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Theses/Dissertations

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2003

Mental and Social Health

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Full-Text Articles in Medicine and Health Sciences

Identifying Compliance Issues In The Community Health Care Clinic Environment, Faye K. Beery Aug 2003

Identifying Compliance Issues In The Community Health Care Clinic Environment, Faye K. Beery

Graduate Theses

This study explored the high number of failed appointments and follow-up appointments at a community health care children’s clinic. A thirty-seven item questionnaire was randomly given to 112 participants seeking health care at the clinic on a random basis. Based on literature reviews, five hypothesis were generated to examine reasons for failing to keep appointments for children: 1. Communication difficulties between healthcare personnel and parents regarding patient comprehension of instructions and bottle directions were anticipated. 2. Patient/physician/clinic relationships were expected to influence patient compliance. The need for more reminder calls for appointments was anticipated to be a factor in patient …


An Evaluation Of Methylphenidate Preference In Adults Diagnosed With Attention-Deficit/Hyperactivity Disorder, Emily Kathleen Macdonald Jun 2003

An Evaluation Of Methylphenidate Preference In Adults Diagnosed With Attention-Deficit/Hyperactivity Disorder, Emily Kathleen Macdonald

Dissertations

Methylphenidate (MPH) is widely used in the treatment of ADHD, and is associated with positive effects across a wide range of domains. In spite of the clinical effectiveness of MPH, concern has arisen with respect to its abuse potential. The present study examined the reinforcing effects and participant-rated effects of MPH in adults diagnosed with ADHD. Participants included 10 volunteers (ages 18-22) diagnosed with ADHD who were receiving MPH treatment. The reinforcing effects were assessed using a double-blind choice procedure with 4 sampling and 8 choice sessions. During sampling sessions, participants completed a self-report questionnaire before receiving either placebo or …


Managed Care: The Impact On The Physician / Patient Relationship, Robert H. Adams Jr. May 2003

Managed Care: The Impact On The Physician / Patient Relationship, Robert H. Adams Jr.

Seton Hall University Dissertations and Theses (ETDs)

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Psychological Reactance As A Personality Characteristic: Relationships To Attachment And Autonomy, Maurine Traville Hargrove Ladner Apr 2003

Psychological Reactance As A Personality Characteristic: Relationships To Attachment And Autonomy, Maurine Traville Hargrove Ladner

Doctoral Dissertations

Psychological reactance is a construct that motivates people to restore lost or threatened freedoms (Brehm, 1966). Research is beginning to show that psychological reactance may be related to family of origin dynamics. Autonomy is developed through a secure attachment. Dowd (1993) stated that autonomy is fostered by an optimal level of reactance, and one's personal identity is dependent on the development of a flexible autonomy. This study explored the relationship between psychological reactance and attachment. Additionally, research has suggested that level of reactance may be related to level of autonomy. This relationship was empirically explored. Participants were assessed using the …


An Investigation Of The Relationship Among Life-Skills, Self-Esteem, And Well-Being In Adults, Scott David Meche Apr 2003

An Investigation Of The Relationship Among Life-Skills, Self-Esteem, And Well-Being In Adults, Scott David Meche

Doctoral Dissertations

This study examined the relationship among life-skills, self-esteem, and well-being in 278 adults. Adults were classified into three age groups. Of the 278 participants, 96 were young adults, 92 were middle-aged, and 90 were older adults. Life-skills, global organizations of general coping skills that are learned behaviors which enable effective functioning, were assessed with the Life-Skills Inventory - Adult Form (Gazda, Illovsky, & Taylor, 1991). Analyses were performed to understand the influence of four generic life-skills areas, interpersonal communication/human relations, problem-solving/decision making, identity development/purpose in life, and physical fitness/health maintenance, on self-esteem. Self-esteem was measured with the Self-Esteem Inventory-Adult Form …


Modeling The Decision Process Of A Joint Task Force Commander, John Anthony Sokolowski Apr 2003

Modeling The Decision Process Of A Joint Task Force Commander, John Anthony Sokolowski

Computational Modeling & Simulation Engineering Theses & Dissertations

The U.S. military uses modeling and simulation as a tool to help meet its warfighting needs. A key element within military simulations is the ability to accurately represent human behavior. This is especially true in a simulation's ability to emulate realistic military decisions. However, current decision models fail to provide the variability and flexibility that human decision makers exhibit. Further, most decision models are focused on tactical decisions and ignore the decision process of senior military commanders at the operational level of warfare. In an effort to develop a better decision model that would mimic the decision process of a …


Day Treatment Programs For Adults With Severe And Persistent Mental Illness: Effectiveness Measured In Rates Of Recidivism, Pamela Jo' Gatfield Jan 2003

Day Treatment Programs For Adults With Severe And Persistent Mental Illness: Effectiveness Measured In Rates Of Recidivism, Pamela Jo' Gatfield

Theses Digitization Project

This study measured the effectiveness of rehabilitative day treatment (RDT) programs for persons with severe and persistant mental illness in San Bernardino County. The effectiveness of RDT services was determined by rates of recidivism.


Perceived Effects Of A Substance Abuse Prevention Science Program Among Fourth And Fifth Grade Children: A Qualitative Study, Sarah Morgando Palmer, Tracy Lee Inman Jan 2003

Perceived Effects Of A Substance Abuse Prevention Science Program Among Fourth And Fifth Grade Children: A Qualitative Study, Sarah Morgando Palmer, Tracy Lee Inman

Theses Digitization Project

This project explores the perceptions of fourth and fifth grade students who participated in a substance abuse prevention program. Risk and protective factors are presented to assist the reader in understanding this project.


Factors In Older Adults' Resistance To Substance Abuse Treatment, Donnie Redl Jan 2003

Factors In Older Adults' Resistance To Substance Abuse Treatment, Donnie Redl

Theses Digitization Project

The purpose of this study was to determine the factors that cause resistance in older adults to participation in substance abuse treatment programs.


A Process Evaluation Of The Riverside County Dependency Recovery Drug Court, Philip Marshall Breitenbucher, Sean Collins Sullivan Jan 2003

A Process Evaluation Of The Riverside County Dependency Recovery Drug Court, Philip Marshall Breitenbucher, Sean Collins Sullivan

Theses Digitization Project

The purpose of this study is to evaluate the implementation of the "Key Components" as identified by the Department of Justice (1998) into the Riverside County Dependency Recovery Drug Court Program.


Inadequate Substance Abuse Assessment As A Contributory Factor To Child Abuse And Neglect, Gary Eugene Graves Jan 2003

Inadequate Substance Abuse Assessment As A Contributory Factor To Child Abuse And Neglect, Gary Eugene Graves

Theses Digitization Project

This study examined an important, yet underreported, area of family service agency assessments, the failure to adequately screen for substance abuse issues. A self-report screening instrument was used to accurately determine substance abuse frequency rates, instead of using the current clinician-directed questioning. New agency clients were randomly assigned to either the experimental group (self-report) or the control group (clinician-directed) to determine if assessment accuracy improved.


Sequelae Of Political Torture: Narratives Of Trauma And Resilience By Iranian Torture Survivors, Nouriman Ghahary Jan 2003

Sequelae Of Political Torture: Narratives Of Trauma And Resilience By Iranian Torture Survivors, Nouriman Ghahary

Seton Hall University Dissertations and Theses (ETDs)

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The Contribution Of Enactments To Structural Family Therapy: A Process Study, Stephanie Fellenberg Jan 2003

The Contribution Of Enactments To Structural Family Therapy: A Process Study, Stephanie Fellenberg

Psychology Theses & Dissertations

In an era where the effectiveness of many forms of psychotherapy has been thoroughly examined, the focus of many researchers has shifted from investigating outcome to exploring therapeutic processes. Process studies serve to identify the active ingredients of therapy—that is, those interventions that bring about in-session changes. This process study examines the relationship between the use of enactments, a structural family therapy intervention, and in-session change as observed over the course of the session. Change was measured by the amount of change that occurred in the core problem dynamic, that is, the most prominent pattern of dysfunctional family …


The Psychological Impact Of Companion Animals For Older Adults Who Reside Alone, Tess Reed Jan 2003

The Psychological Impact Of Companion Animals For Older Adults Who Reside Alone, Tess Reed

Theses : Honours

Companion animals have been identified as improving the physical and emotional health of some older adults (Collis & McNicholas, 1998). This qualitative study explored the psychological impact of owning a cat or a dog for persons aged 65 or older who resided alone. Nine participants, two male and seven female, were recruited through local media advertisements in the Guildford area to participate in a semi-structured interview about their relationship with their pet. Following transcription the semi-structured interviews were analysed using thematic analysis (Aronson, 1994). Four major themes emerged with participants reporting their pets provided satisfaction that impacted on several areas …


Art Irritates Life-- And Vice Versa : An Exploration Of The Nature Of Dance And Its Effect On The Psychological Well-Being Of Ballet And Contemporary Dancers, Veronica Shum Jan 2003

Art Irritates Life-- And Vice Versa : An Exploration Of The Nature Of Dance And Its Effect On The Psychological Well-Being Of Ballet And Contemporary Dancers, Veronica Shum

Theses : Honours

Research into the psychology of theatrical dancers has indicated that as a group, dancers may be a high-risk population for psychological disorders. The majority of this research however, has only sampled ballet dancers. In consideration of the fact that contemporary dance is philosophically and aesthetically different from ballet, it is proposed that the experience of contemporary dancers may be different from that of ballet dancers and thus their psychological experience and potential problems may also be different. It is suggested, therefore, that results from studies on ballet dancers may not generalize to contemporary dancers. In support of this proposition, the …


The Lived Experience Of Men With A Postnatally Depressed Partner, Colela M. Browning Jan 2003

The Lived Experience Of Men With A Postnatally Depressed Partner, Colela M. Browning

Theses : Honours

The aim of this study was to examine the experiences and perceptions of men living with a partner who has postnatal depression (PND). Family systems theory was used to provide a framework within which to evaluate men's relationships with immediate and extended family members. A semi-structured interview was used to understand the experiences and perceptions of seven men with partners who had PND. Schweitzer's (1997) phenomenological approach was used to explicate meaning and extract themes from the interview transcripts. Six major themes were identified from the data. These included changes in the division of labour, issues of self, altered family …


Factors Influencing Substance Abuse/Dependence And Treatment Outcome Of Adolescents In A Residential Substance Abuse Program: An Exploratory Study, Melissa L. Moody Jan 2003

Factors Influencing Substance Abuse/Dependence And Treatment Outcome Of Adolescents In A Residential Substance Abuse Program: An Exploratory Study, Melissa L. Moody

Masters Theses

Previous research examining the risk factors associated with alcohol and other drug use has primarily focused on the adult population. Few studies have investigated the factors which influence adolescent substance abuse and the respective effects on treatment outcome. This in spite of the considerable decline in the age-of-onset for problematic substance use that could, if gone untreated, escalate into dependence and a variety of other interpersonal problems which extend across the lifespan. Effective interventions targeting the adolescent population would therefore seem to be of utmost importance to both researchers and clinicians. It has been suggested that individualized treatment programs focusing …


The Therapeutic Value Of The Equine-Human Relationship In Recovery From Trauma: A Qualitative Analysis, Janet Yorke Jan 2003

The Therapeutic Value Of The Equine-Human Relationship In Recovery From Trauma: A Qualitative Analysis, Janet Yorke

Theses and Dissertations (Comprehensive)

The purpose of this research was to explore the nature of equine-human bonding and its therapeutic value in recovery from trauma. The study sample consisted of six participants who identified that their pre-existing relationships with horses were therapeutic in recovering from various types of trauma (i.e. car accidents, horse-related accidents, work accidents and health trauma). Using a phenomenological perspective and an emotionalist lens, though the use of semi-structured interviews and video-tapes of horse-rider interaction, the study sought to describe the nature of the equine human bond and how it is useful in trauma recovery. The research results show that equine-human …


Pre-Verbal Trauma, Dissociation And The Healing Process, Dorothy Dreier Scotten Jan 2003

Pre-Verbal Trauma, Dissociation And The Healing Process, Dorothy Dreier Scotten

Educational Studies Dissertations

This qualitative research study examines some of the ways in which the healing process takes place in adults who have experienced dissociation, and who have most likely been psychologically traumatized before full language development. The impact of early trauma on human cognitive, socio-emotional, and spiritual development are explored within the context of participant narratives in order to develop an understanding of what may be helpful in developing effective teaching strategies for clinical and teacher education. In-depth interviews were conducted with four adult persons who had been diagnosed with Dissociative Identity Disorder. All had histories of infant psychological trauma and all …