Digital Commons Network^™

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 …

Reproductive Rights At Work: The Role Of Organizations In Menstrual Support, Emily Julia Ready

Dissertations and Theses

Painful menstrual symptoms affect up to 90% of people with uteruses globally. These symptoms can result in lost productivity at work and absenteeism for working individuals. Normative work structures have not been designed with accessibility and inclusivity for those with uteruses in mind. Therefore, women and those with uteruses have often had to work through barriers with no accommodations or systematic change. Currently, there is no published research in the United States on the nuances of the relationship between menstruation and work with the intention of exploring effective solutions. There has been discussion related to menstrual supportive policies, but there …

The Love With A Thousand Faces: Heroism As Embodied Love In Action, Scott T. Allison

Heroism Science

In this article, I argue that heroism is, at its core, embodied love in action -- a morally charged, physically grounded expression of care enacted through selfless deeds, courage, and commitment to others. Rather than reducing love to sentiment or an abstract ideal, I emphasize its embodied dimensions: love as a lived, relational force that motivates people to act bravely and altruistically, often at great personal cost. Drawing on psychological research in empathy, attachment, and prosocial motivation, I show how love undergirds moral courage by activating deep emotional bonds and transforming them into action-oriented commitments that transcend fear and self-interest. …

Charting Your Own Course: Diverse Paths To Occupational Health Psychology, Irvin Sam Schonfeld

Publications and Research

This piece describes my pathway, via stressful work experiences, into occupational health psychology (OHP). Those work experiences combined with my later training in epidemiology at Columbia led me to the study of work, stress, and health. I briefly describe key research experiences with Joe Mazzola of Meredith College (the role of qualitative research in theory development and hypothesis generation) and Renzo Bianchi of the Norwegian University of Science and Technology (research on burnout–depression overlap and the creation of scales to assess occupational depression, occupational anxiety, and pandemic-related anxiety). The piece concludes with ideas for newcomers to OHP for getting the …

Inside Out: Autistic Psychologists On The Power Structures Of Diagnosis, Audrey J. Scaer, Christopher R. Dabbs

Ought: The Journal of Autistic Culture

How do relationships between medicalized diagnostic powers and training intersect with the complex social identity of autism? How does self-identification (self-diagnosis) challenge the diagnostic status quo, created and scaffolded by enormously powerful social systems? In this paper, we reflect on the historical and modern dynamics of these power relations. As autistic psychologists actively working with and diagnosing autistic clients, we end this paper with an autoethnographic interrogation of our own self-diagnostic journeys and ways in which we’ve integrated our identities across personal and professional spheres of functioning.

Does Schooling Improve Cognitive Abilities At Older Ages? Causal Evidence From Nonparametric Bounds, Vikesh Amin, Jere R. Behrman, Jason M. Fletcher, Carlos A. Flores, Alfonso Flores-Lagunes, Hans-Peter Kohler

Upjohn Institute Working Papers

We revisit much-investigated relationships between schooling and health, focusing on schooling impacts on cognitive abilities at older ages using the Harmonized Cognition Assessment Protocol in the Health & Retirement Study (HRS) and a bounding approach that requires relatively weak assumptions. Our estimated upper bounds on the population average effects indicate potentially large causal effects of increasing schooling from primary to secondary; yet, these upper bounds are smaller than many estimates from the literature on causal schooling impacts on cognition using compulsory-schooling laws. We also cannot rule out small and null effects at this margin. We do, however, find evidence for …

From Prohibition To Prescription: Exploring Injustice, Bias, And Science-Based Solutions, Alexander Campos

University Honors Theses

This thesis critiques the war on drugs for disproportionately targeting minority communities and prioritizing systemic exploitation over public health. It examines the flawed, politically influenced DEA drug scheduling process, which neglects evidence of the medical benefits of substances like cannabis, psilocybin, LSD, DMT, and MDMA. This thesis gives a brief history of the evolution of US drug policy, which contributed to mass incarceration, reinforced racial disparities, and failed to reduce overdose deaths. It also highlights the potential mental health benefits of decriminalizing and regulating psychedelics to treat conditions like PTSD, depression, and substance abuse disorder. This thesis concludes by promoting …

Causal Effects Of Schooling On Memory At Older Ages In Six Low-And-Middle-Income Countries: Nonparametric Evidence With Harmonized Datasets, Vikesh Amin, Jere R. Behrman, Jason M. Fletcher, Carlos A. Flores, Alfonso Flores-Lagunes, Iliana Kohler, Hans-Peter Kohler, Shana D. Stites

Upjohn Institute Working Papers

Higher schooling attainment is associated with better cognitive function at older ages, but it remains unclear whether the relationship is causal. We estimate causal effects of schooling on performances on the Consortium to Establish a Registry for Alzheimer’s Disease (CERAD) word-recall (memory) test at older ages in China, Ghana, India, Mexico, Russia, and South Africa. We used harmonized data (n=30,896) on older adults (≥50 years) from the World Health Organization Study on Global Ageing and Adult Health. We applied an established nonparametric partialidentification approach that bounds causal effects of increasing schooling attainment at different parts of the schooling distributions under …

Building A Theory-Based Understanding Of Sexual Health Provider Stigma: A Phenomenological Study, Harit Agroia, Rebecca Reno, Maytal Bach, Jenette Spezeski, Erin Starzyk

Journal of Social, Behavioral, and Health Sciences

Unraveling provider-level sexual health stigma requires building an understanding of contributing factors, such as provider knowledge, values, beliefs, medical training, and other intrapersonal or interpersonal factors that may influence its manifestation at the clinic level during patient–provider interactions. Healthcare provider stigma has not been sufficiently understood or explained using classic psychological theories, such as Cognitive Dissonance Theory (CDT) or Social Cognitive Theory (SCT). We build a theory-based understanding of sexual health-provider stigma by proposing modifications to the SCT to develop the Modified SCT (M-SCT) model, where cognitive dissonance is hypothesized to influence the personal/cognitive and behavioral factors of the M-SCT. …

More Schooling Can Delay The Onset Of Dementia Later In Life, Vikesh Amin, Jere R. Behrman, Jason M. Fletcher, Carlos A. Flores, Alfonso Flores-Lagunes, Iliana Kohler, Hans-Peter Kohler, Shana D. Stites

Upjohn Institute Policy and Research Briefs

No abstract provided.

Examining County-Level Implicit Stereotypes And Prejudice As Predictors Of Racial And Gender Disparities In Incarceration Across The United States, Emma Elizabeth Lee Money

Dissertations and Theses

Background: This dissertation investigated the role of local macropsychological factors - specifically, county-level implicit racial bias and implicit gender stereotyping - in shaping inequalities in incarceration across the United States. Despite overall declines in incarceration, trends in the incarceration of women and people of color (particularly Black women) show disparities compared to White men. Regional aggregations of implicit biases have been proposed as robust markers and drivers of systemic inequalities and are examined in current research.

Research Questions: Three overarching research questions (RQ) guided this dissertation: RQ1 tested the relationship between county-level implicit racial bias and proportions of Black (relative …

Iep Process As An Avenue Or Barrier To Inclusion For Autism Spectrum Students: The Importance Of Collaboration, Stephanie C. Holmes

Tapestry: Journal of Research in Education

Decades of research concerning the implementation of Individual Education Plans (IEPs) have shown that building and implementing an IEP for a student with additional needs can be adversarial between the child’s parents and the school system. In 1975, when Public Law 94-142 was passed, the idea behind the law was not only to provide a free and appropriate public education (FAPE) for children with needs and disabilities but also to give parents of these children a voice in the process of creating the child’s IEP. Autism Spectrum Disorder (ASD) was not added to the list of needs to be served …

Mindfulness-Based Stress Reduction And Mindfulness-Based Cognitive Therapy As Interventions For Generalized Anxiety Disorder: A Meta-Analytic Review, Amitojeroop Kaur

Honors Scholar Theses

This systematic review and meta-analysis examined the efficacy of mindfulness-based interventions (MBIs), specifically Mindfulness-Based Stress Reduction (MBSR) and Mindfulness-Based Cognitive Therapy (MBCT), in reducing anxiety symptoms in individuals with Generalized Anxiety Disorder (GAD). A review of the literature revealed that while GAD affects millions globally, many individuals diagnosed with GAD do not receive treatment. This review evaluated the effectiveness of MBIs using randomized controlled trials (RCTs) and non-RCTs, focusing on effect sizes, study quality, and control conditions. The central hypothesis was that MBCT would significantly reduce anxiety symptoms, particularly in comparison to inactive control groups. Meta-analytic results showed that MBSR …

The Role Of Gender And Sexual Identity In Mental Health Outcomes For Asylum-Seeking Survivors Of Sexual Torture, Samantha A. M. Doerr

Clinical Psychology Dissertations

Millions of people worldwide flee violent persecution each year, with more than 6.8 million estimated to have sought asylum in 2023 alone (United Nations High Commission on Refugees, 2025). Up to 40% of refugees and asylum-seekers are reported to be survivors of torture, with sexual torture one of the most commonly-reported means of torture, particularly among women and LGBTQ+ populations (Abu Suhaiban, 2019; Hopkinson et al., 2017; United Nations High Commission on Refugees, 2017). Sexual torture has been associated with severe impacts on mental health, including posttraumatic and depressive symptoms. Despite marked differences in sexual torture risk across gender and …

Current Practice In The Provision Of Psychological Assessment, Catherine R. Hanigan, Linda J. Baum, Anderson B. Rowan

Archives of Assessment Psychology

Understanding the assessment practices of psychologists has been a focus of research since the mid-twentieth century. Previous studies focused on the types of tests utilized as well as the amount of time spent on assessment. This updated research examined professional psychologists’ current practice and use of assessment, such as specific test usage, time spent on assessment, and feedback practices. A survey instrument was created, piloted, and administered to a sample of 293 currently practicing licensed psychologists. Results indicated that current assessment practices are largely consistent with previous surveys of psychologists. The tests identified as most frequently used were the Wechsler …

Reading Patients' Personalities The Sentence Completion Way, Stephen P. Joy, Lawrence Mccloskey, Wilson Mcdermut

Archives of Assessment Psychology

Previous research has shown that reliable, valid measures of major personality traits can be derived from a sentence completion test, the Rotter Incomplete Sentences Blank (RISB). However, all previous samples consisted of undergraduates. Here, we report findings for two clinical samples (N = 120) to whom a variety of self-report inventories and structured clinical interviews were also administered. RISB-based ratings of Extraversion and Neuroticism were consistently correlated with relevant variables in both samples and displayed convergent and discriminant validity vis a vis self-reported traits. RISB-based ratings of Psychoticism were clearly associated with relevant variables in one sample with mixed but …

The Clinical Utility Of Measuring Emotion Dysregulation In Autistic Youth, Monica S. Trevino

Dissertations

Autistic youth experience disproportionately high rates and severity of emotion dysregulation, which is linked to behavioral challenges, psychiatric comorbidities, familial stress, and increased emergency service and hospitalization use. Despite its clinical significance, emotion dysregulation in autistic youth remains relatively understudied and misunderstood, partly due to the lack of standardized assessment tools and limited research on its heterogeneity within autistic populations. In the present study, structural equation modeling was used to 1) validate the Emotion Dysregulation Inventory (EDI) and assess measurement invariance in a diverse sample and 2) explore associations among emotion dysregulation, autism symptoms, and related child and family characteristics, …

Masculine Traits In Female Serial Killers: A Qualitative Analysis, Ashley Polk

Walden Dissertations and Doctoral Studies

Female serial killers represent a minority in criminal statistics; their cases offer significant insights regarding broader patterns of serial killing behavior. The purpose of this study is to understand the role masculine traits play in the lives of female serial killers. This study involved using a qualitative research method to understand specific characteristics of female serial killers with common masculine traits and childhood experiences. Common masculine traits researched in this study were lack of emotions, aggression, control, dominance, and manipulation. The trauma control model and the gender scheme theory were the theoretical frameworks for this study. Data were collected by …

Balancing The Clinical Response To Sleep Disturbance In Adults 65 And Older, Katherine C. Ward

All ETDs from UAB

Older adults are more likely to have symptoms of insomnia than other age ranges. Ensuring an appropriate clinical response to insomnia in older adults is vital to their health and well-being. This paper addresses the assessment and treatment of insomnia symptoms in older adults in two separate studies analyzing data from the AMBulatoRy blOod preSsure In older Adults (AMBROSIA) study, which recruited older adults (≥65 years old) who had hypertension and were living in Southern California. The first study aimed to investigate the ability of the insomnia severity index (ISI), a standard self-report measure used to assess insomnia symptoms, to …

An Exploration Of The Lived Experiences Of Black Female Kinship Caregivers In Parenting Youth Aged 13-18, Tyla Wilder

Walden Dissertations and Doctoral Studies

This qualitative phenomenological study explored how the intersection of identities related to race and gender shapes the lived experiences of Black female kinship caregivers raising youth aged 13–18. Drawing on Intersectionality Theory, the study sought to understand the caregiving challenges, emotional resilience, and systemic barriers encountered by this underrepresented population. Nine participants were recruited through purposive and snowball sampling and engaged in in-depth semi-structured interviews. Thematic analysis revealed that cultural norms and racialized gender expectations often compelled Black females to assume caregiving roles without institutional recognition or support. Participants described emotional isolation, financial instability, and limited access to legal and …

The Paradox Of Choice: User Preferences And Completion Rates In Single-Session Vs. Multi-Session Digital Mental Health Interventions, Emily M. Bowers, Korena S. Klimczak, Ty B. Aller, Michael E. Levin

Psychology Faculty Publications

Digital mental health interventions (DMHIs) offer scalable solutions for addressing mental health needs, but low adherence remains a significant challenge. Single session DMHIs may offer a feasible alternative to address this issue, providing an accessible and low-effort option for users. The present study examines whether adding the choice of a single session DMHI in addition to a multi-session DMHI provides a feasible alternative for users who might otherwise disengage. This study examined naturalistic data from 509 university students who registered for a 12-session DMHI, single session DMHI, or both. The majority (58%) chose only the multi-session DMHI, while 24.2% chose …

A Qualitative Analysis Of A Culturally Adapted Pcit Training For Black And Latine Clinicians: Creating Communities For Providers Of Autistic Youth, Harlee Onovbiona, Felipa Chavez, Lauren Quetsch, Ashley Scudder

Psychology Faculty Publications

Parent-Child Interaction Therapy (PCIT) is a widely known evidenced-based treatment (EBT) that has been used with Latine, Black, and neurodiverse children to improve the parent-child relationship and reduce challenging behaviors. Although considerable efforts have been made to disseminate PCIT to the wider community, fewer strides have been made to reach Black and Latine families in underserved communities—especially for families with neurodiverse children. One method to bridge the service gap for Black and Latine families is to train Black and Latine clinicians who primarily serve Black and Latine communities. Thus, the current pilot utilized a qualitative design and the Ecological Validity …

Arts-Based Sustainability: From New York To Malawi, Martha B. Lerski

Publications and Research

Recognizing that libraries serve multiple constituencies and subject areas, this chapter documents and advocates for development of transdisciplinary arts-based research (ABR) and culture-related projects linked to environmental challenges. Libraries contribute collections and spaces, as well as the research of library and information scientists. Libraries are currently among invisible contributors to sustainability planning and services. The chapter will link this invisibility to the value of what visual arts refer to as negative space elements in subjects ranging from traditional ecological knowledge to environmental science. Library collections, projects, and research contribute to education for sustainable development (ESD) as required to achieve the …

Walk A Mile: Exploring Cause-Based Charity Event Participation As A Catalyst For Increasing Physical Activity Behavior, Kimberly S. Fasczewski, Andrey A. Sanko Posada, Meg Hopkins

Journal of Social, Behavioral, and Health Sciences

Despite the known benefits of physical activity (PA), more than half of U.S. adults do not meet the American College of Sports Medicine’s PA recommendations for health, often resulting in negative health outcomes. Developing programming that increases motivation for PA participation is critical for healthcare professionals to combat physical inactivity. Previous research has demonstrated that framing disease-based PA charity fundraising events as “helping a cause” improved motivation for PA due to the individual’s emotional connection to the cause. There is currently no congruent research on motivation for participation in cause-based charity events. Behavioral economics theory posits that cognitive, emotional, and …

Measuring Emotional Intelligence With The Msceit 2: Theory, Rationale, And Initial Findings, John D. Mayer, David R. Caruso, Peter Salovey, Iris Y. Lin, Braden J. Hansma, Joanna Solomon, Gill Sitarenios, Manolo Romero Escobar

UNH Personality Lab

Introduction: The model of emotional intelligence as an ability has evolved since its introduction 35 years ago. The revised model includes that emotional intelligence (EI) is a broad intelligence within the Cattell-Horn-Carroll (CHC) model of intelligence, and that more areas of problem solving are involved than originally detailed. An argument is made here that veridical scoring of EI test responses is a sound procedure relative to scoring keys based on expert consensus or a single emotion theory. To the degree that EI fits present-day theories of intelligence (i.e., the CHC model), any subsidiary factors of EI reasoning should correlate highly …

Lived Experiences Of Sex Offenders On Probation With Housing And Employment, Katheryn Winslow

Walden Dissertations and Doctoral Studies

Lived Experiences of Sex Offenders on Probation with Housing and Employment by Katheryn Winslow MA, South University, 2013 BS, University of Central Florida, 2010 Dissertation Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Philosophy Psychology Walden University May 2025

Adapting The Comprehensive Assessment Of Acceptance And Commitment Therapy Processes (Compact) Questionnaire For Contextual Relevance In Uganda: A Comprehensive Approach, Joseph Mugarura, Khamisi Musanje, Michael E. Levin, Ronald Asiimwe, Morris Ndeezi, Simon Kizito, Ross G. White, Rosco Kasujja

Psychology Faculty Publications

The global utility of acceptance and commitment therapy highlights the need for adapting measures that can effectively capture the richness of psychological flexibility. One such instrument is the Comprehensive Assessment of Acceptance and Commitment Therapy Processes (CompACT). We translated the CompACT into Luganda and adapted it for use in Uganda. The original CompACT was translated into the Luganda language and reviewed through a series of evaluations. Nine mental health professionals participated in one-on-one interviews, while a focus group of eight culturally competent laypersons provided further insights. Their feedback resulted in revisions to enhance the instrument’s clarity, relevance, acceptability and completeness. …

Investigating The Effects Of Brief Video Interventions On White Undergraduate Students’ Racial Attitudes, Alyssa Powers

Dissertations

In this experimental study, a pretest posttest between-groups design was utilized to investigate the efficacy of two brief multicultural educational video interventions in improving the colorblind and affective racial attitudes of White undergraduate students. Ninety-eight self-identified White undergraduate students from a large, Midwestern university were randomly assigned to one of three conditions: (a) viewing a video on the pervasiveness of individual racism and White privilege in the United States (True Colors); (b) viewing a video on institutional racism in the United States (Segregated by Design); (c) viewing a study tips video as the neutral control condition. Participants’ colorblind and affective …

Prevalence And Associated Factors Of Mental And Substance Use Problems Among Adults In Kenya: A Community-Based Cross-Sectional Study, Patrick Nzivo Mwangala, Anita Kerubo, Millicent Makandi, Rachel Odhiambo, Amina Abubakar

Institute for Human Development, East Africa

Data on the burden and determinants of mental and substance use problems among women in urban and rural informal settlements in Kenya is sparse, thus limiting preventive and treatment efforts in these areas. To bridge the gap, we (a) determined the prevalence of depressive, anxiety and post-traumatic stress disorder (PTSD) symptoms and alcohol and drug use problems among women compared to their spouses and (b) examined the correlates of these outcomes. Data collection for this cross-sectional survey was conducted in 2022 in Mombasa, Kwale and Nairobi counties in Kenya. A total of 1528 adults (1048 women) took part. The 9-Item …

Perceived Adherence-Related Barriers For Youth Living With Hiv In The Southern United States, Kate Weaver, Sarah J. Miller, Sayward Harrison

Faculty Publications

Objective: Youth are at high risk for HIV, accounting for 19% of new diagnoses in the United States (US) in 2021. Highly effective HIV treatment is available in the form of antiretroviral therapy (ART), which enables individuals with HIV to achieve viral suppression. However, youth living with HIV (YLHIV) have poorer ART adherence and lower rates of viral suppression than adults. This study aimed to explore the perspectives of YLHIV and their HIV care providers on barriers and facilitators to ART adherence for YLHIV in the southern US. Methods: Semi-structured qualitative interviews were conducted with YLHIV (n = 16) …