Mental and Social Health Commons^™

Criteria Used In Assigning A Diagnosis Of Passive-Aggressive Personality Disorder, Laura J. Hunsucker

All-Inclusive List of Electronic Theses and Dissertations

Passive-aggressive personality disorder has a long history in the literature and has been present in all versions of the Diagnostic and Statistical Manual of Mental Disorders. However, there have been many different conceptualizations of the disorder over time, and there is not a clear consensus concerning what symptoms constitute the disorder. The purpose of this study was to examine the criteria that clinicians consider most representative of a prototypic patient with passive-aggressive personality disorder. This research also examined differences in symptom presentation of male versus female passive-aggressive individuals. Finally, this study examined symptom overlap with other personality disorders. A list …

Correlates Of The Mmpi-A Immaturity (Imm) Scale In An Adolescent Psychiatric Population, Eric Albert Imhof

Psychology Theses & Dissertations

Despite numerous theories of adolescent ego development, there is no objective measure of ego development or maturation targeted for the assessment of adolescents. The Immaturity (IMM) Scale developed for the Minnesota Multiphasic Personality Inventory - Adolescent (MMPI-A) was designed to fill this void in adolescent assessment. The present study examined the concurrent validity of the IMM Scale based on sixty-six adolescents (13-18 years old) in an inpatient setting using four prominent measures of maturity, i.e., The Defining Issues Test (DIT), the Washington University Sentence Completion Test (WUSCT), the Extended Objective Measure of Ego Identity Status - Second Revision (EOM-EIS-2), and …

Market Mechanisms And Consumer Involvement In The Delivery Of Mental Health Services: A Uk-Us Comparison, Wes Shera

The Journal of Sociology & Social Welfare

Both the United Kingdom and the United States Are in the midst of health care reform. By focusing on services for the severely mentally ill this paper compares recent developments in managed care in the U.S. and care management in the U.K. It particularly focuses on the use of market mechanisms and consumer involvement in these reforms.

Weighing Evidence In Sexual Abuse Evaluations: An Introduction To Bayes's Theorem, James Wood

Selected Works Temporary Series

This article introduces readers to Bayes' theorem, a simple mathematical formula that can illuminate general issues and assist evaluators in the field of child sexual abuse. The theorem is applied to a case study of sexual abuse allegations that arose during a custody dispute.

Weighing Evidence In Sexual Abuse Evaluations: An Introduction To Bayes's Theorem, James Wood

Departmental Papers (Psych)

This article introduces readers to Bayes' theorem, a simple mathematical formula that can illuminate general issues and assist evaluators in the field of child sexual abuse. The theorem is applied to a case study of sexual abuse allegations that arose during a custody dispute.

An Exploratory Study Of Heroin Addicts' Perceptions Of Methadone Treatment, Sandra Ellen Nehring

Theses Digitization Project

Methadone treatment continues to be the most widely used treatment modality for heroin addiction despite continued controversy. The efficacy of methadone treatment has been determined primarily by statistical research of program outcomes. This study explored heroin addicts' perceptions of methadone treatment.

A Pre-Test/Post-Test Analysis Of Value, Behavioral And Spritual Changes In Drug Treatment, Ralph Olav Jacobsson

Theses Digitization Project

No abstract provided.

Factors Affecting Hispanic Adolescent Substance Abuse, Patricia Joanne Williams

Theses Digitization Project

No abstract provided.

A Literature Of Change: Slave Narrative Rhetoric In Ralph Ellison's Invisible Man, Andrew Jack Loverde

Theses Digitization Project

No abstract provided.

Correlation Study Of Methamphetamine Abuse And Resultant Levels Of Child Neglect, Marjorie Nodelman-Niedringhaus

Theses Digitization Project

This positivist research project will attempt to show a correlation between levels of child neglect and proportionate levels of methamphetamine abuse. The term abuse will be used to refer to the chronic, compulsive use of methamphetamine in such a manner, that it will assume a central and negative role in the individual's life style and will result in impaired functioning and parenting.

A Study Of The Effects Of Lesbians' Sexual Orientation To The Disease Of Alcoholism, Teddie Valenzuela Chapin

Theses Digitization Project

No abstract provided.

How Do Children Tell: The Disclosure Process In Child Sexual Abuse, April Bradley, James Wood

Selected Works Temporary Series

Children's disclosure of sexual abuse has been described as a quasi-developmental process that includes stages of denial, reluctance, disclosure, recantation, and reaffirmation (Sorenson & Snow, 1991, Summit, 1983). It has been reported that nearly 75% of sexual abuse victims initially deny abuse and that nearly 25% eventually recant their allegations (Sorenson & Snow, 1991). The present study examined disclosures in 234 sexual abuse cases validated by Protective Services in El Paso, Texas. Denial of abuse occurred in 6% of cases, and recantation in 4% of cases in which a child had already disclosed abuse. Four of the eight victims who …

Male Sexual Abuse: A Retrospective Study, Gary Wayne Deaton

Theses Digitization Project

No abstract provided.

An Evaluation Of How Direct Practice Clinicians Define And Operationalize The Term Codependency, Gail Willhite

Theses Digitization Project

No abstract provided.

How Do Children Tell: The Disclosure Process In Child Sexual Abuse, April Bradley, James Wood

Departmental Papers (Psych)

Children's disclosure of sexual abuse has been described as a quasi-developmental process that includes stages of denial, reluctance, disclosure, recantation, and reaffirmation (Sorenson & Snow, 1991, Summit, 1983). It has been reported that nearly 75% of sexual abuse victims initially deny abuse and that nearly 25% eventually recant their allegations (Sorenson & Snow, 1991). The present study examined disclosures in 234 sexual abuse cases validated by Protective Services in El Paso, Texas. Denial of abuse occurred in 6% of cases, and recantation in 4% of cases in which a child had already disclosed abuse. Four of the eight victims who …

Community Participation In Health, Family Planning And Development Activities: A Review Of International Experiences, Abbas Bhuiya, Fatima Yasmin, Farida Begum, Ubaidur Rob

Reproductive Health

The family planning (FP)/maternal and child health (MCH) program in Bangladesh has achieved success in the recent past, mostly through a large-scale government service-delivery system with support and cooperation from donors and nongovernmental organizations. There is concern about the financial and social sustainability of the program. Other issues include achievement of replacement-level fertility within a stipulated period and improvement of MCH-FP service quality. It is widely believed that most of the concerns will be taken care of with effective community participation. Before activating community initiatives, it is worth carrying out action research. A literature review was completed from July to …

Contributing Factors In Medication Nonadherence In Schizophrenic Clients: A Descriptive Study, Sharron E. Howarth

Masters Theses

Medication nonadherence in schizophrenic clients is a major issue for psychiatric nurses. The purpose of this descriptive study was to explore factors identified by the schizophrenic client and the client's primary nurse that contribute to medication nonadherence. The Health Belief Model and Peplau's Model were the theoretical frameworks used. The sample included 20 schizophrenic clients with a history of medication nonadherence and 20 primary psychiatric registered nurses.; Face-to-face interviews using the Compliance Interview Questionnaire were conducted with the psychiatric client and the primary nurse. Results indicated a difference between nurses' and clients' perceptions of the reasons for medication nonadherence. Most …

The Kinetic Family Drawing As A Measure Of Minuchin's Structural Family Concepts Among Hispanic American Families With Substance-Abusing And Nonsubstance-Abusing Adolescents, José Osorio-Braña

Dissertations

Problem. There is a need for validation of new cultural-sensitive tests for assessing the Hispanic population in the United States that will take into account their cultural competence in the psychological evaluation practice. The purpose of this study was to explore the suitability of the Kinetic Family Drawings as a measure of Minuchin's Structural Family Theory among Hispanic American families with substance-abusing and nonsubstance-abusing adolescents.

Method. The Kinetic Family Drawing (KFD), the Structural Family Interaction Scale-Revised (SFIS-R), and the Family Adaptability and Cohesion Scales (FACES II) were administered to 141 families, 74 with an adolescent with substance-abusing problems and 67 …

Multicultural Clients: A Professional Handbook For Health Care Providers And Social Workers. Sybil M. Lassiter.

The Journal of Sociology & Social Welfare

Sybil M. Lassiter, Multicultural Clients: A Professional Handbook for Health Care Providers and Social Workers. Westport, CT: Greenwood Press, 1995. $65.00 hardcover.

Views Of Feminist Family Therapy: A Q-Methodological Inquiry, Bronwen Cheek

Psychology Theses & Dissertations

The feminist critique of family therapy has had a growing impact on theory and practice for almost two decades (Hare-Mustin, 1978; Bograd, 1990). Writings on feminist family therapy (FFT) reveal both common and diverse opinions about what FFT is. The present study examined how views of FFT are segmented using Q-methodology (Stephenson, 1953; Brown, 1980; McKeown & Thomas, 1988), a small-sample empirical technique for identifying emergent viewpoints and studying their similarities and differences. A Q-sort instrument of 60 statements was constructed to sample diverse discourse on FFT. Magraw's (1992) interviews with leading experts in FFT served as a primary source …

Mmpi And Rorschach Findings Of Individuals Approved For Gender Reassignment Surgery, Gregory Ralph Caron

Psychology Theses & Dissertations

Both clinical experience and empirical data from psychological tests present a picture of extreme clinical variation among those individuals who request gender reassignment surgery. Results of past empirical studies utilizing the MMPI and the Rorschach Test have tended to be equivocal regarding the level and nature of psychopathology associated with samples of gender dysphorics. These past studies are considered limited particularly in terms of methodological problems related to statistical power. This present study examined the nature and degree of psychopathology in a sample of candidates approved for gender reassignment surgery as reflected on their MMPI-2 clinical scale values and scores …

Research To Practice: Consumer And Family Perspectives On The Meaning Of Work, Sheila Fesko

Research to Practice Series, Institute for Community Inclusion

Findings from a study that obtained the perspectives of people with significant disabilities and their family members about their employment experiences, outcomes, and expectations.

Collection And Utilization Of Child Abuse Statistics In American Indian Communities, Michelle Chino

School of Public Health Faculty Research

Public health research in American Indian communities involves many complex issues that may both help and hinder the development of an effective research methodology and the collection, analysis, and utilization of data. These issues include: 1) the unique strengths and diversity of Indian cultures; 2) the complicated relationships that exist between federal, state, and tribal agencies; 3) the vast distances between communities and services that exist in rural areas; 4) extremely limited human and financial resources; 5) overlapping and often conflicting legal and jurisdictional authorities; and 6) an array of social issues including poverty, substance abuse, modernization, and assimilation. Defining …

The Association Between Perceived Family Support And Psychological Well-Being In Infertile Couples, Linda Marquardt Mintle

Health Services Research Dissertations

A correlational research design utilizing a cross-sectional survey methodology was used to investigate the association between perceived family support and psychological well-being in infertile couples. Family stress theory and the construct of boundary ambiguity were conceptual frameworks applied to the developmental family life cycle. Respondents were 35 married infertile couples with primary infertility recruited from a private For-profit infertility clinic located in Virginia Beach, Virginia. Responses on the Moos and Moos (1984) Family Environment Scale and from the SCL-90-R developed by Derogatis (1977) measured perceived family support and psychological distress respectively. Major findings indicated that infertile couples rated their families …

Ethnic Minorities And Mental Health: Ethical Concerns In Counseling Immigrants And Culturally-Diverse Groups, Gemima M. Remy

Trotter Review

Between 1980 and 1990 nearly 9 million foreign-born individuals migrated to the United States. In 1993, the Immigration and Naturalization Service recorded the entry of over 900,000 immigrants and refugees. This figure is believed to be higher given the estimated 1.5 to 2.5 million people who enter this country illegally each year. Currently, ethnic minority groups make up one-fourth of the United States population. It is estimated that by the year 2000, one-third of the U.S. population will be comprised of ethnic minorities. As the population of the United States becomes increasingly diverse, considerable attention is being directed to a …

Improving Health Care For Disadvantaged Local Communities: Proposing User Fees Based On Some International Experiences, Saskia Wilhelms

Trotter Review

The fact that national health care reform in the United States has been stalled is not reason for resign. More than ever, one has to design and implement creative options to achieve satisfactory health service at low costs. The political turnover in Congress shifts more responsibility to local governments. This means less funding and less willingness by the national government to be held accountable for health and social services. On the other hand, this situation may carry opportunity to impact social policies on a local level.

The living conditions in some of our communities equal those in so-called third world …

Disparities In The Health Care Status Of Women: Implications For Research, Marcia I. Wells-Lawson

Trotter Review

Even a cursory review of data on the health status of women reveals striking differences by race. According to data from the National Center for Health Statistics, death rates among Black women from the three leading causes of death (cardiac disease, cancer and cerebrovascular disease) exceed those of white, Asian, Native American and Latina women for each age category from 45-84. With the exception of Black women, the death rates among white women from these diseases exceed those of other ethnic groups of women. Data on two of the risk factors for cardiac and cerebrovascular diseases (hypertension and obesity), show …

The Multicultural Mental Health Research Center (Mmhrc), Castellano Turner

Trotter Review

African Americans, Asian Americans, Hispanic/Latino Americans, and Native Americans have had relatively less access to the resources of society compared to white Americans. These resources include such things as educational and employment opportunities, political and economic power, and the goods and services that a prosperous society can produce. Health care is an important resource to which access is not equal for all groups. African Americans and other ethnic minority groups are, by most indices of health care access and utilization, underserved. Mental health services, in particular, have been shown to be less available to ethnic minority populations. Jones and Korchin, …

Feminization Of The Aids Epidemic, Mark S. Kaplan

The Journal of Sociology & Social Welfare

Although males still constitute a substantial number of persons with AIDS, it is becoming clear that this is a disease affecting women and minority populations more adversely. Today women, while representing approximately 16 percent of all AIDS cases nationwide that are reported to the Centers for Disease Control, make up the fastest-growing segment of the population with AIDS. This article contends that AIDS is increasingly afflicting women who have little economic, political, or social power. Furthermore, misdirected public policy has been partly responsible for the greater incidence of the disease in certain regions and populations.

Examination Of The Predictive Validity Of Risk Assessment Screening, Patricia Mary Morressy

Loma Linda University Electronic Theses, Dissertations & Projects

Child Protective Services ( CPS) have been under growing pressure to implement risk assessment systems over the past ten years (Dueck, H. J., English, D.J., Depanfilis, and Moote, G.T. (1993). This emphasis has come largely from the increasing number of reported allegations of child abuse and neglect (Doueck, et. al.) However, increasingly individuals involved in custody battles use the CPS reporting system to retaliate against one another. Because these reported cases require the action of CPS, the increase in allegations has overburdened the system. As a result, resources have diminished and challenges to screeners to make accurate risk assessments have …