Medicine and Health Sciences Commons^™

Equine Assisted Psychotherapy: Implications For Treating Trauma, Kara L. Harrison Psy.D.

Psychology Doctoral Specialization Projects

Trauma related symptoms and Posttraumatic Stress Disorder (PTSD) have been increasingly recognized for the key roles they occupy in mental health and overall individual well-being within both adult and childhood populations. They often represent significant barriers to the provision of mental healthcare within military populations and individuals diagnosed with serious mental illness (SMI). This original contribution to practice explores the significance of Equine Assisted Psychotherapy as a novel adjunctive approach to treating trauma. symptoms in adults and children. An extensive literature review examines current research and discussion on common definitions and nomenclature. It begins with discussion on the broader areas …

Improving Psychological Trauma Awareness For Culturally Responsive Care: A Dnp Project, Jose M. Cruz

Doctor of Nursing Practice Projects

Racism and racial discrimination occur in a variety of forms (Kendi, 2017). Both can contribute to poor mental health outcomes in the United States (Alvarez, Liang, & Neville, 2016; Comas-Diaz, Hall, & Neville, 2019; Levy, 2019; Malott & Schaefle, 2015; Williams, Lawrence, Davis, & Vu, 2019). These social conditions have been identified as chronic stressors that can illicit trauma symptoms, result in post-traumatic stress disorder (PTSD), and contribute to increased suicidality (French et al., 2020). Providers should understand the ramifications of the psychological trauma that can occur and endeavor to deliver evidence-based solutions. This doctoral project was designed to develop, …

Ability Status, Self-Advocacy, And Individuals With Neurodevelopmental Disabilities: Neurodiversity-Informed Training For Professionals And Caregivers, Allison N. Simpson

Psychology Doctoral Specialization Projects

Ability status in U.S. society is a critical social and cultural identity. “Disability” is often viewed through the lens of pathology as an illness. This kind of view affects not only the personal identity of individuals with neurodevelopmental disabilities, but also their treatment by others in the community, employers, caregivers, and others in their system of interaction. Even individuals who are strong self-advocates can be silenced by this kind of lens. A more empowering way to view individuals with neurodevelopmental disabilities is through the lens of neurodiversity in order to see their abilities, needs, wishes, and lives. The current project …

Harming The Help-Seeking: Necessity For Assessing Harmful And Biased Attitudes Toward Clients With Substance Use Disorder, Crystal D. Mcdowell, Crystal Dawn Mcdowell

Psychology Doctoral Specialization Projects

Numerous times, as a new clinician, I have witnessed the substance use disorder population referred to as not being dependable, dangerous, burnt out, and even hopeless. Often times I have heard mental health professionals make statements amongst themselves that the client could not be helped, referred to them as a “frequent flyer,” (meant to convey they frequently present for treatment, relapse, and return for treatment), and complain how tax dollars are being wasted to support the client. I felt empathy and a sense of hopelessness for these clients as they were seeking treatment in order to get help and yet …

Creating A Place For Monstrosity: The Forced Liminality And Limited Mobility Of Codified Monstrosity In Leigh Bardugo's King Of Scars, Kaylee Brooke Lambert

Online Theses and Dissertations

The Young Adult Library Services Association (YALSA) outlines the purpose of young adult (YA) literature as addressing the unique needs of adolescents, which are “distinguished by unique needs that are – at minimum — physical, intellectual, emotional, and societal in nature” (Cart “Value” para. 8). This unique period in life is liminal, a time between childhood and adulthood. Adolescents search for meaning in the world around them, with literature as one avenue for self-discovery and affirmation. Mental health is one area teenagers seek answers, and YA literature has attempted to provide spaces to navigate those questions in popular contemporary works …

Pre-Sleep Routines In Adult Normal Sleepers, Jean Koketsu

Occupational Therapy Doctorate Capstone Projects

Sleep is the most important restorative occupation, and pre-sleep routines, which precede sleep, have not been explored in normal adult sleepers. Routines are an important construct in occupational therapy, but it is not well-researched.

The purpose of this project is to add to the body of knowledge regarding pre-sleep routines through description by normal sleepers. This research can inform occupational therapists in regard to the usual patterns and dynamics of pre-sleep routines. Open systems theory, a grounded theory approach, and graphic and interview methods were used in this qualitative study.

Participants were 16 adults, between the ages of 23 and …

Re-Designing A Practice Test Into A Game, Hung-Tao Chen, Michael Lee

EKU Faculty and Staff Scholarship

Practice testing is an effective learning strategy, but it can lead to increased test anxiety and often has low voluntary participation rate. This paper describes a case study on the effects of a re-designed practice test using game-like elements. The results indicate that the gamified practice test had a high student participation rate and showed improved test performance.

Sensation Seeking Impact On Skin Conductance Measures Of Deception And Memory, Andrew David Manson, Suzanna Lagerroos, Phillip Janz, Adam Lawson, Jonathan Gore

EKU Faculty and Staff Scholarship

We sought to determine whether sensation seeking would differentially predict measures of memory and deception (concealing information) as indexed by behavioral (response time, accuracy) and autonomic (skin conductance level) markers in a sample of college students. Participants were randomly assigned to a mock-crime group or an innocent-errand group. Both groups were trained to complete a task requiring the copying of documents from a secure location; the difference was the mock-crime group broke into the office whereas the errand group was given permission to enter the room and access the documents. After being trained to perform the crime or errand task, …

Parental Views On Sexual Education In Public Schools In A Rural Kentucky County, Tiffany R. Howard, Lauri J. Larkin, Michael D. Ballard, Molly A. Mckinney, Jonathan S. Gore

EKU Faculty and Staff Scholarship

Despite Kentucky having almost twice the national birth rate with 50 births per 1,000 female population ages 15-19 (County Health Rankings, 2015), the implementation of comprehensive sexual education in Kentucky public schools remains a controversial topic. This study examined parental attitudes regarding comprehensive sex education curriculum in a rural Kentucky middle school. A survey was distributed to a convenience sample population of parents (N=100) whose children were enrolled in a rural Appalachian middle school in grades 6th thru 8th. Data were analyzed using Chi square and multi-variate techniques. Of the 63 participants, 58.7% believed that sex education should begin in …

Trial 1 Versus Trial 2 Of The Test Of Memory Malingering: Evaluating Accuracy Without A “Gold Standard”, Douglas Mossman, Dustin B. Wygant, Roger O. Gervais, Kathleen J. Hart

EKU Faculty and Staff Scholarship

This study examines the accuracy of the Test of Memory Malingering (TOMM), a frequently administered measure for evaluating effort during neurocognitive testing. In the last few years, several authors have suggested that the initial recognition trial of the TOMM (Trial 1) might be a more useful index for detecting feigned or exaggerated impairment than Trial 2, which is the source for inference recommended by the original instruction manual (Tombaugh, 1996). We used latent class modeling (LCM) implemented in a Bayesian framework to evaluate archival Trial 1 and Trial 2 data collected from 1198 adults who had undergone outpatient forensic evaluations. …

Sensory-Based Services In Adult Mental Health, Leslie Reed

Occupational Therapy Doctorate Capstone Projects

Purpose: The purpose of this Capstone Project was to evaluate the sensory room program used by occupational therapy to determine whether use of the sensory room and the elements within the room reduced perceived levels of distress and acting out and/or aggressive behaviors of patients with mental illness. Methods: This Capstone Project was an outcome evaluation of a routine clinical program using retrospective analysis of existing patient records to ascertain physical aggression episodes, sensory modulation ability, and self-ratings and staff ratings of patient distress levels pre- and post-sensory intervention. Results: Through analysis of quantitative data, the results of the project …

Dementia: Incorporating Families And Caregivers In Direct Speech-Language Intervention, Jocelyn Hartley

Online Theses and Dissertations

In a survey, 50% of 1,000 caregivers reported that they received no information on dementia at the time of diagnosis (Thompson & Pulsford, 2012). This statistic provides strong evidence as to why caregivers feel ill-prepared to care for individuals with dementia. The role of a speech-language pathologist (SLP) is suggested to not only treat the individual with dementia, but consider the role and perspective of the caregiver (Watson, Aizawa, Savundranayagam & Orange, 2013). Providing education and training to caregivers of individuals with dementia is within the scope of practice of speech-language pathologists (Watson et al., 2013).

A survey design for …

The Impact Of Sexual Assault On College Students' Daily Occupations: A Phenomenological Approach, Lee Ann Hodge

Online Theses and Dissertations

It is estimated that 1 in 4 women experience sexual violence while in college (Tjaden & Thoennes, 2006), which may result in post-traumatic stress disorder (PTSD). Occupational therapy has been used to provide interventions for PTSD, but there is a gap in the literature addressing occupational therapy intervention for college students who have experienced sexual assault. The purpose of this phenomenological study was to inquire into students’ lived experiences of daily occupations while in college after having experienced sexual assault, through thematic analysis of data from two interviews conducted in Kentucky and Ohio. Six meaningful themes were developed: changes in …

Different Not Less: An Evaluation Of The Autism Training Curriculum For The Kentucky Department Of Criminal Justice Training, Joseph Aaron Ellis

Online Theses and Dissertations

Autism spectrum disorder is one of the largest growing neurological behavioral disabilities in the United States, with a rise in diagnoses from 2012 (1 in 88) to present day (1 in 68). Studies have shown that individuals with disabilities are more likely to be victimized. Thus, the increasing diagnoses of ASD increases the chance that a victim of crime will have ASD. Police officers should have a working and growing knowledge of ASD from day one, for this reason. This exploratory study uses a literature review of autism spectrum disorder in order to develop an evaluation to analyze the curriculum …

The Secret Ingredient For Improving Infant/Child Mental Health: Teaching Parents To Play, Geraldine Healy Marini

Occupational Therapy Doctorate Capstone Projects

Disorders in mental health are the highest of all disorders and results in the most common form of disability. Since 2011, mental health disorders have increased at alarming rates. It is estimated that 9.5 to 14.2% of children between the ages of 0 to 5 years have and emotional or behavioral problem. The mental health of parents or caregivers can affect and impact the development of young children (Nelson & Mann, 2011, Zero to Three, 2004).

The over arching goal of this research is to explore issues of mental health within parent-child interactions. Coaching parents during the co-occupation of play …

A Mediacentric Examination Of The Corporate Psychopath, Pamela Martha Brooks

Online Theses and Dissertations

The psychopathic personality disorder is an extraordinarily complex and multidimensional phenomenon. While its study has primarily focused on criminal and forensic populations, many researchers are broadening the scope of psychopathy research to include those in the corporate world. This, after striking similarities were revealed between the personalities of corporate leaders and clinically diagnosed psychopaths. One profession that may be attractive to psychopathic personalities is the media, specifically television and radio. This exploratory study utilized a blend of original and archival data. Calculated effect sizes were used to examine the existence of personality facets among three groups of media professionals and …

Experiences Of Non-Traditional Female College Students With Bipolar Disorder, Taylor Lynn Massie

Online Theses and Dissertations

Background: Although research has been done on many aspects of bipolar disorder, research has not examined the individual living experiences of college students with bipolar disorder. Research looks at the

Methods: In-depth interviews were used to learn the details of the experience of attending college with bipolar disorder. Three volunteers came forward to be interviewed. They had a bipolar disorder diagnosis, and are current students at a southern university. Questions focused on the lived experience of being a student with bipolar disorder, and probing questions were used to learn more about each participant’s particular experience. The first two interviews had …

Role Of Community Participation In Improving Quality Of Life In Clients With Dementia And Their Caregivers, Mridula Dhamija

Online Theses and Dissertations

Aim: The purpose of this study was to investigate the effects on quality of life for clients with dementia and their caregivers by participating in a community program, the Memory Café.

Method: In this qualitative, cross case study, the Marwit Meser Caregiver Grief Inventory (MM-CGI) was given to caregiver. Data collection was done by interviewing the participants; there was a main question with follow- up questions as needed. All the interviews were audiotaped and transcribed followed by primary and secondary coding. Shortlisting of categories resulted in emergence of themes which were common across cases and unique to each case.

Results: …

The Relationship Between Coaching Environment And Athlete Attributional Style, Una Britton

Online Theses and Dissertations

This study examined the relationship between attributional style and perceived coaching behaviors in collegiate cross-country/track and field athletes in the USA and Ireland. Participants included seventy-three collegiate athletes (Ireland: n = 24 male, n = 18 female, mean ± SD age: 20.39 ± 1.61 years. USA: n = 9 male, n = 22 female, mean ± SD age: 21.02 ± 2.18 years). Participants completed the Sport Attributional Style Scale (SASS; Hanrahan et al., 1989) and the Leadership Scale for Sport (LSS; Chelladurai & Selah, 1980) to assess attributional style and perceived coaching behaviors. Explanatory pessimism, total internality, stability, and globality …

Elaborating Borderline And Psychopathic Personality With The Computerized Adaptive Test Of Personality Disorder In A Female Correctional Sample, Chelsea Sleep

Online Theses and Dissertations

Most of what we know about Psychopathic Personality Disorder (PPD) is based upon research with males. Considerably less research has examined female manifestations of the construct, however, some research suggests that Borderline Personality Disorder (BPD) may represent a female phenotypic expression of PPD, particularly among incarcerated offenders. The current study examined distinction and convergence between PPD and BPD. Utilizing a sample of 146 female correctional inmates as well as 109 female college students, the current study employed the Computerized Adaptive Test of Personality Disorder (CAT-PD) as well as other specific indices to explore the extent to which these two personality …

Physical, Emotional, And Competitive Aggression Tendencies In Contact And Non-Contact Collegiate Athletes, Samyra Rose Safraoui

Online Theses and Dissertations

Differences in aggression tendencies between athletes who play a contact sport and athletes who play a non-contact sport at the collegiate level were investigated. Specifically, emotional, physical, and competitive aggression tendencies were measured for both groups and then compared to each other using independent t tests and effect sizes. One hundred student-athletes from a medium sized midwestern university participated in the study, with an even split between contact and non-contact athletes. Student-athletes were sent an electronic survey via email and Survey Monkey; all materials were approved by the university's Institutional Review Board (IRB) and Athletics department.

It was determined that …

The Sensory Processing Patterns And Activity Choices Of A Child With Autism Spectrum Disorder: A Mixed-Methods Case Study, Valerie Miller

Online Theses and Dissertations

It is estimated that up to 95% of children with autism spectrum disorder experience sensory processing problems. Minimal research is available on the relationship between specific sensory processing patterns, activity preference and behavior patterns in children. It is hypothesized that if children participate in play activities that support their sensory needs, they will experience less behavioral problems, more self-regulating behavior and a higher quality of life. This mixed-methods case study examines how a child with autism spectrum disorder participates in activities and looks at if those activities support sensory needs, thus reinforcing self-regulatory behaviors.