Clinical Psychology Commons^™

Delusional Mitigation In Religious And Psychological Forms Of Self-Cultivation: Buddhist And Clinical Insight On Delusional Symptomatology, Austin J. Avison

The Hilltop Review

This essay examines Buddhist forms of self-cultivation and development that enable a psychosocial capacity for emotional, cognitive, and behavioral adjustment by improving an individual's characteristic mode of interaction within the world. First, we will consider the religious form of self-cultivation seen in the context of Buddhism and its desire to remove delusional perspectives through developmental practices. In this, we will consider the cultivating function of clinical psychology through the therapeutic application of cognitive restructuring techniques as a form of cultivation. Next, considering psychological self-cultivation, training, development, and education concerning the treatment of schizophrenia and its characteristic criterion of delusions. Further, …

Racial And Gender Discrimination Predict Mental Health Outcomes Among Healthcare Workers Beyond Pandemic-Related Stressors: Findings From A Cross-Sectional Survey, Rachel Hennein, Jessica Bonumwezi, Max Jordan Nguemeni Tiako, Petty Tineo, Sarah R. Lowe

Department of Psychology Faculty Scholarship and Creative Works

Racial and gender discrimination are risk factors for adverse mental health outcomes in the general population; however, the effects of discrimination on the mental health of healthcare workers needs to be further explored, especially in relation to competing stressors. Thus, we administered a survey to healthcare workers to investigate the associations between perceived racial and gender discrimination and symptoms of depression, anxiety, posttraumatic stress, and burnout during a period of substantial stressors related to the COVID-19 pandemic and a national racial reckoning. We used multivariable linear regression models, which controlled for demographics and pandemic-related stressors. Of the 997 participants (Mean …

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. …

Children As Mischievous Spirits: Legitimizing Child Cruelty And Filicide In Contemporary Africa, Chima Agazue

Dignity: A Journal of Analysis of Exploitation and Violence

The belief that certain humans are spiritual entities and the belief that some people are spiritually possessed can be found across histories and cultures. While these individuals are not always viewed in the negative or treated inhumanely, cases abound whereby degrading and inhumane treatments are meted out to some of them. In the African continent, certain groups of people, particularly children are linked to certain mischievous spirits due to their unusual appearance, aberrant behavior, disability, chronic illness, psychopathology or exceptional ability. Some are also suspected and consequently mistreated due to events surrounding their birth. Such children are known by different …

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 …

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 …

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 – …

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 …

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 …

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 …

Understanding Black Experiences And Access Barriers In The Expressive Arts Activities And Therapies, Jadea Harris, Ana K. Marcelo

Psychology

Black individuals in America experience racism, discrimination, and microaggressions that can affect their mental and physical health. (Alvarez, Liang, & Neville, 2016). Unfortunately, Black individuals typically do not seek out mental health treatment because of mistrust, stigma, misdiagnosis, and lack of culturally sensitive approaches to treatment (NAMI, 2002). One way to encourage Black individuals to seek mental health support and to provide more support could be through expressive arts. Expressive outlets may act as a protective barrier against adverse experiences and serve as an opportunity to bring healing amongst uncomfortable feelings of racial trauma and more. Historical and empirical evidence …

Influences Of Cultural Similarities And Differences On Coworker Relationships And Perceived Levels Of Workplace Psychological Stress, Natalie Hidaka

Scholarly and Creative Works Conference (2015 - 2021)

One of the most important environments for many adults is the workplace, and we increasingly find co-workers with a wide variety of cultural backgrounds. Different cultural backgrounds must communicate and collaborate for an effective team to meet the common goal for a workplace. However, different cultural values and practices in one place often create misunderstandings and fraught challenges. One of the significant differences in culture is how people interact socially and their primary motivation when interacting with others. When independent and interdependent cultural backgrounds are considered, it is suggested that interdependent cultures tend to focus on relationship-preserving while independent cultures …

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 …

Gender And Sexuality Alliance Advisors' Perceptions Of Self-Efficacy And Social Emotional Competency: An Exploratory Study, Kelly Marie Davis

Graduate Student Theses, Dissertations, & Professional Papers

Background: Literature consistently demonstrates mental health disparities among sexual and gender minority (SGM) youth due to their unique experiences of discrimination, victimization, and rejection on the basis of their sexual and/or gender identity. Findings from the resilience literature highlight the importance of emotion regulation skills, supportive communities, and a relationship with at least one supportive, stable adult in mitigating risk and thriving despite adversity. Relationships with adults confer tremendous benefit for youth and provide opportunities for youth to learn important social and emotional skills. However, due to the rates of family and school rejection that SGM youth often experience, they …

A Proposal To Develop And Pilot-Test The Effects Of A Culturally Adapted Stigma Intervention For Latinos, Sandy Ahumada

CMC Senior Theses

The bulk of research examining barriers to mental health services (MHS) for Latinos focuses on financial obstacles such as socioeconomic status and insurance coverage. Unfortunately, less work has been done on cultural barriers such as stigma. The purpose of this proposed study is to develop and pilot-test a culturally adapted contact intervention for Latinos that reduces stigma and increases help-seeking intentions. This study will test the differential efficacy of utilizing psychoeducation with the newly developed interpersonal contact intervention (PIC) as opposed to psychoeducation (P) only. Participants (n=324) will fill out pre- (T1), post- (T2), and 1-week follow-up (T3) …

“Child Witches”: Sexual Exploitation And Abuse Of Homeless Girls In South-Southern Nigeria, Chima Agazue

Dignity: A Journal of Analysis of Exploitation and Violence

Sexual exploitation and abuse of girls is one of the endemic social problems in Nigeria. Although this problem has attracted much research attention in recent times, some newly emerged factors contributing to the problem have been mostly ignored. This study explored how the abandonment of children following their stigmatization as witches contributes to sexual exploitation and abuse of the girls in the Akwa Ibom and Cross River states of Nigeria. The study was based on the qualitative research paradigm. Data was collected via semi-structured interviews of three senior staff members of the Child’s Rights and Rehabilitation Network (CRARN)—a children’s charity …

Social Support From Parents And Friends Among Black And Multiracial Adolescents: Responses To Stressful Situations In Multiple-Risk Neighborhoods, Amarachi Akwarandu

West Chester University Doctoral Projects

Social support is a key protective factor that has not been widely examined among Black youth, and the existing literature on social support typically focuses on general support, with limited emphasis on the content or source of support. The goal of this study is to examine how Black and multiracial adolescents living in multiple risk, urban communities utilize emotional and informational support from parents and friends in response to three different types of stressful situations and to examine how their use of social support is associated with adjustment. The current study utilizes baseline data from participants in an evaluation of …

A Culturally And Structurally Sensitive Approach To Working With Suicidal Latinx Individuals: Recommendations For Clinicians, Jessa Navidé

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Latinx individuals are the fastest growing racial/ethnic group in the U.S. and confront numerous challenges living in the U.S. that can impact their mental health. While their overall suicide rates are relatively low compared to non-Hispanic Whites, it is concerning to note suicide rates of Latinx individuals living in the U.S. are significantly higher compared to most countries in Latin America. The predominant approaches to treating suicidal individuals often fail to consider the sociopolitical climate and systemic challenges that exacerbate mental health concerns for Latinx individuals. This paper examines cultural considerations, racial and ethnic identity models, and unique protective and …

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, …

Therapist Multicultural Orientation: Client Perceptions Of Cultural Humility, Sexual Identity, And The Working Alliance, Todd L. Jennings

All Graduate Theses, Dissertations, and Other Capstone Projects

Research examining the benefits of cultural humility for diverse clients has increased dramatically over the last 10 years. However, little empirical research has applied therapist cultural humility to lesbian, gay, and bisexual (LGB) clients. In a sample of 333 LGB persons, the current study examined whether therapist cultural humility predicted a stronger client-therapist working alliance. LGB identity centrality (IC) and identity affirmation (IA) were considered as possible moderators of this relationship. Therapist cultural humility predicted stronger working alliances in the present sample; however, this association was not moderated by IC or IA. These results suggest that therapist cultural humility is …