Clinical Psychology Commons^™

Implementation Of A Staff Management System To Increase Consumer Engagement In Group Homes, Jeana L. Koerber

Dissertations

A multi-component staff management system was implemented in three residential group homes for adults with disabilities to examine if it would increase consumer (resident) engagement in leisure activities. The design was a non-concurrent and concurrent multiple baseline design across homes. Participants included consumers who lived in the homes and the direct care staff (DCS) who worked with them: a total of 35 participants. Sessions were an hour in length and occurred twice a day, Monday through Friday. The study lasted approximately 17 weeks in each group home.

There were four phases: (phase A) baseline assessment of consumer engagement and affect, …

The Relationship Between Counselor Trainees’ Personal Therapy Experiences And Client Outcome, Bonnie L. Vanderwal

Dissertations

Research on mental health professionals’ use of personal psychotherapy indicates that a majority of practitioners have participated in their own personal therapy for both personal and professional reasons (Bike, Norcross, & Schatz, 2009; Norcross & Connor, 2005). Psychotherapists typically suggest that engaging in their own personal therapy has aided in their professional development and clinical effectiveness in their work with clients (Orlinsky, Norcross, Ronnestad, & Wiseman, 2005); however, researchers have been unable to conclude that such evidence exists (Clark, 1986; Greenberg & Staller, 1981; Macaskill, 1988; Macran & Shapiro, 1998; Orlinsky, Norcross et al., 2005). Studies often included psychotherapists already …

Memory Deficits In Older Adults: Evaluating Spaced Retrieval With Multiple Probe Techniques, Christopher Walmsley

Dissertations

Difficulties in recognizing and remembering the names of individuals are a common behavioral symptom of major neurocognitive disorder. A number of behavioral strategies have been proposed to improve memory deficits, including spaced retrieval, an intervention that emphasizes delayed recall of target information. Unfortunately, many of the studies that report beneficial effects of spaced retrieval use a very limited range of outcome measures, thus calling into question the magnitude and generality of any reported memory improvement. This study reports on the impact of spaced retrieval using four older adults with cognitive impairment living in an assisted living facility. All participants demonstrated …

Evaluating Sexual Assault Prevention Training Programs For College Women, Eliza S. Mcmanus

Dissertations

Sexual victimization is a frequent and concerning problem for college women. It is estimated that college women are three times more likely to experience sexual assault than women in the general population. Additionally, women with a history of unwanted sexual experiences are at greater risk for future sexual victimization than women without such histories. For these reasons, the examination of college-based sexual assault prevention programs is important given the high rates of unwanted sexual experiences and subsequent negative mental health consequences. Furthermore, the lack of effective skills-based sexual assault prevention programs on college campuses is an important issue to address. …

Cybervictimization As A Predictor Of Aggression And Cyberbullying Among Adolescents: Examination Of Potential Risk And Protective Factors, Laura Ashley Cook

Dissertations

The current study examined how cybervictimization is related to aggression outcomes among adolescents. The current study also examined various potential risk and protective factors, including depressive symptoms, anger rumination, impulsivity, social support, and gender. It was hypothesized that the relation between cybervictimization and aggression or cyberbullying would be intensified when levels of depressive symptoms, impulsivity, and anger rumination were higher and that the relation between cybervictimization and aggression or cyberbullying would be attenuated when levels of social support were higher. Gender was examined as a research question, with no specific directionality hypothesized. The data for the current study were collected …

Predictors Of Binge Eating In College Women, Emily E. Prather

Dissertations

Binge eating has received increased attention in the psychological literature, as the health consequences are becoming increasingly well known. The prevalence of subclinical binge eating (i.e., binge eating that is not associated with a diagnosable eating disorder) is elevated among college women, some of whom will go on to develop more serious problems. Thus, improved understanding of subclinical binge eating in this population can help to inform prevention and intervention strategies.

In a sample of 472 college women this study evaluated the relationships among four theoretically relevant factors hypothesized to predict binge eating: trait anger, anger suppression, impulsivity, and emotion …

Unique And Combined Contributions Of Callous-Unemotional Traits And Parental Incarceration On Juvenile Delinquency In An At-Risk Sample, Lacey Loy Herrington

Dissertations

The current study examined the interrelations among callous-unemotional (CU) traits, a history of parental incarceration, and juvenile delinquency. More specifically, although research suggests that both CU traits and parental incarceration are predictors of juvenile delinquent behaviors, their interaction in influencing such behaviors had yet to be investigated. Two-hundred thirteen (213) adolescents (201 males, 12 females) who were enlisted in a residential program designed for adolescents that dropped out of school participated in this study. Participants ranged in age from 16 to 19 (M = 16.92; SD = .77). Higher levels of overall CU traits reported by the adolescent significantly …

Assessing The Interpersonal Effectiveness Of The Dear-Man Skill Using A Social Psychology Paradigm, Matthew T. Jameson

Dissertations

For more than 50 years, social psychology has investigated persuasion techniques intended to facilitate influencing the behavior of others. This body of research has identified a variety of effective techniques and principles (see Cialdini, 2007). Over roughly the same period, clinical psychologists developed interventions targeting assertiveness, the ability to influence others in socially appropriate ways (see Long, Long, & Whitson, 2009) and the related construct “interpersonal effectiveness,” the ability to influence others without harming relationships or self-respect (Linehan, 2015, pp. 231-237). A literature review conducted by the author was unable to identify linkages between these two related areas of inquiry. …

Behavior Analysis Program To Improve Habits Of Physical Activity, Eating, And Sleeping, Ivan Noe Martinez Salazar

Dissertations

An Internet-based five-week duration program to improve “health habits” using behavior analysis principles and eHealth technology was developed and evaluated. The “health habits” include recurring behaviors that impact health status such as eating, sleeping, and physical activity.

Ten adult participants were recruited online from Mexico. A multiple baseline design was used and participants were randomly assigned into two different groups (i.e., ABBAA and AABBA groups). Participants received online training using videos describing the characteristics of the program and its components. Each participant recorded selected health behaviors using a Microsoft Excel® tool designed specifically for this program’s goal achievements. Participants reported …

The Effects Of Schedule Density Of Reinforcement For Alternative Behavior On Resurgence, Kathryn M. Kestner

Dissertations

Resurgence is the reemergence of a previously extinguished response when an alternative response no longer produces reinforcement. Although returning to previously successful methods for obtaining reinforcement is likely advantageous, resurgence also occurs in the form of treatment relapse. An individual may return to problematic behavior (e.g., aggression, self-injury, drug use) when an alternative behavior (e.g., communication response, coping skill, social behavior, etc.) is no longer successful at producing a reinforcer. Behavior analysts rely on treatments based on differential reinforcement of alternative behavior, and resurgence has been demonstrated following changes to reinforcement schedules due to errors in treatment integrity or intentional …

Functional Analytic Psychotherapy Compared To Watchful Waiting For Enhancing Social Connectedness: A Randomized Clinical Trial With A Diagnosed Sample, Daniel W. M. Maitland

Dissertations

The efficacy of Functional Analytic Psychotherapy (FAP) has not yet been show in randomized controlled trials in any population. The current study utilized a stratified randomization technique conducted by a computer system to assign twenty-three college students recruited for difficulties in interpersonal functioning who scored one standard deviation below the norm on the Fear of Intimacy Scale and met diagnostic criteria via independent assessment for Major Depressive Disorder, Generalized Anxiety Disorder, Social Anxiety Disorder, Avoidant Personality Disorder, or Dependent Personality Disorder to either a FAP condition or a Watchful Waiting Condition to assess the conditions ability to increase social relating …

Functional Analysis Of Gambling, Mack S. Costello

Dissertations

Given high rates of gambling and the growing population of disordered gamblers, there is a need to develop assessment strategies with improved treatment validity. More specifically, assessment strategies are needed that identify the controlling variables for disordered gambling and, thus, provide guidance in the selection of treatment and prevention strategies. This study sought to develop a functional analysis for gambling by utilizing a simulated gambling environment in which contextual variables hypothesized to be causally linked to disordered gambling could be systematically manipulated. Seven experienced gamblers participated in the multi-element, single-subject experimental study. Participants who endorsed at least some problems from …

Assessing The Effectiveness Of A Picture Exchange Communication System On Increasing Manding And Vocal Speech In Identical Twin Adults With Autism, Laura C. Hilton

Dissertations

This study examined the effectiveness of a Picture Exchange Communication System (PECS) on increasing manding (i.e., making requests) and spontaneous vocalizations. Participants were a set of identical twin adult women, both with a diagnosis of autism. The main dependent variable was the number of mands emitted by the participants while utilizing PECS. During each phase of training, participants had to meet a specific criterion before receiving a preferred item. Once the participants met the criterion for each phase of PECS training, a new phase began. Spontaneous vocalizations were tracked during each phase of training to determine if, as previous studies …

Profiles Of Protective Factors In Urban African American Youth Exposed To Community Violence: A Prospective Study Of Resilience, Devin Colleen Carey

Dissertations

The broad purpose of the study was to investigate the relationship between exposure to community violence and adjustment in an urban sample of African American youth living in Chicago. After years of research on community violence, there has been a call to understand the influences of all levels and systems on child adjustment, as well as to use research to promote positive outcomes and prevention of future violence (Aisenberg & Herrenkohl, 2008). With this in mind, this project used latent profile analysis to create profiles of protection based on individual, family, peer, and community factors, as well as evaluate the …

The Role Of Neighborhood And Parenting In The Development Of Effortful Control And Subsequent Social Competence During Early Childhood, Edna Y. Romero

Dissertations

The current study examined ecological predictors of the trajectory of effortful control (EC) across ages 4, 5, and 6 in a community sample of young children (N = 796). The specific goals of the study were to examine poor neighborhood quality as a predictor of EC development, to evaluate the moderating role of supportive and hostile parenting in relation to poor neighborhood quality and EC development, and to determine if the interaction between poor neighborhood quality and parenting predicted change in children’s social competence through the mediating role of EC. Data were analyzed using latent growth curve modeling (LGM). Results …

Predictors And Profiles Of Antiretroviral Therapy Adherence Among African-American Adolescents And Young Adult Males Behaviorally-Infected With Hiv: A Classification Tree Analysis Approach, Israel Moses Gross

Dissertations

Adherence to antiretroviral therapy is crucial for thwarting disease progression and reducing secondary transmission, yet HIV+ youth struggle with adherence. The highest rates of new HIV infections occur in young African American men (YAAM), thus understanding reasons for non-adherence in this group is critical. Reasons for non-adherence can be complex and multifactorial, and innovative methods of exploration are needed for advancing prevention and treatment efforts. A sample of 387 HIV+ YAAM who reported currently taking HIV medications were selected from a cross-sectional assessment of 2,226 HIV+ youth from sites within the Adolescent Trials Network for HIV/AIDS Interventions (ATN) from 2009-2012 …

A Multi-Method Analysis Of Body Mass Index, Physical Activity, And Executive Functions Among Urban Minority Girls, Amanda K. Ward

Dissertations

Recent evidence suggests that the summer months represent an especially vulnerable time of year for weight gain, inactivity, and cognitive decline, particularly among adolescent girls. To explore these issues, this study examined the relations between changes in physical activity (PA), body mass index (BMI), and executive functions (EFs) among a sample of sixty-eight, 10-to 14-year-old girls participating in a four-week, community-based summer camp. Objectively measured PA data (i.e., accelerometer), BMI measurements, and EF neuropsychological assessments were conducted prior to the first week of camp and during the last week of camp. Results revealed that girls increased in all measurements of …

Investigating The Role Of Cognitive Biases As A Risk Factor For Depression, Daniel Aaron Dickson

Dissertations

Consistent with the combined cognitive bias hypothesis (Hirsch, Clark, & Mathews, 2006), cognitive biases in attention, memory, and interpretation have been posited as an underlying vulnerability to the maintenance and recurrence of depressive episodes. While research supports the presence of these biases during current depressive episodes, there is limited evidence that these biases persist following the remission of depression symptoms. However, there is some initial data that suggest that these biases persist in remitted depressed individuals, indicating that these biases may serve as a vulnerability factor for subsequent depressive episodes. In addition, there is little research that has evaluated these …