Medicine and Health Sciences Commons^™

Neurologists Look At Causes Of Baffling Brain Condition, Maggie Freleng

Capstones

It can be hard getting help for someone with mental illness, but almost impossible when that person doesn't think they are sick. At at least half of people with schizophrenia, for example, insist that the voices they hear are real. People who do not know they are ill often refuse therapy and medication -- and their symptoms can spiral out of control. Doctors call this lack of awareness anosognosia. Neurologists are trying to discover what causes this baffling condition--and how to treat it.

Association Between Depression And Aggression In Rural Women, Laetitia Meyrueix, Gabriel Durham, Jasmine Miller, K. Bryant Smalley Phd, Psyd, Jacob C. Warren Phd

Journal of Health Disparities Research and Practice

Rural women represent approximately 20% of women living in the United States, yet research on the specific mental health needs of rural women is limited. Given the well-recognized gender-linked disparity in depression, its correlated symptoms in women still need much investigation. While emerging notions of depression in men embrace potential symptoms related to irritability and aggression, less research has focused on the potential role of aggression in depressed women. This connection may be particularly relevant for rural women who face unique mental health stressors in comparison to their urban counterparts. The purpose of this study was to examine if aggression …

What Does Recent Neuroscience Tell Us About Criminal Responsibility?, Uri Maoz, Gideon Yaffe

Psychology Faculty Articles and Research

A defendant is criminally responsible for his action only if he is shown to have engaged in a guilty act—actus reus (eg for larceny, voluntarily taking someone else’s property without permission)—while possessing a guilty mind—mens rea (eg knowing that he had taken someone else’s property without permission, intending not to return it)—and lacking affirmative defenses (eg the insanity defense or self-defense). We therefore first review neuroscientific studies that bear on the nature of voluntary action, and so could, potentially, tell us something of importance about the actus reus of crimes.Then we look at studies of intention, perception of …

Examining The Connection Between Spirituality And Embodiment In Medical Education, Katie Bellamy

Creative Arts Therapies Theses

The purpose of this study was to explore and analyze the experience of spirituality for students of Western medicine as reflected in writing assignments for an elective course on embodiment and empathy building skills. Questions included: What is the relationship between embodiment and spirituality for students of Western medicine? How does (re-)embodiment lead to reflections on spirituality? Does mind-body awareness lead to mind-body-spirit awareness? How can incorporation of embodiment techniques into physician training foster spirituality as it relates to physicians’ professional healing roles? Based in a constructivist paradigm, this study used a qualitative grounded theory methodology to generate theory about …

Prescription For Critical Thinking: A Discussion Of Psychotropic Medication And Counseling, Barton W. Biggs

Educational Specialist, 2009-2019

This paper examines questions about the safety and efficacy of psychotropic medication, and looks at how these questions should impact the field of counseling. The paper first looks at increasing rates of use of psychotropic medication, and establishes that nearly every clinical mental health counselor will work with clients who are taking or considering taking such medication. The paper next examines the scientific literature and establishes that there is a legitimate basis for questions to be raised about the safety and efficacy of these medications. The paper goes on to establish that there is a foundation in ethical codes and …

The Happy Older Latinos Are Active (Hola) Health Promotion And Prevention Study: Study Protocol For A Pilot Randomized Controlled Trial, Daniel E. Jimenez, Charles F. Reynolds, Margarita Alegría, Philip Harvey, Stephen Bartels

Dartmouth Scholarship

Results of previous studies attest to the greater illness burden of common mental disorders (anxiety and depression) in older Latinos and the need for developing preventive interventions that are effective, acceptable, and scalable. Happy Older Latinos are Active (HOLA) is a newly developed intervention that uses a community health worker (CHW) to lead a health promotion program in order to prevent common mental disorders among at-risk older Latinos. This pilot study tests the feasibility and acceptability of delivering HOLA to older, at-risk Latinos.

Methods/Design: HOLA is a multi-component, health promotion intervention funded by the National Institute of Mental Health (NIMH). …

Ubu-Unique But United: A Movement-Based Curriculum For An Inclusive Pre-School Classroom Focusing On Social-Emotional Learning, Julie Schadeck

Creative Arts Therapies Theses

The purpose of this program development is to address the problem of true inclusion by focusing on the role of the body and movement in social-emotional learning (SEL) among pre-school children. Every year, millions of 3 to 4 year old children leave the safe cradle of their home and embark on a life-long journey of discovery where they soon find out that not everyone is like them. To teach them that different does not mean necessarily separate, I used the University of Wisconsin Cooperative Extension logic model to develop a movement-based curriculum for an inclusive pre-school classroom focusing on SEL. …

Semantic Integration In Adults With Nonverbal Learning Disabilities And Autism Spectrum Disorder: Influence Of Word Knowledge And Gestalt Perception, Margot E. Stothers

Electronic Thesis and Dissertation Repository

Language in individuals with nonverbal learning disabilities (NLD) and autism spectrum disorder (ASD) has been described as semantically empty and impoverished, despite apparently average word knowledge. Here, inter-related studies explored semantic representations in adults with these disorders of social perception. Studies highlighted semantic integration, a form of gestalt perception in which new concepts are developed by connecting familiar terms in novel ways. Semantic integration was compared to vocabulary breadth, and to nonverbal gestalt perception, comparing clinical groups to each other and to adults without a diagnosis. Because weaknesses in gestalt perception have been seen in NLD and ASD, it was …

Nucleus Accumbens Deep Brain Stimulation In A Rat Model Of Binge Eating, W. T. Doucette, J. Y. Khokhar, A. I. Green

Dartmouth Scholarship

Binge eating (BE) is a difficult-to-treat behavior with high relapse rates, thus complicating several disorders including obesity. In this study, we tested the effects of high-frequency deep brain stimulation (DBS) in a rodent model of BE. We hypothesized that BE rats receiving high-frequency DBS in the nucleus accumbens (NAc) core would have reduced binge sizes compared with sham stimulation in both a 'chronic BE' model as well as in a 'relapse to chronic BE' model. Male Sprague-Dawley rats (N=18) were implanted with stimulating electrodes in bilateral NAc core, and they received either active stimulation (N=12) or sham stimulation (N=6) for …

Adhd And Social Impairment Among Children: Problem Solving Skills As A Potential Mediator, Rebecca Mccord

Senior Theses

This study tested the hypothesis that problem solving skills mediate the relation between ADHD symptoms and social impairment in children. Problem solving skills were evaluated by the Test of Problem Solving 3 – Elementary Version (TOPS), which separated problem solving skills into six different subtypes: making inferences, sequencing, negative questions, problem solving, predicting, and determining causes. ADHD symptoms were assessed through the parent report of the Disruptive Behavior Disorder Scale (DBD). Social impairment was assessed through the parent report of social skills using the Social Skills Improvement System (SSIS). Three hundred seventy-two (372) children between the ages of eight and …

Smoking And Exercise: Mechanisms And Effects During Simulated And Genuine Quit Attempts, Stefanie De Jesus

Electronic Thesis and Dissertation Repository

Cigarette smoking is a leading agent for premature morbidity and mortality among the global community. Most individuals surrender to tobacco use disorder due to the inability to cope with cravings and withdrawal symptoms. Exercise appears to provide acute relief. Currently, it is unclear how exercise attenuates these reductions. Furthermore, the available evidence has focused on acute outcomes besides smoking behaviour and is limited to simulated quit attempts. Three experimental studies were designed to address these outstanding issues. Not surprisingly, a bout of moderate intensity exercise was found in study 1 (chapter 2) to reduce cravings associated with a temporary period …

Catatonia In An Adolescent With Velo-Cardio-Facial Syndrome, Gianni Faedda, Lee Wachtel, Anne Marie Higgins, Robert Shprintzen

Robert J. Shprintzen

Velo-cardio-facial syndrome (VCFS) is the most common microdeletion syndrome in humans and is probably the most frequent genetic cause of psychosis currently known. Many psychiatric disorders have been reported to occur in people with VCFS including, but not limited to schizophrenia, unipolar and bipolar mood disorders (with or without psychotic features), schizoaffective disorder, psychosis NOS, social phobia, generalized and separation anxiety, obsessive-compulsive disorder, autism spectrum disorder, cognitive impairment, and ADHD. This report describes the psychiatric onset and development of catatonia in an adolescent female with VCFS that was undiagnosed until 15 years of age. Catatonia may be a relatively common …

Effects Of Repeated Quetiapine Treatment On Conditioned Avoidance Responding In Rats, Jun Gao, Min Feng, Natashia Swalve, Collin Davis, Nan Sui, Ming Li

Department of Psychology: Faculty Publications

The present study characterized the behavioral mechanisms of avoidance–disruptive effect of quetiapine in the conditioned avoidance response test under two behavioral testing (2 warning signals vs. 1 warning signal) and two drug administration conditions (subcutaneous vs. intravenous). In Experiments 1 and 2, well-trained adult male Sprague-Dawley rats were tested under the subcutaneous (s.c.) quetiapine treatment (5.0, 15.0, 25.0, 50.0 mg/kg) for 7 days in a novel procedure consisting of two conditioned stimuli (CS) (white noise serving as CS1 and pure tone as CS2). Only the highest dose (50.0 mg/kg) produced a persistent suppression of the avoidance response without impairing the …

The Visual Priming Of Motion-Defined 3d Objects, Xiong Jiang, Yang Jiang, Raja Parasuraman

Behavioral Science Faculty Publications

The perception of a stimulus can be influenced by previous perceptual experience, a phenomenon known as perceptual priming. However, there has been limited investigation on perceptual priming of shape perception of three-dimensional object structures defined by moving dots. Here we examined the perceptual priming of a 3D object shape defined purely by motion-in-depth cues (i.e., Shape-From-Motion, SFM) using a classic prime-target paradigm. The results from the first two experiments revealed a significant increase in accuracy when a "cloudy" SFM stimulus (whose object structure was difficult to recognize due to the presence of strong noise) was preceded by an unambiguous SFM …

The Hidden Epidemic: Mental Health Epidemiology In Post-Conflict Populations And Implications For Conflict Transformation Practices, Jennifer Sato

Capstone Collection

This capstone explores the ramifications of unmitigated mental health illness in conflict populations, paying special attention to refugees and migrants. The intersection between conflict and mental health is explored and analyzed in order to highlight the implications of the findings and to make recommendations to both metal health and conflict transformation practitioners. This capstone depends predominately on secondary resources and personal interviews and is informed by my own practicum experience at a refugee health center. The need to improve mental health outcomes in order to pursue conflict transformation and peace building is a key focus and is supported by the …

Explaining The Longitudinal Association Between Puberty And Depression: Sex Differences In The Mediating Effects Of Peer Stress, Colleen Conley, Karen Rudolph, Fred Bryant

Colleen S. Conley

This research investigated whether exposure to peer stress serves as one pathway through which pubertal development contributes to depression over time, differentially for girls and boys. Youth (N = 149; 9.6–14.8 years) and their caregivers provided information at two waves, 1 year apart, on puberty (Wave 1), peer stress (occurring between Waves 1 and 2), and depression (Waves 1 and 2). Structural equation modeling analyses examined sex differences in the extent to which peer stress mediated the impact of pubertal status and timing on subsequent depression (i.e., tests of moderated mediation). Significant sex-moderated mediation was found for both pubertal status …

Explaining The Longitudinal Association Between Puberty And Depression: Sex Differences In The Mediating Effects Of Peer Stress, Colleen Conley, Karen Rudolph, Fred Bryant

Fred B. Bryant

This research investigated whether exposure to peer stress serves as one pathway through which pubertal development contributes to depression over time, differentially for girls and boys. Youth (N = 149; 9.6–14.8 years) and their caregivers provided information at two waves, 1 year apart, on puberty (Wave 1), peer stress (occurring between Waves 1 and 2), and depression (Waves 1 and 2). Structural equation modeling analyses examined sex differences in the extent to which peer stress mediated the impact of pubertal status and timing on subsequent depression (i.e., tests of moderated mediation). Significant sex-moderated mediation was found for both pubertal status …

Correspondence Between Self-Report And Interview-Based Assessments Of Antisocial Personality Disorder, Laura Guy, Norman Poythress, Kevin Douglas, Jennifer Skeem, John Edens

Norman Poythress

Antisocial personality disorder (ASPD) is associated with suicide, violence, and risk-taking behavior and can slow response to first-line treatment for Axis I disorders. ASPD may be assessed infrequently because few efficient diagnostic tools are available. This study evaluated 2 promising self-report measures for assessing ASPD--the ASPD scale of the Personality Diagnostic Questionnaire-4 (PDQ-4; S. E. Hyler, 1994) and the Personality Assessment Inventory (PAI; L. Morey, 1991, 2007)--as well as the ASPD module of the Structured Clinical Interview for DSM-IV Axis II (SCID-II; M. B. First, R. L. Spitzer, M. Gibbon, J. B. W. Williams, and L. S. Benjamin, 1997). The …

A Client-Based Description Of Reflecting Team-Work In Family Therapy , David Brown

David C. Brown

Though the practice of reflecting team-work has a strong theoretical base there has been little research examining its actual use. What has been written is primarily based on the therapist's and/or supervisor's experience, rather than the client's. This dissertation describes clients' perceptions of two different strategies of reflecting team-work that emerged from interviews conducted and analyzed using a moderately structured ethnographic interview methodology. The primary results suggested that reflecting team-work was helpful in providing clients with different perspectives; that in-room teams should be used sparingly during early therapy; that teams should reflect at least twice in-session; and that a three-person …

Searching For Connection: A Heuristic Study Of The Role Of Consciousness In Identifying And Meeting Human Needs Through Expressive Movement, Amy Leow

Creative Arts Therapies Theses

The purpose of this study was to draw initial conclusions regarding the relationships between expressive movement, consciousness, and human needs. Additionally, this study also aimed to illustrate how the process of shifting conscious awareness through expressive movement enables clients of DMT to identify and meet their needs. Data was collected using a heuristic examination of my own experience, as the only participant of this study, engaging in six Authentic Movement sessions over six weeks. Data analysis, using a heuristic methodology, resulted in several conclusions which piece together an initial framework from which to understand how the process of shifting conscious …

Characterizing The Performance And Behaviors Of Runners Using Twitter, Qian He, Emmanuel Agu, Diane Strong, Bengisu Tulu, Peder Pedersen

Emmanuel O. Agu

Running is a popular physical activity that improves physical and mental wellbeing. Unfortunately, up-to- date information about runners’ performance and psychological wellbeing is limited. Many questions remain unanswered, such as how far and how fast runners typically run, their preferred running times and frequencies, how long new runners persist before dropping out, and what factors cause runners to quit. Without hard data, establishing patterns of runner behavior and mitigating the challenges they face are difficult. Collecting data manually from large numbers of runners for research studies is costly and time consuming. Emerging Social Networking Services (SNS) and fitness tracking devices …

Positive State Mindfulness: A Multidimensional Model Of Mindfulness In Relation To Positive Experience, Timothy Ritchie, Fred Bryant

Fred B. Bryant

The present research tested Langer’s theory of mindfulness in the context of positive experiences: positive state mindfulness. In Study 1 (N1 = 586, N2 = 415) confirmatory factor analyses indicated that a three-factor model (Focused Attention, Novelty Appreciation, Open-Ended Expectations) fit the data well and explained responses better than a one-factor model. In support of construct validity, Study 2 (N3 = 239, N4 = 126) suggested that each dimension had a different pattern of associations with unidimensional trait measures of mindfulness, savoring beliefs, trait absorption, uncertainty tolerance, need for structure, and need for cognition. Study 3 (N5 = 46) revealed …

Factors Differentiating Successful Versus Unsuccessful Malingerers, John Edens, Laura Guy, Randy Otto, Jacqueline Buffington, Tara Tomicic, Norman Poythress

Norman Poythress

Relatively little is known about the processes in which "successful" malingerers engage to avoid detection. This study summarizes the response strategies used by participants (N = 540) instructed to feign a specific mental disorder while completing various self-report instruments designed to detect faking. Postexperiment questionnaires indicated that those who were able to appear symptomatic while avoiding being detected as feigning (n = 60) were more likely to endorse a lower rate of legitimate symptoms, to avoid overly unusual or bizarre items, and to base their responses on their own personal experiences.

Gene X Environment Effects Of Serotonin Transporter, Dopamine Receptor D4, And Monoamine Oxidase A Genes With Contextual And Parenting Risk Factors On Symptoms Of Oppositional Defiant Disorder, Anxiety, And Depression In A Community Sample Of 4-Year-Old Children, John Lavigne, Laura Herzing, Edwin Cook, Susan Lebailly, Karen Gouze, Joyce Hopkins, Fred Bryant

Fred B. Bryant

Genetic factors can play a role in the multiple level of analyses approach to understanding the development of child psychology. The present study examined gene-environment correlations and Gene x Environment interactions for polymorphisms of three target genes, the serotonin transporter gene, the D4 dopamine reactor gene, and the monoamine oxidase A gene in relation to symptoms of anxiety, depression, and oppositional behavior. Saliva samples were collected from 175 non-Hispanic White, 4-year-old children. Psychosocial risk factors included socioeconomic status, life stress, caretaker depression, parental support, hostility, and scaffolding skills. In comparison with the short forms (s/s, s/l) of the serotonin transporter …

Sedation And Disruption Of Maternal Motivation Underlie The Disruptive Effects Of Antipsychotic Treatment On Rat Maternal Behavior, Changjiu Zhao, Ming Li

Ming Li

The behavioral mechanisms underlying antipsychotic-induced maternal behavior deficits were examined in the present study. Different groups of postpartum rats were treated with haloperidol (0.1 mg/kg), clozapine (10.0 mg/kg), chlordiazepoxide (5.0 mg/kg, an anxiolytic) or vehicle (0.9% saline) on Days 4 and 6 postpartum and their maternal behaviors were tested under either pup-separation (e.g. pups were removed from their mothers for 4 h before testing) or no-pup-separation condition. Maternal behavior and drug-induced sedation were further tested for 3 days from Day 8 to 12 postpartum. Results show that pup-separation, which putatively increases maternal motivation, did significantly shorten clozapine-elongated pup approach latency, …

Evening Snacking In Relation To Self-Reported Declines In Sleep Quality During Pregnancy: Preliminary Results From The Decision-Making, Eating, And Weight Gain During Pregnancy (Dew) Study, Wendy Mccallum, Bradley M. Appelhans, Tiffany A. Moore Simas, Rui Sherry Xiao, Shums Alikhan, Isabelle C. Pierre-Louis, Barbara C. Olendzki, Sherry L. Pagoto, Molly E. Waring

Tiffany A. Moore Simas

Background: Poor sleep in non-pregnant adults has been associated with increased evening snacking, which may contribute to weight gain. Sleep disturbances are common during pregnancy.

Objective: To examine the association between changes in sleep quality from pre-pregnancy and evening snacking.

Methods: In an ongoing prospective cohort study, pregnant women were recruited from UMMHC obstetric practices and the community. Participants are 18+ years, with singleton gestation <36 >weeks, pre-pregnancy BMI 18.5-40 kg/m2, English-speaking, and with plans to deliver at UMMHC. Participants were asked “compared to the three months before you became pregnant, how is your sleep quality now?”; we combined responses of …

Aesthetically Significant: An Embodied Artistic Inquiry Exploring The Experience Of Aesthetics As An Emerging Dance/Movement Therapist, Hannah Bailey

Creative Arts Therapies Theses

The purpose of this study was to explore my aesthetic experience as an emerging dance/movement therapist, to understand the influence my aesthetic has in my clinical work and how my aesthetic preferences are shaping me as a novice clinician. An embodied artistic inquiry was used for this self-exploration and data were collected through semi-structured journals that included both words and art. Creative synthesis was utilized for data analysis. The data collection and analysis were co-occurring for eleven weeks. At the end of each week I explored what arose in the data through movement with a board-certified dance/movement therapist (BCDMT) consultant …

A Body-Based Program Development Project To Prevent Burnout Among Mental Healthcare Professionals, Amanda J. Abeling

Creative Arts Therapies Theses

Using the Delphi Method as a guide, a self-care program for staff members was developed out of one dance/movement therapy intern’s experiences at a suburban mental healthcare facility. Designed to increase one’s connection to self, personal observations were gathered, professionals in the field were consulted and the program was created and implemented. Themes of stress, fatigue, and burnout among the mental health care profession are discussed. Previous research on body awareness, dance/movement therapy theories, and self-care are also discussed in order to provide a framework with which to understand the development of the program. 72 pages.

Dance/Movement Therapy In-Service Model: A Collaborative Creation, Erin Arline Howe

Creative Arts Therapies Theses

The purpose of this thesis was to create a dance/movement therapy (DMT) in-service model for dance/movement therapists to effectively communicate and increase knowledge about DMT to colleagues on an interdisciplinary team. The Delphi Method was used to organize a panel of professional dance/movement therapists to collaborate and produce a cohesive in-service for other professional dance/movement therapists. Panel members offered their perspectives on the following research questions: What are effective ways to communicate the work of a dance/movement therapist to an interdisciplinary team? Which ways are ineffective in communicating the work of a dance/movement therapist to an interdisciplinary team? How do …

The Dance Of Here And Now: A Heuristic Journey Uncovering The Role Of Presence While Practicing Dance/Movement Therapy With An Elderly Population Experiencing Dementia, Kaitlynn Sinki

Creative Arts Therapies Theses

The goal of this heuristic research study was to further explore the concept of presence within the dance/movement therapist, and how presence could be accessed within the practice of dance/movement therapy. Specifically, how I the researcher, can efficiently utilize presence within myself as a vehicle for therapeutic change while working with an elderly population experiencing dementia. Guided by heuristic and intuitive inquiry methodologies, my personal experience of presence was observed and analyzed. Data collection took place over a three month period consisting of structured journaling, embodied movement responses, and spontaneous artmaking in relation to dance/movement therapy sessions. Findings suggested that …