Clinical Psychology Commons^™

Effect Of Maternal Borderline Personality Disorder On Emotional Availability In Mother-Child Interactions, Rebecca Devan Trupe

Masters Theses

Individuals with borderline personality disorder (BPD) experience severe and pervasive disturbances in the development of attachment relationships, identity, and emotion regulation. Given these deficits, mothers diagnosed with BPD are likely to experience significant difficulties in parenting their children. The present study examined the effect of maternal BPD and borderline personality features on emotional availability in interactions between mothers with BPD and their 4- to 7-year-old children. In a low socioeconomic status (SES) sample of n = 35 children of mothers diagnosed with BPD and n = 35 normative comparisons, groups were compared on maternal and child emotional availability, and self-reported …

Personality Disorders Predict Relapse After Remission From An Episode Of Major Depressive Disorder: A 6-Year Prospective Study, Carlos M. Grilo, Robert L. Stout, John C. Markowitz, Charles A. Sanislow, Emily B. Ansell, Andrew E. Skodol, Donna S. Bender, Anthony Pinto, M. Tracie Shea, Shirley Yen, John G. Gunderson, Leslie C. Morey, Christropher J. Hopwood, Thomas H. Mcglashan

Charles A. Sanislow, Ph.D.

Objective: To examine prospectively the course of major depressive disorder (MDD) and to test for the moderating effects of personality disorder (PD) comorbidity on relapse after remission from an episode of MDD.

Method: Participants were 303 patients (196 women and 107 men) with current DSM-IV diagnosed MDD at baseline enrollment in the Col­laborative Longitudinal Personality Disorders Study. Major depressive disorder and Axis I psychiatric disorders were assessed with the Structured Clinical Interview for DSM-IV, and Axis II PDs were assessed with the Diagnostic Interview for DSM-IV Personality Disorders. The course of MDD was assessed with the Longitudinal Interval Follow­up Evaluation …

Developing Constructs For Psychopathology Research: Research Domain Criteria, Charles A. Sanislow, Daniel S. Pine, Kevin J. Quinn, Michael J. Kozak, Marjorie A. Garvey, Robert K. Heinssen, Philip Sung-En Wang, Bruce N. Cuthbert

Charles A. Sanislow, Ph.D.

There exists a divide between findings from integrative neuroscience and clinical research focused on mechanisms of psychopathology. Specifically, a clear correspondence does not emerge between clusters of complex clinical symptoms and dysregulated neurobiological systems, with many apparent redundancies. For instance, many mental disorders involve multiple disruptions in putative mechanistic factors (e.g., excessive fear, deficient impulse control), and different disrupted mechanisms appear to play major roles in many disorders. The Research Domain Criteria (RDoC) framework is a heuristic to facilitate the incorporation of behavioral neuroscience in the study of psychopathology. Such integration might be achieved by shifting the central research focus …

Body Depilation Among Women And Men: The Association Of Body Hair Reduction Or Removal With Body Satisfaction, Appearance Comparison, Body Image Disturbance, And Body Dysmorphic Disorder Symptomatology, Michael Scott Boroughs

USF Tampa Graduate Theses and Dissertations

Body depilation, or the reduction or removal of body hair, is a relatively new area of research inquiry. Although women in many industrialized cultures have engaged in depilation for several decades, this behavior has been documented only recently among men. Though originally thought to be widely practiced by women and only a small proportion of men, including athletes or bodybuilders, recent studies suggest that more men engage in body depilation than previously hypothesized. In fact, one recent study estimated the prevalence of men's body depilation at 83.7% which suggests that men are depilating at rates similar to women. Nevertheless sparse …

Editor’S Farewell, Irvin Sam Schonfeld

Publications and Research

No abstract provided.

The Santa Clara Strength Of Religious Faith Questionnaire: Assessing Faith Engagement In A Brief And Nondenominational Manner, Thomas G. Plante

Psychology

The Santa Clara Strength of Religious Faith Questionnaire is a brief (10-item, or five-item short form version), reliable and valid self report measure assessing strength of religious faith and engagement suitable for use with multiple religious traditions, denominations, and perspectives. It has been used in medical, student, psychiatric, substance abuse, and among general populations nationally and internationally and among multiple cultures and languages. Brief non denominational self report measures of religious and faith engagement that have demonstrated reliability and validity are not common but can have potential for general utility in both clinical and research settings. This article provides an …

Further Validation Of The Mmpi-2 And Mmpi-2-Rf Response Bias Scale: Findings From Disability And Criminal Forensic Settings, Dustin Wygant, Martin Sellbom, Roger Gervais

Dustin B. Wygant

The present study extends the validation of the Minnesota Multiphasic Personality Inventory-2 (MMPI-2) and the Minnesota Multiphasic Personality Inventory-2 Restructured Form (MMPI-2-RF) Response Bias Scale (RBS; R. O. Gervais, Y. S. Ben-Porath, D. B. Wygant, & P. Green, 2007) in separate forensic samples composed of disability claimants and criminal defendants. Using cognitive symptom validity tests as response bias indicators, the RBS exhibited large effect sizes (Cohen's ds = 1.24 and 1.48) in detecting cognitive response bias in the disability and criminal forensic samples, respectively. The scale also added incremental prediction to the traditional MMPI-2 and the MMPI-2-RF overreporting validity scales …

Effects Of Acute Alcohol Consumption On Executive Cognitive Functioning In Naturalistic Settings, Michael Lyvers, Juliette Tobias-Webb

Mike Lyvers

Laboratory studies have demonstrated that acute alcohol intoxication can disrupt performance on neuropsychological tests of executive cognitive functioning such as the Wisconsin Card Sorting Test (WCST). However, the generalizability of such findings to typical self-regulated alcohol intake in social settings can be questioned. In the present study, 86 young adults were recruited at Australian bars to perform a computer version of the WCST. Participants displayed blood alcohol concentrations (BACs) across a range from 0 to 0.15%. Although self-report measures of typical alcohol consumption, impulsivity, and frontal lobe related everyday functioning were all intercorrelated in line with other recent findings, multiple …

A Confirmatory Factor Analysis Of The Toronto Alexithymia Scale (Tas-20) In An Alcohol-Dependent Sample, Fred Thorberg, Ross Young, Karen Sullivan, Michael Lyvers, Cameron Hurst, Jason Connor, Gerald Feeney

Mike Lyvers

Objective: To explore the factorial validity of the Toronto Alexithymia Scale (TAS-20) in an alcohol dependent population. Methods: Confirmatory factor analyses were conducted using structural equation modelling to evaluate the stability of the factor structure of the TAS-20. Based on previously reported factor structures, 1-factor, 2-factor and 3-factor models were examined, using maximum likelihood estimation. Results: Four of the five fit indices considered indicated a superior fit for the 3-factor model compared to the 2-factor and 1-factor models. Conclusion: This study demonstrates that the original 3-factor model of the TAS-20 was a more plausible fit to the data compared to …

The Influence Of A Therapist Workshop In Alliance Strategies On Client Engagement: Feasibility And Preliminary Efficacy, Lotte Smith-Hansen

Open Access Dissertations

The client-therapist relationship has long been recognized as an important element in psychotherapy, and research has demonstrated its robust association with positive outcomes. This study examined the feasibility and preliminary efficacy of training therapists in strategies for improving therapeutic relationships with clients. The strategies were compiled from the empirical literature, drawing on the work of Hilsenroth and Cromer (2007), Castonguay (1996), and Safran and Muran (2000). The study employed a manipulated training design that has the benefit of addressing naturalistic effectiveness questions, while adhering to the rigorous scientific standards of controlled efficacy research (Hayes, 2002). Participants were 57 therapists working …

An Examination Of Hypothalamic-Pituitary-Adrenal Axis Reactivity As A Partial Mediator Of The Relation Between Trauma And Self-Injurious Behavior, Eileen Katherine Bent

Open Access Dissertations

Past work has linked self-injurious behavior (SIB) to a history of traumatic experiences and to problems regulating affect. While this affect dysregulation is conceptualized as occurring at a biological (as well as a behavioral) level, relatively little is known about the biological mechanisms involved. The current study explored whether reactivity of the hypothalamic-pituitary-adrenal (HPA) axis to an interpersonal stressor mediated the relation between trauma and SIB in a sample of 178 18-21 year-old heterosexual dating couples. As predicted, both trauma experience and symptoms positively predicted SIB. While the mediating model was not supported, SIB was associated with an HPA axis …

The Relationship Between Patient Object Relations And The Therapeutic Alliance In A Naturalistic Psychotherapy Sample, Paula Andrea Errazuriz Arellano

Open Access Dissertations

The quality of the patient-therapist relationship, or therapeutic alliance, is widely viewed as an important element of the psychotherapeutic process. Empirically, the therapeutic alliance is a well-established and robust predictor of therapeutic change. With its clear impact on therapeutic success, researchers have increasingly examined factors that contribute to alliance development, including patient psychological characteristics. This study examined the relationship between patients' object relations (i.e., mental representations of self and others) and alliance quality, and whether timing of the alliance rating and the rater perspective (patient vs. therapist) moderated this relationship. Participants were 73 patients and 23 therapists from two outpatient …

Trajectories Of Mental Health And Acculturation Among First Year International Graduate Students From India, Dhara Aniruddha Thakar

Open Access Dissertations

From 2001-2007, students from India have consistently comprised the largest ethnic group of international students on college campuses across the United States (Open Doors: Report on International Educational Exchange, 2007). Despite a number of studies that have researched the mental health of international students in the U.S., none have done so primarily with Indian graduate students. Theoretical and empirical literature regarding the psychological changes and acculturation patterns that international students undergo after their transition do not explore the possibility of multiple pathways of change. The current study identified four separate mental health trajectories for Indian international graduate students during their …

Intersecting Contexts: An Examination Of Social Class, Gender, Race, And Depressive Symptoms, Amy Claxton

Open Access Dissertations

This study examined whether commonly used social class indicators (occupational prestige, education, and income) had direct or indirect effects on mental health, and whether these relationships varied by gender, race, or family structure. To this end, 597 working-class participants were interviewed in the months before they had a child. Findings indicated that income, and not occupational prestige or education, had a direct effect on mental health, in that it was related to fewer depressive symptoms. Additionally, education and race interacted, such that for People of Color, more education was related to more depressive symptoms. Furthermore, occupational prestige and education, and …

The Use Of The Minnesota Multiphasic Personality Inventory-Ii (Mmpi-2) In Pre-Employment Evaluations, Ana M. Gamez

Loma Linda University Electronic Theses, Dissertations & Projects

Psychological testing is an important facet in the selection and hiring processes of law enforcement and public safety personnel. Research in this area suggests that the MMPI-2 scales have been correlated with problematic behavior among police officers, poor job performance, and officer misconduct. This study examined the extent to which suitability for hire could be predicted by the MMPI-2 scale L (Lie), scale K (correction), Infrequency scale (F), scale 4 Psychopathic Deviate (Pd), scale 6 Paranoia (Pa), scale 7 Psychasthenia (Pt), and scale 9 Hypomania (Ma). It examined whether profile differences emerged as a function of suitability across gender, between …

Validity Study Of The Psychopathic Personality Inventory In A Noncriminal Population, Julie Madeleine Woltil

Loma Linda University Electronic Theses, Dissertations & Projects

The Psychopathic Personality Inventory (PPI) is a self-report measure which was created by Lilienfeld and Andrews (1996) to identify the personality traits of psychopathy in noncriminal populations. These personality traits were grouped into eight subscales in the PPI including Machiavellian Egocentricity, Social Potency, Coldheartedness, Carefree Nonplanfulness, Fearlessness, Blame Extemalization, Impulsive Nonconformity and Stress Immunity. In this study, the relationship between the PPI and four theoretically related concepts (psychopathy, empathy, sensation seeking and driving anger) were examined to evaluate its concurrent and construct validity. A positive correlation was found between the PPI and the Self-Rep0l1 Psychopathy Scale, the Driving Anger Scale, …

Client/Therapist Feedback And The Role Of The Alliance On Psychotherapy Outcomes, Elizabeth Preston Cisneros

Loma Linda University Electronic Theses, Dissertations & Projects

Through a system of patient-focused outcomes research which has employed a quality assurance system for tracking client progress in therapy, there has been consistent evidence that utilizing the system to identify those who are not responding to treatment and warning their therapist about the client’s risk significantly improves client outcomes in psychotherapy. Although outcomes have been improved, significant proportions of clients have treatment failures or see no improvement in therapy. Moreover, feedback to therapists appears to be most effective in improving outcomes for the minority of clients who are already at risk of treatment failure.

Attempts to augment the feedback …

Post-Traumatic Stress Disorder-Like Symptomatology In Pediatric Intensivists, Dina Gabriella Cuervo

Loma Linda University Electronic Theses, Dissertations & Projects

Helping professionals, such as social workers, emergency first responders and medical personnel are susceptible to traumatic stress reactions through indirect exposure to trauma via the traumatized population whom they serve. This phenomenon, known as secondary traumatic stress (STS), mimicking the symptoms of posttraumatic stress disorder, can have an impact on a provider’s work with his/her patient or have longer-term effects such as deciding to leave the profession. This study found that physicians’ level of job stress was the strongest predictor of STS and that this relationship was also influenced by resiliency, ego strength and attachment style. Individuals with higher levels …

Body Image Satisfaction In Infant And Pediatric Cardiac Transplant Recipients As Adolescents, Danusia Nedilskyj

Loma Linda University Electronic Theses, Dissertations & Projects

With the long-term survival rate of infant and pediatric heart transplant recipients reaching as high as 85%, there is now a significant number of these youths entering adolescence. Although psychological factors thought to be associated with pediatric heart transplant have reached clearer delineation in the literature, few studies have been conducted. Given the emphasis on development typically seen in adolescence combined with the unique experience of receiving a heart transplant, factors such as body image, self-perception, stress and mood have emerged from the literature. As such, this study assessed psychosocial variables of body image satisfaction, self-concept, depression, and social stress …

Ethical Decision-Making Regarding Nonsexual Multiple Relationships, Diana Jochai

Loma Linda University Electronic Theses, Dissertations & Projects

The current American Psychological Association Ethical Principles of Psychologists and Code of Conduct (APA Ethics Code) states that a multiple relationship is established between a psychotherapist and a client when they engage in a relationship (personal or professional) in addition to the therapeutic relationship (AP A, 2002). Evidence that psychologists do become involved in such relationships, sometimes resulting in harm to the client, comes from examination of complaints to professional organizations and licensing boards, and of scant existing research. Remarkably, however, there has been no research to date regarding the ethical decision-making process in which a psychologist engages regarding whether …