Clinical Psychology Commons^™

The Prediction Of Personal Narrative On Features Of Recovery Among People With Schizophrenia-Spectrum Disorders, Beth Vayshenker

Dissertations, Theses, and Capstone Projects

Among individuals with schizophrenia, research has demonstrated that in addition to the positive and negative symptoms characteristic of schizophrenia, the diminishment of the self also represents an important aspect of the illness (Lysaker & Lysaker, 2010). Research has confirmed that the self-experience, particularly as measured by the telling of one’s life story through the Scale to Assess Narrative Development (STAND), is linked to a variety of subjective and objective recovery outcomes from schizophrenia. While this association has been documented in different research studies, less is known about the ways in which personal narrative functions to predict recovery outcomes in a …

Parent Childhood Abuse And Neglect And Offspring Mental Health: An Examination Of Potential Mediators, Joanna Young

Dissertations, Theses, and Capstone Projects

Child maltreatment has been associated with difficulties in parenting (Bailey, DeOliveira, Wolfe, Evans, & Hartwick, 2012) and children of abused mothers have been found to be at risk of more negative emotional and behavioral mental health outcomes compared to children of mothers with no abuse history (Collishaw, Dunn, O’Connor, & Golding, 2007; Delker, Noll, Kim, & Fisher, 2014). However, research is limited in terms of studies that investigate mediators in the relationship between parental abuse and child psychopathology. In addition, the majority of past research has focused only on self-reported, maternal histories of abuse and on limited offspring outcomes (i.e. …

The Relationship Between Psychotherapist Personality And Therapeutic Alliance, Michael Finlay

Loma Linda University Electronic Theses, Dissertations & Projects

Time-limited effective psychotherapy is a topic that is frequently addressed in clinical therapy research. Though a wide range of therapeutic factors, expectancy effects, techniques, and extratherapeutic have all been demonstrated to be related to outcome, researchers have consistently identified the therapeutic alliance as one of the strongest factors in predicting psychotherapy outcomes. Researchers are beginning to measure the effectiveness of therapy by evaluating improvements in outcome measures, and client reported therapeutic alliance. Researchers have recently began investigating the common personality profiles among psychotherapists, and have hypothesized that there is a relationship between psychotherapist personality and therapeutic alliance. The goal of …

The Intergenerational Transmission Of Mentalization: How Parental Reflective Function On The Parent Development Interview Relates To Child Mentalization On The Thematic Apperception Test, Kira Boesch

Dissertations, Theses, and Capstone Projects

Mentalization is defined as the metacognitive ability to think about one’s own and other’s thoughts and feelings, with the goal of comprehending behavior (Benbassat & Priel, 2012). Mentalization is associated with secure attachment, and is both directly and indirectly linked to multiple social and emotional outcomes. This study looked at the correlation between parent and child mentalization as a means of exploring the impact of parent reflectiveness on children’s’ mentalization capacities.

Methods: This study utilized archival data collected at The Psychological Center, a community mental health clinic at the City College of New York. The sample consisted of 15 parent-child …

Linking Hostile/Helpless Maternal Representations In Pregnancy And Later Child Protection Involvement: A Pilot Study, Madeleine Terry

Dissertations, Theses, and Capstone Projects

The present pilot study examined whether there are reliable indices in the narratives of pregnant women that can be used to identify child abuse and neglect potential before the birth of the child. The Hostile/Helpless (HH) Classification system (Lyons-Ruth et al., 1995-2005), which detects mental states associated with trauma, disturbances in early attachment, and severe pathology, was adapted for use with the Pregnancy Interview (PI), a semi-structured clinical interview (Slade, 2003) that assesses a woman's emotional experience of pregnancy, and quality of her developing relationship with her baby. The study sample was drawn from a replication study of the Minding …

Underlying Contribution Of Executive Functioning To Cognition And Academic Achievement In Individuals With Dystrophinopathy, Robert Fee

Dissertations, Theses, and Capstone Projects

Dystrophinopathy is a genetic disorder that results in the lack of or abnormal expression of the protein dystrophin. It is a disorder that alters cell structure and function, impacts the developing brain and brain function, presents with multi-domain cognitive deficits, and influences both mood and behavior. Cognitive impairments appear to be more localized to specific areas of functioning rather than a global deficit; however, deficits have been identified across multiple cognitive domains including language and aspects of executive functioning. A careful examination of the cognitive phenotype and its association to mutations affecting CNS isoforms is necessary to clarify the neuropsychological …

Subthreshold Ptsd And Associated Psycholgical Distress In Trauma Exposed Male And Female Veterans, Matthew A. Southard

Dissertations, Theses, and Capstone Projects

Post-Traumatic Stress Disorder (PTSD) represents the upper end of a stress-response continuum to traumatic events, rather than a discrete pathological syndrome (Ruscio, et al., 2002). Individuals with PTSD report higher levels of anxiety, depression, anger, aggression, and adjustment difficulties compared to non-traumatized individuals (Ginzburg, Ein-Dor, & Soloman, 2009; Thompson et al, 2011; Novaco and Chemtob, 2002; Kotler et al, 2001; Orth & Wieland, 2006). Subthreshold PTSD represents a less severe range on the stress-response continuum and these individuals may experience similar rates of symptoms of anger, aggression, and depression as those with full-PTSD (Jakupcak, et al., 2007; Mylle & Maes, …

A Functional Neuroimaging Study Of Self-Regulatory Control In Adults With Gambling And Obsessive-Compulsive Disorders, Nidhi Parashar

Dissertations, Theses, and Capstone Projects

Objective: Recent findings suggest phenomenological similarities across gambling and obsessive-compulsive disorders. The key similarity between the disorders is the failure to inhibit or control a repetitive behavior (or urges to engage in a behavior) and intrusive thoughts. Our current understanding of the neural pathophysiological mechanisms linking gambling and obsessive-compulsive disorders is limited. Thus, the aim of the present study was to examine the functioning of frontostriatal brain regions that support self-regulatory control in adults with gambling and obsessive-compulsive disorders.

Methods: The study compared functional magnetic resonance imaging blood oxygen level dependent response in 19 adults with pathological gambling (PG), …

The Relationship Between Parenting And Child Trauma: An Intergenerational Investigation, Miriam A. Dreyer

Dissertations, Theses, and Capstone Projects

This study examined the intergenerational transmission of trauma by investigating the relationship between parental trauma and child trauma exposure by considering parenting variables including emotion regulation, aggression, monitoring, and punitiveness as potential mechanisms of transmission. Though ample research exists which suggests that experiences of trauma are passed down from one generation to the next, this intergenerational transmission is not inevitable, and the mechanisms of transmission need to be better understood. Parenting is a crucial construct to examine given that it shapes interactions between two generations and represents a forum for intervention.

The study was a secondary analysis of a selection …

What’S Your Story? Assessing Childhood Maltreatment Using The Thematic Apperception Test In An Adult Inpatient Population., Thachell C. Tanis

Dissertations, Theses, and Capstone Projects

There is a robust evidence that childhood maltreatment contributes to the development of adult psychopathology (Brown & Anderson, 1991; Johnson, Cohen, Brown, Smailes, & Bernstein 1999; Johnson, Smailes, Cohen, Brown, & Bernstein, 2000; Ruggiero et al., 1999). However, the identification of childhood maltreatment remains a methodological problem that results in inconsistencies in the reported incidence and psychological sequelae of maltreatment. A primary method for identifying histories of childhood maltreatment among adults is retrospective self-report measures which are susceptible to multiple biases (Briere, 1992; Cicchetti & Rizley, 1981; Shaffer, Huston, & Egeland, 2008). This present study suggests that childhood maltreatment can …

Adults’ Perceptions Of Children With Mental Illness Labels Who Tell Truths And Lies, Jessica Lynn Mccurdy

Dissertations, Theses, and Capstone Projects

This study examined whether children’s truth- and lie-telling is perceived differently by adults when the children have mental illness labels (MIL). Participants (N= 432) read a vignette and watched a video from each of four veracity/motivation (i.e., prosocial truth, antisocial truth, prosocial lie, antisocial lie) and child label (i.e., control, ADHD, depression, asthma) conditions. After each video/vignette combination, participants rated their impressions of and responses towards the child. Participants also completed measures of their implicit and explicit attitudes towards mental illness. The results indicated participants had more negative perceptions of children they rated higher on dangerousness and lower …

A Preliminary Program Evaluation Of A Narrative Therapy Intervention For Persons Incarcerated For Violent Crime, Brooke C. Greene

Dissertations, Theses, and Capstone Projects

The Longtermers Project is a fifteen-session group therapy intervention that has been run in three prisons in New York state, two men’s facilities and one women’s, since 2010. The Coming to Terms curriculum, designed specifically for work with this population by Kathy Boudin and her partners at the Osborne Association, a non-profit organization that provides assistance to formerly and currently incarcerated persons in New York state, asks participants to think, write, and speak about their lives in general and particularly about the incident crime for which they were incarcerated. Now that the program has run for several years and a …

Casualties Of Racism: Racial And Ethnic Discrimination And Suicidal Thoughts And Behaviors Among Racial And Ethnic Minority Emerging Adults, Lillian Anais Polanco

Dissertations, Theses, and Capstone Projects

The evidence demonstrating that experiences of racial/ethnic discrimination is detrimental to the mental health of racial/ethnic minority youth is unequivocal. What remains unclear, however, is whether racial/ethnic discrimination increases vulnerability for suicidal thoughts and behaviors in particular, and if so, what are the underlying mechanisms to explain this relation. Drawing upon the Race-based Traumatic Stress Theory (Carter, 2007), which suggests that some individuals may experience racial/ethnic discrimination as a traumatic stressor, and thus, eliciting a traumatic stress response, the present study examined posttraumatic stress reactions (i.e., posttraumatic stress, depression, dissociation, stress sensitivity) as mediators in the relation between racial/ethnic discrimination …

Gratitude Intervention Modulates P3 Amplitude In A Temporal Discounting Task, Andrea L. Patalano, Sydney L. Lolli, Charles A. Sanislow

Charles A. Sanislow, Ph.D.

The (B)Link Between Amotivation And Dopamine In Psychosis: What Phasic Eye Blink Rate Reveals, Jessica Elaina Mcgovern

LSU Doctoral Dissertations

Motivation deficits (i.e., avolition or amotivation) are a cardinal feature of schizophrenia spectrum disorders (SSDs) and are linked to worse functional outcomes. Accumulating evidence implicates underactive dopamine responses in reward areas of the brain (e.g., striatum) in the etiology of amotivation. Phasic dopamine firing in the striatum purportedly has a role in increasing the perceived value of a potential reward that, in effect, helps “push” the organism toward initiating and persisting in the action to pursue rewards. Previous research has suggested that eye blink rate (EBR) may be a reliable and valid index of striatal dopamine. Amotivation (clinician-rated and self-reported) …

The Micro-Politics Of A New Mental Condition: Legitimization In Maladaptive Daydreamers' Discourse, Orit Bershtling Ph.D., Eli Somer Ph.D.

The Qualitative Report

This study illuminates legitimization efforts in the discourse of individuals who suffer from excessive, uncontrolled daydreaming: a contested mental condition that has not yet been recognized by the medical establishment. It aims to explore the rhetorical maneuvers employed by these “Maladaptive Daydreamers” in 35 email exchanges with the second author and two petitions, submitted to the American Psychiatric Association and to the UK Parliament, with a demand for recognition. Our analysis, anchored theoretically and methodologically in Critical Discourse Analysis, identified several verbal strategies employed by the participants to persuade their interlocutors about the realness of their suffering. The main strategies …

Executive Functioning In Pediatric Youth: A Meta-Analysis, Draycen D. Decator

College of Science and Health Theses and Dissertations

Executive functioning (EF) represents a set of cognitive skills that are important for daily functioning. EF can be influenced by a number of biopsychosocial factors, many of which are present in the pediatric population (i.e., youth with at least one medical condition). It is important to understand EF in this population as it affects aspects of their physical health (e.g., treatment adherence). Previous meta-analyses have been conducted to examine EF in the pediatric population, and they have generally found deficits in EF compared to healthy peers. However, these previous meta-analyses have only focused on specific medical conditions (e.g., pediatric youth …

Biological Stress Response And Cognitive Vulnerability To Depression In Adolescence, Bridget M. Brush

College of Science and Health Theses and Dissertations

Depression is the leading cause of worldwide disability. Rates of Major Depressive Disorder (MDD) increase exponentially over the adolescent transition, suggesting adolescence represents a key period of risk for the onset of depression. Previous research has associated both biological stress response and cognitive vulnerability with symptoms of depression; however, there is little research examining the joint effects of these two risk factors and symptoms of depression, especially during adolescence. The present study examined the association between symptoms of depression and two established risk factors for depression: cognitive vulnerability, as measured by negative cognitive style, and biological stress response, as measured …

Housing, Relationships, And Substance Use Among Female Ex-Offenders, Arturo Soto-Nevarez

College of Science and Health Theses and Dissertations

Female ex-offenders with histories of substance abuse face many difficulties upon reentry into the general population, such as acquiring adequate housing. The purpose of this proposal is to explore the relations between housing settings, relationships, and substance use. Two hundred adult females participated in the initial baseline study. Two methods of data analyses were proposed to predict substance use: one clustering participants into groups based on the endorsement of those settings and relationships, and one using multi-level modeling examining housing settings and relationships both independently as well as unique settings comprised of housing setting and relationship. Participants fell into one …

The Role Of Perceived Control And Cardiac Function Among Individuals With Binge Eating Symptomatology, Rachel E. Goetze

Electronic Theses and Dissertations

The central aim of this study was to investigate the predictive role of perceived control in binge eating severity, mood reactivity, and possible concomitants with reduced cardiovascular function as measured by high frequency heart rate variability (HF-HRV/RSA). Participants (N = 75) included normal to overweight men and women who completed self-report measures assessing perceived control, binge eating severity, perceived stress, negative affect, and depressive symptom severity prior to a structured clinical interview and second experimental laboratory session. During this second experimental lab session, noninvasive electrical sensors were placed for physiological recordings to measure fluctuations in HF-HRV/RSA in participants randomized to …