lasting. In effort to create more comprehensive theories for the effects of trauma, there is a focus on the association between trauma and intimate relationships. For example, posttraumatic stress disorder (PTSD; APA 2013) is associated with deficiencies in romantic relationship satisfaction through an increase in maladaptive communication patterns, relationship instability and intimate partner violence. Furthermore, relationship satisfaction can predict decreases in an individual reliving the trauma, emotional numbness and irritability.

The focus in this study is on interpersonal trauma. This encompasses trauma enacted from one (or more) individual(s) onto another …

Fostering Trauma-Informed Schools By Considering The Experiences Of Teachers In Working With Trauma-Exposed Students, Allison A. Stiles

Electronic Theses and Dissertations

High rates of trauma exposure among youth in the United States and the detrimental effects of trauma on students’ psychosocial and academic outcomes are well-established. Such findings have engendered the emergence of trauma-informed schools across the nation. While research regarding trauma-informed schools has understandably focused on the needs of students, shockingly little is known about teachers’ experiences in working with trauma-exposed students. In particular, very few studies have examined the relationship between teachers’ indirect exposure to student trauma and related symptoms of secondary traumatic stress (STS), as well as factors that may predict STS levels or explain variation in the …

The Role Of Awareness In Traumatic Brain Injuries: Interviews With Experts, Dominique Chao

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Approximately 2.8 million US citizens sustain a traumatic brain injury (TBI) annually, with more than 275,000 requiring inpatient rehabilitation (Taylor, Bell & Breiding, 2013). As rehabilitation techniques are refined and adapted to increase the speed of recovery and functional independence following TBIs, there is an ongoing need for better prognostic assessment tools. Research has shown that a lack of self-awareness following TBI is associated with poorer outcomes (e.g. employability, community reintegration) following discharge from inpatient hospitalizations (Cheng & Man, 2006; Robertson & Schmitter, 2016) and can result in decreased motivation (Simmonds & Fleming, 2003), compromised safety, poor community re-integration, and …

Treating Substance Use Disorders Through An Attachment Lens: A Case Example, Kathleen Locker

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Substance use treatment addresses addiction behaviors, increasing coping skills, and sobriety but current modalities do not address the insecure attachment styles that may contribute to substance use for many individuals. Insecure attachment styles seemingly have a bidirectional relationship with substance use and are therefore are likely an important aspect of treatment. This case example focuses on an attachment therapist’s work with a young man with a substance use disorder and attachment insecurity. Attachment theory interventions are proposed to address potential contributors of continued substance use. This paper proposes that using attachment theory in combination with existing treatment modalities for substance …

Could A Robot Be Your Psychotherapist?, Benjamin Huston

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

As technology has advanced over the years, it has been integrated into psychotherapy and changed the way that people receive mental health care (Schopp, Demiris, & Glueckauf, 2006). Many of these advances, such as telehealth practices, were seen as unsustainable until the public Internet offered broader access to technology-based care in the 1990s (Schopp, Demiris, & Glueckauf, 2006). These technology-based practices have since grown in popularity and with a recent increase in telehealth practices, text-based therapies, and applications to aid in mental health practices, modern therapy looks very different than it did even ten years ago (Fiske, Henningsen, & Buyx, …

The Elephant And The Felon: A Look At Criminal Sentencing And Treatment Through The Lens Of Jonathan Haidt's Moral Matrices, Samantha Horkott

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Criminal sentencing in the United States has shifted over the years. This paper outlines the current role morality plays in the sentencing and punishment of criminals. Recent work in moral psychology points the way to a better approach. Jonathan Haidt’s moral matrices, from his book The Righteous Mind: Why Good People Are Divided by Politics and Religion, provide a signpost for more efficacious treatment of those on parole or under community supervision, overall contributing to the reduction of recidivism. In sum, Haidt’s work in moral psychology could lead to fairer sentencing and more effective treatment.

Correctional Staff Attitudes Toward Transgender Individuals, Neilou Heidari

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Compared to the general population, transgender individuals face higher rates of victimization, violence, substance use, physical health issues, and mental health problems. Transgender people are more likely to face barriers in finding and maintaining employment and housing due to discrimination. As a result, they are more likely to participate in illegal economies such as sex work and drug distribution. These factors contribute to the overrepresentation of transgender people in jails and prisons in the United States. Specifically, 16% of transgender adults have been incarcerated, compared to 2.7% of the general population. While under custody, transgender individuals are at risk of …

Families Healing Together: A Multi-Family Group Curriculum Proposal, Loraine Fishman

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

This paper presents evidence that supports the need to create and implement a trauma-focused multi-family group curriculum. The introduction provides a broad definition of post-traumatic stress disorder (PTSD) as well as a definition of complex trauma. The paper also reviews research for trauma-specific evidence-based interventions for individual, group, and multi-family group psychotherapy. A curriculum that involves multi-family support, family therapy, age-specific group treatment, and individual therapy is presented. In addition, limitations and future and multicultural considerations are discussed.

Bad Boys, Bad Boys: Masculinity, Performance Theory, And Prisoner Re-Entry, Jannae D. Bratcher

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Men and boys commit more crime, are more violent, and are more likely to be involved in the criminal justice system than women and girls (Cohen & Harvey, 2006; Carson, 2018; Zimmerman & Messner, 2010). Within the past two decades, criminal studies have begun to consider masculinity as a social construct to explain the gender gap in crime rates. However, more research is needed to understand its relationship to reentry and recidivism. The lens of masculinity as a performance is valuable and has a proud scholarly history, including the works of Judith Butler and Erving Goffman. This paper conceptualizes prisoner …

Biology Of Binge Eating Related Disorders And Proposal For Integration Into Treatment, Karlyne Morawe

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

The concerningly low recovery and high cross over rates of eating disorders with binge eating behaviors suggests there might be a missing element in current treatment approaches commonly used to address eating disorders. Research supports the existence of significant biological correlation between disorders that are characterized by binge eating behaviors. This paper examines some of the biological processes in which these disorders show the most significant correlations. These include the organism’s response to caloric restriction, the brain’s response to feeding, the biological drive for reproduction, sensory association to feeding, and habituated responding to the feeding process. Additionally, we will explore …

Doubled Up With Pain: Applying A Relational Framework To The Primary Care Provider - Chronic Pain Patient Relationship, Rebecca Hillel

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Treatment relationships between primary care providers (PCPs) and chronic pain patients are often rife with difficult interpersonal dynamics and experienced by both parties as being noncollaborative. It is important that PCPs are provided with recommendations to make these treatment relationships more collaborative. Relational psychological frameworks, such as intersubjectivity, can teach PCPs how to improve their relationships with chronic pain patients. This paper focuses on how to strengthen the working alliance between PCPs and chronic pain patients using intersubjective principles. Conceptualizing the working alliance from an intersubjective lens gives PCPs guidance about where to turn if their treatment relationships with chronic …

Feminist Therapy With Severe Mental Illness And Complex Trauma: A Case Example, Mimiko Watanabe

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Feminist therapy emphasizes empowerment through an egalitarian therapeutic relationship and collaborative approach of understanding symptoms and treatment. Feminist therapy can be used with all types of clients, including those with severe mental illness (SMI) as well as complex posttraumatic stress disorder (complex PTSD) which refers to the unique presentation of those who have experienced chronic developmental trauma (Herman, 1992). This case example focuses on a feminist therapist’s work with a young woman who has both SMI and complex PTSD, resulting in struggles across several domains. Feminist therapeutic interventions of developing an egalitarian relationship, exploration of intersectional multicultural dynamics, building empowerment, …

Educating And Training The Next Generations Of Security Staff In Suicide Risk Assessment In Correctional Settings: Development Of Cultural Competencies, Ashley Christianson

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Cultural competence in suicide risk assessment has become a necessity given the demographic diversity in the U.S. corrections population and the increasing rate of suicidal behavior in jails and prisons. With few exceptions, little attention has been paid to the cultural training of both clinicians and security staff, and the development of cultural competencies in this field. This paper will focus exclusively on examining the case for cultural competence when conducting a suicide risk assessment in a correctional setting. The author reviews factors that are key in the education and training of culturally informed jail-based therapists and corrections officers, including …

The Zero Suicide Initiative: Implementation Tailored For Individuals With Chronic Suicidality In Community Mental Health Centers, Helen Louise Littrell

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

In 2018, Suicide was the 10th leading cause of death in the United States (Center for Disease Control and Prevention, 2019), and the American suicide rate continues to rise (Hedegaard, Curtin, & Warner, 2018). The lack of impact in reducing the suicide rate highlights the need to further understand how to help suicidal individuals. Nearly one third of suicides are preceded in the previous year by a visit to a mental health physician (Luoma, Martin, and Person, 2002). This paper proposes a tractable and research-validated strategy for Community Mental Health Centers (CMHCs) to appreciably reduce the suicide rate among their …

Clinician’S Resource Guide: A Compendium Of Child Treatment Resources, Carleen Knauf

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

As an early career clinician in a fast-paced field that is dedicated to working with others, saving time and energy where possible is invaluable. When I first started working with children, I was overwhelmed by the amount of time I was having to dedicate to research to find reputable resources to use in my clinical settings. I realized so much of my time and energy was going towards this research that by the time I entered the therapy room with my clients I was tired, frustrated, and overwhelmed by the lack of easily accessible resources. After working with and learning …