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Full-Text Articles in Clinical Psychology

The Impact Of Asian American Cultural Centers On Sense Of Belongingness For Asian American Undergraduate Students, Malina B. Maladore Apr 2024

The Impact Of Asian American Cultural Centers On Sense Of Belongingness For Asian American Undergraduate Students, Malina B. Maladore

PsyD Program in Clinical Psychology Doctoral Dissertations (New England)

This dissertation examines the role of cultural centers and experiences of microaggressions in shaping the ethnic identity of Asian American undergraduates in U.S. higher education institutions. Utilizing Phinney’s model of ethnic identity development, a study with 175 participants revealed a positive correlation between reported microaggressions and sense of ethnic belonging in students attending universities with cultural centers. The findings highlight the complexities of belongingness and the potential impact of cultural centers on ethnic identity and experiences of microaggressions. This research contributes to a deeper understanding of Asian American students’ experiences in higher education. This dissertation is available in open access …


In And Through The Body: A Quantitative Exploration Of Embodiment In Eating Disorders, Lauren Zaniboni Apr 2024

In And Through The Body: A Quantitative Exploration Of Embodiment In Eating Disorders, Lauren Zaniboni

PsyD Program in Clinical Psychology Doctoral Dissertations (New England)

The field of clinical psychology has long privileged cognitive and affective experience and information over that which is stored in, and communicated by, the body (Caldwell, 2018; Young, 2006). Despite the profound and complex web of interactions between mind and body in EDs, this subspecialty has been no exception. The need for improvements in eating disorder (ED) treatment outcomes is well documented and transtheoretically accepted. Current practice guidelines for the treatment of adult EDs recommend the utilization of cognitive, behavioral, and interpersonal strategies to target problematic thinking and deficits in emotion regulation that are thought to fuel ED behaviors (American …


Engaging In Art To Support Social-Emotional Learning (Eassel): A Classroom-Based Approach, Hailey Mcafee-Scimone Apr 2024

Engaging In Art To Support Social-Emotional Learning (Eassel): A Classroom-Based Approach, Hailey Mcafee-Scimone

PsyD Program in Clinical Psychology Doctoral Dissertations (New England)

This dissertation describes a project to develop an art-based curriculum to teach young elementary school-age children social and emotional skills in the classroom based on the experiences of experts in the field of elementary education. Social-emotional learning (SEL) focuses on several key concepts including skills in interpersonal relationships, emotion regulation, and mindfulness (McClelland et al., 2017). By addressing SEL early within the education curriculum, children are exposed to resources that will help them to develop strong regulation skills, engage in identity exploration, and practice healthy relationship skills (Jones et al., 2017). The integration of SEL and art creates a learning …


Relationships Between White Psychology Trainees’ Multicultural Competence And Racial Affect In The Pandemic, Daniella L. Colb Apr 2024

Relationships Between White Psychology Trainees’ Multicultural Competence And Racial Affect In The Pandemic, Daniella L. Colb

Antioch University Dissertations & Theses

In this dissertation, I used an exploratory research approach to examine White psychology trainees’ affective responses to race-related material and how they relate to trainees’ self-perceived levels of multicultural competence amidst the COVID-19 pandemic and the rise of the Black Lives Matter movement. Participants completed self-report instruments about their experiences and identities, their affective responses to racial content, and their grasp of facets of multicultural competence. Significant correlations were found between affective responses—specifically White guilt and negation—and multicultural competence. The relationship found between White guilt and multicultural competence may speak to the power of guilt to motivate trainees’ pursuit of …


The Relationship Of Workplace Support, Job Control, And Burnout In Nurses, Shannon A. Mccleery Jan 2024

The Relationship Of Workplace Support, Job Control, And Burnout In Nurses, Shannon A. Mccleery

Antioch University Dissertations & Theses

Nurses are the most likely group of healthcare workers to develop burnout. Previous research identified supervisory support, job control, and decision-making ability in the workplace as protective factors against burnout. There was a gap in the literature regarding the relationship between burnout in nurses and their experience of support, control, and decision-making during the COVID-19 pandemic. Reducing and preventing burnout in nurses is important due to the nursing shortage and concerns of attrition rates. This quantitative study examined the relationship of emotional support, instrumental support, job control, and decision-making opportunities in the workplace to burnout in hospital-based nurses. Measures used …


The Lived Experience Of The Covid-19 Pandemic Among Mandate-Resistant Adults In Washington State, Amber N. Peterson Jan 2024

The Lived Experience Of The Covid-19 Pandemic Among Mandate-Resistant Adults In Washington State, Amber N. Peterson

Antioch University Dissertations & Theses

This study examined the lived experience of self-identified, mandate-resistant adults in Washington state. This study explored participants’ experience of the COVID-19 pandemic, from a retrospective framework by uncovering challenges, silver linings, decision-making, and self-reported mental health. Remote interviews were conducted with nine participants. Participants were between 23–31 years old, mostly male, and over half identified as Black. Through semi structured interviews, data was collected and analyzed using Interpretive Phenomenological Analysis (IPA). Participants described their experiences during the COVID-19 pandemic and highlighted significant changes in the way they lived their lives. Most notably, participants described ways in which they defied COVID-19 …


The Pursuit Of Happiness: Freedom And Well-Being In Positive Psychology, Kevin J. Mckenzie Jan 2024

The Pursuit Of Happiness: Freedom And Well-Being In Positive Psychology, Kevin J. Mckenzie

Antioch University Dissertations & Theses

This project explores the relationship between freedom and well‑being. Through reviewing the literature of positive psychology and existential psychology, clearer pictures of well‑being and freedom emerge, allowing for statistical analysis. By adopting Seligman’s well‑being theory as a model that incorporates hedonic and eudaimonic elements of well‑being and self‑determination theory’s conceptualization of autonomy as a proxy for freedom in existential psychology, this study explores the relationship between these constructs and their theorized factors through correlational analysis. A potential measurement model for an overall well‑being measure incorporating freedom as a factor is proposed and tested using confirmatory factor analyses. The effects of …


Posttraumatic Growth Following Pregnancy Loss, Megan Pinette Jan 2024

Posttraumatic Growth Following Pregnancy Loss, Megan Pinette

Antioch University Dissertations & Theses

Posttraumatic growth (PTG) is positive psychological change that can result from the struggle with trauma or other highly stressful events (Calhoun & Tedeschi, 1999; Calhoun et al., 2010). The aim of this study was to capture the rich narratives of individuals who have experienced pregnancy loss and reported PTG. The narratives of ten participants were investigated to better understand what areas of posttraumatic growth they experienced following this often-devastating loss, as well as the processes that led to this growth. Participants of this study reported experiencing growth in the domains of (a) Relating to Others, (b) Personal Strength, (c) New …


Historical Trauma Informed Approach To Treatment: A Proposed Suicide Prevention Program For Native American Youth, Christine E. Faris Jan 2024

Historical Trauma Informed Approach To Treatment: A Proposed Suicide Prevention Program For Native American Youth, Christine E. Faris

Antioch University Dissertations & Theses

Suicide is a significant public health concern across the world. It is the second leading cause of death for children and young adults ages 10-34 (CDC, 2016). In 2021, suicide rates were highest among American Indian/Alaska Native (AI/AN) persons, and AI/AN youths had the highest rates of suicide compared to their same-aged peers from other racial and ethnic groups (Stone, Mack, & Qualters, 2021). Historical trauma, or unresolved trauma caused by colonization that gets passed down from generation to generation, has been used as a framework for understanding the high rates of social problems and suicide that plague AI/AN communities. …


My World's On Fire, How 'Bout Yours? An Investigation Of How Privilege Fosters And Maintains Climate Denial, Morgan A. Chester Jan 2024

My World's On Fire, How 'Bout Yours? An Investigation Of How Privilege Fosters And Maintains Climate Denial, Morgan A. Chester

Antioch University Dissertations & Theses

The present study investigates the phenomenon of climate denial through a new theoretical framework of privilege. The analysis utilizes a feminist orientation that builds on a historical interpretation through the lens of colonialism. Through the dissection of current multidisciplinary understandings of climate denial and new concepts discovered in the review of academic literature and popular media, a compilation of theory, relationship, and connection is made. Systems of power and privilege are examined and connected to the mechanisms and maintenance of climate denial. The resulting analysis illuminates that settler colonialism, supported by connected ideologies of White supremacy, ableism, and patriarchy inform …


When The Bough Breaks: Alcohol Misuse Among Jamaican Young Adults, Marsha Smith Jan 2023

When The Bough Breaks: Alcohol Misuse Among Jamaican Young Adults, Marsha Smith

Antioch University Dissertations & Theses

The incidence of alcohol misuse globally continues to be a significant problem with copious adverse health and social causes and implications. The prevalence of alcohol misuse in Jamaica, British West Indies, instigated the trifold objective of this study. The ecological systems model provided a framework for conceptualizing multilayered biological and social processes that interact to determine mental health. This study examined anxiety and depression, family structure, and perceived parental warmth and control as predictors of alcohol misuse among young adults ages 18 to 30 residing in Jamaica. The current study revealed a correlation between alcohol misuse and higher levels of …


“Avoid It Like The Plague”: Adults' Lived Experience Of Avoidant Restrictive Food Intake Disorder, Megan Knedgen Jan 2023

“Avoid It Like The Plague”: Adults' Lived Experience Of Avoidant Restrictive Food Intake Disorder, Megan Knedgen

Antioch University Dissertations & Theses

This phenomenological study explored the lived experiences of adults with a DSM-5 diagnosis of avoidant restrictive food intake disorder (ARFID) aiming to describe key features of ARFID as it is understood by treatment-seeking adults. Nine treatment-seeking adults with a full-threshold diagnosis of ARFID (aged 20–42) were recruited. In-depth, semi-structured, qualitative interviews were conducted to explore participants’ experiences and perceptions of avoidant and/or restrictive eating. Transcripts were analyzed using interpretative phenomenological analysis, through which three group experimental themes were generated: (a) “A tradeoff between safety and freedom,” (b) “A broken self,” and (c) “Being seen: A double-edged sword.” This study’s findings …


Psychologist Perspectives On The Treatment And Assessment Of Problematic Sexual Behavior In Neurodivergent Youth, Emily R. Marhan Jan 2023

Psychologist Perspectives On The Treatment And Assessment Of Problematic Sexual Behavior In Neurodivergent Youth, Emily R. Marhan

Antioch University Dissertations & Theses

The following dissertation explored the subjective experience of mental health clinicians regarding their perceptions of providing treatment and assessment to neurodivergent youth (ND) who exhibited problematic sexual behavior (PSB). Prior to this study, scant research has been conducted pertaining to the treatment and assessment of youth who exhibit PSB, and less still on those with comorbid neurodivergence (Jones & Chaplin, 2017; Malovic et al., 2016; Pratt, 2013). This study utilized Interpretative Phenomenological Analysis to inform interpretations of participant responses collected through semi-structured interviews. Participants consisted of five licensed psychologists with experience providing assessment and/or treatment to both neurotypical and ND …


Living With Awareness, Courage, And Love: An Accessible Behavioral Intervention To Improve Well-Being, Emerson J. Hardebeck Jan 2023

Living With Awareness, Courage, And Love: An Accessible Behavioral Intervention To Improve Well-Being, Emerson J. Hardebeck

Antioch University Dissertations & Theses

Accessing mental healthcare is difficult and has become more so as demand escalated during the ongoing COVID-19 pandemic. In an attempt to address this problem, an established behavior therapy, Functional Analytic Psychotherapy (FAP), has recently been adapted into a group-based format called Living with Awareness, Courage, and Love (ACL), which can be disseminated inexpensively and quickly due to its reliance on laypeople, rather than clinicians, as facilitators. This randomized-controlled trial evaluated the effects of a six-week ACL group on participants’ well-being across several domains. Compared to participants in the control group, those in the ACL intervention formed a significantly closer …


How Racial Trauma Manifests In Black Women From Direct And Indirect Encounters With Police Brutality, Ashley Turner Jan 2023

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

Antioch University 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. …


From Intersubjectivity To Activism: A Case For Engaged Psychoanalytic And Psychodynamic Psychology, Abigail Bliss Jan 2023

From Intersubjectivity To Activism: A Case For Engaged Psychoanalytic And Psychodynamic Psychology, Abigail Bliss

Antioch University Dissertations & Theses

This dissertation consists of a book proposal, including a completed introduction and first chapter, in addition to detailed chapter outlines summarizing the content for the actual book. After framing this project and exploring its inspiration, which includes Freud and his free clinics (Danto, 2005), the first chapter begins with explorations of multiple theories of intersubjectivity and the analytic third, considering how contemporary sociopolitical factors might affect the intersubjective experience. To this end, I demonstrate how race, politics, the COVID-19 pandemic, and the incorporation of telehealth practices affect the intersubjective experience in psychoanalytic/psychodynamic (PA/PD) psychotherapy. I then research and review PA/PD …


Nonsuicidal Self-Injury And Real-Life Self-Disclosure Among Internet Users, Matthew Tanner Jan 2023

Nonsuicidal Self-Injury And Real-Life Self-Disclosure Among Internet Users, Matthew Tanner

Antioch University Dissertations & Theses

The purpose of this study was to explore several unknown issues regarding disclosure of nonsuicidal self-injury (NSSI) among users of social media. NSSI is a category of behaviors that cause intentional harm to the body without the intent to commit suicide. However, individuals who self-injure may unintentionally risk serious and even life-threatening harm. Moreover, the stigma and resultant shame associated with NSSI discourage reporting and thus complicate research into the behavior. This study examined the factors involved in individuals’ decisions to disclose NSSI. The current study uses primarily descriptive statistics from an internet-based survey to explore the following questions: (a) …


Executive Functioning Among The Karyotypes In Turner Syndrome And Implications For Interventions, Sara Scull Jan 2023

Executive Functioning Among The Karyotypes In Turner Syndrome And Implications For Interventions, Sara Scull

Antioch University Dissertations & Theses

Turner syndrome (TS) is a genetic disorder seen in phenotypically female (pf) individuals who have either a complete or partial absence of the second sex (X) chromosome. TS includes different karyotypes, and it presents with a variety of phenotypic and genotypic features. In general, the neuropsychological profiles for individuals diagnosed suggest that TS can contribute to challenges in various aspects of daily life, including social and emotional functioning. With regard to academic performances, individuals with TS often present with relative strengths in a range of verbal abilities and relative weakness in visual-spatial/perceptual abilities, nonverbal memory, motor function, processing speed, executive …


A Mixed-Methods Exploration Of Quality Of Life In Forensic Inpatients With Schizophrenia Spectrum Disorders On The Social Learning Program, Alexa Hutzenbiler Jan 2023

A Mixed-Methods Exploration Of Quality Of Life In Forensic Inpatients With Schizophrenia Spectrum Disorders On The Social Learning Program, Alexa Hutzenbiler

Antioch University Dissertations & Theses

This mixed-methods study explored the quality of life and lived experiences of adult individuals with diagnoses of schizophrenia spectrum disorders residing and receiving treatment on the Social Learning Program (SLP) at Fulton State Hospital, a high-security state forensic facility. Eleven participants completed the WHOQOL-BREF quantitative quality-of-life measure. Ten participants completed in-depth, semi-structured, qualitative interviews. Interviews were transcribed then analysed using Interpretive Phenomenological Analysis. The major themes that emerged included “Working the Program,” “Relationship Dynamics with Self and Others,” “Meaning,” “I’ve Been Having Breakthroughs,” and “Areas for Improvement in the Program.” Combined, the findings of the present investigation demonstrate the utility …


Does Anyone Else? The Lived Experience Of Writing About Depersonalization On Reddit, Kristina S. Fury Jan 2023

Does Anyone Else? The Lived Experience Of Writing About Depersonalization On Reddit, Kristina S. Fury

Antioch University Dissertations & Theses

As both The International Statistical Classification of Diseases and Related Health Problems 11th Revision (ICD-11) and The Diagnostic and Statistical Manual of Mental Disorders-5-Text Revision (DSM-5-TR) describe, depersonalization (DP) involves unpleasant episodes of detachment from one’s sense of self or of unreality in the environment. Symptoms include people feeling as though they are an outside observer of their thoughts, feelings, sensations, body, or actions. DP can take the form of emotional numbing, in which people may feel they are watching themselves from a distance or as though they are characters in a play. People can also feel physically numb, disconnected …


Exploring The Lives Of Animal Activists: A Qualitative Study, Erin K. Mckenney Jan 2023

Exploring The Lives Of Animal Activists: A Qualitative Study, Erin K. Mckenney

Antioch University Dissertations & Theses

The animal rights movement, despite its historical roots, has only recently garnered attention in the realm of social sciences, increasingly being recognized as a facet of social justice. This dissertation delves into the intersection of animal rights activism and gender, primarily focusing on the parallels drawn between the oppression of women and animals/nature. The noticeable dominance of women in the animal rights movement, as suggested by previous studies, formed the basis for adopting an eco-feminist approach to explore this issue, highlighting the shared oppression and exploitation faced by women and animals. In-depth, in-person interviews were used to collect data on …


Internalized Transphobia And The Development Of Disordered Eating Behaviors In Gender Diverse Adults, Bonnie Kester Jan 2023

Internalized Transphobia And The Development Of Disordered Eating Behaviors In Gender Diverse Adults, Bonnie Kester

Antioch University Dissertations & Theses

Gender diverse individuals experience a multitude of oppressive interactions within our society and receive incessant messages of invalidation, oppression, and aggression. These chronic stressors have been shown to increase the risk of developing disordered eating behaviors within this population. The current study aims to explore how internalized transphobia may affect the development of disordered eating behavior as viewed through the Minority Stress Framework. This study explored the lived experience of being gender diverse in our society and how this may relate to the development of disordered eating behavior while also investigating protective factors. This study utilized a qualitative phenomenological methodology, …


Examining The Relationship Between Non-Suicidal Self-Injury And Attachment Styles, Larissa Grundmanis Jan 2023

Examining The Relationship Between Non-Suicidal Self-Injury And Attachment Styles, Larissa Grundmanis

Antioch University Dissertations & Theses

Non-suicidal self-injury, or NSSI, can be defined as the “intentional, self-inflicted destruction of body tissue performed without suicidal intent using methods that are not socially sanctioned” (Martin et al., 2017, p. 425). Lifetime prevalence has been found to be between 5.9% and 18% (Cassels et al., 2019; Klonsky, 2011), indicating that there is a need to understand NSSI so that individuals can be helped to reduce the frequency of their harming behaviors. There is reason to believe that one’s attachment style is associated with the engagement of NSSI (e.g., Wrath & Adams, 2019). Research shows mixed results regarding the types …


Would You Offer Your Heart To The Wolf With The Red Roses? The Lived Experience Of Women In Relationships With Violent And Incarcerated Men, Amber R. Silverwood Jan 2023

Would You Offer Your Heart To The Wolf With The Red Roses? The Lived Experience Of Women In Relationships With Violent And Incarcerated Men, Amber R. Silverwood

Antioch University Dissertations & Theses

Relationships with incarcerated individuals can be complex and complicated for the partner outside the prison walls. These relationships are seldom discussed and are poorly studied overall, with minimal information available about the people who start romantic relationships with people in prison. This study aimed to better understand the lived experiences of the women who engage in romantic relationships with men and specifically examined romantic relationships that started after their partner was incarcerated. The participants for this study were located on the website Reddit, in a designated subreddit for women in such relationships. In total, nine women responded and spoke candidly …


Psychoanalytic And Psychodynamic Practitioners Survey, Rebecca Moussa Jan 2023

Psychoanalytic And Psychodynamic Practitioners Survey, Rebecca Moussa

Antioch University Dissertations & Theses

There has been little consensus in the field of psychology in what defines a psychoanalytic/psychodynamic (PA/PD) practitioner or psychologist. This dissertation analyzed the data from the 2021 Psychoanalytic and Psychodynamic Practitioner’s Survey. The analyzed data was used to further understand who these practitioners are and how they practice by exploring (a) practice patterns, (b) education and training experiences, (c) demographics of practitioners, (e) practice settings and populations, (f), clinical problems addressed, and (g) needs and interest assessment for new specialty and subspecialty board certification. The results were analyzed and revealed relevant information about individuals’ ethnic/racial identification and the intersecting factors …


Autism Paradigms And Mental Well-Being Among Autistic Adults: A Quantitative Exploration, Libbey Walker Jan 2023

Autism Paradigms And Mental Well-Being Among Autistic Adults: A Quantitative Exploration, Libbey Walker

Antioch University Dissertations & Theses

Autistic populations experience significant mental health challenges. A growing body of research supports addressing autistic mental health problems using the framework of minority stress theory, the social model of disability, and the neurodiversity paradigm (e.g., Botha & Frost, 2018; Cage et al., 2018). This quantitative study explored how identification with the neurodiversity paradigm versus the pathology paradigm related to mental well-being in autistic adults. Participants (N = 135) completed an online survey in which they rated their identification with autism descriptions representing both paradigms. Participants also completed measures of psychological distress, self-esteem, personal autism acceptance, and internalized autism stigma. Most …


The Impact Of Poorly Facilitated Anti-Racist Conversations, Brandon Kirkwood Jan 2023

The Impact Of Poorly Facilitated Anti-Racist Conversations, Brandon Kirkwood

Antioch University Dissertations & Theses

It is well established that the graduate school experience is significantly different for students of color; on top of a rigorous training program, they face additional distinct challenges including racism, discrimination, and feelings of isolation. Insidious Trauma theory provides the framework for this quantitative exploration assessing the impact of poorly facilitated anti-racist conversations on the physical and emotional wellbeing of clinical psychology graduate students of color. George Floyd’s murder, among many other incidents of racial injustice, was a powerful catalyst that propelled academic institutions into action. Anti-racist dialogue became the intentional focus of graduate classes almost overnight. Well-meaning but insufficiently-prepared …


Autistic Authors' Narratives Of Trauma And Resilience: A Qualitative Analysis, Tessa Smith Jan 2023

Autistic Authors' Narratives Of Trauma And Resilience: A Qualitative Analysis, Tessa Smith

Antioch University Dissertations & Theses

This qualitative dissertation investigates current research gaps regarding autistic individuals’ experience of trauma and resilience in the face of adversity. Specifically, it conceptualizes trauma and resilience through a neurodiverse lens, through identifying themes in memoirs written by five autistic authors related to trauma, potentially traumatic events, resiliency, and posttraumatic growth. Through Interpretive Phenomenological Analysis, I identified individual, interpersonal, and societal factors impacting the memoirists experiences of trauma, through the identification of 11 superordinate themes. Prominent themes at the individual level included self-acceptance and emotion regulation promoting resilience. At the contextual level, sensory processing and uncertainty coincided with experiences of trauma. …


Binge Drinking And Protective Behavioral Strategies Among Greek And Non-Greek College Students, Maria Niitepold Jan 2023

Binge Drinking And Protective Behavioral Strategies Among Greek And Non-Greek College Students, Maria Niitepold

Antioch University Dissertations & Theses

One of the most problematic habits of college students, binge drinking, has been of particular interest among researchers as a result of the increased risk of harm experienced by students engaging in this high-risk behavior. Fraternity and sorority students have also come under scrutiny for habitually engaging in binge drinking and experiencing significant levels of negative consequences as a result. Little is currently understood about the differences between Protective Behavioral Strategy (PBS) use of Greek and non-Greek students. The aim of this study was to examine the differences in rates of binge drinking and PBS use among Greek and non-Greek …


Metaphor And Intersubjectivity: The Use Of Metaphor Within A Metaphor, Sara Jalbert Jan 2023

Metaphor And Intersubjectivity: The Use Of Metaphor Within A Metaphor, Sara Jalbert

Antioch University Dissertations & Theses

Psychotherapists experience encounters in psychotherapy that present the opportunity for metaphor and imagery to be utilized as methods of intervention that enhance attunement in the therapeutic dyad. Working within imagery, tropes, and metaphor may facilitate experiential processing and integration of information. Metaphor has been used across cultures for many years to describe abstract concepts and to apply deeper meaning to the confines of logical thought. This paper discusses the literature on metaphor as an object of shared language, enhancing the space which minds share in the therapeutic dyad, and posits that metaphor has the ability to enhance intrapsychic levels of …