Digital Commons Network^™

Stigma, Shame, And Narcissism: A Literature Review, Alex Gaither

University Honors Theses

This thesis is a literature review of 12 peer reviewed journal articles accessible through the Portland State University library database on the relationship between stigma, shame, and Narcissistic Personality Disorder (NPD). This thesis discusses ideas brought up in these articles regarding the classification and conceptualization of NPD as a disorder, the role that shame plays in the pathology of NPD, the ways that shame is addressed through treatment, and public and practitioner held bias resulting from the stigmatization of the disorder. New and upcoming ways of conceptualizing the disorder are also briefly discussed as there has been a push to …

Changing Minds, Changing Modes: Optimizing Public Perception Strategies For Urban Cycling Through Behavior Change Theory, Brandon Barnhart

University Honors Theses

This thesis addresses the recent decline in bicycle mode share in cities like Portland, Oregon, despite decades of investment in cycling infrastructure. While the "build it, and they will come" approach succeeded through the early 2000s, it no longer meets targets for bicycle use or broader goals related to sustainability, congestion, health, and safety. A new approach is needed that effectively rebuilds the cultural and behavioral components of cycling. This research asks: What role can behavior change theory play in increasing the effectiveness of public perception campaigns to promote urban cycling? Using a qualitative methodology, this study draws on behavior …

Minority Stressors And Internalizing Symptoms In Sexual And Gender Minority Adolescents: A Systematic Review And Meta-Analysis, Anni R. Subar

Electronic Theses and Dissertations

Sexual and gender minority (SGM) adolescents are at elevated risk for internalizing symptoms, such as anxiety and depression, due in part to chronic exposure to minority stress. To provide a comprehensive synthesis of this literature, we conducted a meta-analysis of 32 studies, yielding 162 effect sizes from 41,360 participants aged 8– 22. All included studies examined the association between minority stress, defined as stigma-related stressors such as discrimination, victimization, and internalized stigma, and internalizing outcomes in SGM youth. The random-effects meta-analysis revealed a small but significant association (r = .25) between minority stress and internalizing symptoms, consistent across stressor …

The Intersection Of Education And Empowerment: How Comprehensive Sex Education Equips Adolescents To Navigate Complex Relational Dynamics, Joleigh Wood

University Honors Theses

This thesis examines the impact of comprehensive sex education (CSE) on adolescents' understanding of consent, personal boundaries, and relational competence. Drawing upon social learning theory, intersectionality, and relational-cultural theory, the study employs a multidisciplinary framework to analyze how CSE functions as both an instructional practice and a sociocultural intervention. Utilizing an integrative thematic review of empirical studies, policy analyses, and national curriculum standards, the research evaluates the extent to which CSE promotes emotional literacy, fosters ethical relationship skills, and addresses structural inequities in educational access. Findings indicate that well-implemented, inclusive CSE contributes to healthier developmental outcomes by enhancing students' emotional …

A Multilevel Analysis Of Arrest For Sexual Assault In The United States: The Effect Of Incident, Police Department, And Community Factors, Erin Elizabeth Hoffman

College of Science and Health Theses and Dissertations

Police officers play an important role for sexual assault survivors seeking help from the criminal legal system in the United States. One of their main responsibilities is to investigate the crime to determine if there is enough evidence to arrest a suspect. Previous literature has documented police arrest decisions in sexual assault cases are influenced by legal and extralegal factors—factors that are legally relevant (e.g., presence of DNA evidence) and irrelevant (e.g., victim race) in a case. These factors span multiple levels of analysis, namely the incident (e.g., whether a weapon was used) and police department (e.g., % of woman …

The Impact And Perceptions Of Return-To-Office Mandates, Brooke E. Nyberg

College of Science and Health Theses and Dissertations

In the aftermath of stay-at-home mandates that resulted from the COVID-19 pandemic, many organizations have reinstated mandates requiring that employees return to the office either full-time or a few days per week. Although research has been conducted on the benefits and consequences of remote work throughout the pandemic, research is lacking on the perceptions of the return-to-office mandates and how these mandates impact employees. This study aimed to comprehensively understand what employees think and feel about a return-to-office mandate as well as identify group differences and impacts of the method in which the RTO mandate was communicated. To do so, …

Examining Changes In Control Beliefs And The Role Of Self-Determination In A Cognitive-Behavioral Intervention For Elementary-Aged Students, Laura Saldana

College of Science and Health Theses and Dissertations

To date, cognitive behavioral intervention studies for youth focus on symptom reduction to evaluate treatment efficacy without studying changes in youth coping. The present study, backed by Motivational Theory of Coping and Self-Determination Theory, used a randomized control trial design to examine the effects of a brief (5-session), group-based, cognitive-behavioral intervention called Act and Adapt – SP on adaptive coping, maladaptive coping, competence, and relatedness in a sample of academically underperforming 3^rd and 4^th graders (N = 56; M_age = 8.8 years; 62.5% female; 78.6% Latinx). Act and Adapt – SP was designed for Saturday …

A Mixed Methods Survey To Highlight Retrospective Drug Spending, Dillon Peter Thorpe

College of Science and Health Theses and Dissertations

The financial impact of substance use is poorly understood. What research has been conducted has focused on societal and medical costs, rarely on the personal finances of substance users. Less research has been conducted on the finances of people currently in recovery and abstinence. To fill in this gap, 284 current Oxford House residents completed a survey that inquired about demographics, spending habits, and reasons for staying in Oxford House. Following analysis, it was found that previous drug/alcohol spending is a highly variable metric, with a range of $0-$30,000 per month. In addition, the sample was homogenous in terms of …

The Effect Of Reading Goals On Conspiracy Believability And Memorability, Leah Patricia O'Neill

College of Science and Health Theses and Dissertations

Previous research shows that individuals who are assigned different goals for reading remember and comprehend text differently, which might also influence how individuals read texts that contain conspiracy theories. This research has revealed a connection between scores on the Schizotypal Personality Questionnaire-Brief (SPQ-B) and conspiracy theory belief, such that those who score higher are more likely to believe in conspiracy theories. Therefore, this study investigated the influence of reading goals (i.e., study vs entertainment) and different types of conspiracy theories (i.e., familiar and less familiar) on participant’s believability ratings for conspiracy texts. Participants were assigned a reading goal prior to …

The Motivating Factors Of A Multigenerational Workplace Based On Work Values And Reinforcements, Alaina Lister

Walden Dissertations and Doctoral Studies

There are currently four generations in the workplace—Generation Z, millennials, Generation X, and baby boomers—each having its own values and motivations due to different life experiences. Leaders are facing new challenges regarding how to motivate each generation in relation to rewards, recognition, and work values. It was unknown whether there are empirical differences in motivation and leadership preferences based on generational cohort. The purpose of this study was to examine how the members of four different generations are motivated based on their preferred rewards and recognition, and the work values they hold. The targeted population were members of Generation Z, …

Is She Being “Fast?”: Exploration Of African American Women’S Experience With Sexual Objectification, Alaigra V.R. Usher

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Issues of sexual objectification have been intertwined in America’s history since enslavement. This phenomenology study aimed to explore African American women’s lived experiences with sexual objectification and to understand the essential themes and conceptualizations that African American women attribute to sexual objectification. Through semi-structured interviews with a criterion sampling of African American women, the research sought to identify core themes surrounding sexual objectification experiences. In the results of this study, it was found that this population conceptualizes their sexual objectification experiences through seven themes: Earliest Sexual Objectification Experiences (SOE), SOE, Responses to SOE, Parental Protection, Reasons for SOE, SOE places, …

Building Media Literacy In Adolescence: A Cognitive Behavioral Clinician's Manual To Combat Misinformation And Misdiagnosis During Sessions, Patricia Sacchetti

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

This paper examines the role of Cognitive Behavioral Therapy (CBT) in countering misinformation that youth encounter on social media and other informal sources, with the goal of creating a manual for mental health clinicians. The use of CBT by clinicians working with adolescents to combat the issue of misinformation and misdiagnosis has received little attention in the literature. Mental health clinicians’ knowledge of media literacy as a psychological construct can foster an effective treatment style by building upon the foundation of well-established theory and practice, such as CBT. CBT is a multifaceted treatment that can help guide mental health clinicians …

Overcoming Barriers To Connection Between People With Schizophrenia And Their Caregivers, Sarah G. Fernandez

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

The purpose of this doctoral project is to bring together existing literature on relational barriers between patients and caregivers, and strategies for overcoming them, for one reason: to help clinicians facilitate connection within families and households where one person has schizophrenia. It is therefore comprised of two parts: this paper containing a three-part literature review on barriers to connection including social skill deficits characteristic of the disease of schizophrenia, environmental factors, and caregiver burden and expressed emotion within families, as well as protective factors and strategies for overcoming them. The second component of this project is a psychoeducational module geared …

Attitudes Toward Pig Islet Xenotransplantation For Type 1 Diabetes: A Scoping Review, Daniel J Hurst, Daniel Rodger, Luz A Padilla, Fernando Ovalle

Rowan-Virtua School of Osteopathic Medicine Departmental Research

BACKGROUND: Over 8 million people globally have type 1 diabetes. Islet allotransplantation offers an alternative to insulin therapy but is constrained by donor availability. Genetically modified pig islet transplantation presents a potential solution, yet understanding stakeholder attitudes is crucial before clinical adoption.

METHODS: This scoping review followed Joanna Briggs Institute methodology and PRISMA guidelines. CINAHL, EMBASE, PubMed, PsychINFO, and SCOPUS were searched for studies examining attitudes toward pig islet xenotransplantation among patients, healthcare workers, and other stakeholders.

RESULTS: From 199 sources, 16 met eligibility criteria, spanning ten countries from 2003 to 2023. The 23,780 participants included 1,535 (6.5%) patients/family members, …

Social Perception Of Bipolar Disorders On Employment Outcomes, Mary E. Henson

Student Theses and Dissertations

An important component to quality of life in those living with bipolar disorders is employment. Employment gives people an opportunity to provide for themselves and others, granting them the ability to live bountiful lives. For those with mental health diagnoses, it also provides them with economic access to affordable treatment. Literature agrees that many people with these diagnoses, specifically people with bipolar disorders, are less likely to be employed and maintain employment. It is likely that a lack of employment is due to stigma faced from employers and colleagues. Many studies have investigated internal stigma of bipolar disorders, but there …

Revising And Consolidating The Dsm-5 And Icd-11 Post-Traumatic Stress Disorders Into A Dimensional Spectrum-Based Disorder: A Literature Review, Samuel Milton Shatsky

University Honors Theses

This thesis investigates the clinical, cultural, and theoretical implications of replacing the current DSM-5 and ICD-11 categorical diagnoses of posttraumatic stress disorder (PTSD) and complex posttraumatic stress disorder (CPTSD) with a unified dimensional framework: trauma spectrum disorder (TSD). The proposed TSD model addresses ongoing concerns around diagnostic inflation, treatment misalignment, and clinical confusion stemming from binary trauma categorizations. This thesis explores whether adopting a dimensional diagnostic model to replace DSM-5 and ICD-11's current PTSD and CPTSD designations could lead to improved treatment outcomes and diagnostic clarity.

Methodology consisted of an extensive literature review of the field's current research. Using the …

As Good As It Gets? Comparing Clients’ And Treatment Providers’ Perceptions Of Engagement Barriers And Facilitators For Exposure And Response Prevention Ocd Treatment, Samuel Mutschler-Aldine

University Honors Theses

This mixed-methods study compared clients' and providers' sentiments toward research-based themes on barriers and facilitators of client engagement in treatment. For individuals with Obsessive-Compulsive Disorder (OCD), engagement in Exposure and Response Prevention (ERP) therapy is a crucial ingredient of successful treatment and symptom remission. Therefore, it is imperative to thoroughly understand the perspectives on engagement barriers and facilitators of people with field experience: ERP patients and therapists.

The researcher administered two Qualtrics surveys to thirty current providers and six current or former clients of ERP for OCD. Each survey contained five-point, Likert-style scales to measure the level each participant agreed …

The Relative Strength Of Help-Seeker Stereotype, Help-Seeking Self-Stigma, And Self-Esteem In Predicting Attitudes Toward Seeking Mental Health Help, Souad Torjani Azim

Walden Dissertations and Doctoral Studies

The increasing prevalence of mental health issues among college students is a critical concern. Disorders such as depression and anxiety are becoming more common, with depression notably a major risk factor for suicide—the second leading cause of death in this age group. Despite this troubling trend, significant barriers to accessing mental health services remain. While research has explored various factors contributing to students’ reluctance, such as stigma, distrust in the mental health system, lack of social support, and mental health literacy, none to date has examined the relative strength of help-seeker stereotype, help-seeking self-stigma, and self-esteem in predicting attitudes toward …

Situational Analysis Of Child Labour In Coastal And Marine Activities In Zanzibar, Tanzania, Happiness Anold Moshi, Rukia Kitula

Journal of Humanities and Social Sciences

This study analyses the situation of child labour in coastal and marine activities in Zanzibar, Tanzania, by examining activities carried out by children, the major driving factors for engaging in child labour, as well as the associated impacts to children’s schooling and wellbeing. Questionnaire survey, focus group discussions (FGDs), participant observations, and key informant interviews (KII) were all used to collect data for the study. The study involved a total of 90 children, who were randomly selected among working children in coastal and marine activities. It was found that most of the working children were involved in fishing, fish descaling, …

Enhancing Mental Health Through Mind-Body Exercises In Sedentary Students: A Systematic Review With An Indonesian Perspective, Izmi Alya Khairunnisa, Aditya Denny Pratama

Jurnal Sosial Humaniora Terapan

Sedentary Behavior (SB) among students is associated with increased risks of depression, anxiety, stress, and weakened immune function. According to the WHO, SB contributes to approximately two million deaths each year. This systematic literature review aims to evaluate the effectiveness of mind-body exercises in improving mental health outcomes—specifically stress reduction, anxiety management, and emotional regulation—among students with sedentary lifestyles. Using the PRISMA framework, 2,201 articles were identified from databases including Scopus, PubMed, and ProQuest, with six studies meeting the inclusion criteria. The review found that mind-body exercises such as yoga, tai chi, and pilates significantly reduce stress and anxiety, enhance …

Family Matters: Experiences Of Family Stigma, Addiction Recovery & The Role Of Self-Compassion, Kennedy Hoying

Master's Theses

Addiction and substance use is currently one of the most stigmatized disorders in society, creating a barrier to treatment and recovery. This study explored the role of family stigma, the stigmatization processes of family members of otherwise stigmatized individuals, within families of substance users to examine how stigma might affect family support behaviors. Two hundred and twenty-two U.S. adults who have a substance using family member completed an online survey regarding their experiences of family stigma, attributions of responsibility for addiction, self-compassion, and any supportive recovery behaviors they engage in to help their family member’s addiction. Results of correlation analysis …

Exploring The Connection Between Mental Health Stigma, Social-Emotional Risk, And Help-Seeking Behaviors Among High School Students, Dorie Ross

USF Tampa Graduate Theses and Dissertations

Throughout the United States, the rate of adolescents experiencing mental health-related challenges continues to rise, impacting their social-emotional well-being. Despite increasing concerns, the majority of adolescents do not seek treatment for mental health problems. One barrier contributing to a lack of help-seeking behaviors is mental health stigma. Furthermore, for students who have sought help for such concerns, there is a lack of consensus on whom high school students turn to for support when seeking help. The current study utilized quantitative methodology in the form of Structural Equation Modeling to examine the complex relationship between social-emotional risk, perceptions of mental health …

Christian Beliefs About Salvation: Measurement And Associations With Mental Health And Well-Being, Anthony Edward Rose, Timothy B. Smith

Faculty Publications

Religious beliefs influence many behaviors and perspectives relevant to wellbeing and mental health. In Christianity, beliefs about how one attains salvation may be particularly relevant to psychology, but limited scholarship has considered cognitive aspects of religiosity. This study developed and evaluated a new measure of Beliefs about Salvation (BAS) that assesses affirmations of salvation (a) by God’s grace alone and (b) by God’s grace after human repentance/ordinances, as understood by different Christian denominations. We examined the association of the BAS with three measures of mental health and six measures of influences on religiosity. In a sample of 1556 predominantly members …

Evaluating The Use Of Repetitive Transcranial Magnetic Stimulation In A Patient With Treatment Resistant Depression, Autism Spectrum Disorder, And Post-Traumatic Stress Disorder: A Case Report, Luke Fritsch Ba, Mba, Msiv, Oluwafunke O. Ogunremi Bs, Msiv, Alexandra R. Job Bs, Msiv, James Hellekson Md

Aesculapius Journal (Health Sciences & Medicine)

Despite a wide array of therapeutic modalities, many patients with Major Depressive Disorder (MDD) experience no significant improvement in symptoms with traditional treatment. Given the prevalence of Treatment Resistant Depression (TRD), other alternative therapeutic modalities for MDD are being researched. Repetitive Transcranial Magnetic Stimulation (rTMS) is one modality that continues to show successful therapeutic outcomes for those with TRD. The aim of this study is to highlight a case of rTMS being used on a patient with TRD, autism spectrum disorder (ASD), post-traumatic stress disorder (PTSD), and substance use.

Methods:

Our patient is a 53-year-old female who first presented to …

Effective Adapted Psychotherapy Approaches For Autistic Adults: Perspectives From Clinical Psychologists, Emily Morgan Hilton

Walden Dissertations and Doctoral Studies

Autistic adults face a high risk of co-occurring mental health challenges, yet standard psychotherapy often fails to meet their unique needs, raising concerns about treatment effectiveness. This qualitative study aimed to understand how clinical psychologists decide on therapeutic approaches and adaptations for their autistic adult clients through three research questions: RQ1: How do clinical psychologists decide on the appropriate therapeutic approach they use with their autistic adult clients? RQ2: How do clinical psychologists decide which adaptations are appropriate to implement in psychotherapy with their autistic adult clients? RQ3: Does the therapeutic approach affect how a clinical psychologist chooses appropriate adaptations …

Introduction To Clinical Psychology Syllabus (Psych 347), Valentina Nikulina

Open Educational Resources

No abstract provided.

Optimal Well Being Of Those Recovering From Alcohol Use Disorder: An Exploration Of Individual Difference Factors And Treatment Outcomes, Jared Davis

USF Tampa Graduate Theses and Dissertations

Harmful alcohol use has continued to be one of the largest negative impact factors of daily living worldwide. Despite the pervasive use of alcohol and negative impacts that it has on the individual and society there is large disagreement on how to know when someone has “recovered” from AUD (El-Guebaly, 2012), with much of the literature focused narrowly on negative indicators (e.g., return to heavy drinking, re-occurrence of AUD symptoms). Such views have not only restricted definitions of recovery but has also created public perception that those with AUD will continue to struggle even when cessation of drinking has occurred. …

The Mediating Role Of Intellectual Humility On The Relationship Between Perspective-Taking And Affective Polarization, Daniel Smith

Walden Dissertations and Doctoral Studies

Affective polarization, a phenomenon characterized by animosity between opposing political parties, has emerged as a growing and intractable problem in the United States. Affective polarization threatens American democracy, as polarized citizens become increasingly unwilling to trust cross-partisans, hold their political leaders accountable, or support the results of free and fair elections. While prior research has investigated the mitigating effect of intellectual humility and perspective-taking on affective polarization, researchers have yet to investigate whether intellectual humility and perspective-taking work synergistically to mitigate affective polarization. Informed by social identity theory, this quantitative study determined if intellectual humility mediated the relationship between perspective-taking …

A Participatory Approach To Case Management: Co-Creation Of Effective Anti-Trafficking Programming Based On The Self-Identified Strengths, Needs, And Priorities Of Survivors, Angela Robinson Phd, Kelsey Morgan Phd

SMU Human Trafficking Data Conference

Some estimates claim the existence of 50 million victims of human trafficking and the U.S. Department of State suggests that less than 1% of survivors received services to prevent further exploitation. This presentation shares processes for co-creating knowledge with case management tools that empower survivors while gathering data to improve their care, assist service providers in effectively targeting supportive services, and strengthen anti-trafficking initiatives. Findings will be shared from Freedom Lifemap, a self-assessment used by human trafficking survivors to identity their own strengths, needs, and priorities to prevent the risk of re-exploitation and attain lasting freedom. Global patterns in data …

Support Beyond Services: Examining The Role Of Neighbor Relationships, Housing Staff, And Place In Mental Health Recovery, Kenna Estell Dickard

Dissertations and Theses

This dissertation explores the role of non-clinical support for individuals with serious mental illness (SMI). Through three interconnected manuscripts, this dissertation highlights the importance of housing staff support, places in the community, and neighbor relationships in fostering recovery for individuals with SMI. The first manuscript analyzes how housing staff support influences residents' well-being through an ecological lens. This study found that staff support is associated with reduced loneliness, higher residential satisfaction, and increased sense of community. This study also considers the role of self-determination as a moderator, demonstrating the importance of resident agency in maximizing well-being outcomes. The second manuscript …