Mental and Social Health Commons^™

Use Of A Structured Interview To Evaluate The Validity Of The Alcohol And Drug Dependence Scales Of The Millon Clinical Multi Axial Inventory Ii, Bert Van Hoek

Dissertations

This is an external validation study of the Alcohol and Drug dependence scales of the Millon Clinical Multiaxial Inventory II ([MCMI-II], Millon, 1987). The Structured Clinical Interview for the DSM-III-R ([SCID], Spitzer, Williams, Gibbon, & First, 1990) was administered to a sample of 73 adults who presented for treatment at a substance abuse facility to establish all possible substance abuse diagnoses based on the nosology of the revised Diagnostic Statistical Manual for Mental Disorders (3rd ed. [DSM-III], American Psychiatric Association, 1980). Subsequently, scores on the Alcohol and Drug Dependence scales of the MCMI-II for the present sample were compared to …

An Analysis Of The Personalities Of A Sample Of Students At Grand Valley State University Who Consume Alcohol, Jeanette Mcdowell

Dissertations

Problem. Literature on alcohol abuse among college students suggests that drinking patterns differ according to the expectations that people have about consuming alcohol. These expectations are strongly aligned to the personality traits/characteristics of theconsumer. At Grand Valley State University, alcohol abuse on campus is a great concern. The purpose of this study was to analyze the personalities and needs of some students at the university who have been participants in the Time Out program--a program structured for those who have been involved in alcohol use and have violated the rights of others while under the influence.

Method. Three instruments, a …

The Affective Quality Of The Relationships Between Mothers Recovering From Cocaine/Polydrug Addiction And Their 12-Month-Old Infants, Jane Reed Vanbremen

Dissertations

No abstract provided.

Efficacy Of Addiction Treatment In A Correctional Setting For Female Offenders As Measured By The Addiction Severity Index, Paul Robert Wiese

Dissertations

Problem. This study was designed to determine to what extent improvement following treatment for addiction was evident, and if treatment seemed causative in that outcome, for incarcerated female addicts. This study also explored the question of which treatment modality seemed most effective-- an education-only group, a comprehensive long-term treatment group, or a waiting-list control group. -- Method. The Addiction Severity Index (ASI) furnished scores on seven psychosocial areas for subjects. Hypotheses were tested with paired t tests. The means of the pre- and post-tests for the three groups were compared, as well as between group mean scores. Second, a …

Adolescent Substance Use Patterns: Testing A Multidimensional Sociogenic Model, Eric O. Johnson

Dissertations

This dissertation begins with the understanding that behavior is a product of a variegated and complex web of social factors. Bringing this approach to the subfield of adolescent substance use, both substance use itself (alcohol, cigarettes and a broad range of illicit drugs) and the factors that influence such use are viewed as existing within the complex of demographic/structural, social contextual, attitudinal, and behavioral layers of adolescents' social worlds.

The Patterns of Adolescent Substance Use Typology, developed by Stanley S. Robin and me (1992a), is used to categories the overall level and kind of substance use, over time, that adolescents …

University Students' Personal Histories And Alcohol Programs: A Naturalistic Study, Alexandra E. Michaels

Dissertations

Using a naturalistic inquiry approach, this study sought to generate (a) new insights into the troubling problem of student alcohol abuse as well as (b) a new theoretical basis for alcohol programs. The purpose of the study was to provide a comprehensive understanding of the experiences and characteristics of college students who have discontinued abusive drinking. Using an interview methodology, three main issues were examined: (1) the environmental and personal factors that influenced the participants' drinking behavior and related problems, (2) the factors which hindered or assisted participants in setting and achieving a goal of sobriety or establishing a nonabusive …

The Effects Of Training And Experience On The Ability To Detect Relapse Precipitants In A Substance Abuse Client, Michael F. Sunich

Dissertations

This study examined the effects of training and experience on counselors' ability to detect relapse precipitants in substance abuse clients. Eighty counselor trainees from Western Michigan University and the University of Northern Colorado participated. They were classified as to their previous level of experience and then exposed to either the treatment condition or the control condition. Pretest-posttest data were gathered using a modified version of the Alcohol Confidence Questionnaire (Annis & Graham, 1988) (ACQ-M).

The findings from this study suggest that counselors with previous substance abuse experience tend to show less confidence in a client's ability to remain abstinent than …

Effects Of Adventist Engaged Encounter On Role Expectations And Growth In Premarital Relations, Jeffrey O. Brown

Dissertations

Problem. There is a growing concern in present society over what have come to be known as 'family values.' At the heart of these values lies marriage, and the erosion of this ancient institution has caused practitioners and researchers alike to focus on possible opportunities afforded by premarital intervention. With the proliferation of enrichment programs, there is a need in the church for an evaluation of Adventist Engaged Encounter (AEE), the largest group premarital intervention program in the Seventh-day Adventist denomination, especially as it relates to two of its primary foci: role expectations and growth.

Method. Demographic details were obtained …

The Relationships Between Marital Adjustment, Family Functioning, Task Management And Family Relationship Concerns In Couples Incorporating A Second Child, Amy Diguiseppe Bade

Dissertations

The purpose of this study was to examine the relationships among variables identified as potentially significant during the transition to second time parenthood. The theoretical framework for this study was based on the Circumplex Model of family systems (Olson, Sprenkle & Russell, 1979; Olson, Russell & Sprenkle, 1983), and a five domain structural model of marital and family adaptation (Cowan & Cowan, 1988).

The convenience sample consisted of 49 Caucasian middle class couples all expecting their second child. This was a one group pretest-posttest design with the birth of the second child functioning as the independent variable. The dependent variables …

A Validation Of The Family Of Origin Scale Using Alcoholic And Mental Health Patients, Arthur J. Fedor

Dissertations

The purpose of this study was to add to the knowledge of family of origin assessment by demonstrating the utility of the Family of Origin Scale (FOS; Hovestadt, Anderson, Piercy, Cochran, & Fine, 1985) as a posttreatment measure of change with clinical samples. In this context, a second feature of the study was a further validation of the FOS.

Eighty-one clinical subjects in inpatient alcoholism treatment centers and outpatient mental health clinics were administered the FOS prior to treatment and again following treatment. Although the pretest-posttest model of the study was a quasi-experimental design, the focus was on the FOS's …

Effects Of Ro 15-4513 On Schedule-Induced Ethanol Intake In Rats And Schedule-Maintained Responding In Pigeons, Dawn D. Delaney

Dissertations

The partial inverse benzodiazepine receptor agonist, Ro 15-4513, is a recently synthesized compound with the ability to antagonize some of the biochemical and behavioral effects of low to moderate doses of ethanol and related CNS depressants. The present investigations sought to explore further the behavioral actions of Ro 15-4513. In Experiment 1, the effects of acute (0.6-5.4 mg/kg) and chronic (5.4 mg/kg) administrations of Ro 15-4513 on rats' schedule-induced consumption of water and 8% ethanol solution were examined. Acute and chronic administrations of Ro 15-4513 slightly reduced consumption of both liquids. No selective effects on ethanol consumption were observed.

In …

The Psychological Needs Of Sex Offenders Of Children As Measured By The Personality Research Form, Shirley Anne Miller

Dissertations

Major contributors in the field of child sexual abuse have agreed that sex offenders who sexually abuse children are not primarily motivated by sexual desire and have proposed that the simultaneous satisfaction of a number of psychological needs is the prominent motivation of sex offenders of children. Few attempts have been made to empirically validate the clinical and theoretical impressions regarding the psychological needs of this group using psychological measures designed to assess needs or motives.

The purpose of this study was to investigate to what extent the assumptions about the psychological needs of sex offenders of children would be …

The Effects Of A Wilderness/Adventure Program On The Self-Concept, Locus Of Control Orientation, And Interpersonal Behavior Of Delinquent Adolescents, Timothy J. Zwart

Dissertations

The purpose of this study was to examine the effects of a 26-day therapeutic wilderness program for delinquent adolescent males on three conceptually distinct but closely related constructs: self-concept, locus of control orientation, and interpersonal behavior. Justification for the study was derived from the limitations of past wilderness/adventure research which suggested that there was a need for additional research on the effects of this type of alternative program for delinquent adolescents.

It was hypothesized that following participation in this program the youths would exhibit increased self-concept, more internal locus of control orientation, would express higher needs for inclusion and affection …

A Systematic Approach To Staff Management And Systems Evaluation In An Inpatient Psychiatric Setting: The First Step Toward Reform Through Accountability, Helen Diann Pratt

Dissertations

The current study had two major objectives: (1) to evaluate the impact of a staff management package consisting of training, prompts, task assignments, and oral and graphic feedback, and (2) to assess the effects of prescribed staff interventions on the inappropriate behaviors of three psychiatric inpatients. Accomplishing these two objectives produced an objective data base for the detailed evaluation of patient behaviors. Study I was designed to get staff members to record patient behaviors, to use contingent and consistent interventions, and to record those interventions. Results yielded high staff performance without tangible incentives. Staff members were able to consistently, reliably …

Neuropsychological And Socioemotional Subtypes Of Childhood Externalizing Disorders: Cluster And Validation Analyses, Grant Jackson Butterbaugh

Dissertations

The purpose of this exploratory and confirmatory contrasted-group classification study was to determine if specifically predicted (Hypothesis 1) and externally valid (Hypotheses 3 and 4) subtypes of childhood externalizing disorders could be identified, using previously obtained neuropsychological (NP), socio-emotional (SE), and historical variables. Cross-classification validity was evaluated to determine if subjects NP and SE subtype memberships could be predicted using either their SE and NP subtype memberships or their SE and NP variable scores, respectively (Hypothesis 2). Subjects (n = 117) were 6-to-14-year-old boys and girls with normal intelligence, elevated scores on the Delinquency and/or Hyperactivity scales of the Personality …

Development And Evaluation Of An Infant-Care Training Program With First-Time Fathers, Ronald S. Dachman

Dissertations

We evaluated the effectiveness of a multicomponent package in training infant-care skills to first-time fathers. After developing and socially validating a set of infant-care skills, we assessed the effects of training in a hospital-based program with expectant fathers (Experiment 1) and in a home-based program with fathers having varied degrees of experience with their infants (Experiment 2). In both experiments, a multiple probe design demonstrated that the training package was responsible for producing criterion performance by the expectant and first-time fathers. A one-month generalization probe in Experiment 1 showed that the effects transferred across training conditions (training doll to human …

The Relationship Between The Dsm-Iii Borderline Personality Disorder And The Minnesota Multiphasic Personality Inventory, John Thomas Heroldt

Dissertations

Psychotherapeutic efforts with borderline patients have been frustrated for many years because identification of the disorder has been vague, and because the etiology of the disorder has been unknown. Without adequate diagnosis and knowledge of the etiology, it has been impossible to design treatment strategies. The basis for undertaking this project centers on the amelioration of this basic diagnostic consideration.

The Minnesota Multiphasic Personality Inventory responses of 50 patients, 16 men and 34 women, meeting the Diagnostic and Statistical Manual of Mental Disorders (APA, 1980) criteria for a borderline personality disorder were compared to a mixed diagnostic group of 50 …

A Phenomenological Investigation Of Women And Depression, Denise Twohey

Dissertations

There is increasing evidence that new conceptualizations of women's development are leading to important revisions in current psychological theories and practices. In this study, these theories were examined to enhance the treatment of depressed women. Toward this end, a phenomenological laboratory was established consisting of an 11-week psychotherapy group for depressed women which was videotaped and observed by six trained evaluators.

The primary outcome was the development of a conceptual framework for understanding women and their experience of depression. The framework was created from the identification of five content themes which emerged as a synthesis of the observations made by …

The Effects Of Rational Emotive Education On The Rationality, Neuroticism And Defense Mechanisms Of Adolescents, Daniel John Kachman

Dissertations

The purpose of this study was to assess the efficacy of Rational Emotive Education (REE) as a mental health prevention program for adolescents. The subjects included 109 eleventh and twelfth grade students who were enrolled in four introductory psychology courses. A nonequivalent control group design was used with experimental subjects receiving 12 biweekly sessions of REE. Subjects were pre and posttested on three measures of psychosocial adaptation: the Rational Behavior Inventory (RBI), the Defense Mechanism Inventory (DMI), and the Eysenck Personality Inventory (EPI). The effects of REE upon behavior were also examined by comparing academic effort grades, number of detentions …

An Experimental Study Of The Effects Of A Prescriptive Mental Health Consultation Approach On The Adjustment Of Children Enrolled In The Blue Water Head Start Program St. Clair County, Michigan, Michael J. Duffy Jr.

Dissertations

Head Start mental health services have the goal of primary prevention. The principal vehicles for achieving primary prevention are education and consultation. In St. Clair County, Michigan, the Blue Water Clinic's Early Intervention Program provides Blue Water Head Start participants with mental health services.

This study was concerned with mental health consultation as a service delivery vehicle for achieving the goal of primary prevention. More precisely, aspects of primary prevention were investigated particularly as they relate to the Blue Water Clinic's Early Intervention Program and the Blue Water Head Start Program and specifically, to two mental health consultation approaches used …

Guilt, Ego Development, And Christian Faith, Dane Ver Merris

Dissertations

This research addressed the problem of whether a relationship exists between a particular level of ego development and guilt engendered by a rigid conscience based upon orthodox Christian beliefs. It was anticipated that forty-five graduate students at a conservative midwestern seminary who experienced higher levels of guilt and demonstrated a more rigid conscience/superego would score at the Conscientious stage of ego development measured by the Washington University Sentence Completion Test. Guilt and rigidity of conscience were measured by the Sixteen Personality Factor Questionnaire.

Object relations theories of the origins of guilt were examined along with the relationship between object relations …

Performance Of Brain Dysfunctional And Non-Dysfunctional Subjects On The Bip And A Multiple-Choice Bip With Varying Degrees Of Background Interference, Michael Joseph Ezzo

Dissertations

The purpose of this study was to examine the visual and motor behavior of brain dysfunctional patients and the effects of varying the line density on the Background Interference Procedure for the Bender-Gestalt (BIP). Various claims have been made for the increased diagnostic accuracy of the BIP over the regular Bender-Gestalt, yet few investigations have been conducted to explore the BIP phenomenon. A model for the process of drawing geometrical figures was proposed in hopes of clarifying how this procedure and others intervene in the graphomotor task.

The original BIP paper was considered to have lines of single-density. A transparency …

A Comparison Of The Sub-Types And Specific Learning Disabilities Of Attention Deficit Disordered Children, George D. Pommer

Dissertations

Children who have an Attention Deficit Disorder (ADD) are typically reported by parents and teachers to be poor in attending and concentrating on tasks, functioning below academic potential, and displaying numerous impulsive behaviors. Although research indicates a significant number of these children may have specific learning disabilities, the identification of the specific type and an accompanying treatment modality is necessary for effective treatment.

The purpose of this research was to survey the clinical relationships between ADD, learning disabilities, and emotional problems. Subjects (N = 28) were outpatient clients of a private psychiatric clinic who were free of visual or auditory …

The Role Of Trainer Contact In The Treatment Of Enuresis Using A Conditioning Device, Elaine Lee Phillips

Dissertations

This study examined if regular planned contact compared to no contact with a trainer made a difference in terms of dropout rate and success rate in the treatment of enuresis using a conditioning device. The study additionally attempted to determine if the frequency of contact had an impact on success and dropout rates. Twelve boys and six girls were assigned to one of three groups, a high contact group, medium contact group, and no contact group. Other than matching for age, subjects were randomly assigned. All subjects received the same training on the use of the conditioning device. Subjects in …

The Relationship Between Marital Satisfaction And Jungian Psychological Type, Lawrence Brad Beer

Dissertations

Researchers investigating the relationship between marital satisfaction and psychological type have discovered indications of a clinically useful relationship. By further clarifying the relationship between these two variables, guidelines may be established which can be helpful to counselors conducting marital therapy and marital enrichment programs. A secondary purpose of the investigation was to assess the relationship between selected demographic variables and marital satisfaction.

Married subjects were randomly selected from two groups--La Maz class participants and students from a local community college. Subjects responded to three self-report instruments--the Marital Satisfaction Inventory (MSI), the Myers-Briggs Type Indicator (MBTI), and a Personal Information Questionnaire …

Reducing Emg And Cardiovascular Reactivity With Cue-Controlled Relaxation, Janel Kay Harris

Dissertations

The present study compared cue-controlled relaxation (CCR) to progressive muscle relaxation (PMR) as possible methods of reducing reactivity to active stressors (math and anagram tasks). The CCR training entailed practicing relaxation during exposure to the active stressors, while the PMR training did not. Ten cardiac rehabilitation patients served in an experiment which used a repeated-measures ANOVA to assess changes in frontal EMG, skin conductance level (SCL), systolic (SBP) and diastolic (DBP) blood pressure, and pulse-rate reactivity across three experimental conditions. These were: baseline, progressive muscle relaxation, and cue-controlled relaxation. The results indicated that CCR led to reduced EMG, SBP, and …

Training Behavioral Assessment Interviewers: A Comparison Of Two Procedures, Raymond G. Miltenberger

Dissertations

Two procedures were used to teach behavioral assessment interviewing skills; a training manual and a one-to-one training procedure consisting of instructions, modeling, rehearsal and feedback. Four subjects, two graduate students and two seniors, were trained with each procedure. Interviewing skills were recorded in simulated assessment interviews conducted by each subject across baseline and treatment conditions. Each training procedure was evaluated in a multiple baseline across subjects design. The results showed that both procedures were equally effective for training behavioral interviewing skills, with all subjects reaching a level of 90-100% correct responding. Finally, a group of experts in behavior analysis rated …

The Effects Of Symbolic Modeling And Parent Training On Noncompliance In Hyperactive Children, George Kahle Henry

Dissertations

This study examined the interactions of mothers with their hyperactive children during a structured-task period to determine the effects of a symbolic modeling and parent training intervention on child noncompliance. Analysis of videotaped sequences across all phases of the study indicated that symbolic modeling was not a very effective technique for improving compliance in hyperactive children. Phase one of parent training, which taught mothers appropriate attending, ignoring, and rewarding behaviors, was more effective than symbolic modeling. Phase two of parent training, which introduced a time-out contingency for noncompliance, was the most effective intervention as it resulted in significant reductions in …

An Investigation Of The Relationship Between Premorbid Personality And Depression, William Essenburg

Dissertations

Depression is a significant mental health problem and has been studied extensively for decades. However, there is still disagreement among clinicians and researchers regarding the causes and psychodynamic processes of depression.

The purpose of this study was to investigate the relationship between premorbid personality and depression. Using the Millon Clinical Multiaxial Inventory (MCMI) and the Beck Depression Inventory, personality and depression measures were obtained from a sample of adult psychiatric inpatients during acute and remission phases of their hospitalization.

Results obtained indicated that the MCMI scales intended to measure premorbid personality during periods of acute psychiatric illness were sensitive to …

The Rorschach As A Diagnostic Aid In Differentiating The Bipolar Affective Disorder From The Schizophrenic Disorder, Stephen James Newman

Dissertations

Misdiagnosis of the bipolar affective disorder (manic type) has profound consequences Including prescription of counterproductive medication, non-aggressive treatment approaches, extended hospitalizations, and poor prognosis (Fleve, 1975). Misdiagnosis Is extensive and has resulted from the tendency to over diagnose schizophrenia (Fleve, 1975), the tendency to equate psychotic symptomatology with schizophrenia (Garvey & Tuason, 1980), the similarity of psychotic symptomatology of the bipolar affective and schizophrenic disorders (American Psychiatric Association, 1980), past confusion regarding diagnostic criteria of the bipolar affective disorder (Spltzer, Williams, & Wynne, 1983), and the absence of psychometric tools to differentiate the bipolar affective and schizophrenic disorders.

The purposes …