Clinical Psychology Commons^™

Reclaiming Healing Spaces: A Phenomenological Study On The Transformative Power Of Outdoor Therapy From The Lived Experiences Of Black Clinicians Working With Black Clients, Lynn Murphy

Dissertations

This phenomenological study involved assessing the experiences of Black therapists who engaged Black clients in outdoor therapeutic contexts. The study was founded on the existing literature that shows the quality of the therapeutic relationship is pivotal for client retention and the Western standards that have historically favored treatment within indoor environments. To contextualize this research, a comprehensive literature review was commenced, covering topics such as the decolonization of therapy, the historical and present-day relationship between Blacks and the outdoors in the United States, sedentary lifestyles, the psychological benefits of time spent in nature, various types of outdoor therapy, and the …

Cultural And Structural Barriers Of Utilizing Mental Health Services In A School-Based Setting For Latinx Populations, Silvia Lozano, Bridgette Guadalupe Calderon

Electronic Theses, Projects, and Dissertations

This qualitative research study aimed to reduce mental health service disparities in Latinx communities and helps fill in the gap by addressing cultural and structural barriers to utilizing MHS in a school-based setting for Latinx youth. There is limited research regarding Latinx parents’ perspectives and the reservations they have on utilizing school-based mental health services (MHS) for their children. This study identified six important themes: cultural factors, trust and rapport, reservations, access and awareness, parental involvement and challenges, and school-based resources. Implications for school districts are that they can use these findings to increase early intervention mental behavioral health programs …

Suicidality Among Black Women: Considering Resiliency Within The Historic And Societal Context Of Risk, Samantha J. North

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Suicide is a global health challenge that has been historically understudied among Black women. The interpersonal-psychological theory of suicidality (IPTS) is a primary theory examined in suicidality; however, the three factors within the theory (lack of belongingness, perceived burdensomeness, and capability to die) focus on the individual. The purpose of the current study was to examine these factors in an expanded context of the historical and societal impact of oppression. A mixed methods Qualtrics study was administered to Black women who voluntarily completed the survey anonymously. Quantitatively, the study found significant differences between the impact of the IPTS factors on …

The Impact Of Covid-19 Stressors, Racial Discrimination, And Racial Socialization On Family Functioning In Black Families, Regina L. Alexander

Psychology Theses & Dissertations

Marginalized communities, specifically Black Americans, have been disproportionately impacted by the COVID-19 pandemic which has resulted in more hospitalizations and deaths within this particular community. However, this disproportionate impact of COVID-19 is likely the result of ongoing health disparities related to a lack of access to adequate healthcare. In addition to health disparities specifically related to COVID-19, Black Americans have also experienced public displays of racial discrimination resulting from the systemic racism that has occurred for many years. It has been determined that stress spillover can impact relationship factors and this same spillover may be an important factor by which …

How Racial Trauma Manifests In Black Women From Direct And Indirect Encounters With Police Brutality, Ashley Turner

Antioch University Full-Text Dissertations & Theses

This phenomenological study explored Black women’s lived experiences with racial trauma stemming from direct and indirect encounters with police brutality. A total of nine participants living in Washington state participated in this study. They identified as Black, ciswomen, fluent in English, and at least 21-years-old. In-depth, semi-structured, qualitative interviews were conducted to explore participants’ experiences with police. Transcripts were analyzed using interpretative phenomenological analysis. The results consisted of the following five themes: (a) forms of police encounters, (b) influence of identity, (c) perceived reason for police brutality, (d) emotions stemming from police brutality, and (e) tactics to survive police interactions. …

Black Mental Health Clinicians' Experiences And Lessons From The Intersecting Crises Of Black Mental Health, Covid-19, And Racial Trauma: An Interpretive Phenomenological Study, Chanté Meadows

Antioch University Full-Text Dissertations & Theses

This study explored the experiences of African American mental health clinicians’ during the intersecting crises of the Black mental health crisis, the highly publicized racial tension tied to extrajudicial violence and over-policing of Black Americans, and the COVID-19 pandemic. The pandemic started a global crisis that affected millions of people’s physical and mental health and overall well-being. Shared trauma explores the duality of mental health clinicians’ personal and professional experiences. Grounded in critical race theory and models of trauma, this study explores Black mental health clinicians’ lived experiences and lessons. This is an interpretive phenomenological study with narrative interviews of …

Evaluation And Management Of Postpartum Depression In South Asian Women, Gujri Chadha

Capstone Showcase

Postpartum depression is a worldwide phenomenon that affects about 10 to 20% of women within the first year of delivery. During the 12 months following delivery, about 85% of mothers experience a mood disturbance2. The importance of evaluating and managing postpartum depression is crucial as untreated postpartum depression can lead to a significant risk of morbidity for the child as well as the mother of the child3. Despite the remarkable prevalence of this diagnosis throughout cultures, the screening process for PPD is routinely missed, and the management is frequently incomplete for various reasons3. This phenomenon is exacerbated in minority populations …

"The Power To Heal And Cure": Adaptations Of Western Therapy By American Indian And Alaska Native Therapists, Calleaghn B. Kinnamon

Antioch University Full-Text Dissertations & Theses

The legacy of colonialism has created a modern-day reality where Indigenous populations of the United States (US) experience mental, physical, and emotional distress at disproportionately higher rates than other cultural groups in the country. Increased distress translates to an increased need for supportive services. Because the field of Western Psychology is based in colonialistic EuroWestern worldviews which positions that worldview as superior, Indigenous clients and communities have often experienced further harm in their encounters with mental health services. In recent decades, there has been increasing attention to adapting research, training, academic and clinical work in ways that are culturally appropriate …

Racial Differences In Tobacco Use And Risk Factors Among Young Adults: Roles Of Expectancies And Emotion Regulation, Laurel Brockenberry

Psychology Theses & Dissertations

African Americans experience higher mortality from lung cancer and other smoking-related diseases than Caucasian Americans (Kochanek et al., 2016) despite engaging in cigarette and e-cigarette use significantly less or at comparable rates to other racial groups (CDC, 2015; Schoeborn, 2013). During adolescence, smoking prevalence is lower among African Americans than Caucasian Americans, but there is a “cross-over effect” whereby smoking rates become similar later in adulthood (Belgrave et al, 2010). The mechanisms driving this effect are poorly understood. Thus, examining motivating factors for tobacco use, such as outcome expectancies and emotion regulation, may be especially illuminating for young adult African …

A Phenomenological Study Of Mental Health Providers' Cultural Sensitivity Towards Latinx Clients, Nohemi Vasquez

Walden Dissertations and Doctoral Studies

AbstractThis hermeneutic phenomenological study explored the lived professional experiences involving mental health providers’ cultural sensitivity towards Latinx clients in the context of mental health service delivery. Pedersen and Essadoh’s multiculturalism framework, known as the “fourth force” of psychology, was used as a guiding framework. Fifteen mental health providers were recruited. Data were collected using semi-structured interviews via Skype, in-person, or phone interviews with participants who had from two to over thirteen years of working experience with Latinx populations. Interviews were examined using an interpretive phenomenological analysis. Four themes emerged from participant responses. Findings revealed that cultural competence and cultural awareness …

"Stay Strong": Internalized Stigma, Religiosity And Black Mental Health In Colorado, Breigh Jones-Coplin

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

While the societal stigma on mental illness deters people from seeking mental health services, there is limited research on how Black personality and cultural practices may impact stigma and Black mental health (NAMI, 2020). In an attempt to identify protective and risk factors for internalized stigma and Black mental health, the present study examined 416 Black adults in Colorado and identified significant relationships between African Self-Consciousness, internalized stigma of mental illness, religiosity, and mental health functioning. Results showed that having a strong African-centered identity and religious grounding are associated with less internalized stigma and difficulty in functioning and mental health …

Investigating The Role Of Denial In Interpersonal Formulations Of Binge Eating Among Black And White College Women: An Ecological Momentary Assessment Study, Lindsay Marie Howard

Psychology Theses & Dissertations

Binge eating is a prominent concern with 2.8 million Americans meeting criteria for binge eating disorder and an additional 10-15% reporting loss of control and overeating behaviors that fail to meet diagnostic criteria. Despite the risk associated with binge eating in emerging adulthood, studies exploring differences in binge eating between Black and White college women have been limited. Black women may be more likely than White women to deny disordered eating behaviors, such as binge eating, due to pressure to reflect historical body positive ideals and heightened stigma regarding mental health issues in Black communities. Denial is worthy of attention …

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 …

Predominantly White Institution Or Historically Black College/University: Racial Composition Of School Environment And Perceived Racism On African American Students’ College Experiences, Taylor Garland

Master's Theses and Doctoral Dissertations

The current study explored perceived racism, mental health, and coping to see how those concepts might influence how African American students evaluate their college experiences. Additionally, this study explored how school environment (i.e., predominantly White institution [PWI] vs. historically Black college/university [HBCU]) impacted the hypotheses. All participants completed an online questionnaire. Findings for the key hypotheses of this study were mixed. For example, regardless if African American students attended a PWI or HBCU, they were both likely to report similar experiences of perceived racism and negative affect. Despite these and a few other relevant hypotheses not being supported, two significant …

Lived Experiences Of Pakistani American Women Who Sought Mental Health Treatment, Marriam Ashraf

Walden Dissertations and Doctoral Studies

AbstractDespite the research on how mental illness manifests in the United States, there is more to be known about mental health in the Pakistani American population. The goal of this qualitative phenomenological study was to understand the lived experiences of Pakistani American women who sought mental health treatment. Ecological theory provided the framework for the study. Data were collected from semi structured interviews with 10 participants via telephone and face-to-face conversations. Data were analyzed using managing, reading, memoing, describing, classifying, interpreting, representing, and visualizing techniques. Findings indicated that seeking help for mental health played a positive role in participants being …

"The Candy Problem, Solved!": White Children And White Parents Grappling With Dysconscious Whiteness, Lindsay E. Olson

Antioch University Full-Text Dissertations & Theses

During an amplification of the Black Lives Matter (BLM) movement, white children and parents have faced multiple interruptions to their protective territory of dysconscious whiteness—an uncritical approach to a structural status quo that favors white lives. Through semi-structured activities and interviews with ten children ages 3 to 9 and nine of their parents who observed these activities, I discovered a parent–child subsystem of dysconscious whiteness. White children and parents revealed aspects of this subsystem by grappling with dysconscious whiteness (grappling) as they struggled to avoid implicating skin color in resource inequality. Through grounded theory analysis of the process of grappling, …

The Strategically Broken System: A Grounded Theory Study Of The Clinical Implications Of Immigration Law, Policy, And Practice, Kelle Agassiz

Antioch University Full-Text Dissertations & Theses

The majority of clinicians do not receive education pertaining to the legal aspects of immigration in their curriculum, training, or continuing education. In addition, the process of navigating the immigration system has been exacerbated in recent years due to rapid policy changes under the Trump administration, which has contributed to a hostile political climate, particularly for immigrants from Central America and Mexico. Using a classic grounded theory research approach, this study explored the relationship between the psychological implications of immigration and the legal challenges that immigrants face today, with a specific focus on immigration from Central America and Mexico. Through …

The Resilience Of Female Survivors Of Intimate Partner Violence In Southwest Nigeria: An Interdisciplinary Analysis, Tobi F. Oloyede

Electronic Theses and Dissertations

Female survivors of intimate partner violence (IPV) in Nigeria endure harsh and traumatic experiences that affect their rights as women and their well-being. As the phenomenon of IPV persists in Nigeria, it is not only a family problem but a critical social and psychological problem. This study examined Nigerian female survivors’ hidden strength, agency, and resilience, rather than their powerlessness and vulnerability. Analysis of survey questionnaires, interviews, and secondary scholarship reveals that some Nigerian female survivors of IPV are able to cope whilst navigating stressful and traumatic experiences. The results also show that survivors’ ability to thrive and cope under …

You Are Resilient: Trauma-Informed, Strengths-Based Treatment For Low-Ses, Urban Youth, Courtney Molina

Dissertations

The focus in this review was to explore the benefits and optimal use of trauma-informed, strengths-based care for the therapeutic treatment of low-socioeconomic status (SES), urban youth. Specific focus was given to evidence-based research on the treatment of emotional and behavioral dysregulation among low-SES, urban youth. The review was guided by the following research questions: How can emotional and behavioral dysregulation be symptoms of trauma among low-SES, urban youth; What makes trauma-informed and strengths-based care optimal for the treatment of low-SES, urban youth with dysregulation; and What are clear guidelines for providing trauma-informed, strengths-based care to low-SES, urban youth with …

A Quantitative Approach And A Qualitative Approach Towards Intersectionality Among Individuals With Lgbtq+ Identities, Viet (Mason) Trinh

Honors Projects

This is a two-parted project that integrates a quantitative approach and a qualitative approach toward the concept of intersectionality. Research about intersectionality has shown the advantages and disadvantages of both approaches. Therefore, I decided to explore the concept using both approaches. The quantitative section of this project investigates the relationship between victimization experiences due to race/ ethnicity and/ or LGBTQ+ identities and emotional well-being. The sample for this section consisted of college students from all states in the United States who identified as LGBTQ+ and were between 18 and 24 years old. The qualitative section examines salient identities, identity gaps, …

Help-Seeking Behaviors Among Filipino Americans: Understanding Enculturation, Depression, And Anxiety, Kristoffer John Almazan Rouse

Walden Dissertations and Doctoral Studies

Filipino Americans have some of the highest levels of psychological distress among all Asian Americans. However, underrepresentation in psychological studies and a unique set of cultural values and norms contribute to the lack of literature on the sources of this distress among Filipino Americans. The purpose of this quantitative study was to examine how aspects of cultural assimilation and norms of Filipino culture affect willingness of Filipino Americans to seek mental health services. Several factors, enculturation, anxiety, and depression, among Filipino Americans were examined to predict influence on help-seeking behaviors. A sample of 120 Filipino Americans living in the Pacific …

Does Ethnic Identity, In-Group Preference, And Acculturation Protect Latinas With A History Of Interpersonal Trauma From Developing Symptoms Of Ptsd?, Evelyn M. Ramirez

Dissertations, Theses, and Capstone Projects

Previous research suggests ethnic identity, a sense of belonging to a particular cultural group, may be protective against symptoms of post-traumatic stress disorder (PTSD). However, the role of ethnic identity, in-group preference (i.e., an individual’s preference for interactions with members of their own ethnic group) and acculturation (i.e., the level of comfort with the mainstream culture) have not been investigated as protective factors for Latinas with a history of interpersonal and sexual trauma. In this study, ethnic identity, in-group preference and acculturation were assessed via self-report on the Scale of Ethnic Experience in two samples of undergraduate Latina and non-Latina …

African American Women's Perceptions Of Self-Value In The Transition To Natural Hair, Tekeilla Darden

Walden Dissertations and Doctoral Studies

Scholars have reported on the upsurge of African American women wearing their kinky, or natural, hair and the issues surrounding their choices. The wearing of natural African American hair has not been fully accepted in mainstream society. The purpose of this phenomenological study was to explore how African American women understand self-value in the process of wearing their natural hair. The ethnic and racial identity model, critical race theory, and the strong Black woman collection were the conceptual frameworks used to connect identity, race and racism, and a collective vulnerability to the African American woman's hair journey. The study included …

Involuntary "Whiteness": The Acculturation Of Black Doctoral Female Students In The Field Of Clinical Psychology, Carmela A. Maxell-Harrison

Antioch University Full-Text Dissertations & Theses

This dissertation is based on qualitative research that documents the experiences of Black women matriculating through clinical psychology doctoral programs in predominantly white institutions (PWIs) and the perceived psychological effects of becoming a psychologist in a stigmatized field. Additionally, the historical and collective traumas that are continually experienced by this group and their coping mechanisms are explored and highlighted. More specifically, as existing research has revealed, Black women in doctoral programs in general experience a series of responses to racialized and gendered discriminatory practices leading them to withdraw from their programs or invoke coping mechanisms that may be counterintuitive to …

Striving For Credibility In The Face Of Ambiguity: A Grounded Theory Study Of Extreme Hardship Immigration Psychological Evaluations, Susan M. Burke

Antioch University Full-Text Dissertations & Theses

Psychological evaluations are frequently used in extreme hardship immigration cases in the United States. These evaluations are complex; they are inherently ambiguous, and they require extensive training and specialized knowledge. General guidance for mental health professionals is available from professional organizations, the federal government, and articles in the legal and mental health literature. However, there is a lack of detailed guidance, best practices, training, and supervision so many evaluators learn on their own. Unfortunately, this has resulted in assessment processes and evaluation reports that vary widely in terms of professionalism and quality which negatively impacts the vulnerable families seeking these …

The Role Of Personality In The Development Of Health Disparities During Late-Mid Life, Juliette Mcclendon Iacovino

Arts & Sciences Electronic Theses and Dissertations

Objectives: The current study examined race/gender disparities in initial levels and trajectories of self-reported physical and mental health, and health care utilization, as well as the impact of personality and stressful life events on race/gender disparities. We hypothesized that health disparities would remain stable or decrease over time; that at-risk personality traits (e.g., high neuroticism) would have a more robust negative impact on health for black participants; that trust would mediate racial disparities in health; and that personality traits would moderate the association between stressful life events and health trajectories differentially across race/gender. Methods: Analyses utilized the first six waves …

Relations Of Discriminatory Experiences And Marianismo Beleifs With Ptsd Symptoms In Latinx Women, Claire Maria Bird

Master's Theses (2009 -)

Research examining the discriminatory experiences of Latinx women in minimal. The present study examined if various forms of discrimination predicted mental health symptoms in a sample of Latinx women, with the conceptualization of chronic discrimination as a possible form of trauma. There is evidence showing that Latinx individuals are at risk to develop posttraumatic stress disorder at higher rates than their non-Hispanic White counterparts, with many studies pointing to the experiences of racial/ethnic discrimination as a significant contributor (Kaczkurkin, Asnaani, Hall-Clark, Peterson, Yarvis, & Foa, 2016). Given the multiple forms of discrimination that women of color experience, ethnic discrimination, sexism, …

Examining The Measurement Invariance Of The Mmpi-A-Rf Externalizing Scales Across Korean And American Adolescent Normative Samples, Kristoffer Yong Park

Psychology Theses & Dissertations

The Minnesota Multiphasic Personality Inventory – Adolescents – Restructured Form (MMPI-A-RF; Archer, Handel, Ben-Porath, & Tellegen, 2016) is a newly developed instrument in personality and psychopathology and has been translated into many different languages, including the Korean language (University of Minnesota Press, 2016). Due to the cultural differences between Korean and American populations, it is important that constructs measured in the MMPI-A-RF are interpretable across cultures. Focusing on the Externalizing Scales, the present study used multiple-group confirmatory factor analysis (MGCFA) to examine the measurement invariance in Korean and American adolescent normative samples. Partially supporting the hypothesis, the results showed that …

Race, Rejection Sensitivity, And Identity Centrality Among Young Sexual Minority Women, Denise M. Calhoun

Psychology Theses & Dissertations

This study examined to what extent the centrality of sexual and racial/ethnic identities were associated with rejection sensitivity in young adult sexual minority women. The relationships between sexual identity centrality and current alcohol use, alcohol-related problems, and sexual minority stress outcomes were also examined with race as a potential moderator. African American/Black and Non-Hispanic White sexual minority women 18-25 years old (N = 676) were recruited through online social media platforms, community organizations, and email advertisements. Participants completed an online survey that included measures of three types of rejection sensitivity (interpersonal, race-based, and sexual orientation-based), sexual minority stress, alcohol use …

Examining Latino Family Participation In Treatment For Childhood Adhd: The Role Of Cultural Factors And Perceptions, Theresa Lauer Kapke

Dissertations (1934 -)

Attention-Deficit/Hyperactivity Disorder (ADHD) is a common mental health disorder in childhood, and efficacious treatments have been identified. Unfortunately, ethnic minority individuals, including Latino youth and their families, are at increased risk of failing to receive proper treatment and often exhibit poor treatment outcomes. Various factors likely contribute to these existing disparities. Thus, the current study aimed to improve current understanding of the way in which child characteristics and parental cultural factors and perceptions regarding treatment impact Latino family participation in a psychosocial intervention for childhood ADHD, including attendance, retention, engagement, and treatment response outcomes. Sixty-one Latino families participated in the …