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Full-Text Articles in Psychology

“Cause That’S The Only Skills In School You Need” A Qualitative Analysis Of Revenge Goals In Poor Urban Youth, Lena Janina Jäggi Dec 2013

“Cause That’S The Only Skills In School You Need” A Qualitative Analysis Of Revenge Goals In Poor Urban Youth, Lena Janina Jäggi

Theses and Dissertations

Ample research shows that revenge goals are correlated with maladjustment and retaliation is an important factor driving youth violence. Still, in environments with limited institutionalized interventions revenge might be an indispensable tool to maintain social equilibrium. This qualitative secondary analysis of 50 (30 Boys) revenge scenarios from a larger longitudinal study (N=358 dyads of youth/maternal caregiver) expands existing one-dimensional knowledge of revenge from closed-answer vignettes to the rich real world experience of 10-16 year old youth from an urban community sample. Key findings showed significant qualitative differences in both cognition and emotions of revenge scenarios. Ten distinct patterns emerged and …


Family Processes As Moderators Of The Impact Of Peer, School, And Neighborhood Influences On Adolescent Aggression, Alison Kramer-Kuhn Dec 2013

Family Processes As Moderators Of The Impact Of Peer, School, And Neighborhood Influences On Adolescent Aggression, Alison Kramer-Kuhn

Theses and Dissertations

Despite theoretical support for the role of the family in providing a foundation to protect youth against risks for aggression, there is little published literature examining a protective influence. This study examined family functioning and perceived parental messages about fighting and nonviolence as moderators of the relation between risk factors and adolescent aggression. The specific risk factors included affiliating with a delinquent group of peers, attending a school with norms that support aggression, and witnessing violence within the community. Secondary analyses were conducted on data collected from a high-risk sample of 537 adolescents in 2 cohorts from 18 schools. Adolescents …


Maternal Monitoring And Maternal Psychological Well-Being: Important Components In Treating Conduct Disorder, Benjamin Rosen Dec 2013

Maternal Monitoring And Maternal Psychological Well-Being: Important Components In Treating Conduct Disorder, Benjamin Rosen

Theses and Dissertations

Conduct disorder is characterized by behaviors that take a large toll on the individuals, families, and communities afflicted. Thus, improving treatment effectiveness should be a high priority. Currently, common intervention programs do not address parental depression, even though it has been linked to adolescent conduct disorder behaviors in some studies. The current study assessed whether the relation between maternal depression and adolescent conduct disorder behaviors is mediated by another factor which has been linked to conduct disorder behaviors, maternal monitoring. Results did not support the hypothesized mediated association, but did show significant individual associations for both maternal depression and maternal …


Clarifying The Direction Of Effects Between Alliance And Client Involvement In Treatment For Child Anxiety In Community Settings, Nadia Islam Nov 2013

Clarifying The Direction Of Effects Between Alliance And Client Involvement In Treatment For Child Anxiety In Community Settings, Nadia Islam

Theses and Dissertations

Alliance and client involvement are thought to be important therapy process factors in child psychotherapy; however, few studies have investigated them over the course of treatment. The present study examined change in alliance, client involvement, and the relationship between the two over time in an effectiveness study comparing cognitive behavioral therapy (CBT) and usual clinical care (UC) for child anxiety disorders. The sample included 40 clinically-referred children (57.50%, female, mean age = 10.81, SD = 2.11, 35.00% Caucasian, 32.50% Latino/Hispanic, 5.00% African-American, 7.50% mixed ethnicity, 20.00% not reported) and 39 therapists employed by community clinics. Two doctoral-level students comprised the …


Longitudinal Relations Between Dating Violence Victimization And Perpetration And Substance Use: The Moderating Role Of Gender And School Norms For Dating Violence, Katherine Taylor Nov 2013

Longitudinal Relations Between Dating Violence Victimization And Perpetration And Substance Use: The Moderating Role Of Gender And School Norms For Dating Violence, Katherine Taylor

Theses and Dissertations

Adolescent dating violence is commonly experienced by adolescents and is associated with a variety of negative outcomes. Stress and coping and social learning theories suggest that dating violence victimization may predict increased substance use and dating violence perpetration. However, few studies have assessed these relations over time, and existing studies have not assessed physical and psychological dating violence victimization separately nor focused on early adolescent populations. The current study addressed these gaps by examining longitudinal relations between physical and psychological dating violence victimization and substance use and physical and psychological dating violence perpetration among early adolescents. The extent to which …


Work Hope And The Socioemotional Functioning Of Offenders, David Guion Nov 2013

Work Hope And The Socioemotional Functioning Of Offenders, David Guion

Theses and Dissertations

For offenders returning to society at record levels, securing work looms as one of the most crucial factors in successful reentry. Work hope is a construct that seeks to measure the relative presence of goals of securing desired work, thoughts about how to achieve those goals, and agency to achieve those goals, even in the presence of obstacles. This study sought to examine relationships among work hope, the socioemotional variables of attachment, emotion regulation, physical, relational, and workplace victimization, and coping, and the career-related variables of perceptions of career-related barriers and complexity level of career goals. The sample comprised cohorts …


Characterizing The Implementation Of Cbt For Youth Anxiety, Meghan Smith Nov 2013

Characterizing The Implementation Of Cbt For Youth Anxiety, Meghan Smith

Theses and Dissertations

Although evidence-based treatments (EBTs) often perform well in research settings, when EBTs are delivered in practice settings they sometimes fail to outperform usual care (UC). One reason for this could be that therapists in practice settings may not follow the EBT protocol as closely or may deliver more therapeutic interventions that align with other treatment domains. I tested this possibility in the context of cognitive-behavioral treatment (CBT) for youth anxiety by comparing how CBT was delivered in practice (i.e., community-based clinics) and research (i.e., lab) settings. A diverse sample of youth (aged 7-15) received one of two treatments to address …


Differences In Attitudes Towards People With Disabilities: Examining The Effects Of The Presence Of An Assistance Dog, Jennifer A. Coleman Nov 2013

Differences In Attitudes Towards People With Disabilities: Examining The Effects Of The Presence Of An Assistance Dog, Jennifer A. Coleman

Theses and Dissertations

Individuals with disabilities face various types of social stigma. Research suggests that the presence of an assistance dog leads to an increase in social interactions. The purpose of this study was to determine whether people’s attitudes toward individuals with disabilities differ when pairing that person with an assistance dog. Undergraduate students (N= 244) were randomly assigned to view an individual with a disability either alone or with an assistance dog. Participants rated their attitudes toward the individual, completed a newly developed Implicit Association Test, and answered behavioral intention questions. Results of a hierarchical multiple regression analysis indicated that individuals with …


Enhancing Self-Efficacy In The Utilization Of Physical Activity Counseling: An Online Constructivist Approach With Psychologists-In-Training, Cassandra D. Pasquariello Oct 2013

Enhancing Self-Efficacy In The Utilization Of Physical Activity Counseling: An Online Constructivist Approach With Psychologists-In-Training, Cassandra D. Pasquariello

Theses and Dissertations

In our sedentary society, physical inactivity has become the biggest public health concern of the 21st century. In addition to physical health promotion, physical activity has been associated with a number of positive psychological and social outcomes. Psychologists are well positioned to provide physical activity counseling and may have ethical obligations to address physical activity with their clients. Training the next generation of psychologists about the role of physical activity and health is critical to ensure best practices in graduate education. Researchers have cited insufficient training as a barrier to integrating physical activity into clinical work, yet little is known …


The Development Of A Discipline: Examination Of The Profession Of Gerontology And Gerontological Professionals, Tracey Gendron Oct 2013

The Development Of A Discipline: Examination Of The Profession Of Gerontology And Gerontological Professionals, Tracey Gendron

Theses and Dissertations

The growth of the aging population has warranted increased training and education to prepare professionals with the specific knowledge needed to best serve older adults. Gerontology, as an academic discipline, provides professionals with the conceptual knowledge and the skills necessary to address the complexities of working with a diverse aging population. Little research has been done of the characteristics of professionals both with and without formal education in gerontology that are working with the aging population. The aim of this study was to investigate the roles of career motivation, job satisfaction, attitudes about aging, career commitment, and professional identity among …


Heart Rate Variability As A Moderator Of Trauma Writing Outcomes, Alison Eonta Sep 2013

Heart Rate Variability As A Moderator Of Trauma Writing Outcomes, Alison Eonta

Theses and Dissertations

Writing about personal traumatic experiences is associated with beneficial effects on physical and psychological symptoms compared with writing about emotionally neutral events. However, not everyone benefits from trauma writing to the same extent. The present study hypothesized that the effectiveness of trauma writing may be moderated by emotion regulation, as indexed by respiratory sinus arrhythmia (RSA). Research also shows that greater physiological reactivity is predictive of better trauma writing outcomes. Given the importance of physiological output in emotional processing, response training was developed and found to increase appropriate physiological reactivity. Because higher RSA is thought to indicate a more flexible …


Cannabinoid Modulation Of Reinforcement Maintained By Stimulation Of The Medial Forebrain Bundle In C57bl/6j Mice, Jason Wiebelhaus Sep 2013

Cannabinoid Modulation Of Reinforcement Maintained By Stimulation Of The Medial Forebrain Bundle In C57bl/6j Mice, Jason Wiebelhaus

Theses and Dissertations

Cannabinoid agonists, including marijuana containing delta-9-tetrahydrocannabinol (THC), are found rewarding by humans. In addition to human self-reports and experimental studies that show marijuana is rewarding, contributions from preclinical studies also have implicated cannabinoid receptors in reward-motivated behavior. One way to assess these preclinical effects of cannabinoids is intracranial self-stimulation (ICSS), where an animal performs a response to receive electrical stimulation of a specific brain area or circuit known to be involved in reward. Drugs of abuse, such as psychomotor stimulants, facilitate responding for ICSS. While a few studies have shown facilitating effects of cannabinoids in rats, several have shown the …


Effectiveness Of A Cbt Intervention For Persistent Insomnia And Hypnotic Dependency In An Outpatient Psychiatry Clinic, Hannah Taylor Sep 2013

Effectiveness Of A Cbt Intervention For Persistent Insomnia And Hypnotic Dependency In An Outpatient Psychiatry Clinic, Hannah Taylor

Theses and Dissertations

Previous research supports the efficacy of cognitive-behavioral therapy for insomnia (CBT-I) in patients with comorbid psychiatric diagnoses; however, questions remain about the effectiveness of CBT-I due to the fact that previous studies excluded patients with significant psychiatric symptoms and comorbid diagnoses. This study begins to address this gap in the insomnia literature by testing a five-session CBT-I intervention in a diverse sample of patients receiving mental health treatment in an outpatient psychiatry clinic (N=23) who continue to experience chronic insomnia despite receiving pharmacological treatment for sleep. Participants were randomized to CBT-I (n=13) or a treatment as usual control group (n=10). …


Using Behavioral Incentives To Promote Exercise Compliance In Women With Cocaine Dependence, Leila Islam Aug 2013

Using Behavioral Incentives To Promote Exercise Compliance In Women With Cocaine Dependence, Leila Islam

Theses and Dissertations

To date, low rates of patient compliance have made it impractical to study whether regular exercise can contribute to positive outcomes in women with substance use disorders (SUD). One robust strategy for promoting and maintaining behavior change is contingency management (CM). CM has been used successfully to reinforce drug abstinence, treatment attendance, and other pro-social behaviors. CM delivers incentives (prizes) contingent upon target behaviors, though can be expensive. To reduce costs, CM is often delivered with an escalating variable-ratio schedule, first tested by Petry and colleagues (2005). As a Stage Ib behavioral therapies development project (Rounsaville et al., 2001), the …


The Role Of Pain-Related Catastrophizing In Outcomes And Recovery From Minimally Invasive And Surgical Procedures For Treating Temporomandibular Disorders, Aaron Martin Aug 2013

The Role Of Pain-Related Catastrophizing In Outcomes And Recovery From Minimally Invasive And Surgical Procedures For Treating Temporomandibular Disorders, Aaron Martin

Theses and Dissertations

The current study examined the ability of pain-related catastrophizing to predict outcomes following non-surgical and surgical intervention for temporomandibular disorders (TMDs). The interpersonal context of pain-related catastrophizing, referred to as the communal coping model, was also examined to determine if patient perceptions of punishing and solicitous responses from significant others would moderate or mediate relations between pain catastrophizing and outcomes. The role of pain duration as a moderator of the relation between pain-related catastrophizing and perceived significant other responding was also examined. A total of 94 patients were identified for which 65 had follow-up outcomes that could be examined. Patient …


The Relation Between Patterns Of Beliefs About Fighting And Social Information-Processing: Differences In Cognitions, Goals, And The Response-Decision Process In Adolescents, Denicia Titchner Jul 2013

The Relation Between Patterns Of Beliefs About Fighting And Social Information-Processing: Differences In Cognitions, Goals, And The Response-Decision Process In Adolescents, Denicia Titchner

Theses and Dissertations

Beliefs about aggression play a key role in how youth interpret and respond to social situations and are related to aggressive behavior. Adolescents may report beliefs supporting aggression and engage in aggression due to reinforcement within their environment, rather than due to maladaptive social information-processing (SIP) biases. The purpose of this study was to examine adolescents’ patterns of beliefs about aggression and how these patterns relate to SIP. This study used latent class analysis (LCA), the Articulated Thoughts in Simulated Situations paradigm, and a Problem Solving Interview to examine differences in SIP between adolescents with varying patterns of beliefs about …


Longitudinal Predictors Of Quality Of Life In Adolescent Survivors Of Childhood Cancer: A Report From The Childhood Cancer Survivor Study, Claire C. Russell Jul 2013

Longitudinal Predictors Of Quality Of Life In Adolescent Survivors Of Childhood Cancer: A Report From The Childhood Cancer Survivor Study, Claire C. Russell

Theses and Dissertations

Objective: The impact of childhood cancer on future quality of life (QoL) in survivors is unclear. Current studies focus on comparing outcomes to healthy peers and identifying related treatment and demographic variables, but a shift in our approach is necessary. This study is guided by the Wilson and Cleary Model (WMC) and seeks to identify longitudinal predictors of QoL in adolescent survivors of cancer that explain variance in QoL beyond the impact of treatment and demographic variables. Methods: The Childhood Cancer Survivor Study (CCSS) is a multi-institutional longitudinal study following a cohort of childhood cancer survivors. This study focuses on …


Visual Attention Bias And Body Dissatisfaction In Eating Disorders, Janet Lydecker Jul 2013

Visual Attention Bias And Body Dissatisfaction In Eating Disorders, Janet Lydecker

Theses and Dissertations

Eating disorders, such as anorexia and bulimia nervosa, have profound negative effects on the quality of life of both affected individuals and their families. Behavioral approaches such as cognitive-behavioral therapy (CBT) are commonly used for the treatment of these disorders. CBT teaches skills to restructure maladaptive thought patterns as a method of altering feelings and behaviors. However, even after CBT, 50-70% of women with bulimia and 67-87% of women with anorexia report continued eating disordered thoughts, feelings and behaviors. Measuring underlying cognitive processes such as orienting, maintaining, and executive attention in individuals with eating disorder symptomatology might be an important …


Evaluating The Effects Of A Group Cognitive Behavioral Therapy For Veterans With Posttraumatic Stress Disorder And Insomnia: A Pilot Study., Laurin Mack May 2013

Evaluating The Effects Of A Group Cognitive Behavioral Therapy For Veterans With Posttraumatic Stress Disorder And Insomnia: A Pilot Study., Laurin Mack

Theses and Dissertations

Combat and war zone veterans are particularly vulnerable to developing Posttraumatic Stress Disorder (PTSD) due to the increased risk of experiencing trauma inherent in military service. Insomnia and nightmares are core symptoms of PTSD and can be factors in the development, maintenance, and exacerbation of PTSD. However, sleep disturbance has received relatively little attention from a treatment point of view until recently. Recent research has demonstrated that cognitive behavioral therapy for insomnia (CBT-I) and imagery rehearsal therapy (IRT) for nightmares are effective stand alone and combination treatments for sleep disturbance in civilian and veteran populations. Although group interventions are lower …


A Workbook To Promote Forgiveness For Ingroup Congregational Offenses, Chelsea Greer May 2013

A Workbook To Promote Forgiveness For Ingroup Congregational Offenses, Chelsea Greer

Theses and Dissertations

Since research on forgiveness has flourished over the past three decades, multiple interventions have been developed to aid individuals in this arduous process. Two interventions in particular have been most-widely studied with diverse groups: Enright’s process model (Enright & Fitzgibbons, 2000) and Worthington’s REACH Forgiveness model (2006). Thus far, these forgiveness interventions have been led by trained professionals in an in-person group. In-person interventions pose issues of cost and attendance. In the current study, I adapted Worthington’s Christian-adapted REACH Forgiveness intervention into a self-directed workbook for Christians who have experienced an offense within a religious community. Participants (N = 52) …


The Role Of Family Organization In Family Health History Communication About Cancer, Vivian M. Rodríguez May 2013

The Role Of Family Organization In Family Health History Communication About Cancer, Vivian M. Rodríguez

Theses and Dissertations

Family health history (FHH) has been recognized as an important tool in cancer prevention and health promotion. To date, literature on FHH discussions about cancer have largely focused on patient-physician communication or the dissemination of cancer-specific genetic tests results within the family. Fewer studies have sought to identify family factors that may promote FHH discussions, yet this type of information could be used to identify families needing support in having these conversations. Thus, the present study examined relations between family organization (cohesion and flexibility), communication openness, and FHH communication about cancer within a diverse group of women recruited from an …


Examining The Relations Between The Mental Health And Physical Health Of Caregivers Of Ms In A Mexican Sample, Gillian Leibach May 2013

Examining The Relations Between The Mental Health And Physical Health Of Caregivers Of Ms In A Mexican Sample, Gillian Leibach

Theses and Dissertations

Evidence suggests that caregiver health affects patient health. Consistent with the Biopsychosocial Model, mental health (anxiety, depression, satisfaction with life, self-esteem), physical health (bodily pain, general health, performance in physical role, physical functioning), burden, and social support were examined in the present study to understand the relations between these variables and the overall health of 81 caregivers of patients with multiple sclerosis (MS) in Mexico. The relation between mental health and physical health was significant. Canonical correlations revealed that depression and general health emerged as primary variables and these were entered into a series of analyses with burden and social …


Differential Behavioral Effects Of Ketamine Between Adolescent And Adult Sprague-Dawley Rats, Maria A. Greenwood May 2013

Differential Behavioral Effects Of Ketamine Between Adolescent And Adult Sprague-Dawley Rats, Maria A. Greenwood

Theses and Dissertations

The dissociative anesthetic ketamine has been subject to growing abuse worldwide, particularly in adolescents. This project compared the effects of ketamine in conditioned place preference and intravenous self-administration in adolescent (PND 28-50) and adult (>PND70) Sprague-Dawley rats. Cocaine served as a positive control. In CPP, adolescents demonstrated preferences for ketamine, while adults developed an aversion. In the self-administration procedure, adults acquired the behavior more rapidly, but there was no difference in the percentage of subjects reaching acquisition nor in responding under a progressive ratio schedule for either drug. The CPP results suggest that adolescents have a greater sensitivity to …


Sociodemographic Risk Factors Of Glycemic Control For Youth With T1d: Cross-Sectional And Longitudinal Patterns Of Hba1c, Priscilla Powell May 2013

Sociodemographic Risk Factors Of Glycemic Control For Youth With T1d: Cross-Sectional And Longitudinal Patterns Of Hba1c, Priscilla Powell

Theses and Dissertations

Individual growth curve (IGC) modeling evaluated longitudinal trajectories of glycemic control and diabetes care of youth with Type 1 Diabetes (T1D) over three years. IGC modeling allowed comparison of confounded sociodemographic predictors of disease outcomes that included ethnicity, SES, parent marital status, family structure, as well as disease duration, to determine the relative impact of these factors in the evolution of HbA1c and diabetes care throughout adolescence. At baseline, participants recruited from two pediatric endocrinology clinics included 198 youth, ages 9-15 (M age = 12.65, 77% Caucasian, 74% lived with married biological parents, M SES = 45.70) with average HbA1c …


The Seeds Of Mistrust: The Relationship Between Perceived Racism, Hiv Conspiracy Theories And Hiv Testing Attitudes, Joshua Brevard May 2013

The Seeds Of Mistrust: The Relationship Between Perceived Racism, Hiv Conspiracy Theories And Hiv Testing Attitudes, Joshua Brevard

Theses and Dissertations

Although the number of HIV infected peaked in the late 1980’s, HIV remains a major concern within the African American community (CDC, 2008). African Americans are disproportionately affected, comprising 14% of the U.S. population but representing 44% of new HIV infections in 2009 (CDC, 2011). It is vital to identify barriers to positive health behaviors like consistent condom use and HIV testing. This study focus on factors impacting attitudes towards HIV testing, including mistrust of the healthcare system, measured by support for HIV conspiracy theories (Thomas & Quinn, 1991). It also examined the prevalence of HIV conspiracy beliefs among African …


A Dual Dilemma: An Examination Of Body Dissatisfaction Among Asian American Females In Emerging Adulthood, Sarah Javier May 2013

A Dual Dilemma: An Examination Of Body Dissatisfaction Among Asian American Females In Emerging Adulthood, Sarah Javier

Theses and Dissertations

The purpose of this study was to examine what factors contribute to and result from body dissatisfaction using the theoretical framework of the Tripartite Model of Influence, which included family, peer, and media influence. Participants were recruited from SONA and student organizations and participated in an online survey (N =148). A MANCOVA indicated that Asian and White females did not differ in body dissatisfaction and other health outcomes. Thin-ideal internalization mediated the relationships between media influence, peer influence, and body dissatisfaction among Asian American females. Moderation analyses indicated that ethnic identity, Asian American identity, and acculturation did not moderate the …


Relations Between Sexual Identity Exploration And Risky Sexual Behavior In Emerging Adulthood, Jennifer J. Reid May 2013

Relations Between Sexual Identity Exploration And Risky Sexual Behavior In Emerging Adulthood, Jennifer J. Reid

Theses and Dissertations

Examined within this study were the relations between two processes within sexual identity development, sexual identity exploration and sexual identity commitment, and risky sexual behaviors. The moderating effects of sexual identity commitment, sexual self-efficacy, and positive condom use attitudes on relations between sexual identity exploration and risky sexual behaviors were also examined. Risky sexual behaviors included the frequency of substance prior to and barrier protection use during sex, multiple sex partners, and the initiation of sex prior to age sixteen. Study participants included 322 college students attending an urban university in the Southeastern United States. All were heterosexual and reported …


Dispositional Mindfulness As A Moderator Of Electrocortical And Behavioral Responses To Affective Social Stimuli, Jordan T. Quaglia Apr 2013

Dispositional Mindfulness As A Moderator Of Electrocortical And Behavioral Responses To Affective Social Stimuli, Jordan T. Quaglia

Theses and Dissertations

Numerous studies have linked dispositional mindfulness to enhanced emotion regulation. The present research examined dispositional mindfulness as a predictor of emotion regulation in social affective contexts. Participants completed passive viewing and Emotional Go/No-Go tasks involving social affective stimuli (happy, neutral, and fearful facial expressions). Event-related potentials (ERPs) and behavioral responses were examined to discern whether dispositional mindfulness predicted differential neural and behavioral responses indexing attention to, awareness of, and inhibitory control over automatic responses to affective social stimuli. Dispositional mindfulness predicted larger (more negative) N100, N200 and No-Go N200 amplitudes during the Emotional Go/No-Go task, but was not associated with …


Uncertainty And Primary Appraisal As Predictors Of Acute Stress Disorder In Parents Of Critically Ill Children: A Mediational Model, Monica Durrette Apr 2013

Uncertainty And Primary Appraisal As Predictors Of Acute Stress Disorder In Parents Of Critically Ill Children: A Mediational Model, Monica Durrette

Theses and Dissertations

This study examined illness-related uncertainty and primary appraisals of threat, centrality, and challenge as predictors of acute stress disorder (ASD) symptoms in parents of children hospitalized in a pediatric intensive care unit (PICU). Ultimately, a mediational pathway was tested to determine if primary appraisal was a mechanism that accounted for the impact of uncertainty on ASD symptoms. Ancillary study aims were to assess the degree to which parents perceived uncertainty in the PICU environment, and to determine the prevalence of ASD among parents in this setting. Self-report data was collected from 77 parents (57 mothers, 19 fathers) of children hospitalized …


Notions Of Spirits As Agents Of Mental Illness Among The Akan Of Ghana: A Cultural-Psychological Exploration, Annabella Opare-Henaku Apr 2013

Notions Of Spirits As Agents Of Mental Illness Among The Akan Of Ghana: A Cultural-Psychological Exploration, Annabella Opare-Henaku

Theses and Dissertations

The study explores lay conceptualizations of mental illness among the Akans of Ghana as influenced by their cultural worldview. Akan, the largest ethnic group in Ghana, is noted for the use of supernatural attributions for various health-related issues. The supernatural attributions are based on Akan ontological belief that the universe is unitary such that there is no clear distinction between physical and spiritual occurrences. This worldview guides Akans in how they deal with a wide range of issues including their mental health. Clinicians and other mental health professionals who rely solely on biomedical approaches to mental health fail to meet …