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Articles 1 - 16 of 16

Full-Text Articles in Social and Behavioral Sciences

Ethical Dilemmas In Managed Mental Health Care, Kolina J. Delgado Oct 2010

Ethical Dilemmas In Managed Mental Health Care, Kolina J. Delgado

Psychology Student Publications

In the United States, health care has become a significant political, social, economical, and ethical concern. It is difficult to identify a professional or personal area of life that is not impacted in some way by health care. According to the United States Census Bureau (2010) approximately 255 million Americans were enrolled in some form of managed health care in 2009. The current paper describes the evolution of managed care, common practices in managed care, and ethical issues inherent to working in a managed mental health care system.


Dual Diagnosis: Impact, Assessment, And Treatment In Co-Occurring Substance Abuse And Severe Mental Illness, Kolina J. Delgado Oct 2010

Dual Diagnosis: Impact, Assessment, And Treatment In Co-Occurring Substance Abuse And Severe Mental Illness, Kolina J. Delgado

Psychology Student Publications

Mental illness and substance use disorders individually comprise a challenging area of work for health care professionals. In combination, these issues create an even greater demand; a demand that many health care professionals find themselves ill prepared to address (McKeown, 2010). The prevalence rates of substance disorders and psychiatric disorders co-occurring in one person, a condition referred to as dual diagnosis, are astoundingly high.


So Many Choices, So Little Time: Religiosity And The Stress Of Making Decisions, Joshua David Boeke Aug 2010

So Many Choices, So Little Time: Religiosity And The Stress Of Making Decisions, Joshua David Boeke

Undergraduate Honors Thesis Collection

Numerous studies have appeared in the literature demonstrating that religiosity and mental health are positively related. However, although investigators have identified several variables that partially mediate the effects of religiosity on mental health, much of this relationship remains unexplained. The goal of this survey study was to examine to what extent religious individuals experience better mental health outcomes because they experience less stress when making decisions. Specifically, this study evaluated whether religious individuals reduce the number of decision alternatives they consider when making decisions, which in turn should make decision making easier and reduce decision-making stress. Participants were asked to …


Willingness Of Individuals To Seek Mental Health Treatment: The Impact Of Gender And Parent Therapy Experience, Amanda Kristin Mcclure Aug 2010

Willingness Of Individuals To Seek Mental Health Treatment: The Impact Of Gender And Parent Therapy Experience, Amanda Kristin Mcclure

Masters Theses & Specialist Projects

The purpose of this study was to investigate whether parent therapy experience and gender influenced men's and women's attitudes toward seeking mental health treatment. Participants included 207 women and 212 men ages 18 to 30 years attending Western Kentucky University. Participants completed a demographics survey and the Inventory of Attitudes Toward Seeking Mental Health Treatment. Results indicated that more favorable attitudes toward seeking mental health services were exhibited by participants who reported that a parent attended therapy. Additionally, a gender difference in attitudes toward mental health services was uncovered, in that women were found to display more positive attitudes toward …


Social Relationships And Mortality Risk: A Meta-Analytic Review, Timothy B. Smith, Julianne Holt-Lunstad, J. Bradley Layton Jul 2010

Social Relationships And Mortality Risk: A Meta-Analytic Review, Timothy B. Smith, Julianne Holt-Lunstad, J. Bradley Layton

Faculty Publications

Background: The quality and quantity of individuals' social relationships has been linked not only to mental health but also to both morbidity and mortality. Objectives: This meta-analytic review was conducted to determine the extent to which social relationships influence risk for mortality, which aspects of social relationships are most highly predictive, and which factors may moderate the risk. Data Extraction: Data were extracted on several participant characteristics, including cause of mortality, initial health status, and pre-existing health conditions, as well as on study characteristics, including length of follow-up and type of assessment of social relationships. Results: Across 148 studies (308,849 …


The Effects Of Client Therapist Racial And Ethnic Matching: A Meta Analytic Review Of Empirical Research, Raquel Cabral Bowman Jul 2010

The Effects Of Client Therapist Racial And Ethnic Matching: A Meta Analytic Review Of Empirical Research, Raquel Cabral Bowman

Theses and Dissertations

In a widely cited 2003 report, the U.S. Surgeon General criticized mental health and social services within the United States for failing to adequately serve the needs of clients of color. The report highlighted the fact that therapists often do not adequately account for cultural variables in their evaluations or interventions. Clients of color are rarely seen by therapists who adequately understand their cultural values and backgrounds. To address this discrepancy, researchers have explored a variety of therapy process and outcome variables across clients seen by therapists of their same race vs. another race (often called "ethnic matching"). Over 200 …


Therapeutic Alliance And Client Satisfaction From The Client’S Perspective, Colleen Peterson, Armeda Stevenson, Katherine M. Hertlein, Stephen Fife Apr 2010

Therapeutic Alliance And Client Satisfaction From The Client’S Perspective, Colleen Peterson, Armeda Stevenson, Katherine M. Hertlein, Stephen Fife

Graduate Research Symposium (GCUA) (2010 - 2017)

This was the second phase of a two phase mixed methodology study. Presented is the qualitative portion consisting of semi-structured phone interviews conducted with past clients in order to examine the relationship of the therapeutic alliance and client satisfaction with client retention and termination status.Findings were classified into three main categories: therapist characteristics, treatment structural characteristics and process characteristics.


Defining Intimacy In Diverse Asian Cultures, Blendine Hawkins, Katherine Herlein Apr 2010

Defining Intimacy In Diverse Asian Cultures, Blendine Hawkins, Katherine Herlein

Graduate Research Symposium (GCUA) (2010 - 2017)

America has continued to diversify as a nation, welcoming people from every race, culture and continent. The US Census Bureau (2004) reported that there were 13.5 million Asians in America and these numbers are increasing (US Census Bureau, 2004). This indicates that there is a greater demand for competent and effective mental health care to meet the needs of this heterogeneous group. Asian Americans can be best helped by a therapist who is sensitive, knowledgeable and has an understanding about the core values which are present in many Asian cultures. There are limited resources and treatment guides for this population …


From Infanticide To Activism: The Transformation Of Emotions And Identity In Self-Help Movements, Verta Taylor, Lisa A. Leitz Jan 2010

From Infanticide To Activism: The Transformation Of Emotions And Identity In Self-Help Movements, Verta Taylor, Lisa A. Leitz

Peace Studies Faculty Books and Book Chapters

Taylor and Leitz trace processes of collective identity construction and politicization among women suffering from postpartum psychiatric illness who have been convicted of infanticide. Joining a growing body of research suggesting that self‐help and consumer health movements can be a significant force for change in both the cultural and political arenas, Taylor and Lietz examine one such movement, a pen‐pal network of women incarcerated for committing infanticide. Taylor and Leitz show how a sense of collective identity fostered by the pen‐pal network triggered a profound emotional transformation in participants, allowing them to convert shame and loneliness into pride and solidarity, …


Phenomenology Of Embodied Dreamwork With Puerto Rican Women: A Dissertation, Lourdes F. Brache-Tabar Jan 2010

Phenomenology Of Embodied Dreamwork With Puerto Rican Women: A Dissertation, Lourdes F. Brache-Tabar

Expressive Therapies Dissertations

The author investigated the experience of embodied dreamwork. Participants were eight Puerto Rican women who were chronically ill, of low socioeconomic status, who lived in Boston. The data were analyzed using transcendental phenomenology. Each participant engaged in one embodied dreamwork–unstructured interview session lasting approximately 1.5 hours. In addition, each participant drew a picture of how she felt after the dreamwork interview. This snowball, purposive sample gave detailed information about how they experienced embodied dreamwork. The participants’ statements were grouped into themes: (a) sense of place—environment, surroundings, spatiality; (b) the players—self, others; (c) plot; (d) in the sea of emotions—naming affective …


A Qualitative Analysis Of School-Based Mental Health Professionals’ Views On The Use Of Self-Disclosure And Humor, Robert Felloney Jan 2010

A Qualitative Analysis Of School-Based Mental Health Professionals’ Views On The Use Of Self-Disclosure And Humor, Robert Felloney

PCOM Psychology Dissertations

There is some controversy in the therapeutic community over the use of therapist self-disclosure and humor. On one hand, there are those who contend that use of these therapeutic techniques can have both relational and outcome benefits. On the other hand, there are those who indicate employment of these counseling methods can interfere with the counseling process by being a distraction, as they take the focus away from the client. Relatively little research has been done on the effectiveness of utilizing these techniques, especially the use of therapeutic humor. Review of the research shows there are relational and consequent outcome …


General Psychological Distress Symptoms And Help-Seeking Intentions In Young Australians, Coralie Wilson Dec 2009

General Psychological Distress Symptoms And Help-Seeking Intentions In Young Australians, Coralie Wilson

Coralie J Wilson

Epidemiological studies suggest that young people might have a tendency to avoid help when they experience symptoms of psychological distress. There is growing evidence that many young people prefer no help from anyone for their mental health problems. The current study examined the association between symptoms of general psychological distress and intentions to seek help from friends, family and professional mental health sources in a sample of 109 trade (TAFE) students from regional and rural Australia. Participants were 67% male and aged from 15-25 years. Higher levels of general psychological distress symptoms were associated with stronger intentions to not seek …


Adolescents' Suicidal Thinking And Reluctance To Consult General Medical Practitioners, Coralie Wilson Dec 2009

Adolescents' Suicidal Thinking And Reluctance To Consult General Medical Practitioners, Coralie Wilson

Coralie J Wilson

Appropriate help-seeking is widely recognized as a protective factor, and vital for early treatment and prevention of mental health problems during adolescence. General medical practitioners (GPs), that is, family doctors, provide a vital role in the identification of adolescents with mental health problems and the provision of treatment as well as access to other specialists in mental health care services. The current study is part of a larger multi-cite study developed and led by the first author. It examines the association between suicidal ideation and intentions to seek help from a GP for suicidal thoughts, emotional problems and physical health …


Help-Negation And Suicidal Ideation: The Role Of Depression, Anxiety And Hopelessness., Coralie J. Wilson Dec 2009

Help-Negation And Suicidal Ideation: The Role Of Depression, Anxiety And Hopelessness., Coralie J. Wilson

Frank Deane

Help-negation is expressed behaviorally by the refusal or avoidance of available help and cognitively by the inverse relationship between self-reported symptoms of psychological distress and help-seeking intentions. The current study is part of a larger multi-cite research program developed and led by the first author. It examines the association between suicidal ideation and intentions to seek help from friends, family and professional mental health sources in a sample of 302 Australian university students. Participants were 77.5% female and aged from 18-25 years old, with 85.4% aged 21 years or younger. Higher levels of suicidal ideation were related to lower help-seeking …


Help-Negation And Suicidal Ideation: The Role Of Depression, Anxiety And Hopelessness., Coralie J. Wilson Dec 2009

Help-Negation And Suicidal Ideation: The Role Of Depression, Anxiety And Hopelessness., Coralie J. Wilson

Coralie J Wilson

Help-negation is expressed behaviorally by the refusal or avoidance of available help and cognitively by the inverse relationship between self-reported symptoms of psychological distress and help-seeking intentions. The current study is part of a larger multi-cite research program developed and led by the first author. It examines the association between suicidal ideation and intentions to seek help from friends, family and professional mental health sources in a sample of 302 Australian university students. Participants were 77.5% female and aged from 18-25 years old, with 85.4% aged 21 years or younger. Higher levels of suicidal ideation were related to lower help-seeking …


Estudio Sobre El Comportamiento Y Salud En Los Jóvenes Escolares De La República Dominicana: Resultados De 2009, Juan B. Peña, Elián P. Cabrera-Nguyen, Diana Chaves, Rosa Fernández Dec 2009

Estudio Sobre El Comportamiento Y Salud En Los Jóvenes Escolares De La República Dominicana: Resultados De 2009, Juan B. Peña, Elián P. Cabrera-Nguyen, Diana Chaves, Rosa Fernández

Elián P. Cabrera-Nguyen

This scientific report on risk behaviors among adolescents in the Dominican Republic (DR) was prepared for the DR Ministry of Education. The study used a stratified cluster design of public high schools in the DR with sample weights. The questionnaire included items from the 2009 Youth Risk Behavior Survey. Results of this nationally representative survey were presented to a delegation from the DR Ministry of Education at Washington University's Brown School. This report was also presented at the Autonomous University of Santo Domingo. Dr. Juan Peña, assistant professor at Washington University's Brown School, was the PI and is listed as …