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Trans* And Gender Non-Conforming (Tgnc) Young Adults : Self-Report Of Access And Comfort In Health Care Systems, Victoria L. Reiszner Jan 2014

Trans* And Gender Non-Conforming (Tgnc) Young Adults : Self-Report Of Access And Comfort In Health Care Systems, Victoria L. Reiszner

Theses, Dissertations, and Projects

This study examined diverse trans* and gender non-conforming (TGNC) young adults' perceptions of medical and mental health providers and health care settings; and how TGNC perceptions influence or inhibit their level of comfort and willingness to access preventative and emergency services. The study aimed to extend knowledge and understanding of challenges faced by TGNC individuals and to inform health care providers on how they can become more effective in both their outreach and service provision to TGNC communities. Much of the current literature examining individuals with gender nonconforming identities focus on discrimination, limited access to health care, major health challenges, …


Defining Suffering : African American Young Men And Conduct Disorder, Sascha D. Atkins-Loria Jan 2014

Defining Suffering : African American Young Men And Conduct Disorder, Sascha D. Atkins-Loria

Theses, Dissertations, and Projects

This paper will discuss the disproportionate overrepresentation of African American young men among those diagnosed with Conduct Disorder. Existing research attributes this disproportionality to a variety of factors but does not incorporate historical or social analysis. This project will endeavor to consider how the historical and enduring stereotype of black men as "criminal" impacts this diagnosing pattern, and explores alternate ways to define and treat behavioral symptomology among young black men. This paper will discuss how stereotypes as well as the fear of being stereotyped impact both client and clinician and affect their interaction, thereby influencing psychological assessment and diagnosis. …


Clinician Perspectives On The Human-Animal Bond And Its Impact On Levels Of Compassion And Prosocial Behavior, Pear M. Wilson Jan 2014

Clinician Perspectives On The Human-Animal Bond And Its Impact On Levels Of Compassion And Prosocial Behavior, Pear M. Wilson

Theses, Dissertations, and Projects

Animal-assisted therapy is an increasingly popular mode of therapeutic treatment, supported by a body of research that has grown significantly in the past decade. Thirteen seasoned clinicians utilizing the human-animal bond (HAB) were interviewed about the HAB's impact on clients at the internal level of experienced compassion and the corresponding external level of pro-social behavior. Major finding were that clinicians overwhelmingly endorsed the HAB as an effective intervention in increasing client capacity for compassionate mindfulness and engagement with others in a more satisfying and pro-social way. Participants strongly recommended that the field of social work be more inclusive of animal-assisted …


"Unconditional Positive Regard" : Clinicians' Reflections On The Impact Of Animal Co-Therapists In Therapy, Carolyn M. Duncan Jan 2014

"Unconditional Positive Regard" : Clinicians' Reflections On The Impact Of Animal Co-Therapists In Therapy, Carolyn M. Duncan

Theses, Dissertations, and Projects

This study explored the benefits of animal-assisted therapy (AAT) in formal therapy practice, its unexpected outcomes, and examples of its use as a novel intervention. This study explored the clinicians' perceptions of AAT as it is practiced in the field today, their examples of novel and/or unexpected benefits, and their thoughts on the future of the field. This study utilized interviews of nine animal assisted therapists, who had higher education in the areas of social work, psychiatry, or psychology, as well as at least six months of experience practicing AAT. The findings showed AAT was found to be a useful …


Protective Factors For African American Suicide : A Theoretical Intersection Of Social Integration And Religious Coping, Shaunna T. Evans Jan 2014

Protective Factors For African American Suicide : A Theoretical Intersection Of Social Integration And Religious Coping, Shaunna T. Evans

Theses, Dissertations, and Projects

This theoretical investigation discusses how religion and spirituality protects African Americans from committing suicide. Because of the seemingly low rates within the community, suicide has not been afforded the attention it deserves in research. In addition, existing literature attributes this protection to religious and spiritual behaviors but often resorts to global indices (e.g., church attendance and prayer) as determinants. What is lacking in current research is an explanation of how African Americans use their faith to discourage suicidal behavior. Due to a steady increase in Black male suicides, it is imperative that those in academia and clinicians alike begin to …


Attractiveness Privilege : The Unearned Advantages Of Physical Attractivenesss, Kelsey P. Yonce Jan 2014

Attractiveness Privilege : The Unearned Advantages Of Physical Attractivenesss, Kelsey P. Yonce

Theses, Dissertations, and Projects

In this theoretical investigation, I explore level of physical attractiveness as a characteristic that privileges people who are more attractive and oppresses those who are less attractive. I discuss the concept of privilege, societal standards of physical attractiveness, and the ways in which people who are more physically attractive are treated and perceived more positively by others. To examine this phenomenon more deeply, I introduce the theoretical perspectives of intersectionality and conflict theory. Intersectionality refers to the idea that different areas of privilege and oppression interact with each other in ways that create unique experiences of privilege and oppression for …


Theorizing Anxiety : Psychodynamic Exploration Beyond The Medical Model, Daniel E. Weinbaum Jan 2014

Theorizing Anxiety : Psychodynamic Exploration Beyond The Medical Model, Daniel E. Weinbaum

Theses, Dissertations, and Projects

This theoretical study explores the phenomenon of anxiety and how it has been understood, articulated and treated over time in psychoanalysis. Formulations of anxiety in classical theory, object relations, attachment, interpersonal, relational and trauma theory will be explored, offering a counterpoint to the current medical model in which anxiety is primarily understood as a symptom to be eradicated through medication and "evidence based" treatments. The study argues that anxiety only exists within a relational and systemic context, and that reducing anxiety to a set of discrete disorders requiring prescriptive treatment protocols often overlooks the complexity of individual experience and need …


An Evaluation Of Clinical Interventions And Client Satisfaction In A Mandated Massachusetts Driver Alcohol Education Program : A Project Based Upon An Investigation At Spectrum Health Systems, Fitchburg, Massachusetts, Adesholla L. Gionet Jan 2014

An Evaluation Of Clinical Interventions And Client Satisfaction In A Mandated Massachusetts Driver Alcohol Education Program : A Project Based Upon An Investigation At Spectrum Health Systems, Fitchburg, Massachusetts, Adesholla L. Gionet

Theses, Dissertations, and Projects

This study was carried out to evaluate the use of psycho-education as a clinical intervention with court-mandated, drunk, and under-the-influence (DUI) clients, as well as, those who operated a motor vehicle under-the-influence (OUI). Additionally, the study was designed to determine the extent of client-perceived satisfaction in a Massachusetts Alcohol Education program. Furthermore, the study intended to give clients a voice in expressing themselves about what elements of the program could benefit from improvement in order to assist in motivating court-mandated clients to make positive behavioral changes that will result in lower alcohol and substance-use related recidivism rates. A questionnaire was …


Youth Incarceration : Restorative Justice And Social Work Practice, Elissa N. Berlinger Jan 2014

Youth Incarceration : Restorative Justice And Social Work Practice, Elissa N. Berlinger

Theses, Dissertations, and Projects

This project examined the problem of juvenile crime and incarceration. I explored how two Criminal Justice theories—Attribution theory and Deterrence theory—support and explain the problem, and how two Social Work theories—Social Justice theory and Responsive Regulation theory—offer an alternative view and solution to the problem. I explained the principles and program models of Restorative Justice and strived to understand why there are so few Social Workers involved in Restorative Justice programs. Through this work, I addressed the following questions: with Restorative Justice carrying similar values as the Social Work profession, why are Social Workers not involved in Restorative Justice programs? …


Hpv Vaccine Acceptability Among Men: A Systematic Review And Meta-Analysis, Peter A. Newman, Carmen H. Logie, Nick Doukas, Kenta Asakura Nov 2013

Hpv Vaccine Acceptability Among Men: A Systematic Review And Meta-Analysis, Peter A. Newman, Carmen H. Logie, Nick Doukas, Kenta Asakura

School for Social Work: Faculty Publications

Objective To understand rates of human papillomavirus (HPV) vaccine acceptability and factors correlated with HPV vaccine acceptability. Design Meta-Analyses of cross-sectional studies. Data sources We used a comprehensive search strategy across multiple electronic databases with no date or language restrictions to locate studies that examined rates and/or correlates of HPV vaccine acceptability. Search keywords included vaccine, acceptability and all terms for HPV. Review methods We calculated mean HPV vaccine acceptability across studies. We conducted meta-Analysis using a random effects model on studies reporting correlates of HPV vaccine acceptability. All studies were assessed for risk of bias. Results Of 301 identified …


Character Strength And Character Disorder : An Investigation Into How Personality Disorder Diagnosis Intersects With Character Strength Measurements, Joshua T. Tecu Sep 2013

Character Strength And Character Disorder : An Investigation Into How Personality Disorder Diagnosis Intersects With Character Strength Measurements, Joshua T. Tecu

Theses, Dissertations, and Projects

On the eve of the release of the Diagnostic and Statistical Manual 5, with major revisions planned in its diagnostic approach to personality disorder (PD), qualitative research was conducted via face-to-face interviews to explore the perspective of seasoned mental health clinicians regarding their experience working with personality disordered individuals, and how that experience squared with current debates within personality science and positive psychology. Eight experienced clinicians were asked how they saw PD in regard to character strength, what relationship they imagined existed between the two, and whether they saw them as existing on the same dimensional axis. Participants chose from …


Suicide In Older Adults : Helping Case Managers Engage In Difficult Conversations : A Project Based Upon An Independent Investigation In Collaboration The Producer Of The Film "Talking With Dolores", Darlene O'Connor, Jennelle Liljestrand Sep 2013

Suicide In Older Adults : Helping Case Managers Engage In Difficult Conversations : A Project Based Upon An Independent Investigation In Collaboration The Producer Of The Film "Talking With Dolores", Darlene O'Connor, Jennelle Liljestrand

Theses, Dissertations, and Projects

Suicide among older adults is an increasing mental health concern in the United States, and yet depression and other signs of suicide often go unnoticed. The film and discussion guide "Talking with Dolores" was funded by the Massachusetts Department of Public Health to increase awareness of warnings of depression and suicide in the elderly and demonstrate ways of conversing with them about suicide. Because of their unique contact with older individuals in their own homes, geriatric case managers are positioned as a gateway to necessary psychosocial support for elders, yet may not be receiving adequate training for the initial detection …


Propensity For Military Enlistment : A Descriptive Study Of Motivations, Claudia J. Vogelsang Sep 2013

Propensity For Military Enlistment : A Descriptive Study Of Motivations, Claudia J. Vogelsang

Theses, Dissertations, and Projects

The objective of this descriptive study was to identify and describe those motivations for individuals who chose to enter into the military. Motivations are important to understand as they provide insight into the values and needs of individuals. These values and needs impact an individual's Person-In-Environment fit. The study utilized an online survey to which 76 veterans or service members responded. The online survey collected demographic data such as age, gender, race and branch of service. The questionnaire then asked participants to rank a list of enlistment motivations noted in previous studies (Griffith, 2008; Woodruff, Kelty and Segal, 2007)on a …


The Role Of Lgbt Community In The Lives Of Lesbians Over 65 : An Exploratory Study, Sarah L. Shapiro Sep 2013

The Role Of Lgbt Community In The Lives Of Lesbians Over 65 : An Exploratory Study, Sarah L. Shapiro

Theses, Dissertations, and Projects

This study was undertaken to explore the role of lesbian, gay, bisexual and transgender community in the lives of lesbians over 65. Lesbians over 65 have lived through a period in U.S. history when homosexuality was not socially acceptable or safe; LGBT individuals lived with a real and constant threat of loss of employment and family, and of violence, without protection of law that is afforded today. LGBT individuals are currently more accepted, safe, and visible in the U.S, as are the communities that they have formed. With these new developments, do lesbians over 65 participate in, or connect with …


Cultural Competence : An Exploration Of Its Translation Into Therapeutic Practice, Tsu-Yin Chang Sep 2013

Cultural Competence : An Exploration Of Its Translation Into Therapeutic Practice, Tsu-Yin Chang

Theses, Dissertations, and Projects

This study explores the construct of cultural competence through clients' perceptions of treatment issues encountered when working with clinicians of a differing racial background. Utilizing interviews with twelve clients of color who had worked psychotherapeutically within cross-racial dyads, this exploratory study examines clients' experiences of treatment issues in this treatment context, clients' understanding of cultural competence in psychotherapy, and their suggestions for cultivating it in clinical practice. Participants were recruited from the San Francisco Bay Area of California and sat for an hour-long audio-taped interview during which prompts designed to elicit information regarding their past treatment experiences were given. The …


A Question Of Diagnosis : Mood And Character In A Case Of Emerging Mental Illness, Tandeka Guilderson Sep 2013

A Question Of Diagnosis : Mood And Character In A Case Of Emerging Mental Illness, Tandeka Guilderson

Theses, Dissertations, and Projects

My thesis will use case material from a patient with an emerging diagnosis of a major mental illness (Bipolar Disorder) to examine the intersection of mood, character, medical comorbidity, substance abuse, to better understand how these factors contribute to the diagnosis and treatment of a patient with a complicated, but in no way unique presentation, of this complicated and unique disorder. The case material utilized will be based on patient records and process recordings from our treatment sessions. The theoretical thesis structurally is comprised of an analysis of two bodies of knowledge, a phenomenon, and a synthesis. The first area …


Engaging Parents In The Treatment Of Their Child : Clinicians Views On Parent Work, Kim Elaine Monson Sep 2013

Engaging Parents In The Treatment Of Their Child : Clinicians Views On Parent Work, Kim Elaine Monson

Theses, Dissertations, and Projects

The purpose of this exploratory study was to investigate how clinicians engage parents in their child's therapy. The study attempts to learn from a clinicians' perspective about their parent work. Participants were asked to discuss their experiences, thoughts, and feelings about parent work especially about engaging parents in the treatment of their child. The sample included twelve clinicians who had at least two years of experience working with children, adolescents, their parents and/or families. Seven of the participants were licensed clinical social workers, two were licensed marriage and family therapists, one was a licensed mental health counselor, one was a …


High School Staff Perceptions Of Interpersonal Relationships With Students As A Result Of An Intervention Called Challenge Day, Stacy Chase Mcmillan Sep 2013

High School Staff Perceptions Of Interpersonal Relationships With Students As A Result Of An Intervention Called Challenge Day, Stacy Chase Mcmillan

Theses, Dissertations, and Projects

This project was undertaken to capture the responses of administrators and teachers in a public high school setting in regard to their perceptions of interpersonal relationships with students as a result of participation in Challenge Day, an experiential youth program that targets the cause of social oppression on school campuses. As there was little prior research that indicated how teachers and administrators of public schools understand and integrate teachings presented in large-scale interventions, this research attempted to offer data that will allow for a broader discussion of prevention and intervention programs involving school staff and students collectively. A public high …


The Use Of Storytelling In Therapy With Children, Michael Delaney Cantor Sep 2013

The Use Of Storytelling In Therapy With Children, Michael Delaney Cantor

Theses, Dissertations, and Projects

This study was a qualitative study that asked clinicians from any discipline to describe how they use storytelling in their clinical practices. Two primary research questions were addressed; the first being to ascertain whether or not clinicians are using storytelling and the second question was to learn how they are using this technique in practice. 13 subjects responded to an on-line electronic survey that was distributed using a snowball method of sampling. Several themes emerged through the narratives of the participants regarding how they use storytelling in their practices. These themes were: Conceptualization of storytelling; Choices of implementation; Content of …


Are You My Motherboard? : The Effects Of Technology On The Parent-Child Relationship, David S. Sullivan Sep 2013

Are You My Motherboard? : The Effects Of Technology On The Parent-Child Relationship, David S. Sullivan

Theses, Dissertations, and Projects

New technologies have been evolving at a rapid pace over the last few decades. The convenience afforded by many technologies presents interesting questions in terms of attachment. Recent research on internet addiction disorder (IAD) has revealed that technology may be affecting people on a social, familial, and neurophysiological basis. This research explores the effects of technology on the parent-child relationship. The research interviewed six participants through telephone interviews: treatment participants (TP, n=2) in this research are both young men who meet criteria for IAD and completed treatment relative to their technology addiction; clinical participants (CP, n=4) in this research are …


Authentic Connectedness : An Exploration Of Gestalt Therapy Principles In Addressing The Dynamics Of Interacting Across Identity Difference, Marissa H. Mcmillin Sep 2013

Authentic Connectedness : An Exploration Of Gestalt Therapy Principles In Addressing The Dynamics Of Interacting Across Identity Difference, Marissa H. Mcmillin

Theses, Dissertations, and Projects

This qualitative study explored the experiences of how Gestalt therapists understand and apply principles of "authentic connectedness" when interacting across difference, such as race, culture, class, gender or sexuality, in both their clinical work and experiences in daily life. The researcher was especially interested in how these principles are used to understand and address interactions around privilege and oppression, which are dynamics that come up on a daily basis in American society, both within and beyond the therapy relationship. Ten Gestalt therapists, formally trained in Gestalt therapy, were interviewed and asked to describe interactions where they were cognizant of a …


Learning To Work With Clients : A Quantitative Study On Educational Pathways For Social Workers Working With Psychotropic Medication, Katherine S. Preston Sep 2013

Learning To Work With Clients : A Quantitative Study On Educational Pathways For Social Workers Working With Psychotropic Medication, Katherine S. Preston

Theses, Dissertations, and Projects

The current study explored how clinical social workers working with patients who are prescribed psychotropic medication went about developing the knowledge and skills to work with the population. The study identified training activities that contribute to the development of practice skills, and examined the relationship between these activities and self-rated practice competency levels. A snowball sample of 28 clinical social workers whose scope of practice included collaborating on the care of patients who are prescribed psychotropic medications were recruited. Participants completed a brief, anonymous, online questionnaire that was developed for the current study, and informed by the work of Bentley, …


An Exploration Of The Effects Of Stigma On The Experiences Of Foster Care Alumni, Anais J. Penninck Sep 2013

An Exploration Of The Effects Of Stigma On The Experiences Of Foster Care Alumni, Anais J. Penninck

Theses, Dissertations, and Projects

The purpose of this qualitative study was to explore the experiences of stigma on foster care alumni. Participants were asked about their experiences in foster care related to stigma and how this may have affected their relationships and personal development. They were also prompted to share any other information the researcher may have missed. Six men were interviewed for this study between the ages of 19 and 37. The interviews provided rich information about how they interpreted the stigma and what short and long-term effects were results of this stigma. Additionally, the majority of participants who identified stigma described it …


The Therapist's Pregnancy And The Client-Therapist Relationship : An Exploratory Study, Elizabeth H. Wolfe Sep 2013

The Therapist's Pregnancy And The Client-Therapist Relationship : An Exploratory Study, Elizabeth H. Wolfe

Theses, Dissertations, and Projects

This empirical research study explored the impact of the therapist's pregnancy on the therapist-client relationship. Specifically, this study asked whether therapists and clients interact in less professional, more personal ways during the therapist's pregnancy, and how this is perceived by therapists to impact treatment. Relational psychodynamic theory was the theoretical underpinning of this study. Thirteen psychotherapists were interviewed about their experiences of practicing therapy while pregnant. All participants were either currently or recently pregnant. Interview questions were developed by this researcher to elicit therapist experiences with clients who asked personal questions or offered baby gifts to the therapist, and how …


The Impact Of Maternal Incarceration On Latency Aged Children, Mae M. Ryan Sep 2013

The Impact Of Maternal Incarceration On Latency Aged Children, Mae M. Ryan

Theses, Dissertations, and Projects

The rate of maternal incarceration has significantly increased throughout the past forty years. A rising number of children under the age of eighteen experience having their mother incarcerated. Evidence suggests maternal incarceration creates significant disruptions within family structures and has implications for the attachments children will form. Evidence suggests children whose mother is incarcerated primarily display insecure attachments. Researchers posit that family systems endure significant changes and emotional relationships are greatly altered.


Female Tenure-Track Professors And Their Perceived Satisfaction Levels In Romantic Relationships, Brianna N. Meehan Sep 2013

Female Tenure-Track Professors And Their Perceived Satisfaction Levels In Romantic Relationships, Brianna N. Meehan

Theses, Dissertations, and Projects

This empirical study surveyed seventy-six female professors who hold tenure-track positions at eleven eastern Pennsylvania colleges and universities. The participants ranged in age from 20's to 60's and varied in race. While there is literature regarding women's relationship satisfaction and job satisfaction, there is a lack of literature about the personal lives of this specific population in relation to their career demands. The study was designed to investigate this population's perceived satisfaction levels in romantic relationships and to determine the relationship statuses of the group that was surveyed. Grounded theory methodology was used in order to generate an understanding of …


Learning From Lesbian Non-Gestational Parents : Contributions To A Changing World, Amy B. Morse Sep 2013

Learning From Lesbian Non-Gestational Parents : Contributions To A Changing World, Amy B. Morse

Theses, Dissertations, and Projects

This qualitative study explored narratives of lesbian non-gestational parents as they reflected on how they planned the stages of building a family, experienced their partner's pregnancy, and adapted to parenthood. The study delved into issues of personal and social identity as these shifted during this important period in family life. The present inquiry contributes to our gaps in knowledge about how planned lesbian-led families take shape and specifically about the experiences of non-gestational parents as they engage in each stage from lesbian partner to lesbian parent. This study examines ways how non-gestational parents cultivate their family roles, explores considerations of …


The Effectiveness Of Psychodrama For Adolescents Who Have Experienced Trauma, Corrine E. Mertz Sep 2013

The Effectiveness Of Psychodrama For Adolescents Who Have Experienced Trauma, Corrine E. Mertz

Theses, Dissertations, and Projects

This study focuses on the effectiveness of psychodrama as a treatment for adolescents who have experienced trauma. This study looked extensively at adolescent trauma and three treatment frameworks designed to treat it, The Neurosequential Model of Therapeutics, Attachment Self Regulation and Competency, and Trauma Focused Cognitive Behavioral Therapy. This study also looked at psychodrama and psychodrama frameworks that are intended for use with trauma survivors. Psychodrama is an action- based treatment framework, where clients engage in therapeutic enactments. The effectiveness of psychodrama was researched through qualitative interviews with seven clinicians who practice psychodrama with adolescents. Participants were asked specific questions …


Healthcare Narratives Across The Generations And Their Impact On Contemporary Healthcare Practices Of Young African American Women, Elizabeth Y. Love Sep 2013

Healthcare Narratives Across The Generations And Their Impact On Contemporary Healthcare Practices Of Young African American Women, Elizabeth Y. Love

Theses, Dissertations, and Projects

African American women are more likely than those in any other ethnic group to die from heart disease, cancer, and stroke and are less likely to seek treatment. The literature suggests that healthcare patters are passed down through generations and that familial influences have a significant impact on healthcare behaviors, independent of other factors known to influence healthcare access such as poverty. The aim of this exploratory study was to pilot an innovative, multi-modal protocol designed to facilitate a discussion about personal healthcare narratives and the influence of previous generations on health-related attitudes. Methods: convenience sampling recruited seven young African …


The Impact Of Homophobia And Transphobia On The Professional Development Of Lgbt Social Workers During Graduate School, Emily K. Lusenhop Sep 2013

The Impact Of Homophobia And Transphobia On The Professional Development Of Lgbt Social Workers During Graduate School, Emily K. Lusenhop

Theses, Dissertations, and Projects

This exploratory study was undertaken to determine the extent to which LGBT social workers experience homophobia and transphobia during the course of their Master's education. Secondly, this study examined the cumulative impact that homophobia and transphobia have on the professional development of LGBT social workers during their graduate education. Using semi-structured interviews with LGBT Master's level social work students, as well as graduates of Master's of Social Work programs, the study found that all 12 participants experienced oppression in the form of homophobia and/or transphobia at some point during their education. The study explored three major areas in which oppression …