Mental and Social Health Commons^™

Behavioral Couples Therapy For Female Substance-Abusing Patients: Effects On Relationship Adjustment And Drug-Using Behavior, Jamie J. Winters

Psychology Theses & Dissertations

The effectiveness of Behavioral Couples Therapy (BCT) in the treatment of substance-abusing males has been demonstrated (Fals-Stewart, Birchler, 8 O'Farrell, 1996). However, research on the effectiveness of BCT in substance-abusing females has remained unexamined. It was hypothesized that BCT would improve posttreatment results of substance abuse treatment, both in terms of drug use and relationship satisfaction.

Married or cohabitating female substance-abusing patients (N=60) who were entering an outpatient treatment program were randomly assigned to one of two equally intensive treatment conditions. One treatment package (IBT) consisted of individual based therapy only; the other (BCT) consisted of individual based therapy and …

Portuguese-Americans And Mental Health Treatment Client-Therapist Ethnic Match, Ethnic Identity, And Satisfaction With Treatment, Katherine B. Gamble

Psychology Theses & Dissertations

Multicultural issues in psychotherapy have increasingly been recognized as important in the provision of mental health services to our diverse population. Issues such as beliefs about mental health, attitudes toward authority, and even world view affect how clients access and make use of psychotherapy. Cultural views are essential to how one sees the world, and consequently there is much debate about whether clients would benefit from having therapists from the same cultural background. Ethnic identity, or the degree to which a person holds to the beliefs of their culture of origin, consequently plays an important role in psychotherapy. The Portuguese …

Perceptions Of Clinical Psychologists Relative To Other Mental Health Providers, Glenora Nelson

Psychology Theses & Dissertations

There is a myriad of job titles that exist within the mental health profession. Public perception about the differences between these professionals has been the focus of many studies and the results generally suggest that the public cannot clearly distinguish among these mental heath professionals. The present study is also concerned with perceptions about the various mental health professionals, in particular, perceptions of clinical psychologists relative to other professionals in this field. Undergraduate psychology students age 18–47 participated in a study of perceptions and attitudes about the qualifications and competence of clinical psychologists, professional counselors, psychiatrists and clinical social workers. …

Increasing Readiness To Change Among Smokers In A Primary Care Setting, Sheila F. Collicott

Psychology Theses & Dissertations

This study compared the effectiveness of two brief interventions, direct advice and motivational interviewing, for increasing motivation to quit among male smokers in the pre-contemplation and contemplation stages of change who were primary care patients at an Eastern urban VA medical center. Contrary to expectations, participants receiving motivational interviews did not increase more in readiness to change, motivation, and actions to quit, than those receiving direct advice or a control conversation, nor did they smoke fewer cigarettes per day. As expected, contemplators reported more cutting down and quit attempts than pre-contemplators. Factors that may have limited the effectiveness of interventions …

Marital Decision Making Scale: Psychometric Properties, Kathy Szynklewski Babel

Psychology Theses & Dissertations

The psychometric properties of a revised version of the Marital Decision Making Scale (MDMS) were evaluated in this investigation. Sixty-eight couples served as participants. Distressed couples (n=34) were recruited from a community-based outpatient mental health clinic where they were seeking conjoint therapy for relationship problems; demographically matched nondistressed couples (n=34) were recruited from the community through a local survey research firm. The MDMS showed high internal consistency, test-retest reliability, interjudge agreement, and convergent and discriminant validity. A second independent sample of 60 couples (30 distressed couples and 30 nondistressed couples) was also recruited to cross-validate the results found with the …

The Effects Of Group Counseling On The Self-Esteem, Anxiety, And Behavior Of Children With Deployed Parents, Nancy Taylor Mitchum

Psychology Theses & Dissertations

The purpose of this study was to examine the effectiveness of a six-session group counseling intervention for children who had a parent experiencing military-induced deployment. Participants were 65 children (30 boys, 35 girls) of enlisted military personnel attending elementary schools near the Norfolk Naval Base. Elementary school counselors facilitated the counseling groups.

An experimental/control group pretest-posttest design was employed. Independent variables were the child's participation in the Children of Deployed Parents-Group/control group, child gender and age. Dependent variables were self-esteem, anxiety, and behavior as measured by the Coopersmith Self-Esteem Inventory (SEI), the State-Trait Anxiety Inventory for Children (STAIC), the Child …

African American Community Mental Health Center Service Utilization: A Test Of The Cultural Compatibility Hypothesis, Alicia Michelle Marsh

Psychology Theses & Dissertations

This exploratory study examined whether community mental health centers (CMHCs) in Virginia that had services evaluated as being more compatible with the cultural needs of African Americans attracted a higher percentage of adult African American service users from their catchment areas than CMHCs which were evaluated as being less culturally compatible. The cultural compatibility of 36 CMHCs was assessed via a telephone interview with their clinical directors using a modified version of the Cultural Competence Self-Assessment Questionnaire: Administrative Version (Mason, J., 1995). This study did not find a correlation between CMHCs' cultural compatibility and their success at attracting African American …

An Exploratory Study Of The Correlates Of Drug Use Among Juveniles: Analysis Of Regional Variations In The United States, Denise D. Nation

Sociology & Criminal Justice Theses & Dissertations

Research on substance use and abuse has increased exponentially over the past twenty-five years. However, research focusing on regional differences in drug use seems to be very limited. The purpose of this study is to examine the correlates of drug use among juveniles in the four major geographic regions of the United States: the Northeast, the North Central, the South and the West. Here, drug use is defined in terms of alcohol and marijuana use for the age group 12-19. Four research hypotheses are proposed. The 1996 National Household Survey on Drug Abuse data was used to assess and analyze …

The Effect Of Illicit Drugs On The Cardiovascular And Hormonal Responses In Pregnant Rabbits, Andrea Alana Chambliss

Biological Sciences Theses & Dissertations

The purpose of this study is to determine the effect of acute administration of heroin and ecgonine methyl ester (EME) on renin and atrial natriuretic peptide (ANP) secretion in time dated New Zealand White rabbits. Thirteen rabbits were studied. Arterial blood pressure and pCOz, increased significantly from a control value of 80 ± 8 mmHg and 30 ± 2 mmHg respectively to 93 ± 18 mmHg and 31 ± 1 mmHg. pO₂ decreased from 99 ± 8 mmHg to 90 ± 11 mmHg 10 minutes after heroin administration. EME caused arterial blood pressure to significantly increase from a control …

Alcoholism In Third-World Literature: Buchi Emecheta, Athol Fugard, And Anita Desai, Nancy Topping Bazin

English Faculty Publications

ALCOHOLISM IS A MAJOR PROBLEM IN MOST COUNTRIES; yet in only a few countries has it become a social issue and a topic to be discussed seriously and openly. Within universities, substantive knowledge about alcoholism appears co be confined mainly to medical and sociology departments. Certainly, alcoholism is a neglected topic in literary studies. Almost all critics and teachers of literature are blind to its impact on a surprising number of characters and their relationships- even when alcoholism is the primary cause of suffering. Unless a teacher is a recovering alcoholic or knows well someone who is, ignorance or self-censorship …

Analyzing The Effects Of Display Characteristics And Cognitive Variables On Performance Using Keystroke And Eye Movement Data, Orhan E. Beckman

Psychology Theses & Dissertations

Information about how operators use their eyes while interacting with visual displays is often an overlooked aspect of human-computer interaction. Such information is fundamental to assessing the quality of software interfaces and understanding the cognitive processes that underlie operator behavior. Other research evaluating information displays evolved from using reaction time and subjective data as dependent variables to using oculometric measures. In the current research conventional performance measures are coupled with oculometric measures to evaluate the influence display characteristics and cognitive variables have on performance.

Twelve subjects used a software program to complete a series of specified tasks. Subjects were asked …

A Discovery-Oriented Process Study Of Enactment In Family Therapy: Development Of The Family Therapy Enactment Rating Scale, Elizabeth Ong-Mythuan Fong

Psychology Theses & Dissertations

With the effectiveness of psychotherapy now well-supported in both the individual and family literatures (Garfield & Bergin, 1994), we are entering an era where questions of how and why therapy works are of interest. More specifically, there has been support and encouragement by some researchers (Rice & Greenberg, 1984; Mahrer, 1988) for the use of discovery-oriented methodologies to explore clinical phenomena that have yet to be empirically validated. The following is a discovery-oriented study of enactment, a structural family therapy intervention. The theoretical goals of enactments, their relevance to clinical practice, as well as how they are actually implemented in …

Effectiveness Of Prevention Interventions With Youth At High Risk Of Drug Abuse, Richard F. Catalano, Kevin P. Haggerty, Randy R. Gainey, Marilyn J. Hoppe, Devon D. Brewer

Sociology & Criminal Justice Faculty Publications

A recent report describes three types of prevention programs: universal, selected, and indicated (Institute of Medicine 1994). Universal prevention approaches are those that serve the entire population who share a general risk to the disorder without regard to specific risk status. Selected prevention approaches serve those whose precursors of problem behaviors are elevated but who have not yet manifested the problem behavior to be prevented. Indicated prevention approaches serve those who have initiated the problem behavior to be prevented but have not yet developed a serious or chronic behavior problem and do not warrant at that time a clinical diagnosis …

A Comparison Of Factors Associated With Referrals, Service Placements And Length Of Service For African-American And Caucasian Youth With Serious Emotional And Behavioral Disturbances Served Through The Comprehensive Services Act In Virginia, Vanessa B. Sheppard

Health Services Research Dissertations

Despite the efficacy of community-based treatment, many emotionally and behaviorally disturbed youth still receive restrictive service placements. This is quite problematic for minority youth since studies have reported they are more at risk of out-of-home placements. The purpose of this study was to examine differences in referrals, out-of-home placements, residential placements and length of service for African-American and Caucasian youth. This historical cohort study was a secondary analysis of data from the Comprehensive Services Act in Virginia. The sample consisted of 2,883 youth ages 10-19. Multiple logistic regression was employed for data with dichotomous outcomes in order to adjust for …

Devolpment Of A Scale To Assess Home Health Care Aides' Ability To Recognize Depression In Older Adults, Tina M. Nerney

Community & Environmental Health Theses & Dissertations

Depression afflicts 20% to 40% of people 65 and older. Depression in older adults is frequent and chronic. The challenge of a hospital stay and the knowledge of having a long term disability may increase the risk for a depressive episode. In today's health care environment older adults are being released from hospitals after a short length of stay and are frequently dependent on home health services for assistance with activities of daily living. Home health care aides are given the responsibility of providing these services to the older adult in the home environment and need to be aware of …

The Effects Of Human-Computer Communication Mode, Task Complexity, And Desire For Control On Performance And Discourse Organization In An Adaptive Task, Cristina Bubb-Lewis

Psychology Theses & Dissertations

The present study examined how different communication patterns affected task performance with an adaptive interface. A Wizard-of-Oz simulation (Gould, Conti, & Hovanyecz, 1983) was used to create the impression of a talking and listening computer that acted as a teammate to help participants interact with a computer application.

Four levels of communication mode were used which differed in the level of restriction placed on human-computer communication. In addition, participants completed two sets of tasks (simple and complex). Further, a personality trait, Desire for Control (DC), was measured and participants were split into high and low groups for analysis. Dependent measures …

Coping Processes Used By Mothers Of Triplets, Susan Mullen Kaplan

Health Services Research Dissertations

The purpose of the study was to identify and describe the coping processes used by mothers of triplets. Using a descriptive design, interpersonal comparisons of 92 mothers of triplets attending a national meeting of families of higher order multiples were made. Variables, in addition to sociodemographic characteristics, included coping processes, levels of depression, perceived availability of social support, and current stress levels. Coping processes were measured using the Ways of Coping Questionnaire (Folkman & Lazarus, 1988), derived from their cognitive-phenomenological theory of stress and coping. Level of depression was measured using the Zung Self-rating Depression Scale (Zung, 1965). Perceived availability …

The Relationship Of Autonomy Sociotropy And Depression To The Recall Of Autobiographical Memories, Jennifer Sue Cheavens

Psychology Theses & Dissertations

Past research in the area of dysphoria and depression has examined two personality constructs known as autonomy and sociotropy. These personality constructs have been studied as predispositions to dysphoria and depression. The current study focused on the ability of Autonomy and Sociotropy, measured by the Personal Style Inventory (PSI), to predict both participants' and raters' autonomous and sociotropic ratings of autobiographical life events. The study also examined the differences in classifications of events as either sociotropic or autonomous when the classifications were made by both participants and objective raters. Participants were 72 female and 43 male undergraduate students enrolled in …

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 …

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 …

The Effects Of Partial Hospitalization On Acute Psychiatric Hospital Readmission Days, William E. Turner Iii

Health Services Research Dissertations

Using the theoretical construct of recidivism and pathway and gatekeeper variables associated with it, this study compared the effects of a combination of partial and acute psychiatric hospitalization and only acute psychiatric hospitalization on the total number of acute hospital readmission days over a 12 month period using a causal-comparative design. Two hundred and forty cases were randomly selected from an existing database which contained information on a population of urban insurance beneficiaries who had accessed psychiatric care during a two year period. The group accessing a combination of acute care and partial care had significantly higher readmission days. Age, …

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 …

Development Of A K-Correction Factor For The Mmpi-A, Jody Jacobson Alperin

Psychology Theses & Dissertations

In 1992, the Minnesota Multiphasic Personality Inventory - Adolescent (MMPI-A) was developed to meet the unique experiences and needs of adolescents. Despite evidence that adolescents often demonstrate response biases in taking the MMPI-A, currently there is no method to systematically "correct" for the effect of test-taking attitude on profile configuration with this age group. The K-correction factor has been widely used to correct for defensiveness or underreporting of symptomatology on the MMPI among adult respondents, although results of cross-validation research on the effectiveness of the K-correction factor have been inconclusive. The present study derived age-appropriate K-weights to determine the degree …

Postmortem Diagnoses Of Virginia Woolf's 'Madness': The Precarious Quest For Truth, Nancy Topping Bazin

English Faculty Publications

The reputation of British writer Virginia Woolf (1882-1941) is now well established. Her brilliance as a writer is seldom contested, and her place in the literary canon is assured. Whether interested in literary traditions, textual studies, applied feminism, or postmodern theory, most scholars and critics admire what she had to say and how she said it. The variety, volume, and quality of her writings are impressive; her skill as a writer is seen not only in her eight novels but also in her essays, diaries, letters, short stories, biographies and nonfictional works A Room of One's Own and Three Guineas …

Responses To Dissatisfaction In Psychotheraphy: The Influence Of Prior Satisfaction, Perceptions Of Problem Severity And Attachment Style, Christopher C. Read

Psychology Theses & Dissertations

This study examined the influence of prior satisfaction, perceptions of problem severity, and attachment style in determining Rusbult's Exit, Voice, Loyalty, and Neglect responses to dissatisfying events depicted in a psychotherapy simulation. Constructive responses to therapy dissatisfaction (i.e., Voice and Loyalty) were positively related to prior satisfaction with the therapist and negatively related to perceptions of problem severity. Destructive responses (i.e., Exit and Neglect) were negatively related to prior satisfaction and positively related to problem severity. Attachment style was associated with individual differences in approaches to resolving conflict, but it was not consistently related to Exit, Voice, Loyalty, and Neglect …

Dependency Autonomy Stress And Depression: A Test Of An Interactive Model, Kathryn Kern Drury

Psychology Theses & Dissertations

Two diathesis-stress models were used to predict depression. The additive model combined dependency and autonomy (dependency-autonomy) as the diathesis and also combined dependent and autonomous hassles or life events as stressors. The congruent model used either dependency and dependent stressors or autonomy and autonomous stressors. Ninety-seven female and 42 male undergraduate students completed self-report measures of dependency and autonomy, hassles and life events, and depression at three testing sessions one week apart. Hierarchical multiple regressions — with prior depression entered first and followed by dependency and/or autonomy, stress, and their interaction — indicated that additive models with a significant interaction …

The Identification And Magnitude Estimation Of Stressors In A Selected Military Population At One Training Command, Susan W. Miller

Community & Environmental Health Theses & Dissertations

The purpose of this study was to identify the most stressful aspects of being a student at a military training command. ·Forty students listed the significant stressors that they encounter at the training command. This list was reviewed and consolidated into a stressor rating questionnaire with 16 stressors. A convenience sample of 86 students rated the stressors. In the second part of the study, the students rated the stressors on a scale of "0 to 1000". The study revealed that the most significant stressors for students were absence of family and friends, uncertainty about their future, dealing with instructor's attitudes, …

Social Support For Family Caretakers Of The Chronically Mentally Ill, Gina L. Bankes

Psychology Theses & Dissertations

The present study examined the relation between coping style, social support, family member symptom severity, and negative affect. Fifty-one caretakers of chronically mentally ill family members completed a demographic questionnaire, a general appraisal questionnaire, a family member symptom severity questionnaire, the Coping Strategy Indicator, the Social Support Questionnaire, and the Multiple Affect Anxiety Checklist. Caretakers with family members living at home were different than caretakers with family members living away from home (HOME) in several respects. Controlling for HOME, family member symptom severity was related to negative affect, coping strategies were related to negative affect and the Social Support Questionnaire …

Body-Image Attitudes And Perceptions Among African-Americans And Whites As A Function Of Socioeconomic Class, Christopher Eugene Huffine

Psychology Theses & Dissertations

While many facets of body image have been extensively researched, relatively few studies have examined racial and social class differences in body image. The present paper consists of two studies examining racial and class differences in body image among males and females. Study 1 utilized a national sample of respondents to a 1985 Psychology Today survey to examine racial (Black and White) and educational differences in body image among men and women. Study 2 utilized a smaller sample of Black subjects, half drawn from several Southeastern universities and the other half from non-academic locations in the Tidewater area of Virginia …