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Articles 121 - 150 of 178
Full-Text Articles in Mental and Social Health
Young Adults In Transition: Factors That Support And Hinder Growth And Change, Mona Treadway
Young Adults In Transition: Factors That Support And Hinder Growth And Change, Mona Treadway
Antioch University Dissertations & Theses
Young adults between 18 and 24 years of age with mental illness are significantly less likely to receive mental health services than adults in older age groups.Nationally, higher rates of depression, substance abuse, and psychiatric issues are reported in this age group.A therapeutic model referred to as young adult transition programs has emerged to better address the unique developmental challenges found in this age group.This study examined 317 critical incidents that supported or hindered young adults in a therapeutic transition program.The research design used a combination of an instrumental case study and critical incident technique (CIT).Using interviews and the Outcome …
The Effects Of Gender And Perception Of Community Safety On Happiness, Jennifer K. Daffon
The Effects Of Gender And Perception Of Community Safety On Happiness, Jennifer K. Daffon
Antioch University Dissertations & Theses
Income-based indicators of happiness have been shown to be limited in their ability to predict happiness. Alternative measures of happiness have been gaining prominence in happiness research, and two predictors of happiness were investigated in the current study. The extent to which happiness (measured by affect, life satisfaction, and psychological well-being) could be predicted by gender and perception of community safety was investigated with 19,644 participant responses to The Happiness Alliance Survey. Multiple linear regression models indicated that gender and community safety are significant predictors of affect, life satisfaction, and psychological well-being. The effect of the predictor variables was similar …
Attune With Baby: An Innovative Attunement Program For Parents And Families With Integrated Evaluation, Sara Beth Lohre
Attune With Baby: An Innovative Attunement Program For Parents And Families With Integrated Evaluation, Sara Beth Lohre
Antioch University Dissertations & Theses
Infants speak in their own language; sounds, screeches, cries, and howls that help them to communicate their caregiving needs. Unaware, parents may develop a checklist of caregiving approaches to the baby. The infant tells the adult directly what they need, and waits for the parent to respond. Infant talk may change from soft and quiet to loud and aggressive; coos and cries become crying and screams as the infant’s caregiver—communicating the intensity of emotion, urgency of their request, or their frustration with varied and sometimes inadequate, failed, or missing caregiving patterns the infant has no choice but to accept. When …
The Experience Of Qigong Among Women Cancer Survivors, Jennifer Sveund
The Experience Of Qigong Among Women Cancer Survivors, Jennifer Sveund
Antioch University Dissertations & Theses
Research has shown that qigong can be beneficial for a variety of health related conditions; However, evidence suggests that in the United States, a lack of well designed clinical trials limits the efficacy of qigong in the context of cancer treatment. Research has indicated that careful consideration should be given to the design of randomized control trials using qigong due to the conflicting philosophical methodologies. In the United States, qigong has been under investigated, particularly lacking are qualitative inquiries into qigong use and cancer survivorship. This study is an interpretative phenomenological inquiry that sought to understand women’s experience of qigong …
How Eye Movement Desensitization And Reprocessing (Emdr) Trained Therapists Stabilize Clients Prior To Reprocessing With Emdr Therapy, Edward H. Brendler
How Eye Movement Desensitization And Reprocessing (Emdr) Trained Therapists Stabilize Clients Prior To Reprocessing With Emdr Therapy, Edward H. Brendler
Antioch University Dissertations & Theses
Helping clients develop resources and stability required to tolerate reprocessing memories can be a considerable part of psychotherapy, particularly with clients who are suffering symptoms related to complex developmental trauma or cumulative multiple-event trauma. There is a paucity of research regarding how experienced EMDR Therapy practitioners experience helping their clients to develop resources required to tolerate reprocessing of trauma memories. This dissertation is an in-depth study of five participants, each a licensed mental health practitioner in the State of Washington, who are trained in EMDR and experienced working with clients who are suffering symptoms of trauma. Each participant was interviewed …
Lived Experience Of Military Mental Health Clinicians: Provided Care To Oif And Oef Active Duty Service Members Experiencing War Stress Injury, David W. Vandegrift
Lived Experience Of Military Mental Health Clinicians: Provided Care To Oif And Oef Active Duty Service Members Experiencing War Stress Injury, David W. Vandegrift
Antioch University Dissertations & Theses
Military mental health clinicians (MMHCs) have been essential to Operations Enduring Freedom and Iraqi Freedom. They served in extreme stress conditions, including on the front lines. As co-combatant/clinician, the MMHC bridged unique perspectives on the effects of war stress experienced by Active-Duty Service Members (ADSMs). To date, no study has focuses uniquely on MMHCs narratives as they provided care from this multiple perspective. This investigation was carried out from a phenomenological perspective. A single, open-ended question was asked of seven MMHCs about lived experiences while serving, resulting in in-depth interviews. These were textually coded. Though clinician positive and negative experiences …
Medication Assisted Treatment And The Three Legged Stool: Medical Providers, Chemical Dependency Professionals, And Clients, Steven Matt Magrath
Medication Assisted Treatment And The Three Legged Stool: Medical Providers, Chemical Dependency Professionals, And Clients, Steven Matt Magrath
Antioch University Dissertations & Theses
Opioid dependence has reached epidemic levels in the United States and around the world. With the increased prescribing of opioid pharmaceuticals and the influx of inexpensive heroin, the health care cost to society has topped $72.5 billion annually (Murphy et al., 2016). Opioid overdose deaths have now surpassed motor vehicle deaths and have tripled since 1990. In some age groups opioid overdose is the leading cause of death. This study seeks to analyze the only field that directly treats this primary brain disease: medication assisted treatment for opioid dependence. The three primary participants in this partnership include: (a) doctors and …
Experiencing The Death Of A Formerly Abusive Parent, Heather Spence
Experiencing The Death Of A Formerly Abusive Parent, Heather Spence
Antioch University Dissertations & Theses
It is well documented that approximately 25–33% of children experience abuse, many of those at the hands of a primary caretaker. Within the literature on child maltreatment, there exists a paucity of research about the long-term effects of early maltreatment on adult attachments with the previous abuser, including the experiences of adults who experience the death of their previous caretakers. Additionally, most of the research on grief and bereavement assumes positive affect for the deceased by survivors. This dissertation is an in-depth examination of five adults, aged 50–70 years old, who experienced the recent death of a parent or stepparent …
Demographic Characteristics And Trauma Symptomology In Juvenile Justice Residents At Echo Glen Children's Center, Britta L. Bergan
Demographic Characteristics And Trauma Symptomology In Juvenile Justice Residents At Echo Glen Children's Center, Britta L. Bergan
Antioch University Dissertations & Theses
Exposure to traumatic and stressful events has become increasingly commonplace and the impact of such experiences has been well documented. Trauma events in childhood have been associated with a number of factors, including maladaptive emotional and behavioral responses, increased vulnerability for exposure to additional traumatic events, and adverse experiences later in life. Juvenile justice youth have been found to have higher rates of trauma exposure, when compared to community samples of same-aged peers. The population of youth residing at Echo Glen Children’s Center, in Snoqualmie, Washington, exhibit unique characteristics for a juvenile justice population, including age (the youngest juvenile offenders …
Can The Complex Care And Intervention (Cci) Program Be Culturally Adapted As A Model For Use With Aboriginal Families Affected By Complex (Intergenerational) Trauma?, Chipo Mcnichols
Antioch University Dissertations & Theses
Despite living in a country with a world renowned healthcare system, Canadian Aboriginal children, youth and their families, consistently have poorer access to healthcare as well as higher mortality and morbidity rates, in comparison to non-Aboriginal Canadians (Tang & Browne, 2008). Among factors including their history of residential school and intergenerational trauma, the lack of a culturally specific treatment intervention for complex trauma, is identified as a key factor in maintaining this health disparity. This study used participatory action research within an identified Aboriginal community, to develop a culturally adapted complex trauma intervention model. This was based on an existing …
The Happy Boomer: Baby Boomer Life Satisfaction Through Affect And Feeling Of Belonging, Brooke Christina-Marie Massey
The Happy Boomer: Baby Boomer Life Satisfaction Through Affect And Feeling Of Belonging, Brooke Christina-Marie Massey
Antioch University Dissertations & Theses
The age cohort of 65 years and older is a growing population. It is part of the group referred to as Baby Boomers, the generation born between the years 1946-1964. It will be the largest population to reach late adulthood to date. In the United States alone, the Baby Boomer cohort is expected to reach 70 million by 2030. In response to this growing elderly population much research has been conducted on Baby Boomer quality of life issues. Such research uncovered the phenomenon known as the well-being paradox. The well-being paradox refers to the findings that older adults' life satisfaction …
Supporting Student Veterans Utilizing Participatory Curriculum Development, Bryce A. Doehne
Supporting Student Veterans Utilizing Participatory Curriculum Development, Bryce A. Doehne
Antioch University Dissertations & Theses
An organizational level program utilizing Participatory Curriculum Development (PCD) (Taylor, 2003) is presented to assist postsecondary institutions with development, implementation, and evaluation of programs to support student veterans. Postsecondary institutions are provided with a “how to” program manual that includes literature-based core and supplemental programs, trauma-informed theory, and a methodological framework to implement programs. Practical program evaluation measures are offered to assist postsecondary institutions with evaluating the outcomes of their efforts to support student veterans. The electronic version of this dissertation is at AURA: Antioch University Repository and Archive, http://aura.antioch.edu/ and OhioLink ETD Center, https://etd.ohiolink.edu
Black And White Multiracial Adult Womens' Experience Of Their Physical Appearance: A Qualitative Descriptive Phenomenological Analysis, Vanessa Geissler
Black And White Multiracial Adult Womens' Experience Of Their Physical Appearance: A Qualitative Descriptive Phenomenological Analysis, Vanessa Geissler
Antioch University Dissertations & Theses
According to the 2010 United States Census 1.8 million people self-identified as multiracial Black, and of that 1.8 million, 45% self-identified as Black and White. Multiracial individuals are a growing population in the United States, and by year 2050 an estimated 21% of the entire population will be multiracial. Irrespective of these statistics, research among this population is limited. Further research is warranted because existing literature has identified an increased emphasis on multiracial individual’s physical appearance. Questions such as, “What are you?” or labels such as exotic, beautiful, fascinating, or other, are a few examples of how this population is …
The Efficacy Of Psychosocial Services In Comprehensive Cancer Care: A Program Evaluation, Nicola B. Mucci
The Efficacy Of Psychosocial Services In Comprehensive Cancer Care: A Program Evaluation, Nicola B. Mucci
Antioch University Dissertations & Theses
On average, regardless of other factors, persons affected by cancer will experience some level of distress associated with the disease and its sequelae. Left untreated, psychosocial problems can, and often do, adversely affect a person's health and healthcare treatment. As a result, national initiatives have been implemented to recognize and treat psychosocial stressors to optimize a person's functioning and facilitate successful movement through the medical system. A program evaluation was conducted to examine how Providence Regional Cancer Partnership has addressed the psychosocial needs of its patient population. Specifically, the psychosocial services department, Patient Support Services, was evaluated to understand how …
The Moderating Effect Of Resilience Factors On Bully Victimization And Subsequent Psychological Adjustment Problems Among Adolescent Girls, Alexandra Hayley Quinn
The Moderating Effect Of Resilience Factors On Bully Victimization And Subsequent Psychological Adjustment Problems Among Adolescent Girls, Alexandra Hayley Quinn
Antioch University Dissertations & Theses
Bully victimization is linked to poor psychological adjustment, low self-esteem, and social withdrawal in children and teens. However, little research to date has examined the unique experiences of adolescent girls, the specific contributions of various subtypes of bullying, and the utilization of comprehensive instruments to examine the constructs of psychological adjustment and bully victimization. Further, researchers studying these issues have called for more studies to examine buffering factors that may protect teen girls from the psychological insults associated with peer victimization. This study advances research in the field by utilizing standardized self-report measures to examine the relationship between bully victimization …
A Model For A Haitian Comprehensive Community Mental Health Center: An Accounting, Corey Gifford
A Model For A Haitian Comprehensive Community Mental Health Center: An Accounting, Corey Gifford
Antioch University Dissertations & Theses
Haiti is the poorest country in the Western hemisphere. Mental health resources are minimal and in need of further development. The goal of this dissertation project was to develop a model for a comprehensive outpatient Community Mental Health Center (CMHC) in Port-au-Prince, Haiti. It was both critical and essential that the development of a CMHC be considered within the sociopolitical and economic context of Haiti. As such, this project first examined relevant information regarding Haitian geography, poverty, government, and culture. Within this context, the impact of the 2010 earthquake was considered. This context was then used to consider relevant literature, …
A Narrative Study Of Emotions Associated With Negative Childhood Experiences Reported In The Adult Attachment Interview, Lynne Hartman
A Narrative Study Of Emotions Associated With Negative Childhood Experiences Reported In The Adult Attachment Interview, Lynne Hartman
Antioch University Dissertations & Theses
Attachment patterns, which tend to be stable over time, are passed from one generation to the next. Secure attachment has been linked to adaptive social functioning and has been identified as a protective factor against mental illness. The parents’ state of mind with regard to attachment—as measured with the Adult Attachment Interview (AAI) (Main, Goldwyn, & Hesse, 2002)—predicts the attachment classification for the infant in Ainsworth’s Strange Situation Procedure (Ainsworth, Blehar, Waters, & Wall, 1978). Earned-secure individuals have overcome negative childhood experiences to achieve a secure state of mind in adulthood. Earned security, like continuous security, strongly predicts infant security …
The Utilization Of Evidence-Based Treatments In Trauma Treatment Of Active Military Personnel And Their Families, Matt Brickell
The Utilization Of Evidence-Based Treatments In Trauma Treatment Of Active Military Personnel And Their Families, Matt Brickell
Antioch University Dissertations & Theses
This study reviewed the literature regarding the effectiveness of evidence-based treatments in addressing traumatic stress injuries such as post-traumatic stress disorder in active military personnel and their families. Top tier treatments recommended by the Department of Defense and Department of Veteran Affairs Clinical Practice Guidelines for the treatment of traumatic stress disorders are discussed, and the literature is critically examined with a focus on exploring the reported evidence of effectiveness. In addition, this study contributed unpublished archival clinical outcome data from evidence-based treatment of active military personnel and their families in real-world clinical settings. The effectiveness of an evidence-based treatment …
Loneliness And Perceived Stigmatization Among Older Adults Enrolled In Opiate Substitution Treatment Programs And The Utilization Of Mental Health Services, Jennifer B. Armstrong
Loneliness And Perceived Stigmatization Among Older Adults Enrolled In Opiate Substitution Treatment Programs And The Utilization Of Mental Health Services, Jennifer B. Armstrong
Antioch University Dissertations & Theses
Little research has examined the role that loneliness and perceived stigmatization play in the decision to seek mental health services among older adults enrolled in opiate substitution treatment. Researchers studying this at-risk population have called for more studies to examine services that can be implemented within current opiate substitution treatment settings. This study advances research in the field by utilizing standardized self-report measures to examine the relationship between loneliness, perceived stigmatization, and the impact of said variables on the utilization of available mental health services among older adults enrolled in opiate substitution treatment programs. Ninety-four 50-71-year-old adults from an opiate …
Therapeutic Horseback Riding With Military Veterans: Perspectives Of Riders, Instructors, And Volunteers, Leslie Lafleur
Therapeutic Horseback Riding With Military Veterans: Perspectives Of Riders, Instructors, And Volunteers, Leslie Lafleur
Antioch University Dissertations & Theses
Statistics reveal that over 353,000 military members have been diagnosed with PTSD and/or TBI resulting from war-related activities. With the rising number of war stress injuries, there have not been enough psychotherapeutic services to meet the current demand for the care of returning veterans from Iraq and Afghanistan. Although some intervention strategies have been deemed successful, the current standards of care (e.g., exposure therapy, cognitive therapy) are limited by training inadequacies, accessibility, and outcomes (e.g., retention, early drop out, resistance, non-responsiveness). Furthermore, it is unclear whether these treatments are efficacious in addressing the unique symptom presentations of this population. The …
The Personal And The Professional: Buddhist Practice And Systemic Therapists, Joanne R. Grassia
The Personal And The Professional: Buddhist Practice And Systemic Therapists, Joanne R. Grassia
Antioch University Dissertations & Theses
This dissertation consists of two articles. The first article presents a literature review of research on therapists’ personal and professional lives as practitioners of Buddhist meditation and psychotherapy in the past ten years. Nineteen articles were reviewed that met the inclusion criteria of a) between 2004 and 2014; b) exploring meditation; and c) studies related to therapist personal or professional lives. The results of the review identified four broad themes: a) presence and acceptance; b) empathy; c) countertransference; and d) self-care/compassion and gratitude. The content analysis indicated a positive association between therapist meditation practice and therapist qualities, both for personal …
Creating Space For An Indigenous Approach To Digital Storytelling: "Living Breath" Of Survivance Within An Anishinaabe Community In Northern Michigan, Brenda K. Manuelito
Creating Space For An Indigenous Approach To Digital Storytelling: "Living Breath" Of Survivance Within An Anishinaabe Community In Northern Michigan, Brenda K. Manuelito
Antioch University Dissertations & Theses
As Indigenous peoples, we have a responsibility to our global community to share our collective truths and experiences, but we also deserve the respect to not be objectified, essentialized, and reified. Today, we are in a period of continual Native resurgence as many of us (re)member our prayers, songs, languages, histories, teachings, everyday stories and our deepest wisdom and understanding as Indigenous peoples--we are all “living breath” and we are “all related.” For eight years, Carmella Rodriguez and I have been nDigiStorytelling across the United States and have co-created over 1,200 digital stories with over 80 tribes for Native survivance, …
A Phenomenological Study: Marriage And Family Therapists' And Clinician's Perceptions Of How Secondary Traumatic Stress Affects Them And Their Families, Norja Elizabeth Cunningham
A Phenomenological Study: Marriage And Family Therapists' And Clinician's Perceptions Of How Secondary Traumatic Stress Affects Them And Their Families, Norja Elizabeth Cunningham
Antioch University Dissertations & Theses
Multiple facets of clinicians' lives are influenced by compassion fatigue including physiological well-being, the perspective of clinicians in relation to the world, and psychological and emotional reactions to trauma triggers (Figley, 1998). Work stress research considers the systemic effects of stress on workers' relationships. Research also shows that romantic relationships are negatively influenced by work stress (Sanz-Vergel, Rodriguez, Bakker & Demerouti, 2012). This phenomenological study investigated the lived experience of three clinicians and how compassion fatigue was experienced in their relationships with their partners and children. Clinicians completed the Professional Quality of Life assessment and those with a score of …
Factors That Promote And Inhibit Client Disclosure Of Suicidal Ideation, Robert William Orf
Factors That Promote And Inhibit Client Disclosure Of Suicidal Ideation, Robert William Orf
Antioch University Dissertations & Theses
Approximately 36,000 people commit suicide in the U.S. each year, making it the fourth leading cause of death for adults between 18 and 65-years-old. Clients participating in psychotherapeutic treatment are at elevated risk for suicide, due to the emotional distress that drives their entry into psychotherapy. Therapists cannot know the full extent of their clients’ risk for suicide if clients do not fully confide their thoughts and intentions. The current study sought to discover factors that inhibit and promote client disclosure of these thoughts and behaviors. The study utilized the Suicidal Ideation in Psychotherapy Questionnaire (SIPQ), a questionnaire developed for …
The Relationships Between Attachment Style And Boundary Thickness, Dore Lavering
The Relationships Between Attachment Style And Boundary Thickness, Dore Lavering
Antioch University Dissertations & Theses
Despite the multitudes of research on attachment and many different aspects of relational structures, only one study to date has researched the relationship of adult attachment to boundary thickness. The possible benefits to understanding this relationship would provide therapists and clients a better conceptualization of individual's internal working model of attachment. This study investigated the relationship between the Hartmann Boundary Questionnaire (HBQ), a measure of boundary thickness, and an adult romantic attachment measure, the Experiences in Close Relationships Inventory-Revised (ECR-R) two dimensions of attachment. This study theorized that attachment anxiety would be related to thinner boundaries and conversely attachment avoidance …
Psychotherapy And The Embodiment Of The Neuronal Identity: A Hermeneutic Study Of Louis Cozolino's (2010) The Neuroscience Of Psychotherapy: Healing The Social Brain , Ari Simon Natinsky
Psychotherapy And The Embodiment Of The Neuronal Identity: A Hermeneutic Study Of Louis Cozolino's (2010) The Neuroscience Of Psychotherapy: Healing The Social Brain , Ari Simon Natinsky
Antioch University Dissertations & Theses
In recent years, there have been several ways in which researchers have attempted to integrate psychotherapy and neuroscience research. Neuroscience has been proposed as a method of addressing lingering questions about how best to integrate psychotherapy theories and explain their efficacy. For example, some psychotherapy outcome studies have included neuroimaging of participants in order to propose neurobiological bases of effective psychological interventions (e.g., Paquette et al., 2003). Other theorists have used cognitive neuroscience research to suggest neurobiological correlates of various psychotherapy theories and concepts (e.g., Schore, 2012). These efforts seem to embody broader historical trends, including the hope that neuroscience …
Supporting Families With Congenital Adrenal Hyperplasia: Encouraging Whole Family Health, Kathryn A. Kraft
Supporting Families With Congenital Adrenal Hyperplasia: Encouraging Whole Family Health, Kathryn A. Kraft
Antioch University Dissertations & Theses
In this dissertation, I discuss the medical and psychological needs of families with children with Congenital Adrenal Hyperplasia (CAH). Due to these needs, I have designed and described a program of social support and psychoeducation to be offered to parents and families. Specifically, I discuss the difficulty that parents have when finding out that their child has CAH, the emotional toll this takes on a parent, on their relationship, and on their family. Using a Family Systems Illness Model, I designed a program that takes into account family functioning, organization, structure, and communication when determining what would be most helpful …
Seasoned Psychotherapists' Experience Of Difficult Clinical Moments, Kirk J. Honda
Seasoned Psychotherapists' Experience Of Difficult Clinical Moments, Kirk J. Honda
Antioch University Dissertations & Theses
Purpose: This phenomenological study was concerned with the clarification of the experience of the difficult clinical moment which is defined as a discrete moment in which the psychotherapist experiences distress as a result of his or her work with a client. Method: Retrospective descriptions of experience of difficult clinical moments were obtained from a diverse sample of ten seasoned psychotherapists in the Seattle area. The interviews were transcribed, analyzed, and summarized, and these summaries were confirmed by each participant as being an accurate representation of their experience. Results: Thematic analysis revealed six themes of experience during a difficult clinical moment: …
Coping Responses And Mental Health Symptoms In Incarcerated Juvenile Males, Jennifer Renae Newhard
Coping Responses And Mental Health Symptoms In Incarcerated Juvenile Males, Jennifer Renae Newhard
Antioch University Dissertations & Theses
Coping responses develop throughout the lifespan of an individual. Unfortunately for some, difficult life circumstances may lead to the use of maladaptive forms of coping. This study investigated coping responses amongst male incarcerated juvenile offenders and examined which specific mental health symptoms may occur with specific coping responses. The goal of this study was to determine whether male incarcerated juvenile offenders utilize avoidant coping responses over approach coping responses. Also, this study investigated whether specific mental health symptoms, such as depression, anxiety, anger, and disruptive behaviors, were more prevalent amongst those who utilize avoidant coping responses. De-identified, archival data for …
Factors In Optimal Collaboration Between Psychologists And Primary Healthcare Physicians, Margaret A. Drewlo
Factors In Optimal Collaboration Between Psychologists And Primary Healthcare Physicians, Margaret A. Drewlo
Antioch University Dissertations & Theses
This survey study explored factors in optimal collaboration between registered psychologists and primary healthcare physicians (PHCP). With rising costs of healthcare, healthcare funding cuts, and changes in the way healthcare delivery is perceived, interprofessional collaboration is timely to explore. In particular, the attitudes of registered psychologists about salient factors noted in the collaboration literature, such as education and training, accessibility, and communication factors are important to the practice of psychology. As part of the exploratory nature of the study, questions about gender and hierarchy were also presented. While most data were quantitative, qualitative data were gathered on 6 of the …