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The Role And Effect Of Mindfulness In Intimate Relationships, Mazyar Karandish Dec 2019

The Role And Effect Of Mindfulness In Intimate Relationships, Mazyar Karandish

Antioch University Dissertations & Theses

Mindfulness practice, a present-centered approach to experience, has been shown to effectively enhance various dimensions of the human experience. Recent literature has explored how the practice of mindfulness meditation has provided benefits to practitioners seeking to enhance relationship dynamics. There are multiple examples of mindfulness-based relationship enhancement programs aiming to enhance the quality of intimate relationships in adults. This study utilizes a repeated-measures design to address whether a neutral mindfulness-based program, not geared at enhancing relationships, can significantly alter the quality of intimate relationships. The research will further examine the central mechanisms of action through which mindfulness can enhance relationships. …


Childhood Witnessing Of Domestic Violence And Its Impact On Character Development Across Time And Adulthood Relationships, Zena Ouzounian Dec 2019

Childhood Witnessing Of Domestic Violence And Its Impact On Character Development Across Time And Adulthood Relationships, Zena Ouzounian

Antioch University Dissertations & Theses

This phenomenological research study explored the experiences of five adult participants who reported witnessing domestic violence between their parents during childhood. Through the process of open-ended interviews, this work added further support to the existing understanding of the impact that childhood witnessing of parental violence can have on one’s adult behavior and relationships. Thus far, child witnesses to parental violence receive little attention, perhaps due to the lack of tangible evidence that they have been harmed. Existing studies in the field primarily make use of quantitative methods to examine negative outcomes of such experiences. This study identified similar themes among …


Mothering The Aggressive Child, Katja Ermann Jan 2019

Mothering The Aggressive Child, Katja Ermann

PsyD Program in Clinical Psychology Doctoral Dissertations (Seattle)

This qualitative study explores the experience of mothers parenting significantly aggressive children, ages five to 10. Little has been known previously about how women experience this aggression or the social and psychological impacts it has on them. This dissertation highlights the women’s understandings to provide a solid basis for theoretical explication using a Constructivist Ground Theory approach. Significant findings include the invisibility and stigma the women feel and the ways in which the experience is similar and dissimilar to other forms of family violence, particularly adolescent-on-parent violence (APV). Differences were found in social stigma between women whose child has a …


The Rorschach’S (R-Pas) Capacity To Predict Quality Of The Working Alliance, Jordan G. Stewart Jan 2019

The Rorschach’S (R-Pas) Capacity To Predict Quality Of The Working Alliance, Jordan G. Stewart

Antioch University Dissertations & Theses

The aim of this study was to explore the Rorschach’s ability to predict the working alliance by investigating associations between specific Rorschach Performance Assessment System (R-PAS) variables and the Goals, Tasks, and Bonds dimensions of the Working Alliance Inventory (WAI). Specific R-PAS variables were chosen based their theoretical relatedness to the three dimensions of the WAI. The linear multiple regression results trended toward significance within the Goals domain, with the Human Movement Proportion score (M/MC) significantly predicting individual’s initial WAI Goals scores, indicating that individuals who possibly have difficulty modulating their emotions and tend to be more reactive in their …


The Provision Of Psychological Assessment Feedback To Children: A Survey Of Practitioners, Caitlin P. Dolan Jan 2019

The Provision Of Psychological Assessment Feedback To Children: A Survey Of Practitioners, Caitlin P. Dolan

Antioch University Dissertations & Theses

Psychological assessment, long a cornerstone of psychological practice, has been the subject of substantial empirical research and clinical devotion. Far less attention, however, has been given to the process of assessment feedback—the task of communicating psychological test results to clients. Research has demonstrated the therapeutic value of providing clients with feedback, including improved insight and functioning. Providing assessment feedback is also mandated by professional standards. Still, to date, there is minimal published research examining the actual feedback practices of psychologists, or their perspectives on such practices. That which does exist focuses on adult testing clients, not children. It is largely …


Evaluation Of The Veteran Resilience Project, Shon Powell Jan 2019

Evaluation Of The Veteran Resilience Project, Shon Powell

Antioch University Dissertations & Theses

Posttraumatic Stress Disorder (PTSD) is a daunting concern among the majority of organizations with diverse, or tangential, affiliations to the United States Military and/or its personnel. Unquestionably, the 21 million service-connected individuals, at the time of this writing, (i.e., Active-Duty, Reserve, National Guard, and Veterans) afflicted with this disorder are the catalyst for the intense public and private sector interest and involvement in eradication of this disorder. Prevalence rates of PTSD among this complex classification of persons vary across the relevant literature. Some estimates suggest anywhere from 11 to 20 percent, while other sources indicate that upwards of 40 percent …


Aces Wild: Making Meaning Out Of Trauma Through Altruism Born Of Suffering, Jessica Gibson Jan 2019

Aces Wild: Making Meaning Out Of Trauma Through Altruism Born Of Suffering, Jessica Gibson

Antioch University Dissertations & Theses

Childhood exposure to early adverse experiences is prevalent—affecting almost one-half of children from birth to 17 years old—and brings with it the potential for the long-lasting detrimental effects of traumatization. At the same time, a growing body of compelling evidence also suggests that many survivors of trauma exhibit more resilience and prosocial behaviors than individuals who have never experienced a traumatic event. This phenomenon has been coined altruism born of suffering (ABS); it is a relatively new concept in trauma research that seeks to better understand the possible positive outcomes of trauma. Building further beyond the concepts of resilience and …


Phenomenological Experience Of Mexican Curanderismo, Yoseline P. Lopez-Marroquin Jan 2019

Phenomenological Experience Of Mexican Curanderismo, Yoseline P. Lopez-Marroquin

Antioch University Dissertations & Theses

This qualitative research design focused on the various treatment dimensions of Curanderismo and explored it as a possible compliment with traditional Western psychotherapy. The principal investigator gathered information about the treatment provided in Curanderismo and gained a deeper understanding of participant's lived experiences during such healings. This study also aimed to understand how individuals made the choice to seek treatment with a curandero/a, as well as if a deeper understanding of such treatment could help the mental health field be better informed care providers to the Latino/a community. Phenomenological research methodology was used in efforts to grasp how the participants, …


The Role Of Emotional Overcontrol In The Acceptance Of Counselor Training Feedback, R. Erin W. Berzins Jan 2019

The Role Of Emotional Overcontrol In The Acceptance Of Counselor Training Feedback, R. Erin W. Berzins

Antioch University Dissertations & Theses

Feedback is an essential component of counselor training, making it crucial that students receive and utilize this information effectively. This research was conducted to address the problem of counseling students experiencing difficulty with accepting feedback during the training process. Radically Open Dialectical Behavior Therapy and the concept of emotional overcontrol were used as a lens for exploring the possible correlation between measures of overcontrol and difficulty with accepting feedback within counselor training programs. This research contributed to the literature—much of which has focused on the behaviors of instructors and supervisors in the feedback process—by providing support for the perspective that …


Therapist Attachment And Meaning-Making In Adolescent Residential Treatment, Lisa J. Milone Jan 2019

Therapist Attachment And Meaning-Making In Adolescent Residential Treatment, Lisa J. Milone

Antioch University Dissertations & Theses

This qualitative study explores therapist views of the therapeutic relationship in adolescent residential treatment from an attachment perspective. The therapeutic relationship is a strong predictor of outcomes in adult psychotherapy and a significant body of research has relied on the attachment literature to understand its importance. Research yields comparable results when examining the significance of the therapeutic relationship with children and adolescents; however, there is virtually no literature exploring it from the attachment lens. This is particularly notable for children and adolescents in residential treatment. As treatment intensity increases from outpatient to inpatient to residential, challenges and opportunities within the …


Discovering Themes: Disability Identity Development As It Pertains To People Born With Spina Bifida, Elizabeth H. Scriven Jan 2019

Discovering Themes: Disability Identity Development As It Pertains To People Born With Spina Bifida, Elizabeth H. Scriven

Antioch University Dissertations & Theses

To date, disability identity development is a highly understudied construct. There are many models of disability, each interpret disability through a specific lens, but do not address the influence of disability on identity development. The few theories of disability identity that do exist have not been widely adopted. In addition, there is a lack of empirical evidence to support them. Another difficulty is that these theories do not separate different disability groups. Rather, the theories are applied to a broad heterogenous group of disability types. This is a problem because each disability type is quite distinct from the others and …


Sexually Objectifying Microaggressions In Film: Using Entertainment For Clinical And Educational Purposes, Jackie M. Nelson Jan 2019

Sexually Objectifying Microaggressions In Film: Using Entertainment For Clinical And Educational Purposes, Jackie M. Nelson

Antioch University Dissertations & Theses

Our culture is steadily becoming more aware, and less tolerant, of sexual harassment and misconduct. This is particularly evident in the wake of the viral Me Too movement beginning in 2017 which highlighted the breadth of personal experiences of sexual harassment on various social media platforms. Often the focus of these experiences is on overt sexual harassment and assault, but less attention is paid to the buildup that can lead to these terrible events. What is more, is that often these events are attributed to character flaws of the perpetrator without taking covert social norms into perspective. This dissertation takes …


Examining The Relationship Between Alcohol Use And Work In The Professional Theater, Michael A. Carollo Jan 2019

Examining The Relationship Between Alcohol Use And Work In The Professional Theater, Michael A. Carollo

Antioch University Dissertations & Theses

Objective: The perception of a culture within the professional theatrical community that promotes problem drinking has been discussed anecdotally within the industry. No meaningful research has been conducted within this population. This study presents initial epidemiological survey data on the drinking habits of professional theatrical community (PTC) members as compared to the general public (GP) in order to confirm whether the phenomenon exists for further study. Methods: Data are from a convenience sample of 104 members of the PTC and GP who were each provided two previously clinically validated measures of problem drinking, the AUDIT and CAGE questionnaire. Drinking habits …


Women’S Lived Experiences Of Gender Microaggressions: Dental Hygienists’ Stories, Karin E. Hovey Jan 2019

Women’S Lived Experiences Of Gender Microaggressions: Dental Hygienists’ Stories, Karin E. Hovey

Antioch University Dissertations & Theses

This dissertation presents research involving women’s subjective experiences of gender microaggressions. The introduction includes a review of the literature on microaggressions: (a) the types of microaggressions, (b) the emotional and psychological cost to those who experience microaggressions, and (c) how gender microaggressions against women work to maintain oppression and sexual objectification of women in American society. This current research addresses the knowledge gap created by little research on women’s lived experiences of gender microaggressions they encounter in their everyday lives, particularly in the workplace. The population studied was dental hygienists. This population is unique because of the disproportionate number of …


Cultural Influence On The Assessment Of Adjudicative Competency: A Grounded Theory, Shawn D. Curtis Jan 2019

Cultural Influence On The Assessment Of Adjudicative Competency: A Grounded Theory, Shawn D. Curtis

Antioch University Dissertations & Theses

The Washington State Supreme Court has strongly recommended that culture should be considered as a factor for multicultural defendants when questions regarding competency to stand trial have been raised and an evaluation is ordered by the Court. This represented a departure from prior decisions, which have ignored culture as a factor for consideration in such cases. Though culture had long been identified as a core pillar within clinical psychology, research in the sub-field of forensic psychology has shown a dearth in the literature regarding culture as a factor in forensic assessment. Despite the recent cases in Washington State, the criminal …


Risk Management For Persons With Serious Mental Illness: A Process Analysis Of Washington State Department Of Corrections' Tools, Martin J. Tobin Jan 2019

Risk Management For Persons With Serious Mental Illness: A Process Analysis Of Washington State Department Of Corrections' Tools, Martin J. Tobin

Antioch University Dissertations & Theses

Although many evidence-based techniques are outlined in the literature, systems often assess, plan, and mitigate risk for Persons with Serious Mental Illness (PSMI) in significantly divergent ways. For more than 20 years now, the Washington State Department of Corrections has relied on the Offender Reentry Community Safety Program (ORCSP) to appraise dangerousness and presence of mental disorder, utilizing a staged process that considers a wide-ranging set of criminogenic and non-criminogenic variables. A growing body of research suggests that the ORCSP is effectively decreasing recidivism through collaborative reentry planning and mitigation between mental health and criminal justice professionals; however, whether ORCSP …


The Experience Of Relapse After Long-Term Sobriety And Subsequent Return To Sobriety, Bahram Edward Kaikhosrow Shahrokh Jan 2019

The Experience Of Relapse After Long-Term Sobriety And Subsequent Return To Sobriety, Bahram Edward Kaikhosrow Shahrokh

Antioch University Dissertations & Theses

While psychiatric medications have been categorized as the same as substances of abuse in Alcoholics Anonymous (AA), medications for common medical disorders were not affected by this disapproval of medication. It may be time for a new dialogue (Woody, 2015). According to Gjersing and Bretteville (2018), there has been a concerning increase in overdose deaths in the last decade. This includes a threefold increase in overdose deaths from prescription narcotics and six-fold increase in overdose deaths from heroin in the United States. When prescription opioid users find difficulty in obtaining pills, they may move on to heroin, which is much …


Insomnia, Race, And Mental Wellness, Debbie D. Hendley Jan 2019

Insomnia, Race, And Mental Wellness, Debbie D. Hendley

Antioch University Dissertations & Theses

This phenomenological study examines the experiences of insomnia among sixteen Americans who are descendants of people who lived in the United States during chattel slavery. The investigation is guided by the following two central questions: Is the lived experience of insomnia among African Americans the same as the experience among non-Hispanic White Americans? In addition, what is the lived experience of sleep among African Americans and Non-Hispanic White Americans? Each participant met individually with the researcher and privately reflected on their experience with insomnia defined here as a condition in which individuals have difficulty initiating and maintaining sleep that furthermore …


Forgotten Victims: Understanding Latino/A Non-Offending Parents Of Sexually Abused Children, Alba Rocio Andrade Jan 2019

Forgotten Victims: Understanding Latino/A Non-Offending Parents Of Sexually Abused Children, Alba Rocio Andrade

Antioch University Dissertations & Theses

Childhood sexual abuse is widely condemned by society and religion (Roesler & Wind, 1994; McCallum, 2001). Nevertheless, it is estimated that approximately one in three girls and one in six boys are sexually abused by the time they turn 18 years old (Stauffer and Deblinger, 1996). This trauma affects the victim as well as other members of the family including the non-offending parent(s). However, services are often provided only to the victimized child, which overlooks the needs of the non-offending parents. The existing body of research into the stressors experienced by non-offending parents typically is focused on non-offending parents of …


Mothers’ Religious Influence On Children Experiencing Trauma: Haiti Community Clinic Focus Groups, Ashland C. Thompson Jan 2019

Mothers’ Religious Influence On Children Experiencing Trauma: Haiti Community Clinic Focus Groups, Ashland C. Thompson

Antioch University Dissertations & Theses

An earthquake measuring 7.0 on the Richter scale hit Haiti on January 10th, 2010. The earthquake, an urgent crisis, occurred in the context of persistent social dysfunctions, amplifying both the chronic poor living conditions and adversities for children and families. The purpose of the study was to enquire into the possible ways children in Haiti are socialized by the religiousness and other coping ways of their mothers and caretakers in the childhood contexts of societal and continuous trauma. Participants were Haitian mothers (N = 27) who participated in three focus groups that were conducted in their location of residence: Canaan-Damien …


Mothering The Aggressive Child, Katja Ermann Jan 2019

Mothering The Aggressive Child, Katja Ermann

Antioch University Dissertations & Theses

This qualitative study explores the experience of mothers parenting significantly aggressive children, ages five to 10. Little has been known previously about how women experience this aggression or the social and psychological impacts it has on them. This dissertation highlights the women’s understandings to provide a solid basis for theoretical explication using a Constructivist Ground Theory approach. Significant findings include the invisibility and stigma the women feel and the ways in which the experience is similar and dissimilar to other forms of family violence, particularly adolescent-on-parent violence (APV). Differences were found in social stigma between women whose child has a …


Psychologists' Use Of Dogs In Psychotherapy: A Therapeutic Exploration, Christine A. Treece Jan 2019

Psychologists' Use Of Dogs In Psychotherapy: A Therapeutic Exploration, Christine A. Treece

Antioch University Dissertations & Theses

The current fund of literature documents the many benefits of using dogs as adjunct healing agents for both physical and psychological ailments. Despite the ever-growing body of research about dogs as adjunct interventions, there is a meager amount of information available about clinician’s experience of bringing their dogs to work with them. This dissertation is an in-depth exploration of six psychologists licensed in the state of Washington who brought their dogs with them to work. Each participant’s interview was analyzed using Interpretative Phenomenological Analysis. From their interviews, nine primary themes were identified: Reason for the Acquisition of Dog, Nature of …


The Experience Of Pregnant Women In Remission From Anorexia Nervosa, Meghan Butcher Jan 2019

The Experience Of Pregnant Women In Remission From Anorexia Nervosa, Meghan Butcher

Antioch University Dissertations & Theses

This qualitative study explored the subjective experience of pregnant women in remission from Anorexia Nervosa (AN). This subject matter is of importance due to the high relapse rates of AN, the ability for women to become pregnant while in remission from AN, the significant physical and emotional tolls of pregnancy, and the known dangers of AN behaviors during pregnancy. Prior to this study, minimal research had been conducted pertaining to the experience of women who became pregnant while in remission from AN. This study utilized Interpretative Phenomenological Analysis (IPA) to inform interpretation of narrative responses collected through semi-structured interviews. Participants …


Emerging Adults’ Experiences Of Agency In Higher Education Decisions, Leah B. Benjamin Jan 2019

Emerging Adults’ Experiences Of Agency In Higher Education Decisions, Leah B. Benjamin

Antioch University Dissertations & Theses

Over the past several decades, there has been a cultural shift impacting the experience of individuals in their late-teens to mid-20s in the United States. These individuals undergo a time of “cultural limbo,” during which the lines between adolescence and adulthood are blurred. The term emerging adulthood describes this distinct developmental period, which fits within the context of Erikson’s preexisting stages of psychosocial development (Arnett, 2014). A challenge for emerging adults is coming to terms with some of their more adult-like responsibilities in life. This requires making complex decisions that will impact their lives for many years to come, such …


Introducing Shame Resilience To Women Who Struggle With Complex Trauma And Substance Abuse, Kirsten R. Robertson Jan 2019

Introducing Shame Resilience To Women Who Struggle With Complex Trauma And Substance Abuse, Kirsten R. Robertson

Antioch University Dissertations & Theses

The relationship between shame and trauma has been documented in research beginning as early as the 19th century. Not until the second half of the 20th century did extensive research clearly define both trauma and shame, with the addition of Posttraumatic Stress Disorder (PTSD) as an official diagnosis in the field of mental health. Many researchers and clinicians believe an additional diagnosis should be added to the list of trauma-related mental health diagnoses—one that includes repeated traumatic experiences during childhood. Despite the known relationship between shame and various traumatic experiences, direct shame interventions have yet to find a place in …


Diabetes Management For Low-Income Patients: Within-Case Analyses In Primary Care, Samuel Collier Jan 2019

Diabetes Management For Low-Income Patients: Within-Case Analyses In Primary Care, Samuel Collier

Antioch University Dissertations & Theses

The study evaluated the effectiveness of a diabetes management program in a co-located mental health and primary care setting in Nashua, New Hampshire. The patient-participants were primarily underserved, low-income, working-class or homeless patients from the surrounding region. A few participants were also older adults. Examination of the literature highlighted the growing diabetes epidemic at local, state, and national levels. A review of past clinical trials of diabetes programs indicated further investigation into diabetes self-management education programs that integrate medical and behavioral health components under the biopsychosocial model. Thus, for the present study, the Stanford Diabetes Self-Management Program (SDSMP; Lorig, Ritter, …


Integrated Primary Care: Development Of A Patient Satisfaction Measure, Sarah C. Pearson Jan 2019

Integrated Primary Care: Development Of A Patient Satisfaction Measure, Sarah C. Pearson

Antioch University Dissertations & Theses

Primary care is often the first stop for individuals seeking services for a variety of behavioral health concerns including mental health and substance use disorders. However, many such patients are inadequately treated in these settings. Integrated primary care addresses this issue by adding a behavioral health provider to the primary care team to improve care and patient outcomes. A growing body of evidence suggests that increased integration of behavioral health and primary care yields a variety of significant outcomes including improved patient care, increased access to mental health treatment, and increased patient and provider satisfaction. When thinking about healthcare improvement …


Caregivers' Experience In Wraparound: A Qualitative Study, Mackenzie Soniak Jan 2019

Caregivers' Experience In Wraparound: A Qualitative Study, Mackenzie Soniak

Antioch University Dissertations & Theses

A large number of youth in the United States suffer from a severe emotional disturbance (SED). Due to a number of factors (e.g., lack of access to services, siloed service providers), many of these children have unmet severe emotional and behavioral health needs. Wraparound has been identified as a care philosophy and intervention to meet the needs of these youth. Wraparound programs aim to provide individualized, comprehensive, community-based care for children and their families. Although this intervention is widely spread across the United States, research findings on the efficacy of the approach are mixed. Previous research aimed to identify and …


Graduate Student Competencies In Working With Lesbian, Gay, And Bisexual Youth, Rachael Roberts Jan 2019

Graduate Student Competencies In Working With Lesbian, Gay, And Bisexual Youth, Rachael Roberts

Antioch University Dissertations & Theses

The focus and purpose of this dissertation was to explore students’ who are enrolled in APA-accredited clinical psychology doctoral programs self-perceived competency levels for working with LGB youth. This research utilized the Sexual Orientation Counselor Competency Scale (SOCCS; Bidell, 2005) in conjunction with an experience and demographic questionnaire. A survey was sent to all APA-accredited clinical psychology doctoral programs and all responses were analyzed through correlational analysis. The primary research question dealt with the possibility of a relationship between access and utilization of doctoral program training (in class or otherwise), practicum experiences, and level of confidence that graduate students have …


Internalized Homophobia Of Lgb Emerging Adults: Identity Complexities And Mental Health, Emily Christine Newbury Jan 2019

Internalized Homophobia Of Lgb Emerging Adults: Identity Complexities And Mental Health, Emily Christine Newbury

Antioch University Dissertations & Theses

Meyer’s (2003) minority stress model explores the relationship between the social stress of sexual minorities and mental health. Internalized homophobia is linked to feelings of shame, guilt, and worthlessness, and contributes to the development of mental health problems (Ramirez-Valles, Molina, & Dirkes, 2013). The present study examined the relationship between internalized homophobia and mental health in young adults who identify as LGB. Participants (N =130) were recruited from universities in Connecticut and Georgia, as well as from the Amazon Mechanical Turk website. It was hypothesized that higher levels of internalized homophobia would be related to higher levels of self-reported anxiety, …