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A Qualitative Study Examining The Quality Of Working Alliance As A Function Of The Social Identifies Of Clients And Therapists During The Mental Health Intake, Ora Nakash, Michal Cohen, Liron Aharoni, Shir Zur, Maayan Nagar

School for Social Work: Faculty Publications

Therapists are faced with the challenge of developing effective ways to advance cross-cultural engagement with a rapidly growing diverse client population. In this qualitative study, we characterized the way clients and therapists described the quality of working alliance during the mental health intake and examined whether these descriptions vary as a function of their social identities. We conducted in-depth interviews with Ashkenazi (socially advantaged group; n = 22) therapists and their Mizrahi (socially disadvantaged group n = 29) or Ashkenazi (n = 26) clients immediately following their intake session in four mental health clinics in Israel. We performed a thematic …

Acculturation And Post-Migration Psychological Symptoms Among Iraqi Refugees: A Path Analysis, Joseph W. Lemaster, Carissa L. Broadbridge, Mark A. Lumley, Judith E. Arnetz, Cynthia Arfken, Michael D. Fetters, Hikmet Jamil, Nnamdi Pole, Bengt B. Arnetz

Psychology: Faculty Publications

Refugees frequently experience symptoms of posttraumatic stress and depression, which impede their acculturation in the new host country where they are resettling. There are few longitudinal studies investigating predictors of mental health and acculturation during the early postmigration period. We conducted a longitudinal study of 298 Iraqi refugees, assessing them upon arrival to the U.S. and 1 year after migration. Premigration trauma was associated with increased PTSD and depressive symptoms at baseline, and with decreased acculturation 1 year later. Resilience was associated with depressive symptoms at 1-year follow-up, but not with other resettlement outcomes (PTSD symptoms, English-language skills, or acculturation). …

The Impact Of Islamophobia On The Muslim American Community : Accounts Of Psychological Suffering, Identity Negotiation, And Collective Trauma, Areeza Ali

Theses, Dissertations, and Projects

The rise of Islamophobia has undoubtedly disrupted the identity and way of life of Muslim Americans in the last decade and half. This study centers the voices of eight Muslim Americans discussing the mental health impact of anti-Muslim discrimination and prejudice, the pervasiveness of xenophobic and Islamophobic perspectives in the U.S., and the normalization and acceptance of discrimination as evidenced by the presidential victory of Donald Trump.

The major findings of this study indicate that the marginalization and othering of Muslim Americans have manifested in adverse psychological symptoms including fear, stress, worry, isolation, numbness, desensitization and insecurity. In addition, this …

A Correlative Analysis Of Mystical Experiences And Lasting Symptom Improvement From Mdma-Assisted Psychotherapy For Treatment-Resistant Ptsd : A Project Based Upon An Investigation Sponsored By Multidisciplinary Association For Psychedelic Studies (Maps), Michiko A. Mitsunaga-Whitten

Theses, Dissertations, and Projects

Before the Controlled Substance Act of 1985 categorized psychedelic substances as criminalized schedule I drugs, psychiatrists used ±3,4-methylenedioxymethamphetamine (MDMA) as a catalyst to psychotherapy. Over two decades later, this project seeks to contribute to the renaissance of psychedelic research. Specifically, this study focuses on participants’ experience of treatment in the recent FDA approved Phase 2 clinical study, “A Randomized, Triple-Blind Phase 2 Pilot Study Comparing 3 Different Doses of MDMA in conjunction with manualized psychotherapy in 24 Veterans, Firefighters, and Police Officers with Chronic, Treatment-resistant PTSD.” The current study presents results from correlation analyses of the Mystical Experience Questionnaire …

From Yellow Peril To Model Minority : ǂB Deconstruction Of The Model Minority Myth And Implications For The Invisibility Of Asian American Mental Health Needs, Lynda Anne Moy

Theses, Dissertations, and Projects

The model minority myth is a racial stereotype imposed upon Asian Americans, often depicting them as a successful and high-achieving monolithic group in the United States. This paper examines sociopolitical functions of the term “model minority” and implications for this broad and diverse racial group by reviewing existing literature and conducting an analysis of qualitative interviews with 12 Asian Americans. The findings of this study suggest that while the model minority myth appears to be a positive stereotype, it may lead Asian Americans to experience distress through (a.) a sense of confinement, (b.) treatment as foreigners, and (c.) …

Unemployment In Iraqi Refugees: The Interaction Of Pre And Post-Displacement Trauma, A. Michelle Wright, Abir Dhalimi, Mark A. Lumley, Hikmet Jamil, Nnamdi Pole, Judith E. Arnetz, Bengt B. Arnetz

Psychology: Faculty Publications

Previous refugee research has been unable to link pre-displacement trauma with unemployment in the host country. The current study assessed the role of pre-displacement trauma, post-displacement trauma, and the interaction of both trauma types to prospectively examine unemployment in a random sample of newly-arrived Iraqi refugees. Participants (N = 286) were interviewed three times over the first two years post-arrival. Refugees were assessed for pre-displacement trauma exposure, post-displacement trauma exposure, a history of unemployment in the country of origin and host country, and symptoms of posttraumatic stress disorder (PTSD) and depression. Analyses found that neither pre-displacement nor post-displacement trauma independently …

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 …

A Qualitative Study Of Mental Health Experiences And College Student Identity, Erin M. Frawley

Theses, Dissertations, and Projects

This study uses a qualitative approach to capture the voices of nine students who self identified as having mental health experiences and who were also taking actions to cope with their mental health experiences from a small private arts college on the west coast. Students participated in one hour-long interviews that focused on students’ conceptions of mental health in relation to their identity, students’ actions related to mental health and students beliefs about the role of mental health in their sense of mattering. The findings suggest that mental health is constructed within student experience and identity differently depending on the …

"Stop Resisting!" : An Exploratory Study Of Police Brutality And Its Impacts On Black And Latino Males, Their Communities, Mental Health And Healing, Manuel A. Ortiz

Theses, Dissertations, and Projects

The purpose of this qualitative research study was to explore the impacts of police violence on Black and Latino males and their communities while also examining avenues of healing that could be helpful for survivors. Generally, this study focused on this question: What is the potential mental health effect of police brutality on Black and Latino males and what are avenues for healing for those affected? Twelve individual participants who identified as activists, advocates, or organizers in the Bay Area of Northern California participated in qualitative interviews that explored the impact of police violence and healing avenues. Participants were asked …

Servicenet Participatory Action Research Program Evaluation : A Project Based On An Independent Investigation At Servicenet In Northampton, Ma, Heather L. Crawford, Caroline W. Evans, Margot E. Reilly

Theses, Dissertations, and Projects

This research project sought to evaluate if program participants of ServiceNet’s Mental Health Recovery Services (MHRS) feel supported to meet their self defined needs and goals. These researchers were guided by the principles of Participatory Action Research (PAR) and facilitated three focus groups who designed a mixed methods survey tool to be distributed by ServiceNet Recovery Counselors. Twelve surveys were refused and returned unopened, 56 program participants received the survey envelopes and did not return them, and 34 surveys were returned completed (n=34).

Participants demonstrated high satisfaction around housing, transportation, personal growth, emotional support, feeling treated like a human being, …

Toxic Stress : Exploring Mental Health Narratives Of Environmental Justice In Richmond, California, Elizabeth Gonzalez

Theses, Dissertations, and Projects

The purpose of this exploratory study was to gather narratives of residents and/or community members who perceive the presence of the Richmond Chevron Oil Refinery in their community as a psychological stressor. The study used semi-structured interviews with eight community organizers and activists to gather qualitative data providing personal accounts of the possible psychological impact of living near a toxic facility with great political power in the city. The common trend among the narratives was the tendency of the participants to focus on a macro interpretation of how mental health is affected by a corporate giant. A collective sense of …

An Exploratory Study On Mental Health Service Experience And Its Perceived Impact On Young Adults Transitioning Out Of Foster Care, Sonia Lizette Aldape

Theses, Dissertations, and Projects

This qualitative study explores the self-reported perspectives of thirteen transitional aged (18-24 years old) current and former foster youth on their experiences with mental health services. This study fills a gap in mental health research that lacks substantial literature on the experiences of foster youth transitioning out of care, effectiveness of their mental health services and of foster youth's voices as consumers. This study aims to inform practice for clinicians and social workers referring or providing mental health services to current and or former foster youth. Clinicians and social workers can use their positions to provide and advocate for accessible …

"Who Do I Reach Out To" : A Qualitative Study Of Help Seeking Behaviors, Treatment Preferences And Community Supports Among South Asian Americans, Shivani Seth

Theses, Dissertations, and Projects

The purpose of this thesis is to discuss the utilization of community resources by South Asian Americans within the context of help-seeking behaviors by members of this broad community and how helping professionals involved with this diverse group can better serve and understand the needs of community members. This thesis includes a discussion of several possible modalities that could be used with this population, current empirical articles showing both the gaps within the current research as well as providing support and structure for the qualitative study this thesis was created for. In my project, I interviewed twelve self identified South …

A Study Of Self-Efficacy In A Group Of Hmong Refugees, Mai M. Yang

Theses, Dissertations, and Projects

Social cognitive theorist Albert Bandura defined resilience as the ability to organize thoughts and actions to manage prospective and unknown situations. He called it the theory of perceived self-efficacy (Bandura, 2010). The tool used to measure this construct is called the General Self-Efficacy Scale (GSES), which assesses a broad stable sense of an individual's personal competence to efficiently deal with a variety of stressful situations. Previous research suggested that due to its positive association with mental health and well being, the GSES and theory of self-efficacy are worthy of further examination in refugees (Sulaiman-Hill and Thompson, 2011). This study examines …

What Does The 'Q' Stand For Anyway? : Queerness And Agency Competence, Eleanor C. Taylor

Theses, Dissertations, and Projects

This exploratory study’s purpose was to explore queer identity in mental health practice through the question, "Does queerness emerge as a distinct cultural category through the language of conversation, clinical practice, and administrative policy in mental health agencies that serve queer people, and in what practices is this reflected?” This project was undertaken in order to begin to fill gaps in existing cultural competence literature, particularly regarding queer identity.

This project entailed semi-structured interviews with ten participants, who worked in direct service at mental health agencies that serve LGBTQIA+ populations. This study examines the meanings and effects of queerness in …

Chinese American College Graduates In The Great Recession : An Exploratory Study, Rebecca D. Lee

Theses, Dissertations, and Projects

The purpose of this qualitative study was to explore the ways in which the Great Recession has affected Chinese American, recent college graduates in their career development. The person-in-environment perspective of clinical social work was the foundation for this study: it was expected that the negative economic effects of the Great Recession have changed the occupational landscape for Chinese American recent college graduates, which has had an effect on their mental health and personal relationships. Participants were recruited through snowball sampling, and 12 individuals were interviewed regarding their career-related experiences after graduation. All participants identified as Chinese American and graduated …

Comorbidity Of Common Mental Disorders With Cancer And Their Treatment Gap: Findings From The World Mental Health Surveys, Ora Nakash, Itzhak Levav, Sergio Aguilar-Gaxiola, Jordi Alonso, Laura Helena Andrade, Matthias C. Angermeyer, Ronny Bruffaerts, Jose Miguel Caldas-De-Almeida, Slivia Florescu, Giovanni De Girolamo, Oye Gureje, Yanling He, Chiyi Hu, Peter De Jonge, Elie G. Karam, Viviane Kovess-Masfety, Maria Elena Medina-Mora, Jacek Moskalewicz, Sam Murphy, Yosikazu Nakamura, Marina Piazza, Jose Posada-Villa, Dan J. Stein, Nezar Ismet Taib, Zahari Zarkov, Ronald C. Kessler, Kate M. Scott

School for Social Work: Faculty Publications

Objective This study aimed to study the comorbidity of common mental disorders (CMDs) and cancer, and the mental health treatment gap among community residents with active cancer, cancer survivors and cancer-free respondents in 13 high-income and 11 low-middle-income countries. Methods Data were derived from the World Mental Health Surveys (N = 66,387; n = 357 active cancer, n = 1373 cancer survivors, n = 64,657 cancer-free respondents). The World Health Organization/Composite International Diagnostic Interview was used in all surveys to estimate CMDs prevalence rates. Respondents were also asked about mental health service utilization in the preceding 12 months. Cancer status …

Trans* And Gender Non-Conforming (Tgnc) Young Adults : Self-Report Of Access And Comfort In Health Care Systems, Victoria L. Reiszner

Theses, Dissertations, and Projects

This study examined diverse trans* and gender non-conforming (TGNC) young adults' perceptions of medical and mental health providers and health care settings; and how TGNC perceptions influence or inhibit their level of comfort and willingness to access preventative and emergency services. The study aimed to extend knowledge and understanding of challenges faced by TGNC individuals and to inform health care providers on how they can become more effective in both their outreach and service provision to TGNC communities. Much of the current literature examining individuals with gender nonconforming identities focus on discrimination, limited access to health care, major health challenges, …

Social Workers With Mental Illness : Coming Out In The Workplace, Alix M. Zamansky

Theses, Dissertations, and Projects

The purpose of this study was to explore the experience of disclosure in the workplace among social workers with mental health issues with a particular focus on the catalysts of coming out, whether stigma inhibits disclosure, and the perceived social and emotional benefits and costs of coming out. Due to the sensitive nature of the research topic, an anonymous online survey was used. Participants completed a demographic questionnaire, mental health questionnaire, and a researcher-designed Outness Inventory. Thirty-six clinical social workers with Diagnostic and Statistical Manual diagnoses participated in the study, 21 of whom reported being out to someone at work …

Happy Is The Woman Who Has No History : An Historical Discourse Analysis Of Women, Their Changing Roles And Society's Changing Perceptions, 1890-1920 In America, Sarah E. Pulver

Theses, Dissertations, and Projects

This analysis examines the historical mental health needs that emerged for women at the turn of the 19th century as a result of drastic changes in the tenor of the United States. The research explores literature pertaining to women from 1890-1920 in the United States and relates to four main topic areas as a way to examine trends and patterns in mental health needs and supports at the time in history. The Historical Research approach is well suited for this research as the specific goal of the study is to examine the historical sources for patterns and trends to better …

Strengthening The Future Of Haiti : Mental Health Needs Of Children In FonfrèDe, Haiti : A Project Based Upon An Investigation At Capracare, Jaimie A. Colica

Theses, Dissertations, and Projects

The Haitian earthquake of 2010 led to an influx of problems for an already struggling nation. The current study is an exploratory study on the mental health and behavioral needs of children and the supports currently in place in one rural Haitian community approximately 120 miles from Port au Prince. Thirteen adults who had caretaking roles within the community participated in in-depth interviews focused on the needs of children, supports offered and the culture of their community. Most participants pointed to a lack of basic needs being met as the culprit for children's struggles including acting out, sadness and difficulty …

An Exploratory Survey Of Some Christian Leaders' Views Re: Causes And Treatment Of Mental Health And Substance Abuse Problems : "Let Go And Let God?" Or More?, Katryn A. Little

Theses, Dissertations, and Projects

This exploratory study was undertaken to determine the attitudes of leaders in Christian churches toward problems with mental health or substance abuse issues. As beliefs about causation of these problems may directly impact types of help offered to those suffering, leaders were also asked to identify particular types of treatment they recommended. This study was conducted in two parts. The first part involved a snowball sampling of known associates of the researcher who were asked for their help to enroll volunteers for an online survey. The survey asked about: how many and for what purpose the leaders met with congregants; …

Urban Teachers' Perspectives On Promoting Social And Emotional Well-Being In The Classroom, Sara Lipton-Carey

Theses, Dissertations, and Projects

This qualitative study explored urban elementary school teachers' perspectives on promoting mental health in the classroom. Despite the increased research indicating the value of classroom-based mental health interventions and the growing availability of social and emotional health curricula, there is yet to be a widespread adoption of mental health promotion practices in classrooms. As there is little empirical research on what teachers believe their role is regarding the promotion of social and emotional well-being, this study attempts to reduce the research to practice gap by eliciting teachers' perspectives on this topic. Teachers increasingly need to meet the social and emotional …

Addressing Client Mental Health Within The Personal Training Relationship, Alana R. Honigman

Theses, Dissertations, and Projects

I undertook this study to expand the literature regarding connections between mental and physical health to include ways in which client mental health arises and is addressed within the personal training relationship. My research was guided by an ethical framework with the purpose of improving best care practices for clients. The four research questions I posed concerned the frequency with which mental health issues are addressed, typical interventions personal trainers utilize in response to these issues, the reasons personal trainers choose specific interventions, and the training personal trainers receive regarding client mental health. Participants (N = 58) were recruited through …

The Integration Of Psychoeducation About Healing Environments And Placemaking And The Effect On Mental Health For Clients, Christienne D. Constabile

Theses, Dissertations, and Projects

This study was undertaken to determine the effect of integrating psychoeducation about healing environments and placemaking in the therapeutic setting. Additionally, this researcher and clinician proposed that if clinicians can empower clients to create a healing environment for themselves both in their private spaces and in their larger community, then such integration would facilitate improved mental health for clients. This researcher engaged in a theoretical study by examining the data on healing environments and placemaking on individuals and communities. At the basis of the study is the premise, as espoused by Kurt Lewin, that behavior is a function of the …

Asian Americans And Cultural Values : Encountering And Overcoming Sociocultural Barriers To Community Mental Health Services : A Project Based Upon An Independent Investigation, William Lee

Theses, Dissertations, and Projects

This qualitative study explored the narrative experience of Asian American/Pacific Islanders (AA/PIs), who have received or are currently receiving community mental health services. This study was an attempt to illuminate their experience of encountering and overcoming socio-cultural barriers to these services. Historic underutilization of mental health services among AA/PI communities motivated the need to explore what cultural and/or institutional factors reduce barriers to services. Four AA/PIs, with an average length of 7.25 years in treatment, were recruited from a community mental health agency in San Francisco, CA. They participated in 45- minute to one hour semi-structured interviews discussing their experience …

The Influence Of Collective Self-Esteem And The Impact Of Perceived Stigma From Others On Sorority Women's Attitudes Toward Seeking Mental Health Services : A Project Based Upon An Independent Investigation, Lauren Michelle Baron

Theses, Dissertations, and Projects

Although researchers are aware of the fact that public and group stigma affect mental health help-seeking behavior, there has been no research on level of collective self-esteem and stigma within specific social networks related to members' attitudes toward seeking mental health services. This study aimed to identify a relationship between sorority women's collective self-esteem, or how much they value their membership in the sorority, and their perceived stigma from their fellow sorority members on their overall attitudes toward seeking mental health services. Fifty-one sorority women between the ages of 18-24 self-selected to participate in an online survey composed of three …

How Tibet Buddhists In The United States Negotiate Mental Health Concerns, Paul Peter Sireci

Theses, Dissertations, and Projects

No abstract provided.

What Are The Mental Health Seeking Behaviors Of Female Sex Workers?, Serena Wong

Theses, Dissertations, and Projects

This study asked the following question: What are the mental health help seeking behaviors of female sex workers? The study examined: (1) the mental health help seeking behaviors of female sex workers; (2) sex workers perception of the efficacy of talking to professionals (counselors, psychologists, social workers) and non-professionals about emotional issues and; (3) experiences and feelings related to the disclosure of their sex work status to their therapist. Fifty-eight women who were currently sex workers or had worked within the last year responded to a mixed methods survey questionnaire. The survey covered a range of issues in regards to …

Why Horses? Why Not Horses? : Equine-Facilitated Therapy As It Applies To Mental Health, Katie Ann Worms

Theses, Dissertations, and Projects

This study explored the general benefits of equine-facilitated therapy and for whom this treatment is appropriate. Utilizing interviews of ten equine therapists and therapeutic riding instructors, who have an advanced degree in the areas of social work, psychology, education or therapeutic recreation, as well as at least one year of professional equine experience, this study explored the participants' perception of the use of equine-facilitated therapies as it applies to mental health treatment. Secondly, through this perspective, the study looked to identify a "preferred client profile" that participants felt would be best suited to engage in equine-facilitated therapy (EFT). The findings …