Medicine and Health Sciences Commons^™

Reaching Resilience: A Multiple Case Study Of The Experience Of Resilience And Protective Factors In Adult Children Of Divorce, Denis' A. Thomas

Doctoral Dissertations

The purpose of this qualitative case study was to describe the experiences of resilience following parental divorce for university freshmen. Five participants were interviewed using a multiple case study methodology and Richardson’s (2002) resilience model as the theoretical framework. It examined how the three needs of Self-Determination theory (autonomy, relatedness, and competence) and the three categories of protective factors (individual, family, and community) contributed to resilience. Data were collected through demographic surveys, divorce artwork, resilience artwork, and interview transcriptions. General themes, typological self-determination need themes, and typological protective factor themes were developed for each individual and across cases. The findings …

Cognitive Processes And Race Differences: Possible Factors Contributing To Ptsd, Christina Fay

Student Dissertations & Theses

Past research suggest differences in racial group’s perceived experiences in traumatic situations and different ways of coping can affect individual levels of posttraumatic stress disorder (PTSD) symptoms. The author examined how race, methods of coping and risk/resilience factors interact with PTSD symptomology. A total of 28 Black, Hispanic and Non Hispanic Caucasian Operation Enduring Freedom/Operation Iraqi Freedom (OEF/OIF) veterans were assessed for PTSD symptoms, methods of coping and risk/resilience factors related to deployment. Findings indicate no significant differences for minorities and non Hispanic Caucasians on level of PTSD symptoms. Findings indicate significant differences between minorities and non Hispanic Caucasians on …

Availability, Characteristics, And Role Of Detoxification Services In Rural Areas, Jennifer D. Lenardson Mhs, Melanie M. Race Ms, John A. Gale Ms

Mental Health / Substance Use Disorders

No abstract provided.

Dimensions Of Loss From Mental Illness, Amy E. Z. Baker, Nicholas Procter, Tony Gibbons

The Journal of Sociology & Social Welfare

This review explores the nature, scope and consequences of loss resulting from mental illness. Losses are described within four key themes: self and identity, work and employment opportunities, relationships, and future-oriented losses. In reflecting upon review findings, several assumptions about loss are illuminated. Findings are situated within the cornerstones of recent mental health reform, specifically a recovery-oriented approach and social inclusion. Particular attention is directed towards notions of risk and responsibility and tensions in realizing the impact of loss within an individualized recovery framework. Implications and recommendations for policy and practice are highlighted.

E-Therapy As A Means For Addressing Barriers To Substance Use Disorder Treatment For Persons Who Are Deaf, Dennis Moore, Debra Guthmann, Nikki Lynn Rogers, Susan Fraker, Jared A. Embree

Population and Public Health Sciences Faculty Publications

Persons who are deaf face a number of challenges with regard to vulnerability for substance use disorders. Moreover, accessible treatment for this condition can be difficult to establish and maintain. The Deaf community may be one of the most disenfranchised groups in America in regard to appropriate access to substance use disorder (SUD) prevention and treatment services. This article reviews
findings related to substance use disorder and treatment for this condition among persons who are deaf. It also reviews a promising approach for addressing treatment needs via e-therapy, and it highlights the challenges and concerns regarding e-therapy for this population. …

Influences On Job Retention Among Homeless Persons With Substance Abuse Or Psychiatric Disabilities, Russell K. Schutt, Norman C. Hursh

The Journal of Sociology & Social Welfare

Job retention is an important psychosocial rehabilitation goal, but one that is not often achieved. We investigate facilitators of and barriers to employment retention among homeless individuals with psychiatric and substance abuse diagnoses who were re-interviewed eight or more years after participating in a traditional vocational rehabilitation program. Most program graduates who maintained employment had secured social support from a variety of sources; personal motivation was also a critical element in job retention and compensated in some cases for an absence of social support. Both the availability of social support contacts and personal motivation influenced likelihood of maintaining sobriety. Physical …

Psychological Well-Being And Socio-Economic Hardship Among Aids Orphans And Other Vulnerable Children In Guinea, Wim Delva, An Vercoutere, Catherine Loua, Cathérine Loua, Jonas Lamah, Stijn Vansteelandt, Petra De Koker, Patricia Claeys, Marleen Temmerman, Lieven Annemans

Obstetrics and Gynaecology, East Africa

Over the past decade, the effects of AIDS-related parental death on children's socio-economic, educational and psychological well-being have become apparent. Most studies, however, have compared the plight of so-called AIDS orphans with non-orphaned children only. Consequently, such study designs are unable to establish if the AIDS-related cause of death of the parents confers effects additional to those of parent-bereavement. We therefore conducted a cross-sectional survey to assess the psychological well-being and socio-economic hardship among 140 non-orphaned children, 133 children orphaned by causes other than AIDS (O) and 124 children orphaned by AIDS (O-A) in Conakry, N'Zerekore and the villages around …

Mental Health Provision To Hispanics In Idaho: Findings From A Provider Survey, Nicole Stickney

Boise State University Theses and Dissertations

Currently, Idaho’s mental health resources for Hispanics are not designed to meet their mental health needs. According to Jose Valle, the Chief of Children’s Mental Health at the Idaho Department of Health and Welfare Region III, there are no available data regarding prevalence rates for mental disorders among Hispanics in Idaho (personal communication, September 18, 2007), and little is known about what interventions work best among Hispanics (Gonzalez, 2006). As a first step in addressing the mental health needs of Hispanics in Idaho, information on the capacity of local providers to deliver culturally appropriate care is needed. The Idaho Partnership …

E-Therapy As A Means For Addressing Barriers To Substance Use Disorder Treatment For Persons Who Are Deaf, Dennis Moore, Debra Guthmann, Nikki Rogers, Susan Frake, Jared Embree

The Journal of Sociology & Social Welfare

Persons who are deaf face a number of challenges with regard to vulnerability for substance use disorders. Moreover, accessible treatment for this condition can be difficult to establish and maintain. The Deaf community may be one of the most disenfranchised groups in America in regard to appropriate access to substance use disorder (SUD) prevention and treatment services. This article reviews findings related to substance use disorder and treatment for this condition among persons who are deaf. It also reviews a promising approach for addressing treatment needs via e-therapy, and it highlights the challenges and concerns regarding e-therapy for this population. …

Few And Far Away: Detoxification Services In Rural Areas, Jennifer D. Lenardson Mhs, Melanie M. Race Ms, John A. Gale Ms

Mental Health / Substance Use Disorders

Based on Working Paper #41: Availability, Characteristics, and Role of Detoxification Services in Rural Areas. Findings: Few rural detox providers exist; 82% of rural residents live in a county without a detox provider. More than half of all rural detox providers serve a 100 mile radius. Travel distances are a barrier to outpatient detox models. Referral options to substance abuse treatment are limited, especially in isolated rural areas.

The Development Of An Advanced Filial Therapy Model, Amy Cathleen Wickstrom

Loma Linda University Electronic Theses, Dissertations & Projects

This study sought to develop an advanced filial therapy model by examining the experiences of seven parents who participated in a preliminary advanced filial therapy intervention. These parents had previously completed a 10-week basic filial therapy model called Child Parent Relationship Therapy. A phenomenological qualitative design was employed, wherein data was obtained from parent playtime notes, researcher field notes, group process transcriptions, and focus groups. Parent experiences of the intervention were examined from a systems-relational lens, and four categories emerged, which include relational epiphanies, enhanced understanding of the playtimes, model format, and skill development. Additionally, a variety of themes were …

Predicting Systemic Confidence, Stephanie Inez Falke

Loma Linda University Electronic Theses, Dissertations & Projects

Using a mixed method approach, this study explored which educational factors predicted systemic confidence in master’s level marital and family therapy (MFT) students, and whether or not the impact of these factors was influenced by student beliefs and their perception of their supervisor’s beliefs about the value of systemic practice. One hundred and twenty graduate students in Commission on Accreditation for Marriage and Family Therapy Education-accredited (COAMFT) programs completed an online survey that assessed their training experiences, beliefs about systemic practice and perceptions of confidence. Quantitative findings revealed that students who reported greater research expectations in their program, obtained more …

Family Sources Of Educational Gender Inequality In Rural China: A Critical Assessment, Emily C. Hannum, Peggy A. Kong, Yuping Zhang

Emily C. Hannum

In this paper, we investigate the gender gap in education in rural northwest China. We first discuss parental perceptions of abilities and appropriate roles for girls and boys; parental concerns about old-age support; and parental perceptions of different labor market outcomes for girls' and boys' education. We then investigate gender disparities in investments in children, children's performance at school, and children's subsequent attainment. We analyze a survey of nine to twelve year-old children and their families conducted in rural Gansu Province in the year 2000, along with follow-up information about subsequent educational attainment collected seven years later. We complement our …

A Phenomenological Study Of Clinicians Treating Traumagenic Compulsions Resulting From Childhood Sexual Abuse, Albert Sarno

Faculty Dissertations

Various types of traumatic compulsive behaviors have been observed by practicing mental health clinicians and yet there is a lack of consensus among such clinicians for treating people in such a problematic state when there is also a history of childhood sexual abuse. Ten seasoned clinicians, each with over 15 years experience in treating patients with traumagenic compulsions and childhood sexual abuse were interviewed to explore their lived experience treating people with traumagenic compulsions due to childhood sexual abuse. A phenomenological design was used to asses the data collected in the study. The data were analyzed to determine the best …

12. Disclosure Of Child Sexual Abuse., Thomas D. Lyon, Elizabeth C. Ahern

Thomas D. Lyon

Helping Counselors Develop Relational Competencies When Working With Religious & Spiritual Clients, Dr. Jill D. Duba, Craig Cashwell, Harriet Glosoff

Counseling & Student Affairs Faculty Publications

The professional counselor can describe the similarities and differences between spirituality and religion, including the basic beliefs of various spiritual systems, major world religions, agnosticism and atheism. The professional counselor recognizes that the client's beliefs (or absence of beliefs) about spirituality and/or religion are central to his or her worldview and can influence psychosocial functioning.

Community-Based Suicide Prevention Research In Remote On-Reserve First Nations Communities, Corinne A. Isaak, Mike Campeau, Laurence Y. Katz, Murray W. Enns, Brenda Elias, Jitender Sareen

Aboriginal Policy Research Consortium International (APRCi)

Suicide is a complex problem linked to genetic, environmental, psychological and community factors. For the Aboriginal population more specifically, loss of culture, history of traumatic events, individual, family and community factors may also play a role in suicidal behaviour. Of particular concern is the high rate of suicide among Canadian Aboriginal youth. While the need to develop interventions to reduce suicidal behaviour for First Nations on-reserve populations is evident, there may be an element of distrust of researchers by Aboriginal communities. Furthermore, research in mental health and specifically suicide is much more sensitive than studying medical illnesses like diabetes. Clearly, …

The Emergent Generation Gap In Attitudes Toward Khat Use In Urban Ethiopia, Nikki Lynn Rogers, Jared A. Embree, Yigzaw Kebede, Josephine Wilson, Mary J. Huber, Dennis Moore

Population and Public Health Sciences Faculty Publications

No abstract provided.

Athletics & Recreation Master Plan Sub‐Committee Final Report, Charlie Titus, Terry Condon, Chris Fitzgerald, Ken Mcbryde, Robert Burgess, Shaun Curry, Laurie Milliken, Chris Sweeney, Pavel Braude, Ryan Norton, Jack Looney, Susan Wolfson, Jain Ruvidich‐Higgins

Campus Master Planning Publications

In 2000 the Athletics & Recreation Department at UMass Boston Implemented a five year strategic plan that would more realistically align sports sponsorship with available financial and facility resources. We reduced the number of sports sponsored from 20 to 14 maintaining 7 sports for women and 7 sports for men. The only sports maintained without a facility were Men’s baseball and Cross Country Track. We eliminated football, swimming and indoor & outdoor track and field for men and women.

Since 2005 The Athletics & Recreation Department has been focused on University wide transition and planning efforts. In that period we …

Antidepressant-Induced Mania With Concomitant Mood Stabilizer In Patients With Comorbid Substance Abuse And Bipolar Disorder., Daniel Z Lieberman, George Kolodner, Suena H Massey, Kenneth P Williams

Psychiatry and Behavioral Sciences Faculty Publications

Antidepressant use in the treatment of bipolar disorder is controversial due the risks of affective switching and cycle acceleration. Studies of non-comorbid samples suggest that the risk can be mitigated with the use of a concomitant mood stabilizer. However, the majority of patients with bipolar disorder will experience a comorbid substance use disorder and little is known about these individuals because they are typically excluded from clinical trials. Patients entering a substance abuse treatment program who had a history of bipolar disorder were interviewed to evaluate antidepressant-induced affective switching with and without concomitant mood stabilizer. Among 41 comorbid participants, the …

Helping Counselors Develop Relational Competencies When Working With Religions And Spiritual Clients, Dr. Jill D. Duba, Dr. Craig Cashwell, Dr. Harriet Glosoff

Dr. Jill Denise Duba

No abstract provided.

Unlv Magazine, Matthew K. Jacobsen, Holly Ivy De Vore, Lisa Arth, Cate Weeks, Greg Lacour, Tony Allen, Afsha Bawany, Barbara Cloud, Gian Galassi, Phil Hagen, Karyn S. Hollingsworth, Michelle Mouton, Erin O'Donnell

UNLV Magazine

No abstract provided.

Community Empowerment Through An Academic Product: Implications For The Social-Justice, Tamara Leech, Edrose Potts Jr.

Department of Public Health Scholarship and Creative Works

Often, African American community organizations are distanced from government institutional practices. In response, they may approach local academics to help bridge the divide. This think piece explores lessons that one academic scholar learned during the process of writing and distributing an applied report that ultimately helped a community organization to gain access to the governmental decision-making process. In exploring the project, we first focus on the process and value of shifting from a charity orientation to a social justice orientation. Second, we use the report itself to provide examples of essential, concrete aspects of social justice-oriented products. In the end, …

Attachment: The Antidote To Trauma, Joshua Straub

Faculty Publications and Presentations

Trauma and loss in life are inevitable. And all too often the traumatic experience itself can be enough to paralyze the mental, emotional, and spiritual state of any given person. Unable to interpret the traumatic experience, many instead are left defined by it. Helping clients discern the objective experience and their subjective reactions to it will help free them from the emotions and beliefs that subsequently control their lives. Based on the most relevant attachment theory research and clinical techniques, this workshop teaches the attentional strategies necessary to helping clients overcome trauma.

Death Comes Alive; Technology And The Re‐Conception Of Death, Karen Cerulo, Janet M. Ruane

Department of Sociology Faculty Scholarship and Creative Works

Browse through your local bookstore, or glance at a nearby movie marquee. Skim the pages of your nightly newspaper or the listings in your television guide. American culture's current focus poses a surprise. The popular eye is centered on a topic more taboo than the steamiest sexual encounter, more solemn than the deepest economic depression, and more universal than the common cold. The current decade reveals a remarkable up- surge in our collective attention toward death. Indeed in the 1990s, Americans have become nearly obsessed with a world that lurks beyond life as we know it.

Crisis 911: Toward A Comprehensive Intervention Model, John C. Thomas

John C. Thomas

Suffering softens calloused hearts; but it can also embitter them. The prudent helper seeks to seize critical moments for Kingdom purposes through service to those affected. Being armed with a multi-functional crisis intervention model provides guidance and allows versatility so this end may be achieved. To even approximate the ambitious goal of creating a comprehensive model requires an understanding of crises and crisis intervention.

Multiple Lacerations Of The Heart: When Grief Accumulates, John C. Thomas, Teresa Sours

John C. Thomas

The idea of multiple lacerations of the heart is both personally and professionally a topic of great interest to us. Experience has taught us that far too many counselors fail to account for the aggravated condition of the heart as a result of multiple losses. The lure of the immediate loss or trauma from childhood can hinder one’s ability to consider the amassed emotional cholesterol. As system thinkers advocate, the whole is greater than the sum of its parts. Subsequently, counselors need to be aware of how multiple losses accumulate and how such build-up manifests itself in a client’s life. …

Panic Attacks: Can They Really Be Stopped?, John C. Thomas

John C. Thomas

Published in Christian Counseling Today magazine, this article addresses the nature and impact of panic attacks and how they can be addressed.

Why Me?: The Bedrock Of Suffering, John C. Thomas

John C. Thomas

The world is unnerved but captivated by the wave of massive, indiscriminate destruction that befell Asia. In the protection of our society where pat answers are the drug, we meet face-to-face with the fragility of life, feel compassion, and return to business as usual. The reality is that we too are in the path of life’s devastations. It is suffering to even consider the tragedies that could befall us. Yet, suffering comes to all without prejudice… on the just and unjust.1 When faced with the heartache of rejection, emptiness of loss, the bite of physical pain, the brokenness of regret, …

Under The Yellow Tape: Working Within The Medical, Legal, And Judicial Systems, John C. Thomas

John C. Thomas

The types of problems addressed in an office differ dramatically from those that happen in the context of violent crimes, horrific accidents, and hostage scenes. The first contact with victims might be in homes, streets, emergency rooms, shelters, jails, and law enforcement offices. Arriving at a scene that is marked by yellow tape is daunting. Counselors must develop a frame of mind that allows them to get into the trenches. Additionally, they must work collaboratively with other crisis response systems to ensure that victims receive timely holistic care. Following are some principles to guide counselors in working with multiple systems.