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2014

Clinical Psychology

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Full-Text Articles in Psychology

Cognitive Processes And Moderators Of Willingness In Individuals With Social Anxiety Disorder And Non-Anxious Controls In Response To A Social Performance Task, Lauren P. Wadsworth Dec 2014

Cognitive Processes And Moderators Of Willingness In Individuals With Social Anxiety Disorder And Non-Anxious Controls In Response To A Social Performance Task, Lauren P. Wadsworth

Graduate Masters Theses

The present study investigated differences between individuals with social anxiety disorder (SAD) and non-anxious controls (NAC) on measures of thought processes and anxiety responses surrounding an anxiety-provoking situation. Participants gave a spontaneous speech to an audience and reported their anxiety throughout. Measures of trait decentering and anxiety, situational anxiety, negative thoughts and believability, and willingness to repeat the task were administered. Compared to NAC, individuals with SAD reported a higher prevalence of negative thoughts, found the thoughts more believable, reported lower levels of trait decentering, and reported less willingness to repeat an anxiety-provoking task. Collapsing the groups, we found an …


Clinical Art Therapy And Hebrew Calligraphy: An Integration Of Practices, Debra Linesch Dec 2014

Clinical Art Therapy And Hebrew Calligraphy: An Integration Of Practices, Debra Linesch

Journal of Clinical Art Therapy

This paper explores the process of integrating two apparently disparate practices, clinical art therapy and the rendering of Hebrew calligraphy as religious ritual. A growing body of literature that supports this attempt at integration is briefly reviewed. Following this, an exploration of the potential integration is described, discussed and analyzed. The author’s own images are viewed as an example of an image making process that is developed from a faith tradition and informed by the understandings and values of clinical art therapy. The findings of the exploration suggest that art therapy understandings have the potential to illuminate and support many …


Repositioning Art Work From Patients Suffering From Anorexia Nervosa In A Gendered, Socio-Cultural Context: A Self-Reflective Study, Dafna Rehavia-Hanauer Dec 2014

Repositioning Art Work From Patients Suffering From Anorexia Nervosa In A Gendered, Socio-Cultural Context: A Self-Reflective Study, Dafna Rehavia-Hanauer

Journal of Clinical Art Therapy

This article, conceptualized within a post-structuralist, feminist approach to art therapy, addresses the role of visual images as a controlling constituting discourse significant to the formation of the eating disorder anorexia nervosa. As a core position this article argues for a change in the way art work created within the art therapy process by women who suffer from anorexia nervosa is interpreted and analyzed by art therapists. The article argues for an enhanced appreciation and critical analysis of gendered, social-cultural contextualization of visual images and recognition of how these forces have a role in directing women to enact behaviors of …


The Use Of Creative Art As A Strategy For Case Formulation In Psychotherapy: A Case Study, Semra Karaca Phd, Nurhan Eren Dec 2014

The Use Of Creative Art As A Strategy For Case Formulation In Psychotherapy: A Case Study, Semra Karaca Phd, Nurhan Eren

Journal of Clinical Art Therapy

Case formulation refers to the appraisal of the individual data and the treatment plan in terms of certain principles. In psychotherapy, case formulation is relevant for the recognition of conceptual and clinical tools, as well as for the evaluation of the therapeutic endeavor. Art work (painting) provides an effective tool for case formulation because it allows the individual to express his/her thoughts and emotions, which are prone to the influences of subconscious drives, conflicts, fears, and desires in a symbolic fashion. In this study, case formulation of a 31-year-old woman, who could not overcome her verbal and physical aggressive behaviors, …


Editorial Poem, Einat Metzl Dec 2014

Editorial Poem, Einat Metzl

Journal of Clinical Art Therapy

No abstract provided.


Journal Cover And Front Matter Dec 2014

Journal Cover And Front Matter

Journal of Clinical Art Therapy

No abstract provided.


School-Based Sexuality Education, Gender, And Relationship Self-Efficacy: A Moderated-Mediation Analysis Of Sexual Behavior In First-Year College Students, Sara C. Schmidt Dec 2014

School-Based Sexuality Education, Gender, And Relationship Self-Efficacy: A Moderated-Mediation Analysis Of Sexual Behavior In First-Year College Students, Sara C. Schmidt

Theses and Dissertations

While the effectiveness at abstinence-only versus comprehensive sexuality education in preventing adolescent risky sexual behavior is widely researched, little is known about whether material learned in secondary school sexuality education classes impacts emerging adult sexual behavior in the college environment. Furthermore, research suggests that self-efficacy – or beliefs in one’s abilities to organize and execute actions – may be more critical than knowledge or skills in terms of how individuals enact behavior. We hypothesized a moderated-mediation effect by which the causal impact of type of sexuality education on four different sexual behaviors during the first year in college is transmitted …


Defining And Supporting Organizational Readiness In The Interactive Systems Framework For Dissemination And Implementaion, Jonathan Peter Scaccia Dec 2014

Defining And Supporting Organizational Readiness In The Interactive Systems Framework For Dissemination And Implementaion, Jonathan Peter Scaccia

Theses and Dissertations

Introduction. In the implementation literature, organizational readiness is associated with an increased likelihood of achieving innovation outcomes. Organizational readiness consists of organizational capacity (general and innovation-specific) and organization motivation. Organizations who wish to get results from their innovations have an interest in making sure that certain factors and subcomponents are in place. However, having awareness that certain capacities and factors that influence motivation are linked to improved innovation outcomes does not necessarily help organizations to get “more ready.” There is a need for organizations to know if and how they can effectively put these factors and subcomponents into place. This …


The Influence Of Organizational Climate On The Use And Quality Of Evidence-Based Practices In School Mental Health, Katherine Knies Dec 2014

The Influence Of Organizational Climate On The Use And Quality Of Evidence-Based Practices In School Mental Health, Katherine Knies

Theses and Dissertations

Organizational climate is defined as the reflection of workers’ perceptions of, and emotional responses to, the characteristics of their work environment (Glisson & James, 2002). While previous research explored the importance of organization climate for the adoption of evidence-based practices (EBPs) in mental health settings, there is a dearth of organizational climate focused research in school mental health settings (SMH). The current study examines the influence of organizational climate on two separate dependent variables: the extent to which EBPs were used and the quality of clinician delivery for the evidence-based practices used in a quality improvement intervention for SMH practitioners. …


Weighing In: Therapeutic Benefits Of Online Communities For Individuals With Eating Disorders, Cheri L. Greenfield Dec 2014

Weighing In: Therapeutic Benefits Of Online Communities For Individuals With Eating Disorders, Cheri L. Greenfield

Educational Specialist, 2009-2019

The treatment of eating disorders involves a complex approach. In recent years, a number of websites have developed in an attempt to meet the needs of individuals struggling with this set of disorders. Some of these websites are nationally recognized organizations dedicated to improve treatment and provide educational resources, while other websites have been authored by individuals with eating disorders in an attempt to create a safe community of support. This project explores various components found in online communities, examines characteristics of eating disorders, and evaluates the worth of such resources, even when in perceived contrast with traditional treatment. Rather …


Evaluating The Contributions Of State Of The Art Assessment Techniques To Predicting Memory Outcome After Unilateral Anterior Temporal Lobectomy, Tara T. Lineweaver, Harold H. Morris, Richard I. Naugle, Imad M. Najm, Beate Diehl, William Bingaman Dec 2014

Evaluating The Contributions Of State Of The Art Assessment Techniques To Predicting Memory Outcome After Unilateral Anterior Temporal Lobectomy, Tara T. Lineweaver, Harold H. Morris, Richard I. Naugle, Imad M. Najm, Beate Diehl, William Bingaman

Tara T. Lineweaver

Purpose:Although anterior temporal lobectomy (ATL) is an effective treatment for many patients with medically refractory temporal lobe epilepsy (TLE), one risk associated with this procedure is postsurgical decline in memory. A substantial number of past studies examined factors that predict memory decline after surgery, but few have investigated multiple predictors simultaneously or considered measures that are currently in use. Methods: This study compared the relative contributions made by presurgical neuropsychological test scores, MRI-based hippocampal volumetric analysis, and Wada test results to predicting memory outcome after ATL in a group of 87 patients. Results: Logistic regression analyses indicated that noninvasive procedures …


Repeated Intracarotid Amobarbital Tests, T. Loddenkemper, H. H. Morris, Tara T. Lineweaver, C. Kellinghaus Dec 2014

Repeated Intracarotid Amobarbital Tests, T. Loddenkemper, H. H. Morris, Tara T. Lineweaver, C. Kellinghaus

Tara T. Lineweaver

Rationale:Our goal was to determine the frequency of repeated intracarotid amobarbital test (IAT) at our center and to estimate the retest reliability of the IAT for both language and memory lateralization. Methods: A total of 1,249 consecutive IATs on 1,190 patients were retrospectively reviewed for repeat tests. Results: In 4% of patients the IAT was repeated in order to deliver satisfactory information on either language or memory lateralization. Reasons for repetition included obtundation and inability to test for memory lateralization, inability to test for language lateralization, no hemiparesis during first test, no aphasia during first test, atypical vessel filling, and …


Apoe Ɛ4 Is Associated With Postictal Confusion In Patients With Medically Refractory Temporal Lobe Epilepsy, Jessica S. Chapin, Robyn M. Busch, Damir Janigro, Michelle Dougherty, Christiane Q. Tilelli, Tara T. Lineweaver, Richard I. Naugle, Ramon Diaz-Arrastia, Imad M. Najm Dec 2014

Apoe Ɛ4 Is Associated With Postictal Confusion In Patients With Medically Refractory Temporal Lobe Epilepsy, Jessica S. Chapin, Robyn M. Busch, Damir Janigro, Michelle Dougherty, Christiane Q. Tilelli, Tara T. Lineweaver, Richard I. Naugle, Ramon Diaz-Arrastia, Imad M. Najm

Tara T. Lineweaver

This study examined the relationship between the APOE ɛ4 allele and postictal confusion in patients with medically intractable temporal lobe epilepsy (TLE). Patients with at least one ɛ4 allele (n = 22) were three times more likely to exhibit postictal confusion (68%) than the 63 patients without ɛ4 (43%). These preliminary results demonstrate that APOE ɛ4 is associated with an increased risk of postictal confusion in patients with medically intractable TLE, suggesting possible dysfunction in neuronal recovery mechanisms.


Wada Test Reliability (Response To Haber Et Al.), T. Loddenkemper, H. Morris, Tara Lineweaver, C. Kellinghaus Dec 2014

Wada Test Reliability (Response To Haber Et Al.), T. Loddenkemper, H. Morris, Tara Lineweaver, C. Kellinghaus

Tara T. Lineweaver

Response piece.


The Effects Of Distraction And A Brief Intervention On Auditory And Visual-Spatial Working Memory In College Students With Attention Deficit Hyperactivity Disorder, Tara T. Lineweaver, Suneeta Kercood, Nicole B. O'Keeffe, Kathleen M. O'Brien, Eric J. Massey, Samantha J. Campbell, Jenna M. Pierce Dec 2014

The Effects Of Distraction And A Brief Intervention On Auditory And Visual-Spatial Working Memory In College Students With Attention Deficit Hyperactivity Disorder, Tara T. Lineweaver, Suneeta Kercood, Nicole B. O'Keeffe, Kathleen M. O'Brien, Eric J. Massey, Samantha J. Campbell, Jenna M. Pierce

Tara T. Lineweaver

Two studies addressed how young adult college students with attention deficit hyperactivity disorder (ADHD) (n = 44) compare to their nonaffected peers (n = 42) on tests of auditory and visual–spatial working memory (WM), are vulnerable to auditory and visual distractions, and are affected by a simple intervention. Students with ADHD demonstrated worse auditory WM than did controls. A near significant trend indicated that auditory distractions interfered with the visual WM of both groups and that, whereas controls were also vulnerable to visual distractions, visual distractions improved visualWM in the ADHD group. The intervention was ineffective. Limited correlations emerged between …


Effect Of Apolipoprotein Ε4 On Hippocampal And Brain Volume In Intractable Temporal Lobe Epilepsy, Robyn Busch, Darlene Floden, Tara Lineweaver, Jessica Chapin, Kanjana Ungwongse, Tim Wehner, Ramon Diaz-Arrastia, Imad Najm Dec 2014

Effect Of Apolipoprotein Ε4 On Hippocampal And Brain Volume In Intractable Temporal Lobe Epilepsy, Robyn Busch, Darlene Floden, Tara Lineweaver, Jessica Chapin, Kanjana Ungwongse, Tim Wehner, Ramon Diaz-Arrastia, Imad Najm

Tara T. Lineweaver

This study investigated the relationship between the apolipoprotein (APOE) ε4 allele and brain volumes in patients with medically intractable temporal lobe epilepsy (TLE). MRI-based volumetric analyses of the hippocampi, cerebral hemispheres, and whole brain were conducted in 59 patients with TLE (31 with left TLE, 28 with right TLE) with hippocampal sclerosis (HS). There were no differences in hippocampal, hemispheric, or whole brain volumes as a function of ε4 status even after correcting for hemispheric and total brain volumes. However, APOE ε4 carriers showed a trend toward having a smaller discrepancy between ipsilateral and contralateral hippocampal volumes than patients without …


Memory Performance Is Related To Language Dominance As Determined By The Intracarotid Amobarbital Procedure, S. Kovac, G. Möddel, J. Reinholz, A. Alexopoulosa, T. Syed, S. Schuele, Tara Lineweaver, T. Loddenkemper Dec 2014

Memory Performance Is Related To Language Dominance As Determined By The Intracarotid Amobarbital Procedure, S. Kovac, G. Möddel, J. Reinholz, A. Alexopoulosa, T. Syed, S. Schuele, Tara Lineweaver, T. Loddenkemper

Tara T. Lineweaver

Objective

The goal of this study was to explore the relationship between language and memory lateralization in patients with epilepsy undergoing the intracarotid amobarbital procedure.

Methods

In 386 patients, language lateralization and memory lateralization as determined by laterality index (LI) were correlated with each other.

Results

Language lateralization and memory lateralization were positively correlated (r = 0.34, P < 0.01). Correlations differed depending on the presence and type of lesion (χ2 = 7.98, P < 0.05). LIs correlated significantly higher (z = 2.82, P < 0.05) in patients with cortical dysplasia (n = 41, r = 0.61, P < 0.01) compared with the group without lesions (n = 90, r = 0.16, P > 0.05), with patients with hippocampal sclerosis falling between these two groups. Both memory (P < 0.01) and language (P …


Visual Naming Performance After Atl Resection: Impact Of Atypical Language Dominance., S. Kovac, G. Möddel, J. Reinholz, A. V. Alexopoulosa, T. Syed, M. Z. Koubeissi, S. U. Schuele, Tara T. Lineweaver, R. M. Busch, T. Loddenkemper Dec 2014

Visual Naming Performance After Atl Resection: Impact Of Atypical Language Dominance., S. Kovac, G. Möddel, J. Reinholz, A. V. Alexopoulosa, T. Syed, M. Z. Koubeissi, S. U. Schuele, Tara T. Lineweaver, R. M. Busch, T. Loddenkemper

Tara T. Lineweaver

Purpose- To characterize the interaction between language dominance and lateralization of the epileptic focus for pre- and postoperative Boston Naming Test (BNT) performance in patients undergoing anterior temporal lobectomy (ATL). Methods- Analysis of pre- and postoperative BNT scores depending on lateralization of language as measured by the intracarotid amobarbital procedure (IAP) versus lateralization of the temporal lobe epileptic focus. Results- Changes between pre- and postoperative BNT performance depended on epilepsy lateralization (effect size = 0.189) with significant decrease in patients undergoing left ATL. Subgroup analysis in these showed that postoperative decline in BNT scores was significant in patients with atypical …


Atypical Language Lateralization In Epilepsy Patients, Gabriel Möddel, Tara Lineweaver, Stephan Schuele, Julia Reinholz, T. Loddenkemper Dec 2014

Atypical Language Lateralization In Epilepsy Patients, Gabriel Möddel, Tara Lineweaver, Stephan Schuele, Julia Reinholz, T. Loddenkemper

Tara T. Lineweaver

Purpose:  To investigate whether atypical language dominance in epilepsy patients is related to localization and type of lesions. Methods:  Four hundred and forty-five epilepsy patients received bilateral Wada testing. Language was classified as left (L), right (R), bilateral-dependent (BD, speech arrest after left and right injections), or bilateral-independent (BI, no speech arrest after either injection). Groups were compared regarding handedness and magnetic resonance imaging (MRI) lesions. Lesions were classified as “early” (congenital), “late” neocortical (acquired after birth), and hippocampal sclerosis (HS). Results:  Of all patients, 78% were L, 6% R, 7% BD, and 9% BI. Right-handers with left lesions did …


Differential Effects Of Alzheimer's Disease And Huntington's Disease On The Performance Of Mental Rotation, Tara T. Lineweaver, David P. Salmon, Mark W. Bondi, Jody Corey-Bloom Dec 2014

Differential Effects Of Alzheimer's Disease And Huntington's Disease On The Performance Of Mental Rotation, Tara T. Lineweaver, David P. Salmon, Mark W. Bondi, Jody Corey-Bloom

Tara T. Lineweaver

he ability to spatially rotate a mental image was compared in patients with Alzheimer's disease (AD; n = 18) and patients with Huntington's disease (HD; n = 18). Compared to their respective age-matched normal control (NC) group, the speed, but not the accuracy, of mental rotation abnormally decreased with increasing angle of orientation for patients with HD. In contrast, the accuracy, but not the speed, of rotation abnormally decreased with increasing angle of orientation for patients with AD. Additional analyses showed that these unique patterns of performance were not attributable to different speed/accuracy trade-off sensitivities. This double dissociation suggests that …


Patients’ Perceptions Of Memory Functioning Before And After Surgical Intervention To Treat Medically Refractory Epilepsy., Tara T. Lineweaver, R. I. Naugle, A. M. Cafaro, W. Bingaman, H. O. Lüders Dec 2014

Patients’ Perceptions Of Memory Functioning Before And After Surgical Intervention To Treat Medically Refractory Epilepsy., Tara T. Lineweaver, R. I. Naugle, A. M. Cafaro, W. Bingaman, H. O. Lüders

Tara T. Lineweaver

Purpose:One risk associated with epilepsy surgery is memory loss, but perhaps more important is how patients perceive changes in their memories. This longitudinal study evaluated changes in memory self-reports and investigated how self-reports relate to changes on objective memory measures in temporal or extratemporal epilepsy patients who underwent surgery. Methods: Objective memory (Wechsler Memory Scale–Revised) and subjective memory self-reports (Memory Assessment Clinics Self-Rating Scale) were individually assessed for 136 patients ∼6 months before and 6 months after surgery. A measure of depressive affect (Beck Depression Inventory–2nd Edition) was used to control variance attributable to emotional distress. Results: Despite a lack …


Psychotic Diagnosis And Artist Pathology: Schizophrenic Art’S Influence On The Identification Of The Disorder, Danielle Watson Dec 2014

Psychotic Diagnosis And Artist Pathology: Schizophrenic Art’S Influence On The Identification Of The Disorder, Danielle Watson

Honors Projects

The use of artwork created by schizophrenic individuals is unique in its contextual elements, including bizarre imagery, strong border lines, and desexualized features. The uniqueness of schizophrenic art lends itself to the possibility of being identified as such, therefore, opening the possibility for it to be used as a diagnostic tool in the clinical setting. Presently, schizophrenic art is used in art therapy, but is not widely employed in diagnostic practices. The current study aimed to test the possible identification of schizophrenic art in contrast to normal art and no art. Three questionnaires were created and randomly distributed to participants. …


Bidirectional Associations Between Parenting Behavior And Child Callous-Unemotional Traits: Do Delinquent Peer Affiliations And/Or Parental Psychopathology Moderate These Links?, Amber Rochelle Wimsatt Dec 2014

Bidirectional Associations Between Parenting Behavior And Child Callous-Unemotional Traits: Do Delinquent Peer Affiliations And/Or Parental Psychopathology Moderate These Links?, Amber Rochelle Wimsatt

Doctoral Dissertations

The current study examined bidirectional associations between callous-unemotional (CU) traits and parenting dimensions and evaluated whether these associations changed as children aged. Furthermore, this study extended the literature by examining whether these relations were moderated by delinquent peer affiliation and/or parental depression. Proposed relations were examined using a longitudinal sample of 120 aggressive boys (59.6%) and girls (40.4%) who were in the 4th grade (M = 10.56 years, SD = .56) at baseline and were followed over four years. A series of generalized estimating equation [GEE] models revealed reciprocal relations between CU traits and corporal punishment. Consistent with …


Assessing Motives For Consensual Sex: Development Of The Sexual Motives Questionnaire, Vanessa Tirone Dec 2014

Assessing Motives For Consensual Sex: Development Of The Sexual Motives Questionnaire, Vanessa Tirone

Doctoral Dissertations

The present study describes the development and preliminary validation of the Sexual Motives Questionnaire (SMQ), a measure of motives for consensual sex. The measure is informed two dispositional theories, functional theory and self-construal theories, which suggest that individuals are motivated to engage in behavior due to approach/avoidance and independent/interdependent tendencies, respectively. Items were also selected to reflect sexual scripts and fear of sexual and physical violence. A total of 81 items was administered to 920 undergraduates. Exploratory factor analysis was conducted utilizing the 821 participants with complete data. The final sample was predominately heterosexual (96%) and Caucasian (83%) with a …


Using Mindful Self-Compassion To Improve Self-Criticism, Self-Soothing, Cravings, And Relapse In Substance Abusers In An Intensive Outpatient Program, Sarah Elizabeth Gilbert Dec 2014

Using Mindful Self-Compassion To Improve Self-Criticism, Self-Soothing, Cravings, And Relapse In Substance Abusers In An Intensive Outpatient Program, Sarah Elizabeth Gilbert

Doctoral Dissertations

Applying mindfulness techniques to the treatment of substance use disorders is relatively new; however, initial studies show promising results (e.g. Bowen et al., 2009; Witkiewitz & Bowen, 2010). Similarly, treatment-seeking substance users may find benefits in treatments that increase levels of self-compassion, a construct that uses mindfulness and allows awareness of personal faults (e.g. relapses) without becoming paralyzed by shame. Instead, individuals who are compassionate toward their failures are more likely to take healthy steps to address them (Leary, Tate, Adams, Allen, & Hancock, 2007). This study added a brief self-compassion group treatment to an existing Intensive Outpatient Program (IOP) …


Dissociation And Sexual Trauma: The Moderating Role Of Somatization, Amineh Abbas Dec 2014

Dissociation And Sexual Trauma: The Moderating Role Of Somatization, Amineh Abbas

Doctoral Dissertations

This study examined various types of trauma, with an emphasis on sexual trauma across the lifespan, in a clinical sample of male and female adult outpatients assessed for trauma, somatization, and dissociation. Two hundred forty-five adult outpatients at the University of Tennessee Psychological Clinic were administered the Dissociative Experiences Scale (DES), the Traumatic Experiences Checklist (TEC), and Symptom Checklist-90-Revised (SCL-90-R), as part of the routine intake procedure. Of those individuals, 200 patients completed the questionnaires correctly and were included in the final study sample. The experience of sexual trauma indeed accounted for additional variance in somatization scores over and above …


How Technology Interacts With Emerging Adulthood Psychosocial Developmental Tasks: An Examination Of Online Self-Presentation And Cell Phone Usage, Samantha Lynn Gray Dec 2014

How Technology Interacts With Emerging Adulthood Psychosocial Developmental Tasks: An Examination Of Online Self-Presentation And Cell Phone Usage, Samantha Lynn Gray

Doctoral Dissertations

This dissertation outlines three distinct, yet interrelated, projects aimed at understanding the role of technology in relation to emerging adulthood developmental tasks: individuation & identity development. The first paper provides a context for understanding the developmental tasks of emerging adulthood, and the role that technology may serve in relation to those developmental tasks. This brief review of the literature on emerging adulthood developmental tasks provides a solid theoretical background and history for the theoretical premises proposed for the respective studies included in this dissertation. The second project is an empirical investigation that seeks to understand how the task of identity …


Collaborative Models Of Care In The Appalachian Region Of Tennessee: Examining Relationships Between Level Of Collaboration, Clinic Characteristics, And Barriers To Collaboration, Jeffrey Ellison Dec 2014

Collaborative Models Of Care In The Appalachian Region Of Tennessee: Examining Relationships Between Level Of Collaboration, Clinic Characteristics, And Barriers To Collaboration, Jeffrey Ellison

Electronic Theses and Dissertations

Decades of research have shown that there are significant advantages to maintaining close communicative and collaborative relationships between primary care and behavioral health providers. Fiscal, structural, and systemic barriers, however, often restrict the degree to which such interprofessional collaboration can occur. In the present study the authors examined relationships between primary care clinics in the Appalachian region’s characteristics (i.e., clinic type, rurality, and clinic size), barriers (i.e., fiscal, structural, and systemic) reported to using increased collaboration, and the level of collaboration used at a particular clinic.

For the present study 136 surveys were completed by providers working in primary care …


Oppositional And Anxiety Behavior Profiles In A Clinical Sample Of Youth With Selective Mutism, Rachele Diliberto Dec 2014

Oppositional And Anxiety Behavior Profiles In A Clinical Sample Of Youth With Selective Mutism, Rachele Diliberto

UNLV Theses, Dissertations, Professional Papers, and Capstones

Children with selective mutism often present as a very heterogeneous population, with both anxious (APA, 2000; 2013; Kristensen 2000; Manassis et al., 2007; Steinhausen & Juzi, 1996; Yeganeh et al., 2003) and oppositional symptoms (APA, 2013; Andersson & Thomsen, 1998; Kolvin & Fundudis, 1981; Krohn, Weckstein, & Wright, 1992). This study sought to identify anxiety and oppositional behavior profiles in a clinical sample of children with selective mutism. Also, this study sought to determine both discriminant and concurrent validity for these profiles and examine their association with family expressiveness, conflict and control. Participants (n=57) included youth receiving treatment at the …


Exploring Coping Mediators Between Heterosexist Oppression And Post-Traumatic Stress Symptoms Among Gay, Lesbian, And Bisexual Persons, Kyle M. Bandermann Dec 2014

Exploring Coping Mediators Between Heterosexist Oppression And Post-Traumatic Stress Symptoms Among Gay, Lesbian, And Bisexual Persons, Kyle M. Bandermann

Doctoral Dissertations

Recently, scholars have begun to advocate that categories of traumatic events be expanded to include experiences that do not meet the traditional diagnostic criteria for post-traumatic stress disorder (PTSD), such as oppression. Our study builds on this work by examining experiences with two kinds of heterosexist oppression, one that meets the traditional diagnostic criteria for PTSD (i.e., sexual orientation-based hate crime victimization) and one that does not (i.e., heterosexist discrimination), as predictors of PTSD symptoms in a sample of 427 gay, lesbian and bisexual persons who responded to an online survey. In addition, we examined the mediating roles of coping …