Mental and Social Health Commons^™

Development Of An Mmpi Scale To Predict Therapeutic Response To Lithium Carbonate, Neal Allen Hayden

Dissertations and Theses

Common medications utilized in the treatment of psychosis include lithium carbonate and the major tranquilizers. The efficacy of lithium is well established in the treatment of manic-depressive patients exhibiting symptoms of mania. The major tranquilizers treat a broader range of psychotic disorders including schizophrenia.

In the treatment of manic-depressive illness, lithium produces normalization of affect with few side effects. However, since the interval between therapeutic and toxic dosages is narrow, lithium treatment must be closely monitored to avoid severe physical problems and even death. When a schizophrenic is incorrectly diagnosed as manic-depressive, and is treated with lithium, the patient does …

Pragmatic Conversational Skills Of Young Adults In Normal, Emr, And Tmr Classrooms, Jane Nicholson

Dissertations and Theses

Current language theory focuses on how a person communicates within a context (Bates, 1976a). A person's communicative competence depends on how effectively she translates her cognitive and social knowledge into linguistic forms to interact in the specific situation, following pragmatic rules (Prutting, 1982b). Thus, in order to assess a person's language ability accurately, the clinician needs to assess pragmatic skills as well as cognitive, social, and linguistic skills. A person's pragmatic development culminates in the ability to participate in a conversation (Rees, 1978).

Scl-90 Characteristics Of The Borderline Personality Disorder In A Day Treatment Setting, Jeananne Theresa Feagan

Dissertations and Theses

The purpose of this present study was to examine test performance of the Borderline Personality Disorder on the Symptom Checklist .(SCL-90). This investigation addressed whether the Borderline Personality Disorder has a distinctive profile on the SCL-90, and whether the profile is distinguishable in comparison with two other groups with mental disorders.

Attitudes Of Mental Health Professional Groups Toward Mental Health Treatment Modalities As Measured By The Semantic Differential Technique, Gene Stanley Morrill

Dissertations and Theses

The present research was conducted in order to ascertain whether differences in attitudes exist between the three main professional groups which are presently the major providers of mental health care -- psychiatrists, clinical psychologists, and social workers -- with respect to six treatment modalities: Individual Psychotherapy, Individual Counseling, Family Therapy, Group Therapy, Psychiatric Medication and Psychiatric Hospitalization. Modalities evaluated include treatments appropriate to a variety of individual, social and biological concepts of mental health/pathology. It was assumed that any such attitudinal differences might reflect biases in the provision of mental health treatment and therefore be an important concern for consumers …

Developing An Attitude Test To Predict Treatment Outcome In Depressed And Anxious Outpatients : An Exploratory Study, Kathryn Ainslie Paris

Dissertations and Theses

While much research has examined factors thought to affect patient compliance with therapeutic regimen, relatively little is known about the relationship between psychiatric patients' attitudes toward treatment regimen and their adherence to the treatment regimen. Compliance rates for psychiatric patients remain the lowest of the medical patient population, probably due to psychological and social characteristics of psychiatric patients. Because of a trend in the United States toward self-medication for an increasingly ambulatory psychiatric patient population, the ability to predict patient compliance with medication regimen has become more important than ever before. Before potential noncompliers can be identified and patient compliance …

Role-Taking And Behavior, Jane Wynne Uphoff

Dissertations and Theses

The present study examined the relationship between the cognitive skill of role-or perspective-taking and naturally occurring behavior of behaviorally disordered children. Twenty-six boys, aged five years, nine months to twelve years, two months were tested and observed at their treatment facility. It was predicted that children who could take the perspective of others would prefer peer to adult interaction, would more likely give positive attention to their peers and would be more likely to use effective language than their non perspective-taking peers. These and related hypotheses were examined by observing each participant's interactive behavior for 36 minutes distributed over three …

Adolescent Chemical Substance Use And Abuse : Environmental And Personal Determinants, And A Proposed Model For Group Intervention, Lindy Louise Low Lecoq

Dissertations and Theses

The purpose of the literature review is to identify consistent patterns regarding adolescent use and abuse of chemical substances, especially alcohol and marijuana. Acute physical, cognitive and social effects of alcohol and marijuana use are outlined, and environmental and personal determinants of drug use and abuse are examined. Methods of prevention and intervention are discussed and, from the research findings, a model group counseling program designed for the school setting is proposed. Adolescent use of both marijuana and alcohol is found to be modal by age 16-17. The physical, cognitive and social effects are pervasive and especially damaging to chronic …

Factorial Structure Of The Hamilton Rating Scale For Depression, Kevin Page O'Brien

Dissertations and Theses

The Hamilton Rating Scale for Depression (HRS), a 17-item observer-rated scale, was first developed in 1960 to assess the severity of depressive symptomatology in patients diagnosed as suffering from depression. The HRS has since demonstrated high inter-rater reliability (with coefficients ranging from .87 to .94), and has proven useful in measuring changes of severity following treatment.

Since its development, the HRS has been the focus of several factor analytic investigations, four of which attempted to assess the instrument for factorial invariance. Factorial invariance refers to the generalizability or applicability of dimensions developed from one sample to another. While some consensus …

A Description And Evaluation Of The Self-Help Information Service, Cathy Tuma, John Wadsworth

Dissertations and Theses

The purpose of this study was to evaluate the effectiveness of the Self-Help Information Service (SIS) and to obtain information necessary for the improvement of the service. The study also described the development and operation of SIS and assessed the use and effect of the service. The evaluation of SIS was based on initial global utilization data and the results of participant satisfaction surveys targeted at four distinct groups: (1) Self-Help Project staff, (2) Tri-County Information and Referral Service staff, (3) self-help groups, and (4) callers of the service (potential members of self-help groups). The Self-Help Project and Tri-County I …

Dream Therapy In Counseling, Deborah Ann Karr Black

Dissertations and Theses

The purpose of this thesis is to present an overview of the origins and uses of dreams and dream interpretation through the years. This is accomplished in two main sections. The first section traces the ancient history of dreams and their uses in various cultures. It begins with the first written evidence of dreams found in the Egyptian culture and is carried through the Babylonian, Greek and Roman Eras. The history also includes the use of dreams as documented in the Biblical Records, the Oriental cultures and during the era of Christianity. The superstitions about dreams during the Medieval era …

Success Expectancy In Depressives, Marilyn Frances Barnowe-Meyer

Dissertations and Theses

This thesis was an attempt to investigate two important cognitive aspects of depression: expectation of success, and changes in this expectation. Recent studies in these areas have yielded inconsistent results. It has generally been concluded that subclinical depressives do not differ from nondepressives in initial expectation of success, though they do at times exhibit smaller changes in success expectancy following personal experiences of success or failure. Two main cognitive theories of depression have attempted to account for this difference between the two populations. Beck (1967) has proposed that depression results from specific negative cognitive processes, among them a denial of …

Psychodrama And The Terminal Patient : Concepts And Application, Marilyn Jacobs Bohan

Dissertations and Theses

This study examines the concepts of psychodrama and dying, death and bereavement that effectively meet individual needs for working through grief. It is the premise of this thesis that the working through grief to foster acceptance, self-worth and dignity, in the final st.age of life, is facilitated by psychodramatic methods of "acting through" the problems of the situation.

Work Personality As A Factor In Evaluating The Work Potential Of The Mentally Retarded, Janet L. Scally

Dissertations and Theses

This thesis focused on the development of a Work Personality Scale and the systematic study of how this aspect of the mentally retarded person is related to his or her intelligence and dexterity skill level.

The Portland, Oregon Asap: An Evaluation Of Treatment Effectiveness, Joan M. Wildebush Berry

Dissertations and Theses

The Alcohol Safety Action Program (ASAP), in accordance with its goals and directives, determined, in 1980, the need for an evaluation of its services. In response to that need, the present study was conducted between April and October, 1980.

The initial step in this evaluation is a review of the relevant literature. The review includes literature in the areas of: treatment evaluation methodology, follow-up studies of alcohol treatment, and management of drunken drivers. In addition, the history and current organization of the Portland ASAP are discussed.

The study employs a one group pretest-posttest design and utilizes the Oregon Quality of …

Interpersonal Behavior And Depression: An Examination Of Self-Descriptions On The Interpersonal Check List, Douglas Steven Andrews

Dissertations and Theses

Depressive disorders are recognized as being of long standing clinical and theoretical concern. Early psychoanalytic conceptualizations of depression were later reformulated into theories emphasizing interpersonal manifestations of depression, notably passive-dependent oral trends. Recent research efforts have explored specific interpersonal behaviors and their relationship to depression. Although some studies have been done utilizing self-report data of interpersonal behavior, little has been done utilizing self-descriptions of interpersonal traits drawn from a sample of clinically depressed psychiatric outpatients.

Art Therapy As A Mechanism For Increasing Life Satisfaction In Later Life, Phyllis Laulainen Mcgraw

Dissertations and Theses

It was hypothesized that art therapy with the elderly would increase the quality of an informal life review and motivate them toward greater psychological well-being (life satisfaction). To test this hypothesis, 30 subjects between the ages of 61 and 83 were assigned to three experimental conditions: Art Therapy Group, Discussion Group, and Control Group.

Multiple Impact Therapy: Evaluation And Design For Future Study, Jacqueline H. Abikoff

Dissertations and Theses

The theoretical underpinnings of Washington County Children's Services Division (CSD) Immediate Conflict-Resolution Family Treatment Program include the systems theory of family therapy with a focus on communication and roles. One of the many approaches to helping families in crisis, it incorporates theories regarding assessment of and intervention in families in crisis. Finally, while it draws upon several different approaches to family therapy, the Washington County program is most closely related to Multiple Impact Therapy (MIT). Thus, a review of relevant literature must address portions of the above enumerated theories that illuminate the thinking behind the Immediate Conflict-Resolution Family Treatment Program. …

The Validity Of The Leiter International Performance Scale In Measuring The Intelligence Of Normal, Borderline, And Mentally Deficient Children, Marlin Pezner

Dissertations and Theses

The purpose of this project was to compare IQ scores obtained using the Leiter International Performance Scale to those obtained using the Wechsler Intelligence Scale for Children-Revised (WISC-R).

A Survey Of Carryover Practices Of Public School Clinicians In Oregon, Joan Marie Cranmer Polson

Dissertations and Theses

Clinicians report that carryover management is one of the most difficult and time consuming problems they face (Johnson, 1972) yet the literature offers little data to assist clinicians in determining what methodologies should be used and which are effective in facilitating carryover. The purpose of this investigation was to determine the type of methodologies utilized by public school clinicians in Oregon to facilitate carryover with clients originally diagnosed as having articulation disorders. A secondary question dealt with the perceived effectiveness of these methodologies.

The Process Of Short-Term Psychotherapy With Mentally Deficient Adults, Joan Emily Carpenter

Dissertations and Theses

This paper explores the process of individual short-term ego-supportive psychotherapy with mentally deficient adults. The literature on clinical research, case studies, process research, short-term psychotherapy, and therapy with the mentally retarded is selectively reviewed. Four case studies are presented with clients at the Portland Habilitation Center, a sheltered workshop which trains mentally deficient adults in socialization, practical living, and job skills. Finally, the case studies are discussed in terms of the selected literature.

Evaluative Styles Of Clinicians In Private Practice, Daniel R. Brophy

Dissertations and Theses

A belief shared by all members of the research team was that evaluation is a tool that can be used to improve the effectiveness of clinical practice. Prompted by this interest, a research project was designed to gather descriptive data about evaluation in the private sector. The research question reads:

To what extent and in what way are licensed clinical psychologists and clinical MSW's in the private sector involved in evaluating their practice?

a. Are these clinicians using formative and/or summative evaluation?

b. What techniques and/or mental processes do they use?

An Evaluation Of Parent Education And Parent Group Therapy As Treatment Components For Child Abusers, Jane Susan Crawford

Dissertations and Theses

Treatment for child abusers was evaluated using two methods: reviewing three areas of literature and surveying practitioners.

An Evaluation Of A Data-Based Sex Education Training Program For Mentally Retarded Adults, Patricia Ann Riley

Dissertations and Theses

The study determined that twenty-three mildly to moderately retarded adults living within the community increased their sexual knowledge after attending a twelve month, data-based sex education training program. The Lane Community College-Adult Basic Education (LCC-ABE) Pre/Post Test was administered to each subject when he/she began and finished the training program. The Intermittent Probe Tests were administered to each subject after instruction in each of thirteen topic areas in the curriculum. The main conclusions were that: (a) the subjects significantly increased their sexual knowledge after training; (b) class, sex, ability level, age, type of residence, and length of time in that …

Washington County Aftercare Service Utilization Study, James Richard Peterson

Dissertations and Theses

Broadly speaking, the purpose of this study is to:

1. Assess the functioning of the psychiatric hospital aftercare service delivery system by examining community service utilization patterns of Dammasch Hospital releases.

2. Obtain descriptive information relating to Washington County's chronic aftercare population.

3. Provide an objective data base that can be used to further develop the Aftercare Service Delivery System in Washington County.

A Survey Of Mental Health Clients Admitted To General Hospital Emergency Rooms, Marsha J. Beale

Dissertations and Theses

The purpose of this survey was to obtain information from hospital emergency room staff on each mental health admission during the period of December 15, 1977 to January 15, 1978. Mental health admissions were broadly defined to include those people who were experiencing an observable mental health difficulty, but who may have initially presented primary medical problems. At the request of Multnomah County Mental Health Division's Management Team, and with the approval of the Emergency Department Nurses Association (EDNA), questionnaires were distributed among 16 general hospitals in the Portland, Oregon, Tri-County area. These hospitals are located in Multnomah, Clackamas, and …

Assessment Of The Health And Social Service Needs Of The Elderly Of The Confederated Tribes Of Warm Springs, Bruce K. Cannon, Jan C. Goslin

Dissertations and Theses

The purpose of this study is to examine what the elderly of the Confederated Tribes of Warm Springs reported as their health and social service needs in the Tribal Health and Social Service Needs Assessment. It will also review the elderly's concerns and those of the general population in regards to future planning of services for the elders.

Follow-Up Study Of Children In Six Day And Residential Treatment Service (Darts) Centers In Oregon, Doris M. Beard, L. Gail Bulkley

Dissertations and Theses

This study was begun at the request of the Mental Health Division (MHD) of the State of Oregon. The purpose was to conduct a follow-up study on six Day and Residential Treatment Service (DARTS) Centers which are funded by MHD. The purpose of the research was to assess whether or not the Centers are an effective treatment tool. The information acquired by this study will be used to provide information to MHD and the DARTS Center Directors to assist their decision making regarding program direction, and to provide MHD with specific information to be used in preparation for the upcoming …

A Study Of Multnomah County Community Support Services For The Chronically Mentally Ill, Karen Albers

Dissertations and Theses

In recent years attention has been given to the problems of the chronically mentally ill in regard to the effects of deinstitutionalization and a need for community supports. In this study, 77 service providers to the chronically mentally ill of Multnomah County (Portland), Oregon were interviewed to assess the components of the existing community support system for this population, as well as to identify the strengths and weaknesses of the system. Ten chronically mentally ill clients were interviewed in a similar manner.

Although a multitude of problems were reported, service providers most frequently mentioned the need for residential situations, for …

A Descriptive Study Of Demography & Transportation Issues Of Chronically Mentally Ill In The Eastern Oregon Comprehensive Community Mental Health Catchment Area, Tom H. Brubaker, David Emmons, John Meade

Dissertations and Theses

The CMI (Chronically Mentally Ill) experience many problems in obtaining services in both rural and urban environments. Such problems include community resistance to the mentally ill, inadequate treatment services, support systems, a lack of service utilization, and a lack of follow-up studies concerning this population, especially in rural areas. While these problems are generally characteristic of all areas of the country, whether urban or rural, they tend to have extreme manifestations in rural areas. Such problems are also conjoint in rural areas with rural life poverty, isolation, transportation difficulties, and sparse populations. In order to understand the possible barriers to …

Industrial Social Work : A Review Of The Literature And An Evaluation Of An Employee Assistance Program, Gregory Mark Lee

Dissertations and Theses

In the attempt to explore the world of work as an arena for mental health services, this report can be considered as having two major goals. The first is to provide a review and discussion of many of the issues that impact on and are part of the industrial social work field. The meaning of work will be discussed, from both an historical and psychological point of view. Aspects of the community mental health ideology will be presented, especially in relation to the world of work. A brief review of various types of mental health programming will be discussed, as …