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Perceptions Of Confidentiality And Stigma Associated With Use Of Counseling Services, Jesi Hall Dec 2018

Perceptions Of Confidentiality And Stigma Associated With Use Of Counseling Services, Jesi Hall

Electronic Theses and Dissertations

Counseling services are offered in most universities, but are often underutilized. Past researchers found that students listed time, cost, stigma, and confidentiality concerns as their top reasons for avoiding seeking help (e.g., Clement et al., 2015; Dearing, Maddux, and Tangney, 2005). The purpose of this study was to identify whether concerns about confidentiality affect stigma related to use of mental health services. Students answered questions about perceived stigma and the reasons they have avoided seeking counseling in the past. Those who had previously used services reported fewer confidentiality concerns. In a stepwise multiple regression, concerns about confidentiality were found to …


Understanding The Relationship Between Anti-Transgender Bias, Non-Affirmation, And Post-Traumatic Stress: A Model Of Internalized Transphobia-Mediated Post-Traumatic Stress., Sebastian Mitchell Barr Dec 2018

Understanding The Relationship Between Anti-Transgender Bias, Non-Affirmation, And Post-Traumatic Stress: A Model Of Internalized Transphobia-Mediated Post-Traumatic Stress., Sebastian Mitchell Barr

Electronic Theses and Dissertations

Transgender people’s increased risk for negative mental health outcomes, when compared to cisgender peers or the general public, has been well documented in the psychological literature. Researchers have begun to establish empirical support for a relationship between anti-transgender bias, non-affirmation of gender identity, internalized transphobia, and other transgender-specific minority stressors. Although little work has explored the mechanisms of this relationship, some psychologists have proposed conceptualizing these factors as potentially traumatic experiences and understanding the poor mental health outcomes as manifestations of complex post-traumatic stress. In this dissertation, I examine whether there is empirical support for this framework by evaluating the …


Predicting Help-Seeking Attitudes And Intentions In A Diné Sample, Chesleigh N. Keene Aug 2018

Predicting Help-Seeking Attitudes And Intentions In A Diné Sample, Chesleigh N. Keene

Electronic Theses and Dissertations

The purpose of the study was to investigate the relationship between cultural factors, psychological distress, barriers, and attitudes toward seeking psychological help among Diné tribal members. This study is in response to calls to consider psychological and cultural factors in the underutilization of mental health services by ethnic minorities. The present study examines psychological and cultural antecedents to seeking professional psychological help among Diné tribal members (N=119). It examined the mediating role of attitudes toward help seeking in the relationship between psychological distress, barriers to care, three acculturation variables, and intentions to seek counseling. Mediation was assessed with …


Navigating Mental Health Care Access In Louisville : An Ethnography Of Local Resources And Care Assemblages., Laura Drabelle Valentine Aug 2018

Navigating Mental Health Care Access In Louisville : An Ethnography Of Local Resources And Care Assemblages., Laura Drabelle Valentine

Electronic Theses and Dissertations

This thesis examines barriers to care access present in Louisville, Kentucky's community mental health care infrastructure, and how individuals who seek mental health care experience and navigate those barriers. This thesis expands research about the impacts of health care reform following the Affordable Care Act and adds to literature about the political economy of health-seeking behaviors. Drawing on assemblage theory and ethnographic research with both care-providers and care-recipients of Community Mental Health Care Organizations, I argue that both groups attempt to alleviate barriers to care access and facilitate mental health recovery through the development of formal and informal strategies. Examining …


A Structural Equation Analysis Of The Relationships Between Ptsd, Depressive Symptoms And Suicidal Ideation : Is General Strain Theory A Viable Framework For Explaining Suicide Risk Among Correctional Staff?, Wm. Clay Johnson Aug 2018

A Structural Equation Analysis Of The Relationships Between Ptsd, Depressive Symptoms And Suicidal Ideation : Is General Strain Theory A Viable Framework For Explaining Suicide Risk Among Correctional Staff?, Wm. Clay Johnson

Electronic Theses and Dissertations

There is a large body of evidence, which suggests PTSD is strongly related to increased suicide risk, however, some studies suggest the true nature of their relationship is better explained through the development of depression due to the effects of PTSD. While a majority of the studies examining this relationship focus only on general populations, a growing body research suggests that high-risk occupations such as police, firefighters and correctional staff are developing PTSD at rates as high as 8 to 10 times that of the rate of these general samples. This study, then, aims to fill a small gap in …


A Systematic Review Of Rural Veteran Homelessness, Jonathan Fasse May 2018

A Systematic Review Of Rural Veteran Homelessness, Jonathan Fasse

Electronic Theses and Dissertations

This study is a systematic review to examine homeless veterans identified to be most at risk of unsuccessfully completing the VA’s housing program (HUD-VASH), which promotes the use of Housing First (HF) as it’s model for treating homelessness. The literature review identified those who were rural and experiencing comorbid substance use disorders (SUD) and mental health issues to likely be those who were most at risk. There were multiple reasons why this subgroup was most vulnerable including limited access to resources, higher levels of substance use and more serious mental health diagnoses, and chronic health needs. Both the literature review …


True Confessions From A Wannabee Heel, Kendra Leigh Vanderlip Apr 2018

True Confessions From A Wannabee Heel, Kendra Leigh Vanderlip

Electronic Theses and Dissertations

True Confessions from a Wannabe Heel is a collection composed of memoir -themed personal essays in lyrical and mosaic styles touching on the themes of violence, wrestling, sexuality, love, mental health, and the significance of home. The essays are representative of my experiences growing up in an unstable home and how the effects of growing up in that environment shaped how I view the world around me. There are essays reflecting on how we perceive violence in the world, and how that violence has become more widely accepted, and how the line that we draw for what is acceptable seems …


Psychotropic Medications And Children: Perceptions Of Mental Health Professionals, Elinor Jane Brereton Jan 2018

Psychotropic Medications And Children: Perceptions Of Mental Health Professionals, Elinor Jane Brereton

Electronic Theses and Dissertations

This project explores mental health professionals' perspectives on the prescription of psychotropic medications to children. It emphasizes the placement of biomedicine within its larger social, economic, and political context, and the influence these structures have on the way mental illness is conceptualized and treated in children. Eight semi-structured interviews were conducted in Denver, Colorado with psychiatrists, psychologists, social workers, and a pharmaceutical board member to capture multiple perspectives from different positionalities within the field. Participants discussed factors that they believe influence prescribing practices including: professional role changes, issues of access, limited evidence, cost, and institutional pressures to practice within a …


A Body A Day: Constructing Deviance At The Mississippi State Asylum, Rachel Christine Childs Jan 2018

A Body A Day: Constructing Deviance At The Mississippi State Asylum, Rachel Christine Childs

Electronic Theses and Dissertations

Though the first graves of assumed-former asylum patients were discovered at the University of Mississippi Medical Center over 25 years ago, it wasn’t until 2017 that the estimated body count—which had been rising in reports for several years—rose above 7,000. Along with national attention, the growing burial site has prompted large-scale efforts by a consortium of scientists and scholars to determine how best to utilize and memorialize the remains, and yet to date, a complete cultural study that explores the sociopolitical context which these people represent has yet to be published. Consisting primarily of archival material and interviews, my research …