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Non-Obstetric Vulvar/Paravaginal Hematoma In An Adolescent Female With Scleroderma: An Opportunity For Intimate Partner Violence Intervention, Amanda Burnham, Jo Cooke-Barber, Stephen Thacker, Donna Evans, David Carney, William Boswell 2020 Memorial Health University Medical Center

Non-Obstetric Vulvar/Paravaginal Hematoma In An Adolescent Female With Scleroderma: An Opportunity For Intimate Partner Violence Intervention, Amanda Burnham, Jo Cooke-Barber, Stephen Thacker, Donna Evans, David Carney, William Boswell

HCA Healthcare Journal of Medicine

A 15-year-old female presented to the emergency department with swelling and pain in her left labial region as well as urinary retention after intercourse. This was the patient’s first time having sexual intercourse and the patient stated that her boyfriend “kneed” her in the labia. A CT scan of the pelvis revealed a large vulvar/external hematoma measuring 6 x 10 x 7 cm which extended into the vaginal vault. This case is the first of a vulvar hematoma reported in a pediatric patient with scleroderma. This case was complicated by the fact that our patient claimed her boyfriend ...


Are Effort And Helpfulness Ratings Of Session Activities Associated With Improved Outcomes In Web-Based Acceptance And Commitment Therapy (Act) For Caregivers?, Hannah R. Cragun 2020 Utah State University

Are Effort And Helpfulness Ratings Of Session Activities Associated With Improved Outcomes In Web-Based Acceptance And Commitment Therapy (Act) For Caregivers?, Hannah R. Cragun

All Graduate Theses and Dissertations

Family caregivers for people with dementia are providing care for up to ten years because people with dementia are living longer. This role can be demanding because the person with dementia can have behavioral and psychological symptoms that can be stressful for the caregiver to witness and manage. Acceptance and Commitment Therapy (ACT) in its traditional face-to-face format has strong scientific support in helping caregivers to be less depressed and better cope with the stress associated with taking care of their loved one. However, because caregiving is a time-demanding role, caregivers can struggle with accessing face-to-face therapy, making online ACT ...


The Multigenerational Transmission Process Of Healing Social Cultural Wounds Within The Black Community: A Comprehensive Analysis, Adeola Quintero 2020 Regis University, Department of Couple and Family Therapy, Division of Counseling and Family Therapy, Rueckert-Hartman College of Health Professions

The Multigenerational Transmission Process Of Healing Social Cultural Wounds Within The Black Community: A Comprehensive Analysis, Adeola Quintero

Counseling and Family Therapy Scholarship Review

This article examines the multigenerational transmission process of healing social cultural wounds within the black community. A comprehensive research analysis of slavery, racial trauma and racism along with the events surrounding their existence in our contemporary society are explored. Revealed throughout this framework are the theories literature has posited as solutions to racial wounds such as the ‘black self-concept’, ‘Post Traumatic Slave Syndrome,’ ‘Bowen’s Multigenerational Transmission Process,’ ‘racialized disease narrative’ and the introduction of the “social cultural wounds’ concept. 15 recommendations are suggested for addressing the racial healing work within individual, institutional, and systemic healing. Current theory, models, scales ...


Gateways For Transformation, Amitice L. Saremi 2020 Pacifica Graduate Institute, Clinical Depth Psychology, Santa Barbara, Ca

Gateways For Transformation, Amitice L. Saremi

Counseling and Family Therapy Scholarship Review

Big life transitions, typically resulting from loss, can cause physical, emotional, and behavioral problems. Using a heuristic methodology, this article answers the question: Given polyvagal theory, how can yoga and depth psychology combine to support clients to make transitions more easily? Polyvagal theory hypothesizes that the vagus nerve, the longest cranial nerve, impacts impact many parts of the body related to physical and mental health. Breathing helps the vagus nerve function properly along with self-regulation, homeostasis, and the social engagement system. Yoga and depth psychology recognize the continuous cycles of life that exist in nature, the constancy of change, the ...


Changing The Narrative For Lgbtq Adolescents: A Literature Review And Call For Research Into Narrative Therapy To Improve Family Acceptance Of Lgbtq Teens, Felicia Jordan 2020 Regis University, Department of Couple and Family Therapy, Division of Counseling and Family Therapy, Rueckert-Hartman College of Health Professions

Changing The Narrative For Lgbtq Adolescents: A Literature Review And Call For Research Into Narrative Therapy To Improve Family Acceptance Of Lgbtq Teens, Felicia Jordan

Counseling and Family Therapy Scholarship Review

A large body of existing research has demonstrated the importance of family acceptance as a protective factor for LGBTQ youth facing increased risks of low self-esteem, depression, suicidal ideation, and other mental-health problems. However, little research has been done on therapeutic interventions for families specifically to address stigma and discrimination against LGBTQ adolescents. In particular, narrative therapy, with its focus on deconstructing and re-storying oppressive cultural narratives, seems a natural fit, but little to no quantitative research has been done on family-based narrative therapy for LGBTQ adolescents, and only a handful of qualitative studies have been published. Therefore, the paper ...


Exploring The Locker, Haley Bagley 2020 Regis University, Department of Couple and Family Therapy, Division of Counseling and Family Therapy, Rueckert-Hartman College of Health Professions

Exploring The Locker, Haley Bagley

Counseling and Family Therapy Scholarship Review

This article is an effort to foster grace and to create genuine, humble community. A new sense of community, that is not conditional on our abilities to censor ourselves to be more palatable to those around us. Instead, the birth of a new way of relating that considers our deep inner selves that feel shame, remember traumas, and cower in fear of these experiences. Perhaps most of all, this article is an invitation to explore our deepest inner selves, and the cost of censoring this self. This exploration is not a leisurely dive into the corners of ourselves that lie ...


An Essay Concerning The Possibility Of A Unified Theory Of Counseling, Lance Kair 2020 Regis University, Department of Counseling, Division of Counseling and Family Therapy, Rueckert-Hartman College of Health Professions

An Essay Concerning The Possibility Of A Unified Theory Of Counseling, Lance Kair

Counseling and Family Therapy Scholarship Review

The Object-Oriented Ontology of Graham Harman, also known as Object-Oriented Philosophy, presumes to describe an ontology of all objects, including human beings. This essay shows how the discipline of counseling can benefit from such an ontology of objects. To move into this particular case of an Object-Oriented Ontology of human beings, and to distinguish, initially, at least, between the object that we are now concerned with, or will be soon, and the universe of subjectivity, I propose that we refer to universal objects, which is to indicate objects that exist in the universe, however we might define it. In this ...


The Role Of Practice-Based Evidence And Feedback Informed Treatment For Improving Therapy Outcomes, Daryl Mahon 2020 Regis University

The Role Of Practice-Based Evidence And Feedback Informed Treatment For Improving Therapy Outcomes, Daryl Mahon

Counseling and Family Therapy Scholarship Review

Attrition rates and deterioration of counselling and psychotherapy clients are two major concerns for those delivering psychological therapies across differential modalities. While a variety of correlations are said to contribute to attrition and deterioration such as, client, therapist and clinical level, identifying and improving outcomes for this cohort of people in routine practice is difficult. Even with the addition of hundreds of empirically supported treatments added to the profession, outcomes have not improved in line with these new approaches. Methods to limit the extent of poor outcomes has been established in the extent literature, thus, practice-based evidence is put forward ...


Introducing Feedback Informed Preference Accommodation (Fipa): A Case Study In Clinical Practice, Daryl Mahon 2020 Regis University

Introducing Feedback Informed Preference Accommodation (Fipa): A Case Study In Clinical Practice, Daryl Mahon

Counseling and Family Therapy Scholarship Review

Psychotherapy is a successful modality for those who engage in and complete a course of treatment. However, attrition rates and negative outcomes make up a significant and under discussed proportion of clinicians’ case load in routine practice. Innovative and novel methods to address these issues have been identified within the extant literature. However, their uptake can be impacted by issues such as utility and brevity. The present paper seeks to establish a framework for integrating Feedback Informed Treatment (FIT) and the Cooper-Norcross Inventory of Preferences (C-NPI) in clinical practice. That is, using the C-NPI for initial preference accommodation and following ...


The Impact Of Relationship Wellness Checkups With Gay Male Couples, Mary Minten, Cass Dykeman 2020 Oregon State University

The Impact Of Relationship Wellness Checkups With Gay Male Couples, Mary Minten, Cass Dykeman

Journal of Counseling Sexology & Sexual Wellness: Research, Practice, and Education

Relationship health impacts many other health outcomes, including physical and mental wellbeing and the health of children in the family system (Goeke-Morey, Cummings, & Papp, 2007; Jaremka, Glaser, Malarkey, & Kiecolt-Glaser, 2013; Jaremka, Lindgren, & Kiecolt-Glaser, 2013; Pihet, Bodenmann, Cina, Widmer, & Shantinath, 2007; Rappaport, 2013; Robles, Slatcher, Trombello, & McGinn, 2014). Despite the importance of relationship health, couples do not regularly seek support for maintaining their connection (Eubanks-Fleming & Cordova, 2012). Early intervention programs that provide support are a growing public health initiative (Cowan & Cowan, 2014). One brief early intervention program, the Marriage Checkup (MC), positively impacts relationship satisfaction, prevents decline, and improves health on other relationship variables such as intimacy (Cordova, 2014 ...


Social-Ecological And Protective Factor Approach To Managing Parental Incarceration, Jacquelyn Harris 2020 National Louis University

Social-Ecological And Protective Factor Approach To Managing Parental Incarceration, Jacquelyn Harris

Dissertations

Mass imprisonment does not only impact the incarcerated individual; it also affects approximately five million children in the United States. Researchers identified and compare the impact of parental incarceration on child development. They acknowledged the protective factors across the lifecycle from a social-ecological perspective and specifically related to parental incarceration. The comprehensive literature review inspired an innovative model, the social-ecological and protective factor approach to managing parental incarceration. The primary goal of this model is to combat the detrimental effects of parental incarceration by identifying protective factors across the lifecycle and throughout the microsystem, mesosystem, and exosystem. This model is ...


Bridging The Gap: Understanding Non-Offending Parental Responses To Their Children's Sexual Abuse., Jennifer LaTreill, Psy.D. 2020 National Louis University

Bridging The Gap: Understanding Non-Offending Parental Responses To Their Children's Sexual Abuse., Jennifer Latreill, Psy.D.

Dissertations

The parental response to children's disclosure of childhood sexual abuse (CSA) is the most critical and important factor regarding the child's post trauma trajectory and overall trauma resolution. Understanding parental responses and the factors that prompt acceptance versus disbelief among the non-offending parent (NOP) is vital to children's success following disclosure given the weight of the NOPs response and its impact on long-term consequences of CSA. This literature review provides a comprehensive summary of what may deter the NOP from recognizing intrafamilial sexual abuse, factors that may contribute to the NOPs disbelief following disclosure, and possible clinical ...


Attachment Styles And Perceived Parental Acceptance And Rejection Of Sexual Orientation In Lgbq Individuals, Emily Grossmann, Michelle Tran 2020 Seattle Pacific University

Attachment Styles And Perceived Parental Acceptance And Rejection Of Sexual Orientation In Lgbq Individuals, Emily Grossmann, Michelle Tran

School of Psychology, Family, and Community Research Conference

Individuals who identify as LGBQ can face challenges with social acceptance. This study seeks to measure the relationship between sexual orientation and attachment style, and how parental response to coming out as non-heterosexual might impact this relationship. Participants completed an online survey measuring adult attachment via the Experiences in Close Relationships-Revised (ECR-R) and perceived parental acceptance or rejection via the Parental Acceptance and Rejection of Sexual Orientation Scale (PARSOS). The authors posit that perceived parental acceptance serves as a protective factor for attachment insecurity and explore Emotionally Focused Therapy as a treatment to increase attachment security in LGBQ individuals.


Treatment Of Female Anorgasmia Using Narrative Therapy And Therapeutic Masturbation – A Practice-Based Study, Leslie Martin 2020 Seattle Pacific University

Treatment Of Female Anorgasmia Using Narrative Therapy And Therapeutic Masturbation – A Practice-Based Study, Leslie Martin

School of Psychology, Family, and Community Research Conference

This research study will use a practice-based model to explore orgasm and sexual pleasure with female clients who report that they are unable to experience an orgasm. By thickening their definitions and stories around orgasm and pleasure; and by engaging in therapeutic masturbation weekly between sessions, clients will experience increased pleasure and orgasm. The use of a guided therapeutic masturbation exercise is used from Emily Nagaski’s book Come As You Are. And quantitative data will be gathered using questions 11, 12, 13, and 16, from an adapted version of the Female Sexual Functioning Inventory.


Exploring Loneliness In Committed Relationships: What Role Does Quality Of Relationship Play?, Amanda McGovern, Kate Belbutoski 2020 Seattle Pacific University

Exploring Loneliness In Committed Relationships: What Role Does Quality Of Relationship Play?, Amanda Mcgovern, Kate Belbutoski

School of Psychology, Family, and Community Research Conference

Loneliness is an aspect of the human experience that has garnered increasing attention as links between loneliness and negative health outcomes have been discovered across medical and mental health fields. Research on loneliness has highlighted relationship status as a prominent influencing factor on individual’s experiences of loneliness, underscoring findings that those in more committed relationships may experience less loneliness. This has clinical implications for therapists, particularly those working with couples who might assume that individuals in committed relationships are unlikely to experience loneliness because of their committed relationship status. This study focuses on the experience of loneliness in committed ...


Anjaneyasana: Yoga As An Intervention For Sexual Shame, Caitlin Minniear, Kathy Smith 2020 Seattle Pacific University

Anjaneyasana: Yoga As An Intervention For Sexual Shame, Caitlin Minniear, Kathy Smith

School of Psychology, Family, and Community Research Conference

While literature exists about the benefits of yoga through mindfulness, and on mindfulness and sex, little is known about the use of yoga as an intervention to promote healthy female sexuality. This study will explore the efficaciousness of yoga in reducing sexual shame. Data from 60 female participants will be collected via surveys. Using statistical analyses, changes in participants levels of sexual shame and sexual enjoyment will be examined as impacted by weekly yoga practice with an emphasis on body awareness, relaxation, and body positivity. We hypothesize a negative correlation between a weekly yoga practice and feelings of sexual shame ...


Religiosity And Experiences Of Sexual Shame: An Exploratory Latent Class Analysis Study, Megan Hiser, Lauren Dudugjian 2020 Seattle Pacific University

Religiosity And Experiences Of Sexual Shame: An Exploratory Latent Class Analysis Study, Megan Hiser, Lauren Dudugjian

School of Psychology, Family, and Community Research Conference

While the relationship between religion and sexual shame has been increasingly discussed, there has yet to be a study examining this relationship (Schermer-Sellers, 2017). This study aims to explore potential relationships between experiences of sexual shame (Clark, 2017) and religiosity. Latent class analysis was used to assess categorical indicators of sexual shame as found by Clark et al. (2017) and present and historical religious exposure. Covariates of membership were explored. The research aims to provide grounds for exploration of experiences of sexual shame nuanced by religion and empower clinicians to assist clients navigating experiences of sexuality, shame, and religion.


Couple Relationships, Secondary Traumatic Stress, And Burnout In A Sample Of Marriage And Family Therapists, Gretchen Hoyum, Stephanie Armes 2020 Seattle Pacific University

Couple Relationships, Secondary Traumatic Stress, And Burnout In A Sample Of Marriage And Family Therapists, Gretchen Hoyum, Stephanie Armes

School of Psychology, Family, and Community Research Conference

Secondary traumatic stress (STS) occurs when a helping professional hears about a client’s trauma and develops symptoms of posttraumatic stress disorder (PTSD; Bride et al., 2004). Previous research has shown that social support can decrease rates of STS in healthcare providers. This study includes data from a larger project of Marriage and Family Therapists (MFTs; N= 200). We explored correlations between STS, burnout, and MFTs’ couple relationship factors. Findings indicated a negative correlation between couple relationship satisfaction and burnout (r = -.17; p < .05), as well as perceived support from partners and STS (r = -.19; p < .01). The findings suggest that MFTs’ positive couple relationships could be a protective factor in lowering levels of STS and burnout. We discuss implications for therapists in our poster.


Factors Of Resiliency In Adolescents With Divorced Parents: Do Adolescents Who Become Part Of A Blended Family Report More Resilience Than Adolescents With Divorced Parents Who Do Not Become Part Of A Blended Family?, Makenzie Kinloch 2020 Seattle Pacific University

Factors Of Resiliency In Adolescents With Divorced Parents: Do Adolescents Who Become Part Of A Blended Family Report More Resilience Than Adolescents With Divorced Parents Who Do Not Become Part Of A Blended Family?, Makenzie Kinloch

School of Psychology, Family, and Community Research Conference

It is not a surprise that non-traditional families are becoming more common. One of the increasingly prevalent forms of non-traditional families are blended families. Adolescents who have gone through parental divorce are faced with unique challenges as they must navigate a changing family structure, and possibly entering into a blended family. This research proposal aims to examine resilience within adolescents in different family systems, exploring if adolescents who have gone through a parental divorce yet not blended with any other family report more resilience than adolescents who have gone through a parental divorce but who have blended with another family.


An Argument For Marriage And Family Therapy Treatment Of Grief With Adolescent Clients, Nicole Wilson, Boone Butler 2020 Seattle Pacific University

An Argument For Marriage And Family Therapy Treatment Of Grief With Adolescent Clients, Nicole Wilson, Boone Butler

School of Psychology, Family, and Community Research Conference

This proposal argues when treating adolescents who experience grief, Marriage and Family Therapy (MFT) treatment provides more beneficial outcomes for the processing of grief. Previous research suggests that adolescents who experienced exclusively family therapy exhibited decreases in internalizing behavior and their capacity to process their emotions was stronger comparative to their peers. Suggestions for further research to be conducted will prove that compared to individual therapy, MFT is more efficacious in treating adolescent grief. Further research suggestions include the utilization of Beck’s Depression Inventory and a comparative analysis of paired data between two groups – MFT treatment versus individual treatment.


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