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Articles 1 - 30 of 129
Full-Text Articles in Mental and Social Health
The Lived Experience Of The Covid-19 Pandemic Among Mandate-Resistant Adults In Washington State, Amber N. Peterson
The Lived Experience Of The Covid-19 Pandemic Among Mandate-Resistant Adults In Washington State, Amber N. Peterson
Antioch University Full-Text Dissertations & Theses
This study examined the lived experience of self-identified, mandate-resistant adults in Washington state. This study explored participants’ experience of the COVID-19 pandemic, from a retrospective framework by uncovering challenges, silver linings, decision-making, and self-reported mental health. Remote interviews were conducted with nine participants. Participants were between 23–31 years old, mostly male, and over half identified as Black. Through semi structured interviews, data was collected and analyzed using Interpretive Phenomenological Analysis (IPA). Participants described their experiences during the COVID-19 pandemic and highlighted significant changes in the way they lived their lives. Most notably, participants described ways in which they defied COVID-19 …
Exploring The Definition Of Resilience: A Convergent Parallel Mixed Methods Study In Adults Over The Age Of 65, Sara J. Blessington
Exploring The Definition Of Resilience: A Convergent Parallel Mixed Methods Study In Adults Over The Age Of 65, Sara J. Blessington
Antioch University Full-Text Dissertations & Theses
The definition of a word helps us understand its context and how it is meant to be used in daily life or research. When a word lacks a universal definition, it is hard to know how to use it. “Resilience” is that type of word. The resilience community in psychological research does not have a concrete, universal definition for this word. It takes on whatever characteristics are useful to the investigator. This study began with seeking a universal definition for the domain known as resilience. This study used a convergent parallel design with adults aged 60 and older living independently …
Relationships Harm, Relationships Heal: Exploring Larger Bodied People's Experiences Of Weight Stigma And Eating Disorders In The Context Of Family Relationships, Rebecca Erin Belinsky
Relationships Harm, Relationships Heal: Exploring Larger Bodied People's Experiences Of Weight Stigma And Eating Disorders In The Context Of Family Relationships, Rebecca Erin Belinsky
Antioch University Full-Text Dissertations & Theses
Eating Disorders are the second deadliest mental illness, after opioid addiction, and affect a significant amount of the population, with some studies estimating that almost one in ten people will struggle with an eating disorder in their lifetime and that many more will suffer from subclinical eating disorder symptoms like disordered eating (Deloitte Access Economics, 2020). The majority of people struggling with an eating disorder are not medically underweight, and traditionally eating disorder research and treatment has failed to address eating disorders in people in larger bodies (Galmiche et al., 2019). To better understand the needs and experiences related to …
Counselors’ Lived Experience Treating Patients Utilizing Methadone: The Intersection Of Culture, Policy, And Stigma, Kathryn Floyd Eggert
Counselors’ Lived Experience Treating Patients Utilizing Methadone: The Intersection Of Culture, Policy, And Stigma, Kathryn Floyd Eggert
Antioch University Full-Text Dissertations & Theses
The United States continues to experience unprecedented deaths related to the opioid epidemic. Efforts to address the epidemic remain hampered by war-on-drugs policies that stigmatize people who use drugs and create barriers to accessing evidence-based treatments, particularly methadone maintenance treatments (MMT). Despite 50 years of research regarding MMT, it remains highly regulated, and arguably the most stigmatized treatment. The punitive regulatory structure of MMT remained unchanged until emergency waivers were initiated during the COVID-19 pandemic. The study used an exploratory, critical phenomenological approach to examine the intersection of culture and regulation on the lived experiences of 26 addiction counselors who …
Metaphor And Intersubjectivity: The Use Of Metaphor Within A Metaphor, Sara Jalbert
Metaphor And Intersubjectivity: The Use Of Metaphor Within A Metaphor, Sara Jalbert
Antioch University Full-Text Dissertations & Theses
Psychotherapists experience encounters in psychotherapy that present the opportunity for metaphor and imagery to be utilized as methods of intervention that enhance attunement in the therapeutic dyad. Working within imagery, tropes, and metaphor may facilitate experiential processing and integration of information. Metaphor has been used across cultures for many years to describe abstract concepts and to apply deeper meaning to the confines of logical thought. This paper discusses the literature on metaphor as an object of shared language, enhancing the space which minds share in the therapeutic dyad, and posits that metaphor has the ability to enhance intrapsychic levels of …
A Mental Health Professional Opinion On Family Involvement During The Treatment Of Severe Mental Illness: A Multiple Case Study, Vanessa Perocier
A Mental Health Professional Opinion On Family Involvement During The Treatment Of Severe Mental Illness: A Multiple Case Study, Vanessa Perocier
Antioch University Full-Text Dissertations & Theses
While severe mental illness (SMI) is extensively studied, less attention focuses on the relationship between people with SMI and their families and the impact this may have on treatment. Bronfenbrenner's (1979) ecological systems theory conceptualized the treatment and recovery of people with SMI and their families. This study proposes that if family members getting social support contribute to a person's treatment plan, the individual's treatment outcome will improve rather than the individual enduring the treatment process individually. By applying ecological systems theory, mental health professionals and policymakers can better grasp the systemic nature of individuals, their family members, and surrounding …
Family Excommunication And Fleeing Nones: Religion, Nonreligion, And Estrangement In Therapy, Jonathan Ludi Leitch
Family Excommunication And Fleeing Nones: Religion, Nonreligion, And Estrangement In Therapy, Jonathan Ludi Leitch
Antioch University Full-Text Dissertations & Theses
Religion fractures families, and therapists working with clients in search of healing have so far had little empirical guidance on how to help. This phenomenological study is the first to explore the experiences of nonreligious Americans using therapy as a way to address religion-related family estrangement. Seventeen participants, all self-identifying as nonreligious but raised in Christian families, were interviewed about their therapy experiences. Most had seen individual therapists and preferred an individual focus but appreciated systemic conceptualizations and interventions. Nondirective, evidence-based, and, when appropriate, trauma-informed approaches were found to be most helpful. Nonreligious, especially non-Christian, therapists were usually but not …
Black Mental Health Clinicians' Experiences And Lessons From The Intersecting Crises Of Black Mental Health, Covid-19, And Racial Trauma: An Interpretive Phenomenological Study, Chanté Meadows
Antioch University Full-Text Dissertations & Theses
This study explored the experiences of African American mental health clinicians’ during the intersecting crises of the Black mental health crisis, the highly publicized racial tension tied to extrajudicial violence and over-policing of Black Americans, and the COVID-19 pandemic. The pandemic started a global crisis that affected millions of people’s physical and mental health and overall well-being. Shared trauma explores the duality of mental health clinicians’ personal and professional experiences. Grounded in critical race theory and models of trauma, this study explores Black mental health clinicians’ lived experiences and lessons. This is an interpretive phenomenological study with narrative interviews of …
Meeting The Client Halfway: A Relational Revision To Account For Intra-Actions In Psychotherapeutic Space, Lara Pirro Jancetic
Meeting The Client Halfway: A Relational Revision To Account For Intra-Actions In Psychotherapeutic Space, Lara Pirro Jancetic
Antioch University Full-Text Dissertations & Theses
This post-qualitative study branching from new-materialist, post-humanist epistemology and ontology examines relationality through the lens of three different theories: agential realism, John Shotter’s communication theory, and relational mindfulness. These theories each describe the dynamics involved in relationships, how they each make sense of these dynamics, and what they entail for human relations. Using a post-qualitative diffractive methodology, this study examines these theories and how they intersect to bring about new insights in our understanding of relationships and how this information can support therapy practice. The results are a series of nine principles of orientation, which were applied to marriage and …
What Does It Look Like For Mental Healthcare Organizations To Be Healthy Places To Work? An Action Research Study, Stephanie L. Fox
What Does It Look Like For Mental Healthcare Organizations To Be Healthy Places To Work? An Action Research Study, Stephanie L. Fox
Antioch University Full-Text Dissertations & Theses
Mental healthcare organizations have a reputation for being unhealthy places to work. The irony of this reputation is keenly felt by its workforce who report unsustainable workloads, high levels of stress, and lack of support or engagement from higher-level leadership. As a mental healthcare provider now in a position of leadership, who has worked across all levels of care within the sector, it was of interest to me to explore how a mental health organization can become a healthier and more sustainable place to work. I approached this study with the assumption that if an organization was healthy and intentional …
From Intersubjectivity To Activism: A Case For Engaged Psychoanalytic And Psychodynamic Psychology, Abigail Bliss
From Intersubjectivity To Activism: A Case For Engaged Psychoanalytic And Psychodynamic Psychology, Abigail Bliss
Antioch University Full-Text Dissertations & Theses
This dissertation consists of a book proposal, including a completed introduction and first chapter, in addition to detailed chapter outlines summarizing the content for the actual book. After framing this project and exploring its inspiration, which includes Freud and his free clinics (Danto, 2005), the first chapter begins with explorations of multiple theories of intersubjectivity and the analytic third, considering how contemporary sociopolitical factors might affect the intersubjective experience. To this end, I demonstrate how race, politics, the COVID-19 pandemic, and the incorporation of telehealth practices affect the intersubjective experience in psychoanalytic/psychodynamic (PA/PD) psychotherapy. I then research and review PA/PD …
Nonsuicidal Self-Injury And Real-Life Self-Disclosure Among Internet Users, Matthew Tanner
Nonsuicidal Self-Injury And Real-Life Self-Disclosure Among Internet Users, Matthew Tanner
Antioch University Full-Text Dissertations & Theses
The purpose of this study was to explore several unknown issues regarding disclosure of nonsuicidal self-injury (NSSI) among users of social media. NSSI is a category of behaviors that cause intentional harm to the body without the intent to commit suicide. However, individuals who self-injure may unintentionally risk serious and even life-threatening harm. Moreover, the stigma and resultant shame associated with NSSI discourage reporting and thus complicate research into the behavior. This study examined the factors involved in individuals’ decisions to disclose NSSI. The current study uses primarily descriptive statistics from an internet-based survey to explore the following questions: (a) …
An Experiential Qualitative Analysis Exploring The Sexual Identity Experiences Of Latino Caribbean Cisgender Gay Men, Starlin Astacio
An Experiential Qualitative Analysis Exploring The Sexual Identity Experiences Of Latino Caribbean Cisgender Gay Men, Starlin Astacio
Antioch University Full-Text Dissertations & Theses
This qualitative study aims to explore the unique experiences and challenges faced by Latino Caribbean cisgender gay men within their cultural and social contexts. Using focus group and thematic analysis, the researcher examines the narratives and perspectives of a diverse sample of Latino Caribbean cisgender gay men (n = 6) to gain insights into their sexual identity process, cultural influences, family dynamics, and support systems utilizing Interpretative Phenomenological Analysis (IPA) as the methodological framework. The researcher’s findings highlight the themes of Awareness of Sexual Identity, Visibility Management, Spanish Caribbean Families' Influences, Being True to Oneself, and Positive Experiences & Role …
Work-Family Spillover, Family Functioning, And Life Satisfaction Of Pastors, Marcos Rosa
Work-Family Spillover, Family Functioning, And Life Satisfaction Of Pastors, Marcos Rosa
Antioch University Full-Text Dissertations & Theses
The current study is quantitative research that used a web-based survey from multiple religious denominations in the United States to examine the relationships among perceptions of stress, work-family spillover, marital satisfaction, and family functioning of pastors. Emotional exhaustion, hours worked, personal accomplishment, and social support were analyzed as predictors from the work domain. Two measures of spillover were used to evaluate family stressors and enhancers. The stressors and enhancers were tested as mediators between work domain and personal/family life. Life satisfaction, marital satisfaction and family dysfunction were analyzed as outcome variables. The sample included 83 pastors from a convenience sample …
Understanding How Secular Spirituality Transforms Intergenerational Parenting Styles, Barrie Birge
Understanding How Secular Spirituality Transforms Intergenerational Parenting Styles, Barrie Birge
Antioch University Full-Text Dissertations & Theses
A family is a relational system that shapes a child’s development, and it is well-established that parenting directly exasperates or reduces a child’s internal and external behaviors (Foran et al., 2020; Rikuya & Toshiki, 2018). Parents are influential figures during childhood and adolescence and play a key role in their children’s development (Baumrind, 1978; Maccoby & Martin, 1983). Therefore, it is of great concern that developmental challenges in children and adolescents in the U.S. continue to increase. The Centers for Disease Control (2019) confirms adolescent mental health and suicide variable trends in the U.S. continued to increase significantly between 2009 …
Black Marriage, Attachment And Connecting In Relationships: An Observational Multi-Method Study Investigating The Effects Of The Getting The Love You Want Workshop On Black Couples’ In-Session Attachment, Interactions, Marital Satisfaction And Communication, Paula Smith
Antioch University Full-Text Dissertations & Theses
The focus of this dissertation is examining the impact of Imago Relationship Therapy (IRT), more specifically the “Getting the Love You Want” workshop (GTLYW), on five Black/African American couples’ attachment, interactions, marital satisfaction and communication. This study examines Black couples’ lived experiences through a modified version of a quantitative measure, called the Patient Attachment Client System (PACS), the Marital Satisfaction Questionnaire-Revised (MSQ-R), semi-structured questionnaires to measure qualitative data as well as direct observation of participants’ interactions. PACS analyzes how patients’ in-session discourse enables them to share present experiences and link these processes with their attachment structure. In this view, attachment …
A Mixed-Methods Exploration Of Quality Of Life In Forensic Inpatients With Schizophrenia Spectrum Disorders On The Social Learning Program, Alexa Hutzenbiler
A Mixed-Methods Exploration Of Quality Of Life In Forensic Inpatients With Schizophrenia Spectrum Disorders On The Social Learning Program, Alexa Hutzenbiler
Antioch University Full-Text Dissertations & Theses
This mixed-methods study explored the quality of life and lived experiences of adult individuals with diagnoses of schizophrenia spectrum disorders residing and receiving treatment on the Social Learning Program (SLP) at Fulton State Hospital, a high-security state forensic facility. Eleven participants completed the WHOQOL-BREF quantitative quality-of-life measure. Ten participants completed in-depth, semi-structured, qualitative interviews. Interviews were transcribed then analysed using Interpretive Phenomenological Analysis. The major themes that emerged included “Working the Program,” “Relationship Dynamics with Self and Others,” “Meaning,” “I’ve Been Having Breakthroughs,” and “Areas for Improvement in the Program.” Combined, the findings of the present investigation demonstrate the utility …
The Moderating Effects Of Clinical Videoconferencing On Therapeutic Alliance And Treatment Outcomes Among Substance Use Disorder Treatment Populations During The Covid-19, Seon W. Kim
Antioch University Full-Text Dissertations & Theses
This study aimed to contribute to understanding the relationship between therapeutic alliance (TA) and treatment outcome (TO) when comparing conventional (in-person treatment, IPT) with clinical videoconference-delivered treatment models in substance use disorder populations (SUD) during a global pandemic. Also, noting the importance of marital and family relationships in the treatment of substance use disorders, this study explored how marital status influenced the interaction of the therapeutic alliance and treatment outcomes. Utilizing the secondary data collected from an outpatient SUD treatment facility, this quantitative study conducted a moderated linear regression and moderated binary logistic regression to analyze the data. The results …
Relationships Among Trait Mindfulness, Self-Compassion, And Compassion Fatigue In Mental Health Professionals Working With Clients With A Terminal Illness, Christen Aiguier
Relationships Among Trait Mindfulness, Self-Compassion, And Compassion Fatigue In Mental Health Professionals Working With Clients With A Terminal Illness, Christen Aiguier
Antioch University Full-Text Dissertations & Theses
This quantitative study explores the relationships among trait mindfulness, self-compassion, and compassion fatigue (CF) in mental health professionals working with clients with a terminal illness. The Five-Facet Mindfulness Questionnaire (FFMQ), Self-Compassion Scale, and Quality of Life Version 5 were used to explore these facets through linear multiple regression analysis. The Reactions to Research Participation Questionnaire–Revised was used to explore the cost–benefit ratio based on participant perceptions of the research experience. Participants (N = 43) self-selected from emailed invitations sent to members of professional organizations. Data was analyzed using multiple linear regression. Significant correlations included individual relationships between elevated trait mindfulness …
"I Wonder...?" The Presence And Implications Of Curiosity As A Foundational Ingredient Across Couple And Family Therapy Models, Brian Hannigan
"I Wonder...?" The Presence And Implications Of Curiosity As A Foundational Ingredient Across Couple And Family Therapy Models, Brian Hannigan
Antioch University Full-Text Dissertations & Theses
Theoretical and anecdotal accounts highlight the power of curiosity within the therapeutic process of particular models of therapy, with specific influences noted in regard to forming, maintaining, and evolving intra- and interpersonal relationships. The mention of curiosity in the therapeutic process is not surprising given its profound and evidence-based influence on the promotion of relationships and influence on social-emotional health and well-being. What is surprising however, is the lack of comprehensive review and exploration into how exactly curiosity is being conceptually used within and across therapeutic models. Additionally, such a review is missing in terms of whether curiosity is model …
Relationship Goals: How Do Relational Therapists Conceptualize Cases And Treatment Plan When Working With Consensually Non-Monogamous Clients?, Caitlyn Burns
Antioch University Full-Text Dissertations & Theses
This study aimed to explore how relational therapists in the United States conceptualize cases and treatment plan when working with consensually non-monogamous clients and how dominant discourses about relationships (mononormativity) influence relational therapists during this process through a queer theory lens. This was a grounded theory study and surveyed a sample of thirty relational therapists or therapists-in- training. Results showed relational therapists conduct conceptualization and treatment planning through a two-part process. Therapists intend to treat CNM clients the same as any other client, but are unable to do so due to dominant discourses of mononormativity. Furthermore, mononormative discourses influenced relational …
A Constructivist Grounded Theory Analysis Of Seven Medical Provider Perspectives On Major Barriers To Prescribing Buprenorphine To Youth With Opiold Use Disorder In Outpatient Medical Settings: "We Should Be Providing Them With What We Know To Be The Gold Standard Of Care"., Maeve O'Leary Sloan
Antioch University Full-Text Dissertations & Theses
This study utilized Primary Care Provider (PCP) perspectives to unveil major barriers to prescribing buprenorphine to youth (ages 16-25) with opioid use disorder (OUD). Semi-structured interviews were conducted with seven PCPs recruited through convenience and snowball sampling. Interviews were conducted and recorded via Zoom video conferencing. Transcripts were generated and analyzed for themes using a Constructivist Grounded Theory (CGT) approach. The CGT of the present study describes four major barriers that limit PCP prescription of buprenorphine to youth: 1) PCPs Feel Overwhelmed, 2) PCPs Feel Ill Equipped to Treat Youth Patients with OUD, 3) PCPs Hold and Observe Stigma toward …
Ecopsychologists' Vital Importance In The Time Of Climate Crises, Nicole B. Auckerman Psyd
Ecopsychologists' Vital Importance In The Time Of Climate Crises, Nicole B. Auckerman Psyd
Antioch University Full-Text Dissertations & Theses
Ecopsychology is a systems-based philosophy that expands the therapeutic lens to include client interactions with and perceptions of the natural environment as an integral element of well-being or pathology. Ecopsychology, known forward as EP, also looks at the pathology of our culture and what kind of diagnoses lead to practices that put our planet at risk. In recent decades, the field has amassed a substantial amount of empirical evidence supporting its effectiveness but remains largely underutilized. First generation EP suggested a cultural reordering shifting away from consumer culture and reordering our way of life. Second generation posits working within the …
Social And Cultural Considerations In Accessing Mental Health Treatment In The Gambia, West Africa, Safiya Njai
Social And Cultural Considerations In Accessing Mental Health Treatment In The Gambia, West Africa, Safiya Njai
Antioch University Full-Text Dissertations & Theses
This study examines the social and cultural considerations in accessing mental health treatment in The Gambia, West Africa. Participants were recruited from The Gambia for a qualitative study that included semistructured interviews (N = 17). A team of analysts identified five themes. The results highlighted social and cultural conceptualizations of mental health and mental illness, sociocultural determinants of health, interventions, barriers to care, and the legal framework to support mental health change. These findings are important for counselors to understand different perceptions of mental health and mental illness and the associated stigma. Furthermore, several opportunities for advocacy in The Gambia …
Exploring The Needs Of Black Single Mothers In Therapy, Nompelelo Boucher
Exploring The Needs Of Black Single Mothers In Therapy, Nompelelo Boucher
Antioch University Full-Text Dissertations & Theses
This qualitative study of 6 Black single mothers utilizes a focus group format to explore their experiences in mental health treatment. The specific barriers they face to seeking treatment are reviewed, given that this particular population is substantially underrepresented in mental health therapy. The study seeks to gain a better insight of what factors contribute to attracting and retaining them in therapy for positive outcomes. Six emergent themes surfaced highlighting the fact that these women overcome numerous historical and cultural barriers to present for treatment to address serious issues of stress, grief, and loss, that they have a desire to …
Beyond The Controversy: An Exploration Of Cultural Socialization Behaviors In Transracial Adoptive Families, Karmen Smith
Beyond The Controversy: An Exploration Of Cultural Socialization Behaviors In Transracial Adoptive Families, Karmen Smith
Antioch University Full-Text Dissertations & Theses
The voices of the families that have successfully raised transracially adopted children with a positive cultural identity are missing from the literature: “Further research is needed on adoption from the perspective of the adoptee” (Clark et al., 2006, p. 192). There are methodological shortcomings that inhibit our ability to definitively determine adjustment outcomes for this population. Such shortcomings, combined with a failure to address additional variables that influence outcomes, have left identified gaps in the research unaddressed. The purpose of this grounded theory study is to identify the cultural socialization behaviors that contributed to the development of the participant’s positive …
It Takes Two: Professional Interconnections And Potential Collaborations Between Small-Town Family Attorneys And Couple/Family Therapists, Wendy Lenk Mcclary
It Takes Two: Professional Interconnections And Potential Collaborations Between Small-Town Family Attorneys And Couple/Family Therapists, Wendy Lenk Mcclary
Antioch University Full-Text Dissertations & Theses
Attorneys who specialize in family practice may experience significant rates of mood disorders and substance reliance. Law schools typically do not provide supportive coursework or mentoring to help students learn to manage their feelings and those of crisis-impacted clients. Lawyers may well consider that understanding emotional needs and providing emotional support does not fall within their codes of practice. Societal stigma may prevent family attorneys and their clients from seeking therapy. Small-town attorneys may be particularly vulnerable to professional stress and safety concerns. The purpose of this study was to explore and understand the lived experiences of family attorneys practicing …
A Journey To Finding Space In The Tension: Experience Of Instructors' Relationship With Religion And Spirituality In Doctoral Psychology Programs, Samantha Mcgee
Antioch University Full-Text Dissertations & Theses
Religion and spirituality, when viewed through a holistic lens, can reflect important aspects of a person’s identity. It can be a source of well-being and also struggle. The fields of religion, spirituality and psychology have had a history of being polarized, with some efforts to integrate the two fields. Tensions exist at multiple ecological levels around the topic of religion and spirituality, which can make it easier to avoid discussing it in classrooms and therapy rooms. It is important to address and create room for discussion of experiences around religion and spirituality in classrooms that are training psychologists so they …
No Time For That: Graduate Psychology Student Perspectives On Self-Care Culture, Anthony Primavera
No Time For That: Graduate Psychology Student Perspectives On Self-Care Culture, Anthony Primavera
Antioch University Full-Text Dissertations & Theses
Graduate psychology students face numerous stressors that can hinder their performance both academically and clinically as they move through their education and into the professional world (Pakenham & Stafford-Brown, 2012; Shen-Miller, 2011). Engagement with regular self-care not only can enhance a sense of well-being, but also plays a crucial role in shielding an individual from some of the most harmful effects of stress (Wise et al., 2012). Graduate level psychology programs are inherently positioned to teach graduate trainees about the importance of self-care practices and to help them develop self-care habits that they can take into future careers. It appears …
Structural Family Therapy For Autism Spectrum Disorder: A Single Case Experiment, Anthony George Pennant Jr.
Structural Family Therapy For Autism Spectrum Disorder: A Single Case Experiment, Anthony George Pennant Jr.
Antioch University Full-Text Dissertations & Theses
This research study is an exploratory single case experiment which was conceptualized through the concept of change as outlined in structural family therapy (SFT). This family reported increases in their levels of cohesion, flexibility, and satisfaction with their relationships. The family reported decreases in the levels of disengagement, rigidity, chaos, and communication. Lastly, levels of anxiety increased over time and were generally rated divergently by parents and the child with autism spectrum disorder. Given the outcome of the study, SFT shows promise in being an appropriate clinical model in providing family-based therapy for families who have a child(ren) with autism …