Digital Commons Network^™

The Impact Of Clinical Social Workers' Conceptualizations Of Moral Injury On Their Treatment Actions In Work With Veterans, Zachary P. Wigham

Theses, Dissertations, and Projects

This exploratory study was designed to determine how clinical social workers’ conceptualizations of Moral Injury impacted their treatment actions in work with veterans. Additionally, this study allowed insights into the clinical social workers’ education and practice on Moral Injury.

Using semi-structured interviews with licensed clinical social workers who each held a Master of Social Work degree and held at least two years of experience working with veterans, this study gathered data from 7 participants. This study gathered data categorized under five major areas: demographics, conceptualizations and related data, sources of learning and frequency of contact, treatment actions, and perceived skill …

Bless Your Heart But Hide The Children : The Effect Of Entertainment Media Depictions Of Social Workers On Public Opinions About Social Work As A Profession, Abigail R. Spear

Theses, Dissertations, and Projects

This study explored the effects of entertainment media depictions of social workers on public opinions of social work as a profession. Specifically, this study focused on the power of short clips depicting a social work character to influence participants’ views of social work as positive or negative and the social desirability of social work as a profession. One hundred and nineteen participants viewed a short video clip, which included a positive, negative, or no depiction of a social worker. Participants then completed a survey assessing positive or negative attitudes towards social workers and the desirability of social work as a …

Cultivating Resilience : Antidotes To White Fragility In Racial Justice Education, Katherine E. Roubos

Theses, Dissertations, and Projects

This qualitative study explores what skills, tools and approaches may be helpful antidotes to white fragility in racial justice education. This study is in response to the challenge posed by white fragility, as defined by Robin DiAngelo (2011) in which white people experience such extreme emotions in response to learning about racism in the USA that they become either defensive such that they are unable to engage in a learning experience, or so swept up in guilt or shame that they require substantial emotional tending in order to continue to engage in the educational experience. Robin DiAngelo frames this phenomenon …

"We Are All Mentally Ill" : Grassroots Efforts To Provide Lgbtq Affirmative Psychotherapy & Social Services, 1960-1987: Oral History Project, Seattle, Washington, Dexter Rose

Theses, Dissertations, and Projects

This thesis reports on the preliminary oral history findings collected for a larger national study directed by David S. Byers and Stephen Vider. The findings reported here focus on experiences of clinicians and social service providers in Seattle, Washington. Another student, José Hernandez conducted similar field research in Los Angeles, California. Both projects were under the supervision of the principal investigators.

The larger study—and this thesis—examines the motivations and strategies of clinicians and social services workers offering lesbian, gay, bisexual, transgender and queer (LGBTQ) affirmative psychotherapy and social services during a time when homosexuality and later egodystonic homosexuality were listed …

"I Own My T!" : The Experience Of Older Transgender People Of Color Regarding Personal Identity, Systems Of Support, And Desires For The Future, Venae N. Rodriguez

Theses, Dissertations, and Projects

While it has been widely reported that transgender individuals experience mistreatment in all aspects of life, transgender people of color, who have rarely been the focus of studies, are faced with even higher incidents of bias (Auldridge, et al., 2012; Dunn & Moodie-Mills, 2012; Grant, et al., 2011). Especially absent is writing on older transgender people of color (Auldridge, et al., 2012; Cook-Daniels, 2015; Fredricksen-Goldsen, et al., 2013; Persson, 2009; Van Wagenen, Driskell & Bradford, 2013). Also missing is literature on the resiliency of transgender people of color and transgender elders. Finally, of the few studies that do exist, most …

First-Generation College Students And Class Consciousness : Exploring How Social Class Influences College Adjustment, Rachel L. Redd

Theses, Dissertations, and Projects

First-generation college students (FGCS), defined as students whose parents have not obtained a bachelor’s degree, is a new identity constructed primarily over the past decade. Utilizing the umbrella term of FGCS is problematic as it places a heavy concentration on parental education and lack of cultural capital, ignoring how current class experiences in the context of other identities, such as race and gender, shape adjustment to college. The purpose of this quantitative study was twofold: (a) to examine whether class consciousness affects first-generation students’ adjustment to elite, non-profit private undergraduate institutions, and (b) to examine how the intersectionality of race, …

How I Got Over : Young African American Men Tell The Story Of How They Achieved Academic Success : A Descriptive Study, Rebecca M.C. Ramer

Theses, Dissertations, and Projects

African American males fall behind their White counterparts in almost every measure of academic success. College completion rates for Black males are the lowest among all racial/ethnic groups in the United States. This exploratory study interviewed 13 African American men who were currently enrolled in college or who had graduated college. The goal of the study was to identify factors that these successful men identified as having contributed to their academic achievement. Thirteen men between the ages of 18 and 40 who identify as African American participated in semi-structured interviews that were recorded and then analyzed using a grounded theory …

Social Workers' Education, Training, And Experience In Practice With Clients Bereaved By Suicide Death, Nicole S. Nejad

Theses, Dissertations, and Projects

This study is a mixed-methods descriptive survey of social workers with and LCSW or LMSW about their understanding of suicide survivorship, and their access to professional training related to treatment of survivors of suicide loss. The purpose of this study is to explore the attitudes and experiences of clinical social workers with regards to their education and training, as well as their knowledge and comfort level, in treating patients who are bereaved by a suicide death. Results show that social workers have limited opportunities for education and training in suicide bereavement, however they desire increased training opportunities in a variety …

Experience Of The Undocumented Worker In The Berkshires : An Exploratory Study, Tristan Muriel

Theses, Dissertations, and Projects

This qualitative exploratory study attempts to understand how undocumented workers navigate living in Berkshire County, Massachusetts. Berkshire County is known as a fairly liberal area of the state of Massachusetts. This can be observed through the most recent election turn out which was taking place during this study, where 84% of the total Berkshire active voting population voted for democratic primary candidates while 10% supported Donald Trump and his anti-immigrant sentiment. Observing this, more respectful treatment towards undocumented workers can be expected in this area. This study recruited 12 undocumented workers through a snowball non-probability approach. Each participant was interviewed …

Differential Diagnosis Of Emerging And Young Adult Disorders : A Case Vignette Study Of Ptsd And Psychotic Disorders, Elizabeth L. Liepold

Theses, Dissertations, and Projects

The present study investigated the diagnostic decision-making process of clinical social workers. The study sought to explore how they distinguish between psychotic symptoms, such as hallucinations, and post-traumatic stress symptoms, such as flashbacks, in emerging and young adults. One objective of this study was to understand clinician diagnostic choices in order to increase diagnostic accuracy with young adults who may be particularly vulnerable to first episode psychosis. Sample. The study’s sample included 105 licensed clinical social workers, who actively practiced in the United States. Methods. The study used an exploratory - descriptive design implemented through an online survey. The …

Hiv-Serodiscordant Couples, Pre-Exposure, Prophylaxis And Relationship Satisfaction, Eli Latto

Theses, Dissertations, and Projects

This mixed-methods study explored the use of post-exposure prophylaxis (PrEP) and relationship satisfaction in HIV-serodiscordant couples. “Serodiscordant” refers to couples in which one partner is living with Human Immunodeficiency Virus (HIV) and one is not. PrEP is a daily dose of the antiretroviral medication Truvada, taken as a prevention measure by HIVnegative individuals at substantial risk for contracting the virus. This study was conducted via an anonymous online survey with both quantitative and open-ended questions to determine whether there is any relationship between the use of PrEP and relationship satisfaction in HIVserodiscordant couples. Data was analyzed by comparing people in …

Internalizing A Social Justice Identity Through Hip Hop Values In The Beats, Rhymes, And Life Academy : A Project Based Upon An Investigation At Beats, Rhymes And Life, Alfredo E. Laris

Theses, Dissertations, and Projects

This mixed method study investigates how the Beats, Rhymes, and Life Academy helps its members subvert systems of oppression. Through a quantitative survey and a qualitative 1.5-hour semi-structured interview, participants assessed their experience with social justice activism while in the BRL Academy. The study outlined three ways subversion of systemic oppression occurs: by developing one’s feeling of individual agency and empowerment to achieve one’s goals, developing a social justice identity, and empowering their community with the use of the first two factors.

The study found that Academy members felt like they had developed their own strength and were more aware …

Beats, Rhymes, Life & Resilience : Hip Hop Therapy With Youth Of Color : A Project Based Upon An Investigation At Beats, Rhymes And Life Inc, Emily S.L. Schwartz

Theses, Dissertations, and Projects

This study seeks to understand if participation in Therapeutic Activity Groups (TAGS) at Beats Rhymes & Life helps young people to develop greater resilience. In this paper, resilience is defined in two parts: the ability for participants to engage their inner strengths and characteristics to overcome adversity and the capacity to identify and utilize community and interpersonal resources. This study consists of a quantitative analysis to create a revision of the program’s existing pre/post treatment survey and examine resilience as reported by ten youth participants.

The findings revealed that participation in TAGs had a statistically significant impact on participant’s ability …

From Spitting Rhymes To Inspiring Minds : The Role Of Hip Hop Therapy In Treatment Engagement Amongst Latinx And Black Youth : A Project Based Upon An Investigation At Beats. Rhymes And Life, Tatiana R. Padilla

Theses, Dissertations, and Projects

The purpose of this study was to explore the implications of utilizing an innovative cultural framework to engage at-promise youth in clinical group work. This researcher collaborated with Beats, Rhymes and Life, an Oakland based organization that has effectively engaged youth at-promise through Therapeutic Activity Groups (TAGs). Treatment effectiveness is evident in the continued requests from mental health providers in community mental health clinics to partner with BRL’s TAG program, youth self-referrals, and youth requests to repeat the program. Based on this, the current study aims to understand what aspects of the TAGs promote treatment engagement- indicated by re-enrollment- for …

Adult Adoptees And Considerations Of Parenthood : An Exploratory Study Examining Adoption Experiences And Effects, Katherine E. Green

Theses, Dissertations, and Projects

This exploratory, qualitative study sought to investigate how the experience of adoption affects an adoptee’s decision to start a family (or not). One reason to conduct this study was to isolate a particular developmental stage – entering parenthood – to observe deliberations related to the experience of being adopted. This study adds to the limited but growing body of research dedicated to adult adoptees with the aim of assisting clinicians in the field of social work to enhance their knowledge about the experiences of adopted people, especially those who are considering starting a family.

The study was conducted by interviewing …

Partners' Perceptions Regarding Problematic Alcohol Use And The Effects With Romantic Relationships : A Qualitative Study, Meghan E. Wilson

Theses, Dissertations, and Projects

This thesis is an inquiry into the role of partners’ perceptions concerning problematic alcohol consumption and its effects on romantic relationships. This study sought to unpack the role of perceptions within romantic relationships. The study’s sample included 12 participants who were currently involved in heterosexual romantic relationships for at least one year with significant others struggling with alcohol use. The study used an inductive, exploratory design implemented through a semi-structured interview. Within the category of perceptions of problematic drinking, three major themes emerged—disruption of social obligations and responsibilities; drinking in excess/ out of control alcohol consumption; drinking as a coping …

Decision-Making Process : A Mixed Methods Study Of Somatic Awareness Use By Psychodynamic Clinicians In The Treatment Of Trauma-Related Disorders, Mary P. Curry

Theses, Dissertations, and Projects

This exploratory study examined clinical experiences and perspectives of psychodynamic clinicians on assimilative integration of neurobiologically informed somatic awareness and somatic interventions for the treatment of posttraumatic stress disorder (PTSD) and other trauma related disorders. Using an online mixed-methods study survey, quantitative and qualitative data were collected and analyzed. The primary study cohort respondents (N=156) met all study inclusion criteria and an excluded study sub-cohort respondents (N=56) met partial criteria. Psychodynamic relational practice and neurobiological concepts are formulated from the perspective of assimilative integration. The results, derived from integrating both data sets, reveal clinically relevant elements of the decision-making processes …

From Entrenched To Empowered : The Factors Promoting Resiliency And Healing For Lgbtqia Identified Adult Survivors Of Childhood Sexual Assault, Hal Brown

Theses, Dissertations, and Projects

The objective of this study was to examine the experiences of adults, who as a result of their incidents of childhood sexual abuse were predisposed to present with a variety of negative outcomes, in pursuit of identifiable interventions, practices, and supportive factors effective in mitigating the negative outcomes and promoting survivor resiliency. The bulk of the previous studies of the critical elements for survivor resiliency had been conducted in religious communities. Ensuring a sample composed of individuals with access to an identity-based community, noting that community and connectedness had frequently been considered significant, this study was limited to LGBTQIA identified …

Self-Shock : The Experience Of Individuals Relocating Within The United States, Michelle Mieko Kaiulani Daggett

Theses, Dissertations, and Projects

This qualitative study explored the experience of relocation on self-identity. More specifically, this study focused on the concept of self-shock, the idea that being in a foreign environment impacts an individual’s ability to maintain a consistent identity. This research was based on 12 interviews that were conducted via video-conferencing call or in-person with individuals who have relocated domestically for the first time within the United States. The findings of this study suggest that individuals relocating domestically within the United States can and do experience self-shock. One reason for conducting this study is because relocating is commonplace within the United States …

An Exploration Of The Nepali-Bhutanese Community From The Adolescent Perspective : A Project Based Upon An Investigation At Asian Counseling And Referral Service, Seattle, Washington, Matthew J. Allen

Theses, Dissertations, and Projects

This study was undertaken to explore the strengths and needs of the Nepali-Bhutanese refugee community from the adolescent perspective. As research suggests that the Nepali-Bhutanese population has a higher rate of suicidality than the general population of the United States, this study examines underlying community and systemic issues and barriers to integration, and community strengths that might help overcome them. A focus group of 11 Nepali-Bhutanese adolescents was held at an Asian Pacific Islander community health organization in Washington State. They responded to and discussed ten questions about the strengths and needs of their community. Major findings included the participants’ …

Weighing The Options : Professionals' Weighing Procedures In The Treatment Of Eating Disorder Patients, Sarah M. Englaish

Theses, Dissertations, and Projects

This descriptive, mixed methods study examined the weighing practices of professionals presently treating individuals with an eating disorder. Following a comprehensive review of literature on the topic, only one prior study was found that examined the clinical practices of weighing patients with an eating disorder. Data were collected through an online survey questionnaire created by the authors, Kelsie T. Forbush, Jonathon Richardson, and Brittany Bohrer (2014), of the prior study mentioned above. Data collected allowed the researcher to identify the rates at which professionals incorporate blind- vs. open-weighing in their practice, whether their weighing policy has changed over time, and …

Refusing To Relax My Smile : Building Resistance Through Hip Hop Therapy : A Project Based Upon An Investigation At Beats, Rhymes And Life, Stephanie Clowdus

Theses, Dissertations, and Projects

This study explores how hip hop therapy programming promotes resilience in youth. Based in Oakland, CA, Beats, Rhymes and Life (BRL) provides hip hop therapy to 12-24 year olds through their Therapeutic Activity Groups (TAGs). The purpose of this study is to establish evidence of how TAGs improve psychological resilience in youth program participants and of BRL’s effectiveness as a culturally congruent mental health provider. This study is part of a larger program evaluation in efforts with five other student researchers completing Smith College School for Social Work theses. Additionally, this study in particular serves as a pilot of a …

Resilient Open Heart : An Exploration Of Compassion Fatigue, Compassion Satisfaction, And Spiritual Practice With End Of Life And Palliative Care Clinicians, Nathalie J. Rodriguez

Theses, Dissertations, and Projects

This quantitative study sought to explore how participation in spiritual practice related to self-reported levels of compassion fatigue and compassion satisfaction amongst a sample of 55 mental health clinicians in the end of life and palliative care field (EOLPC). The study used an online questionnaire to assess for levels and types of participation in spiritual practice. Additionally, the study utilized the Professional Quality of Life Scale Version V to measure compassion fatigue, compassion satisfaction, and burnout. The findings of this study demonstrated that participants had lower than average levels of compassion fatigue and burnout. Participant levels of compassion satisfaction were …

Clinicians' Experience Of Diagnosing Children With Oppositional Defiant Disorder (Odd) And Pediatric Bipolar Disorder (Pbd), Lenni Marcus

Theses, Dissertations, and Projects

Much of the research indicates that diagnosing children with mental illness is a murky issue that has serious implications. Mostly absent in the literature regarding pediatric mental illness is the clinician’s experience of diagnosing children. This study will help to address this gap by investigating clinicians’ experience of diagnosing oppositional defiant disorder (ODD) and pediatric bipolar disorder (PBD) in children across treatment settings. Specifically, this study will investigate (1) how clinicians understand the etiological factors contributing to children’s symptoms; (2) how clinicians are affected by mental health care policies and systems; (3) and lastly, how clinicians perceive both their personal …

Standing On The Edge Of The "Rubyfruit Jungle" : Lesbians Recall The Experience Of Questioning In Therapy, Emily Willstatter

Theses, Dissertations, and Projects

The purpose of this study was twofold: to pursue an existing gap in the literature on therapy with people questioning their sexuality; and to represent a lesbian perspective on the experience of questioning one’s sexual orientation. A previous study (Jones et al., 2003) found that gay and bisexual people who were uncertain of their sexual orientation at the start of therapy rated the treatment as overall less beneficial than gay and bisexual people who had begun therapy while certain of their identities. This study explored the possible reasons behind this finding by investigating a small (N=13) but diverse group of …

In Their Skin : A Discourse On The Modern Tattoo Experience For Adults Aged Thirty And Over, Margaret Feeney

Theses, Dissertations, and Projects

This qualitative study was undertaken to determine what meaning individuals aged 30 and over with large scale tattoos place upon those tattoos. More specifically, to establish the motivating factors led these individuals to get tattooed, along with the meaning, if any, is placed upon them. Ten individuals aged 32-64 were interviewed regarding their tattoos. Half of the individuals were tattooed for the first time during adolescence. All individuals were interviewed regarding their motivations for getting tattooed as well as any meanings they place on specific pieces. The findings of the research showed the driving force behind getting tattooed to be …

Presenting Image/Presenting Symptoms : Clinicians' Diagnoses Of Black Women In The Therapeutic Space, Kim Teresa Dubose

Theses, Dissertations, and Projects

This was a mixed methods study that used both random and non-random purposive snowball convenience sampling. The purpose of the study was to investigate whether clinicians issue more severe psychotic DSM diagnoses (schizophrenia and schizoaffective disorders) to Black female clients than to White female clients when implicitly primed with cultural archetypes unique to Black women. The research questions were, “Do clinicians issue more severe and stereotype-consistent diagnoses to Black female clients than they do to White female clients;” and “Is there a difference in reaction time in clinician diagnosis of severe psychotic disorders between a clinically-identical Black female vignette and …

"Stop Resisting!" : An Exploratory Study Of Police Brutality And Its Impacts On Black And Latino Males, Their Communities, Mental Health And Healing, Manuel A. Ortiz

Theses, Dissertations, and Projects

The purpose of this qualitative research study was to explore the impacts of police violence on Black and Latino males and their communities while also examining avenues of healing that could be helpful for survivors. Generally, this study focused on this question: What is the potential mental health effect of police brutality on Black and Latino males and what are avenues for healing for those affected? Twelve individual participants who identified as activists, advocates, or organizers in the Bay Area of Northern California participated in qualitative interviews that explored the impact of police violence and healing avenues. Participants were asked …

Adhd Or Ptsd? : Exploring The Overdiagnosis Of Adhd In Minority Boys With The Potential Of Ptsd, Megan A. Negron

Theses, Dissertations, and Projects

Attention Deficit Hyperactive Disorder is a common diagnoses for school aged children. Studies have indicated that within these diagnoses children of color are disproportionately diagnosed in comparison to their white counter parts. Many have questioned whether this disproportionately comes from a lack of cultural awareness on the part of the clinician and/or a potential misdiagnosis of trauma that be being missed throughout the evaluation process. In this study 6 licensed social workers who have worked with Latino boy in the past were interviewed. They were asked to discuss their evaluation process and what measures they take to rule out a …

Holocaust Narratives : Exploration Of The Emotional Impact Of Disclosure Status Among First, Second, And Third Generation Holocaust Survivors, April M. Christman

Theses, Dissertations, and Projects

The current study explored the possible relationship between disclosure of Holocaust related narratives and emotional well-being among Holocaust survivors as well as children and grandchildren of Holocaust survivors. This study further considered how methods of disclosure and number of disclosure methods used related to emotional wellbeing and overall benefit or harm of the disclosure experience among first, second, and third generation Holocaust survivors. A sample of 147 Holocaust survivors and descendants completed an online survey consisting of Likert scales to rate the perceived benefit or harm of their disclosure experience and opportunities to offer narrative describing their disclosure experience. Three …