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Dual Disorders And Implications For Assessment And Treatment, Eva Rosada

Theses: Doctorates and Masters

Part 1: Literature review. This review of the published literature examines the consequences for individuals with co-occurring substance use disorder and chronic mental illness in traditional treatment systems that provide separate mental health and substance use treatment and identifies barriers to effective service delivery. Barriers to effective assessment and treatment are related to a lack of integration of treatments, a Jack of networking among services, and a failure to identify and assess adequately for the presence of a dual disorder. The attitude of professionals towards DD individuals is indicated as a potential barrier. Professional education in dual disorders is emphasized …

Auditory Hallucinations And The Presence Of Depression In Chronic Schizophrenia, Julie Proctor

Theses: Doctorates and Masters

This exploratory study examined the predictive relationship among the dimensions of auditory hallucinations and the presence of depression in chronic schizophrenia. Forty seven out-patients from the Inner City Community Mental Health Service participated, all of whom had a diagnosis of chronic schizophrenia and reported experiencing auditory hallucinations. The measures included the Calgary Rating Scale fur Schizophrenia, the Auditory Hallucinations Rating Scale, the Beliefs About Voices Questionnaire and three questions relating to insight into auditory hallucinations from the Schedule for the Assessment of Insight-Expanded Edition. Consistent with other reports, the present study found a prevalence of depressive symptoms in over 40% …

Nsu Substance Abuse Counseling And Education Master's Degree Program Designed For The Working Professional, Nova Southeastern University

Abraham S. Fischler College of Education and School of Criminal Justice College Archive

No abstract provided.

Portuguese-Americans And Mental Health Treatment Client-Therapist Ethnic Match, Ethnic Identity, And Satisfaction With Treatment, Katherine B. Gamble

Psychology Theses & Dissertations

Multicultural issues in psychotherapy have increasingly been recognized as important in the provision of mental health services to our diverse population. Issues such as beliefs about mental health, attitudes toward authority, and even world view affect how clients access and make use of psychotherapy. Cultural views are essential to how one sees the world, and consequently there is much debate about whether clients would benefit from having therapists from the same cultural background. Ethnic identity, or the degree to which a person holds to the beliefs of their culture of origin, consequently plays an important role in psychotherapy. The Portuguese …

Religious Commitment As A Correlate Of Mental Health And Life Satisfaction Among Black American Families, Judith Bernard-Fisher

Dissertations

Problem. The salutary effect of religion is receiving greater acceptance among researchers, and its positive association with both physical and mental health has been increasingly examined in the scientific literature. Since religion has played a central role in the lives of Blacks, and since previous research has identified positive correlations between some religious attributes and individual well-being, it would seem that religious Black families would enjoy a greater degree of health.

A religious commitment model encompassing affiliation, participation, devotional intensity, and practices was used in the investigation of Black families' mental health and life satisfaction. As the first study of …

Perceptions Of Clinical Psychologists Relative To Other Mental Health Providers, Glenora Nelson

Psychology Theses & Dissertations

There is a myriad of job titles that exist within the mental health profession. Public perception about the differences between these professionals has been the focus of many studies and the results generally suggest that the public cannot clearly distinguish among these mental heath professionals. The present study is also concerned with perceptions about the various mental health professionals, in particular, perceptions of clinical psychologists relative to other professionals in this field. Undergraduate psychology students age 18–47 participated in a study of perceptions and attitudes about the qualifications and competence of clinical psychologists, professional counselors, psychiatrists and clinical social workers. …

Increasing Readiness To Change Among Smokers In A Primary Care Setting, Sheila F. Collicott

Psychology Theses & Dissertations

This study compared the effectiveness of two brief interventions, direct advice and motivational interviewing, for increasing motivation to quit among male smokers in the pre-contemplation and contemplation stages of change who were primary care patients at an Eastern urban VA medical center. Contrary to expectations, participants receiving motivational interviews did not increase more in readiness to change, motivation, and actions to quit, than those receiving direct advice or a control conversation, nor did they smoke fewer cigarettes per day. As expected, contemplators reported more cutting down and quit attempts than pre-contemplators. Factors that may have limited the effectiveness of interventions …

An Identification Of The Core Variables That Assist People Diagnosed With Mental Illness In A Time Of Transition, Robyn M. Martin

Theses: Doctorates and Masters

This study has sought to identify the core variables or factors that are utilised by people with a diagnosis of mental illness in a time of transition. The specific transition involved study participants exiting a non government community mental health agency. The variables of interest are those that assist individuals to cope during this time of change and transition. The specific transition involves participants leaving or exiting from a non government mental health agency that provides community based, psychosocial support. The study topic is located in the context of a formalised mental health system in the process of changing from …

How General Practitioners And Aged Care Workers Perceive Incidences Of Elder Abuse, Paul Howrie

Theses: Doctorates and Masters

As the Australian population is expanding and ageing, there is an associated need for a focus to be placed on the Individual rights of elderly people, and for the general populus to be made more aware of areas related to our older generation. Elder abuse, as an area of concern, developed as an offshoot of investigations into child abuse and general domestic violence, and initially surfaced in the 1970s and 80s. Some sections of the medical profession were made specifically aware of the problem initially in 1975, through a letter that was sent to the British Medical Journal. However, throughout …

Experiences Of Mental Health Consumers : An Exploratory Qualitative Study Of Expectations And Perceptions Of Mental Health Services In Western Australia, Dawn Anne Barrett

Theses : Honours

The National Mental Health Strategy was launched in 1992 and endorsed Consumer-provider collaboration as an integral part or mental health service delivery in Australia. Feedback on services is generally elicited through evaluation of existing services. Rather than being than evaluative study or existing services this qualitative project explored the experience of being a mental health consumer within the framework of the consumer’s expectations and perceptions of service delivery in Western Australia. One male and seven females, aged between 22-55 participated in the study. Several themes and sub-themes under the broad headings of expectations. Experiences. Perceptions emerged. The themes highlighted consumers …

Trends. Drug Addictions: National Policy On Illicit Drugs, Ibpp Editor

International Bulletin of Political Psychology

The article discusses the proposed integrating of drug testing and treatment into the various phases of the criminal justice process.

Social Identity And Substance Abuse In The Lesbian Community, Molly Kerby

Masters Theses & Specialist Projects

The purpose of this study was to determine the degree of substance use (alcohol, tobacco, and other drugs) among members of the lesbian community. Additionally, the investigator attempted to determine if there was a relationship between negative social identity and low selfesteem that is reflected in higher rates of substance abuse. The data collection method employed in this study was a type of nonprobability sampling procedure referred to as a purposive sample. The questionnaire was derived from instruments used by other researchers and validated by an expert panel. In order to select respondents from the lesbian population to be included …

Narrative Cohesiveness And The Resolution Of Trauma, Susan G. Middleton

All-Inclusive List of Electronic Theses and Dissertations

This review examines the literature on narrative and trauma in order to summarize and integrate findings on the role of narrative in adaptation to trauma. First, an introduction to the trauma literature, narrative theory, and how narratives have been studied in the context of psychotherapy is presented. Then, studies examining the characteristics of trauma narratives and their relationship to the resolution of trauma are presented and critiqued. Then, important methodological issues and the various measures used to study narratives in therapy and trauma and its sequelae are discussed. Factors that have been identified as affecting the construction of narratives in …

Comparing Outcome Of Residential And Intensive Outpatient Treatment Services For Substance Dependence, Shawn E. Channell

Dissertations

The past 20 years have witnessed a significant increase in the number of published studies comparing inpatient with outpatient substance dependence treatment The majority of these studies have reported no benefit for those recipients receiving more intensive treatment However, the outpatient treatment investigated in these studies has typically been day treatment often involving 27 hours a week of participation, and not intensive outpatient treatment (IOP), which involves 12 or fewer hours of participation per week. Additionally, few published studies have compared alcohol and cocaine dependent populations. This study was designed to compare effectiveness of the residential and intensive outpatient levels …

Trends. Deep In The Heart Of Texas: Threat Of Violence And The Duty To Warn, Ibpp Editor

International Bulletin of Political Psychology

The article discusses violence in the mentally ill and the obligation to report potential threats.

Internet Addiction As Diagnostic Addiction, Ibpp Editor

International Bulletin of Political Psychology

This article continues the series on research reported at the 1999 American Psychological Association (APA) Annual Convention, Boston, MA, August 20-24, 1999. The topic this week concerns the nexus of politics and the diagnosis of mental disorder. The construct of Internet addiction is used as an example.

Review Of Paradigms Of Clinical Social Work, Volume 2. Rachel Dorfman (Ed). Reviewed By Cynthia Franklin, University Of Texas, Austin., Cynthia Franklin

The Journal of Sociology & Social Welfare

Book review of Dorfman, R.A. (Ed.) Paradigms of Clinical Social Work, volume 2. Philadelphia PA: Brunner/Mazel, 1998. $49.95 hardcover.

Trends. Mental Disorder On Extreme Racism As Mental Disorder, Ibpp Editor

International Bulletin of Political Psychology

The article discusses recent shootings in Los Angeles by an admitted racist who professes to have chosen victims based on their minority-race status.

The Other Illicit Drug Trafficking, Ibpp Editor

International Bulletin of Political Psychology

This article discusses the deleterious consequences for segments of a nation's population when dealing with the psychological effects of psychoactive substances.

Anger And Alcohol Use: A Model Of Coping Styles, Alcohol Expectancies And The Experience And Expression Of Anger, Shauna Willard

Masters Theses & Specialist Projects

The researcher investigated the relationship between anger experience and expression, coping styles, and expectancies regarding the effects of alcohol in a young male population. Anger experience and expression was measured using the State-Trait Anger Expression Inventory, coping styles were assessed using the Coping Response Inventory, alcohol expectancies were determined using the Alcohol Effects Questionnaire-2, and alcohol use was measured using the Alcohol Use Inventory. The results indicated that young males who abuse alcohol utilize less effective coping styles, such as cognitive avoidance. Alcohol abusing males also believe alcohol will increase their power and aggression. A linear regression demonstrated that males …

Coping Strategy And Social Support Differences Among Copd Patients: Effects On Psychological Well Being, Functional Status, And Health Care Utilization, Terri Belville-Robertson

Dissertations

This descriptive study examined coping strategies and social support among thirty-three patients with moderate to severe Chronic Obstructive Pulmonary Disease (COPD) to assess relationships to psychological and functional status, and health care utilization. More specifically, the qualitative and quantitative differences in coping strategies and social support were examined in relation to anxiety, depression, activity level, and use of emergency and inpatient medical services. Subjects participated in a one-session screening that included a brief clinical interview, battery of questionnaires and exercise tolerance test. Health care utilization data were obtained from subjects’ medical records. Subjects' primary support persons also provided collateral data …

Evaluating The Social Acceptability Of Persons With Habit Disorders: The Effects Of Topography, Frequency, And Gender Manipulation, Douglas W. Woods

Dissertations

Literature suggests that children who exhibit habit disorders are less socially acceptable than children who do not exhibit such disorders. This series of studies investigated the social acceptability of adults who exhibit habit disorders. In Studies 1 and 2, undergraduate students rated the social acceptability of individuals who exhibited motor tics, vocal tics, hairpulling, and no habit. Results showed that the individuals with no habit were more socially acceptable than the individuals who exhibited either motor tics, vocal tics, or hairpulling.

In Study 3, videotapes were created in which actors simulated motor tics, vocal tics, Tourette’s Syndrome, and Trichotillomania. The …

Psychopathology Of Incarcerated Males And Severity Of Nicotine Withdrawal Symptoms, Karen L. Cropsey

All-Inclusive List of Electronic Theses and Dissertations

Previous research has demonstrated the link between depression and severity of nicotine withdrawal symptoms. This study investigated depression and other psychopathology as predictors of severity of nicotine withdrawal symptoms among incarcerated males forced to quit smoking due to prison policy. Four hundred and ninety current Smokers, Ex-Smokers, and Non-Smokers completed a baseline questionnaire one week prior to smoking cessation. Three hundred and sixty-nine participants completed the second follow-up questionnaire four days after cessation, an attrition rate of 24. 7%. Two hundred and fifty-six participants completed the final follow-up assessment one month after implementation of the smoking ban, an overall attrition …

Street-Based Female Adolescent Puerto Rican Sex Workers: Contextual Issues And Health Needs, Margarita Burgos, Donna L. Richter, Belinda Reininger, Ann L. Coker, Ruth Saunders, Margarita Alegria, Mildred Vera

CRVAW Faculty Journal Articles

Adolescent sex workers potentially have many health needs but are included rarely in health assessments; therefore, little is known about their needs or how to reach them. This study examines the motivations, social context, and health needs of street-based adolescent sex workers. The results show these youths are more likely to experience negative health outcomes, such as unintended pregnancies and sexually transmitted infections, when they are using drugs or are depressed. These findings suggest the need for comprehensive programming to include individual, interpersonal, and greater environmental interventions. Examples for reaching adolescent sex workers are discussed.

Marital Decision Making Scale: Psychometric Properties, Kathy Szynklewski Babel

Psychology Theses & Dissertations

The psychometric properties of a revised version of the Marital Decision Making Scale (MDMS) were evaluated in this investigation. Sixty-eight couples served as participants. Distressed couples (n=34) were recruited from a community-based outpatient mental health clinic where they were seeking conjoint therapy for relationship problems; demographically matched nondistressed couples (n=34) were recruited from the community through a local survey research firm. The MDMS showed high internal consistency, test-retest reliability, interjudge agreement, and convergent and discriminant validity. A second independent sample of 60 couples (30 distressed couples and 30 nondistressed couples) was also recruited to cross-validate the results found with the …

The Effects Of Group Counseling On The Self-Esteem, Anxiety, And Behavior Of Children With Deployed Parents, Nancy Taylor Mitchum

Psychology Theses & Dissertations

The purpose of this study was to examine the effectiveness of a six-session group counseling intervention for children who had a parent experiencing military-induced deployment. Participants were 65 children (30 boys, 35 girls) of enlisted military personnel attending elementary schools near the Norfolk Naval Base. Elementary school counselors facilitated the counseling groups.

An experimental/control group pretest-posttest design was employed. Independent variables were the child's participation in the Children of Deployed Parents-Group/control group, child gender and age. Dependent variables were self-esteem, anxiety, and behavior as measured by the Coopersmith Self-Esteem Inventory (SEI), the State-Trait Anxiety Inventory for Children (STAIC), the Child …

African American Community Mental Health Center Service Utilization: A Test Of The Cultural Compatibility Hypothesis, Alicia Michelle Marsh

Psychology Theses & Dissertations

This exploratory study examined whether community mental health centers (CMHCs) in Virginia that had services evaluated as being more compatible with the cultural needs of African Americans attracted a higher percentage of adult African American service users from their catchment areas than CMHCs which were evaluated as being less culturally compatible. The cultural compatibility of 36 CMHCs was assessed via a telephone interview with their clinical directors using a modified version of the Cultural Competence Self-Assessment Questionnaire: Administrative Version (Mason, J., 1995). This study did not find a correlation between CMHCs' cultural compatibility and their success at attracting African American …

An Exploratory Study Of The Correlates Of Drug Use Among Juveniles: Analysis Of Regional Variations In The United States, Denise D. Nation

Sociology & Criminal Justice Theses & Dissertations

Research on substance use and abuse has increased exponentially over the past twenty-five years. However, research focusing on regional differences in drug use seems to be very limited. The purpose of this study is to examine the correlates of drug use among juveniles in the four major geographic regions of the United States: the Northeast, the North Central, the South and the West. Here, drug use is defined in terms of alcohol and marijuana use for the age group 12-19. Four research hypotheses are proposed. The 1996 National Household Survey on Drug Abuse data was used to assess and analyze …

The Effects Of Sibling-Implemented Training On Social Behaviors Of Autistic Children, Cristin L. Sullivan

Dissertations

The present study investigated the effectiveness of sibling-implemented pivotal response training (PRT) on the social behaviors of five children with autism. Using a multiple-baseline design across sibling pairs, participants were trained to use PRT while playing with their brother’s with autism. Measures of play skills and social behavior were assessed during baseline, training, sibling-independent play, and two-month follow-up sessions. Also, parents were asked to rate randomly selected video-tape segments from baseline and sibling-independent play sessions. The results indicated that siblings were able to learn effectively and implement PRT strategies following training. All of the children with autism demonstrated an increase …

Mental Health As Global Health: A Joint World Health Organization-European Commission Initiative, Ibpp Editor

International Bulletin of Political Psychology

This article describes a current international mental health conference and a rationale for this conference.