Defining Treatment Response In Trichotillomania: A Signal Detection Analysis, David C. Houghton, Matthew R. Capriotti, Alessandro S. De Nadai, Scott N. Compton, Michael P. Twohig, Angela M. Neal-Barnett, Stephen M. Saunders, Martin E. Franklin, Douglas W. Woods

Psychology Faculty Research and Publications

The Massachusetts General Hospital Hairpulling Scale (MGH-HPS) and the NIMH Trichotillomania Severity Scale (NIMH-TSS) are two widely used measures of trichotillomania severity. Despite their popular use, currently no empirically-supported guidelines exist to determine the degrees of change on these scales that best indicate treatment response. Determination of such criteria could aid in clinical decision-making by defining clinically significant treatment response/recovery and producing accurate power analyses for use in clinical trials research. Adults with trichotillomania (N = 69) participated in a randomized controlled trial of psychotherapy and were assessed before and after treatment. Response status was measured via the Clinical …

How Clinicians Feel About Working With Spouses Of The Chronically Ill, Douglas Ingram

NYMC Faculty Publications

Clinicians who provide psychotherapy to spouses or partners of the chronically ill were solicited through listserves of psychodynamic and other organizations. The current report excluded those therapists working with spouses of dementia patients. Interviews were conducted with clinicians who responded. The interviews highlight the challenges commonly encountered by psychotherapeutic work with this cohort of therapy patients. A comparison is drawn that shows both overlap and distinctions between the experiences of those therapists engaging with spouses of chronically ill patients without a dementing process and those working with spouses of chronically ill patients who do suffer from a dementing process.

Mindfulness-Based Therapy And Behavioral Activation: A Randomized Controlled Trial With Depressed College Students, Crystal Constance Mcindoo

Doctoral Dissertations

Major Depressive Disorder (MDD) is found in about 20% of university students, with increasing incidence in the past two decades (American College Health Association, 2010). Depressed college students report significant academic problems, including lower grade point average, inability to concentrate, absenteeism, lower academic productivity, and interpersonal problems. Mindfulness-Based Stress Reduction (MBSR) and Behavioral Activation (BA) are two interventions that have significant potential in meeting demands of college counseling clinics insofar as treating depressed college students. This study utilized a randomized controlled design (n = 50) to examine the efficacy of four-sessions of abbreviated MBSR and BA relative to a …

A Randomized Controlled Trial Of An Online, Modular, Active Learning Training Program For Behavioral Activation Treatment For Depression, Ajeng Juwita Puspitasari

Theses and Dissertations

This randomized-controlled trial was conducted in 2013-2014 and aimed to evaluate the efficacy of an online, trainer-led Behavioral Activation (BA) training when compared to an online, self-paced BA training. Graduate students (N = 80) in Clinical Psychology, Counseling Psychology, Social Work, and Psychiatry Residency programs were recruited. Participants were randomly assigned to either the trainer-led BA training (N = 40) or the self-paced BA training (N = 40). The trainer-led BA training consisted of four 90-minute trainer-led online sessions guided by a BA trainer and training activities included didactic, modeling, practice, and feedback. The self-paced BA training consisted of four …

Ancova Study Of Psychotherapy Treatment Of Internet Pornography Addiction In Heterosexual Men, Saudia L. Twine

Fidei et Veritatis: The Liberty University Journal of Graduate Research

Internet pornography has grown to become a problem that exists within the United States and across the globe. For those who suffer from this problematic behavior experience individual and familial problems as well as cause damage to the psyche, professionally and sexually. Those who suffer from addiction do not possess the ability to be able to stop the behavior on their own. Treatment is needed to help internet pornography users and addicts to recover while minimizing relapse from its consumption. This research proposal is a randomized, controlled, clinical ANCOVA study that will determine the effectiveness of Cognitive Behavioral Therapy and …

Stay-At-Home-Fathers Navigating Depression: A Consensual Qualitative Research Study, William Douglas Meyers Caperton

Dissertations (1934 -)

Evidence suggests that the practices through which men are socialized to become masculine may serve both to restrict their potential in ways that lead to psychological distress, and also to restrict the ways in which they respond to such distress (Addis & Mahalik, 2003; Mahalik, Good, Tager, Levant, & Mackowiak, 2012; O’Neil, 2008). While we are beginning to understand masculine depression (Cochran & Rabinowitz, 2000; Magovcevic & Addis, 2008) and paternal depression (Paulson & Bazemore, 2010; Ramachandani & Psychogiou, 2009), almost nothing is known about how SAHFs experience depression, nor their experiences and beliefs regarding help-seeking and psychotherapy. The trend …

The Cost Effectiveness Of Psychotherapy For Treating Adults With Post-Traumatic Stress Disorder, Micah Lavar Ingalls

Theses and Dissertations

This paper presents results from cost-analysis research for treating Post-Traumatic Stress Disorder in adults. Data for this research was provided by Cigna, a nation-wide healthcare manager in the United States of America. The sample size was 12,845 adults who were diagnosed with PTSD and received outpatient individual and family psychotherapy from one of the following mental health care providers: Marriage and Family Therapists (MFTs), Master’s Nurses (RNs), Medical Doctors (MDs), Professional Counselors (LPCs), Psychologists (PSYs), and Social Workers (MSWs). Results were compared across treatment modality, across practitioner license type and between practitioner educational levels. The results demonstrated that family therapy …

Integrated Psychological Care In Head And Neck Cancer: Views From Health Care Providers, Patients, And Supports, Michelle T. Jesse, Michael Ryan, Anne Eshelman, Tamer Ghanem, Amy M. Williams, Lisa R. Miller-Matero, Kathleen Yaremchuk

Otolaryngology Articles

OBJECTIVES/HYPOTHESIS: An evaluation by head-and-neck cancer (HNC) staff, patients, and patient support feedback regarding integrated psychological care and perceived benefit based on patient characteristics.

STUDY DESIGN: Cross-sectional survey of HNC staff, patients, and their primary supports; and retrospective chart review of psychiatric characteristics of HNC patients.

METHODS: HNC staff, patients (who were evaluated by the integrated psychologist), and their primary supports were given questionnaires on their perception of benefit of including a psychologist in the evaluation and treatment of HNC patients. Also, a retrospective chart review on patients who were psychiatrically evaluated by the psychologist on sociodemographics and psychiatric characteristics. …

Psychotherapy In Family Medicine, Saadia N. Hameed

Electronic Thesis and Dissertation Repository

Abstract

Aim: To explore the perspectives and practice of psychotherapy of family physicians, and analyze Ontario’s mental health policy documents within the context of psychotherapy.

Methods: In the first study descriptive qualitative methodology was used. Eighteen family physicians were interviewed and the results were presented thematically. In the second study, a policy analysis of Ontario’s mental health policy documents was conducted. The qualitative policy analytic methodology of Peter et al. was used.

Findings: Psychotherapy is an effective treatment of mental illness and is practiced by family physicians. Lack of training and time are barriers, while patient needs and …

The Dance Impermanence: An Artistic Inquiry Through Improvisation, Julie Frances Brannen

Creative Arts Therapies Theses

This research study investigated the use of movement improvisation to create dance/movement therapy based interventions around the Buddhist concept of impermanence, or natural endings in life. As the sole-researcher and participant were identical, the purpose of this research was to investigate how change can be facilitated, focusing on the researcher’s personal experience to then apply as an emerging dance/movement therapist. The research was conducted through an artistic inquiry, which used arts-based methods as means of data collection, data analysis, and presentation of findings. Through improvisation, the researcher embodied impermanence as it related to concepts of holding on and letting go, …

The Development Of Character Adaptation System (Cast) Intervention, Lauren Mays

Dissertations, 2014-2019

The primary objective of this dissertation was to explore the feasibility and utility of an individualized intervention derived from a group therapy manual grounded in Henriques’ (2011) Unified Theory of Psychology. This framework serves to translate terminology from different theoretical perspectives and map their overlap and distinctive qualities onto human functioning. This project provides a more directive educational approach to explore whether and how clients can be directed to understand these systems and benefit from them. The second goal was to explore the appropriateness and impact of this manual on a client presentation typically seen in college outpatient treatment. These …

Development Of A Psychological Assessment Battery To Measure Client Beliefs About The Effectiveness Of Psychotherapy, Christopher Peavey

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

The author attempted to develop a brief scale to measure clients' beliefs about the effectiveness of psychotherapy. The study is an early pilot study to determine if the scale can predict therapy outcomes. While the scale did differ significantly between clients who were active in therapy and those who were not, higher scores on the instrument were not indicative of greater involvement. Possibilities for future research to refine the instrument are discussed.

Therapists’ Perspectives On The Use Of Yoga In The Treatment Of Trauma, Brianna Klatt

Master of Social Work Clinical Research Papers

This study explored therapists’ experiences of incorporating the practice of yoga into their psychotherapy with clients who experience traumatic stress. Using a qualitative design, five volunteer licensed mental health professionals were interviewed regarding their experiences with integrating yoga as a therapy tool with their clients who experience traumatic stress symptoms. Data was taken from a semi-structured interview and analyzed to identify common themes. The findings support the literature which says, traumatic events affect both the mind and body, and clinicians’ need to implement inventions’ addressing the whole person, to be effective helping clients’ heal from traumatic stress. Findings indicated that …

Trauma Innovations: Mdma As A Treatment Intervention For Ptsd, Anthony Christian, Andrea E. Grey, Terra Sorg

Master of Social Work Clinical Research Papers

Aims: To examine the evidence displayed across 3 distinct communities (popular, scientific, & clinical) in conjunction with the use of MDMA-AP as an intervention for PTSD. Method: A mixed method synthesis of qualitative and quantitative research. Data Sources: Four databases were searched [1980-Present] for MDMA & PTSD and/or Mithoefer, et al. 2010 specific scientific literature providing forty-two randomly selected articles; YouTube was searched specifically targeting the same criteria to provide forty-two randomly selected videos; 201 LICSW’s from Minnesota were also surveyed. Results: From the three datasets, three common themes emerged: (1) attitudes specifically geared toward MDMA-AP; (2) effusive or …

The Effectiveness Of Psychosocial Intervention For Individuals With Cleft Lip And/Or Palate., Alyson Norman, Martin Persson, Nicola Stock, Nichola Rumsey, Jonathan Sandy, Andrea Waylen, Zoe Edwards, Vanessa Hammond, Lucy Partridge, Andy Ness

School of Psychology

OBJECTIVE: The aim of this review was to assess the effectiveness of different psychological interventions for children and adults with cleft lip and/or palate and their parents. DESIGN: We searched six databases including MEDLINE and EMBASE to June 2013 and checked bibliographies. We included research that evaluated any psychological intervention in studies in which at least 90% of the participants had cleft lip and/or palate or were parents of those with cleft lip and/or palate. Studies containing less than 90% were excluded unless they reported results separately for those with cleft lip and/or palate, or raw data were available upon …

Premature Termination Of Outpatient Psychotherapy: Predictors, Reasons, And Outcomes, Kristin N. Anderson

Department of Psychology: Dissertations, Theses, and Student Research

Premature termination is a pervasive barrier to effective implementation of outpatient psychotherapy that frequently results in decreased treatment gains for clients and lowered morale for therapists. Unfortunately, despite its high prevalence and cost, premature termination remains poorly understood. The current study addressed some gaps in the literature using a national online survey design that permitted investigation of a broader range of potential predictors, exploration of more specific reasons for premature termination, and examination of longer term treatment outcomes than has been possible in most previous research. Participants were 278 workers from Amazon.com’s Mechanical Turk, an online labor market regularly used …

Preferences For Evidence-Based Depression Treatments: An Emphasis On Patient-Focused Care, Lauren A. Frye

Dissertations

Research indicates most depressed patients in the general U.S. adult population seek depression treatment in primary care settings where the prevailing method of treatment is antidepressant medication. Although primary care physicians regard this approach as a preferable first line method of depression treatment, studies indicate many patients do not. Several studies have found depressed patients in these settings prefer psychotherapy or counseling over anti-depressant medication. Many advocate patient preferences should be integral to the treatment decision making process. There is a demonstrated propensity towards psychotherapy or counseling over antidepressant medication among depression patients. However, it is unclear which psychological depression …

Piloting A Psychotherapy Group For Transgender Clients: Description And Clinical Considerations For Practitioners, Nicholas C. Heck, Leslie C. Croot, Jennifer S. Robohm

Psychology Faculty Research and Publications

The likelihood that a psychologist will work with a transgender client is greater today than ever before; however, many psychologists report being unfamiliar with the challenges faced by this population. Training programs provide minimal exposure to transgender issues by way of coursework and practicum experiences, and many barriers prevent transgender persons from accessing quality mental health care. The provision of group psychotherapy services in psychology training clinics may help reduce barriers to treatment, but there is little literature to guide professionals interested in facilitating such a group. In response, this article provides psychologists with a description of an experiential/process psychotherapy …

Uncovering The Concealed Part Of Motherhood-Postpartum Depression In Mothers, Hunaina Hadi, Shamsa Hadi

School of Nursing & Midwifery

Introduction: Motherhood is the most pleasing experience of a woman's life. Birth of a child gives birth to new hopes and ambitions. But Post-partum Depression is a condition when this blessing turns into curse. It can affect the mother, the partner and the child and can even lead to infanticide as well as maternal death, often by suicide.

Method: A qualitative systematic review was conducted through electronic medium to explore the relevant literature. Various databases i.e. Pubmed, Google search engines, Science Direct, JPMA, the Cumulative Index to Nursing and Allied Health Literature CINHAL and SAGA were used. Manual search was …

Farm Work As Treatment For Posttraumatic Stress Disorder, Mindy L. Walls

Theses, Dissertations, and Projects

This exploratory, descriptive study assessed what, if anything, is beneficial about engaging in agricultural work, or, farm work, for individuals living with posttraumatic stress disorder (PTSD). An anonymous, online survey was utilized, asking a series of multiple choice and open ended questions about the participants’ farm work history, PTSD experience, and demographic information. Thirty-nine participants responded with varying identities and work history, but many shared experiences of PTSD. Almost all of the participants found farming to be beneficial for managing PTSD. Specifically, four themes arose from the data that explained what about farming was beneficial for individuals with PTSD: farming …

Therapeutic Relationships In Child-Centered Personal Construct Psychotherapy: Experiments In Constructions Of Self, Deborah Truneckova, Linda L. Viney

Faculty of Social Sciences - Papers (Archive)

As personal construct psychology is person-centered, child-centered personal construct psychotherapy sets out to have the child the central subject for any psychological enquiry. Child-centered personal construct psychotherapy is developed from the theoretical and practice-based assumptions of personal construct psychology and practiced through the medium of play therapy. Effective psychological change occurs when the child's self-theory is elaborated through the extension and definition of the core construct self-other, with the therapist's construing of the child becoming primary evidence of how the child understands self. Clinical material is provided to further illustrate our child-centered psychotherapeutic approach.

Effectiveness Of Psychotherapy For Youth In Poverty: A Benchmarking Study Of A Public Behavioral Health Agency Using A Client Feedback System, Jonathan Kodet

Theses and Dissertations--Educational, School, and Counseling Psychology

Objective: The purpose of this study was to evaluate the effectiveness of a public behavioral health (PBH) agency that had implemented continuous outcome feedback as a quality improvement strategy.

Method: I investigated the pre-post treatment outcomes of 4,389 ethnically diverse youths (6 to 17 years old) at or under the poverty line participating in treatment (from January 2008 to March 2014) for a broad range of primary diagnoses including depression and anxiety disorders (23%); adjustment disorders (27%); Attention Deficit/Hyperactivity Disorder (13%), various V-codes (18%); bipolar disorders (3%); and substance use disorders (2%). I also investigated the treatment outcomes …

Secure-Base Caregiving And Adult Attachment Development Within The Client-Psychotherapist Relationship, Dennis A. Weeks

Walden Dissertations and Doctoral Studies

Recent studies have shown significant improvements in the attachment security of adult therapy clients during therapy, supporting Bowlby's theory that such improvement can be influenced by secure-base caregiving provided by mentors such as therapists. However, because these studies did not measure the secure-base variable, its relationship to client attachment development remains unknown. The present study is the first to evaluate that relationship by measuring clients' pre and posttherapy attachment security using the Relationship Scales Questionnaire and therapists' secure-base caregiving using the Client Attachment to Therapist and Working Alliance Inventory, Short Form. Of 21 initially insecure client participants, 17 experienced high …

Capacity For Humanity : An Exploratory Study Into The Use Of Affiliative Humor With Clients Who Experience Paranoid Symptomatology, Lisa Orenstein

Theses, Dissertations, and Projects

The purpose of this exploratory study was to investigate clinicians' experiences and perceptions about the use of affiliative humor as a means of establishing a bond with a client whom experiences paranoid symptomatology. This population in particular is the most difficult to initially engage and develop a therapeutic alliance with due to their severe level of mistrust and propensity towards misinterpreting interpersonal situations. Therefore, the objective of this study was to explore one means of navigating this barrier. Additionally, the findings of this study not only indicate that affiliative humor can be used successfully while working with this population, but …

Client Perceptions On The Therapeutic Quality Of Care When Disclosing Spiritual And Religious Beliefs : A Mixed Methods Study, Maia Nikitovich

Theses, Dissertations, and Projects

The spiritual and religious life of clients is an important clinical factor in therapy; it holds significant meaning and may support therapeutic outcome. This study explored client perceptions of the quality of care they received in therapy when disclosing their spiritual/religious life to their therapists as well as the factors that might contribute to their perceptions of care and disclosure. A total of 75 respondents participated in an online survey tool composed of quantitative and qualitative questions. Qualitative responses were coded and data was analyzed using descriptive statistics. Findings showed that most clients (73%) shared some or all of their …

Flow In The Therapy Setting : An Examination Of Optimal Experience In Clinical Social Work Practice, David E. Landry

Theses, Dissertations, and Projects

This study's purpose was to understand how licensed clinical social workers described their optimal experience when they are engaged in clinical practice. The specific focus of this study was to conduct interviews to obtain subjective narrative descriptions of these experiences. The question was based on the theoretical model of flow, a state of mind where one is wholly absorbed in the moment. Data reflected that the social connection between the therapist and client was the strongest indicator of optimal experience. Data from this study showed evidence that participating licensed clinical social workers described their optimal experience in practice within the …

Depression And Psychotherapy For Adults In Long-Term Care Facilities, Jasper Joseph Watts

Walden Dissertations and Doctoral Studies

The purpose of this study was to investigate depression and psychotherapy for adults who are in long-term care facilities. Depression is a serious problem for the elderly in general and for residents of nursing homes in particular. The current study drew on the dynamic stress vulnerability approach to explain how illness occurs in older people, using evidence obtained from the biological, social, and psychological domains with respect to depression. The research question addressed the difference in posttreatment depressive symptoms among 6 types of psychotherapy as measured by the Hamilton rating scale for depression (HRSD)? The 6 therapy techniques were (a) …

Altruism In Relationship To The Therapeutic Process : An Exploratory Study Of The Perspectives And Experiences Of Clinical Social Workers, Leslie M. Hammer

Theses, Dissertations, and Projects

While engaging in altruism has been found to be therapeutic in many settings including mutual aid groups, there is a lack of empirical data regarding altruism in the context of clinical social work with individuals. Using qualitative methods, this study gathered perspectives on the current state of altruism in clinical social work, and inquired specifically about the use of altruism as a clinical tool. Semi-structured interviews were completed with 13 licensed clinical social workers. Participants varied in their perspectives about engaging in conversations about altruism with clients and the therapeutic use of participating in altruistic acts. Clinicians expressed being guided …

Spiritual Pathways To Healing And Recovery: An Intensive Single-N Study Of An Eating Disorder Patient, Kawika Allen, Troy Lea, P. Scott Richards, Peter W. Sanders, Jason A. Mcbride

Faculty Publications

This article presents an in-depth single case study of 8 sessions of spiritually integrated psychotherapy with a 20-year-old woman recovering from an Eating Disorder. The inclusion and utility of session-to-session outcome data as well as systematic follow up data in conjunction with in-depth qualitative interviews are shown. Dr. H and client’s perspectives are highlighted over the course of treatment. Clinical areas of focus were extracted from the the qualitative interviews and the therapeutic process is described. Single-case study statistical analyses were conducted to highlight clinical gains and maintenance.

The Effectiveness Of Emdr Therapy On Clients With Addictions, Jennifer L. Franklin

Theses, Dissertations, and Projects

This study was undertaken to determine how effective Eye Movement Desensitization and Reprocessing (EMDR) therapy is in helping clients to lessen or end their cycle of SUDs and behavioral addictions in the long term. Secondly, this study aimed to determine whether or not EMDR therapy increases a client's likelihood of relapse, and whether or not relapse affects the outcome of treatment. Furthermore, this study looked at whether or not clients need to have abstained from their addictive substance for an extended period of time in order for EMDR therapy to be successful in their addictions treatment. The final question that …