Clinical Psychology Commons^™

It’S Not Black & White: Relationship Quality Within Interracial Couples, Alexandrea Craft

Doctoral Dissertations

Within the United States, there has been a significant rise in multiracial families and biracial children. Approximately 17% of marriages occur between spouses of different races and/or ethnicities while 1 out of every 7 children born identify as multiracial. In light of the growing number of racially and ethnically diverse families, it is of concern that interracial couples are at heightened risk for divorce or separation compared to monoracial couples. Little research has explored why these disparities exist. Poorer relational outcomes in multiracial families may be the result of heightened conflict caused by a greater difference in partners’ values and …

Family Rejection Predicting Suicidal Thoughts And Behaviors Among Sexual Minority Males: Indirect Effects Through Internalized Homophobia And The Interpersonal Theory Of Suicide Constructs, Brian Bulla

Dissertations

Past research has identified sexual minority males as presenting with more suicidal thoughts and behaviors in comparison to the general population, possibly due to additional stressors (e.g., family rejection, internalized homophobia) encountered throughout their lives that are specific to minority identities (Meyer, 2003). Extant literature has also examined constructs from the Interpersonal Theory of Suicide (ITS; Joiner, 2005; Van Orden et al., 2008) with mixed support for each (e.g., perceived burdensomeness, thwarted belongingness, capability) predicting suicidal thoughts and behaviors among sexual minority males. The current study, therefore, sought to further existing literature by examining indirect effects of family rejection on …

Uniting African Philosophy With Traditional African Dance Rituals To Help Heal Mental Health Symptoms From The Impact Of The African Diaspora, Brittnea Jones

Dissertations

The mental health challenges of members of the African diaspora have been a worldwide occurrence for centuries, initially beginning with the transatlantic slave trade. Africans were scattered abroad to different countries and subjected to the severe psychological impact of enslavement. Despite the considerable financial systemic pressure of profit in the slave trade, it caused significant harm to the enslaved Africans and their descendants by erasing Africa's memory and their healing traditions from the hearts and minds of the population. Severe mental health symptoms can arise from oppression and the impact of the African diaspora. This dispersion has left many African …

Asian Immigrant Parents And Their Asian/Asian-American Children: Bridging The Emotional Gap, Natalie Vergara Realubit

Educational Specialist, 2020-current

This manuscript explores and examines Asian/Asian-American identity and values. A brief discussion of Asian immigration history, intergenerational trauma, and the impacts of COVID-19 will be linked to Asian identity. Eastern values are explored in conjunction with Western values to highlight the differences and contradictions Asians/Asian-Americans navigate. Biculturalism is explained, as well as how the navigation of values results in individuals living in their ethnic and host cultures simultaneously. Acculturation and enculturation, the model minority myth, education and the American Dream, and bicultural stress experienced by Asian-Americans and Asian international students are explored to highlight the various ways in which biculturalism …

“All Skinfolk Ain’T Kinfolk”: Attributions Of Race-Based Discrimination When An Ingroup Member Is The Perpetrator, Christin Alexandra Mujica

Graduate Theses and Dissertations

Most research addressing racial/ethnic discrimination is focused on instances perpetrated by White people or someone not of the same race or ethnic background as the target (i.e., outgroup discrimination). However, based on theories of ethnic identity development and internalized racism, it is possible for people of color to discriminate against people in their own racial or ethnic group. The current study used a qualitative approach to 1) understand what people of color believe about racism and discrimination broadly and based on the race of the perpetrator, 2) describe under what situations (e.g., race of perpetrator or overtness/subtlety of the act) …

What Is Race-Based Trauma And Why Does It Matter?, Julie Luong

MSW Capstones

Systemic racism continues to be prevalent in our society today, especially with the exponential rate of Asian Americans experiencing racial discrimination and microaggressions during the COVID-19 pandemic. Since post COVID-19, members of the Asians and Asian Americans and Pacific Islanders (AAPI) community are more susceptible to experience violence, such as serious physical injuries or death. Misinformation from political leaders are a contributing factor for the anti-Asian hate crimes and violence post COVID-19. This problem is extensive where members of the AAPI community are now concerned for their own overall safety and physical well-being. A workshop will incorporate an overview of …

Testing Barriers To Non-Suicidal Self-Injury With College Students: Narcissistic Traits As Moderators, Philip Stoner

Dissertations

Research on non-suicidal self-injury (NSSI) has produced mixed findings, resulting in a lack of clarity regarding these behaviors (Klonsky & Meuhlenkamp, 2007). To address this, Hooley and Franklin (2018) developed the Benefits and Barriers Model (BBM) to provide a comprehensive understanding of NSSI, in which they identified the barriers that commonly prevent people from engaging in these behaviors (e.g., self-esteem, shame, and peer-bonding motivations/social norms). They also identified adverse childhood experiences (ACEs) as a distal predictor of NSSI, which aids people in overcoming the barriers to engaging in these behaviors. Recent NSSI literature has shown that college women in the …

Equine Assisted Psychotherapy: Implications For Treating Trauma, Kara L. Harrison Psy.D.

Psychology Doctoral Specialization Projects

Trauma related symptoms and Posttraumatic Stress Disorder (PTSD) have been increasingly recognized for the key roles they occupy in mental health and overall individual well-being within both adult and childhood populations. They often represent significant barriers to the provision of mental healthcare within military populations and individuals diagnosed with serious mental illness (SMI). This original contribution to practice explores the significance of Equine Assisted Psychotherapy as a novel adjunctive approach to treating trauma. symptoms in adults and children. An extensive literature review examines current research and discussion on common definitions and nomenclature. It begins with discussion on the broader areas …

Are You My Nurse? The Effects Of Patient-Delivered Gender Microaggressions On Women Trainees’ Clinical Work In Integrated Primary Care, Julia Ratchford Kauffmann

Electronic Theses and Dissertations

Gender microaggressions are a form of sexist discrimination that have detrimental effects on women’s psychological well-being. Unfortunately, these sexist occurrences are commonplace in the United States and can be experienced in a variety of ways. As such, there is a need to understand behavioral health providers’ experiences with patient-delivered gender microaggressions. In doing so, we may be able to better support women behavioral health trainees’ during their clinical development by potentially understanding the ways in which women trainees are affected by sexist patient encounters. Therefore, the present study sought to apply the Social Cognitive Model of Counselor Training and the …

Inviting The Perspectives Of Refugee Mental Health Interpreters: A Critical Narrative Analysis, Emme Y. Paik

Electronic Theses and Dissertations

The research literature lacks examination into several areas concerning mental health interpretation for refugee clients. This includes the management of interpreters’ vicarious trauma and retraumatization, interpreter’s perspectives on the appropriateness of hiring refugees as mental health interpreters, how interpreters define their trauma as well as their clients’ trauma, and support that interpreters seek for their traumatic responses from their work. The literature is also missing an analysis of how oppressive power differentials are repeated in workplace institutions, specifically for refugee mental health interpreters. Thus, this study aimed to invite the perspectives of refugee mental health interpreters on several issues pertaining …

Barriers To Mental Health Service Use And Preferred Treatment Format Among Racial And Ethnic Minorities, Jasmine Maxwell

Murray State Theses and Dissertations

One of the most pressing concerns in mental healthcare is the limited use of mental health services across the country. Research has indicated that individuals from racial/ethnic minority groups are significantly less likely to seek mental health services, which has led many to examine specific barriers to treatment-seeking. Given research that has suggested that barriers to treatment-seeking may be structural, attitudinal, or cultural in nature, this study aimed to gain a better understanding of the relationship between these barriers and willingness to seek psychological help. Another goal of the current study was to examine the role of online therapy in …

Development Of A New Measure To Assess For Poverty-Based Stress: The Poverty-Based Stressor Scale (Pbss), Brianna N. Allen

Electronic Theses and Dissertations

Poverty, typically measured by economic well-being or depravation, is the result of systemic flaws built into the structure of society that adversely impact multiple dimensions of health and well-being. The specific stressors that disproportionately impact low-income individuals are called poverty-based stressors, and they encompass multiple categories of risk including physical, psychosocial, and financial risks. Currently, there is not an adequate measure of poverty-based stressors for low-income adults in the United States (U.S.), which restricts our ability to accurately determine the effects of poverty on important health-related outcomes. The purpose of this dissertation was to develop a psychometrically sound measure of …

Psychologists’ Graduate Training Experience And Attitudes In Religion And Spirituality, Kristi Santiago

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

In a nationwide poll, 76% of the population of the United States identifies with a formal religion of some kind (Gallup Organization, 2021). Despite the prevalence of religion and spirituality (R/S) throughout the country, graduate programs appear to neglect training on this multicultural issue. The purpose of this paper is to better understand psychologists’ attitudes toward the quality and depth of their graduate training in R/S, determine how competent psychologists feel at managing discussions of R/S within psychotherapy, and recommend necessary improvements to graduate training in R/S. Data was collected using a 24-item, online survey, which was circulated throughout college …

Filling The Gaaapps: Generating Affirming Asian American Perinatal Psychological Services, Jennifer Yuen

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Women in the perinatal period face a unique set of mental health challenges, as they must navigate both physical changes and transitions in their life. Perinatal mental health has been linked to child outcomes, such as social emotional development, cognitive development, and physical growth. In addition, women of racial and ethnic minority groups are confronted with barriers to accessing services and are therefore less likely to utilize mental health services. While international attention has recently focused on the experiences of women of color in the perinatal period, Asian American women have been largely overlooked. This systemic literature review explores the …

La Luz: Illuminating The Effects Of Language And Considering The Role Of Culture In A Postpartum Depression Prevention Program For Spanish- And English-Speaking Mothers, Erin Flanagan

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Postpartum depression (PPD) is a common and concerning mental health condition. Many prevention programs and interventions have been researched to prevent or alleviate symptoms of postpartum depression. The current study aimed to examine the effects of a psychoeducational PPD prevention program (ROSE), administered in the early postpartum period, on reported PPD symptoms and parenting self-efficacy beliefs in both English and Spanish speaking women. The study investigated the hypotheses that: a PPD prevention program which has been validated in the prenatal period would be efficacious in reducing depressive symptoms when administered postpartum; the PPD prevention program would improve parenting self-efficacy; and …

Humanitarian Workers' Perspectives On Mental Health And Resilience Of Refugee Youth: Implications For School Psychology, Diana Maria Diaków

Graduate Student Theses, Dissertations, & Professional Papers

Almost half of the 79.5 million forcibly displaced persons worldwide are youth under the age of 18, including refugees. Refugee youth face deliberate threats across all migration stages including violence, abuse, exploitation, poor living conditions, limited or no access to healthcare and education, interrupted family structure, and discrimination. Noteworthy, school psychologists who practice in host countries face new challenges as these diverse youth enroll in public schools. During the migration stage, humanitarian workers are a primary source of psychosocial and educational support for refugee youth and their families. Therefore, the aim of this research study was to inform school psychology …

A Minority Within A Minority: Exploring Identity Development In Relation To Mental Health Outcomes Within The Black Deaf Community, Nekolas Milton

Doctoral Dissertations

Black Deaf people are a double minority group that faces discrimination on multiple fronts. There is little literature on the relationship of cultural identity development and mental health concerns of this marginalized group. This study employs a mixed method approach to examine this relationship and explore the extant culturally tailored interventions targeted towards Black Deaf adults in a clinical setting. There were two phases of this project. Phase 1 included qualitative interviews with service providers of black deaf people to ascertain the type of culturally tailored interventions that are in place for this population. 5 themes emerged: systemic issues, mental …

Reimagining Racism: It's More Than Black & White, Morgan E. Gunter

Dissertations, 2020-current

Human beings have a set of core needs and inalienable rights. Implicit to such needs and rights are concepts of potential – to become what we are able to become – and dignity – to be regarded and treated as equal. Clearly, these aspirational tenets are still not realizable for many of our fellow beings, both locally and globally. For example, from the standpoint of this dissertation, racial injustice (e.g., racism, hate crimes, discriminatory laws and policies, genocide) has – historically and currently – led to transgenerational trauma and otherizing within communities that are marginalized at multiple levels of analysis. …

Colombian Women’S Experiences Of Cosmetic Surgery And Its Relationship To Body Image, Austin Gonzalez-Randolph

Dissertations

The purpose of this study was to understand women’s experiences of cosmetic surgery and its effects on body image on women from the Colombian cities of Bogotá and Pereira. The participants of this study were women of Colombian descent, who reside in Colombia. This was done with the hopes of better understanding how culture impacts views on cosmetic surgery. Colombia appears to have a culture that is very enmeshed with cosmetic surgery. This study provides an initial exploratory and qualitative investigation into the perception of body image as it relates to cosmetic surgery among six young women living in Colombia; …

The Impact Of The Transgenerational Cycle Of Prison On Attachment Among Black Individuals, Meagan Scott

Dissertations

This empirical study assessed the impact of incarceration on an individual’s attachment style and explored protective factors that moderate these overall outcomes. The study sought to answer the following questions: (a) Are there differences related to the gender of Black participants and the gender of their incarcerated parent? and (b) Will affective expression and/or sense of community serve as protective factors and mediate the attachment style of Black individuals who have been incarcerated? The sample consisted of 98 adults (45 of whom indicated being a part of the transgenerational cycle of prison) ranging from 18 to 68 years old. Participants …

Perceived Discrimination Within The Patient-Provider Relationship And Its Impact On Help-Seeking Behaviors, Lechey S. Hibbler

Dissertations

Racial and ethnic minorities have faced discrimination for hundreds of years. When patients experience discrimination in healthcare settings, help-seeking behaviors decrease. Many patients choose to refrain from seeking treatment until their psychological or physical health issues are unmanageable, often resulting in acute visits to the emergency department. Patients that have experienced previous discriminatory encounters with health care providers are more likely to choose not to seek help for physical or mental health concerns, resulting in overall poorer physical health and mental health outcomes. With the use of critical evaluation of previous studies, this paper has demonstrated that perceived discrimination negatively …

Impact Of Moral Injury For Ethnic/Racial Minority Male Veterans, Kristopher Kern

Doctoral Dissertations

Trends in demographics of post-9/11 veterans (deployments to the Middle East after 2001) describe this group as having higher survival rates, increased service-connected disabilities, and more racially diverse (NCVAS, 2018; Schnurr et al., 2009; Tanelian & Jaycox, 2008). Additionally, their deployment experiences include combat-related experiences that contradict personal moral beliefs, later named “moral injury” (MI) (Litz et al., 2009). Currier, Holland, and Mallot (2015) describe MI as intense emotions of shame, guilt, and anger alongside maladaptive behaviors emerging after “witnessing and/or participating in warzone events that challenge one’s basic sense of humanity” (p. 231).

The research on MI continues to …

Language As The Medium: A Literature Review. Harnessing The Prolific Power Of Dramatic Language As A Therapeutic Tool In Drama Therapy, Edward Freeman

Expressive Therapies Capstone Theses

Language in and of the theatre, with its palate of variegated writing styles and playwrights from throughout time, has the potential to be harnessed, focused, and systematized for use as a therapeutic tool within drama therapy – the field’s artistic medium. Drama therapy could benefit from having a specific medium germane to its artform which has the potential to provide practitioners with a common resource and means of communication, assessment, diagnosis, and treatment planning, as well as align the field with other creative arts therapies. Language encompasses all forms of human communication – speaking, writing, signing, gesturing, expressing facially – …

Understanding The Healthcare Experiences Of Lgbtq+ People: An Adaptation Of The Daily Heterosexist Experiences Questionnaire, Conor Smith

Doctoral Dissertations

LGBTQ+ people's experiences of heterosexism, which are common in the healthcare system, are linked to poor health outcomes. There are no measures of LGBTQ+ people’s experiences in healthcare settings which could be used by healthcare systems and providers to improve the quality of their care for this vulnerable population. The Daily Heterosexist Experiences Questionnaire (DHEQ), developed using the minority stress model, measures the general stressful life experiences of LGBTQ+ people. This project aimed to adapt the DHEQ for use in healthcare settings.

A mixed-methods study was conducted to create the Daily Heterosexist Experiences Questionnaire-Healthcare (DHEQ-H). Semi-structured interviews focused on the …

Reiki For Recovery: Incorporating Japanese Health Practices To Increase Contemporary Resiliency In American Health, Leif Peterson

Master's Projects and Capstones

The Japanese health practice of Reiki attempts to maximize the latent ability of the human system to heal itself. The Reiki system, established over a century ago, combines multiple Asian health traditions, experimenting with practices that maximize the natural processes of the body to perform its own repairs. Reiki encourages healthy behaviors that balance the mind and body, return the human system to a lowered stress level, and allow for an optimal recovery state for the patient. This paper illustrates how this Japanese health-affirming method can be integrated and utilized within existing health and medical practices. An area that is …

The Effectiveness Of A Transaffirmative Cognitive Behavioral Therapy Group-Based Intervention To Help Transgender Individuals Suffering From Depression, Joy Riach

Doctoral Dissertations

Transgender individuals report higher levels of elevated symptoms of depression and anxiety due to psychological distress caused by pervasive transphobic discrimination and prejudice that persist in pathologizing and stigmatizing their lived experiences. An important first step would be to develop, implement, and assess transaffirmative interventions that address the mental health issues that this population is particularly susceptible to, such as depression. This current study was designed to assess the effectiveness of one such culturally adapted intervention, which was a 5-week-long, group-based therapy developed for treating depression in transgender individuals using cognitive behavioral therapy (CBT). This was then followed with one …

Treatment Access For Dual Diagnosis Substance Use And Mental Health Disorders, Pedro Banuelos

Electronic Theses, Projects, and Dissertations

In 2018, of 1.3 million Latinx adults in the United States facing concurrent issues with substance use disorders (SUD) and mental health disorders (MHD) 93% remained untreated for either diagnosis. This is concerning since Substance Abuse and Mental Health Services Administration (SAMHSA) data reveals that this population is at greater risk for suicidal thoughts, plans, and attempts. They also face structural barriers such as employment, housing, legal involvement, and insurability that further impede access to treatment.

This study’s purpose was to examine barriers to accessing treatment for Latinx populations confronting co-occurring SUDs and MHDs. This study used a qualitative design …

Parental Mental Health Help Seeking: Variables Associated With Asian American Parent Help Seeking Intent, Grace L. Chen

LSU Master's Theses

There is a vast disparity between children who have mental health concerns and rates of service utilization. This disparity is even greater for children of ethnic minority populations. Understanding the factors contributing to parent help seeking behavior may help address the gap in service utilization. Asian Americans specifically have low rates of mental health service utilization among adults. However, there is limited research on parent help seeking in Asian American parents. In combination with low service utilization across children with mental health concerns, Asian American children are an at-risk population. The study aims to advance research by exploring variables relating …

Parental Self-Efficacy, Parenting Stress, And Mental Health Among Latina Mothers Of Young Children, Thania Galvan

Electronic Theses and Dissertations

Parenthood can increase the risk for mental health concerns, especially for Latina mothers. Poor maternal mental health can result in significant negative maternal and child outcomes, particularly if a mother’s mental health needs go unmet. In an attempt to better understand the factors that impact Latina mother’s mental health, this study explored the relations among parental self-efficacy, parenting stress, and mental health. It also explored mother’s self-reported resource availability and sociocultural factors as potential modifiable points of interventions in these relations.

Methods: The study was conducted using data from 132 Latina mothers that participated in a larger project examining stress …

Investigating Body Dissatisfaction, Obesity, & Eating Pathology: African American Adolescent Girls & Mothers, Samantha Ronderos

UNF Graduate Theses and Dissertations

Body dissatisfaction is a globally prevalent issue among adolescents, particularly for those living in industrialized societies (Griffith et al., 2017). Body dissatisfaction is considered a central component of obesity intervention (Huh et at., 2011; Mitola et al., 2007) and eating disorder etiology (Kelly et al., 2005; Saunders & Frazier, 2016). It predominantly effects females and is commonly found among those with eating disorders and those who struggle with obesity or have higher BMI (Kelly et al., 2005; Saunders & Frazier, 2016). However this is contradicted in African American females, the majority of research has found low levels of body dissatisfaction, …