Digital Commons Network^™

“Respect The Way I Need To Communicate With You”: Healthcare Experiences Of Adults On The Autism Spectrum, Christina Nicolaidis, Dora Raymaker, Katherine E. Mcdonald, Amelia E.V. Baggs, Sebastian Dern, Steven K. Kapp, Michael Weiner, Cody Boisclair, Elesia Ashkenazy

School of Social Work Faculty Publications and Presentations

Our objective was to obtain an in-depth understanding of autistic adults’ experiences with healthcare and their recommendations for improving care. Our academic-community partnership used a community based participatory research (CBPR) approach to conduct semi-structured, open-ended interviews with 39 autistic adults and 16 people who had experience supporting autistic adults in healthcare settings. Participants identified patient-level, autism-related factors that impact healthcare interactions, including verbal communication skills, sensory sensitivities, challenges with body awareness, slow processing speed, atypical non-verbal communication, and challenges with organization. However, the success of healthcare interactions largely depended on the interplay between patient- and provider-level factors, as well as …

Bhutanese Counselors' Experiences With Western Counseling: A Qualitative Study, Susan V. Lester

Counseling & Human Services Theses & Dissertations

Following centuries of independence from the rest of the world, the remote and fast-developing Kingdom of Bhutan has recently opened its doors to outside influence. Bhutan has invited the profession of counseling to aid in responding to growing mental health problems, social and family issues, and school and career guidance needs. This study employed the methods of phenomenology to investigate the experiences of Bhutanese counselors with Western counseling in order to understand the intersection of the culture of Bhutan with the culture of counseling. Eleven participants were interviewed and four themes were identified: Conceptualization of counseling, Bhutanese culture, Bhutanese counseling, …

Treatment Response In Couple Therapy: Relationship Adjustment And Individual Functioning Change Processes, Lynne M. Knobloch-Fedders, William M. Pinsof, Claudia M. Haase

Psychology Faculty Research and Publications

This study, a naturalistic investigation of the process of change in relationship adjustment and individual functioning during conjoint therapy, examined the first 8 sessions of a multisystemic model of couple therapy, integrative problem-centered metaframeworks (Breunlin, Pinsof, Russell, & Lebow, 2011; Pinsof, Breunlin, Russell, & Lebow, 2011). The sample consisted of 125 heterosexual couples who reported on their relationship adjustment and individual functioning before every session using the Systemic Therapy Inventory of Change (Pinsof et al., 2009; Pinsof, Zinbarg, et al., in press). Data were analyzed using dyadic latent growth curve and cross-lagged models. For both men and women, relationship adjustment …

The Immigration Experience Among Elderly Egyptian Immigrants In The United States, Ihab Girgis

Dissertations, Theses, and Capstone Projects

An increasing mosaic of immigrants comes to the United States' shores every year for different reasons. An invisible part of those immigrants are the elderly who join their families in the United States. The story of the Egyptian elderly immigrants among them, as one representative group of Arabs, is significant and its investigation is timely. This study explores the context of exit from Egypt, the risk factors for health and mental health distress induced by this transition and how they impede the adjustment process, and the protective factors and processes that buffer the risk factors, foster resilience, and facilitate the …

Chinese-American Young Adult Children's Perception Of Parental Psychological And Behavioral Control And Its Impact On Their Emotional And Social Well-Being, Wan-Hai Tseng

Dissertations, Theses, and Capstone Projects

The primary aim of this qualitative study was to describe the ways in which Chinese-American young adult children perceive their parent(s) and/or primary caregiver(s)' expressions of psychological and behavioral control. It also explored how they believed these types of control affected their emotional and social well-being over time. Given that it is documented that their parents are demanding, and that this may be the reason their mental health outcomes are poorer than non-Asians, this exploration was needed. This research sought to provide a better understanding of the emotional and social development of Chinese-American young adult children as it relates to …

Spiritual Direction & Soul Care: Embracing God’S Presence In Your Practice (Aacc World Conference 2015), John C. Thomas

Faculty Publications and Presentations

No abstract provided.

Experiences With Grandparents And Attitudes Toward Custodial Grandparenting, Julie Hicks Patrick, Allyson Stella Graf, Danielle K. Nadorff, Bert Hayslip Jr.

GrandFamilies: The Contemporary Journal of Research, Practice and Policy

The goals of the current study were to examine attitudes about custodial grandparents and to examine whether personal experiences with grandparents influenced those attitudes. Data were provided by 730 younger adults (mean age about 20 years) who completed surveys regarding their experiences with their own grandparents, attitudes toward custodial grandparenting, and openness to becoming a custodial grandparent in the future. Mean differences in attitudes as a function of experience did emerge. In addition, a mixed structural model showed that young adults who felt their grandparents helped to raise them perceived custodial grandparenting as less distressing, and it was these perceptions …

Child Maltreatment And Military-Connected Youth: Developing Protective School Communities: School Responses Of Referral And Clinical Interventions Do Not Address Needs Of Military Families, Kris T. De Pedro

Education Faculty Articles and Research

"Since the beginning of the Iraq and Afghanistan wars, more than 2 million school-aged youth in the United States have had a parent enlist in the military. About 1.2 million of these youth have experienced the deployment of a parent. Multiple and prolonged deployments and exposure to veteran trauma disrupt family relationships and financial stability. The deployment cycle also effects the mental health and well-being of service members and left-behind caregivers and children. Indeed, the caregivers in particular must cope with emotional stress and may have feelings of social isolation. Even when seeking help, left-behind caregivers may have difficulty locating …

From Mirroring To World-Making: Research As Future Forming, Kenneth J. Gergen

Psychology Faculty Works

After decades of acrimonious debate on the nature of scientific knowledge, researchers in the human or social sciences are reaching a state of relative equanimity, a condition that may be characterized as a reflective pragmatism. Yet, even while the context has favored the development of new forms of research, the longstanding ocular metaphor of inquiry remains pervasive. That is, researchers continue the practice of observing what is the case, with the intent to illuminate, understand, report on, or furnish insight into given states of affairs. And, while selectively useful, such an orientation is not only limited in potential but subject …

Do Clergy In Hidalgo County, Texas Serve As A Bridge Or Barrier To Mental Health Services?, John C. Park

Loma Linda University Electronic Theses, Dissertations & Projects

Clergy play the role of frontline mental health (MH) workers for many Americans (Ellison et al., 2006; Wang et al., 2005; Winet, Majors, & Stewart, 1979). There is insufficient information in regards to what the clergy believe about MH and how they respond to MH related concerns. What we know indicates that clergy are not sufficiently equipped or trained to respond adequately to people suffering from issues of MH. Using face to face interview process, 301 clergy members of the faith based organizations (FBO) in Hidalgo County, Texas (HCT) were interviewed. Key findings suggest that the clergy engage in significant …

Predictors Of Placement Satisfaction For Foster Youth, Shereen Mcfarlane

Loma Linda University Electronic Theses, Dissertations & Projects

Youth in the foster care system are often removed from their biological families because of challenges to their safety and wellbeing and are often at risk for further placement disruption and poor socio-emotional development. Placement stability is a crucial component to establishing permanency and placement satisfaction might be a contributing factor. This study uses an ecological framework to explore the impact of the foster youth’s ecosystem, such as the foster child, foster parent, child welfare worker, and the placement environment on placement satisfaction. This quantitative study uses secondary data to determine the predictability of these factors on placement satisfaction of …

Prostate Cancer Screening Intention Among Black Men: A Multivariate Analysis, Crystal Renee Clarke

Loma Linda University Electronic Theses, Dissertations & Projects

Prostate cancer is one of the leading causes of death among Black men, and widespread lack of screening contributes to the mortality burden. The purpose of this present study was to evaluate the effect of relationship intimacy with individual intent to screen using the digital rectal examination (DRE) among Black men. The human ecological theory of human development was a good fit for this present study, as individual health status and population health disparities are embedded in larger historical, geographic, socio-cultural, economic, and political contexts. The ecological framework allows researchers to attempt to identify the influences of all these factors. …

The Potential To Promote Resilience: Piloting A Minority Stress-Informed, Gsa-Based, Mental Health Promotion Program For Lgbtq Youth, Nicholas C. Heck

Psychology Faculty Research and Publications

This article describes the results of a pilot study to determine the feasibility and acceptability of a mental health promotion program that was developed to address minority stressors and promote coping skills among lesbian, gay, bisexual, transgender, and queer (LGBTQ) youth. It was hypothesized that the program would be feasible to implement within the context of a gay–straight alliance (GSA) and that GSA members would find the program acceptable (e.g., educational, enjoyable, helpful, and relevant). Participants included 10 members of a high school GSA in the northeastern United States. The program sessions were delivered during GSA meetings. The first session …

Best Practices In Team-Based Treatment Termination, Leslie Minna

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Termination of psychological treatment is a necessary part of the therapeutic process, but it can pose complex clinical, ethical, legal, logistical, and social challenges. This complexity becomes even more evident in the current era of treatment delivered by a team of healthcare professionals. Appropriate termination will usually involve a team decision and synthesis of the various team members’ recommendations for appropriate follow-up, medications, or transfer of care into an integrated formal document to be communicated to the patient. The healthcare team may also face other considerations such as record keeping and communication responsibilities when the patient (or the patient’s insurer) …

Comparing Outcomes From An Online Substance Abuse Treatment Program And Residential Treatment Programs For Consumers Who Are Deaf: A Pilot Study, Josphine Wilson Ph.D., Deb Guthmann Ed.D., Jared Embree, Susan Fraker

JADARA

Numerous barriers exist when attempting to provide culturally appropriate substance use disorder (SUD) treatment to persons who are Deaf, including a lack of accessible community-based treatment providers. To address these barriers, the Deaf Off Drugs and Alcohol (DODA) Program has provided culturally and linguistically appropriate cessation and recovery support services via a telemedicine program to Deaf individuals who are clinically diagnosed with a SUD. This study was conducted to assess whether an online SUD treatment program, such as DODA, is an effective way to serve the Deaf population, which is underserved due to communication and other cultural barriers. DODA’s effectiveness …

Construct Validation Of The Psychosocial Costs Of Racism To Whites Scale For Ashkenazic Jews In The United States, Emile Tobias Berk

Seton Hall University Dissertations and Theses (ETDs)

This study is a construct validation of the Psychosocial Costs of Racism to Whites Scale (Spanierman & Heppner, 2004) with Orthodox and non-Orthodox Ashkenazic (of European descent) American Jews. While Jewish-American biculturalism has been explored at length, there is a dearth of psychological research on Jewish-White biculturalism (Langman, 1999). Furthermore, the literature has yet to explore the impact of Jewish religious diversity on Ashkenazic-American self-perception as racially White beneficiaries of unearned privilege.

The Psychosocial Costs of Racism to Whites Scale (PCRW) measures three dimensions of White racial attitudes: White Empathic Reactions Towards Racism, White Guilt, and White Fear of Others. …

Do Stress Levels Differ Between First Semester Nursing Student Early In The Semester Vs. The End Of The Semester?, Alissy Heisey

Undergraduate Honors Theses

This study intends to determine how stress levels change over time in nursing students in the Baccalaureate program at East Tennessee State University. The instrument utilized for this survey was the Perceived Stress Scale by Mind Garden, Inc. This survey was passed at the beginning of the semester and at the end of the semester. There was no-significant difference found between the two time spots, leading us to conclude that the level of stress perceived by nursing students is a steady factor during their school semester.

Testing The Chronic Care Model For Depression In Homebound Older Adults., Brittney Rose Getz

Electronic Theses and Dissertations

Homebound older adults are a unique population of older adults with many chronic illnesses and complex care needs (Qui et al., 2010). Depression is highly prevalent in homebound older adults (Qui et al., 2010). Many Chronic Care Models (CCMs) have been developed to provide a better system of care to those with chronic health conditions (Bodenheimer, Wagner, & Grumbach, 2002; Wagner et al., 2001; Wagner, Austin, & Von Korff, 1996a, 1996b). The Chronic Care Model for Depressed Homebound Older Adults is a model that was specifically designed for the depressed homebound elderly. It addresses many areas for improvement of care …

Web-Based Training For An Evidence-Supported Treatment: Training Completion And Knowledge Acquisition In A Global Sample Of Learners, Nicholas C. Heck, Benjamin E. Saunders, Daniel W. Smith

Psychology Faculty Research and Publications

The purpose of this investigation is to describe the characteristics of professional and preprofessional learners who registered for and completed TF-CBTWeb, a modular, web-based training program designed to promote the dissemination of Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) and to demonstrate the feasibility of this method of dissemination. Between October 1, 2005, and October 1, 2012, a total of 123,848 learners registered for TF-CBTWeb, of whom 98,646 (79.7%) initiated the learning activities by beginning the first module pretest. Of those, 67,201 (68.1%) completed the full training. Registrants hailed from 130 countries worldwide, and they had varied educational backgrounds, professional identities (both …

Decriminalizing Mental Illness: The Need For Treatment Over Incarceration Before Prisons Become The New Asylums For The Mentally Ill, Rebecca L. Brown

Psychology Summer Fellows

Currently, US prisons are home to 10 times more mentally ill individuals than state psychiatric hospitals. Instead of treating those with mental illness, an extremely vulnerable population is being thrown behind bars. Mental illness is often exacerbated during incarceration, leaving inmates much sicker than when they entered. Moreover, upon discharge mentally ill inmates have virtually no support, making recidivism almost inevitable. This lack of treatment has devastating consequences for the mentally ill as well as the community at large. Removing the mentally ill from jails and prisons would reduce recidivism, increase public safety and save money.

The current research explores …

Factors Associated With Family Counseling Practices: The Effects Of Training, Experience, And Multicultural Counseling Competence, Amanda A. Brookshear

Counseling & Human Services Theses & Dissertations

The ACA code of ethics encourages the inclusion of family in the therapeutic process when doing so can be considered positive (ACA, 2014). Additionally, family dynamics are an important component of counseling for clients from diverse cultural backgrounds. A critical review of the literature reveals that there are differences between conceptual and physical inclusions of families in counseling. Counselors can use a family systems theoretical lens and or incorporate family-based interventions. The purpose of this study was to investigate how counselors include families in counseling and what factors are associated with family counseling practice. Variables assessed include training and coursework, …

Socially Desirable Responding: Enhancement And Denial In 20 Countries, Jia He, F.J. Van De Vijver, A.D. Espinosa, A. Abubakar, R. Dimitrova, B.G. Adams, Jochen Reb, Samantha Sim

Research Collection Lee Kong Chian School Of Business

This article investigated the dimensionality, measurement invariance, and cross-cultural variations of social desirability. A total of 3,471 university students from 20 countries completed an adapted version of the Marlowe–Crowne scale. A two-dimensional structure was revealed in the pooled sample, distinguishing enhancement (endorsement of positive self-description) and denial (rejection of negative self-description). The factor structure was supported in most countries; medium-sized item bias was found in two denial items. In a multilevel analysis, we found that (a) there was more cross-cultural variation in denial than enhancement; (b) females tended to score higher on enhancement whereas males tended to score higher on …

School Psychologists' Knowledge Of And Attitudes Towards Transgender Students, Arielle Walzer

Theses and Dissertations

Transgender students face harassment and discrimination in schools, and those who experience such maltreatment are at a higher risk of attempting suicide and other negative outcomes. The National Association of School Psychologists (NASP) has called upon school psychologists to be advocates for transgender students, yet school psychologists receive little or no training in this area. The Knowledge of and Attitudes Toward Transgender Students Survey was created and distributed to members of the New Jersey, Connecticut, Delaware, and Maryland state associations for school psychologists. Although previous studies suggest that a person's attitude toward transgender people is affected by age and gender, …

Transforming Impossible Into Possible (Tip): A Group Work Model In Workforce Development, Philip Young P. Hong

Social Work: School of Social Work Faculty Publications and Other Works

This presentation introduces a newly developed social work group intervention model in workforce development. Transforming Impossible into Possible (TIP) program empowers participants to develop self-awareness, confidence, hope, goal-orientation, leadership, accountability, conscientiousness, and grit, it is anticipated that it improves both employment and retention outcomes.

Biography Of Eric Schopler, Mary Lewis, Addie Tapp

Narrative Documents

No abstract provided.

Rejection Sensitivity, Perceived Power, And Hiv Risk In The Relationships Of Low-Income Urban Women, Kathy R. Berenson, Christine Paprocki, Marget Thomas Fishman, Devika Bhushan, Nabila El-Bassel, Geraldine Downey

Psychology Faculty Publications

The psychological processes associated with HIV infection in long-term relationships differ from those operative in casual sexual encounters, and relatively little research has considered the aspects of personality applicable in the ongoing heterosexual relationships in which women are at greatest risk. Sensitivity to rejection has been linked with efforts to prevent rejection at a cost to the self and, therefore, may be relevant to the health risks that many women incur in relationships. We examined the association of rejection sensitivity with women's sexual risk behavior in a sample of women at heightened risk for HIV exposure. Women in long-term heterosexual …

Navajo Nation Brain Drain: An Exploration Of Returning College Graduates' Perspectives, Quintina Ava Adolpho

Theses and Dissertations

American Indian tribes face the phenomenon known across the world as the brain drain. They invest millions of dollars in educating their members, only to have little return on their investments. Many nation members leave reservations to get postsecondary education but never return, contributing to the brain drain. Those who get education off the reservation and choose to return are the exceptions to this rule. Although there is an abundance of literature regarding the brain drain across the world, there has been little research done with American Indians. In order to begin to understand the brain drain phenomenon this study …

Tongues Untied Truth Revealed: Body Image, Social Media, Identity Development, And Meaning-Making In Overweight And Obese Black Gay Msm, Amari Ja-Lynn Enam

Dissertations

This phenomenological study explored the meanings attributed to internalized messages about body image within the context of identity development from the perspectives of overweight/obese men of African descent (OMAD) among a group of 6 men who have sex with men (MSM). I was interested in those messages that have been incorporated, adopted, or integrated into OMAD-MSM’s sense of self. Informants shared body image-related experiences from interactions with family, friends, dating/sex partners, and the media/social media.

Academic literature has explained identity development processes among African Americans through various lenses but research has not adequately explored the convergence of multiply oppressed social …

Psychological Services For Pediatric Victims Of Non Accidental Trauma, Robyn Finckbone

Loma Linda University Electronic Theses, Dissertations & Projects

Child abuse is a significant problem within our society. In 2010, there were approximately 1,560 fatalities as a result of child abuse; 17.6% of those deaths were the direct result of physical abuse and 80% occurred in children under the age of 4. There is a dearth of research examining severe physical abuse among children and, as a result, the demographics of this population are unclear as are the psychological referrals and services provided to these children. The aims of the current study are to identify the demographic characteristics of child victims of non-accidental trauma (NAT, i.e. physical abuse) as …

Relationship Among Psychotherapy Measurements: Predictors Of Ors And Oq-45 Scores, Evan Lima

Loma Linda University Electronic Theses, Dissertations & Projects

Psychological services have become increasingly important and accepted. The increase in the utilization of services has led to third party payers (e.g., insurance companies) paying more in reimbursement to providers of psychological services and therefore tightening parameters regarding how many sessions will be reimbursed. With the pressure from third party payers, a standardized means of monitoring client’s progress in treatment has become necessary. The goal of the current study was to determine whether (1) the trajectories of Outcome Questionnaire 45 (OQ-45) and Outcome Rating Scale (ORS) scores are the same over time, and if the Session Rating Scale (SRS) predicts …