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Full-Text Articles in Psychology

Cultural Humility In Action: Reflective And Process-Oriented Supervision With Black Trainees, Naadira C. Upshaw, Douglas E. Lewis Jr., Amber L. Nelson Jan 2020

Cultural Humility In Action: Reflective And Process-Oriented Supervision With Black Trainees, Naadira C. Upshaw, Douglas E. Lewis Jr., Amber L. Nelson

Faculty Publications - Graduate School of Counseling

The supervisory relationship is considered a core experience in the field of psychology. The primary goal of this experience is to support trainees’ development of strong clinical skills, as well as expertise, to ensure adequate treatment of patients and promote learning and professional growth. However, it has become evident that supervisors continue to struggle with adapting an integrated and contextual approach to diversity. This becomes problematic when working with trainees of Color who are often navigating multiple identities in professional spaces and are at risk for burnout and unintended harm from individuals in a supervisory role. Further, the expanding sociopolitical …


Trauma And Identity: A Reciprocal Relationship?, Steven L. Berman, Marilyn J. Montgomery, Kaylin Ratner Jan 2020

Trauma And Identity: A Reciprocal Relationship?, Steven L. Berman, Marilyn J. Montgomery, Kaylin Ratner

Faculty Publications - Graduate School of Counseling

Trauma can alter the course of identity development and destabilize existing identity commitments. Trauma, whether past or current, can also impact the resources a person brings to identity work. However, identity can also be a lens through which trauma is perceived and interpreted, helping to determine whether a traumatic experience results in posttraumatic stress disorder or posttraumatic growth. Despite the apparent implications each construct has for the other, the scholarship at the intersection of trauma and identity remains sparse. This Special Issue explores how and when trauma and identity influence one another by considering their association across various adolescent populations, …


Trauma-Informed School Practices: Building Expertise To Transform Schools, Anna A. Berardi Phd., Brenda Morton, Edd. Sep 2019

Trauma-Informed School Practices: Building Expertise To Transform Schools, Anna A. Berardi Phd., Brenda Morton, Edd.

Open Textbooks

This textbook represents the combined insight and experience of Morton, a k12 educator, and Berardi, a psychotherapist, both of whom are also university educators with extensive work experience serving districts and their teachers seeking to incorporate trauma-informed principles into their school culture and classroom. The authors identify that the field of education is now ready to deepen its level of response to the paradigm shift created by advances in neuroscience and traumatology. Hence, the primary focus is on identifying and applying trauma-informed educator competencies needed to transform districts, schools, educators, classrooms, and the field of education itself, while also including …


Bridging The Gap: Pop Media As A Narrative Tool For Working With Millennials, Kristina M. Kays, David Kays, Adrian Egger Jan 2017

Bridging The Gap: Pop Media As A Narrative Tool For Working With Millennials, Kristina M. Kays, David Kays, Adrian Egger

Faculty Publications - Psychology Department

This seminar explores the use of popular media as a means to explore emotions issues resulting from trauma and abuse. The movie Inside Out will be explored as a practical and live example for use in integrating narrative therapy interventions with challenging clients resistant to exploring emotional concerns in therapy.


Empowering Marginalized Youth: A Self-Transformative Intervention For Promoting Positive Youth Development, Kyle E Eichas, Alan Meca, Marilyn J. Montgomery, William M. Kurtines Jan 2017

Empowering Marginalized Youth: A Self-Transformative Intervention For Promoting Positive Youth Development, Kyle E Eichas, Alan Meca, Marilyn J. Montgomery, William M. Kurtines

Faculty Publications - Graduate School of Counseling

This article reports the results of a positive youth development (PYD) intervention for adolescents in alternative high schools (209 African American and Hispanic American adolescents, aged 14–18; 118 females and 91 males). The intervention was guided by a self-transformative model of PYD (Eichas, Meca, Montgomery, & Kurtines, 2014). This model proposes that the actions youth take to define themselves function as active ingredients in positive development over the life course. Consistent with the self-transformative model, results provided support for direct or mediated intervention effects on the self-transformative processes of self-construction and self-discovery, life goal development, identity synthesis, and internalizing problems. …


Integrating Narrative Family Therapy In An Outdoor Behavioral Healthcare Program: A Case Study, Steven M. Demille, Marilyn J. Montgomery Jan 2016

Integrating Narrative Family Therapy In An Outdoor Behavioral Healthcare Program: A Case Study, Steven M. Demille, Marilyn J. Montgomery

Faculty Publications - Graduate School of Counseling

Adolescent mental health is a significant societal concern in the United States. Diagnosable mental health disorders have been reported at rates of 10–20 % among children and adolescents and this does not include adolescents experiencing personal and interpersonal distress not meeting diagnostic criteria. Adolescents who do not respond to traditional mental health services are often placed in residential treatment centers or other out-of-home treatment programs. Outdoor Behavioral Healthcare (OBH) is growing as a viable treatment option for adolescents who struggle with emotional, behavioral or substance related problems; however, questions have been raised about how to integrate the family into an …


Narrative Identity Development For Novice Psychotherapists In Clinical Training, Dana Michelle Satterlee May 2015

Narrative Identity Development For Novice Psychotherapists In Clinical Training, Dana Michelle Satterlee

Doctor of Psychology (PsyD)

Abstract Narrative identity is “the internalized, evolving story of the self that each person crafts to provide his or her life with a sense of purpose and unity” (Adler, 2012, p. 367). This identity is distinct from the broad dispositional traits and the characteristic adaptations for contextualized behaviors. It provides the self with a sense of purpose, meaning, and unity across time and situations (McAdams & Olson, 2010). Researchers have developed ways of measuring innovative moments (IMs), or shifts in narrative identity that occur in psychotherapy. Researchers have also explored narrative identity processing as it seems to occur across the …


Erikson’S Young Adulthood And Emerging Adulthood Today, Marilyn J. Montgomery, Jeffrey J. Arnett Jan 2015

Erikson’S Young Adulthood And Emerging Adulthood Today, Marilyn J. Montgomery, Jeffrey J. Arnett

Faculty Publications - Graduate School of Counseling

No abstract provided.


Effects Of Mindfulness Training On First Year Doctoral Students’ Therapeutic Relationships, Joel Simons Apr 2014

Effects Of Mindfulness Training On First Year Doctoral Students’ Therapeutic Relationships, Joel Simons

Doctor of Psychology (PsyD)

The quality of the relationship established between client and clinician during psychotherapy has been found to be a robust, common, and curative factor regardless of clinician theoretical orientation. The positive impact of therapeutic relationships remains distinct from technique and accounts for the greatest amount of therapeutic change that is within clinicians’ control. The growth of effective mindfulness-based treatments has led some to postulate that mindfulness may improve clinicians’ ability to establish positive therapeutic relationships. If that is true, then mindfulness practice may be particularly relevant to early clinical training when students are learning basic relational skills. This study examined the …


Spiritual/Religious Issues In Therapy At A Community Mental Health Clinic, Courtney Elizabeth Mcconnell Feb 2014

Spiritual/Religious Issues In Therapy At A Community Mental Health Clinic, Courtney Elizabeth Mcconnell

Doctor of Psychology (PsyD)

Abstract The purpose of this dissertation is to explore the growing area of spirituality and religion in counseling. The American public values religion; and the American Psychological Association (APA) acknowledges religion/spirituality as a vital area of diversity. With APA calling for specialized training in religious diversity, it is important to consider what religious/spiritual issues arise in a community counseling setting. This study was designed to determine whether clients or therapists raise religious issues, and whether clients who self-identify as religiously affiliated spend more time discussing religious/spiritual topics in session. In addition, researchers hoped to learn about what religious content was …


Mindfully Educating Our Future: The Mesg Curriculum For Training Emergent Counselors, Lynn Bohecker, Cristen Wathen, Pamela Wells, Beronica M. Salazar, Linwood G. Vereen Jan 2014

Mindfully Educating Our Future: The Mesg Curriculum For Training Emergent Counselors, Lynn Bohecker, Cristen Wathen, Pamela Wells, Beronica M. Salazar, Linwood G. Vereen

Faculty Publications - Graduate School of Counseling

The 2009 Council for Accreditation of Counseling and Related Educational Programs standards (II.G.6.e) and the Association for Specialists in Group Work both promote and support counselors in training (CITs) having direct experience as group members. Counselor educators must develop experiential group curricula, which intentionally facilitate CIT growth and development, while meeting ethical and accreditation standards. The Mindfulness Experiential Small Group (MESG) Curriculum was developed to assist in meeting and exceeding these standards. The skills obtained through the MESG can provide CITs with ways to manage academic and emotional challenges while facilitating counselor development in a group context.


Identity-Related Dysfunction: Integrating Clinical And Developmental Perspectives, Erin A. Kaufman, Marilyn J. Montgomery, Sheila E. Crowell Jan 2014

Identity-Related Dysfunction: Integrating Clinical And Developmental Perspectives, Erin A. Kaufman, Marilyn J. Montgomery, Sheila E. Crowell

Faculty Publications - Graduate School of Counseling

Recent changes to the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders highlight the importance of identity dysfunction within several psychiatric diagnoses. Despite a long-standing tradition of identity research and theory in the developmental literature, there is limited work establishing intersections between clinical and developmental conceptualizations of identity problems. The relative lack of integration between decades of clinical and developmental work is unfortunate, and likely limits progress in both areas. In this commentary, the authors argue for greater interdisciplinary collaboration and highlight contributions from developmental and clinical theories, which, if integrated, could enhance identity scholarship. The developmental psychopathology …


Working With Children Using Dance/Movement Therapy, Mariah M. Lefeber Jan 2013

Working With Children Using Dance/Movement Therapy, Mariah M. Lefeber

Faculty Publications - Graduate School of Counseling

Movement is a language. We all learned to relate on a nonverbal level before starting to communicate verbally. Thus, this nonverbal language of the body is especially powerful for children, who communicate, navigate relationships, and interact with their environment through movement. An early, healthy connection with their bodies enables children to develop a strong sense of self and dynamic sense of both their body image and physical boundaries. For all of these reasons, dance/ movement therapy is a highly effective modality for working with children. This chapter introduces the field of dance/movement therapy, specifically as it relates to working with …


Counseling And Psychotherapy Within And Across Faith Traditions (Chapter 17 In The Oxford Handbook Of The Psychology Of Spirituality), Mark R. Mcminn Jan 2012

Counseling And Psychotherapy Within And Across Faith Traditions (Chapter 17 In The Oxford Handbook Of The Psychology Of Spirituality), Mark R. Mcminn

Faculty Publications - Doctor of Psychology (PsyD) Program

This chapter begins with general considerations for religiously and spiritually oriented psychotherapy, including the importance of seeing religion and spirituality as d.imensions of cultural diversity, considering clients' welfare and autonomy, and maintaining competence. Three types of religious and spiritual intervention approaches are then discussed: assimilative, accommodative, and collaborative. Assimilative approaches introduce spiritual interventions or considerations into a standard psychotherapy approach. Accommodative approaches involve adapting a standard psychotherapy regimen to include religious or spiritual matters. Collaborative approaches entail a mental health professional and religious leader working in tandem for the sake of clients' welfare. Next, specific issues related to counseling within …


Links Between Alcohol And Other Drug Problems And Maltreatment Among Adolescent Girls: Perceived Discrimination, Ethnic Identity, And Ethnic Orientation As Moderators, Calonie M.K. Gray, Marilyn J. Montgomery Jan 2012

Links Between Alcohol And Other Drug Problems And Maltreatment Among Adolescent Girls: Perceived Discrimination, Ethnic Identity, And Ethnic Orientation As Moderators, Calonie M.K. Gray, Marilyn J. Montgomery

Faculty Publications - Graduate School of Counseling

Objectives: This study examined the links between maltreatment, posttraumatic stress symptoms, ethnicity-specific factors (i.e., perceived discrimination, ethnic identity, and ethnic orientation), and alcohol and/or other drug (AOD) problems among adolescent girls.

Methods: These relations were examined using archived data from a community sample of 168 Black and Hispanic adolescent girls who participated in a school-based substance use intervention.

Results: The results revealed that maltreatment was linked to AOD problems, but only through its relation with posttraumatic stress symptoms; maltreatment was positively related to posttraumatic stress symptoms, which were positively related to AOD problems. Both perceived discrimination and ethnic orientation were …


Is Touch Beyond Infancy Important For Children’S Mental Health?, Melody Whiddon, Marilyn J. Montgomery Jan 2011

Is Touch Beyond Infancy Important For Children’S Mental Health?, Melody Whiddon, Marilyn J. Montgomery

Faculty Publications - Graduate School of Counseling

Numerous studies from various fields have established that touch is vital to healthy adjustment during infancy and also during old age. Physiological research emphasizes the importance of touch to physical and psychological systems (Field, 2003). Attachment research emphasizes the importance of touch in the sensitive responsiveness and availability characteristic of the secure attachment style (Kassow & Dunst, 2004). Behavioral research emphasize the importance of contingent touch in reinforcement of infant behavior (Gewirtz & Pelaez- Nogueras, 2000). Recently, attention has been given to research examining touch in medical situations for elderly populations.

Theoretically, touch should remain important throughout the lifespan, but …


Touch Therapy Combined With Talk Therapy: The Rubenfeld Synergy Method, Luna L. Medina, Marilyn J. Montgomery Jan 2011

Touch Therapy Combined With Talk Therapy: The Rubenfeld Synergy Method, Luna L. Medina, Marilyn J. Montgomery

Faculty Publications - Graduate School of Counseling

Touch therapy has been researched for many years and is accepted as a successful therapeutic method for healing. Ironically, touch has gone from being a part of mainstream medicine to becoming associated with alternative medicine. The Rubenfeld Synergy Method (RSM), one modality emphasizing touch, was created almost four decades ago and has been recently rediscovered due to the growth and evolution of alternative medicine. RSM combines gentle touch and talk therapy to treat patients. Currently, there is no direct research-based support for the benefits of this method. However, this is a vast quantity of data supporting the benefits of touch …


Developmental Assessment And Feedback Relieves Parenting Stress, Marilyn J. Montgomery, Melody A. Whiddon Jan 2010

Developmental Assessment And Feedback Relieves Parenting Stress, Marilyn J. Montgomery, Melody A. Whiddon

Faculty Publications - Graduate School of Counseling

Numerous studies have established that role stress experienced by parents has an impact on their perceptions of their child’s behavior, the quality of their parent-child interactions, and their child’s overall adjustment. Significant numbers of parents do experience the parenting role as stressful, often because they have concerns about whether their child’s behavior is within normal limits. Having seen parenting stress frequently while counseling parents and children, we reasoned that providing individualized developmental information to parents could reduce their parenting stress, and in turn result in positive consequences for parents and for children.

This article describes a brief intervention we developed, …


Dance/Movement Therapy And Autism, Mariah M. Lefeber Jan 2010

Dance/Movement Therapy And Autism, Mariah M. Lefeber

Faculty Publications - Graduate School of Counseling

Movement is a language. For children affected by autism, movement may be the only language they can rely on. Children with autism often have limited verbal abilities, making it extremely difficult for them to reach out to others (Hartshorn et al., 2001). When words fail, dance/movement therapy fosters a child's ability to relate, communicate, and connect on a nonverbal level.


Family Formation Issues In The Former Soviet Union: Therapeutic Challenges, Dennis O. Bowen, D. Russell Bishop, Lydia L. Bowen Aug 2009

Family Formation Issues In The Former Soviet Union: Therapeutic Challenges, Dennis O. Bowen, D. Russell Bishop, Lydia L. Bowen

Occasional Papers on Religion in Eastern Europe

No abstract provided.


Profiles Of Adolescent Identity Development: Response To An Intervention For Alcohol/Other Drug Problems, Larry F. Forthun, Marilyn J. Montgomery Jan 2009

Profiles Of Adolescent Identity Development: Response To An Intervention For Alcohol/Other Drug Problems, Larry F. Forthun, Marilyn J. Montgomery

Faculty Publications - Graduate School of Counseling

The purpose of this study was to examine identity development among adolescents participating in an after-school alcohol/other drug (AOD) abuse intervention program (8 females and 12 males, ages 14–17) to identify how identity development was associated with intervention success. To achieve this goal we (a) garnered information from two identity interviews conducted during the first week of the intervention and 6 to 8 weeks later; (b) adopted a qualitative, person-centered analytical strategy to identify identity profiles; and (c) examined the intervention response of the adolescents, as recorded in intervention documents, in the different identity profile groups. Analyses revealed five identity …


Identity Development And Intervention Studies: The Right Time For A Marriage?, Marilyn J. Montgomery, Lynn Hernandez, Laura Ferrer-Wreder Jan 2008

Identity Development And Intervention Studies: The Right Time For A Marriage?, Marilyn J. Montgomery, Lynn Hernandez, Laura Ferrer-Wreder

Faculty Publications - Graduate School of Counseling

A cohesive identity plays a key role in mental health and well-being. Yet, few studies involving identity have been intervention studies, and few intervention studies have included identity-related variables. In this article, we speculate about why this might be so. We argue that intervention research with young people will be more informative when variables tapping key developmental processes and outcomes such as identity cohesion, style, distress, and turning points are included. Such research can (a) promote positive identity development as an important aim, (b) illuminate processes of identity-related change, and (c) add knowledge about for whom interventions work and why …


A Developmental Intervention Approach To Promoting Positive Development: Pathways Of Intervention Change, Marilyn J. Montgomery, William M. Kurtines, Laura Ferrer-Wreder, Steven L. Berman, Carolyn Cass Lorente, Ervin Briones, Wendy Silverman, Rachel Ritchie, Kyle Eichas Jan 2008

A Developmental Intervention Approach To Promoting Positive Development: Pathways Of Intervention Change, Marilyn J. Montgomery, William M. Kurtines, Laura Ferrer-Wreder, Steven L. Berman, Carolyn Cass Lorente, Ervin Briones, Wendy Silverman, Rachel Ritchie, Kyle Eichas

Faculty Publications - Graduate School of Counseling

This paper describes work directed toward creating community-supported positive youth development interventions that draw on a developmental intervention science outreach research approach. With respect to developmental interventions, this approach focuses on creating evidence-based longitudinal change intervention strategies for promoting long-term developmental change. The paper describes three broad challenges (theoretical, methodological, and meta-theoretical) that the authors faced in their efforts to develop and implement community-supported intervention programs built on this approach. The authors describe first the theoretical challenges they addressed in developing the conceptual framework for their community-supported intervention; second, the challenge of developing and refining a methodological framework for evaluating …


Promoting Positive Youth Development New Directions In Developmental Theory, Methods, And Research, William M. Kurtines, Laura Ferrer-Wreder, Steven L. Berman, Carolyn Cass Lorente, Wendy K. Silverman, Marilyn J. Montgomery Jan 2008

Promoting Positive Youth Development New Directions In Developmental Theory, Methods, And Research, William M. Kurtines, Laura Ferrer-Wreder, Steven L. Berman, Carolyn Cass Lorente, Wendy K. Silverman, Marilyn J. Montgomery

Faculty Publications - Graduate School of Counseling

The articles in this special issue report the efforts of the Miami Youth Development Project (YDP), a community-supported positive youth development program of outreach research that draws on a developmental intervention science (DIS) perspective (i.e., a fusion of the developmental and intervention science literatures). These reports illustrate how the application of DIS outreach research contributes to knowledge of human development at all levels (practical as well as methodological, theoretical, and metatheoretical). Consistent with a DIS outreach research approach, YDP is committed to the use of descriptive and explanatory knowledge about changes within human systems that occur across the life span …


Promoting Positive Identity Development In Troubled Youth: A Developmental Intervention Science Outreach Research Approach, William M. Kurtines, Marilyn J. Montgomery, Kyle Eichas, Rachel Ritchie, Arlen Garcia, Richard Albrecht, Steven Berman, Laura Ferrer-Wreder, Carolyn C. Lorente Jan 2008

Promoting Positive Identity Development In Troubled Youth: A Developmental Intervention Science Outreach Research Approach, William M. Kurtines, Marilyn J. Montgomery, Kyle Eichas, Rachel Ritchie, Arlen Garcia, Richard Albrecht, Steven Berman, Laura Ferrer-Wreder, Carolyn C. Lorente

Faculty Publications - Graduate School of Counseling

This article illustrates how developmental intervention science outreach research contributes to knowledge development on the promotion of positive identity development by describing results from the Miami Youth Development Project. The project is committed to the use of descriptive and explanatory knowledge about evidence-based individual and institutional intervention strategies for promoting developmental change in self and identity. Our efforts, described here, include a method for measuring theoretically and personally meaningful identity change, a procedure for integrating key aspects of qualitative and quantitative data through relational data analysis, and an evidence-based positive youth development intervention that fosters measurable and meaningful identity change.


Finishing Therapy Well (Book Review), Kristina M. Kays Jan 2006

Finishing Therapy Well (Book Review), Kristina M. Kays

Faculty Publications - Psychology Department

Reviews the book, "Good Goodbyes: Knowing How to End in Psychotherapy and Psychoanalysis" by Jack Novick and Kerry Kelly Novick (see record 2006-05376-000). Deciding when to end clinical therapy and how to end it well can be a mystifying process. In "Good Goodbyes: Knowing How to End in Psychotherapy and Psychoanalysis", Jack Novick and Kerry Kelly Novick share insights from their vast combined experience to diminish the mystery of therapeutic closure. The book, which is firmly based in psychoanalytic theory, uses a question format to explore the many hows, whys, whats, and whens of termination. The authors outline treatment stages …


Dancing Around The Fire (Book Review), Kristina M. Kays Jan 2006

Dancing Around The Fire (Book Review), Kristina M. Kays

Faculty Publications - Psychology Department

Reviews the book, "What Therapists Don't Talk About and Why: Understanding Taboos That Hurt Us and Our Clients" by Kenneth Pope, Janet Sonne, and Beverly Greene (see record 2006-03273-000). What truly hauntstherapists in private practice are not the basic countertransference issues discussed in most graduate training programs but the unspoken secrets of their inner world. Too often, therapists are preoccupied by sexual responses to clients, hostile thoughts, and desire for professional approval, but training and peer discussions rarely focus on these forbidden topics. "What TherapistsDon't Talk About and Why: Understanding Taboos That Hurt Us and Our Clients" is an updated …


The Role Of Identity In Acculturation Among Immigrant People: Theoretical Propositions, Empirical Questions, And Applied Recommendations, Seth J. Schwartz, Marilyn J. Montgomery, Ervin Briones Jan 2006

The Role Of Identity In Acculturation Among Immigrant People: Theoretical Propositions, Empirical Questions, And Applied Recommendations, Seth J. Schwartz, Marilyn J. Montgomery, Ervin Briones

Faculty Publications - Graduate School of Counseling

The present paper advances theoretical propositions regarding the relationship between acculturation and identity. The most central thesis argued is that acculturation represents changes in cultural identity and that personal identity has the potential to ‘anchor’ immigrant people during their transition to a new society. The article emphasizes the experiences of nonwhite, non-Western immigrant people moving to Western nations. The article also calls for research on heretofore unexplored aspects of the relationship of acculturation to personal and social identity. Ideas are proposed for interventions to promote cultural identity change and personal identity coherence.


Identity Formation In A Relational Context: A Person-Centered Analysis Of Troubled Youth, Larry F. Forthun, Marilyn J. Montgomery, Nancy J. Bell Jan 2006

Identity Formation In A Relational Context: A Person-Centered Analysis Of Troubled Youth, Larry F. Forthun, Marilyn J. Montgomery, Nancy J. Bell

Faculty Publications - Graduate School of Counseling

The purpose of this study was to examine the identity formation of troubled youth (8 female and 12 male adolescents, ages 14–17) in an after-school treatment program for problem behavior. To achieve this goal we (a) garnered information from 2 identity interviews given 6 to 8 weeks apart, (b) adopted a qualitative, person-centered analytical strategy to identify identity profiles, and (c) examined the identity profiles within a relational context, focusing on the developmentally salient domains of parents and peers. Analyses revealed 5 identity profiles similar to the identity statuses previously described by Marcia and others, but with unique phenomenological differences. …


Identity Distress And Adjustment Problems In At-Risk Adolescents, Lynn Hernandez, Marilyn J. Montgomery, William M. Kurtines Jan 2006

Identity Distress And Adjustment Problems In At-Risk Adolescents, Lynn Hernandez, Marilyn J. Montgomery, William M. Kurtines

Faculty Publications - Graduate School of Counseling

This study assessed the usefulness of the Identity Distress Scale (IDS), a measure modeled after the Diagnostic and Statistical Manual of Mental Disorders (3rd ed., rev. [DSM–III–R]; American Psychiatric Association, 1987) defined Identity Disorder, by investigating links between identity distress and poor psychological adjustment in at-risk middle adolescents. A significant proportion (16%) met DSM–III–R criteria for Identity Disorder, and 34% met the more liberal criteria for Identity Problems as defined by the Diagnostic and Statistical Manual of Mental Disorders (4th ed.; American Psychiatric Association, 1994). Significant associations were found between identity distress and both internalizing and externalizing symptoms. The IDS …