Social Work Commons^™

When There Are No Therapists: A Psychoeducational Group For People Who Have Experienced Social Disasters, Joshua Miller, Xiying Wang

School for Social Work: Faculty Publications

A social disaster is when categories of people are politically or socially targeted by virtue of their social identities and suffer ongoing targeting and oppression. Survivors of social disasters often experience similar traumatic symptoms as those of survivors of natural disasters but, unlike most other types of disasters, the threats that caused the trauma and the conditions that undermine survivor’s identity, safety, trust, and sense of control continue to exist. This article shares a model of a psychoeducational group developed and field tested by the authors and used with a group of people targeted because of their queer identities.

An Exploration Of The Relationship Of Obsessive-Compulsive Disorder Symptoms And Traumatic Experiences In Adult Clients, Sasha Pansovoy

Theses, Dissertations, and Projects

This qualitative research study explored clinicians’ perspectives on the association between Obsessive Compulsive Disorder and trauma in the treatment of adult clients. Using both content and narrative analysis, the study examined whether OCD symptoms are reminiscent of the clients’ traumas. Nine clinicians were interviewed and presented narratives of clients who have experienced traumatic events and OCD. Key findings revealed that (1) 10 out of the 12 clients presented were abused as children; (2) OCD symptoms were perceived as coping strategies; (3) the majority of discussed clients were cisgender males; and (4) OCD symptoms of the clients reflected past traumas. Treatment …

A Mixed-Method Study Examining The Intersection Of Race And Sexual Violence Among Lgbtq Prisoners, Sarah J. Aftab

Theses, Dissertations, and Projects

The current mixed-method study examined the intersection of race and sexual violence among LGBTQ prisoners while incarcerated. The study used secondary data from a survey of LGBTQ prisoners collected by an organization in 2014 (N=1093). Historically, the criminal justice system has criminalized and discriminated against LGBTQ persons, and reports show a prevalence of abuse occurs during incarceration. Quantitatively, the study aimed to determine a relationship between race and sexual violence; qualitatively, it aimed to understand how prisoners in this study experienced sexual violence. Findings suggested: Black, Latinx/Hispanic, and Mixed race prisoners had significantly lower likelihood of unwanted touching …

Barriers To Mental Health Treatment For Refugees In Maine : An Exploratory Study, Hayley Fitzgerald

Theses, Dissertations, and Projects

The purpose of this study was to explore the barriers refugees face when it comes to accessing mental health treatment in Maine. Research suggests that refugees underutilize mental health services throughout the United States, despite equal to higher rates of mental health symptoms when compared to the general population. To acquire data, eight refugees were interviewed using a semi-structured interview guide. Participants were asked to share about their perceptions of mental illness and mental health treatment, discuss coping mechanisms that they find useful, and offer suggestions for providers working with refugees. Major findings included that stigma, fear, language, and cultural …

Unequal Treatment : Sociocultural Identities And Their Effects On Eating Diorder Treatment Access And Efficacy, Hannah NoëL Smith

Theses, Dissertations, and Projects

The purpose of this study is to explore ways in which eating disorder treatment can be made not only more accessible, but more effective for clients who identify as people of color, lower-socioeconomic status (SES), trans and gender nonconforming, and people whose Body Mass Index (BMI) normal or higher at the time of treatment.

Data was collected using a survey, which was completed by 28 participants recruited through Facebook eating disorder recovery groups and Instagram. Participants were asked to describe their racial identity, gender identity, SES, and BMI, then reflect on the experience of seeking eating disorder treatment.

The findings …

Working With Trauma : A Qualitative And Retrospective Exploration Of The Experiences Of Clinicians Who Work With Trauma, Allyson Rebecca Lent

Theses, Dissertations, and Projects

The current study explored the gap in understanding the experiences of clinicians who work with trauma given the interesting intersection of high prevalence of trauma and demonstrated lack of training in working with trauma survivors. To this end, this qualitative and exploratory study sought to gain a retrospective understanding of clinicians’ training and career experiences in an effort to glean what has worked well in preparing skilled clinicians to work with trauma. Findings confirmed that clinicians do not feel prepared to do trauma work upon graduating from their degree programs and that they must seek out training opportunities in order …

"A Whole Lot Of Conscious Effort" : Exploring How Protective Factors Contribute To Resiliency In Parents Who Have Experienced Traumatic Events In Childhood, Annelies J. Spykman

Theses, Dissertations, and Projects

The purpose of this research project is to address the multiple variables that contribute to trauma exposure in childhood and how it manifests in the traumatized person’s later parenting styles. The over-arching research question is: do protective factors provide sufficient supports to parents who were subjected to traumatic experiences in childhood in order to lessen the transmission of trauma to their own children? This qualitative study is an assessment of interviews with 18 participants who identify as parents who have experienced at least one traumatic event in childhood. Findings of this study implicate a high level of resilience that has …

Exploring Clinical Best Practices For Working With The Co-Occurrence Of Psychosis And A Trauma History, Sierra Leah Black

Theses, Dissertations, and Projects

This qualitative research study explored clinical practices most effective in helping people who experience co-occurring psychosis and a trauma history. The research was conducted through interviews with nine mental health professionals, who reported they created their own skill base in working with clients with a co-occurrence of psychosis and trauma. Although every respondent reported this co-occurrence as common, they all expressed a lack of confidence and expertise in treating the population. Best practices for treatment were found to be a combination of psychiatric medication, psychotherapy, and community support. Themes of treatment included the need to establish trusting relationships, appreciate client …

Gender Identity And Childhood Experiences : An Introductory Quantitative Study Of The Relationship Between Gender Identity And Adverse Childhood Experiences, Liam P. Malone

Theses, Dissertations, and Projects

It has been established that individuals with transgender* identities experience abuse and trauma at higher frequencies than individuals with non-transgender identities (Mascis, 2011). Gender dysphoria currently exists as a mental health diagnosis, perpetuating stigma as well as pathologizing gender variance. Clinical social workers have preserved a harmful formulation that gender dysphoria is a disorder caused by trauma. There has been scarce quantitative research to date exploring a relationship between transgender identities and adverse childhood experiences. This study aims to: (1) contribute to a foundation of introductory quantitative research on how childhood experiences interact with gender identity, (2) examine the frequency …

An Exploration Of The Relationship Between Vicarious Racism, Police Videos, And Their Impact On The Facebook Consumer, Daniel Segundo

Theses, Dissertations, and Projects

This quantitative exploratory study used conflictual police videos on Facebook as a marker for vicarious racial trauma on social media to investigate its correlation with trauma symptoms. The literature has yet to examine the impact of vicarious trauma experienced on social media. This study collected data from participants who completed an anonymous online questionnaire reflecting on previous experiences watching conflictual police videos. The findings suggest: a positive correlation between vicarious racial trauma experienced on Facebook with trauma symptoms; that police shooting videos had a stronger correlation to trauma symptoms compared to police arrest videos; and a moderate relationship between negative …

Exploration Of Intergenerational Transmission Of Trauma In Holocaust Survivors, Lisa S. Guthery

Theses, Dissertations, and Projects

This study was undertaken to help resolve current debate in the field as to whether or not the traumatic effects of the Holocaust are transmitted intergenerationally. What was preventing or, conversely, enabling the passage of symptomatology from one generation to the next, thereby accounting for the contradiction in research, and clinicians’ observations during their work with Holocaust families? Over 200 people received the study through social media and snowball sampling requesting participation in a Qualtrics survey consisting of 3 screening questions, 5 demographic questions, 4 sections of multiple-choice questions, and 2 open-ended questions. The four sections assessed parental PTSD symptomatology, …

Cultivating Resilience : Antidotes To White Fragility In Racial Justice Education, Katherine E. Roubos

Theses, Dissertations, and Projects

This qualitative study explores what skills, tools and approaches may be helpful antidotes to white fragility in racial justice education. This study is in response to the challenge posed by white fragility, as defined by Robin DiAngelo (2011) in which white people experience such extreme emotions in response to learning about racism in the USA that they become either defensive such that they are unable to engage in a learning experience, or so swept up in guilt or shame that they require substantial emotional tending in order to continue to engage in the educational experience. Robin DiAngelo frames this phenomenon …

Decision-Making Process : A Mixed Methods Study Of Somatic Awareness Use By Psychodynamic Clinicians In The Treatment Of Trauma-Related Disorders, Mary P. Curry

Theses, Dissertations, and Projects

This exploratory study examined clinical experiences and perspectives of psychodynamic clinicians on assimilative integration of neurobiologically informed somatic awareness and somatic interventions for the treatment of posttraumatic stress disorder (PTSD) and other trauma related disorders. Using an online mixed-methods study survey, quantitative and qualitative data were collected and analyzed. The primary study cohort respondents (N=156) met all study inclusion criteria and an excluded study sub-cohort respondents (N=56) met partial criteria. Psychodynamic relational practice and neurobiological concepts are formulated from the perspective of assimilative integration. The results, derived from integrating both data sets, reveal clinically relevant elements of the decision-making processes …

From Entrenched To Empowered : The Factors Promoting Resiliency And Healing For Lgbtqia Identified Adult Survivors Of Childhood Sexual Assault, Hal Brown

Theses, Dissertations, and Projects

The objective of this study was to examine the experiences of adults, who as a result of their incidents of childhood sexual abuse were predisposed to present with a variety of negative outcomes, in pursuit of identifiable interventions, practices, and supportive factors effective in mitigating the negative outcomes and promoting survivor resiliency. The bulk of the previous studies of the critical elements for survivor resiliency had been conducted in religious communities. Ensuring a sample composed of individuals with access to an identity-based community, noting that community and connectedness had frequently been considered significant, this study was limited to LGBTQIA identified …

Art As A Clinical Tool In The Treatment Of Complex Ptsd : A Theoretical Study, Emma T. Brenner-Malin

Theses, Dissertations, and Projects

This theoretical thesis explores how art-making can be used as a clinical tool in social worker’s psychodynamic treatment of complex post-traumatic stress disorder. A theoretical thesis was chosen in order to address the gap in the social work literature discussing the integration of creative action into trauma-informed care. D.W. Winnicott’s object relations theory and Trauma-informed art therapy theory are the two theoretical lenses applied and discussed. A review of the literature indicates that art created during therapy can function as a transitional object, facilitating the client’s ability to learn how to regulate their affect, recall dissociated affect and memories, bolster …

Exploring Clinicians' Use Of Evidence-Based Interventions That Treat Attachment Problems Between Children, Five Years Of Age And Under, And Their Primary Caregivers, Jean Faucher

Theses, Dissertations, and Projects

This exploratory quantitative study was an attempt to address the dearth of research regarding the use of attachment-focused evidence-based treatments (AF EBT) in the clinical setting. Thirty-eight Master’s level or higher licensed mental health clinicians who work with children that are five years old and under, as well as with their primary caregivers, were surveyed via an anonymous web based questionnaire. The survey explored clinicians’ level of awareness, training, use, adaptation, and perceived effectiveness regarding four AF EBTs, as well as potential barriers that may have impeded their use. The AF EBTs were Child-Parent Psychotherapy (CPP), Attachment and Biobehavioral Catch-UP …