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Articles 61 - 90 of 178
Full-Text Articles in Mental and Social Health
From Intersubjectivity To Activism: A Case For Engaged Psychoanalytic And Psychodynamic Psychology, Abigail Bliss
From Intersubjectivity To Activism: A Case For Engaged Psychoanalytic And Psychodynamic Psychology, Abigail Bliss
Antioch University Dissertations & Theses
This dissertation consists of a book proposal, including a completed introduction and first chapter, in addition to detailed chapter outlines summarizing the content for the actual book. After framing this project and exploring its inspiration, which includes Freud and his free clinics (Danto, 2005), the first chapter begins with explorations of multiple theories of intersubjectivity and the analytic third, considering how contemporary sociopolitical factors might affect the intersubjective experience. To this end, I demonstrate how race, politics, the COVID-19 pandemic, and the incorporation of telehealth practices affect the intersubjective experience in psychoanalytic/psychodynamic (PA/PD) psychotherapy. I then research and review PA/PD …
Nonsuicidal Self-Injury And Real-Life Self-Disclosure Among Internet Users, Matthew Tanner
Nonsuicidal Self-Injury And Real-Life Self-Disclosure Among Internet Users, Matthew Tanner
Antioch University Dissertations & Theses
The purpose of this study was to explore several unknown issues regarding disclosure of nonsuicidal self-injury (NSSI) among users of social media. NSSI is a category of behaviors that cause intentional harm to the body without the intent to commit suicide. However, individuals who self-injure may unintentionally risk serious and even life-threatening harm. Moreover, the stigma and resultant shame associated with NSSI discourage reporting and thus complicate research into the behavior. This study examined the factors involved in individuals’ decisions to disclose NSSI. The current study uses primarily descriptive statistics from an internet-based survey to explore the following questions: (a) …
An Experiential Qualitative Analysis Exploring The Sexual Identity Experiences Of Latino Caribbean Cisgender Gay Men, Starlin Astacio
An Experiential Qualitative Analysis Exploring The Sexual Identity Experiences Of Latino Caribbean Cisgender Gay Men, Starlin Astacio
Antioch University Dissertations & Theses
This qualitative study aims to explore the unique experiences and challenges faced by Latino Caribbean cisgender gay men within their cultural and social contexts. Using focus group and thematic analysis, the researcher examines the narratives and perspectives of a diverse sample of Latino Caribbean cisgender gay men (n = 6) to gain insights into their sexual identity process, cultural influences, family dynamics, and support systems utilizing Interpretative Phenomenological Analysis (IPA) as the methodological framework. The researcher’s findings highlight the themes of Awareness of Sexual Identity, Visibility Management, Spanish Caribbean Families' Influences, Being True to Oneself, and Positive Experiences & Role …
A Mental Health Professional Opinion On Family Involvement During The Treatment Of Severe Mental Illness: A Multiple Case Study, Vanessa Perocier
A Mental Health Professional Opinion On Family Involvement During The Treatment Of Severe Mental Illness: A Multiple Case Study, Vanessa Perocier
Antioch University Dissertations & Theses
While severe mental illness (SMI) is extensively studied, less attention focuses on the relationship between people with SMI and their families and the impact this may have on treatment. Bronfenbrenner's (1979) ecological systems theory conceptualized the treatment and recovery of people with SMI and their families. This study proposes that if family members getting social support contribute to a person's treatment plan, the individual's treatment outcome will improve rather than the individual enduring the treatment process individually. By applying ecological systems theory, mental health professionals and policymakers can better grasp the systemic nature of individuals, their family members, and surrounding …
"I Wonder...?" The Presence And Implications Of Curiosity As A Foundational Ingredient Across Couple And Family Therapy Models, Brian Hannigan
"I Wonder...?" The Presence And Implications Of Curiosity As A Foundational Ingredient Across Couple And Family Therapy Models, Brian Hannigan
Antioch University Dissertations & Theses
Theoretical and anecdotal accounts highlight the power of curiosity within the therapeutic process of particular models of therapy, with specific influences noted in regard to forming, maintaining, and evolving intra- and interpersonal relationships. The mention of curiosity in the therapeutic process is not surprising given its profound and evidence-based influence on the promotion of relationships and influence on social-emotional health and well-being. What is surprising however, is the lack of comprehensive review and exploration into how exactly curiosity is being conceptually used within and across therapeutic models. Additionally, such a review is missing in terms of whether curiosity is model …
Work-Family Spillover, Family Functioning, And Life Satisfaction Of Pastors, Marcos Rosa
Work-Family Spillover, Family Functioning, And Life Satisfaction Of Pastors, Marcos Rosa
Antioch University Dissertations & Theses
The current study is quantitative research that used a web-based survey from multiple religious denominations in the United States to examine the relationships among perceptions of stress, work-family spillover, marital satisfaction, and family functioning of pastors. Emotional exhaustion, hours worked, personal accomplishment, and social support were analyzed as predictors from the work domain. Two measures of spillover were used to evaluate family stressors and enhancers. The stressors and enhancers were tested as mediators between work domain and personal/family life. Life satisfaction, marital satisfaction and family dysfunction were analyzed as outcome variables. The sample included 83 pastors from a convenience sample …
Relationship Goals: How Do Relational Therapists Conceptualize Cases And Treatment Plan When Working With Consensually Non-Monogamous Clients?, Caitlyn Burns
Antioch University Dissertations & Theses
This study aimed to explore how relational therapists in the United States conceptualize cases and treatment plan when working with consensually non-monogamous clients and how dominant discourses about relationships (mononormativity) influence relational therapists during this process through a queer theory lens. This was a grounded theory study and surveyed a sample of thirty relational therapists or therapists-in- training. Results showed relational therapists conduct conceptualization and treatment planning through a two-part process. Therapists intend to treat CNM clients the same as any other client, but are unable to do so due to dominant discourses of mononormativity. Furthermore, mononormative discourses influenced relational …
Black Marriage, Attachment And Connecting In Relationships: An Observational Multi-Method Study Investigating The Effects Of The Getting The Love You Want Workshop On Black Couples’ In-Session Attachment, Interactions, Marital Satisfaction And Communication, Paula Smith
Antioch University Dissertations & Theses
The focus of this dissertation is examining the impact of Imago Relationship Therapy (IRT), more specifically the “Getting the Love You Want” workshop (GTLYW), on five Black/African American couples’ attachment, interactions, marital satisfaction and communication. This study examines Black couples’ lived experiences through a modified version of a quantitative measure, called the Patient Attachment Client System (PACS), the Marital Satisfaction Questionnaire-Revised (MSQ-R), semi-structured questionnaires to measure qualitative data as well as direct observation of participants’ interactions. PACS analyzes how patients’ in-session discourse enables them to share present experiences and link these processes with their attachment structure. In this view, attachment …
A Mixed-Methods Exploration Of Quality Of Life In Forensic Inpatients With Schizophrenia Spectrum Disorders On The Social Learning Program, Alexa Hutzenbiler
A Mixed-Methods Exploration Of Quality Of Life In Forensic Inpatients With Schizophrenia Spectrum Disorders On The Social Learning Program, Alexa Hutzenbiler
Antioch University Dissertations & Theses
This mixed-methods study explored the quality of life and lived experiences of adult individuals with diagnoses of schizophrenia spectrum disorders residing and receiving treatment on the Social Learning Program (SLP) at Fulton State Hospital, a high-security state forensic facility. Eleven participants completed the WHOQOL-BREF quantitative quality-of-life measure. Ten participants completed in-depth, semi-structured, qualitative interviews. Interviews were transcribed then analysed using Interpretive Phenomenological Analysis. The major themes that emerged included “Working the Program,” “Relationship Dynamics with Self and Others,” “Meaning,” “I’ve Been Having Breakthroughs,” and “Areas for Improvement in the Program.” Combined, the findings of the present investigation demonstrate the utility …
Counselors’ Lived Experience Treating Patients Utilizing Methadone: The Intersection Of Culture, Policy, And Stigma, Kathryn Floyd Eggert
Counselors’ Lived Experience Treating Patients Utilizing Methadone: The Intersection Of Culture, Policy, And Stigma, Kathryn Floyd Eggert
Antioch University Dissertations & Theses
The United States continues to experience unprecedented deaths related to the opioid epidemic. Efforts to address the epidemic remain hampered by war-on-drugs policies that stigmatize people who use drugs and create barriers to accessing evidence-based treatments, particularly methadone maintenance treatments (MMT). Despite 50 years of research regarding MMT, it remains highly regulated, and arguably the most stigmatized treatment. The punitive regulatory structure of MMT remained unchanged until emergency waivers were initiated during the COVID-19 pandemic. The study used an exploratory, critical phenomenological approach to examine the intersection of culture and regulation on the lived experiences of 26 addiction counselors who …
Ecopsychologists' Vital Importance In The Time Of Climate Crises, Nicole B. Auckerman Psyd
Ecopsychologists' Vital Importance In The Time Of Climate Crises, Nicole B. Auckerman Psyd
Antioch University Dissertations & Theses
Ecopsychology is a systems-based philosophy that expands the therapeutic lens to include client interactions with and perceptions of the natural environment as an integral element of well-being or pathology. Ecopsychology, known forward as EP, also looks at the pathology of our culture and what kind of diagnoses lead to practices that put our planet at risk. In recent decades, the field has amassed a substantial amount of empirical evidence supporting its effectiveness but remains largely underutilized. First generation EP suggested a cultural reordering shifting away from consumer culture and reordering our way of life. Second generation posits working within the …
Experiences Of Queer Women And Nonbinary Individuals With Mental Health Care Services During The Covid-19 Pandemic, Elizabeth Claire Simpson
Experiences Of Queer Women And Nonbinary Individuals With Mental Health Care Services During The Covid-19 Pandemic, Elizabeth Claire Simpson
Antioch University Dissertations & Theses
Background: The COVID-19 pandemic has had a negative effect on mental health. Queer women and nonbinary individuals disproportionately experience mental health issues when compared to heterosexuals, often facing challenges in receiving care from providers who are sensitive to their concerns and competent in their care. Objective: To report experience of queer women and nonbinary individuals in the United States with mental health care services before and during the pandemic. Methods: Data were gathered via a 43-item survey about experiences with mental health care services before and during the pandemic that was posted on four social media sites, and flyers hung …
No Time For That: Graduate Psychology Student Perspectives On Self-Care Culture, Anthony Primavera
No Time For That: Graduate Psychology Student Perspectives On Self-Care Culture, Anthony Primavera
Antioch University Dissertations & Theses
Graduate psychology students face numerous stressors that can hinder their performance both academically and clinically as they move through their education and into the professional world (Pakenham & Stafford-Brown, 2012; Shen-Miller, 2011). Engagement with regular self-care not only can enhance a sense of well-being, but also plays a crucial role in shielding an individual from some of the most harmful effects of stress (Wise et al., 2012). Graduate level psychology programs are inherently positioned to teach graduate trainees about the importance of self-care practices and to help them develop self-care habits that they can take into future careers. It appears …
Managing Expectations After Expecting: A Phenomenological Study Of Anger And Societal Expectations In New Motherhood, Jennifer Monahan Demella
Managing Expectations After Expecting: A Phenomenological Study Of Anger And Societal Expectations In New Motherhood, Jennifer Monahan Demella
Antioch University Dissertations & Theses
The literature on motherhood is dominated by topics on the roles of attachment, prenatal care, and childrearing. Research on the negative effects of motherhood is typically described in terms of postpartum depression (PPD) or postpartum mood disorder (PPMD). However, anger is a prominent component in motherhood, which may not be seen through the criteria of PPD or PPMD. Additionally, angry mothers conflict with the mythos of the Good Mother. In this phenomenological study, the thematic structure of mothers’ experience within the first year of their newborns’ life are examined. Data from interviews with seven women who were four to ten …
Dancing Between Two Worlds: Training Experiences Of Dual Credentialed Counselors, Lisa Rudduck
Dancing Between Two Worlds: Training Experiences Of Dual Credentialed Counselors, Lisa Rudduck
Antioch University Dissertations & Theses
Several challenges exist in the implementation of integrated care given that SUD/Addiction treatment has historically been segregated from the broader health care system (Office of the Surgeon General, 2016). One expression of the gap that persists is that for counselors who want to administer SUD/Addiction and mental health counseling, or co-occurring services, in Washington State they are required to satisfy state requirements for two separate credentials. The purpose of this study was to conduct an in-depth exploration into the training experiences of Dual Credentialed Counselors (DCCs) in Washington State where two separate credentials are required to administer co-occurring counseling. In …
A Journey To Finding Space In The Tension: Experience Of Instructors' Relationship With Religion And Spirituality In Doctoral Psychology Programs, Samantha Mcgee
Antioch University Dissertations & Theses
Religion and spirituality, when viewed through a holistic lens, can reflect important aspects of a person’s identity. It can be a source of well-being and also struggle. The fields of religion, spirituality and psychology have had a history of being polarized, with some efforts to integrate the two fields. Tensions exist at multiple ecological levels around the topic of religion and spirituality, which can make it easier to avoid discussing it in classrooms and therapy rooms. It is important to address and create room for discussion of experiences around religion and spirituality in classrooms that are training psychologists so they …
The Flourishing Trainee: Operationalizing Self-Care Education In Clinical Psychology Training Programs, Bonnie B. Zinn
The Flourishing Trainee: Operationalizing Self-Care Education In Clinical Psychology Training Programs, Bonnie B. Zinn
Antioch University Dissertations & Theses
Evidence suggests that clinical psychology trainees may be vulnerable to stress, vicarious traumatization, secondary traumatic stress, compassion fatigue, and burnout. Research also indicates that engaging in self-care may help to protect clinical psychology trainees against those experiences and enhance their well-being. However, best available research suggests self-care education is not consistently incorporated into clinical psychology training or prioritized by program directors. This study provided a systematic review of existing literature on self-care for clinical psychology trainees, utilizing reflexive thematic analysis to identify the essential skills, knowledge, and attitudes of self-care which should be taught to trainees, and how to operationalize …
Content Analysis On Hispanic Populations Across Marriage And Family Therapy Journals, Maya S. Iturra
Content Analysis On Hispanic Populations Across Marriage And Family Therapy Journals, Maya S. Iturra
Antioch University Dissertations & Theses
There is ambiguity on what kind of coverage of Hispanic populations in counseling journals is often used by couple/marriage and family therapists (C/MFTs) and researchers. The aims of this study are to identify how these journals consider Hispanic populations and what advice is provided when working with Hispanic populations. An explanatory sequential mixed method content analysis study was conducted. The first quantitative stage used descriptive statistics to analyze 17 journals’ articles between 2011-2020 regarding the type of research designs used, the frequency of articles that fit the inclusion criteria for the study, and the use of psychosocial terms (i.e., acculturation, …
Love Outside Margins: Mental Health And Marginalization In Intercultural And Monocultural Couples, Tara Masseratagah
Love Outside Margins: Mental Health And Marginalization In Intercultural And Monocultural Couples, Tara Masseratagah
Antioch University Dissertations & Theses
As the number of intercultural couples increases in North America, the impact of perceived marginalization of these relationships on the mental health of individuals is an area that requires continued clinical understanding. This quantitative study sought to explore how anxiety and depression levels in intercultural and monocultural couples are associated with levels of perceived marginalization. Qualitative follow-up questions were used to understand the varying reasons for marginalization and support between couples. One hundred twenty-four individual participants in romantic relationships took part in this study; of this, 64 were in monocultural relationships and 60 were in intercultural relationships. This study found …
The Experiences Of Marriage And Family Therapists Balancing Relational Teletherapy And Self-Care During The Covid-19 Pandemic: An Interpretative Phenomenological Analysis, Elizabeth Dumayne
The Experiences Of Marriage And Family Therapists Balancing Relational Teletherapy And Self-Care During The Covid-19 Pandemic: An Interpretative Phenomenological Analysis, Elizabeth Dumayne
Antioch University Dissertations & Theses
The COVID-19 pandemic has brought many changes to the world of mental health, especially in the delivery that marriage and family therapists provide services to their clients and while balancing their own self-care. In order to provide therapists with a base from which to work through these changes, a thorough review of the literature is provided as well as an interpretative phenomenological analysis. Chapter one provides an introduction to the topic of relational teletherapy during the COVID-19 pandemic and self-care for therapists, defines the terms teletherapy and self-care, and clarifies the conceptual frameworks at use in the dissertation: ecological systems …
The Caregiver’S Experience Of Post-Treatment Lyme Disease Syndrome, Jordyn Deschene
The Caregiver’S Experience Of Post-Treatment Lyme Disease Syndrome, Jordyn Deschene
Antioch University Dissertations & Theses
As the rate of Lyme disease diagnoses increases in the United States, it can be assumed that the frequency at which post-treatment Lyme disease syndrome (PTLDS) is diagnosed will also increase. While research has been published on the experience of caregivers of other chronic illnesses, no studies have examined the experience of the PTLDS caregiver. This quantitative study sought to discover the most significant burdens, mental health status (levels of anxiety and depression), and level of invalidation experienced by the PTLDS caregiver. Thirty individual participants took part in this study. This study found that mental burden is a significant area …
Clinicians Experience Using The Family As A Unit Of Treatment For Black Hiv-Positive Men Who Have Sex With Men, Steffen Gillom
Clinicians Experience Using The Family As A Unit Of Treatment For Black Hiv-Positive Men Who Have Sex With Men, Steffen Gillom
Antioch University Dissertations & Theses
The present study examines the experiences of five licensed clinicians as they attempted to integrate the family as a unit of treatment into the treatment of Black HIV-positive men who have sex with men (BHPMSM). A single 90-minute focus group study using an interpretive phenomenological approach (IPA) was conducted with five clinicians from diverse backgrounds. The results of the study show that clinicians attempting to integrate the family into the treatment of BHPMSM shared common experiences in the areas of building community through encouraging client self-determination, navigating religion, navigating HIV stigma, feelings of incompetence, and feelings of gratification after successful …
Exploring The Needs Of Black Single Mothers In Therapy, Nompelelo Boucher
Exploring The Needs Of Black Single Mothers In Therapy, Nompelelo Boucher
Antioch University Dissertations & Theses
This qualitative study of 6 Black single mothers utilizes a focus group format to explore their experiences in mental health treatment. The specific barriers they face to seeking treatment are reviewed, given that this particular population is substantially underrepresented in mental health therapy. The study seeks to gain a better insight of what factors contribute to attracting and retaining them in therapy for positive outcomes. Six emergent themes surfaced highlighting the fact that these women overcome numerous historical and cultural barriers to present for treatment to address serious issues of stress, grief, and loss, that they have a desire to …
Beyond The Controversy: An Exploration Of Cultural Socialization Behaviors In Transracial Adoptive Families, Karmen Smith
Beyond The Controversy: An Exploration Of Cultural Socialization Behaviors In Transracial Adoptive Families, Karmen Smith
Antioch University Dissertations & Theses
The voices of the families that have successfully raised transracially adopted children with a positive cultural identity are missing from the literature: “Further research is needed on adoption from the perspective of the adoptee” (Clark et al., 2006, p. 192). There are methodological shortcomings that inhibit our ability to definitively determine adjustment outcomes for this population. Such shortcomings, combined with a failure to address additional variables that influence outcomes, have left identified gaps in the research unaddressed. The purpose of this grounded theory study is to identify the cultural socialization behaviors that contributed to the development of the participant’s positive …
Structural Family Therapy For Autism Spectrum Disorder: A Single Case Experiment, Anthony George Pennant Jr.
Structural Family Therapy For Autism Spectrum Disorder: A Single Case Experiment, Anthony George Pennant Jr.
Antioch University Dissertations & Theses
This research study is an exploratory single case experiment which was conceptualized through the concept of change as outlined in structural family therapy (SFT). This family reported increases in their levels of cohesion, flexibility, and satisfaction with their relationships. The family reported decreases in the levels of disengagement, rigidity, chaos, and communication. Lastly, levels of anxiety increased over time and were generally rated divergently by parents and the child with autism spectrum disorder. Given the outcome of the study, SFT shows promise in being an appropriate clinical model in providing family-based therapy for families who have a child(ren) with autism …
The Impact Of Creative Arts On Meaning Reconstruction And Loss Adaptation In Widowed Adults, Dani Baker-Cole
The Impact Of Creative Arts On Meaning Reconstruction And Loss Adaptation In Widowed Adults, Dani Baker-Cole
Antioch University Dissertations & Theses
In counseling, helping grieving clients find meaning after significant loss is a unique, multidimensional, and lengthy process. This is particularly true in Western societies, where antithetical linear grief models, supported by hegemonic expectations to move on after loss, add exhausting pressure to speed up an individual’s natural grieving process. For that reason, this study examined how creative arts interventions such as using traditional art media and expressive writing, combined with postmodern, nonlinear, culturally sensitive bereavement models, help individuals explore their loss narrative to make meaning and adapt to loss. Specifically, this study examined the impact of a switch from traditional …
Developing The Diversity, Equity, Inclusion, Power, And Privilege Assessment In Cft/Mft: A Delphi Study, Carrie Hatch
Developing The Diversity, Equity, Inclusion, Power, And Privilege Assessment In Cft/Mft: A Delphi Study, Carrie Hatch
Antioch University Dissertations & Theses
Marriage and Family Therapists (MFTs) and Couple and Family Therapists (CFTs) engage in clinical practice from a systemic framework. This framework positions MFTs to consider the impact of social systems on the MFT/CFT field and their clients. Issues related to diversity, equity, inclusion, power, and privilege (DEIPP) impact all of the systems in which we operate. Currently, there is no consensus on a tool measuring training clinicians’ competencies related to DEIPP beyond self-report. There is a need for a DEIPP competency measure because, currently, the most widely used measure is self or observer report, which may not provide a complete …
Social And Cultural Considerations In Accessing Mental Health Treatment In The Gambia, West Africa, Safiya Njai
Social And Cultural Considerations In Accessing Mental Health Treatment In The Gambia, West Africa, Safiya Njai
Antioch University Dissertations & Theses
This study examines the social and cultural considerations in accessing mental health treatment in The Gambia, West Africa. Participants were recruited from The Gambia for a qualitative study that included semistructured interviews (N = 17). A team of analysts identified five themes. The results highlighted social and cultural conceptualizations of mental health and mental illness, sociocultural determinants of health, interventions, barriers to care, and the legal framework to support mental health change. These findings are important for counselors to understand different perceptions of mental health and mental illness and the associated stigma. Furthermore, several opportunities for advocacy in The Gambia …
It Takes Two: Professional Interconnections And Potential Collaborations Between Small-Town Family Attorneys And Couple/Family Therapists, Wendy Lenk Mcclary
It Takes Two: Professional Interconnections And Potential Collaborations Between Small-Town Family Attorneys And Couple/Family Therapists, Wendy Lenk Mcclary
Antioch University Dissertations & Theses
Attorneys who specialize in family practice may experience significant rates of mood disorders and substance reliance. Law schools typically do not provide supportive coursework or mentoring to help students learn to manage their feelings and those of crisis-impacted clients. Lawyers may well consider that understanding emotional needs and providing emotional support does not fall within their codes of practice. Societal stigma may prevent family attorneys and their clients from seeking therapy. Small-town attorneys may be particularly vulnerable to professional stress and safety concerns. The purpose of this study was to explore and understand the lived experiences of family attorneys practicing …
Incorporating Psychological Trauma Into Adhd Differentials: A Pilot Study Of Primary Care Providers' Perspectives, Amber Nipper
Incorporating Psychological Trauma Into Adhd Differentials: A Pilot Study Of Primary Care Providers' Perspectives, Amber Nipper
PsyD Program in Clinical Psychology Doctoral Dissertations (Seattle)
According to the American Academy of Pediatrics (AAP, n.d.), 40% to 50% of individuals seeking mental health services terminate prematurely due to lack of access, lack of transportation, financial constraints, child mental health professional shortages, and stigma related to mental health. These barriers contribute to primary care providers assessing and managing mental health concerns at increasing rates, particularly symptoms consistent with attention deficit/hyperactivity disorder (ADHD). ADHD is a neurobiological disorder beginning in childhood that is defined as “a persistent pattern of inattention and/or hyperactivity-impulsivity that interferes with functioning or development” (American Psychiatric Association [APA], 2013, p. 59). Current literature shows …