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Full-Text Articles in Entire DC Network
"Unraveling Shame": Therapy Experiences Of Religious Sexual Minority College Students, Audrey Louise Parker
"Unraveling Shame": Therapy Experiences Of Religious Sexual Minority College Students, Audrey Louise Parker
Theses and Dissertations
Sexual minority adolescents and adults experience higher rates of psychological risk factors and mental health disorders than their straight peers. As theorized by the minority stress model, this increased distress may be related to both external stressors (including discrimination and violence) and internal stressors (concealment, expectation of rejection, and internalized homonegativity). For some sexual minority individuals who also hold religious beliefs, conflict between their sexual orientation and religious beliefs may act as another stressor. Sexual minority adolescents and adults present to therapy at higher rates than their straight counterparts, and clients seeking help with religious and sexual conflict make up …
A Qualitative Case Study Examining Discrepancy Between Prospective Outcome Using Rom And Narrative Client Retrospective View, Jarom J. R. Hickenlooper
A Qualitative Case Study Examining Discrepancy Between Prospective Outcome Using Rom And Narrative Client Retrospective View, Jarom J. R. Hickenlooper
Undergraduate Honors Theses
This thesis is a qualitative case study which examines an observed discrepancy in psychotherapy outcomes between prospective routine outcome measurements (ROM) and narrative retrospective assessment by two clients. Although ROM has proven to be effective in improving therapy efficiency and effectiveness (De Jong et al., 2021; Lambert et al., 2018), recent research investigates discrepancies between ROM categorizations of improvement and deterioration and the lived experience of the client. Researchers have found that the narratives delivered through client structured interviews can provide additional and more nuanced insight into therapy outcomes, which can complement and enhance ROM (Roubal et al., 2018; De …
The Association Of Psychotherapist Cultural Humility And Client Experiences And Outcomes In Psychotherapy: A Meta-Analysis, Lisa Michelle Scott
The Association Of Psychotherapist Cultural Humility And Client Experiences And Outcomes In Psychotherapy: A Meta-Analysis, Lisa Michelle Scott
Theses and Dissertations
Psychotherapist multicultural competence has been given increasing attention in the field of psychology since the 1970s. However, individuals and communities who are Black, Indigenous, or People of Color are still less likely to attend psychotherapy and often drop out earlier than White clients. These trends highlight the importance of the ongoing research on therapist multicultural competence. There are many multicultural competencies, however, the current study focuses on therapist cultural humility. Specifically, we systematically searched all the current research on the association between cultural humility and client experiences and outcomes in therapy. Our literature search yielded eight studies that met our …
The Need For A More Holistic Approach For The Treatment Of Irritable Bowel Syndrome, Haylee E. Dahlin
The Need For A More Holistic Approach For The Treatment Of Irritable Bowel Syndrome, Haylee E. Dahlin
Intuition: The BYU Undergraduate Journal of Psychology
Irritable bowel syndrome (IBS) has been shown to be associated with psychological symptoms as well as physical. Despite this correlation, physicians are more likely to focus on and provide treatments primarily for the physical aspects of IBS, which may result in a less-than-ideal treatment of the disorder. This literature review examines many IBS-related studies which show the existence of psychological components of IBS and the efficacy of treatment methods based in psychology. The conclusion of this research is that the current medical treatments of IBS are insufficient, and patients would likely see more improvements if physicians were to create a …
When Clients Who Got Worse Believe They Got Better: A Qualitative Analysis Of Oq-Deteriorators Reporting Improvement In Therapy, Eric Alexander Ghelfi
When Clients Who Got Worse Believe They Got Better: A Qualitative Analysis Of Oq-Deteriorators Reporting Improvement In Therapy, Eric Alexander Ghelfi
Theses and Dissertations
A recent study highlighted discrepancies between qualitative client self-reports of outcome and OQ-45 reports. Specifically, only 8.8% of clients who deteriorated during a course of therapy based on the OQ-45 perceived that they had deteriorated, while 50% of these clients perceived that they had improved in therapy (Top et al., 2018). This phenomenon, where different means of tracking outcomes yield divergent results, has been called “paradoxical outcome.” The trend suggests that the most advanced forms of tracking psychotherapy outcomes might not detect important facets of outcome from the perspective of psychotherapy clients. The current study is a qualitative investigation of …
The Impact Of Client And Therapist Religious Commitment On Psychotherapy In A University Counseling Center, Brodrick Thomas Brown
The Impact Of Client And Therapist Religious Commitment On Psychotherapy In A University Counseling Center, Brodrick Thomas Brown
Theses and Dissertations
Religion is important to many Americans and the way they approach life, but psychologists are less likely than the general population to be religious. Because of this, it is important to not only know how religious commitment can influence clients' outcome and experience in psychotherapy, but also how the level of match between client and therapist religious commitment might impact those variables. The current study was undertaken in order to investigate how client religious commitment impacts distress at the beginning and end of treatment, how therapist religious commitment impacts the use of religious/spiritual interventions in therapy, and whether the level …
Agency, Atonement, And Psychological Theories Of Change: A Latter-Day Saint Christian Perspective, Richard N. Williams, Edwin E. Gantt
Agency, Atonement, And Psychological Theories Of Change: A Latter-Day Saint Christian Perspective, Richard N. Williams, Edwin E. Gantt
Issues in Religion and Psychotherapy
This paper interrogates the relationship of the hard determinism inherent in the theories and models currently on offer in mainstream psychology and the current trends in psychotherapeutic approaches. It foregrounds the seeming contradiction between the emphasis placed on mastering and incorporating discipline-specific knowledge – which clearly assumes scientism and hard determinism – and the emphasis placed on practitioners to develop a coherent theory of change as part of their approach to effective clinical practice. We argue that hard determinism and strategies for facilitating genuine therapeutic change and transformation are incompatible where there is no clear, coherent view of human beings …
Naturalism, Theism, And The Risks Of Professional Values Imposition In Psychotherapy With Theistic Clients, Jefrey S. Reber
Naturalism, Theism, And The Risks Of Professional Values Imposition In Psychotherapy With Theistic Clients, Jefrey S. Reber
Issues in Religion and Psychotherapy
The codes of ethics guiding the work of counselors and psychotherapists state that ethical practitioners pursue training in areas where they are at risk of imposing values. While training in the potential imposition of personal values is pervasive, training in the potential imposition of professional values is rare. Naturalism, the guiding worldview of science and psychology excludes theism, which is the guiding worldview of many people. Consequently, naturalism is a professional value that may be imposed on theistic clients in psychotherapy. The exclusion of theism from psychology and psychotherapy along with the naturalization of theistic experiences and concepts and the …
A Sacred Trust, David T. Seamons
A Sacred Trust, David T. Seamons
Issues in Religion and Psychotherapy
Being invited into the innermost intimate parts of a person’s life is a sacred trust. As such, it is one for which we must be personally prepared. Having an understanding that those in our care are sons and daughters of Heavenly Father must ground our approach to our clinical work, constantly guiding us as we assist them through the healing process.
A Synopsis And Extension Of Thayne And Gantt's Who Is Truth? Reframing Our Questions For A Richer Faith, Lane Fischer
A Synopsis And Extension Of Thayne And Gantt's Who Is Truth? Reframing Our Questions For A Richer Faith, Lane Fischer
Issues in Religion and Psychotherapy
Thayne and Gantt’s recent book, Who is Truth?: Reframing Our Questions for a Richer Faith, presents an ancient but revolutionary conception of truth. They compare the ancient Greek conception of Idea-truth with the ancient Hebrew conception of Person-truth. They explore the implications of Person-truth for our faith. They use Person-truth to reframe questions. This article presents a synopsis of the book and extends its implications around the issue of suffering and psychotherapy.
College Counseling Center Treatment Outcomes: A Comparison Of Student Athletes And General Population Students, Mariah M. Bullock
College Counseling Center Treatment Outcomes: A Comparison Of Student Athletes And General Population Students, Mariah M. Bullock
Theses and Dissertations
Background: Several college students experience psychological distress and access college counseling center services every year. A subgroup of this population, collegiate student-athletes, experience unique stressors and protective factors but are less likely to engage in those same services. Mental health research on this subpopulation is still sparse and yields mixed findings, particularly treatment outcome research. Objective: This study aimed to compare the treatment outcomes of student-athletes and general population students. Method: Participants were 10,566 college students (ages 18-26) from 139 universities in the United States that obtained routine psychological treatment at their college counseling center. Approximately 55% of the sample …
Treatment Methods For Major Depressive Disorder: Psychotherapy Vs. Pharmacotherapy, Jeremiah Van Dyke
Treatment Methods For Major Depressive Disorder: Psychotherapy Vs. Pharmacotherapy, Jeremiah Van Dyke
Intuition: The BYU Undergraduate Journal of Psychology
No abstract provided.
Describing Therapeutic Relationship Change And Failure In Group Psychotherapy, Harold Thomas Svien
Describing Therapeutic Relationship Change And Failure In Group Psychotherapy, Harold Thomas Svien
Theses and Dissertations
Objectives. This study reanalyzed data from Burlingame and colleagues’ (2018) randomized controlled trial on the effect of adding Group Questionnaire (GQ) to Outcome Questionnaire (OQ-45) feedback. These data were assessed for the feedback effect using the amount of GQ alerts in one session reported by the group member to track change in GQ subscales as a measure of reversing therapeutic relationship failure.Methods. 374 participants engaged in 58 psychotherapy groups. Every participant provided GQ measurements after every group session. These GQ measurements formed ‘person-session units’ representing whether or not each type of alert was present following each group meeting. Person-session units …
Beyond English Only: Addressing Language Interpretation In Professional Psychology Training, Timothy B. Smith, Clay A. Frandsen, Derek Griner, Domenech Rodriguez, Guillermo Bernal
Beyond English Only: Addressing Language Interpretation In Professional Psychology Training, Timothy B. Smith, Clay A. Frandsen, Derek Griner, Domenech Rodriguez, Guillermo Bernal
Faculty Publications
Professional guidelines direct that psychologists working with clients with limited English proficiency should involve an interpreter if a mental health professional fluent in the client’s language is unavailable. However, complexities of interpreted therapy require training. We describe nine relevant areas of trainee skill acquisition and also surveyed 102 multicultural course instructors in APA-accredited psychology programs regarding current professional training. Only 55 (54%) instructors reported providing any training on working with language interpreters, with 16 (16%) providing more than 2 hours of training. Instructors ranked nine proposed skill areas and gave recommendations for over coming barriers and working with interpreters to …
Between Identity And Truth: A Christ-Centered Perspective On Emotion, Mauro Properzi
Between Identity And Truth: A Christ-Centered Perspective On Emotion, Mauro Properzi
Issues in Religion and Psychotherapy
Emotions are receiving a lot of attention in both academic and popular circles. In fact, our culture is increasingly characterized by emotionality in thought, expression, and personal interaction, with some positive but also many negative consequences. How should Christians respond to these developments in the secular culture? A Christ-centered approach to the emotions is the general theological foundation on which we need to ground our reflections and decisions about their nature and significance. Specifi- cally, by deepening our understanding of Jesus’s teachings on His identity, telos, life-giving reality, and sanctifying power, as aptly described in John 14:6, we may experience …
Does The Scientist-Practitioner Gap Have Ontological Roots?, Eric Alexander Ghelfi
Does The Scientist-Practitioner Gap Have Ontological Roots?, Eric Alexander Ghelfi
Theses and Dissertations
In this thesis, the nature and extent of practitioners' dissatisfaction with the psychotherapy research literature will first be described. A case will be made that a deeper analysis needs to be conducted to fully understand this dissatisfaction. Next, this dissatisfaction will be framed in the context of a particular ontology that seems to have largely contributed to it. Most importantly, several features of this ontology will be described and connected to practitioners' dissatisfaction. Finally, an alternative framework for understanding practitioners' dissatisfaction will be tentatively proposed, and it will be suggested that this alternative could help researchers and practitioners understand their …
Mdma-Assisted Psychotherapy For Posttraumatic Stress Disorder: A Review Of The Literature, Erin Solomon
Mdma-Assisted Psychotherapy For Posttraumatic Stress Disorder: A Review Of The Literature, Erin Solomon
Student Works
A growing number of people suffer chronic, treatment-resistant posttraumatic stress disorder (PTSD; Amoroso & Workman, 2016; Buoso, Doblin, Farré, Alcázar, & Gómez-Jarabo, 2008; Mithoefer, Wagner, Mithoefer, Jerome, & Doblin, 2011; Oehen, Traber, Widmer, & Schnyder, 2013). The most popular treatments, including exposure therapy, may not be effective for some people (Amoroso & Workman, 2016; Mithoefer et al., 2011). Treatment dropout and suicidality are high among people for whom therapy is minimally effective (Amoroso, 2015; Amoroso & Workman, 2016; Mithoefer et al., 2011; Oehen et al., 2013). Researchers have begun to investigate 3,4-methylenedioxymethamphetamine (MDMA)-assisted psychotherapy as a possible treatment for PTSD …
Grace As Psychotherapy: Suggestions For Therapists With Latter-Day Saint Clients, Matthew R. Draper, James S. Mcgraw, Daniel Sturtevant, Richard D. Draper
Grace As Psychotherapy: Suggestions For Therapists With Latter-Day Saint Clients, Matthew R. Draper, James S. Mcgraw, Daniel Sturtevant, Richard D. Draper
Issues in Religion and Psychotherapy
There is a growing body of literature that shows how perfectionism has tremendous effects on a person’s well-being. Specifically, maladaptive perfectionism continues to have an alarming influence on many individuals’ experiences with depression, anxiety, eating disorders, and suicidal ideations. Interestingly, for religious or spiritual individuals, perfectionism is often colored by profound religious themes that further complicate treatment. This paper seeks to explore this issue by introducing the case of Sister Vivi, a Mormon woman who suffered a great deal of depression and anxiety, and eventually a suicide attempt due to perfectionism entwined within her religious beliefs. In cooperation with her …
Thanks For Nothin,' Timothy Leary: Reflections On Gantt And Thayne's, Lane Fischer
Thanks For Nothin,' Timothy Leary: Reflections On Gantt And Thayne's, Lane Fischer
Issues in Religion and Psychotherapy
No abstract provided.
Life's Lessons: Reflections On A Disciple Scholar, Colleagues And Students Of Dr. Robert L. Gleave
Life's Lessons: Reflections On A Disciple Scholar, Colleagues And Students Of Dr. Robert L. Gleave
Issues in Religion and Psychotherapy
No abstract provided.
A Few Reasons I Choose Christ: A Beginning Expression Of Thankfulness For What Jesus Does For Me, Robert L. Gleave
A Few Reasons I Choose Christ: A Beginning Expression Of Thankfulness For What Jesus Does For Me, Robert L. Gleave
Issues in Religion and Psychotherapy
No abstract provided.
A Meta-Analytic Review Of The Association Of Therapeutic Alliance, Therapist Empathy, Client Attachment Style, And Client Expectations With Client Outcome, Alberto Soto
Theses and Dissertations
The therapeutic alliance has consistently been associated with improved client outcomes across numerous psychotherapy outcome studies. Previous systematic reviews have, however, evaluated the univariate association of the alliance with client outcome. The present meta-analytic review examines the association of the alliance with improved client outcomes after accounting for the presence of therapist empathy, client attachment styles, and client expectations. Across 23 independent studies, the alliance, adjusted for the presence of the other variables, remained as the most robust predictor of improved outcomes r = .258 (SE = .01, p < .001), with a 95% confidence interval of r = .18 to r = .33. After accounting for …
The Development Of A Short Form Of The Clinically Adaptive Multidimensional Outcome Survey, Peter William Sanders
The Development Of A Short Form Of The Clinically Adaptive Multidimensional Outcome Survey, Peter William Sanders
Theses and Dissertations
The Evidence-Based Practice (EBP) movement has gained considerable influence in the healthcare industry, including psychotherapy. The American Psychological Association's (APA) official stance on EBP encouraged clinicians to used standardized outcome measures in routine practice in order to establish the efficacy of their interventions. Routine Outcome Measurement (ROM) systems were designed specifically to accomplish this purpose, and have been shown to improve client outcomes and provide valuable aggregate data that contributes to empirical literature. Despite this research and the endorsement of the APA's official EBP stance, these measures have not been widely adopted by clinicians. Several studies have found that clinicians …
Cost Outcomes For Major Depressive Disorder And Bipolar Disorder Across Professional License Types And Modalities, Julia H. Jones
Cost Outcomes For Major Depressive Disorder And Bipolar Disorder Across Professional License Types And Modalities, Julia H. Jones
Theses and Dissertations
The purpose of this study was to compare outcomes for patients with Bipolar Disorder or Major Depressive Disorder based on severity of diagnosis. This study also compared psychotherapy providers and therapy modalities on total cost, number of sessions, and dropout. Our data set (N=136,439) came from Cigna, a national health care company. Results showed significant differences by severity of diagnosis. The comparison of providers showed that psychologists had higher costs and session numbers, while the other providers were not significantly different. However, all providers successfully provided low cost treatment on both MDD and BD. There is no support for the …
Rates And Predictors Of Adolescent Premature Termination: Applying Clinically Significant Change, Mariah Meaalii Bullock
Rates And Predictors Of Adolescent Premature Termination: Applying Clinically Significant Change, Mariah Meaalii Bullock
Theses and Dissertations
Premature termination from child and adolescent psychotherapy is a prevalent problem for clients, their families, and mental health services. Rates of premature termination have been estimated at a range of 16-72%. Many variables have been examined as potential predictors of premature termination, yielding inconsistent conclusions. Researchers propose that part of this variability in rates and predictors is due to the inconsistent application of definitions of premature termination. The past literature identifies two main categories of definitions in this line of research: therapist judgment and number of sessions. This study aims to incorporate a relatively new definition, clinically significant change, in …
Cost-Effectiveness Of Psychotherapy And Dementia: A Comparison By Treatment Modality And Healthcare Provider, Megan Ruth Story
Cost-Effectiveness Of Psychotherapy And Dementia: A Comparison By Treatment Modality And Healthcare Provider, Megan Ruth Story
Theses and Dissertations
Dementia is a chronic disorder that affects approximately 40 million individuals throughout the globe. This study provides a preliminary description of psychotherapeutic treatment for the management of dementia. This study compares treatment outcomes by both modality (individual, family, and mixed) and provider type. Results found that therapy is a low-cost treatment, however, it is not being often used for people with dementia, or their family members. Participants (n=327) include individuals with ages ranging from 46-95(M=70.52, SD=12.16). Females made up 57.5% (n=188), while males made up 42.5% (n=139) of the sample. Descriptive statistics found that the number of sessions ranged from …
Training Psychologists In The Ethical Use Of Language Interpreters: An Evaluation Of Current Practices, Potential Barriers, And Proposed Competencies, Clay A. Frandsen
Training Psychologists In The Ethical Use Of Language Interpreters: An Evaluation Of Current Practices, Potential Barriers, And Proposed Competencies, Clay A. Frandsen
Theses and Dissertations
Research indicates that general and mental healthcare services have been, and continue to be, underutilized by racial and ethnic minorities. Studies point to the language gap between limited English proficiency (LEP) individuals and mental-health clinicians as one of the factors in perpetuating that gap. Despite the legal and professional mandates that require professionals in healthcare to provide and use language interpreters in giving care, psychologists rarely make use of professional interpreters when conducting psychotherapy. Most clinicians have little experience providing mental-health treatment across differences in language, and it is supposed that clinicians usually receive little or no training on how …
The Cost Effectiveness Of Psychotherapy For Treating Adults With Post-Traumatic Stress Disorder, Micah Lavar Ingalls
The Cost Effectiveness Of Psychotherapy For Treating Adults With Post-Traumatic Stress Disorder, Micah Lavar Ingalls
Theses and Dissertations
This paper presents results from cost-analysis research for treating Post-Traumatic Stress Disorder in adults. Data for this research was provided by Cigna, a nation-wide healthcare manager in the United States of America. The sample size was 12,845 adults who were diagnosed with PTSD and received outpatient individual and family psychotherapy from one of the following mental health care providers: Marriage and Family Therapists (MFTs), Master’s Nurses (RNs), Medical Doctors (MDs), Professional Counselors (LPCs), Psychologists (PSYs), and Social Workers (MSWs). Results were compared across treatment modality, across practitioner license type and between practitioner educational levels. The results demonstrated that family therapy …
Spiritual Pathways To Healing And Recovery: An Intensive Single-N Study Of An Eating Disorder Patient, Kawika Allen, Troy Lea, P. Scott Richards, Peter W. Sanders, Jason A. Mcbride
Spiritual Pathways To Healing And Recovery: An Intensive Single-N Study Of An Eating Disorder Patient, Kawika Allen, Troy Lea, P. Scott Richards, Peter W. Sanders, Jason A. Mcbride
Faculty Publications
This article presents an in-depth single case study of 8 sessions of spiritually integrated psychotherapy with a 20-year-old woman recovering from an Eating Disorder. The inclusion and utility of session-to-session outcome data as well as systematic follow up data in conjunction with in-depth qualitative interviews are shown. Dr. H and client’s perspectives are highlighted over the course of treatment. Clinical areas of focus were extracted from the the qualitative interviews and the therapeutic process is described. Single-case study statistical analyses were conducted to highlight clinical gains and maintenance.
Bringing Spiritually Oriented Psychotherapies Into The Health Care Mainstream: A Call For Worldwide Collaboration, Kawika Allen, P. Scott Richards, Peter W. Sanders, Troy Lea, Jason A. Mcbride
Bringing Spiritually Oriented Psychotherapies Into The Health Care Mainstream: A Call For Worldwide Collaboration, Kawika Allen, P. Scott Richards, Peter W. Sanders, Troy Lea, Jason A. Mcbride
Faculty Publications
The purpose of this article is to describe an overall strategy and specific plans for bringing spiritually oriented treatment approaches into the health care mainstream. We describe Bridges, a practice-research network created in 2012 that is devoted to helping practitioners, researchers, educators, and pastoral professionals collaboratively pursue this goal. We describe the achievements of Bridges thus far, which include a website for networking, an online psychotherapy research system, several completed studies, and grant funding for future collaborative research studies. We conclude with an invitation to health care professionals around the world to join with us in efforts to mainstream spirituality …