Digital Commons Network^™

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 …

Learning To Be Trauma-Informed: An Examination Of Individual-Level Factors Predicting Perceptions Of And Response To Trauma-Informed Practice Trainings, Kelly Daniel

Electronic Theses and Dissertations

Trauma is a substantial threat to public health. As such, significant effort has been exerted into developing interventions which mitigate the consequences of trauma. Trauma-informed practice (TIP) aims to alleviate the effects of trauma by building policies and practices focused on safety, trust, transparency, support, collaboration, and empowerment. This study investigated how individual-level factors, including readiness for organizational change, perceived benefit of TIP training, and personal trauma history affect one’s ability to apply a TIP lens in a sample (n =100) of members of a graduate-level college. Further, it explored if one’s perceptions of and response to trauma-informed practice training …

How Art Therapy And Emdr Help Asylum Seekers And Refugees Move Towards Healing Trauma: A Literature Review, Anna Mogilevsky

Expressive Therapies Capstone Theses

In the past ten years, there has been a significant rise in the number of asylum seekers and refugee populations worldwide (UNHCR, 2022). Displaced individuals are extremely vulnerable to mental illness because of the compounded trauma experienced in their countries of origin with the stress of immigration, asylum seeking, culture shock, and language barriers. PTSD is affecting 500 million individuals globally, and refugees are especially susceptible to having these symptoms (Farrell, 2020). Art therapy and EMDR are identified as the most promising modalities for treating such trauma.

This literature review examines the various ways EMDR and art therapy have been …

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 …

How Does Psychopathology Impact The Trajectory From State To Trait Mindfulness?, Veronica O'Brien

Electronic Theses and Dissertations

Previous research has found that higher levels of trait mindfulness protect against psychopathology (e.g., Chiesa & Serretti, 2013; Desrosiers et al., 2013; Sevilla-Llewellyn-Jones et al., 2018); however, the research on state mindfulness and psychopathology is more mixed. These mixed findings suggest that some clients with higher levels of psychopathology may have greater difficulty engaging with mindfulness practice thereby hampering their progression towards trait mindfulness and its associated benefits. The present study sought to explore how psychopathology (i.e., anxiety, trauma, alcohol use, and depression) relates to the growth of state and trait mindfulness. The present study recruited 274 participants from a …

Perceived Credibility Of Allegations Of Sexual Assault Across Victim Race And Mental Health History, Liyah C. Morgan

Electronic Theses and Dissertations

Previous research examined the effect of victim gender and rape myth acceptance (RMA) on perceptions of victim credibility; however, little attention has been given to the impact of victim race and mental health history, and even fewer studies have explored the intersection of these two identities. The primary purpose of the current study was to identify factors affecting understanding of perceived credibility of victims of sexual assault, specifically in terms of victim race and mental health history. The study also examined the role of RMA on perceptions of credibility and explored participant attitudes related to color-blind racial attitudes and mental …

South Asian American Experiences Of Microaggressions And Wellbeing: The Moderating Role Of Social Support, Archita Birla

Electronic Theses and Dissertations

Although the South Asian American community is rapidly expanding in the United States (South Asian Americans Leading Together [SAALT], 2015), there remains a dearth of psychological research regarding the impacts on mental health and wellbeing affecting this diverse community. Racial microaggressions, or verbal or behavioral actions indicating hostile or negative attitudes toward marginalized individuals (Sue et al., 2007), negatively impact People of Color (POC) mental health and wellbeing (Forrest-Bank & Jenson, 2015a; Nadal, Wong, et al., 2015). Some research exists on South Asian American communities and microaggressions (Houshmand et al., 2014; Poolokasingham et al., 2014) but there is limited research …

Substance Misuse And Suicidal Behaviors In An Lgbtqia+ Sample: Examining The Buffering Effects Of Psychological Flexibility And Emotional Regulation, Mariano Ottone

Electronic Theses and Dissertations

Suicidal behaviors among LGBTQIA+ individuals, particularly in the context of substance misuse, present a significant area of exploration for mental health research and intervention. It is particularly important to evaluate factors capable of moderating this relationship, to promote more culturally affirming prevention models. This study aimed to explore the moderating roles of emotion regulation (ER) and psychological flexibility in the relationship between substance misuse and suicidal behaviors within the LGBTQIA+ community. Data were collected from 537 LGBTQIA+ adults through an online survey platform. Participants were asked to self-report on measures assessing the constructs of interest. The analysis focused on understanding …

An Exploration Of The Contributions Of Parenting Styles And Peer Relationships On The Emotional Expression Of Second-Generation Indian-Americans, Smitha M. Kashi

Doctoral Dissertations

This dissertation used a qualitative analysis methodology to study the contributions of parenting styles and peer relationships on the emotional expressivity of second generation Asian Indian-Americans. Seven participants participated in a 60 - 90 minute long semi-structured interview and the content was analyzed using a thematic analysis approach. Most previous research regarding this topic has been conducted on White American or European individuals and does not take into consideration the many intersectionalities that second-generation Indian-Americans hold. Many participants discussed the lack of direction they experienced in regards to learning about their emotions and disclosed that college and young adulthood provided …

Enhancing Memory Through Literary Features, Sarah Naylor

Psychological Science Undergraduate Honors Theses

Literary devices used by a writer can influence and impact the manner in which readers respond and interact with a text. Both the perspectives readers are expected to take while reading and the amount of foregrounding in a text cognitively and affectively influence a reader’s experience. However, little research has explored what effects these factors have on verbatim memory. For this research, participants were instructed to read a short literary story either by identifying with the protagonist or as a spectator. After reading and completing a range of other tasks, participants were asked to select sentences they saw in the …

Does Self-Care Moderate The Association Between Adverse Childhood Experiences, Trauma Symptoms, And Parental Reflective Functioning?, Vinaya Thomas

Electronic Theses and Dissertations

Unresolved adverse and traumatic experiences in parents can amplify the risk of perpetuating intergenerational transmission of trauma. Parents’ positive and adaptive practices such as self-care might act as a protective factor against this ripple effect. This study investigated whether self-care moderated the relationship between parental ACEs, post-traumatic stress symptoms, and parental reflective functioning in mothers who are experiencing high psychosocial stress (n = 59) residing in rural Appalachia. Within our sample, there was no statistically significant linear relationship between our predictors, ACE score and PTSD symptoms, and our outcome of interest, maternal pre-mentalizing. We did not find empirical support for …

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 …

An Exploration Of Adult Children’S Attachment To Their Parents Across Two Cultural Groups: Indians In India And Indians Who Immigrated To The United States, Vilasini Meenakshi Arun

Doctoral Dissertations

Typically, attachment theory has been studied and explored with western populations. Individuals seeking mental health treatment within the United States include western and nonwestern cultural groups and research, theories and interventions that apply to diverse populations are necessary. Attachment relationships are often a part of, or reasons for clients to seek therapy either overtly or covertly, thus allowing research on attachment to better inform treatment plans and practice. An attachment relationship between a parent and child can be influenced by several factors and may change over the course of development, but little is known about this process among Indians …

Understanding Mental Health Provider's Experiences Of Burnout, Vicarious Trauma, And Vicarious Resilience From The Provider Perspective, Lauren Beheler-Romero

Doctoral Dissertations

The physical and psychological impacts on mental health providers as a result of burnout, vicarious trauma, and vicarious resilience have not been researched extensively. This study examined burnout and vicarious trauma among mental health providers in New Mexico given the high need population and low access to resources. This qualitative study, employed individual interviews, examined the lived experiences of seven mental health providers who are currently employed in the state of New Mexico in order to better understand the impact of burnout, vicarious trauma, and vicarious resilience. Inclusion criteria for participants included providing mental health services to children and families …

Evaluating The Client Base And Housing Outcomes Of A Community Based Organization Serving Unhoused Adults, Emi Caprio

Doctoral Dissertations

There is a well-documented, bidirectional relationship between mental health and housing instability. When coupled with the complex historical, societal, and political factors contributing to houselessness, the result is a unique set of mental health needs within this community. Despite this, there is a low rate of mental health service utilization and a dearth of research on how to tailor services to meet the needs of unhoused individuals. Additionally, first-hand perspectives are often omitted, as this population is seen as “hard to reach”. The goal of this two-phase mixed-methods program evaluation was to better understand the demographic and mental health profiles …

Narratives Of Grief And Loss From The Children Who Lost A Parent On 9/11, Ryan Sliwak

Seton Hall University Dissertations and Theses (ETDs)

Limited research exists on the grief experiences of children who lost a parent on 9/11, particularly how these children evolve in their grief process, including their comprehension of the loss and their evolving attachment to the deceased parent (Kaplow et al., 2018; Alvis et al., 2022). Existing frameworks often assume post-traumatic reactions without fully considering the nuances of grief experiences for these children (Chemtob, 2007; Hoven, 2005).

Two research questions guided this study: (a) How does the pre-loss relationship with the parent influence the ongoing internal relationship with the deceased parent? (b) How does maintaining an internal relationship with the …

Derogatory, Racist, And Discriminatory Speech (Drds) In Video Gaming, Sean Woodford

Dissertations

Video games have been examined for their effects on cognition, learning, health, and physiological arousal, yet research on social dynamics within video gaming is limited. Studies have documented the presence of derogation, racism, and discrimination in this anonymous medium. However, gamers‟ firsthand experiences are typically examined qualitatively. Thus, this study aimed to establish a quantitative baseline for the frequency of derogatory, racist, and discriminatory speech (DRDS) in gaming. DRDS frequency, sexual harassment, and hate speech measures were administered to 150 individuals from online forums and social media groups. Descriptive and inferential analyses were used to gauge which factors affected DRDS …

Co-Rumination, Psychological Inflexibility, And Internalizing Symptoms In Adolescence, John Parigger

Electronic Theses and Dissertations

Two risk factors for anxiety and depression in adolescence were examined: co-rumination, which occurs when friends excessively talk about problems; and psychological inflexibility, which occurs when one avoids negative feelings and fails to act on values. I hypothesized that psychological inflexibility would exacerbate the effect of co-rumination on adolescent anxiety and depression. Participants were 167 adolescents (Mage = 14.60 years, SD = 1.3; 65.7% cisgender males) who completed standard measures as part of an online survey. Results indicated no moderation effect, but there were main effects of co-rumination and psychological inflexibility on depression symptoms. Co-rumination may relate to …

Validating A Scale Of Psychological Flexibility And Inflexibility For Older Adolescents, Caleb Douglas Farley

All Graduate Theses and Dissertations, Fall 2023 to Present

Psychological flexibility (PF) is a skill that is related to various mental health experiences in adults. Higher levels of PF seem related to greater wellbeing. Given increases in mental health problems with youth, measuring PF and its inverse, psychological inflexibility (PI), might be useful for identifying those teenagers at risk for mental health challenges and referring them to appropriate interventions. To date, most measures of PF and PI are only available for adults older than 18, and, while theory suggests PF and PI are important for adolescent mental health, little research has examined the validity of these claims. This multipaper …

Caring For A Family Member With Dementia: Collectivism And Individualism As Predictors Of Caregiver Burden, Christina Wawrowski

Dissertations

Caregiver burden, often associated with physical, emotional, and financial strain, is a significant concern for family members who are providing care to their loved ones. This study involved exploring the experiences of serving as a caregiver to a family member with dementia to better understand the relationship of collectivistic and individualistic orientations with perceived caregiver burden, while considering the level of social support and dementia severity. The research involved a quantitative approach, administering the Individualism and Collectivism Scale (Cultural Orientation Scale), the Caregiver Burden Inventory, the Functional Rating Scale, the Multidimensional Scale of Perceived Social Support, and a demographic survey …

Emailed Prompt Package To Increase Alternative School Educators’ Use Of Behavior Specific Praise, Chelsea Johnson

Dissertations

Alternative school educators are often placed in alternative education settings with minimal training or support to manage disruptive behaviors in the classroom. To combat this, school-based consultation may be provided to assist alternative school educators with classroom management strategies. However, face-to-face consultation may be limited due to the numerous responsibilities placed on school-based consultants. Behavior specific praise (BSP) is a strategy that is recommended, but often provided at low rates. To address these barriers, previous literature has examined the use of emailed prompts to increase treatment integrity, feasibility, and acceptability of a variety of evidence-based interventions. A concurrent multiple baseline …

A Review Of A Ketogenic Diet In The Treatment Of Autism Spectrum Disorder, Eugene Reznik

Loma Linda University Electronic Theses, Dissertations & Projects

Autism Spectrum Disorder effects millions of people every year, however pharmacological and behavioral treatments remain limited. The need for adjunctive therapies such as diet invervention [sic] that target autism spectrum disorder symptoms Is [sic] needed now more than ever. A connection between a ketogenic diet, which is high in fat and low in carbohydrates, and autism spectrum disorder can be made as the diet has shown potential in ameleriotating [sic] common comorbidities within the autism spectrum disorder population such as metabolic dysfunction, gut-microbiome dysfunction, medication resistant epilepsy, and various psychiatric disorders. Hence, this review focuses on the results and methods …

Growing Together: Cultivating The Social-Emotional Effects Of Art Education Through Trauma-Informed Pedagogy, Kaitlyn Lawrence

Masters Theses

In many societies, the process of art is recognized as a healing and transformative practice. In recent years, it has been emerging in tandem with social emotional practices and procedures in American education. However, it is also a fact that social emotional learning (SEL) does not account for all students due to its inability to account for the needs of all students in the classroom. SEL alone aims to teach healthy development and emotional management skills, but fails to account for students with varying experiences. While there are those who can and do integrate the skills from the Social Emotional …

Playing With Weplay!: Adapting A Caregiver-Child Group For Caregivers Of Young Children With Early Signs Of Autism Spectrum Disorder, Louisa A. Cahn-Gambino

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

WePlay! Denver, a collaboration between the University of Denver’s Graduate School of Professional Psychology and the Children’s Museum of Denver, Marsico Campus, began providing caregiver-infant playgroups to the community in 2019. WePlay! and Nosotros Jugamos, the English and Spanish-speaking groups, teach caregivers with young children about play-based exploration, provide psychoeducation, and offer resources. Qualitative data from WePlay! Denver’s initial groups and input from the WePlay! Denver team emphasized interest in expanding WePlay! to include families with children of varying developmental stages and who have specific developmental needs and considerations (Gross et al., 2021), such as autism spectrum disorder (ASD). ASD …

The Application Of Bayesian Meta-Analytic Models In Cognitive Research On Neurodevelopmental Disorders, Nic Zapparrata

Dissertations, Theses, and Capstone Projects

Meta-analysis is the systematic review and quantitative synthesis of specific areas in literature and is an important quantitative tool for researchers interested in synthesizing a particular body of research. The current research used meta-analysis to investigate processing speed in two neurodevelopmental disorders. This dissertation consisted of four meta-analytic papers. The first paper was a meta-analysis that synthesized a large body of research on processing speed, measured via reaction time (RT) measures, in groups of individuals diagnosed with autism spectrum disorder (ASD) versus age-matched neurotypical comparison groups. This research was motivated by two previous meta-analyses in the literature on processing speed …

What Does It Mean To Be Kindergarten "Ready?": Trends In Parents' Expectations And Families' School Experiences Across Ses, Lisa Babel

Dissertations, Theses, and Capstone Projects

The purpose of this study is to explore the meaning of Kindergarten “ready,” especially as the practice interacts with educational inequity. Past research used secondary data to show that SES relates to the prevalence of redshirting where children’s school entry is delayed by one year with the idea that the older they are when they start school, the more advanced they will be, but studies do not explain why children from families with lower incomes are advised to start Kindergarten later than others (Greensburg & Winsler, 2020; Reardon & Portilla, 2016). Moreover, family expectations of the Kindergarten participation process, including …

Creatively Addressing The Employment Gap: Using Creativity And The Arts To Help Autistic Adolescents And Young Adults Build Skills For Employment, Eliana Rachel Grossman

Dissertations, Theses, and Capstone Projects

Neurodiversity-affirmative autism frameworks present a shift from deficit-based models of autism to the recognition that autism is but one of many facets of biodiversity that should be affirmed and embraced. However, there is little research examining links between creativity and autism that has adopted a neurodiversity-affirming approach. The dissertation aimed to expand upon the nascent interdisciplinary link between neurodiversity-affirmative autism research and creativity to 1) understand the creative experiences of autistic adolescents and young adults and 2) address the critical issue of chronic unemployment faced by autistic people.

The first study examined the perspectives of autistic adolescents and young adults …

Examining Visual Processing Of Hierarchical Figures Through Behavioral Measures And Pupillometry In Relation To Autistic Traits In Adults, Chloe Brittenham

Dissertations, Theses, and Capstone Projects

Autism spectrum disorder (ASD) and autistic traits in the general population are associated with differences in sensory processing, particularly within the visual domain. Previous studies examining global (i.e., overall gist) and local (i.e., detail) visual processing in relation to ASD have sometimes yielded contradictory findings yet converge on a common theme: slowed global processing and increased local bias associated with ASD. Despite this consensus, the mechanism underlying these differences remains unclear, whether it be differences in visual attention, higher or lower visual perception, and/or cognitive style. The use of traditional tasks and stimuli may further complicate the understanding of contributing …

In My Softest & Most Liberatory Dreams: Reflections On Holding Complexity & Decentering Whiteness, Richard C. Clark

Dissertations, Theses, and Capstone Projects

As the world contends with a global pandemic, climate catastrophes, white supremacy, coloniality, and concurrent genocides my attention splinters. In an act of futurity, or future making, I ask myself: What is needed to move from this place toward softer, more liberatory futures? This body of work finds its answer in exploring two interrelated concepts: Decentering Whiteness and Holding Complexity. Decentering Whiteness is the process of working toward a future where all the personal, spiritual, educational, epistemological, social, structural, psychological, financial, and systemic ties to white supremacy are unraveled. Holding Complexity weaves together knowledges of care, accountability, intersectionality, and …

Drug Use And Harm Reduction: Community Readiness As Pathway To Well-Being And Reintegration, Lauretta Ekanem Omale

Dissertations

Drug abuse negatively impacts the life and well-being of those who use drugs; this harm often extends to their loved ones, communities, and society. One presumptive set of psychological explanations for drug abuse is an addictive personality, a psychological susceptibility resulting from challenging family relationships, inadequate reinforcement, the absence of healthy role models, conflicting parental expectations, and a lack of love and respect. Harm reduction is a public health approach that focuses on minimizing the harmful effects of drugs and reducing judgment. It aims to meet people where they are in life and provide judgment-free, empathetic, supportive, and needed medical …