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Clinical Considerations For Treating Adult Survivors Of Child Sexual Abuse: A Proposal For Integrating Intersubjective Systems Theory And Feminist Perspectives, Kristen Schrijver

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

The goal of this paper is to offer clinical considerations for clinicians working with adult survivors of extrafamilial child sexual abuse (CSA) by 1) defining the stages of sexual abuse grooming of the child and their entire family system, 2) defining and integrating intersubjective and feminist approaches to treatment, and 3) providing methods for depathologizing CSA survivors’ experience of shame. These three objectives aim to increase awareness and knowledge of sexual abuse grooming, as well as offer an integrative theoretical framework for individual therapy with adult survivors of CSA.

New Teachers Are Your Friends: A Multiple Case Study Examining School Psychologists’ Experiences Consulting With Beginning Teachers, Sayani Das Chaudhuri

Electronic Theses and Dissertations

School psychologists’ training, knowledge, and skillsets in school-based consultation can play a key role in supporting beginning teachers, but the consultation research base provides limited information about how beginning teachers’ concerns and characteristics relate to consultative practice (Babinski & Rogers 1998; DeForest & Hughes, 1992; Robertson & Briedenstein, 2007). This qualitative multiple case study investigated the perceptions and experiences of four expert school psychologists who engaged in consultation and provided support to beginning teachers. Factors related to the school psychologists' and beginning teachers' cognitions, behaviors, and school environment emerged in the data. Participants perceived beginning teachers as being enthusiastic and …

The Experiences And Mental Health Impact Of Islamophobia On Muslim Americans Following The 2016 U.S. Presidential Election: A Hermeneutic Phenomenological Study, Hadeel Ali

Electronic Theses and Dissertations

The purpose of the current hermeneutic phenomenological qualitative study was to understand the phenomenon of Muslim Americans’ lived experiences of Islamophobia prior to and two years into Donald Trump’s presidential administration. 14 participants from multiple regions in the United States completed a semi-structured interview via telephone. The data analysis revealed seven major themes: 1) Muslim Americans experience different dimensions of Islamophobia, 2) Muslim Americans experience various forms of Islamophobia, 3) Variables that impact the prevalence of Islamophobia, 4) Islamophobia impacts various areas of Muslim Americans’ lives, 5) Muslim Americans may react differently to experiences of Islamophobia, 6) Islamophobia impacts the …

Twentieth Century Pandemic Narratives And Mental Health Discourse, Kristy R. Barraza

Electronic Theses and Dissertations

This paper utilizes René Girard’s theories concerning plague literature to examine twentieth century pandemic novels’ engagement with mental health discourses surrounding anxiety and melancholia. Girard argues that plague literature consists of four main elements: contamination, dissipation of differences, doubles, and sacrifice; he also argues that the plague represents violence. In 1918, a plague of influenza killed more people in the United States than all the wars from the twentieth century combined. William Maxwell’s They Came Like Swallows and Katherine Anne Porter’s Pale Horse, Pale Rider depict the trauma caused by the 1918 pandemic; Maxwell shows how the 1918 influenza disrupted …

Database Of Picture-Based Cognitive Reappraisal Experiments: Analyses Of Trial-Level Factors, Damon Abraham

Electronic Theses and Dissertations

Cognitive reappraisal is widely recognized as an effective emotion regulation strategy for managing negative emotions. In laboratory research, reappraisal has been shown to attenuate self-reported negative affect as well as physiological and neurological markers of emotion and arousal. In these experiments, emotionally evocative images are frequently used to induce negative affect in participants. Depending on the trial condition, participants are instructed to either look and react naturally or to change their experience using reappraisal. Data are typically aggregated within trial condition, and the average difference in reported negative affect between conditions serves as the behavioral measure of reappraisal success. While …

Trainee Attitudes Toward Social Class As Predictors Of Clinical Decision Making: Exploring The Effects Of Classism In Psychotherapy, Jeremy J. Coleman

Electronic Theses and Dissertations

The current study examined the effects of classist beliefs on trainee attitudes toward their client based on perceived social-class status. This study sought to determine whether classist attitudes contribute to meaningful differences in clinical decision making. A sample of mental health trainees (n = 147) attending graduate-level programs in the U.S. were recruited and randomly assigned to one of two clinical vignette conditions. Both vignette conditions included identical data regarding a hypothetical client’s presenting concerns (e.g., sleep disturbance, worry, rumination, loneliness), but differed on indicators of client socioeconomic status (SES). Results showed statistically significant between-group differences on ratings of clinical …

Spiritual Care Of Gay Men In Committed Relationships: An Evidenced-Based Intercultural Approach, Marc J. Coulter

Electronic Theses and Dissertations

Sexual minorities have historically been targets of homophobia, heterosexism, discrimination, and persecution particularly within traditional, conservative religious organizations. As a result, many people who identify as male and gay reject traditional forms of religion and seek alternative spiritual beliefs and practices affirming their sexual orientation, often self-identifying as “spiritual but not religious” (SBNR). Some white, gay male couples in committed relationships also reject traditional views of sexual fidelity and negotiate open, consensual, non-monogamous sexual relationships with their primary partner. Gay couples seeking behavioral health assistance to navigate relational difficulties may encounter clinicians who fail to acknowledge the harmful influence of …

Maternal Hpa Axis Function During Parenting Is Associated With Reduced Brain Activation To Infant Cry And More Intrusive Parenting Behavior, Andrew Erhart

Electronic Theses and Dissertations

Previous research indicated that maternal cortisol function and maternal brain response to infant stimuli are separately related to differences in parenting behavior. Evidence from animal models have demonstrated that chronically high cortisol concentration alters brain structure and function, suggesting that studying these two mechanisms together may further improve understanding of parental behavior in human mothers. First time mothers of infants aged 1-7 months old (M age = 3 months) were recruited to participate. Mother’s cortisol concentration was measured during a naturalistic interaction with their infant and their behavior was coded for maternal sensitivity and nonintrusiveness. In a separate session using …

Parental Self-Efficacy, Parenting Stress, And Mental Health Among Latina Mothers Of Young Children, Thania Galvan

Electronic Theses and Dissertations

Parenthood can increase the risk for mental health concerns, especially for Latina mothers. Poor maternal mental health can result in significant negative maternal and child outcomes, particularly if a mother’s mental health needs go unmet. In an attempt to better understand the factors that impact Latina mother’s mental health, this study explored the relations among parental self-efficacy, parenting stress, and mental health. It also explored mother’s self-reported resource availability and sociocultural factors as potential modifiable points of interventions in these relations.

Methods: The study was conducted using data from 132 Latina mothers that participated in a larger project examining stress …

The Role Of Dehumanization In The Nazi Era In Activating The Death Drive Resulting In Genocide, Stewart Gabel

Electronic Theses and Dissertations

Dehumanization can be defined in part as a process by which a powerful individual or group (the victimizers) actively denies or withdraws a second individual’s or group’s (the victim’s) sense of human worth or personal value. Dehumanization is an especially virulent form of denigration of the Other and is known to have harmful psychological consequences on victims.

The thesis of this dissertation is: Dehumanization, applied in an increasingly severe manner to demean, subjugate and control Jews in Nazi dominated territories during the Nazi era (1933-1945), activated a “death instinct/drive” (Freud 1920; 1923/1960; 1930) that was used to resolve an extreme …

Moderate Effects Of Anxiety And Physical Activities On The Relationship Between Body Image And Covid-19 Fear, Yutong Guo

Electronic Theses and Dissertations

Improving psychological well-being has been a hot topic in counseling psychology research. However, since the COVID-19 pandemic, people’s lifestyle has been changed that caused series mental health problems. Using a sample of 576 participants from different universities. This study examined whether Covid-19 correlated with Body image a) whether anxiety moderated this relationship. b) whether physical activities moderated this relationship. c) how does different kind of body image avoidance being influenced. Pearson’s correlation test and linear regression analyses were conducted. The result indicated that COVID-19 fear has significantly positive relationship with body image. physical activities level has significantly increase the relationship …

An Examination Of Racial And Ethnic Differences In Internalized Mental Health Stigma And Perceived Mental Health Barriers Due To Stigma Among Women Veterans, Christe’An D. Iglesias

Electronic Theses and Dissertations

The stigma associated with mental illness can serve as a barrier for receiving treatment. Veterans may avoid seeking care due to stigma-related negative beliefs about one’s self or others. Research suggests that the stigma of mental illness can adversely impact service utilization. Although studies have shown that racial and ethnic minoritized individuals are more likely to experience poor mental health outcomes, no studies have examined how mental illness stigma differs across racial groups among women veterans. The objective of this secondary analysis is to examine how internalized mental health stigma and perceived barriers to access to care related to mental …

Testing A Sociocultural Model Of Body Image In Women Athletes With Disabilities, Brooke R. Lamphere

Electronic Theses and Dissertations

Evidence suggests that athletes and people with disabilities (PWD) experience multiple body images that change relative to their social context (e.g., Petrie & Greenleaf, 2012). The powerful influence of social factors on body image and disordered eating in women athletes is well-documented (e.g., Schaefer, et al., 2015; Fitzsimmons-Craft et al., 2014), as is the centrality of the body in the lived experience of athletes and PWD (Behel & Rybarczyk, 2012; Galli et al., 2016); yet, limited research has explored the effects of social factors on body image in athletes with disabilities (i.e., AWD; e.g., Galli et al., 2016; Sousa et …

Anger Bias In The Evaluation Of Crowds, Diana Mihalache

Electronic Theses and Dissertations

Although people are good at classifying emotions, they also make mistakes. These errors tend to be negatively biased and potentially serve a protective function. Research on biases in emotion perception has largely focused on perception of individual faces and little is known about biases in evaluations of crowds. In the first investigation, I conducted six experiments, evaluating anger bias—a tendency to judge facial expressions as angry—in the context of single faces and emotionally homogenous crowds. I found that observers were biased to classify faces as angry, especially when evaluating crowds. This amplified bias emerged in the context of perceptual uncertainty …

Child Abuse And Revictimization: Improving Models Of Revictimization Risk, Julie M. Olomi

Electronic Theses and Dissertations

Child abuse (CA) puts women at risk for later victimization by a different perpetrator, referred to as revictimization (RV); however, how this risk is conveyed is not well understood. CA is associated with a diverse set of negative sequelae (e.g., posttraumatic symptomology, emotion regulation difficulties), many of which could plausibly affect risk for RV. To date, most empirical studies of RV have mainly compared groups of women with and without abuse and RV histories using variablecentered approaches. This approach has led to a focus on differences between abused and non-abused women on a few CA-related variables tested at a time. …

The Relationship Between The Supervisory Alliance And Novice Supervisees’ Risk-Taking Behavior, Aleis Pugia

Electronic Theses and Dissertations

Supervisee risk-taking is the process by which supervisees take the new skills and interventions they learn in supervision and implement them in therapy with clients. Risk-taking overlaps with many of the skills supervision is intended to develop: clinical decision-making, supervisee self-efficacy, supervisee skill development, and clinical reflection (Bambling & King, 2014; Ellis et al., 2014; Rousmaniere et al., 2016; Wilson et al., 2016). Risk-taking has not been examined before the in the supervision literature, however, it is an important process to understand as it represents a process bridging supervision and clinical practice. The current study was an exploratory study intended …

Psychological Factors That Impact White Counseling Trainees’ Responses To Cultural Ruptures, Emma Freetly Porter

Electronic Theses and Dissertations

In the field of counseling and clinical psychology, the last several decades have been characterized by a strengthened recognition of the importance of cultural factors in psychotherapy. While this has been impactful, there is evidence that cultural ruptures, microaggressions, and racial/ethnic disparities in psychotherapy outcomes persist. Aversive racism theory, which provides explanations for the racist tendencies typically associated with progressive White individuals, postulates that a conflict between explicit egalitarian beliefs and implicit negative racial biases impedes White individuals from adequately addressing and acknowledging underlying biases. Therefore, it was hypothesized that psychological factors, such as defense mechanisms, professional selfdoubt and self-compassion, …

Demystifying School Resource Officers: A Case Study, Alexis Sliva

Electronic Theses and Dissertations

In recent years, there has been a dramatic spike in student arrests for behaviors that previously fell under the auspices of suspensions, expulsions, or family consultations. Black and Latinx students receive discipline and law enforcement referrals at superfluous levels compared to White peers. Additionally, the disproportionate and aggressive referral of Black, Indigenous, and People of Color (BIPOC) students for disciplinary action are often for infractions that are considered less severe than the actions of their White counterparts. Punitive discipline advances school-based pathways to the juvenile justice system (SPJJ), formerly known as the school to prison pipeline (STPP). School psychologists are …

Preconception Stress, Affect-Biased Attention, And Negative Affectivity: Assessing Pathways And Early Markers Of Psychopathological Risk In Infancy And Childhood, Danielle A. Swales

Electronic Theses and Dissertations

The developmental origins of mental health likely begin early in life and perhaps even prior to conception. Research is needed to elucidate pathways of risk and resilience in the development of psychopathology. The goal of the current dissertation was to explore how both preconception and postnatal experiences influence negative affectivity, a robust and transdiagnostic risk factor for later psychiatric symptoms. The present dissertation accomplished this goal by completing two independent studies, each of which are presented in the format of standalone journal articles. Study one focused on evaluating how preconception experiences, specifically maternal symptoms of post-traumatic stress disorder (PTSD), impact …

“But I’M Not Racist”: How Implicit Racial Bias, Feedback And Racial Affective States Impact Clinical Judgment In Mental Health Treatment, Dhriti Tiwari

Electronic Theses and Dissertations

Implicit bias has gathered research interest in healthcare, yet remains less directly examined in the mental health field (Merino et al., 2018). Mental health providers can continue to be influenced by implicit bias despite higher ratings of cultural competence (Boysen, 2010). The purpose of this study was to supplement the limited research examining the impact of implicit bias on the clinical judgment process. The study aimed to examine whether: 1) implicit race bias scores were related to diagnostic impressions, 2) feedback about implicit bias was related to diagnostic impressions, and 3) racial affect mediated the relationship between receiving feedback and …

Stagnation In Psychotherapy: A Transtheoretical Approach, Kristine Mccormick

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Doctoral training in clinical psychology emphasizes the importance of utilizing empirically supported psychotherapy methods in pursuit of effective psychotherapy. When treatment is stagnant or ineffective, the focus of training and supervision is often geared toward searching the evidence-base for alternative psychotherapy approaches, or referring to a provider with expertise in a specific method. Using a case example, this paper offers guidance on possible roadblocks to effective psychotherapy treatment, and clear areas to explore before concluding whether psychotherapy is the most helpful intervention for a patient.

Lived Experience: The Training Of Therapists, Actors & Human Beings, Richard Williams

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

There is much in common between theater and therapy. Both happen live. Both are explorations of human experience. Both require participants to be emotionally and mentally present. Both are hard to do well (and easy to do poorly). Training to be a clinical psychologist requires hours of coursework, administrative work, supervision, and on the job clinical experience. Training to be a professional theater maker or actor requires hours of rehearsal. The elements of acting are deconstructed during training so that rehearsal consists of voice-work, physical theater, scene study, etcetera. Training to be an actor entails much more practice of the …

Urban School Violence Prevention: A Suggested Intervention Utilizing Liberation Psychology, Meghan K. Hogan

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

In the past decades, numerous programs have been developed in attempts to reduce the rates of violence facing students in American schools. The spotlight on these programs have increased since horrific mass shooting events have taken place throughout the country. Many of these programs have utilized varied methods in their attempt to reduce school-based violence, from the implementation of hardline policies meant to act as violence deterrents to the development of risk assessment teams aimed at identifying and intervening against potential threats; however, few of the existing programs have shown substantial efficacy rates. Additionally, several of the violence prevention programs …

From Military Service To Diakonia: A Training Program For Clergy Ministering To Veterans, Danielle Xanthos

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Many veterans opt to seek the support of clergy before mental health professionals. Most clergy, however, are unfamiliar with the nuances of the veteran culture and experience. Mental health professionals who specialize in working with the veteran population can collaborate with clergy to bridge this gap of care to mutually develop a better understanding of veteran culture and symptoms of mental health conditions common among the veteran population, and by equipping clergy with basic tools that promote psychological and spiritual wellbeing. Special consideration is given to the concept of moral injury and the application of Acceptance and Commitment Therapy, illustrating …

Canine-Assisted Exposure Therapy, Stephanie B. Bono

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Fear and anxiety are natural reactions to actual threat conditions but can become “pathological” when over-generalized avoidance interferes with long-term wellbeing and valued living. Pervasive experiential avoidance hinders natural extinction processes as it reduces repeated contact with feared stimuli, a condition necessary for extinction to occur. Exposure therapy (ET) is a clinical analogue of extinction, and one of the best evidence-based treatments for fear and anxiety. However, ET’s usefulness suffers in real-world clinical conditions. The current conceptual paper proposes that ET’s limitations may be overcome through a tailored approach that integrates animal-assisted therapy (AAT), specifically the use of dogs, to …

A Culturally And Structurally Sensitive Approach To Working With Suicidal Latinx Individuals: Recommendations For Clinicians, Jessa Navidé

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Latinx individuals are the fastest growing racial/ethnic group in the U.S. and confront numerous challenges living in the U.S. that can impact their mental health. While their overall suicide rates are relatively low compared to non-Hispanic Whites, it is concerning to note suicide rates of Latinx individuals living in the U.S. are significantly higher compared to most countries in Latin America. The predominant approaches to treating suicidal individuals often fail to consider the sociopolitical climate and systemic challenges that exacerbate mental health concerns for Latinx individuals. This paper examines cultural considerations, racial and ethnic identity models, and unique protective and …

“Soldiers Of The Same Struggle”: A Comparison Of Attachment And Personality Between Justice-Involved Youth In Gangs And Not In Gangs, Lyndsey Keyte

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Risk factors for juvenile delinquency and gang membership are essentially identical, although only a certain subset of justice-involved youth join gangs. In an attempt to identify factors that differentiate justice-involved youth in gangs from justice-involved youth not in gangs, the present study compared attachment styles and personality traits of 406 detained justice-involved youth, 154 of whom were gang-involved and 252 of whom were not. Results showed no significant differences in personality traits or attachment styles between justice-involved youth in gangs and not in gangs. However, results demonstrated attachment styles and personality traits characteristic of both groups of justice-involved youth.

Co-Constructing Stigma: Treating Trauma In Adolescence, Isabelle Sanderson

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Public stigma and self-stigma are major factors that impede the seeking of mental health treatment as well as the development of an effective therapeutic alliance. This paper explores the co-creation of stigma dynamics from an intersubjective systems theory lens suggesting these dynamics may play a role for adolescent clients who have experienced significant trauma. Specifically, the potential overlooking and/or misdiagnosis of trauma-related experiences and symptoms often occurring with adolescents diagnosed with ADHD may be contributing to a co-constructed dynamic between the therapist and client to avoid an exploration of trauma that would be experienced as more stigmatizing, more threatening, and …

Resilience In Cancer Patients, Lori A. Gardner

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

The phenomenon of resilience has long been identified as a key talking point within the realm of overall mental health, but the concept’s specific meaning, qualities, and sources remain somewhat elusive. For those with chronic health conditions, resilience is often identified as essential to coping effectively with significant disruptions to daily activities. The purpose of this study was to better understand the concept of resilience and to determine themes that underlie resilience, specifically within a cancer patient population. This goal was addressed by using a qualitative approach to elicit commonalities among the experiences of cancer patients representing varying types and …

The Risks For Eating Disorders/Disordered Eating In Refugee & Immigrant Experiences And The Imperative Of Culturally Alert Screening, Chantal A. Bushelle

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Eating Disorders (ED)/Disordered Eating (DE) largely remain outside of global mental health agendas. There are limited data on the epidemiology EDs/DE in refugee and immigrant populations, and there is a paucity of research on refugee and immigrant experiences of EDs/DE. Study of acculturation issues in refugee and immigrant populations have historically missed investigating what role and impact experiences of stress and trauma (e.g., historical, chronic) along with cultural change and transition may have on their food attitudes and eating behaviors. While there has been some study of eating habits within refugee and immigrant populations, the focus is typically on food …