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A Guidance Practice Model: Reframing Prevention, Identification, And Treatment Of Trauma-Impacted Students With Intellectual Disabilities, Mark H. Thomas

Electronic Theses and Dissertations

The experience and exposure of trauma among youth, especially continuous traumatic experiences, poses considerable risks of long-term effects. Moreover, untreated trauma and subsequently negative mental health outcomes, like anxiety and depressive disorders, can negatively impact the psychosocial and academic functioning of students. One population that is generally overlooked regarding mental health in schools are students with intellectual disabilities (ID). This is problematic as this population is at an increased risk of traumatic experiences, such as maltreatment and social exclusion.

Moreover, the comorbidity of trauma and internalizing disorders among students with ID can exacerbate already existing challenges and deficits with social …

A Clinical Pathway For Differential Diagnosis Of Adhd Vs Trauma: Early Childhood Recognition And Intervention, Maria Neiers

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Distinguishing Attention-Deficit/Hyperactivity Disorder (ADHD) from Complex Posttraumatic Stress Disorder (C-PTSD) presents significant diagnostic challenges due to overlapping symptom presentations, shared neurobiological impacts, and frequent comorbidities. This paper explores the nuanced clinical differentiation between ADHD and C-PTSD, and other trauma disorders, in pediatric populations, emphasizing the importance of trauma-informed assessment, early identification, and integrative clinical reasoning. The discussion highlights how structured diagnostic reasoning can reduce uncertainty, enhance diagnostic clarity, and support effective treatment planning. As a central contribution, this paper introduces an original clinical reasoning flowchart and a case conceptualization to illustrate its practical application in real-world diagnostic dilemmas. The need …

Why Jerk Bosses Stress Us: Burnout As An Evolved Appeasement Strategy, Hector A. Garcia, Jarad Reiss, Ray Garza

All Faculty Scholarship (Archived)

Burnout is a pandemic and costly public health problem. Studies link leadership and peer behavior to burnout, but explanations are constrained to proximate mechanisms. Evolutionary models describe depression as an ancient appeasement response to avert dangerous physical conflict with higher-ranking group members and coalitions. In turn, psychometric research consistently finds high construct overlap between burnout and depression. This shared phenomenology suggests that burnout in response to workplace social stressors reflects appeasement. The purpose of the current study is to test the relationship between rank and competition related variables and burnout.

Examining Barriers To Crisis Service Use Among Black Young Adults, Emily K. Burns

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Black communities face an increased burden of mental illness (Gordon, 2020). This can be linked to factors such as experiences of racism, higher rates of unemployment, financial and food insecurity, and disparities in health care (Gordon, 2020). Despite this, Black communities have historically experienced relatively low rates of suicide (Gordon, 2020). This has been anecdotally attributed to protective cultural values and beliefs about suicide. However, there has been a recent shift in this trend, particularly for Black youth and young adults.

The Developmental Cohort Model Of Interpersonal Process Groups: A Clinician's Guide For University Counseling Centers, Lauren Caldas

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

The purpose of this paper is to outline a clinician's manual that guides providers in the development, facilitation, and maintenance of long-term interpersonal process groups (IPGs) within university counseling centers (UCCs). This manual also presents a new model: The Developmental Cohort Model (DCM), which utilizes a stepped model throughout a traditional student's college timeline. I will present this manual in the context of the Developmental Cohort Model (DCM), but it can certainly remain useful for any type of IPG. Research suggests that group therapy is an effective way to increase access to mental health care (Burlingame & Strauss, 2021) and …

The Journey Of Psychotherapy: Understanding Therapeutic Technique Through Ultralight Thru Hiking, Emma Bossier

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

This paper explores several principles of ultralight backpacking as metaphors for developing one’s therapeutic technique. The tenets of ultralight thru hiking, when interpreted through a clinical lens, offer early clinicians insight into the importance of moving through fear and leaning into exploration, discomfort, and authenticity while on the journey of becoming a therapist. The experiences of numerous thru hikers are synthesized into five principles: Don’t Pack Your Fears, Be Present for the Journey, Slow Simplicity, Embrace the Suck (and The Stink), and Trail Legs. These principles do not define ultralight as carefreeness but rather offer a metaphor for the careful …

Applying Contextual Behavioral Science To Address Addictions In Monsters, Chase Hollander

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

The dominant essentialist paradigm in addiction treatment often conceptualizes addiction as a curse or plague which seizes the individual afflicted by it. Such views are reinforced by neurobiological interventions like Medication-Assisted Treatment (MAT). While MAT can reduce cravings and withdrawal symptoms, its long-term efficacy is mixed, and its emphasis on abstinence as a primary outcome limits its scope. Addiction is a multifaceted phenomenon shaped by physiological, psychological, social, and systemic factors—including stigma, moral judgment, and structural oppression. Essentialist approaches frequently pathologize individuals and obscure these broader influences. In contrast, contextual behavioral sciences and therapies aligned with functional contextualism such as …

Playing Catch Up: A Brief Look Into Modern Internet Culture And Its Impact On Adolescent Male Development, Xavier Bird

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

This doctoral paper argues that the internet, particularly the "manosphere," poses three significant threats to the development of adolescent males in the U.S.: the influence of misogynistic online personalities, the normalization of risky online behavior, and the spread of right-wing misinformation. The paper highlights the role of the COVID-19 pandemic in exacerbating these issues due to increased internet usage. Furthermore, it proposes a research study to investigate the link between exposure to online misogynistic content and aggressive behavior in schools, emphasizing the unique challenges of studying adolescents and their online culture. Finally, the paper stresses the urgent need for updated …

Proposed Theoretical Model Of Pediatric Onset Multiple Sclerosis And Restrictive Eating Behaviors, Anna L. Smith

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Multiple Sclerosis (MS), a chronic, demyelinating, autoimmune disease that causes an array of physical and cognitive symptomatology, is commonly diagnosed in adulthood. Pediatric Onset Multiple Sclerosis (POMS) is characterized by diagnosis of the disease before age 18 and accounts for about 5% of MS cases. While there is a growing body of literature examining the impact of adult-onset multiple sclerosis on psychosocial functioning, research specifically addressing POMS remains limited. Moreover, there is a notable gap in the literature regarding the risk of eating disorders among individuals with POMS. This paper will explore a constellation of potential risk factors that may …

Supporting Healthy Siblings In Pediatric Cancer: Advancing Relational Interventions To Heal Invisible Wounds, Kristen K. Wederski

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Healthy siblings of children diagnosed with cancer occupy a uniquely vulnerable position within the pediatric oncology landscape. Individuals within this population often demonstrate significant emotional distress and can experience long-term psychological challenges. Despite their risk, healthy siblings remain under-researched and under-supported compared to pediatric patients and caregivers. Existing interventions tend to prioritize individual coping skills and psychoeducation and often overlook the critical relational dynamics that shape healthy siblings' psychological adjustment. Grounded in systematic and relational theories, this paper proposes a paradigm shift toward relationally focused interventions that strengthen the caregiver-sibling bond as a core mechanism of change to foster resilience …

There Is No Finish Line: The Ramps Framework – An Evolving Model For Working With Racial Identities In Sport And Performance Psychology, Dylan Vas

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

The field of sport psychology has persisted in its calls for action on increasing cultural competence, being more inclusive of underrepresented identities, and progressing towards social justice (AASP, 2024b; Bejar et al., 2022; Fisher et al., 2003; Martens et al., 2000; Quartiroli, et al., 2023; Ryba et al, 2013; Ryba et al., 2024). This work attempts to contribute to these calls by providing attention on racial identity – including the proposal of an actionable and novel model, The Racial Identity Model of Psychology in Sport (RAMPS) Framework. The proposed model incorporates publications from sport psychology, clinical psychology, and social justice …

Roles Of Sex And Education Level With Alcohol Use Milestone Attainment And Progression, Elisabeth P. Cabot

Theses - ALL

Emerging adults report the highest rates of alcohol use, with drinking patterns varying by sex and education level. Few studies have explored how these factors relate to the attainment and progression of alcohol use milestones. The current study addresses this gap by examining the associations between sex, education level and alcohol use milestone progression and attainment in emerging adults. Secondary data analyses were conducted using National Epidemiological Survey on Alcohol and Related Conditions-III (NESARC-III) data (N = 36,309, Mage = 45.63 [SD = 17.53], female = 56%, 53% White, 21% Black, 19% Hispanic and 2% Multiracial). Ordinal regressions indicated males …

Perceptions Of Pain And Benzodiazepine Use Interrelations: A Qualitative Study, Emma Carnes Lape

Dissertations - ALL

Growing concern and research attention have focused on potential harms associated with widespread use of benzodiazepine (BZD) medications. Individuals with chronic pain bear a disproportionate burden, characterized by higher rates of BZD prescriptions, longer-term use, and increased dependence compared to the general population. Although theory and emerging evidence suggest that pain may play a role in the maintenance of BZD use, there is no extant data describing how individuals perceive interrelations between their pain and BZD use. The aims of the present study were to conduct a thematic analysis of interview data regarding perceptions of interrelationships between pain and BZD …

Asian/Asian American College Students’ Help-Seeking Attitudes For Adhd, Nandini Jhawar

Dissertations - ALL

Background: Asian/Asian American (AA) college students are least likely to engage with ADHD treatment compared to other racially minoritized groups, which may increase their risk for negative outcomes from untreated ADHD symptoms. Public stigma of ADHD contributes to these negative help-seeking attitudes. This study used the minority stress theory to examine if the distal and proximal stress of internalization of the model minority myth, a racial stereotype, influences the relationship between public stigma and help-seeking attitudes. Methods: Participants were undergraduate students recruited from nine geographically diverse universities in the United States. Data was collected over two academic years and included …

Black Mothers' Adhd Experiences, Attitudes, And Support-Seeking Decisions, Catherine L. Montgomery

Dissertations - ALL

Background: ADHD, particularly when left untreated, is associated with significant impairment in several domains. Black youth may still be under-diagnosed with ADHD, resulting in symptoms going untreated. Black mothers may determine non-professional delivered supports to be more appropriate and acceptable than medication for their children with ADHD. As they tend to be the primary healthcare decision makers, it is important to develop a greater understanding of Black mothers’ ADHD support-seeking decision making for their youth. Method: The present study used semi-structured interviews guided by Kleinman’s Explanatory Models of Illness to discuss Black mothers’ decision making for their youth with ADHD. …

Pain Intensity And Alcohol Use Behavior Among Veterans With Chronic Pain: The Moderating Role Of Chronic Pain Acceptance, Kyle White

Dissertations - ALL

The co-occurrence of chronic pain and unhealthy alcohol use is common among veterans and associated with worse treatment outcomes and greater functional impairment relative to either condition alone. Accordingly, the U.S. Department of Veterans Affairs (VA) has underscored the importance of addressing co-occurring medical conditions in their clinical practice guidelines for substance-related disorders. Recent legislation has also oriented the VA towards complementary and integrative health therapies to minimize opioid prescriptions for chronic pain. Thus, identifying malleable psychological factors linking pain to alcohol use is a vital step in the development of tailored interventions for veterans. The goal of the current …

Effects Of Fasd On An Individual’S Life Trajectory, Peyton M. Enders

Master of Arts in Human Services

The consumption of alcohol has been in society for thousands of years. However, the discovery of the impacts of alcohol consumption while pregnant is something that is continuously being learned about. Controversy on the effects of alcohol while pregnant and the level of consumption throughout the last century alone has caused individuals to misunderstand the level of danger that it has on a child. Fetal Alcohol Spectrum Disorder is a multi-layer disorder that causes not only physical deformities but also a change in mental health and cognitive levels of an individual. Throughout any stage of pregnancy a consumption of alcohol …

Psychosocial Challenges As Predictors Of Transactional Sex Among Undergraduates In Ondo State, Nigeria, Ifeoluwa Blessing Michael, Oyedotun Dolapo Ilori, Patrick O. Akerele

Buletin Konseling Inovatif

The study investigated the psychosocial challenges predictive towards engaging in transactional sex among undergraduates within Ondo State, with the moderating role of demographic variables weighed heavily. Employing a descriptive survey design, data were gathered from 404 undergraduates by means of a validated questionnaire (reliability = 0.86) randomly sampled from two public and two private universities. Amongst the findings from descriptive statistics and multiple regression analyses were that peer pressure, financial instability, family dysfunction, and emotional health challenges had significant correlations with involvement in transactional sex while jointly explaining 46.6% of the variance. Financial instability was the strongest predictor, followed by …

Underlying Causes Linking Foster Care And The Criminal Justice System, Marcia D. Wheeler

Master of Arts in Human Services

This research expands on the ongoing statewide crisis within the foster care system that needs to be properly addressed to benefit future and current foster youth. Research has found a connection between foster care and prison, often referred as the “foster-care-to-prison-pipeline.” This study aimed to explore the impact of trauma experienced by current and former foster youth through a life course lens looking at crucial areas of development using a mixed methodology supported by theoretical theories that explored the connection between foster care and the criminal justice system. The results showed that current and former foster youth face many adversities …

A Religious Etiology Of Genito-Pelvic Pain And Pain With Penetration, Emily L. Carlson

Theses and Graduate Projects

Pelvic pain during penetration (PPDP) has been described using various diagnostic terms, including vaginismus, dyspareunia, and vulvodynia. The most recent and comprehensive classification is Genito-pelvic pain/penetration disorder (GPPPD) which is characterized by psychological distress associated with pain during or in anticipation of vaginal penetration (DSM-5-TR; American Psychiatric Association [APA], 2022). The etiology of PPDP is multifactorial, involving a complex interplay of biological, psychological, and relational factors. Religious and cultural influences may play a significant role in shaping individuals’ experiences of sexual pain. This study investigated the etiology of PPDP in relation to the religious influences among women raised in Judeo-Christian …

Parents’ Perceptions Of The Influence Of Interpersonal Trauma On Children’S Academic Achievement In Low Socioeconomic Families During The Covid-19 Pandemic, Brandi Walker

Walden Dissertations and Doctoral Studies

The COVID-19 pandemic intensified the challenges faced by families from low socioeconomic (SES) backgrounds regarding their children’s academic development. Students during this time experienced disruptions in their academic development, further hindering their educational progress. The purpose of this qualitative phenomenological study was to explore parents’ perceptions of how interpersonal trauma and SES challenges impacted their elementary-age children’s academic achievement during the pandemic. Bronfenbrenner’s ecological systems theory served as the theoretical foundation, offering a framework to understand how environmental factors shaped children’s experiences and academic development. Data were gathered through semistructured interviews with eight parents from low-SES backgrounds. Content analysis of …

Gendered Challenges In The Chinese Workplace : Examining Maternity Leave And Discrimination Against Working Mothers In Shenzhen, Tianyang Wen

Lingnan Theses (Doctoral degree)

Under the background that labor competition and the society progress become more in-tense, the dilemma of motherhood faced by working women has become increasingly prominent. This dissertation aims to explore gender challenges in the Chinese workplace, in particular the maternity leave system and its impact on discrimination against working mothers. Taking Shenzhen as an example, this study adopts qualitative research methods and systematically examines the challenges faced by working mothers in terms of maternity leave and employment discrimination through in-depth interviews with ten working mothers, seven human resource managers, three corporate employers and three in-depth interviewers. The study found that: …

Effectiveness Of Kipas Counseling In Reducing Students' Academic Procrastination, Dimas Ardika Miftah Farid, Mochamad Nursalim, Evi Winingsih

Buletin Konseling Inovatif

Academic procrastination is a common issue that hinders students' academic success and psychological well-being. In junior high school, where self-control is still developing, students are particularly vulnerable to distractions and delay in completing academic tasks. To address this issue, counseling approaches grounded in cultural values may offer effective solutions. This study aims to measure the effectiveness of KIPAS (Intensive Progressive Adaptive Structure Counseling) in reducing academic procrastination in junior high school students. A quasi-experimental design with pretest and posttest measurements was employed, involving seven students who exhibited high levels of academic procrastination. The measurement scale used assessed the amanah dimension, …

Re-Engaging Driver Attention Using Chatgpt: A Multimodal Study On Stress Impact And Driving Performance, Alaa Zaki Elfiqi

Theses and Dissertations

Driving is considered a complex task that requires continuous focus and attention from the driver. Driving performance can also be impacted by changes in the driver’s stress level. However, limited research explores methods to address this challenge. With the current advances in Large Language Models (LLMs) and their ability to engage in human-like interaction, this study investigates the potential of using ChatGPT, designed to speak Egyptian Arabic, in re-engaging driver attention under different driving scenarios for low-stress and high-stress conditions within a virtual reality (VR) environment driving simulator. Drivers were asked to follow a leading car into two scenarios with …

A Qualitative Study On The Experiences Of Burnout Among Mental Health Practitioners Rendering Clinical Care During Covid-19, Mykiyaa Marvella Walker-Sanchez

Walden Dissertations and Doctoral Studies

Prior to the COVID-19 pandemic, between 21% and 67% of mental health practitioners in the United States experienced signs of burnout. The pandemic exacerbated these challenges, with an increased demand for mental health services. By 2022, 45% of practitioners reported burnout, and the APA’s 2023 Practitioner Pulse Survey noted that psychologists were working at the limits of their capacity, with high levels of burnout. While research on COVID-19 and burnout has expanded for physicians and nurses, less focus has been placed on mental health practitioners' experiences. The purpose of this generic qualitative study aimed to understand how mental health practitioners …

Correlations Of Intersectional Identity Cohesion And Growth In Queer And Transgender Black, Indigenous, And People Of Color, Zoha T. Qader

Master's Theses

Past research has found that identity cohesion (how integrated multiple identities are) is a protective factor that moderates the relationship between intersectional microaggressions and mental health outcomes. Individuals with higher identity conflict (multiple identities clashing) had anxiety and depression symptoms that could be predicted by the distress they experienced from intersectional microaggressions. For those with high identity cohesion, this was not the case. While compelling, the question remains, what are the factors that contribute to identity integration versus identity conflict? The present study will utilize existing data of 417 QTBIPOC individuals. Ratings of LGBTQ+ community belonging and engagement, and LGBTQ+ …

Registered Nurses' Autism Knowledge And Preparedness To Care For Autistic Patients, Bronte Elisa Weissman

Theses and Dissertations

Autistic individuals frequently report negative experiences during healthcare interactions and numerous provider-level barriers to accessing quality care, including stereotyping, perceived lack of autism knowledge, challenges with communication, and insufficient accommodations. Reports of healthcare providers’ experiences caring for autistic patients in the U.S. have largely come from physicians, who endorse inadequate training, resources, and practical guidelines. Although patients spend far more time with nurses than other healthcare providers, registered nurses (RNs)’ perspectives on caring for autistic patients in the U.S. are largely unknown and autism-focused trainings for nurses are minimal. In the current study, a survey was nationally disseminated to a …

The Impact Of Mental Health Courts On Public Attitudes Held Toward Justice-Involved Individuals With Mental Illness, Maeve Porter

Student Theses

Prior research has established that mental health court programs play an important role in reducing recidivism and mental health symptoms of defendants. However, there is a lack of understanding of the stigma that justice-involved individuals may encounter upon release from mental health court into the community, and the extent to which the general public is aware of mental health court programs. The present study sought to address public perceptions regarding mental health courts, their efficacy, and their participants based on the awareness and availability of these specialized courts in two similar states (New York and New Jersey), one in which …

Smartphone Attachment In Emerging Adults : Impacts On Mental Health Through Basic Psychological Needs, Jialin Xiao

Lingnan Theses (MPhil & PhD)

In the digital era, smartphones have become integral to daily life, fulfilling various emotional needs. Mirroring human attachment, past studies have found people can develop three types of attachment to smartphone: secure (comfortable, dependable connection), anxious (intense emotional reliance with separation anxiety) and avoidant (preference for independence from one’ s phone) attachment. However, little is known about how these types of smartphone attachment relate to mental health over time. Moreover, the mechanism underlying the relationship between smartphone attachment and mental health is unknown. To fill these gaps, based on the attachment theory, this study examined the longitudinal associations between smartphone …

Group Social Skills Training Intervention For Students With Autism Spectrum Disorder, Kayla Hearl

Educational Specialist, 2020-current

Some of the challenges for children with autism spectrum disorder (ASD) include social engagement as well as building and establishing relationships with peers. Social skills training programs have been used to improve social skill development in children with ASD. The current study sought to examine the use of a group social skills training intervention to develop the perspective taking skills of children with autism spectrum disorder (ASD). The Social Thinking curriculum, “You Are a Social Detective” was implemented with a small group of two students with ASD over the course of 10 weekly sessions. The students’ teachers completed the Social …