Social and Behavioral Sciences Commons^™

From Yellow Peril To Model Minority : ǂB Deconstruction Of The Model Minority Myth And Implications For The Invisibility Of Asian American Mental Health Needs, Lynda Anne Moy

Theses, Dissertations, and Projects

The model minority myth is a racial stereotype imposed upon Asian Americans, often depicting them as a successful and high-achieving monolithic group in the United States. This paper examines sociopolitical functions of the term “model minority” and implications for this broad and diverse racial group by reviewing existing literature and conducting an analysis of qualitative interviews with 12 Asian Americans. The findings of this study suggest that while the model minority myth appears to be a positive stereotype, it may lead Asian Americans to experience distress through (a.) a sense of confinement, (b.) treatment as foreigners, and (c.) …

Unequal Treatment : Sociocultural Identities And Their Effects On Eating Diorder Treatment Access And Efficacy, Hannah NoëL Smith

Theses, Dissertations, and Projects

The purpose of this study is to explore ways in which eating disorder treatment can be made not only more accessible, but more effective for clients who identify as people of color, lower-socioeconomic status (SES), trans and gender nonconforming, and people whose Body Mass Index (BMI) normal or higher at the time of treatment.

Data was collected using a survey, which was completed by 28 participants recruited through Facebook eating disorder recovery groups and Instagram. Participants were asked to describe their racial identity, gender identity, SES, and BMI, then reflect on the experience of seeking eating disorder treatment.

The findings …

An Exploration Of The Relationship Of Obsessive-Compulsive Disorder Symptoms And Traumatic Experiences In Adult Clients, Sasha Pansovoy

Theses, Dissertations, and Projects

This qualitative research study explored clinicians’ perspectives on the association between Obsessive Compulsive Disorder and trauma in the treatment of adult clients. Using both content and narrative analysis, the study examined whether OCD symptoms are reminiscent of the clients’ traumas. Nine clinicians were interviewed and presented narratives of clients who have experienced traumatic events and OCD. Key findings revealed that (1) 10 out of the 12 clients presented were abused as children; (2) OCD symptoms were perceived as coping strategies; (3) the majority of discussed clients were cisgender males; and (4) OCD symptoms of the clients reflected past traumas. Treatment …

Gender Role Socialization Of Clinical Social Workers And Its Effect On The Treatment Of Male Alexithymia, Joseph D. Burke

Theses, Dissertations, and Projects

The purpose of this exploratory, qualitative study was to gain a deeper understanding of how the gender role socialization of clinical social workers affects their experience of treating men with alexithymia. The study used two semi-structured, in-person interviews with six licensed independent clinical social workers to gather qualitative data about their attitudes, beliefs and experiences of gender role socialization, as well as their experience of treating men with alexithymia.

The findings suggest a clinician’s experience of struggling with their gender role schema may lead to increased empathy toward men with alexithymia. Personal struggle with gender role was a prominent theme …

From Spitting Rhymes To Inspiring Minds : The Role Of Hip Hop Therapy In Treatment Engagement Amongst Latinx And Black Youth : A Project Based Upon An Investigation At Beats. Rhymes And Life, Tatiana R. Padilla

Theses, Dissertations, and Projects

The purpose of this study was to explore the implications of utilizing an innovative cultural framework to engage at-promise youth in clinical group work. This researcher collaborated with Beats, Rhymes and Life, an Oakland based organization that has effectively engaged youth at-promise through Therapeutic Activity Groups (TAGs). Treatment effectiveness is evident in the continued requests from mental health providers in community mental health clinics to partner with BRL’s TAG program, youth self-referrals, and youth requests to repeat the program. Based on this, the current study aims to understand what aspects of the TAGs promote treatment engagement- indicated by re-enrollment- for …

The Prevalence Of Problem Gambling In The Chinese Community Of San Francisco With A Focus On Exploring Treatment Access, Vivian Hui, Linfang Zhao

Theses, Dissertations, and Projects

Problem gambling, as a significant mental health issue, has been sparsely researched, especially in how it affects Chinese immigrants. Since the 1999 study by Selina Toy and Annie Wong, limited research has been conducted on the prevalence of problem gambling in the San Francisco Chinese community. New data is greatly needed to demonstrate that problem gambling is still prevalent in the Chinese community. The purpose of this study was to utilize the South Oaks Gambling Screen (SOGS) to measure the prevalent rate of problem gambling in San Francisco’s Chinese community in comparison to a similar study conducted 16 years ago …

Standing On The Edge Of The "Rubyfruit Jungle" : Lesbians Recall The Experience Of Questioning In Therapy, Emily Willstatter

Theses, Dissertations, and Projects

The purpose of this study was twofold: to pursue an existing gap in the literature on therapy with people questioning their sexuality; and to represent a lesbian perspective on the experience of questioning one’s sexual orientation. A previous study (Jones et al., 2003) found that gay and bisexual people who were uncertain of their sexual orientation at the start of therapy rated the treatment as overall less beneficial than gay and bisexual people who had begun therapy while certain of their identities. This study explored the possible reasons behind this finding by investigating a small (N=13) but diverse group of …

Voices Of Family- And Partner-Violent Adults In Treatment : Participants' Experience Of Therapy, Justin Butler

Theses, Dissertations, and Projects

This study examines the preferences and opinions of partner- or family-violent adults in rehabilitative therapy and counseling. With the goal of informing and improving treatment approaches for this population, the study seeks to augment the current field of research, based primarily on external measures, with the voices and opinions of participants themselves. A convenience sample of 80 male and female participants at an urban social service agency in the U.S. was selected to complete the mixed-methods (qualitative and quantitative) survey. The survey consists of 5 demographic elements, and 38 questions (33 rating-scale and 5 shortanswer). The survey explored participants' opinions …

Capacity For Humanity : An Exploratory Study Into The Use Of Affiliative Humor With Clients Who Experience Paranoid Symptomatology, Lisa Orenstein

Theses, Dissertations, and Projects

The purpose of this exploratory study was to investigate clinicians' experiences and perceptions about the use of affiliative humor as a means of establishing a bond with a client whom experiences paranoid symptomatology. This population in particular is the most difficult to initially engage and develop a therapeutic alliance with due to their severe level of mistrust and propensity towards misinterpreting interpersonal situations. Therefore, the objective of this study was to explore one means of navigating this barrier. Additionally, the findings of this study not only indicate that affiliative humor can be used successfully while working with this population, but …

Supporting Resilience In Chldren And Youth Impacted By Complex Trauma, Rachel E. Stoddard

Theses, Dissertations, and Projects

Exposure to repeated traumatic events, including abuse, neglect, and domestic and community violence is often referred to as complex trauma. This research was conducted to better understand the developmental impact of complex trauma on children and adolescents, and to consider what treatment approach might best serve this population. The author first examined the impact of repeated victimization on child neurobiological development, with particular attention to the areas of attachment, affect regulation, behavioral control, cognition, and self-esteem. Complex trauma treatments that are more individually focused and grounded in cognitive-behavioral theory were then compared to those that are more systems-focused and stem …

The Adaptation Of Trauma Therapies For Use With Children And Adolescents Diagnosed On The Autism Spectrum : A Qualitative Study, Benjamin A. Katz

Theses, Dissertations, and Projects

This exploratory study was undertaken to explore the issue of the treatment of trauma in children and adolescents with an Autism Spectrum Disorder diagnosis. Specifically this study sought to explore two specific questions: are there any specific modalities of treatment that are best suited for treating trauma in children and adolescents with a diagnosis on the Autism Spectrum, and are there any patterns in the kinds of adaptations to treatment that need to be made to make treatment effective across different kinds of therapeutic interventions? Using semi-structured interviews with seven licensed clinicians who have treated trauma in children and adolescents …

Pushed To The Edge : The Treatment Of Transsexuals Through Time : A Behavioral Discourse Analysis Of The Diagnostic And Treatment Protocols For Transsexuals And The Implications For Contemporary Social Work Practice, Stacey D. Jackson-Roberts

Theses, Dissertations, and Projects

This article is a historical discourse analysis of the diagnostic and treatment protocols for transsexuals with implications for contemporary social work practice. The article uses the theoretical lens of post-structuralism and it complimentary methodology of historical discourse analysis to trace and critique the history of treatment and the power laden narratives used to regulate access to transition related care—particularly hormones and surgery. By analyzing these historical discourses, the article reveals the historical narratives and scripts that have constructed and pathologized transsexuals, and informed the evolution of the DSM and Standards of Care. Further, the article examines and critiques this history …

Addiction And Attachment : Mental Health Clinicians' Use Of Attachment Theory In The Treatment Of Substance Use Disorders, Emily Tate

Theses, Dissertations, and Projects

This study explores mental health clinicians' use of attachment theory in the treatment of substance use disorders (SUDs). There are many quantitative studies that show a correlation between substance use and insecure attachment style, yet there is little research that looks at whether or how mental health clinicians are using attachment theory in treatment or the possible benefits and limitations of its use. This is a qualitative study that sampled ten mental health clinicians to see if and how attachment theory is used in treating SUDs. It also explored the benefits and limitations of using attachment theory in the treatment …

Life As A Sensory Over-Responsive Adult : Social/Emotional Challenges, Coping Mechanisms And Treatments, Sarah K. Ahn

Theses, Dissertations, and Projects

The purpose of this exploratory, qualitative research study was to explicate the lives of 14 Sensory Over-Responsive adults with a particular focus on social/emotional challenges as well as coping mechanisms and treatments. The findings suggest that Sensory Over-Responsivity has had a far-reaching influence on every aspect of a respondent's life: from family to school to relationships to work and to play. Respondents believed that there was a link between their Sensory Over-Responsivity and accompanying social and emotional issues such as anxiety, depression, isolation, withdrawal, and lowered self-esteem, and they displayed a wide range of adaptive coping behaviors including avoidance, control, …

Screening Techniques : Clinicians' Views And Approaches To Assessing Alcohol And Substance Use In Older Adults, Erin M. Conlan

Theses, Dissertations, and Projects

This qualitative study examined how New York State licensed clinicians approach the initial assessment and ongoing treatment of older adults (55+) identified to be struggling with alcohol or substance misuse issues. The research questions specifically asked: Do clinicians assess for alcohol and substance misuse in the older adult patients they serve? What are the mediating factors within this assessment and treatment process? This study was initiated in an exploratory fashion because of the limited amount of research available which investigates the relationship between clinicians' attitudes and approaches to this work with the rapidly growing older adult populations they serve. Given …

Are We Reaching The Body? : A Study Of Social Workers' Attitudes On The Mind-Body Connection In Trauma Treatment, Samuel R. Douglas

Theses, Dissertations, and Projects

A national sample of 39 social workers currently treating traumatized clients in therapy in the United States responded to an anonymous, online survey designed to gauge their attitudes toward the role of the mind-body connection in trauma treatment and recovery. The study sought to ascertain whether the most recent research in the neurobiology of trauma, and the resulting developments in the theory of trauma treatment, had significantly influenced the approach taken by social workers in clinical settings. The findings suggest that social workers have largely embraced the idea of a mind-body connection in trauma, and are inclined—in theory, if less …

The Experiences Of Clinical Social Workers In Diagnosing Bipolar Disorder In Children And Adolescents, Ashley Caroline Petitt

Theses, Dissertations, and Projects

Bipolar disorder (BD) is a diagnosis that an increasing number of individuals under the age of 18 are being given, despite the fact that the DSM-IV has no description or criteria of what BD in this age group looks like. The purpose of this exploratory study was to look at the experiences of clinical social workers who have diagnosed BD in children and adolescents. To do so, eleven social workers who have a Master's of Social Work were interviewed using a standardized open-ended interview guide. The major findings of this study follow. Participants reported having diagnosed significantly more adolescents with …

Asian Americans And Cultural Values : Encountering And Overcoming Sociocultural Barriers To Community Mental Health Services : A Project Based Upon An Independent Investigation, William Lee

Theses, Dissertations, and Projects

This qualitative study explored the narrative experience of Asian American/Pacific Islanders (AA/PIs), who have received or are currently receiving community mental health services. This study was an attempt to illuminate their experience of encountering and overcoming socio-cultural barriers to these services. Historic underutilization of mental health services among AA/PI communities motivated the need to explore what cultural and/or institutional factors reduce barriers to services. Four AA/PIs, with an average length of 7.25 years in treatment, were recruited from a community mental health agency in San Francisco, CA. They participated in 45- minute to one hour semi-structured interviews discussing their experience …

Why Horses? Why Not Horses? : Equine-Facilitated Therapy As It Applies To Mental Health, Katie Ann Worms

Theses, Dissertations, and Projects

This study explored the general benefits of equine-facilitated therapy and for whom this treatment is appropriate. Utilizing interviews of ten equine therapists and therapeutic riding instructors, who have an advanced degree in the areas of social work, psychology, education or therapeutic recreation, as well as at least one year of professional equine experience, this study explored the participants' perception of the use of equine-facilitated therapies as it applies to mental health treatment. Secondly, through this perspective, the study looked to identify a "preferred client profile" that participants felt would be best suited to engage in equine-facilitated therapy (EFT). The findings …