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Clinical Psychology

Antioch University Full-Text Dissertations & Theses

PTSD

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Full-Text Articles in Psychology

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 Jan 2023

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 …


Confusing Conversations: Assessing Traumatic Stress In Young Children, Jennifer Lela Moniz Jan 2020

Confusing Conversations: Assessing Traumatic Stress In Young Children, Jennifer Lela Moniz

Antioch University Full-Text Dissertations & Theses

Early detection and interventions are important for the prevention of negative long-term effects of Posttraumatic Stress Disorder (PTSD). Current evaluations of PTSD in young children rely heavily on caregiver reports, and there are few self-report measures for children under 8 years old (Mash & Barkley, 2007). This study examined the construct validity of the Post Traumatic Symptom Inventory for Children (PT-SIC), a self-report measure of PTSD symptomatology for young children, through a comparison of results with the Trauma Symptom Checklist for Young Children (TSCYC), an empirically supported caregiver measure of child PTSD symptomatology. Results of the Spearman correlation indicated that …


Veterans’ Help-Seeking And Spousal Support For Ptsd: A Preliminary Study, Kimberly S. Sollows Jan 2019

Veterans’ Help-Seeking And Spousal Support For Ptsd: A Preliminary Study, Kimberly S. Sollows

Antioch University Full-Text Dissertations & Theses

Continued engagement in military conflicts and known underutilization of mental health services by veterans necessitates understanding of factors influencing veterans’ attitudes about mental health treatment and decisions to seek services. The present study examined relationships between posttraumatic stress disorder (PTSD) symptom severity, perceived support from spouse, and attitudes toward mental health help-seeking among married U.S. veterans. Participants (N =39) were recruited using social media outreach, an online gaming platform, and through print fliers. First, it was hypothesized that perceived spousal support would be significantly positively correlated with attitudes toward treatment seeking, which was supported to a moderate degree (r=.345, p=.031). …


Service Members’ Perspectives On Treatment: Bridging The Military-Civilian Divide, Kevin R. O'Leary Jan 2017

Service Members’ Perspectives On Treatment: Bridging The Military-Civilian Divide, Kevin R. O'Leary

Antioch University Full-Text Dissertations & Theses

The difficulties some service members have reintegrating into and reconnecting with civilian society are well established across the literature. Despite the veteran’s voices describing these struggles to connect with civilians and the current zeitgeist in psychotherapy on the therapeutic relationship and multicultural competence, little attention has been given to the implications of the civilian military divide in therapy. This study used a mixed method approach to conduct an exploratory study of 70 service members’ perceptions of working with a civilian and active duty or veteran therapist and what factors contribute to therapeutic alliance. Of interest are service members’ beliefs about …


Demographic Characteristics And Trauma Symptomology In Juvenile Justice Residents At Echo Glen Children's Center, Britta L. Bergan Jan 2016

Demographic Characteristics And Trauma Symptomology In Juvenile Justice Residents At Echo Glen Children's Center, Britta L. Bergan

Antioch University Full-Text Dissertations & Theses

Exposure to traumatic and stressful events has become increasingly commonplace and the impact of such experiences has been well documented. Trauma events in childhood have been associated with a number of factors, including maladaptive emotional and behavioral responses, increased vulnerability for exposure to additional traumatic events, and adverse experiences later in life. Juvenile justice youth have been found to have higher rates of trauma exposure, when compared to community samples of same-aged peers. The population of youth residing at Echo Glen Children’s Center, in Snoqualmie, Washington, exhibit unique characteristics for a juvenile justice population, including age (the youngest juvenile offenders …


Therapeutic Horseback Riding With Military Veterans: Perspectives Of Riders, Instructors, And Volunteers, Leslie Lafleur Jan 2015

Therapeutic Horseback Riding With Military Veterans: Perspectives Of Riders, Instructors, And Volunteers, Leslie Lafleur

Antioch University Full-Text Dissertations & Theses

Statistics reveal that over 353,000 military members have been diagnosed with PTSD and/or TBI resulting from war-related activities. With the rising number of war stress injuries, there have not been enough psychotherapeutic services to meet the current demand for the care of returning veterans from Iraq and Afghanistan. Although some intervention strategies have been deemed successful, the current standards of care (e.g., exposure therapy, cognitive therapy) are limited by training inadequacies, accessibility, and outcomes (e.g., retention, early drop out, resistance, non-responsiveness). Furthermore, it is unclear whether these treatments are efficacious in addressing the unique symptom presentations of this population. The …


The Utilization Of Evidence-Based Treatments In Trauma Treatment Of Active Military Personnel And Their Families, Matt Brickell Jan 2015

The Utilization Of Evidence-Based Treatments In Trauma Treatment Of Active Military Personnel And Their Families, Matt Brickell

Antioch University Full-Text Dissertations & Theses

This study reviewed the literature regarding the effectiveness of evidence-based treatments in addressing traumatic stress injuries such as post-traumatic stress disorder in active military personnel and their families. Top tier treatments recommended by the Department of Defense and Department of Veteran Affairs Clinical Practice Guidelines for the treatment of traumatic stress disorders are discussed, and the literature is critically examined with a focus on exploring the reported evidence of effectiveness. In addition, this study contributed unpublished archival clinical outcome data from evidence-based treatment of active military personnel and their families in real-world clinical settings. The effectiveness of an evidence-based treatment …


Africentric Resilience Training: A Prevention Program For African American Soldiers, Melissa Boudreau Jan 2015

Africentric Resilience Training: A Prevention Program For African American Soldiers, Melissa Boudreau

Antioch University Full-Text Dissertations & Theses

The study develops a mental health prevention program for African American soldiers called, Africentric Resilience Training (ART). The goal of ART is to train soldiers to be psychologically fit, just as they train to be physically fit in the military. The ART curriculum aims to increase soldiers’ resilience and capacity to flourish, while educating them on the occurrence and prevention of Posttraumatic Stress Disorder. This program is founded on the principles and structure of the current Comprehensive Soldier and Family Fitness (CSF2) program in the Army (CSF2, 2012). ART is unique in its utilization of a culturally and racially modified …


The Dimensions Of Hardiness And Resiliency For Combat Ptsd, Warren Joseph Avery Jan 2014

The Dimensions Of Hardiness And Resiliency For Combat Ptsd, Warren Joseph Avery

Antioch University Full-Text Dissertations & Theses

Research suggests that the personality factor hardiness may aid in resilience to combat PTSD. The need to understand resiliency factors like hardiness becomes more urgent as the depth of the epidemic of combat PTSD among veterans becomes more evident. Hardiness consists of three dimensions: (a) commitment, (b) control, and (c) challenge. This study was designed to explore the relationship between the dimensions of hardiness and combat PTSD in Operation Enduring Freedom (OEF) and Operation Iraqi Freedom (OIF) veterans. Participants were contacted through college veterans offices across the nation, and measures were anonymously completed online. Veterans who participated in the study …


Understanding Peritraumatic Dissociation: Evolution-Prepared Dissociation, Tonic Immobility, And Clinical Dissociation, Laura A. Halvorsen Jan 2014

Understanding Peritraumatic Dissociation: Evolution-Prepared Dissociation, Tonic Immobility, And Clinical Dissociation, Laura A. Halvorsen

Antioch University Full-Text Dissertations & Theses

Current literature on the relationship between posttraumatic symptoms and dissociation that occurs during the time of a trauma, or peritraumatic dissociation, appears to be contradictory and inconclusive. Conflicting findings in the empirical literature that disagree on the nature of this association (whether peritraumatic dissociation is a risk factor for PTSD or a neutral or even protective evolutionarily-derived phenomenon) may originate from the lack of conceptual clarity regarding the construct of dissociation, and lack of differentiation between peritraumatic dissociation and dissociation that persists after a traumatic event. This dissertation details a theory for differentiating clusters of peritraumatic dissociation based on distinct …


Ways Of Being In Trauma-Based Society: Discovering The Politics And Moral Culture Of The Trauma Industry Through Hermeneutic Interpretation Of Evidence-Supported Ptsd Treatment Manuals, Sarah Peregrine Lord Jan 2014

Ways Of Being In Trauma-Based Society: Discovering The Politics And Moral Culture Of The Trauma Industry Through Hermeneutic Interpretation Of Evidence-Supported Ptsd Treatment Manuals, Sarah Peregrine Lord

Antioch University Full-Text Dissertations & Theses

One hundred percent of evidence-supported psychotherapy treatments for trauma related disorders involve the therapist learning from and retaining fidelity to a treatment manual. Through a hermeneutic qualitative textual interpretation of three widely utilized evidence-supported trauma treatment manuals, I identified themes that suggested a particular constitution of the contemporary way of being—a traumatized self—and how this traumatized self comes to light through psychotherapeutic practice as described by the manuals. The manuals included: 1) a trauma focused cognitive-behavioral therapy for children; 2) an eye-movement desensitization and reprocessing therapy for adults; and, 3) an early intervention and debriefing therapy series for post-traumatic stress …


The Post-Combat Couple Adjustment Questionnaire: A Preliminary Validation, Valerie Maine Jan 2013

The Post-Combat Couple Adjustment Questionnaire: A Preliminary Validation, Valerie Maine

Antioch University Full-Text Dissertations & Theses

This dissertation presents the results of a psychometric study regarding the preliminary validation of The Post-Combat Couple Adjustment Questionnaire (PCCAQ). This measure was designed to assess post-combat and post-deployment adjustment for male veterans and their female partners. The measure was created using existing literature on veterans, posttraumatic stress disorder (PTSD), and couples. The PCCAQ consists of four domains of couple functioning, including: (a) redefining roles, expectations, and division of household responsibilities; (b) managing strong emotions; (c) abandoning emotional constriction and creating intimacy in relationships; and (d) creating a sense of shared meaning surrounding the deployment experience. The PCCAQ was compared …