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Full-Text Articles in Psychology

The Social Negotiation Of Ambiguous In-Between Stigmatized Identities: Investigating Identity Processes In Multiracial And Bisexual People, Vali Dagmar Kahn Dec 2011

The Social Negotiation Of Ambiguous In-Between Stigmatized Identities: Investigating Identity Processes In Multiracial And Bisexual People, Vali Dagmar Kahn

Graduate Doctoral Dissertations

To date, most bisexual and multiracial identity models in psychology capture a largely internal developmental process (Collins, 2000; Kich, 1992; Weinberg, Williams & Pryor, 1994). However, individuals learn to manage their socially stigmatized identities in social interactions (Goffman, 1963). While the demands to socially negotiate stigmatized identity affect all minority peoples, individuals with in-between ambiguous stigmatized identities, such as multiracial and bisexual people, must negotiate also being situated at the margins of their own reference groups (e.g. heterosexual and gay/lesbian). Using a comparative grounded theory approach, this study explored the question: How do experiences of socially negotiating an in-between ambiguous …


Trajectories Of Psychological Distress Among Low-Income, Female Survivors Of Hurricane Katrina, Sarah Ryan Lowe Dec 2011

Trajectories Of Psychological Distress Among Low-Income, Female Survivors Of Hurricane Katrina, Sarah Ryan Lowe

Graduate Doctoral Dissertations

The purpose of this study was to investigate trajectories of psychological distress among low-income women, primarily unmarried and African American, who survived Hurricane Katrina (N = 386). Data were collected in the year prior to the hurricane, as well as approximately one and three years thereafter. Using Latent Class Growth Analysis (LCGA), we detected six distinct trajectory groups. Over half of participants fit into a trajectory consistent with resilience; that is, they maintained low levels of psychological distress over the course of the study, but experienced an elevation in symptoms at the first pre-disaster time point, followed by a return …


The Practice Effect: The Relationships Among The Frequency Of Early Formal Mindfulness Practice, Mindfulness Skills, Worry, And Quality Of Life In An Acceptance-Based Behavior Therapy For Generalized Anxiety Disorder, Lucas Paul Kawika Morgan Dec 2011

The Practice Effect: The Relationships Among The Frequency Of Early Formal Mindfulness Practice, Mindfulness Skills, Worry, And Quality Of Life In An Acceptance-Based Behavior Therapy For Generalized Anxiety Disorder, Lucas Paul Kawika Morgan

Graduate Masters Theses

Mindfulness- and acceptance-based treatments are currently being used to treat a variety of medical and mental health difficulties. Most of these treatments teach formal mindfulness practices which aim at developing mindfulness skills. However, little is known about the relationships among amount of formal mindfulness practice, changes in mindfulness skills, and changes in outcome variables. An acceptance-based behavior therapy (ABBT) has been shown to be particularly effective in the treatment of Generalized Anxiety Disorder (GAD; Roemer & Orsillo, 2007; Roemer, Orsillo, & Salters-Pednault, 2008). This study explored the relationships among formal mindfulness practice, skills, and outcomes in the context of an …


A Learning Collaborative Of Cmhcs And Chcs To Support Integration Of Behavioral Health And General Medical Care, Steven D. Vannoy, Barbara Mauer, John Kern, Kamaljeet Girn, Charles Ingoglia, Jeannie Campbell, Laura Galbreath, JüRgen UnüTzer Jul 2011

A Learning Collaborative Of Cmhcs And Chcs To Support Integration Of Behavioral Health And General Medical Care, Steven D. Vannoy, Barbara Mauer, John Kern, Kamaljeet Girn, Charles Ingoglia, Jeannie Campbell, Laura Galbreath, JüRgen UnüTzer

Steven D Vannoy

Objective: Integration of general medical and mental health services is a growing priority for safety-net providers. The authors describe a project that established a one-year learning collaborative focused on integration of services between community health centers (CHCs) and community mental health centers (CMHCs). Specific targets were treatment for general medical and psychiatric symptoms related to depression, bipolar dis- order, alcohol use disorders, and metabolic syndrome. Methods: This ob- servational study used mixed methods. Quantitative measures included 15 patient-level health indicators, practice self-assessment of resources and support for chronic disease self-management, and participant satisfaction. Results: Sixteen CHC-CMHC pairs were selected for …


Now What Should I Do? Primary Care Physicians’ Responses To Older Adults Expressing Thoughts Of Suicide, Steven D. Vannoy, Ming Tai-Seale, Paul Duberstein, Laura J. Eaton, Mary Ann Cook Jan 2011

Now What Should I Do? Primary Care Physicians’ Responses To Older Adults Expressing Thoughts Of Suicide, Steven D. Vannoy, Ming Tai-Seale, Paul Duberstein, Laura J. Eaton, Mary Ann Cook

Steven D Vannoy

ACKGROUND: Many older adults who die by suicide have had recent contact with a primary care physician. As the risk-assessment and referral process for suicide is not readily comparable to procedures for other high- risk behaviors, it is important to identify areas in need of quality improvement (QI). OBJECTIVE: Identify patterns in physician-patient com- munication regarding suicide to inform QI interventions. DESIGN: Qualitative thematic analysis of video-taped clinical encounters in which suicide was discussed. PARTICIPANTS: Adult primary care patients (n=385) 65 years and older and their primary care physicians. RESULTS: Mental health was discussed in 22% of encounters (n=85), with …