Clinical Psychology Commons^™

Neuropsychological Correlates And Underlying Cortical Mechanisms Of Working Memory In Moderate To Severe Traumatic Brain Injury, Jessica Ann Clark

University of Kentucky Doctoral Dissertations

Functional magnetic resonance imaging (fMRI) is a relatively new tool that has been used to examine patterns of neural activation within those with traumatic brain injuries (TBI). A review of relevant literature is presented, including alterations in activity within the frontal and parietal regions that are thought to be compensatory in nature. In addition, possible explanations for discrepancies within this research are discussed. The current study expands upon previous work by incorporating a delayed-match-to-sample (DMS) task within an event-related paradigm and neuropsychological testing to compare 12 individuals with a history of TBI to 12 control participants with orthopedic injuries (OI). …

Group Processes And Group Psychotherapy: Social Psychological Foundations Of Change In Therapeutic Groups, Donelson R. Forsyth

Jepson School of Leadership Studies articles, book chapters and other publications

Social psychology and clinical psychology share an interest in change. Rather than assuming that people are static and that psychological systems are immutable, social psychologists track the shifts in social attitudes, actions, values, and beliefs that result from individuals' everyday interactions in their social worlds. Similarly, clinical psychologists examine changes in adjustment, well-being, and dysfunction that are evidenced as people develop psychologically and physically, confront new life circumstances, or react effectively or less adaptively to daily life events.

Trauma, Dissociation, And Traumatic Stress At A Trauma Center Serving Low-Income Children And Adolescents, Krista Kohl

Dissertations

Exposure to trauma continues to be a pervasive and detrimental experience in the lives of children and adolescents in impoverished, urban communities. This study explored the relationships among trauma, dissociation, and posttraumatic stress in a clinic-referred sample of children and adolescents living in urban poverty. Trauma was investigated broadly, including a range of traumatic experiences, with particular attention given to different types, chronicity, multiple exposures, and severity of trauma. Dissociation was investigated as a mediator, or mechanism of the relationships among trauma and posttraumatic stress symptoms, internalizing and externalizing behaviors. Moderators included gender, age, and adverse experiences. Results confirmed that …

Do Family Dynamics Mediate The Relationshp Between Early Pubertal Development And Depression For Girls With And Without Spina Bifida?, Rachel Wasserman

Master's Theses

Girls who experience premature puberty have higher levels of depressive symptoms than their peers (Rierdan & Koff, 1991; Hayward et al., 1997). However, girls with spina bifida (SB) experience different psychosocial changes during puberty. This study proposed two longitudinal, mediated moderation models to investigate whether family variables (i.e., parent-child conflict and emotional distancing) contributed to differences in the connection between early pubertal timing and depressive symptoms for girls with and without SB. 62 families (31 SB, 31typically developing) were recruited for a larger longitudinal study. Constructs were assessed subjectively and objectively with the use of questionnaire and observational data. Findings …

Visual Naming Performance After Atl Resection: Impact Of Atypical Language Dominance., S. Kovac, G. Möddel, J. Reinholz, A. V. Alexopoulosa, T. Syed, M. Z. Koubeissi, S. U. Schuele, Tara T. Lineweaver, R. M. Busch, T. Loddenkemper

Scholarship and Professional Work - LAS

Purpose- To characterize the interaction between language dominance and lateralization of the epileptic focus for pre- and postoperative Boston Naming Test (BNT) performance in patients undergoing anterior temporal lobectomy (ATL).

Methods- Analysis of pre- and postoperative BNT scores depending on lateralization of language as measured by the intracarotid amobarbital procedure (IAP) versus lateralization of the temporal lobe epileptic focus.

Results- Changes between pre- and postoperative BNT performance depended on epilepsy lateralization (effect size = 0.189) with significant decrease in patients undergoing left ATL. Subgroup analysis in these showed that postoperative decline in BNT scores was significant in patients with atypical …

Gendered Perceptions Of Batterer Intervention Co-Facilitation, Dorothy Lynne Boston

Theses, Dissertations and Capstones

The purpose of this dissertation was to examine the experience of co-facilitating male batterer intervention groups as reported by male and female facilitators and to identify how that experience differs along gender lines, given that dual-gender facilitation is an expectation of licensing standards that has not been researched. The following research questions were asked: 1) are there notable differences in how co-facilitation of male batterer intervention groups is experienced by males and females, 2) are females more sensitive to and affected by issues of power and control within the facilitation process than their male peers, and 3) is it more …

Social Support, Social Control And Health Behavior Change In Spouses, Kieran T. Sullivan, Lauri A. Pasch, Katherine Hanson, Kathrine Bejanyan

Psychology

Our work on support processes in intimate relationships has focused on how partners in committed relationships help one another contend with personal difficulties, and how partners elicit and provide support in their day-to-day interactions. We are particularly interested in how these support skills relate to marital outcomes (Pasch & Bradbury, 1998; Pasch, Harris, Sullivan, & Bradbury, 2004; Sullivan, Pasch, Eldridge, & Bradbury, 1998) and how they relate to behavior change in spouses (Sullivan, Pasch, Johnson, & Bradbury, 2006), especially health behavior changes. In this chapter, we review research examining the effects of social support and social control on spouses' health …

Weight Gain Among Adults With Intellectual Disabilities Receiving Atypical Antipsychotics, Sherri Lyn Transier

Doctoral Dissertations

The present study assessed whether the atypical antipsychotic agents olanzapine, risperidone, and quetiapine are associated with significant weight gain among adults with intellectual disabilities after 6 months of drug treatment. The body weights of 79 participants were retrieved 6 months prior to the initiation of drug treatment, at the start of the atypical antipsychotic agent, and after 6 months of drug therapy. Each individual served as his or her own control by utilizing pretreatment baseline trends in weight change to calculate a dependent measure of adjusted posttreatment weight gain. Doing so allowed for a stringent determination of the liability for …

Ethical Issues In Rehabilitation Counselor Supervision And The New 2010 Code Of Ethics, Harriet L. Glosoff, Kathe F. Matrone

Department of Counseling Scholarship and Creative Works

The 2010 revision of the Code of Professional Ethics for Rehabilitation Counselors addresses changes in ethical standards related to rehabilitation counselor supervision. In an effort to promote awareness of these changes, this article offers a brief overview of the revisions and implications for practice including the responsibility of supervisors to actively engage in and support professional development activities.

Does Disinhibition Mediate Alcohol Use And Risk Taking?, Brian J. Klassen

Wayne State University Theses

The relationship between alcohol use and risk-taking is well-documented in the psychological literature. Although this area has attracted an enormous amount of research and interest, the mechanisms that underlie this relationship are not well understood. A model whereby executive functioning (disinhibition, specifically) mediated the relationship between alcohol use and risk-taking/impulsivity was proposed and tested. Although alcohol use and self-reported impulsivity were related on a number of different measures, alcohol use was largely not related to disinhibition, nor was disinhibition related to impulsivity/risk-taking. Therefore, full-fledged tests of mediation could not be performed. Study limitations and directions for future research were also …

Evaluating Outcomes And Response Profiles Of A Psychological Treatment For People With Chronic Pain, Amanda J. Burger

Wayne State University Dissertations

Chronic pain is a leading cause of suffering, disability, and high health care costs. Traditional treatment approaches such as medical or cognitive-behavioral interventions have produced variable and often limited results. Research has suggested

that increased rates of stressful life events, emotional disorders, and emotion regulation deficits contribute to the development and maintenance of chronic pain problems that lack clear, peripheral, biological causes. This study examined the effectiveness of an

innovative, emotion-focused treatment that directly targets patients' unresolved stress and emotional avoidance and sought to identify predictors of treatment outcome. Additionally, this study explored the effects of a novel, emotional assessment …

The Role Of Employment Status, Work Disruption, Leisure, And Resources In The Mental Health Of Demenita Caregiving Daughters, Lisa Jones Ficker

Wayne State University Dissertations

Employment has been consistently identified as a role strain among dementia caregivers. This study sought to examine the patterns and context of employment and work disruption among dementia caregiving daughters and learn the extent to which work disruption influences mental health through hypothesized reductions in financial resources and leisure activities. This study was a cross-sectional design that extracted data of 486 daughter caregivers from a dataset that gathered information from Caucasian, African American, and Latina dementia caregivers at six research sites across the nation.

Results indicated that caregiving daughters who were employed reported the lowest number of depressive symptoms and …

Family Predictors Of Negative Instability In Adopted Emerging Adults, Danila S. Musante

Masters Theses 1911 - February 2014

This study evaluated the associations between filial relationships and young adults’ adjustment to the period of emerging adulthood in adoptive families. Adopted individuals’ attachment to their adoptive parents and affect about adoption were assessed at adolescence and young adulthood and compared with their feelings of negative instability about the period of emerging adulthood. Findings demonstrate that affect about adoption and attachment to each parent during adolescence and emerging adulthood are associated with negative instability in emerging adulthood. Specifically, individuals whose attachment to each parent and affect about their adoption remained high from adolescence to emerging adulthood had the lowest ratings …

Countertransference Behavior And Alliance Quality As A Function Of Therapist Self-Insight, Mamta B. Dadlani

Masters Theses 1911 - February 2014

The current study investigated preliminarily therapists’ countertransference (CT) behavior and alliance quality as a function of therapist self-insight, a central CT management factor. Eight therapist-trainees were rated by a clinical supervisor on their degree of self-insight and then assigned to a high or low self-insight group. The groups were compared on therapist CT behavior, from both therapist and supervisor perspectives, and on patient-perceived alliance quality. Effect size estimates suggested that high self-insight therapists displayed more CT behaviors than low self-insight therapists (with small to medium effects), and that patients of high self-insight therapists reported higher alliance scores (with a medium …

Trajectories Of Emotion Regulation Into Middle Childhood: An Investigation Of Attachment, Temperament, And Language, Julie Elizabeth Braciszewski

Wayne State University Dissertations

The development of emotion regulation continues to be considered a cornerstone to adaptive child development. However, studies have yet to integrate early relationship, child-centered factors, and socio-demographic factors, from infancy through middle childhood, in an attempt to look at emotional regulation development over time. By utilizing latent growth curve modeling, the current study aimed to extend understanding of how child-centered factors (temperament and language skill) and socio-demographic factors (gender, ethnicity, and family resources) affect the development of emotion regulation from 3rd to 6th grades, within the context of early attachment relationships. Stability in emotion regulation in the general sample, as …

Attachment Styles, Social Skills, And Depression In College Women, Eileen L. Cooley, Amy Van Buren, Steven P. Cole

Psychology Faculty Publications

Attachment styles, social skills, and depression were studied in 93 college women using the Relationship Questionnaire (K. Bartholomew & L M. Horowitz, 1991), the Beck Depression Inventory-ll (AT. Beck, R.A. Steer, & G. K. Brown, 1996), and the Interpersonal Competence Questionnaire (D. Buhrmester,W. Furman, M.T.Wittenberg, & H.T. Reis, 1988).The self and other attachment models and the social skills of negative assertion, self-disclosure, and conflict management all correlated with depression. Conflict management partially mediated the relationship between attachment self-model and depression. Implications for counseling are discussed.

Neuropsychological Assessment Of Executive Functioning And Its Association With Depressive Symptomology, Erica Jean Kalkut

Dissertations

The current study explored the construct of executive functioning and neuropsychological measurement techniques used to assess executive functioning (EF). Two current comprehensive measures of executive functioning include the Behavior Rating Inventory of Executive Functioning-Adult Version (BRIEF-A) and the Delis-Kaplan Executive Functioning System (D-KEFS). The BRIEF-A is a self-report questionnaire that reportedly assesses behaviors associated with EF, and the D-KEFS is a battery of tests that are objectively administered by a trained examiner to directly measure different manifestations of EF ability. This study examined the relationship between gender and general intellectual ability on EF and investigated each measure's construct validity in …

Towards A New Measure Of Playfulness: The Capacity To Fully And Freely Engage In Play, Rebecca Cornelli Sanderson

Dissertations

The current study involved the development and validation of a new measure of playfulness, the Project Joy Playfulness Scale (PJPS). The PJPS was designed specifically as a brief teacher-report measure for use in the preschool classroom. Playfulness was hypothesized to include four dimensions: Active Engagement, Internal Control, Joyfulness, and Social Connection. Blending academic knowledge with on-the-ground clinical experience, the measure was collaboratively developed and then tested in two separate phases of data collection.

In the first phase of the study, two hundred and twenty-two preschool students aged three to five were rated by two classroom teachers on the alpha version …

The Relationships Between Perceived Therapeutic Alliance, Therapist Self-Disclosure, And Dropout Expectancy Among Male Substance Abuse Treatment Participants, Harriett Elizabeth Reeh

Walden Dissertations and Doctoral Studies

There are contrasting views from Freudian, humanistic, and feminist theorists regarding whether therapist self-disclosure (TSD) affects the relationship between the therapeutic alliance (TA) and dropout of substance abuse treatment by males. However, there is a paucity of research regarding these topics yet therapists need clear empirical support for the use of TSD in enhancing the TA such that dropout can be averted. This study investigated whether or not TSD moderated the relationship between perceived TA and dropout expectancy. The research participants were 132 men attending residential substance abuse treatment. Four groups of men were randomly assigned to 1 of 4 …

Evaluation Of An Expectnacy Challenge Curriculum In Reducing High Risk Alcohol Use Among College Students When Modified For Larg, Amy Schreiner

Electronic Theses and Dissertations

Alcohol consumption has repeatedly been recognized as the primary public health concern impacting students on college campuses. In response to the prevalence of risky alcohol use and lack of effective response among colleges and universities, the National Advisory Council of the National Institute on Alcohol Abuse and Alcoholism created a task force to review the relevant research literature on alcohol interventions to advise college administrators on effective program implementation and evaluation as well as provide recommendations for future research directions. Only three strategies met criteria for Tier 1 designation (empirical support specifically with college students) and two of these strategies …