Digital Commons Network^™

Ethical Dilemmas In Clinical Social Work Practice : How Are Social Workers Affected And How Do We Respond?, Jennifer S, Graves

Theses, Dissertations, and Projects

This mixed-methods exploratory research was undertaken to gain insight into how social workers perceive, are affected by, and respond to situations in which they are not able to enact social work ethics, or are asked to facilitate perceived injustice because of workplace restrictions. Seventy-four social workers responded to my online mixed methods survey. In quantitative responses, Likert scaled responses rated participants’ frequency and level of distress when encountering ethical dilemmas involving structural racism, classism, cultural insensitivity, sexism, heterosexism, protocols prioritizing funding over client care, protocols interfering with the treatment relationship, and protocols interfering with client self-determination. Participants also rated their …

Sensory Processing Disorder, Invalidating Childhood Environments, And Mental Health Outcomes In Adulthood, Emma Ross

Theses, Dissertations, and Projects

This study examined the interpersonal and mental health outcomes of children with sensory processing difficulties or Sensory Processing Disorder (SPD). SPD occurs when the ways in which we interpret sensory input in over-sensitive or under-sensitive ways. This can create a variety of difficulties, including impairment in the areas of touch, taste/smell, auditory, visual, proprioceptor, vestibular, and activity level/emotional reactivity. Previous studies have focused on the biological underpinnings of SPD, however few have looked at the interpersonal relationships of children with sensory processing difficulties as well as the mental health outcomes as those children mature into adults.

Methods:

This mixed methods …

The Use Of Specialization : ǂB Are Artists A Clinically Distinct Population?, Camila D. De Onis

Theses, Dissertations, and Projects

This research study explored how clinical social workers perceive their practice with clients who self-identify as artists. The study was based on qualitative interviews with 13 participants who described their clinical experiences with people who self-identify as artists and discussed whether they believe that this type of client is clinically distinct. Using grounded theory (Engel & Schutt, 2013), the study analyzed responses, clinical examples, nature of interventions, and personal reflections that each participant shared about her or his practice. Case vignettes provided real-world examples of the great satisfaction participants feel about their work with so-called artist-clients as well as concrete …

Santeria And Mental Health : Bridging The Gap Between The Social Work Profession And Orisha, Penelope Williams

Theses, Dissertations, and Projects

This qualitative study was conducted with the purpose of exploring how Orisha priest and priestesses dealt with issues of mental health with in their Iles and/or community. This study was made possible by the participation of seven priests and priestess, by conducting semi-open ended narrative interviews. The findings indicated that issues of mental health were present and dealt with in a number of ways by elders in the community. The results show that collaborative measure need to be supported between elders in the Santeria community and the social work profession, in order to establish culturally competent and therapeutic results to …

"My Choice, My Voice, My Opinion" : An Exploration Of A Strengths-Based Model Used With Youth In Hip Hop Therapy : A Project Based Upon An Investigation At Beats, Rhymes, & Life (Brl), Julia S. Fogelson

Theses, Dissertations, and Projects

The purpose of this study was to examine how the Academy program at Beats, Rhymes, & Life, Inc. (BRL) utilizes a strength-based therapeutic approach. This study focused on identifying facets of a strength-based model utilized by the Academy, and exploring the effect of a strengths-based approach on participants. Using semi-structured interviews with seven current and past Academy members, the study found that the strengths-based approach positively impacted all participants in three distinct ways: (1) Valuing multiple forms of knowledge in a non-hierarchical manner, which included processes related to collaboration, self-directed learning, and use of a multicultural perspective, (2) Honoring client …

Refusing To Relax My Smile : Building Resistance Through Hip Hop Therapy : A Project Based Upon An Investigation At Beats, Rhymes And Life, Stephanie Clowdus

Theses, Dissertations, and Projects

This study explores how hip hop therapy programming promotes resilience in youth. Based in Oakland, CA, Beats, Rhymes and Life (BRL) provides hip hop therapy to 12-24 year olds through their Therapeutic Activity Groups (TAGs). The purpose of this study is to establish evidence of how TAGs improve psychological resilience in youth program participants and of BRL’s effectiveness as a culturally congruent mental health provider. This study is part of a larger program evaluation in efforts with five other student researchers completing Smith College School for Social Work theses. Additionally, this study in particular serves as a pilot of a …

Gender Role Socialization Of Clinical Social Workers And Its Effect On The Treatment Of Male Alexithymia, Joseph D. Burke

Theses, Dissertations, and Projects

The purpose of this exploratory, qualitative study was to gain a deeper understanding of how the gender role socialization of clinical social workers affects their experience of treating men with alexithymia. The study used two semi-structured, in-person interviews with six licensed independent clinical social workers to gather qualitative data about their attitudes, beliefs and experiences of gender role socialization, as well as their experience of treating men with alexithymia.

The findings suggest a clinician’s experience of struggling with their gender role schema may lead to increased empathy toward men with alexithymia. Personal struggle with gender role was a prominent theme …

African-American And Black Women's Process Of Learning, Unlearning And Resisting Internalized Racism, Bianca M. Blakesley

Theses, Dissertations, and Projects

The purpose of this study was to address the research question, how do African American/Black Women unlearn internalized racism, and to understand the relationship between internalized racism and racial identity development. Internalized racism was defined as the acceptance of negative, stereotypical or devaluing ideas and beliefs about ones own racial group, and about oneself as a member of that group.

A series of 11 interview questions explored the processes in which Black women learn and unlearn racism over time. Thirteen self-identified Black/African-American women were interviewed regarding their experiences. They were further questioned regarding their methods of coping with and resisting …

Trust, Jealousy And Communication In Long-Term Couples Practicing Consensual Non-Monogamy, Christina Wang

Theses, Dissertations, and Projects

This cross-sectional exploratory quantitative study examined trust and communication patterns among adults practicing consensual non-monogamy (CNM). Previous relationship research in this area has primarily examined couples in demographically homogenous relationships (heterosexual, white, and married). A review of the literature suggested that adults engaging in consensual non-monogamy are more diverse. Our recruitment strategies and study design was successful in recruiting a more diverse group of participants. Twenty-eight adults in long-term CNM relationships completed a 56-item online questionnaire. Responses were examined to explore the relationship between communication patterns and relationship tenure. The relationship tenure of couples and the gender preference of participants …

Clinician Perceptions Of Harm Reduction, Psychotherapy And The Role Of Traditional Abstinence Models, Abigail R. Vayda

Theses, Dissertations, and Projects

This study sought to better understand clinicians’ perceptions of harm reduction, psychotherapy, and the role of traditional abstinence models when working with actively using clients. This study analyzed the results from a survey completed by 52 practicing clinicians in the United States. The survey contained demographic questions and Likert scale questions measuring attitudes toward harm reduction, abstinence, and psychotherapy with actively using clients. In addition to rating questions, there was also one open-ended question allowing participants to express their understandings of the development of a substance use disorder. The overall response to this survey was a positive attitude toward harm …

Caring For The Caregivers : The Relationship Between Perceived Organizational Support And Teacher-Child Interactions In Head Start Classrooms, Mariel R. Stadick

Theses, Dissertations, and Projects

The purpose ofthis study was to examine whether there is a correlation between Head Start preschool teachers’ perceived agency support and the quality of their interactions with children in their programs. This study utilized a mixed methods design with both observational and self-report measures to examine the correlation between two measures as administered in Head Start preschools programs: The Classroom Assessment Scoring System (CLASS) and the Survey of Perceived Organizational Support (SPOS). A national sample of 69 Head Start preschool teachers responded to a modified version of the SPOS that included demographic items and agreed to release their CLASS scores. …

Cultivating Resilience : Antidotes To White Fragility In Racial Justice Education, Katherine E. Roubos

Theses, Dissertations, and Projects

This qualitative study explores what skills, tools and approaches may be helpful antidotes to white fragility in racial justice education. This study is in response to the challenge posed by white fragility, as defined by Robin DiAngelo (2011) in which white people experience such extreme emotions in response to learning about racism in the USA that they become either defensive such that they are unable to engage in a learning experience, or so swept up in guilt or shame that they require substantial emotional tending in order to continue to engage in the educational experience. Robin DiAngelo frames this phenomenon …

"We Are All Mentally Ill" : Grassroots Efforts To Provide Lgbtq Affirmative Psychotherapy & Social Services, 1960-1987: Oral History Project, Seattle, Washington, Dexter Rose

Theses, Dissertations, and Projects

This thesis reports on the preliminary oral history findings collected for a larger national study directed by David S. Byers and Stephen Vider. The findings reported here focus on experiences of clinicians and social service providers in Seattle, Washington. Another student, José Hernandez conducted similar field research in Los Angeles, California. Both projects were under the supervision of the principal investigators.

The larger study—and this thesis—examines the motivations and strategies of clinicians and social services workers offering lesbian, gay, bisexual, transgender and queer (LGBTQ) affirmative psychotherapy and social services during a time when homosexuality and later egodystonic homosexuality were listed …

Social Workers' Education, Training, And Experience In Practice With Clients Bereaved By Suicide Death, Nicole S. Nejad

Theses, Dissertations, and Projects

This study is a mixed-methods descriptive survey of social workers with and LCSW or LMSW about their understanding of suicide survivorship, and their access to professional training related to treatment of survivors of suicide loss. The purpose of this study is to explore the attitudes and experiences of clinical social workers with regards to their education and training, as well as their knowledge and comfort level, in treating patients who are bereaved by a suicide death. Results show that social workers have limited opportunities for education and training in suicide bereavement, however they desire increased training opportunities in a variety …

"Resisting Disconnection" : An Exploratory Study Of Transgender Adults' Experiences Of Community Support And Resilience, Aj Metthe

Theses, Dissertations, and Projects

This qualitative study collected narrative data from transgender adults about their experiences of community support from other transgender individuals and about their experience of their own resilience. Due to previous research findings about the marginalization of transgender populations, particular attention was paid to narrative data that explicitly suggest structural oppression. Narrative data were collected from two samples drawn from adult transgender populations. One sample (N=12) participated in hour-long semi-structured individual interviews (Interview Sample [IS]). Another sample (N=4) participated in a Focus Group [FGS]) conducted at a transgender conference in the northeast.

The major findings that emerged from participants’ reports of …

From Entrenched To Empowered : The Factors Promoting Resiliency And Healing For Lgbtqia Identified Adult Survivors Of Childhood Sexual Assault, Hal Brown

Theses, Dissertations, and Projects

The objective of this study was to examine the experiences of adults, who as a result of their incidents of childhood sexual abuse were predisposed to present with a variety of negative outcomes, in pursuit of identifiable interventions, practices, and supportive factors effective in mitigating the negative outcomes and promoting survivor resiliency. The bulk of the previous studies of the critical elements for survivor resiliency had been conducted in religious communities. Ensuring a sample composed of individuals with access to an identity-based community, noting that community and connectedness had frequently been considered significant, this study was limited to LGBTQIA identified …

In Their Skin : A Discourse On The Modern Tattoo Experience For Adults Aged Thirty And Over, Margaret Feeney

Theses, Dissertations, and Projects

This qualitative study was undertaken to determine what meaning individuals aged 30 and over with large scale tattoos place upon those tattoos. More specifically, to establish the motivating factors led these individuals to get tattooed, along with the meaning, if any, is placed upon them. Ten individuals aged 32-64 were interviewed regarding their tattoos. Half of the individuals were tattooed for the first time during adolescence. All individuals were interviewed regarding their motivations for getting tattooed as well as any meanings they place on specific pieces. The findings of the research showed the driving force behind getting tattooed to be …

Masculine Ideology In Adolescent Male Relationships : A Quantitative Study, William D. Hall

Theses, Dissertations, and Projects

This research sought to investigate the following: is there a correlation between levels of happiness in interpersonal relationships and personal resistance to masculine norms? It was hypothesized that there will exist a positive correlation between resistance to masculine norms and positive relationships - as levels of resistance to masculine norms increase, self-reports of positive interpersonal relationships will increase as well. In order to examine this possible correlation, this study analyzed 42 males between the ages of 14 and 17. All participants were enrolled in high school in Boston, Massachusetts. The study utilized the most contemporary scale of masculinity in adolescents …

Exploration Of Intergenerational Transmission Of Trauma In Holocaust Survivors, Lisa S. Guthery

Theses, Dissertations, and Projects

This study was undertaken to help resolve current debate in the field as to whether or not the traumatic effects of the Holocaust are transmitted intergenerationally. What was preventing or, conversely, enabling the passage of symptomatology from one generation to the next, thereby accounting for the contradiction in research, and clinicians’ observations during their work with Holocaust families? Over 200 people received the study through social media and snowball sampling requesting participation in a Qualtrics survey consisting of 3 screening questions, 5 demographic questions, 4 sections of multiple-choice questions, and 2 open-ended questions. The four sections assessed parental PTSD symptomatology, …

Exploring Mental Health Treatment For Female Veterans In The Us : Assessing The Influences On Female Veterans In Selection Of Treatment Location, Comparing Va And Non-Va Settings, Bethany J. Ferry

Theses, Dissertations, and Projects

The purpose of this quantitative survey based study was to learn why women veterans choose VA versus non-VA mental health treatment when they need care. The study was designed to gain insight into choices that women veterans make when selecting mental health care treatment centers, and what motivates them in this choice. Women cited a number of barriers to treatment, particularly regarding accessing treatment through the VA. These barriers included limited appointment times, high turnover of providers, insufficient numbers of veterans and female veterans as providers, and feeling uncomfortable in the treatment environment.

How Different Technological Mediums May Reduce Attitudinal Barrier To The Utilization Of Psychotherapeutic Relationships, Collin T. Browne

Theses, Dissertations, and Projects

This qualitative study explored the use of communication technologies in the context of psychotherapeutic relationships, examining how technology might affect attitudinal barriers preventing young people from utilizing psychotherapy. Research findings emerged from semistructured Skype interviews with 10 participants (age 18-30 years) focused on their beliefs on psychotherapy, communications technology, and the idea of integrating technology into the psychotherapeutic relationship.

A theme analysis of the interviews produced four major findings: (1) psychotherapy is an especially difficult endeavor to begin and maintain; (2) certain qualities of the therapist (trust, expertise, and ‘fit’) are of particular importance; (3) voice and body language are …

Filial Responsibility In The Family Of Origin Experiences Of Social Workers, Aphrodite Easton

Theses, Dissertations, and Projects

This exploratory quantitative study examined social workers’ family of origin experiences of filial responsibility, including emotional and instrumental caregiving. Additionally, this investigation explored the relationship between social workers’ past and current caregiving experiences, reported coping strategies, and the perceived fairness of their families of origin. This research was carried out through an anonymous, online survey of 46 part- and full-time MSW students and MSW graduates using self-report measures including a demographic survey, the Filial Responsibility Scale-Adult, and the Proactive Coping Inventory.

In support of the study’s main hypothesis, participants’ childhood experiences of filial responsibility were significantly correlated with adulthood experiences …

Client's Experiences And Perceptions Of The Therapist's Use Of Swear Words And The Resulting Impact On The Therapeutic Alliance In The Context Of The Therapeutic Relationship, Hollyanne J. Giffin

Theses, Dissertations, and Projects

This thesis explores how clients perceive therapist swearing in the context of a therapeutic relationship. This was done via an exploratory, mixed methods research study. Individuals whose therapists had used swear words during their individual therapy were surveyed about their own personal swearing habits, their opinions of swearing and therapist swearing in general, their specific experiences and perceptions of their therapist swearing, as well as demographic information. The majority of the study’s respondents reported that their therapist’s use of swear words had helped their therapeutic relationship. While participants reported they were happy with the frequency and context of their therapist’s …

The Integrationists : Exploring The Experiences Of Third Culture Kid Psychotherapists, Carly S. Inkpen

Theses, Dissertations, and Projects

This study was undertaken to explore how being a third culture kid (TCK) impacts the experience of working as a psychotherapist. A TCK is a person who spent a significant part of their developmental years living outside their passport country, often moving between numerous countries. This study sought to understand the unique perspective that TCKs bring to psychotherapy work and to increase the visibility of transnational, multicultural therapists and clinicians of color in the clinical literature.

Sixteen TCK psychotherapists on five continents were interviewed, responding to a range of questions about how their TCK identities impact their experience of clinical …

Differential Diagnosis Of Emerging And Young Adult Disorders : A Case Vignette Study Of Ptsd And Psychotic Disorders, Elizabeth L. Liepold

Theses, Dissertations, and Projects

The present study investigated the diagnostic decision-making process of clinical social workers. The study sought to explore how they distinguish between psychotic symptoms, such as hallucinations, and post-traumatic stress symptoms, such as flashbacks, in emerging and young adults. One objective of this study was to understand clinician diagnostic choices in order to increase diagnostic accuracy with young adults who may be particularly vulnerable to first episode psychosis. Sample. The study’s sample included 105 licensed clinical social workers, who actively practiced in the United States. Methods. The study used an exploratory - descriptive design implemented through an online survey. The …

"War Was Either Going To Be A Skeleton In My Closet Or I Could Try To Make It Something Else" : An Exploration Of Moral Injury, Moral Repair, And Veteran Anti-War Activism, Zoe Rose Rudow

Theses, Dissertations, and Projects

This exploratory study investigates the impact of collective anti-war organizing on veterans’ experiences of moral injury. Moral injury refers to the emotional, psychological, and spiritual unrest that emerges as the result of “perpetrating, failing to prevent, [or] bearing witness to… acts that transgress deeply held moral beliefs and expectations” in the context of war (Litz et al., 2009, p 695). While current literature centers treatment for moral injury through clinical interventions, this study investigates if and how anti-war activism can provide a process for moral repair. Qualitative interviews with six veteran anti- war activists reveal that many intervention steps proposed …

Social Workers' Experiences Related To Online Dating : A Descriptive Study, Miriam B. Stevens

Theses, Dissertations, and Projects

This descriptive, mixed methods study was undertaken to explore social workers' experiences related to online dating. This study aimed to describe social workers' attitudes and approaches to online dating, determine the type and frequency of ethical and clinical issues that social workers may encounter in the course of online dating, learn how social workers are addressing these issues, and determine the extent to which there is a need for guidance and policies related to online dating as a social worker.

Using availability and snowball sampling, data was collected from 577 social workers and social work students using an online survey …

Clinical Perspective On Non-Suicidal Self Injury In Adolescents : A Qualitative Study, Rachel E. Weiner

Theses, Dissertations, and Projects

There has been an increase in the number of adolescents who engage in non-suicidal selfinjury (NSSI). This qualitative study explored clinical social workers’ perceptions of the causes of NSSI and the processes whereby social workers develop treatment for this behavior. This research was based on 10 in-person interviews conducted with Massachusetts licensed clinical social workers (mean average experience=20 years) who treat adolescent self-harm. Findings suggest adolescents often feel pressure to cut in order to fit in and therefore are more likely to engage in self-harm if their peers are encouraging this behavior. Further findings suggest that many participants seemed less …

Climate Change On The Therapist's Couch : How Mental Health Clinicians Receive And Respond To Indirect Psychological Impacts Of Climate Change In The Therapeutic Setting, Elizabeth B. Seaman

Theses, Dissertations, and Projects

The scientific community has reached near consensus that climate change (also known as anthropogenic global warming) poses a significant and potentially dire threat to the ecosystems upon which we, as humans and as a society, rest. While climate change is most often discussed in terms of its effect on the natural environmental, its psychological impacts are also expected to be immense and varied and include indirect distress related to the threat that climate change poses. The purpose of this study was to explore how this kind of indirect distress gets talked about in the therapeutic setting. Using a mixed methods …

Masshealth (Medicaid) Clinicians' Perceptions Of In-Home Therapy With Children And Families, Kathryn E. Cole

Theses, Dissertations, and Projects

This study identifies the attitudes of clinicians providing in-home therapy and related services under the umbrella of MassHealth in Massachusetts. It examines who is doing In-Home Therapy, whether these clinicians (and bachelor’s level providers known as providers of therapeutic training and support) feel adequately prepared to do this work, the kinds of training these clinicians receive, what could be done in order to help them feel more successful, find job satisfaction, and want to continue providing in-home therapy.

Three hundred and four participants completed an online, anonymous survey that collected basic demographic information including gender, age, race, education, professional background, …