Digital Commons Network^™

Advancing The Measurement Of Trauma-Related Shame Among Women With Histories Of Interpersonal Violence, Alyssa Jones

Theses and Dissertations--Psychology

Shame is a predominant emotion for some trauma-exposed individuals—particularly survivors of interpersonal violence (IPV)—that is associated with more severe symptoms of posttraumatic stress disorder (PTSD; see Saraiya & Lopez-Castro, 2016). Despite growing evidence of shame’s importance in recovery from trauma and PTSD, measurement challenges have played a large role in difficulties understanding and comparing the impact of shame across studies. These challenges include: 1) the use of measures that assess trait shame as opposed to trauma-related shame, 2) inconsistent use of established shame measures across studies, and 3) failure to acknowledge the co-occurrence of shame and guilt. These limitations are …

Attentional Control In Infancy: The Role Of Sociodemographic Risk, Cortisol, And The Home Environment, Hannah B. White

Theses and Dissertations--Psychology

Infants’ ability to channel their cognitive resources by controlling their visual attention allows them to be active agents in their learning and development. Individual differences in attentional control have been linked to a wide variety of developmental outcomes including disparities between social classes in cognitive functioning. However, it is yet unknown when in development differences in attentional control related to sociodemographic factors emerge, or how factors of the home environment and the infant’s stress response relate to this effect. Accordingly, Experiment 1 examined whether certain sociodemographic factors, such as socioeconomic and minority status, predict 3.5-month-old infants’ (N = 102) …

Ethanol Sustains Phosphorylated Tau Protein Immunofluorescence In The Cultured Neonatal Rat Hippocampus: Implications For Fetal Alcohol Spectrum Disorders, Caleb Seth Bailey

Theses and Dissertations--Psychology

Fetal Alcohol Spectrum Disorders (FASDs) are comprised of developmental, behavioral, and cognitive abnormalities caused by prenatal alcohol exposure, affecting an estimated 2%-5% of childrenand costing up to $4 billion annually in the United States alone. Although some behavioral therapies can help, the biochemical mechanisms that underpin FASDs need further elucidation for development of more efficacious therapeutics. The tau protein modulates cytoskeletal structure in neurons, and thereby plays an integral role in proper development and function of the central nervous system, but its function is altered by its phosphorylation state, such that increased phosphorylation reduces tau protein function. The tau protein …

Structure And Demographic Correlates Of Individual Trait Responses To Emotions, Anita Adams

Theses and Dissertations--Psychology

From a functionalist perspective, emotions inform people of their needs and influence responses to the environment. Responses to emotion encompass more than emotion regulation strategies. Individual differences emerge from the consistent way that people cope with their emotions, called trait responses to emotion (TRE). We hypothesized approach/avoidance and control/dyscontrol would characterize the dimensional structure of TRE and that dimensions would correlate with age, gender, and early life experiences. The present study developed a multidimensional model to explore TRE from a TurkPrime sample (N = 284). Participants completed a web-based battery of surveys with demographic, early life experience, and TRE questionnaires. …

Mortality Salience, Group Membership, & Reciprocity, Fatima A. Martin

Dissertations

This study investigated the effects of mortality salience, group membership, partner's behavior, and adherence to the norms of positive and negative reciprocity. Three-hundredeighty- four participants completed the either a mortality salience or control (where mortality was not salient) induction, a group membership induction, a personal norms of reciprocity scale, one round of a single-shot trust game (a measure of positive reciprocity), and one round of a singleshot ultimatum game (a measure of negative reciprocity). During the trust game, an ostensible interaction partner received a small monetary endowment, and contributed either that entire endowment or less than half of it (keeping …

Neuropsychological Correlates Of Chronic Pain: The Influence Of Anxious Arousal On Cognitive Control, Kelly L. Polnaszek

Dissertations

The present set of studies assessed the relation between neural, psychological, and cognitive mechanisms that have been shown to influence the experience of chronic pain. Specifically, Studies One and Two advanced our understanding of chronic pain by illustrating its unique relationship with anxious arousal and frontal neural activity on inhibitory control difficulties. Study Three focuses on targeting how anxious arousal is distinctly associated with neural correlates of inhibitory control in order to provide a framework that can be applied to individuals experiencing chronic pain. Together, these studies aim to inform the development of evidenced-based interventions that target anxious arousal in …

An Ecological Model Of Transmission Of Depression: Risk And Protective Factors For Mexican Immigrant Mothers And Children Living In Poverty, Anna Maria Ros

Dissertations

Family poverty has been found to predict a number of negative outcomes across a multitude of domains of child development, including health, education, language and cognitive development (Reiss, 2013; Yoshikawa, Aber & Beardslee, 2012). Furthermore, studies examining differing prevalence rates of mental illness depending on socioeconomic status have found that children liv-ing in poverty in the United States are between two and three times as likely to meet criteria for a psychiatric disorder when compared to their higher SES counterparts (McLaughlin et al, 2011; Reiss, 2013). Family poverty has been found to predict internalizing psychopathology risk across childhood and adolescence, …

A Chronic Route?: Examining The Path Between Community Violence Exposure, Posttraumatic Stress & Juvenile Delinquency In Low-Income, Urban, African-American Youth, Kaleigh Valencia Wilkins

Master's Theses

Background: Exposure to community violence (ECV; direct victimization and witnessing) can predict negative outcomes for youth such as posttraumatic stress (PTSS) and juvenile delinquent behavior (JDB). Psychosocial reactions to violence can be different based on gender. Predictors of ECV in youth is less understood. This study aims to explore potential chronic pathways between initial ECV and continued ECV for early adolescents. The relationship between ECV as a predictor and ECV as an outcome is hypothesized to be mediated by both PTSS and JDB and moderated by gender. Method: A total of 266 African-American, sixth grade students in high crime, high …

Beyond Family: Patterns Of Kin And Fictive Kin Caregivers Among Children And Youth In The Child Welfare System, Jennifer Osborne

Master's Theses

Children and youth in the child welfare system experience significant benefits from placement with custodial kin caregivers in psychological, social, relational, and educational domains (Winokur, Holtan, & Batchelder, 2018; Vasileva & Petermann, 2018). Additionally, the extant literature suggests that non-custodial kin and non-custodial fictive kin, or individuals unrelated by blood or marriage though afforded the same unofficial status as family (Taylor, Chatters, Woodward, & Brown, 2013), also contribute positive outcomes (Smetana, Campione-Barr, & Metzger, 2006). However, little research has examined the ways in which custodial kin, non-custodial kin, and non-custodial fictive kin work together to provide social support to children …

Population Demographics: Predictors Of The Relationship Between Alcohol Use Disorder And Major Depression, Mei Grace Behrendt

Honors Program: Senior Projects (Public)

This thesis examines both biological and social explanations of alcohol use disorder (AUD) and major depression (MD) through a thorough review of current literature. Using multiple logistic regression analyses exploring the sociodemographic and alcohol use factors that contribute to reporting of major depression symptoms with data from the 2017 National Survey on Drug Use and Health, this thesis demonstrates how there are health disparities that exist among different demographic populations. Specifically, certain demographic characteristics such as racial or ethnic identity, gender, and socioeconomic status may contribute to increased risk of developing and reporting episodes of lifetime and past year major …

Comparing Web-Based Mindfulness With Loving-Kindness And Compassion Training For Promoting Well-Being In Pregnancy: Protocol For A Three-Arm Pilot Randomized Controlled Trial, Amy Louise Finlay-Jones, Jacqueline Ann Davis, Amanda O'Donovan, Keerthi Kottampally, Rebecca Anne Ashley, Desiree Silva, Jeneva Lee Ohan, Susan L. Prescott, Jenny Downs

Research outputs 2014 to 2021

© Amy Louise Finlay-Jones, Jacqueline Ann Davis, Amanda O'Donovan, Keerthi Kottampally, Rebecca Anne Ashley, Desiree Silva, Jeneva Lee Ohan, Susan L Prescott, Jenny Downs. Originally published in JMIR Research Protocols (http://www.researchprotocols.org), 14.10.2020. This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR Research Protocols, is properly cited. The complete bibliographic information, a link to the original publication on http://www.researchprotocols.org, as well as this copyright and license information must be included. Background: Promoting psychological well-being and preventing …

ความสัมพันธ์ระหว่างความเครียด รูปแบบความผูกพัน ต้นทุนทางจิตวิทยาและภาวะซึมเศร้าในวัยรุ่นที่มีประสบการณ์แยกจากบิดามารดา, ฐิตาพร แก้วบุญชู

Chulalongkorn University Theses and Dissertations (Chula ETD)

การวิจัยนี้มีวัตถุประสงค์เพื่อศึกษาความสัมพันธ์ที่ความเครียด รูปแบบความผูกพัน ต้นทุนทางจิตวิทยามีกับภาวะซึมเศร้า และศึกษาความสามารถที่ปัจจัยเหล่านี้ทำนายภาวะซึมเศร้าในวัยรุ่นที่เคยมีประสบการณ์แยกจากบิดามารดา โดยเก็บข้อมูลในกลุ่มตัวอย่างที่ได้รับการสุ่มแบบเจาะจงจำนวน 141 คน อายุ 18-25 ปี มีประสบการณ์แยกจากบิดาและ/หรือมารดาในช่วงตั้งแต่แรกเกิดจนถึง 16 ปี เป็นเวลาต่อเนื่องกันอย่างน้อย 6 เดือนขึ้นไป และไม่อยู่ระหว่างการบำบัดรักษาทางจิตเวช กลุ่มตัวอย่างตอบแบบสอบถามออนไลน์ ซึ่งประกอบด้วย มาตรวัดความเครียด มาตรวัดรูปแบบความผูกพันห้ามิติ อันได้แก่ มิติความมั่นใจ มิติความไม่สบายใจเมื่อเกิดความใกล้ชิด มิติต้องการการยอมรับ มิติหมกมุ่นถึงความสัมพันธ์ และมิติความสัมพันธ์มีความสำคัญเป็นรอง มาตรวัดต้นทุนทางจิตวิทยา และมาตรวัดภาวะซึมเศร้า ข้อมูลที่ได้รับถูกนำมาวิเคราะห์ด้วยสถิติสหสัมพันธ์เพียร์สันและการวิเคราะห์ถดถอยพหุคูณด้วยวิธีการใส่ตัวแปรอิสระเข้าพร้อมกัน ผลการศึกษาพบว่าภาวะซึมเศร้ามีความสัมพันธ์อย่างมีนัยสำคัญทางสถิติ (p < .01) กับความเครียด รูปแบบความผูกพันด้านต่างๆ และต้นทุนทางจิตวิทยา อย่างไรก็ตาม จากผลการวิเคราะห์ถดถอยพหุคูณพบว่าแม้ปัจจัยเหล่านี้ร่วมกันทำนายความแปรปรวนของภาวะซึมเศร้าได้ร้อยละ 68 (R2 = .68, p < .001) แต่มีเฉพาะความเครียดเท่านั้นที่สามารถทำนายภาวะซึมเศร้าได้อย่างมีนัยสำคัญทางสถิติ

ผลของกลุ่มพัฒนาตนโดยมีภาพยนตร์เป็นสื่อที่มีผลต่อการเห็นคุณค่าในตนเองของนิสิตนักศึกษาปริญญาตรี, ชิดชนก จินตนาวุฒิ

Chulalongkorn University Theses and Dissertations (Chula ETD)

งานวิจัยกึ่งทดลองในครั้งนี้มีวัตถุประสงค์เพื่อศึกษาผลของกลุ่มพัฒนาตนโดยมีภาพยนตร์เป็นสื่อที่มีผลต่อการเห็นคุณค่าในตนเองของนิสิตนักศึกษามหาวิทยาลัย กลุ่มตัวอย่างคือนิสิตนักศึกษามหาวิทยาลัยในระดับปริญญาตรี อายุตั้งแต่ 18-23 ปี จำนวน 29 คน แบ่งเป็นกลุ่มพัฒนาตนโดยมีภาพยนตร์เป็นสื่อ 9 คน กลุ่มพัฒนาตนตามแนวทรอตเซอร์ 9 คน และกลุ่มชมภาพยนตร์ 11 คน กลุ่มทดลองเข้าร่วมกลุ่มพัฒนาตนโดยมีภาพยนตร์เป็นสื่อ สัปดาห์ละครั้ง ครั้งละ 3 ชั่วโมง รวม 5 ครั้ง โดยกลุ่มตัวอย่างตอบแบบวัดการเห็นคุณค่าในตนเองของ Ryden ในช่วงก่อนและหลังการวิจัย ข้อมูลที่ได้รับถูกนำมาวิเคราะห์ทางสถิติโดยใช้สถิติการวิเคราะห์ความแปรปรวนแบบผสม ผลการวิจัยพบว่า กลุ่มทดลองมีคะแนนการเห็นคุณค่าในตนเองในช่วงหลังการเข้ากลุ่มสูงกว่าก่อนการเข้ากลุ่มอย่างมีนัยสำคัญทางสถิติที่ระดับ .05 และเมื่อเปรียบเทียบกลุ่มทดลองและกลุ่มควบคุมไม่พบความแตกต่างของคะแนนการเห็นคุณค่าในตนเองภายหลังการเข้าร่วมกลุ่ม

Influence Of Bully Victimization On Depressive Mood With Self-Compassion And Resilience As Mediators, Anchidtha Bowornkittikun

Chulalongkorn University Theses and Dissertations (Chula ETD)

The present study was purposed to explore a theoretical model hypothesized to explain the relationship between bullying victimization and depressive mood with self-compassion and resilience as mediators. Participants were 371 junior high school students in the Bangkok metropolitan area. The participants' mean age was 12.95 years old. Participants were predominantly males and responded to the study measures online. Data obtained were analyzed using a path analysis on SPSS AMOS. The proposed theoretical model did not fit with the empirical data; hence, a model modification was conducted. Results indicated a good fit, (X2 (2, N=371) =2.42, p=.09). Self-compassion and resilience mediated …

Understanding The Contributions Of Discrepant Parent-Adolescent Views Of Parenting Practices And Peer Deviance To Adolescent Problem Behavior: A Cross-Lagged Polynomial Regression Approach, Mallory Stephenson

Theses and Dissertations

The present study used autoregressive cross-lagged models to examine the processes through which peer deviance and discrepant parent-adolescent views of monitoring-related communication, involvement, and positive parenting influence one another and contribute to physical and relational aggression, substance use, and delinquency. Participants included 535 adolescents (64% male) who were identified as prone to aggression and socially influential by their sixth-grade teachers during the 2001-2002 and 2002-2003 school years; participants self-identified as African American (69%), Hispanic (14%), White (9%), Multiracial (5%), or another race (3%). Contrary to expectations, parent-adolescent reporting discrepancies were not related to peer deviance, physical aggression, substance use, and …

Phenotype Extraction: Estimation And Biometrical Genetic Analysis Of Individual Dynamics, Kevin L. Mckee

Theses and Dissertations

Within-person data can exhibit a virtually limitless variety of statistical patterns, but it can be difficult to distinguish meaningful features from statistical artifacts. Studies of complex traits have previously used genetic signals like twin-based heritability to distinguish between the two. This dissertation is a collection of studies applying state-space modeling to conceptualize and estimate novel phenotypic constructs for use in psychiatric research and further biometrical genetic analysis. The aims are to: (1) relate control theoretic concepts to health-related phenotypes; (2) design statistical models that formally define those phenotypes; (3) estimate individual phenotypic values from time series data; (4) consider hierarchical …

Associations Between Stress, Racial Discrimination, And Cytokine Levels In Black Americans, Takia Williams

Theses and Dissertations

Inflammation is a common pathophysiological pathway for a number of chronic diseases and is influenced by exposure to stress. Although there are racial disparities in health outcomes, relatively little is known about factors that may influence the inflammatory response in Black American individuals. This study examined whether racial discrimination and other forms of stress are associated with the balance of pro- and anti- inflammatory cytokines in Black American adults. Data from 22 participants were drawn from a larger study of Black American children (ages 5-12) and their primary caregivers drawn from low income neighborhoods in Richmond, Virginia. Caregivers reported demographics, …

A Qualitative Analysis Of Caregiver Goals For Urban Children With And Without Asthma, Megan M. Carlson

Theses and Dissertations

Pediatric asthma is a major public health concern that disproportionately affects children of color and youth living in low-income, urban areas. The implications for public health, child health, and family functioning necessitates our understanding and addressing experiences by families who are facing barriers within their socio-demographic context in addition to the stressors associated with managing pediatric asthma. The current study applied qualitative methods to interviews with caregivers of children with and without asthma in an effort to more deeply connect with caregivers’ experiences and yield richer information about the intersection of identities as Black caregivers living in an urban setting …

A Microlongitudinal Study Of Menopause Symptoms And Problematic Eating In Midlife Women, Dana R. Schreiber

Theses and Dissertations

Women in midlife are at risk for engagement in problematic eating behavior which is associated with negative mental and physical health outcomes. Despite this risk, little is known about precipitating factors that may increase risk in this population. One specific, yet unstudied, factor that may increase risk for problematic eating in midlife women is menopause, which is characterized by distinct symptomatology (e.g., vasomotor symptoms, negative mood, sleep). The purpose of the current study was to investigate the associations among psychological, behavioral, and social symptoms of menopause and problematic eating behavior in midlife women using both retrospective and prospective methodologies. As …

An Integrated Exploration Of The Contextual, Relational, And Individual Factors That Impact High School Completion Among African Americans, Lesley B. Winchester

Theses and Dissertations

African American students are consistently reported as having among the lowest high school graduation rates when compared to other races (U.S. Department of Education, 2018). While many studies have sought to explore the potential risks of high school dropout, the intention of this study is to examine the factors that support the exemplary resilience of those students who do complete high school. The present study adopts the framework of García Coll et al.’s, (1996) integrative model of developmental competencies in minority children, as it seeks to identity whether and how contextual (spiritual, educational, cultural); relational (caregiver psychological and physical …

Adverse Childhood Experiences In Children Presenting To Integrated Pediatric Primary Care, Irene A. Jacobs

Theses and Dissertations

The prevalence of adverse childhood experiences (ACEs) has created a significant public health concern in the United States. A vast body of literature examining adult populations has displayed a dose-response association between cumulative ACEs and chronic illnesses (Chapman et al., 2004; Felitti et al., 1998). ACEs research conducted with children and adolescents has indicated higher ACE scores associated with learning and behavioral problems (Burke et al., 2011), health risk behaviors (Garrido et al., 2018), and mental health challenges (Mackner et al., 1997). However, ACEs research and subsequent interventions have largely relied upon retrospective data retrieved from adults (Felitti et al., …

Characterizing Patterns Of Cannabis Use And Related Health Effects Among Young Adults Using Ecological Momentary Assessment, Alyssa Rudy

Theses and Dissertations

Introduction: Rapid changes in cannabis use policy and prevalence, particularly among young adults, and the lack of information regarding cannabis harms warrant investigation regarding the daily use patterns of cannabis users. Little is known regarding how variability in cannabis use frequency and administration method use patterns may be associated with differential acute cannabis-related health effects (i.e., subjective intoxication and respiratory symptoms). The purpose of the study was to characterize daily and weekly cannabis use patterns and associated cannabis-related intoxication and respiratory symptoms and test the interactions of cannabis use frequency and cannabis administration method use on cannabis-related intoxication and respiratory …

Understanding The Comorbidity Of Asthma And Anxiety In Childhood: Characteristics, Vulnerabilities, And Treatment Implications, Nicole Fleischer

PCOM Psychology Dissertations

This study examined potential differences in youth (aged 7-17 years, 76% Caucasian, 52% female) with comorbid asthma and anxiety compared to youth with anxiety without asthma who received cognitive-behavioral therapy (CBT) alone, pharmacotherapy alone, the combination of pharmacotherapy or placebo pill in the Child/Adolescent Multimodal Study. Two groups were compared on negative self-talk; number of physical symptoms; parental anxiety; content of their worries; and presence of panic, generalized anxiety, and separation anxiety disorders across treatment conditions. Findings indicated that youth with asthma and anxiety were more likely to exhibit higher rates of negative self-talk than youth without asthma, possibly related …

Cultural Differences, Social Support, And Therapy Outcomes: A Comparative Study Between Individualist And Collectivist Cultures, Veronica Felstad

Antioch University Dissertations & Theses

Social support plays an integral role in our lives, and recent research demonstrates that the presence or lack of social support has a potential impact on factors of interest to psychologists, such as therapeutic progress and therapeutic alliance. There is a lack of research demonstrating the relationship between social support and treatment outcomes and the role culture plays. This quantitative international study aimed to explore cultural variances in perceptions, utilizations, and functions of social support, particularly between individualist and collectivist cultures, and the potential effect these variances had on the relationship between social support and therapeutic outcomes. Sixty clients and …

Examining Optimism And Caregiver Strain In Parents With Youth And Young Adults Diagnosed With Anxiety And Unipolar Mood Disorders, Jennifer M. Gross

Antioch University Dissertations & Theses

An anonymous online survey investigated optimism and caregiver strain in parents of youth and young adults diagnosed with anxiety and unipolar depression. Caregiver strain is a

well-researched phenomenon where the experience of parenting youth with serious psychological disorders has a potentially negative impact on parents and caregivers. Optimism is a trait that confers resiliency and improved coping to the individual. The relationship between caregiver strain and optimism is not well understood. This inquiry utilized the Caregiver Strain Questionnaire (CGSQ) to measure caregiver strain and the Life Orientation Test, Revised

(LOT-R) to measure optimism. Participants endorsed significantly higher scores on the …

Is Helping Really Helping? Health-Related Quality Of Life After Tbi Predicting Caregiver Depression Longitudinally In Latin America, Chimdindu Ohayagha, Paul B. Perrin, Mickeal Pugh Jr., Yaneth Rodriguez, Silvia Olivera, Maria Cristina Quijano, Juan Carlos Arango-Lasprilla

Graduate Research Posters

Objective: Studies have shown that functional and psychosocial sequelae of traumatic brain injury (TBI) predict emotional well-being of caregivers (Harris, 2000). Previous research examining the mental health of caregivers and the health-related quality of life (HRQoL) of people with TBI have primarily been in the US (Sander, 2012). Very little research has been conducted to uncover the unique relationships between HRQoL of people with TBI and caregiver mental health longitudinally, or in low-middle income Latin American countries. The aim of this study was to evaluate how HRQoL after TBI predict caregiver depression longitudinally in two countries and three data collection …

Association Between Exposure To Air Pollution And Thalamus Volume In Adults: A Crosssectional Study, Bruce L. Brown, Dawson W. Hedges, Lance D. Erickson, Shawn D. Gale, Jacqueline E. Anderson

Faculty Publications

Background: Air pollution has been associated with cognitive function and brain volume. While most previous research has examined the association between air pollution and brain volume in cortical structures or total brain volume, less research has investigated associations between exposure to air pollution and subcortical structures, including the thalamus. Further, the few available previous studies investigating associations between air pollution and thalamic volume have shown mixed results.

Methods: In this study, we evaluated the association between PM2.5, PM2.5–10, PM10, nitrogen dioxide, and nitrogen oxides and volume of the thalamus in adults using the UK Biobank resource, a large community-based sample, …

Science Into Practice: Effective Solutions For Social Isolation And Loneliness., Julianne Holt-Lunstad, Ryan Layton, Bonnie Barton, Timothy B. Smith

Faculty Publications

Robust research evidence confirms the adverse health effects of social isolation and loneliness, with increasing focus on finding effective solutions. What can we extract from epidemiology and relationship science to help us design more effective solutions? This article identifies themes in contemporary scholarship that inform effective program and intervention design. The themes include: (1) multiple underlying causal factors that may require tailored approach; (2) the time course of relationships and disease development versus length of interventions; (3) the protective effects of relationships are based on naturally occurring or existing close relationships, yet most programs involve strangers; and (4) not all …

Prevalence And Predictors Of Chronic Pain Intensity And Disability Among Adults With Sickle Cell Disease, Nadine Matthie, Coretta Jenerette, Ashley Gibson, Sudeshna Paul, Melinda Higgins, Lakshmanan Krishnamurti

Faculty, Staff and Student Publications

Among 170 adults with sickle cell disease, we evaluated chronic pain impact and disability prevalence, assessed age and gender differences, and identified psychosocial predictors of chronic pain intensity and disability. Most participants had a high level of disability. Chronic pain intensity and disability were significantly associated with pain catastrophizing and chronic pain self-efficacy, and worsened with age. Further research is needed to confirm study findings and develop interventions, including palliative care approaches that address catastrophizing and disability, particularly for young women and middle-aged adults with sickle cell disease. Moreover, consistent clinical assessment of chronic pain and psychosocial health should be …

Doubled Up With Pain: Applying A Relational Framework To The Primary Care Provider - Chronic Pain Patient Relationship, Rebecca Hillel

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Treatment relationships between primary care providers (PCPs) and chronic pain patients are often rife with difficult interpersonal dynamics and experienced by both parties as being noncollaborative. It is important that PCPs are provided with recommendations to make these treatment relationships more collaborative. Relational psychological frameworks, such as intersubjectivity, can teach PCPs how to improve their relationships with chronic pain patients. This paper focuses on how to strengthen the working alliance between PCPs and chronic pain patients using intersubjective principles. Conceptualizing the working alliance from an intersubjective lens gives PCPs guidance about where to turn if their treatment relationships with chronic …