Social and Behavioral Sciences Commons^™

An Exploration Of Self-Reported Training Needs For Anxiety Interventions Among Primary Care Behavioral Health Consultants, Katherine Buckheit, Ryan Willard, Kyle Possemato, Robyn Shepardson, Abigail Lashinsky, Jen Funderburk

The Journal of Integrated Primary Care

Introduction: Despite the need for greater training in evidence-based interventions for the treatment of anxiety in primary care behavioral health (PCBH), there are limited data on which interventions are desired by behavioral healthcare consultants (BHCs). The objective of this study was to identify which interventions BHCs desired more training in when treating anxiety in PCBH practice, and to examine if this preference was associated with theoretical orientation. Method: We conducted an online survey of PCBH providers regarding their training preferences for treatment of anxiety symptoms. The final sample comprised 291 BHCs recruited from e-mail listservs of national professional organizations. Providers …

Feasibility And Acceptability Of A Pediatric Primary Care Physician Training For Anxiety Screening And Psychoeducation, Julie A. Wojtaszek

Master's Theses and Doctoral Dissertations

Anxiety is one of the most prevalent psychological conditions in the pediatric population with significant impacts that often extend into adulthood. Pediatricians are in a unique position to screen and briefly intervene to facilitate early treatment and prevent long-term sequelae, but they often do not have adequate training. The current study addressed this gap with a brief online educational workshop that had two aims: to promote (a) screening for anxiety and (b) appropriate evidence-based interventions. Fifty-three providers participated, and 38 completed surveys preand post-training. Findings support the acceptability of the training, improved knowledge related to anxiety, and an increased readiness …

Examining The Malleability And Influence Of Attributions On Discipline Responses To Child Misbehavior, Jenna E. Russo

Theses and Dissertations

Attributions of child behavior have been shown to influence discipline responses and ultimately, child developmental trajectories. Research highlights various social-psychological factors in the formation of attributions, largely characterized as stable. However, research also demonstrates the efficacy of attribution retraining (AR) programs in restructuring individuals’ explanations for various outcomes. This study examined a trauma-informed training intervention with an AR component designed to evoke balanced and contextual attributions of child behavior among child-serving professionals. Of particular interest was the malleability and stability of attributions, and their influence on discipline responses. From pre- to post-training, there was a significant decrease in hostile attributions …

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 …

Lived Experience: The Training Of Therapists, Actors & Human Beings, Richard Williams

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

There is much in common between theater and therapy. Both happen live. Both are explorations of human experience. Both require participants to be emotionally and mentally present. Both are hard to do well (and easy to do poorly). Training to be a clinical psychologist requires hours of coursework, administrative work, supervision, and on the job clinical experience. Training to be a professional theater maker or actor requires hours of rehearsal. The elements of acting are deconstructed during training so that rehearsal consists of voice-work, physical theater, scene study, etcetera. Training to be an actor entails much more practice of the …

Encountering Death: A Training Proposal For Psychologists Addressing Death Anxiety And End-Of-Life Care, Bridget Kromrey

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Inward reflection and knowing the self are an essential element to becoming a psychologist and is crucial when encountering themes of death and dying in psychotherapy. There are significant gaps in curriculum and training regarding death anxiety and end-of-life care for psychology trainees and psychologists despite psychologists’ growing presence in this type of work. The following paper will explore historical and current day theories of death anxiety and death education. It will also demonstrate the gaps in training for psychologists in the areas of death anxiety and end-of-life care and describe the need for this type of training to be …

Mentoring In The Training Cycle Of Clinical And Counseling Psychology Doctoral Students: A Critical Review Of The Literature, Hélène Farr

Theses and Dissertations

This dissertation presents a critical review and analysis of the literature on mentoring in clinical and counseling psychology training programs. It provides background information on the mentoring process and a detailed analysis of current empirical research pertaining to mentoring in the training cycle of clinical and counseling psychology doctoral trainees through predoctoral internship and postdoctoral fellowship to licensure. The goal of this review is to highlight the importance and benefits of mentorship for mentors, protégés, institutions or universities, and for the profession of psychology. There are few studies focused on mentorship during psychology training, therefore recommendations are made for future …

Training Issues Related To Touch In Counseling, Jonathan D. Wright

Journal of Counselor Preparation and Supervision

Touch is considered by many to be the most important of the five senses for optimal human development and has been used in healing and medical practices throughout history. Touch also plays a key role in human communication but maintains a position detached from other forms of verbal and nonverbal communication within the field of counseling. Most counselors receive little training in the role of touch in counseling, and there are no ethics codes specific to the use of touch available to guide counselors. The purpose of this article is to provide an overview of historical and current issues related …

Making Implementation Last: Understanding The Sustainability Of An Evidence-Based Treatment, Carrie Beth Jackson

Graduate Theses, Dissertations, and Problem Reports

Although advances have been made in facilitating the implementation of evidence-based treatments, little is known about the most effective way to sustain their use over long periods of time. Prior systematic reviews and research have suggested that organizational characteristics and training methods may be strategies that support sustainability, yet this has remained relatively unstudied in the field of behavioral health. The current study examined the sustainability of Parent-Child Interaction Therapy following a statewide implementation trial testing three training methods. Participants included 100 clinicians and 50 administrators from 50 organizations across Pennsylvania. Multi-level path analysis was utilized to examine the role …

The Importance Of Mindfulness And Self-Compassion In Clinical Training: Outcomes Related To Self-Assessed Competency And Self-Efficacy In Psychologists-In-Training, Chelsea Latorre

Graduate Theses, Dissertations, and Problem Reports

The release of the APA (2011) Revised Competency Benchmarks used for evaluation of doctoral-level psychology trainees calls for literature to examine competencies in this population with use of appropriate instrumentation. The recent publication and validation of the Professional Competencies Scale-Revised (Taylor, 2015) allows for researchers to explore factors associated with trainee competencies as it relates to the benchmark system. Previous literature suggests a strong relationship between counselor self-efficacy and professional competency (e.g., Constantine, 2002), suggesting that interventions that can foster these constructs may lead to enhanced counseling performance. This study examined the predictive value of mindfulness and self-compassion for self-assessed …

Physician Training And Support In Managing Dilemmas Around Benzodiazepine Prescribing, Elizabeth Corley

Antioch University Dissertations & Theses

Numerous concerns have emerged regarding the dangers of extended benzodiazepine use and abuse, as well as continued prescribing by medical professionals despite related contraindications. Primary care physicians (PCPs) may find decisions around benzodiazepine prescription and related patient encounters to be especially challenging. Little is known on the efficacy of routine medical training and supervision/consultation models in preparing emerging PCPs for managing the dilemmas that may ensue with regards to prescribing benzodiazepines. The present study sought to begin addressing this gap by conducting an initial qualitative inquiry into the training and supervision experiences and needs of a group of current family …

Novice Therapist Responsiveness: Description And Development, Max B. Wu

Graduate Doctoral Dissertations

There is increasing empirical evidence that psychotherapy is very effective when therapists tailor interventions in ways that fit their clients’ difficulties and needs (Kramer, 2009; Snyder & Silberschatz, 2017), a concept that has been named “therapist responsiveness” in the psychotherapy literature (Bacal, 1985; Stiles, Honos-Webb, & Surko, 1998). However, the question of how therapists learn to be responsive rarely has been addressed in research (Hatcher, 2015). The central question of this study was, “How did you learn how to be responsive to clients as a novice therapist, and in what ways are you responsive?” Eleven graduate student therapist trainees were …

Sex Topics In Therapy: A Literature Review And Proposal For Continuing Education, Courtney Gallagher

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Sex topics should be welcome in the therapy room. Sexual identity, practices, concerns and questions should not be considered a "taboo" subject in the therapy room, yet clients remain reluctant to bring up such topics with their therapists. In order to ensure that clients feel free to bring into the room such themes that are a large part of their life, clinicians need to be trained and competent in sex topics. The following literature review examines the history of femininity and masculinity and what "facts" have continued to permeate into our profession, the history of sex expectations, language about sex …

Stress And Support In Health Service Psychology Students : Predictors Of Burnout And Vigor, Dylan Alexander Corp

Legacy Theses & Dissertations (2009 - 2024)

Students in health service psychology (HSP) training programs (i.e., doctoral programs in clinical, counseling, or school psychology) have reported experiencing greater burnout (i.e., energetic exhaustion) and lower vigor (i.e., energetic arousal) than typical workers. Given that greater burnout and lower vigor are associated with negative outcomes like poor health and client care, the purpose of the present study was to understand burnout and vigor in HSP students. Specifically, the present study sought to test the Conservations of Resources theory of stress (CORT) by replicating previous findings that threatening work-related stress and the supervisory working alliance (SWA) predicted HSP students’ burnout …

Cognitive Remediation Of Working Memory Deficits In Children With Chronic Health Conditions: Tailoring Cogmed Training To Address Barriers To Adherence, Kelsey Smith

Theses and Dissertations

Objective: Children with sickle cell disease (SCD) and cancer are at risk for working memory impairment due to the disease and treatment. However, inconsistency in adherence to cognitive training programs conducted with this population suggests that adaptations are necessary in order to improve the effectiveness of this intervention. In addition, it is unclear whether gains in working memory translate to improvement in classroom functioning.

Methods: Children engaged in cognitive training exclusively over the summer in order to improve adherence to Cogmed Working Memory Training. A total of 17 children ages 7- 17 with a diagnosis of SCD (n = 14) …

Developing A Competency-Based Framework To Guide Elementary School Teachers' Efforts In Helping Bullied Children, Samantha Gregus

Graduate Theses and Dissertations

The current study aimed to develop a competency-based framework designed to assist elementary school teachers in their efforts to help bullied children. Drawing from extant research, Gregus and Cavell (2017) created an initial draft of the framework that contained 25 components representing a mix of knowledge, attitudes, and skills. In Study 1, I obtained input on the framework from practicing elementary school teachers (n = 26) and researchers who study school bullying (n = 14). Teacher input was gathered via a series of focus groups and researchers responded using an online survey. Both teachers and researchers viewed the framework positively …

Training Future Teachers To Promote Emotion Regulation In The Classroom, Marie E. Johnson

Dissertations, 2014-2019

The classroom is a rich emotional environment where both students and teachers experience a wide range of emotions. Emotions influence all aspects of learning including attention, motivation, interest, memory, creativity, and social interactions. While negative emotions generally impede learning, the experience of positive emotions leads to improved outcomes for both teachers and students. Thus, the ability to regulate emotions is a very critical skill for both teachers and students. Teachers must be equipped with the necessary skills to manage their own emotions as well as emotional incidents in the classroom; however, few teacher preparation programs provide the knowledge and skills …

Do The Perceptions Of Supervisory Working Alliance Mediate The Relation Between Perceived Supervisors' Multicultural Competence And Trainees' Multicultural Counseling Self-Efficacy?, Arthur Ritmeester

Legacy Theses & Dissertations (2009 - 2024)

This study tested whether the relation between supervisory multicultural competence (SMC), as perceived by the supervisee, and multicultural counseling self-efficacy (MCSE) was partially mediated by the supervisory working alliance (SWA). This study was conducted in response to (a) a mismatch in previous research between the operationalization of MCSE and the underlying theorizing, and (b) inconsistent results in previous research about the relation between the SWA and counseling self-efficacy development. Participants were 182 health service psychologist trainees in the United States receiving supervision at the time of data collection.

Training Law Enforcement In Mental Health: A Broad-Based Model, Rachael Elaine Hatfield

Theses, Dissertations and Capstones

Police officers respond to many calls involving people suffering from a mental illness; yet many law enforcement training programs and workshops do not include mental health training. A literature review was conducted to explore the problems resulting from the lack of mental health training available for law enforcement officers and identify specialized training programs currently being implemented to address those problems. The review identified several program models being implemented throughout the United States including: Joint Police/Mental Health Team Model, Mobile Crisis Unit Model, Crisis Intervention Team Model, and the Broad-Based Training Model. These models include empirically supported components used to …

Serving Clients With Intellectual Disabilities: Clinical Psychology Training In Apa-Accredited Doctoral Programs, Emily J. Graesser

Antioch University Dissertations & Theses

People with intellectual disabilities (ID) experience mental health problems at a higher rate than the general population, yet encounter significant barriers in accessing quality mental health services and have poorer mental health outcomes. Disparities in both psychology research and practice contribute to these barriers, and few mental health practitioners are willing and competent to treat people with ID. Lack of training availability has been suspected as an underlying factor, yet no previous investigation of training has been conducted in the United States. This study utilized a 20-question self-administered internet survey to explore the quantity, quality, and types of training APA-accredited …

The Relationship Of Teacher, Student, And Content In The Clinical Psychology Classroom, Hannah Lord

Antioch University Dissertations & Theses

The field of clinical psychology is in the midst of redefining graduate school education with a push for competency-based approaches and measurable learning outcomes. This dissertation explores the best-practice knowledge regarding the education of professional clinical psychology graduate students and uses cooperative inquiry to richly detail the educational approach of a thus far “silent stakeholder,” Dr. Colborn W. Smith, a long-time teacher and training director. This inquiry is intended to help me [Hannah Lord] understand an important personal educational experience, to explore the tangible art of teaching that made such an experience possible, and to contribute to the evolving discourse …

Descriptive Experience Sampling Interactive Multi-Media Training Tool For Subjunctification And Illustrative Interviews, Stacy Lynne Reger

UNLV Theses, Dissertations, Professional Papers, and Capstones

Modern experience sampling methods attempt to understand the phenomenology of inner experience through a variety of methods, including questionnaires, diaries, and verbalization of ongoing cognitive processes. The goal of such studies is to minimize potential roadblocks to accessing inner experience, such as retrospective recall, memory failures, and bias. The current project focuses on one such method, Descriptive Experience Sampling (DES). DES is an idiographic, exploratory, and ecologically valid method of studying inner experience. In this method, participants wear a beeper with an earphone that emits a random beep. When the beep sounds, the participant is to write down notes about …

How Psychotherapy Trainees Experience Theoretical Orientation Development : A Phenomenological Study, Mark Mason

Legacy Theses & Dissertations (2009 - 2024)

Knowledge and application of theory are integral to the practice of psychotherapy. Despite the focus on theory in clinical training, little is known about how psychotherapy trainees experience, learn about, and develop a theoretical orientation. This phenomenological study used grounded theory methods to examine 15 counseling and clinical psychology doctoral students' experiences developing a theoretical orientation. The specific purpose of the study was to understand in depth these trainees' perspectives on and attributions about learning and developing expertise with a specific theoretical orientation.

An Evaluation Of Factors Leading To Mentor Satisfaction, Shannon Marie Martin

All Graduate Theses, Dissertations, and Other Capstone Projects

This study assessed for factors related to mentor satisfaction. Eighty-one youth mentors were surveyed to evaluate for the effect of training, agency support, and confidence on mentor satisfaction. Linear regressions showed that greater perceived training and confidence significantly predicted greater mentor confidence, and agency support marginally supported this relationship. These findings show the need for agencies to provide initial training, ongoing support, and to ensure their mentors are confident in their abilities to be a mentor to guarantee that their mentors are satisfied.

Countertransference Behavior And Alliance Quality As A Function Of Therapist Self-Insight, Mamta B. Dadlani

Masters Theses 1911 - February 2014

The current study investigated preliminarily therapists’ countertransference (CT) behavior and alliance quality as a function of therapist self-insight, a central CT management factor. Eight therapist-trainees were rated by a clinical supervisor on their degree of self-insight and then assigned to a high or low self-insight group. The groups were compared on therapist CT behavior, from both therapist and supervisor perspectives, and on patient-perceived alliance quality. Effect size estimates suggested that high self-insight therapists displayed more CT behaviors than low self-insight therapists (with small to medium effects), and that patients of high self-insight therapists reported higher alliance scores (with a medium …

Gatekeeper Training For Youth Workers: Impact On Mental Health Help-Seeking And Referral Skill, Coralie J. Wilson

Coralie J Wilson

The Youth Empowerment Series (YES!) Workshops (Wilson et al, 2000) were developed to improve gatekeepers' mental health literacy and skills for promoting effective help-seeking and social problem-solving among adolescents and young people. The curent study the skills of those attending the YES! Workshops 9 months after training.

4. Lyon, T. D. (2007). Interviewing Children: Getting More With Less. [Powerpoint Notes]. Professionals Who Interview Children Can Obtain A Free Copy Of The Dvd From Lcoleman@Law.Usc.Edu., Thomas D. Lyon

Thomas D. Lyon

No abstract provided.

The Many Hats Of A Clinic Director, Christopher E. Overtree

Christopher E. Overtree

This article discusses the many roles and challenges of being a Director of a Psychology Training Clinic in a University Setting

Therapists-In-Training Who Experience A Client Suicide: Implications For Supervision, Sarah Knox, Alan Burkard, Julie A. Jackson, April M. Schaack, Shirley A. Hess

College of Education Faculty Research and Publications

Client suicide is often an extraordinarily painful process for clinicians, especially those still in training. Given their training status, supervisees may look to their graduate programs and supervisors for guidance and support when such an event occurs. This study qualitatively examined the experiences of 13 prelicensure doctoral supervisees regarding their client's suicide. Findings suggest that these supervisees received minimal graduate training about suicide and that support from others, including supervisors, helped them cope with their client's death. Supervisors are advised to normalize and process supervisees' experiences of client suicide. Implications for training and practice are discussed.

Clinical Psychology, Nancy Adams

Honors Theses

No abstract provided.