Social and Behavioral Sciences Commons^™

The Healing Power Of Creative Storytelling: Utilizing Fiction As A Means Of Therapy In The Writer/Reader Relationship, Alicia Rose Klepper

Masters Theses

What if we wrote the challenging portions of our lives as comedies or the boring parts as grand adventures? What if we recast painful experiences into creative stories that allow us to live in proximity to our circumstances and not be overwhelmed? Storytelling is how we bridge our lives with creativity as a way to heal from the past, process the present, and hope for the future. This thesis explores how the tradition of creative storytelling has evolved to enable writers and readers to uncover and connect elements of life that would otherwise be too painful to process. By bridging …

Promoting Mental Treatment In The Arab World, Aya Emam Hassanein

Masters Theses

This study investigates why mental health has been neglected in the Arab world and what strategies could be used to promote it and break the stigma associated with mental disorders. The literature review reveals that the most prominent barriers preventing mental treatment in the Arab world are cultural stigma, poverty, illiteracy, false beliefs regarding the causation of the illness, conflicts in countries, and a scarcity of mental health services and research. The review also discusses the most common mental illnesses in the Arab world and how the culture affects the process of treatment. Additionally, it discusses the possible solutions proposed …

Transgender And Gender Diverse Clients’ Experiences In Therapy: Responses To Sociopolitical Events And Helpful And Unhelpful Experiences, Jae A. Puckett, Devon Kimball, W. Kalei Glozier, Megan Wertz, Terra Dunn, Brenna R. Lash, Allura L. Ralston, Natalie R. Holt, T. Zachary Huit, Sage Volk, Debra A. Hope, Richard Mocarski, L. Zachary Dubois

Department of Psychology: Faculty Publications

We examined transgender and gender-diverse (TGD) people’s reports of their therapy experiences over the course of a year. We explored how participants’ therapists integrated discussions about current events, as well as their more general perspectives on helpful and unhelpful experiences. A total of 107 participants provided data on these questions at least once over 12 months of surveys (M age = 33.79; 70.1% White), reflecting on their current therapy experiences. Through thematic analysis of qualitative data, the following themes were constructed regarding discussing sociopolitical events: (a) facilitating coping via bearing witness to clients’ internal experiences and implementing other therapeutic …

Change Of Perception And Positive Attitudes Toward Therapy: A Comparative Analysis Conducted On Veterans Of The United States Of America, Hailey Buitrago, Desiree Crevecoeur-Macphail

Student Scholar Symposium Abstracts and Posters

Active duty military members can be subjected to significant amounts of stress, trauma, and physical and mental exhaustion during their service periods. It is vital to recognize the extent of these mental health disorders because they affect 27% of veterans, and when not adequately treated, they can lead to increased functional disability, even more so than physical illnesses (Philips, 2016; Wells et al., 1989). This study aims to examine how different types of information influence the perceptions of therapy for veterans. Veterans of all branches of the United States military between the ages of 18 and 100 were asked to …

Hailey's Hearing Aids, Hailey Marie Garcia

Whittier Scholars Program

Individuals from the deaf and hard-of-hearing community are likely to experience more anxiety and depression due to defective cognitive, social, communicational, and emotional skills (Azizi et al., 2019). The word “disability” is embedded with historical negative connotations with phrases such as “deaf and dumb” because if they were deaf or mute then they were automatically labeled as inferior (Horovitz, 2007). Since the 18th century, the DHH community has been seen as incapable, even inhuman, hence the development of emotional deficiencies that bleed into one’s perception of society and their self esteem (Gallaudet, 1886).

How do you navigate a hearing world …

Dismantling Cognitive Behavioral Analysis System Of Psychotherapy: A Pilot Study To Identify The Active Ingredients, Lee R. Long

Doctoral Dissertations and Projects

Chronic depression affects approximately 6% of the world’s population, and according to the American Psychiatric Association’s Diagnostic and Statistical Manual – Fifth Edition, chronic depression is a disorder known today as persistent depressive disorder. It presents with a chronic clinical course of greater than 2 years and exhibits at least two of the following symptoms: appetite increase or decrease, insomnia or hypersomnia, low energy or fatigue, low self-esteem, poor concentration or difficulty making decisions, and feelings of hopelessness. The negative effects of chronic depression and the need for an effective treatment for patients with a persistent depressive disorder are important …

Treatment Integrity And Differentiation In The Very Early Rehabilitation In Speech (Verse) Trial, Emily Brogan, Natalie Ciccone, Erin Godecke

Research outputs 2014 to 2021

Background:

Key elements of treatment fidelity include treatment integrity (adherence to the treatment protocol) and treatment differentiation (the difference in treatment ingredients in the control and intervention groups). The Very Early Rehabilitation in SpEech (VERSE) trial established treatment fidelity at the macro level for key components of therapy.

Aims:

To complete a detailed analysis of treatment integrity and differentiation at the utterance level of a therapeutic interaction.

Methods:

This was an observational study of therapy videos collected as part of the VERSE trial. Participants were people with aphasia in the very early phase of recovery post stroke (n = 44) …

Strengthening Adolescents With Anxiety Through Drama Therapy, Jeremy M. Moeller

Belmont University Research Symposium (BURS)

Strengthening Adolescents with Anxiety Through Drama Therapy

Jeremy Moeller

In recent years the issues associated with social anxiety have become increasingly common in adolescents. With these issues becoming more common it is important that they continue to be nurtured and helped. With so many forms of therapy though it may be hard for someone to find a practice that suits them. That is where drama therapy comes in. Drama therapy is a fairly new practice that helps these adolescents to become more expressive and engaging in their everyday lives, decrease their social anxieties, and build a new sense of confidence …

The Effect Of Creative Art Therapy On Trauma Victims Suffering From Post-Traumatic Stress Disorder, Sophia Swiatek

Senior Honors Theses

When confronted with a traumatic situation, individuals’ brains often face difficulty in storing and/or processing such experiences. Unfortunately, this presents challenges for accessing those memories later in life, especially if the individuals are solely using speech-based techniques to do so. This fact has spurred research on whether various other therapeutic techniques, such as Creative Art Therapy (CAT), can produce better results in improving the mental health of a trauma victim suffering from Post-Traumatic Stress Disorder (PTSD). This study attempts to uncover whether age, gender, and/or type of therapy play a significant role in the improvement of CAT clients’ mental health …

A Systematic Review Examining The Efficacy And Effectiveness Of Trauma-Focused Cognitive Behavioral Therapy, Abigail R. Howerton

Psychology Capstone Projects

More than two-thirds of children and adolescents experience a traumatic event by the age of 16. Trauma comes in many forms and affects people in many ways. Trauma can affect behavioral, cognitive, emotional, physical, and neurological development. Trauma-focused cognitive behavioral therapy (TF-CBT) is a type of therapy created to treat children and adolescents who have experienced trauma. TF-CBT is an evidencebased treatment (EBT) and is currently the only EBT whose focus is solely on treating trauma in children and adolescents. This article reviews the literature assessing studies using randomized controlled trials (RCT’s) to determine the effectiveness and efficacy of TF-CBT …

The Aftermath Of Sexual Assault: Creating The "I Am More Than My Experience" Workbook, Isabella Chung

Calvert Undergraduate Research Awards

The following thesis includes a literature review of the immediate and long-term effects of sexual assault on victims in regards to their physical, mental, and emotional health and romantic relationships, followed by a proposed workbook for sexual assault victims/survivors. Being that typical responses immediately after an assault are fear, disbelief, and activation of the sympathetic nervous system, it is to no surprise that long term issues of depression, anxiety, and Posttraumatic Stress Disorder (PTSD) often arise as well. Thus, a workbook was created with the intention of educating readers about sexual assault and helping victims/survivors to heal from the trauma …

Using Theatre To Teach Social Skills To Students On The Autism Spectrum, Meaghan Nicole Ritchie

Masters Theses & Specialist Projects

Theatre-based interventions are an emerging field to improve social skills in individuals with autism. This study analyzed 10 different articles using theatre-based interventions, combined with evidence-based practices, to increase social skills deficits in students, ages 8-17, diagnosed with autism. Results indicate improvement in social skills for individuals with autism after participating in theatre-based interventions.

A Preliminary Evaluation Of A Digital Token Economy To Increase Student Engagement During Group Teletherapy, Hunter King, Katerra Miller-Johnson, Keely Mcculla, Aaron J. Fischer, Shengtian Wu, Mikey Miller

Faculty Publications – Psychology

Shortly following the temporary nationwide school dismissal amid COVID-19, the current exploratory case-study evaluated the feasibility of two engagement strategies delivered during group teletherapy: Class Dojo and opportunities to respond (OTR). Three elementary students with emotional and behavioral difficulties participated. An A-B-A design was used to evaluate the effects of Class Dojo on student engagement with therapist-delivered OTRs. Due to one student’s poor response to the contingency, an A-B-C design was used to evaluate the additive effect of student-delivered OTRs on his engagement. Results indicated moderate to high rates of student attendance, and consistently high rates of engagement for two …

Polyamorous Millenials In Therapy: Interpreting Experiences To Inform Care, Rebecca Calhoun-Shepard

Antioch University Dissertations & Theses

Polyamory (poly) refers to a way of loving involving multiple concurrent romantic relationships. It has been suggested that consensual non-monogamies are becoming increasingly visible, particularly in the millennial generation. This warrants exploration of cultural considerations and the unique needs of this population to inform care and minimize potential for harm. The present study used interpretative analysis to explore the phenomenon of polyamorous millennials in therapy as described across semi-structured interviews with therapists and poly clients. Three primary themes emerged from aggregate data, including Idiographic Experiences in Therapy, Therapy with Polyamorous Millennials, and information about Polyamory and Millennials beyond a therapy …

Effects Of A Robotic Cat On Agitation And Quality Of Life In Individuals With Dementia In A Long-Term Care Facility, Jillian Nicole Marsilio, Samantha Virginia Mckittrick, Lisa Renee Umbell, Melissa Ann Garner, Sharon Maiewski, Jeanne Wenos

Physician Assistant Capstones, 2016 to 2019

Study Objective: The purpose of this study is to determine whether introducing a robotic companion cat into a long term care facility may improve affect and, subsequently, increase participation for residents with dementia, and to determine potential benefits for caregiver roles and relationships with individuals with dementia.

Background: The number of people with dementia is growing, and the behavioral and psychological side effects are negatively affecting the quality of life for these people as well as their caregivers. Additional research is needed to help develop and confirm the use of nonpharmacological treatment for dementia with therapeutic robots.

Study Subjects: Research …

Trauma Therapy And The Need For Cross Cultural Competence, Marijke Sommer

Honors Projects

This project addresses the relevance of cross cultural competence for work in trauma therapy. I begin with a review of the literature on approaches to trauma therapy, identifying similarities and differences in key approaches, and comparing outcomes where that information is available. I then review a variety of cross cultural variations in mental health conditions and symptoms, attempting to roughly position each within the ethnic group or groups in which the variation is mostly likely to be found. Finally, I review the very small existing literature examining the impact of culturally sensitive approaches to trauma therapy in several non-Western ethnic …

Harmful And Helpful Therapy Practices With Consensually Non-Monogamous Clients: Toward An Inclusive Framework, Heath A. Schechinger, John Kitchener Sakaluk, Amy C. Moors

Psychology Faculty Articles and Research

Drawing on minority stress perspectives, we investigated the therapy experiences of individuals in consensually nonmonogamous (CNM) relationships. Method: We recruited a community sample of 249 individuals engaged in CNM relationships across the U.S. and Canada. Confirmatory factor analysis structural equation modeling was used to analyze client perceptions of therapist practices in a number of exemplary practices (affirming of CNM) or inappropriate practices (biased, inadequate, or not affirming of CNM), and their associations with evaluations of therapy. Open-end responses about what clients found very helpful and very unhelpful were also analyzed. Results: Exemplary and inappropriate practices constituted separate but related patterns …

A Phenomenology Of The Practice Of Music Therapy With Children, Shelby Tortorello

Senior Honors Theses

Music therapy has been demonstrated as an effective mode of therapeutic intervention for children in recent literature. There is extensive research suggesting benefits for various populations of children, namely: children in the neonatal intensive care unit (NICU), children who have experienced trauma, and children with disabilities. The current study served to address gaps found in the literature by conducting a phenomenology of professionally trained music therapists. Four board certified music therapists near major cities on the east coast were interviewed to comment on how they understand music therapy, and how they live out those understandings in their practice. It was …

Immersive Cultural Plunge: How Mental Health Trainees Can Exercise Cultural Competence With African American Descendants Of Chattel Slaves A Qualitative Study, Clandis V. Payne

Antioch University Dissertations & Theses

This qualitative study utilized ethnographic techniques to explore the potential for change in mental health trainees resulting from the participation in an in vivo Immersive Cultural Plunge (ICP) within the African American Descendant of Chattel Slave community. The ICP combined Multicultural Immersions Experiences (MIE) of Cultural Immersion (CI) and Cultural Plunge (CP) to contribute to the developing body of research utilizing MIEs that incorporate contextual, experiential, and historical knowledge to teach the skill of cultural sensitivity. During the 12- hour ICP the participants experienced an orientation, a lecture, a tour/community interaction, a multimedia presentation within an African American community. In …

Does Improving Marital Quality Improve Sleep? Results From A Marital Therapy Trial, Scott R. Braithwaite, Wendy M. Troxel, Jonathan G. Sandberg, Julianne Holt-Lunstad

Faculty Publications

For most adults, sleep is a dyadic behavior. Only recently have studies explored the dynamic association between sleep and relationship functioning among bedpartners. The current study is the first to examine bidirectional associations between changes in insomnia and changes in marital quality over time, in the context of a marital therapy trial. Among husbands, improvements in marital satisfaction were associated with a 36% decreased risk of insomnia at follow-up. Regarding the reverse direction, counter-intuitively, wife baseline insomnia was associated with improvements in husbands’ marital satisfaction, but only among the non-treatment seeking comparison group. Results are discussed in terms of implications …

Cognitive-Behavioral Treatment Of Social Anxiety Disorder And Comorbid Paranoid Schizophrenia, Monnica T. Williams, Michelle C. Capozzoli, Erica V. Buckner, David Yuska

Department of Psychology: Faculty Publications

We report on the cognitive-behavioral treatment (CBT) of a patient with comorbid social anxiety disorder (SAD), schizophrenia, and major depressive disorder, complicated by alcohol abuse. Symptoms included auditory hallucinations that commented on the patient’s behavior and paranoid thoughts. The paranoid symptoms affected his social interactions as this included the fear that his thoughts may be heard and judged by others. Therapeutic activities raised awareness as to how avoidance interferes with and perpetuates the cycle of depression and psychosis while maintaining symptoms of SAD. Psychoeducation was provided about factors that maintain social anxiety and increase social isolation. New skills were obtained …

A Narrative Study Of Emotions Associated With Negative Childhood Experiences Reported In The Adult Attachment Interview, Lynne Hartman

Antioch University Dissertations & Theses

Attachment patterns, which tend to be stable over time, are passed from one generation to the next. Secure attachment has been linked to adaptive social functioning and has been identified as a protective factor against mental illness. The parents’ state of mind with regard to attachment—as measured with the Adult Attachment Interview (AAI) (Main, Goldwyn, & Hesse, 2002)—predicts the attachment classification for the infant in Ainsworth’s Strange Situation Procedure (Ainsworth, Blehar, Waters, & Wall, 1978). Earned-secure individuals have overcome negative childhood experiences to achieve a secure state of mind in adulthood. Earned security, like continuous security, strongly predicts infant security …

The Reluctance Of African-Americans To Engage In Therapy, Monique Estelle Williamson

College of Education and Human Sciences: Dissertations, Theses, and Student Research

This thesis is presented with the intent to explore the reasoning behind why members of the African-American culture are reluctant to enter into therapy. While the numbers of African-Americans who enter therapy continue to rise there are still persistent stigmas that make therapy a taboo option for solving problems. The goal of this qualitative study is to identify (1) if there truly is reluctance in the African-American community, (2) why the African-American community is reluctant, (3) what are the stigmas regarding mental health and therapy from the perspectives of American participants, and (4) what would help break the barriers to …

Responding To Trauma: Help-Seeking Behavior And Posttraumatic Growth In A College Sample, Aaron J. Burrick

Honors Scholar Theses

Research indicates that traumatic experiences can impact college students’ mental health, academic abilities, and relationships with peers. Trauma and associated symptoms of PTSD can lower students’ well-being and increase the risk of withdrawing from the university. Research also emphasizes the importance of psychological help-seeking as a way to experience posttraumatic growth. This study examines traumatic experiences, help-seeking attitudes, barriers, and behaviors, and posttraumatic growth in a sample of 168 undergraduate college students. Results indicated an overwhelming preference for informal help-seeking resources and the importance of traumatic severity in the decision to seek help. Additionally, female participants reported greater traumatic severity …

Therapists’ Experiences Of Incidental Encounters With Their Clients, Beth Ketaineck

Antioch University Dissertations & Theses

Incidental encounters with clients occur frequently and have been found to elicit feelings of surprise, uncertainty, and discomfort for the therapist (Sharkin & Birky, 1992). This qualitative study examined therapists' experiences of such incidental encounters to better understand factors that may contribute to those feelings. I conducted semi-structured interviews, in line with Interpretive Phenomenological Analysis (IPA), with six licensed clinical psychologists who have experienced an incidental encounter within the last five years. Participants were asked to imagine the encounter, discuss factors that contributed to their feelings about the encounter (during and after), consider long-term consequences, and describe their level of …

Building Cultural Competency In Therapy, Naveen Jonathan

Marriage and Family Therapy Faculty Presentations

Discusses how to build better cultural competency in order to help clients of diverse ethnic, racial, and cultural backgrounds.

Culturally Congruent Practices In Counseling And Psychotherapy: A Review Of Research., Timothy B. Smith

Faculty Publications

Are mental health interventions that are intentionally made congruent with clients’ cultural contexts more effective than traditional practices? If a large body of empirical data supports an affirmative response to this question, then multiculturalism may be deemed not only legitimate within but integral (primary) to mental health interventions. However, if the data are inconclusive or deemed inadequate, then multiculturalism will remain marginalized (secondary) as an egalitarian ideal, possibly worthy of public praise but privately labeled as “impractical” or worse. All other things being equal, empirical evidence should determine which path will be taken; this chapter will attempt to provide direction.

The Sisters' Experience Of Having A Sibling With An Autism Spectrum Disorder, Melissa L. Mcvicker

Antioch University Dissertations & Theses

This dissertation consists of two articles. This first article is a literature review identifying studies of autism spectrum disorders and sibling relationships published in the past 10 years. This search strategy identified 16 articles for inclusion in this review and conveyed the following main outcomes: a) parental factors influence sibling relationship and typically developing child, b) behavioral interactions/problems affect the quality of the sibling relationship, c) genetic factors have varying impact on diagnosis, and d) effects/outcomes for typically developing sibling are both positive and negative. This review supported the call for a better understanding of the family factors on the …

The Foundations Of Hope In Therapy, John M. Winslade

Special Education, Rehabilitation & Counseling Faculty Publications

Hope is a necessary construct in narrative therapy but we need to be careful how we think about it. It does not lie in the essence of persons. There are not categories of people who are hopeful or hopeless. Rather, hope lies in the stories that we use to make sense of our lives but dominant stories from the world around us sometimes interfere with our access to hopeful stories. Therapy can help us reconnect with these stories, leading to the exercise of personal agency in our own lives. This presentation will explore how to help people do this through …

Joint Attention In Young Children With Autism, Sabrina Jara

Honors Scholar Theses

Autism spectrum disorders (ASDs) are classified as pervasive developmental disorders characterized by social, communicative, and behavioral impairments. According to formal and informal reports, children with ASD present with receptive and expressive language delay. Joint attention (JA: the behavior that occurs when two individuals focus on the same object or event) has been identified as a possible marker of delayed language development in children with ASD. In this study, the JA behaviors in children with ASD were contrasted with initially language-matched typically developing (TYP) children across three visits.

Measures of language, the frequency, duration, and source of initiation of JA episodes, …