Psychology Commons^™

Testing A Brief Treatment To Reduce The Frequency Of Panic Attacks In A Clinical Outpatient Population, Benjamin N. Daniels

PCOM Psychology Dissertations

Panic attacks, the key symptom of panic disorder and an associated feature of various anxiety disorders, are extremely distressing events that can negatively impact an individual’s mental health, physical health, and quality of life. This study validated a brief treatment for panic attacks, designed to reduce the frequency of panic attacks after the first session, in an outpatient clinical population. One participant was recruited to participate in this single case experimental ABA design with follow-up, where a reversal was not expected, due to the maintenance of positive effects. The treatment included both cognitive and behavioral techniques. The results were analyzed …

Autism Interventions In Educational Settings: Delivery Within A Response To Intervention Framework, Caitlin E. Gilmartin

PCOM Psychology Dissertations

Monitoring the progress of and delivering services to students with Autism present a unique challenge. Numerous interventions exist without a common, mandated progress monitoring system or service delivery system. The current study examined the principles of Response to Intervention (RTI) programs in the context of service delivery for students with Autism. An innovative service delivery system, the Autism Response to Systematic Intervention (ARTSI), was designed utilizing these principles. Outcomes of the study included a manual for the program, as well as forms and necessary materials to provide initial program implementation. Initial comment from stakeholders, future directives, and limitations are also …

The Effects Of Yoga With Meditation (Ywm) On Self-Criticism, Self-Compassion, And Mindfulness, Kelly Newby

PCOM Psychology Dissertations

This study investigated the effects of a mindfulness-based intervention, Yoga with Meditation (YWM), on self-criticism, self-compassion, and mindfulness in a graduate student population. When compared to a control group, the experimental group reported decreased self-criticism, and increased self-compassion and mindfulness. The experimental group consisted of graduate students interested in participating in weekly yoga and meditation classes over the course of a two-month time period. Each participant was encouraged to complete self-report measures prior to the first YWM session, and after the completion of each YWM class. Baseline and post-intervention scores of 24 individuals who attended at least four of the …

Impacts Of The Recovery Movement On Treatment Adherence For Individuals With Schizophrenia Spectrum Disorders, Kelly J. Campanile

PCOM Psychology Dissertations

The recovery movement presents a shift in the treatment of severe mental illness to a more person-centered approach. The current researcher hypothesized that the more recovery-oriented a treatment was perceived to be, the more participants would have attended appointments and adhered to their psychiatric medication regimen. The variables of empowerment, recovery assessment, attitudes toward treatment, and participatory decision-making were explored in relation to their possible correlation with increased treatment adherence. An archival data set was used. Participants included 215 adults who met criteria for a schizophrenia spectrum disorder. The participants generally rated their treatment as high on all four of …

The Inclusion Of Spirituality In Sex Offender Treatment, Vanessa Bennifield

PCOM Psychology Dissertations

The management of sex offenders is a collaborative effort that typically includes law enforcement and treatment professionals. The management of sex offenders has focused largely on assessing for risk and need of the offender, with limited attention paid to addressing responsivity factors of the sex offender, such as worldview, interpersonal style, and cultural influences. In an effort to understand how therapists perceive the influence of responsivity factors, this study explored sex offender therapists’ perceptions of the inclusion of spirituality in sex offender treatment. The investigator conducted semi-structured interviews with sex offender therapists who had at least 1 year of experience …

Effectiveness Of A Brief Parent Training Intervention, Brian Legg

PCOM Psychology Dissertations

This study examined the effectiveness of a brief parent-training intervention in reducing defiance in children. Four African American single mothers with children demonstrating clinically diagnosable levels of defiance participated in this study. Parental stress and general maladaptive behaviors of children were evaluated pre- and post-treatment. In addition, participants completed treatment-satisfaction questionnaires to assess the perceived value of the accommodations and training structure. Results indicated some reduction in child defiance in three of the four participants. Parental stress and overall child maladaptive externalizing behaviors were both reduced over the entire study for two participants. Participants reported that the flexibility of individually …

Outcomes Of The Sanctuary Model In An Education Setting, Brianna Matey

PCOM Psychology Dissertations

This study examines the short-term outcomes of implementing the Sanctuary Model in an emotional support educational setting over the 2011-2012 school year. The frequency of restraints, the therapeutic environment, and job satisfaction were evaluated pre and post implementation of the model. Study participants included teachers, teacher aides, and a licensed clinical social worker at a nonprofit behavioral health care organization in the mid-Atlantic region. Results indicated similar numbers of restraints employed in the 2010-2011 school year compared to the 2011-2012 school year. Three out of 10 domains in the therapeutic environment measured by the Community Oriented Program Environment Scale (COPES-R) …

Improving Cognitive-Behavioral Therapy Homework Adherence With Change Talk And Commitment Language: A Cognitive Dissonance Perspective Of Behavioral Change, Robert J. Brecher

PCOM Psychology Dissertations

Adherence to homework assigned during cognitive-behavioral therapy (CBT) is an important factor contributing to positive outcomes. However, rates of adherence are poor, limited evidence supporting methods to improve adherence is limited. The current study aimed to develop and test an intervention designed to promote CBT homework adherence based on cognitive dissonance theory. Patients participating in outpatient CBT were randomly assigned to either an experimental or a control condition. In the experimental condition, participants engaged in an induced-compliance procedure eliciting change talk targeting the recommended homework activity. The control condition consisted of treatment as usual. Owing to limited sample size (n …

Stress In Mothers Of Newly Diagnosed Children With Autism Spectrum Disorders: Barriers To Care, Use Of Support Services, And Child Behavior, Michelle Petrongolo

PCOM Psychology Dissertations

A reasonable amount of parenting stress is not only expected, but often adaptive (Deater- Deckard, & Scarr, 1996); however, in the presence of chronically high levels of stress, negative outcomes are common. Parents of children with special needs, particularly autism spectrum disorder (ASD), are especially vulnerable to the presence of clinically significant levels of stress, making this group an important focus in the prevention of negative outcomes. The purpose of the present study was to determine the contribution of barriers to care, social support, and child behavioral problems to stress levels of parents with a child newly diagnosed with ASD. …

Self-Reported Strengths And Weaknesses In The Prediction Of Institutional Aggression, Sarah A. Demarco

PCOM Psychology Dissertations

Aggression on inpatient psychiatric units poses a multitude of issues not only for patients, but also for staff. Thus, the identification of dynamic risk factors that may increase and also of protective factors that may decrease the likelihood of a patient becoming aggressive is important. The current study sought to expand on the current literature by examining if there is a difference between self-perceived strengths and risk factors between aggressive and nonaggressive patients. More specifically, it was hypothesized that self-reported strengths would moderate the relationship between self-reported risk factors and institutional aggression (IA) in forensic and in civil psychiatric units …

The Effects Of Mental Health Stigma On Treatment Attitude Within The Therapeutic Dyad: Therapist Beliefts In The Mental Health Recovery Process For Patients With Schizophrenia, Michele R. Miele

PCOM Psychology Dissertations

OBJECTIVE: Stigma maintains a belief that a recovery process is infeasible for patients with schizophrenia. As clients internalize stigma and therapists maintain a conceptualization of non-recovery, their core beliefs about recovery may become treatment barriers. This study investigated clinicians’ attitudes towards recovery by evaluating the relationship between knowledge of schizophrenia, attitudes of stigma, and attitudes of tolerance held towards people with schizophrenia; included in the evaluation are years of experience working as a mental health professional.

METHOD: This study is a cross-sectional survey design using a sample of 319 participants. The survey consisted of the following measures: knowledge of …

The Effects Of Acknowledging Cultural Differences On Therapeutic Alliance In Cross-Cultural Therapy, Jean-Pierre Assouad

PCOM Psychology Dissertations

Therapeutic alliance has been documented to have a significant impact on therapy. This study examined the impact that acknowledging visible cultural differences in the first session of treatment has on therapeutic alliance, perceived clinician cross-cultural competency, and potential attrition. A vignette study design was utilized with 26 subjects who were patients at the PCOM Center for Brief Therapy. The patients were randomly assigned one of four vignettes that consisted of a cross-cultural therapy situation, in which visible cultural differences were either addressed or not by a clinician. Following the reading of the vignette, the subjects were asked to complete the …

Service Engagement And Serious Mental Illness: The Obstacles And Barriers To Attendance In A Post-Treatment Recovery Outpatient Setting, Marisa Jeanne Friedman

PCOM Psychology Dissertations

This qualitative study examined the factors that affect treatment adherence and service engagement in individuals with serious mental illnesses (SMI). A semistructured interview was used to collect data from treatment adherent and treatment nonadherent adults with SMI. What factors make one more or less likely to disengage from treatment? What boundaries stand in the way of quality mental-health care, and how do adults with SMI overcome these barriers? Service engagement in the population with SMI in the study was explained according to three healthcare behavioral models, the health belief model, the network episode model, and the demoralization framework model. Data …

An Exploration Of The Benefits Of Working As A Certified Peer Specialist (Cps) And Predictors Of These Benefits, Tricia M. Angilletta

PCOM Psychology Dissertations

The mental health recovery movement has promoted the use of certified peer specialists (CPS) as an indispensable component of the recovery process when working with individuals with severe mental illnesses (SMI) (Solomon, 2004). In addition to assisting others, the literature indicates that the CPS may gain a shared benefit from the CPS experience (Solomon, 2004). The purpose of this study was to examine the benefits that working or volunteering as a CPS can have on the CPS’s personal recovery process and health care costs. Two benefits that were explored are a CPS’s service utilization (outpatient therapy, case management, and inpatient …

Learned Helplessness, Spirituality, Abstinence Efficacy, And Alcohol Recovery, Nicholas J. Demarco

PCOM Psychology Dissertations

Treatment for alcoholism is a long and difficult process. Identifying variables that aid in treatment completion and retention of its effects is something that continues to be sought after. Research has identified the factors of spirituality, learned helplessness, and abstinence efficacy as some of the variables that can influence a person’s ability to complete treatment successfully (Sterling, Weinstein, Hill, Gottheil, Gordon, & Shorie, 2006). What it has failed to address is whether or not learned helplessness, spirituality, and abstinence efficacy can impact a person’s ability to sustain treatment effects for a period, post treatment. The data for this project were …

In Their Own Words: Perceived Experiences And Family Functioning Of Suicide Survivors Before And After Suicide Loss, Wendy Shallcross Lam

PCOM Psychology Dissertations

This research explored the unique experiences of relatives of individuals who have died by suicide, termed suicide survivors, in an in-depth fashion using qualitative methods. Through a semi-structured interview, the present study explored how families dealt with general stress prior to the experience of suicide loss, how they handled the loss of a family member to suicide, and what has been used to cope in the aftermath. A major focus was to explore whether or not the event of suicide dramatically altered family dynamics or if families continued a pre-existing interaction pattern established prior to the loss. The results revealed …

Recovery Knowledge, Skills, And Attitudes Of Doctoral Students In Apa-Accredited Clinical Psychology Programs, And Interns In Apa-Accredited And Appic-Member Internships, Carmella R. Tress

PCOM Psychology Dissertations

The concept of Recovery can be understood as an attitude or perspective about people, an attitude that encompasses beliefs about the respect, power, responsibility, empowerment, and hope that people deserve. Knowledge of and attitudes towards Recovery principles are instrumental to the development of Recovery-oriented approaches to mental health care. However, until the present study, information had not been gathered regarding the knowledge and attitudes that clinical psychology doctoral students and pre-doctoral interns have towards Recovery principles and the provision of Recovery-oriented services. A survey of a national sample of 189 doctoral students in APA-accredited programs, and 185 pre-doctoral interns in …

Perceived Parenting Styles Of Mothers With Posttraumatic Stress Disorder, Madina Bakhitova

PCOM Psychology Dissertations

The aim of this study was to examine the relationship between maternal PTSD symptoms and parenting, specifically the authoritarian and permissive parenting styles, and parental dimensions of nurturance, consistency, control, and physical punishment. Participants included a convenience sample of 84 mothers (40% Hispanic, 35% African American, and 25% Caucasian) from a community behavioral-health agency in Philadelphia. The mothers completed a brief demographic questionnaire, the Posttraumatic Stress Disorder Checklist – Civilian Version (PCL – C), the Beck Depression Inventory (BDI), the Parenting Authority Questionnaire – Revised Version (PAQ – R), and the Parenting Dimensions Inventory – Short Version (PDI – S). …