Mental and Social Health Commons^™

Predictors Of Depression In American Indian Adolescents, Quang Duong-Tran

Dissertations and Theses

Discriminant analysis was conducted to examine the empirical use of psychosocial variables and stressful life events scales in classifying depressed and non-depressed American Indian adolescents using a standardized criterion measure. Subjects attending a Bureau of Indian Affair boarding school were administered a mental health screening survey and were interviewed within four weeks using the Diagnostic Interview Schedule f or Children-Revised (DISC-R). Three models of discriminant analysis were used to determine the overall and incremental variance contributed by the stressful life events scales and the related psychosocial variables (i.e., gender, perceived social support from family and from friends, self-esteem, and depressive …

Toward Predicting Completion Of Substance Abuse Treatment, Rebecca Lee Bragg

Dissertations and Theses

This investigation attempts to identify factors which influence whether or not someone is likely to drop out of a chemical dependency treatment program. Dropping out is defined as someone who leaves treatment against medical advice.

The subjects were patients from a private, non-profit, medically based, residential program. Nine demographic characteristics were abstracted from the charts on file for the patients at the treatment center. Two groups of 45 patients each were selected from the inpatient population. One group, the Completed Treatment group, comprised patients who had completed the 28 day program. The second group, the AMA Discharge group, comprised patients …

A Study Of The Identification And Referral Components Of Substance Abuse Intervention Programs In Washington State's Public High Schools, Todd C. Herberg

Dissertations and Theses

This multiple-case study investigated the characteristics of successful high school substance abuse intervention programs.

The unit of analysis for this multiple-case study is the public high school substance abuse intervention program of twelve selected Washington State high schools. Sub-units of analysis within the multiple-case study include the various components and attributes of a substance abuse intervention program. Examples of these sub-units include: formal drug education policies; staff training on substance abuse issues and intervention skills; formal curriculum and student instruction; central office administration and building administration support for the program; community support for the program, staff time to administer the …

The Relationship Of The Perception Of Choice And Positive Behavior Change In Adolescent Residential Treatment With Future Success In The Community, Rita Harding Mcclellan

Dissertations and Theses

The purpose of this study was to explore the relationship of clients' perception of choice in treatment planning and the clients' positive behavior changes made within the treatment setting, with the clients' successful return to the community after release from the residential treatment setting.

Effects Of Stress Management Instruction And Anxiety Monitoring In Adult Day Treatment Population, Jack Blanton Wills

Dissertations and Theses

This study examines the effectiveness of a particular stress management intervention with adult outpatients diagnosed as chronic schizophrenics. The setting for the study was the Portland, Oregon, Veteran's Administration, Outpatient Clinic, Day Treatment Center. The intervention was composed of two factors; 1) stress management training and 2) Behavior-Graph Instruction. Both of these were presented using a psychoeducational model of classroom instruction, role play, and discussion.

Development, Diagnosis And Treatment Of Post Traumatic Stress Disorder And The Vietnam Veteran Population, Bari S. Fisher

Dissertations and Theses

Over the past 15 years, mental health professionals have seen an increasing number of Vietnam combat veterans suffering from stress disorders resulting from the trauma of combat and continued exposure to life threatening situations. Prior to 1980, professional repudiation of and hostility toward Vietnam veterans and toward a clinical reality of Post Traumatic Stress Disorder was common while nondiagnosis and nontreatment was prevalent.

Serving Primary Caregivers Of Persons With Alzheimer's Disease : An Integrated Service Delivery Model, Greta Krahn Stapleton

Dissertations and Theses

Alzheimer's disease (AD) is the most common form of nontreatable dementia, a syndrome which reflects a progressive and global impairment of memory, intellect, and other cognitive abilities. This devastating condition directly touches the lives of as many as 10 million Americans, including not only persons suffering from the disease but their primary caregivers and other family members as well. At present the course of AD cannot be halted or reversed, and no cure is known. The problem, then, is how to most effectively respond to the psychosocial needs of primary caregivers in order to help them provide the best possible …

Internal External Locus Of Control And The Choice Of Therapy, Marlene Eid

Dissertations and Theses

The purpose of this study was to determine whether a relationship exists between the scores subjects obtain on Rotter's Internal-External Locus of Control Scale and the type of therapy they prefer. Two hundred and fifty-four students in general psychology classes were given Rotter's Scale. Considering their upper- and lower-third scores, 54 were classified as " Internals," 53 as "Externals." Subjects also were given written descriptions of both psychoanalytic and behavioristic therapies. Each of these descriptions dealt with the goal and the specific therapeutic procedure of the respective therapies. Subjects were asked to identify which therapy they preferred and to provide …

Wilhelm Reich's Character Analysis In Its Historical Context, R. Daniel Mccauley

Dissertations and Theses

The thesis is an attempt to reconcile contradictions and devise historical meaning from a problematic text. The book is Wilhelm Reich's Character Analysis, first published in 1933. This influential psychoanalytic work embodies both a radical social theory and disturbing authoritarian attitudes. The thesis uses a variety of methodologies, in particular Roland Barthes' techniques for ascribing historical meaning to certain formal qualities of writing. The thesis proceeds from a summary of methodological studies in intellectual history and criticism, including those of I. A. Richards, R. G. Collingwood, and Dominick LaCapra, as well as Barthes, to a description of Character Analysis and …

Career Lines In The Area Of Mental Retardation, Charlotte Ballard

Dissertations and Theses

In the past few years there has been a large growth in the number of facilities and services provided to the mentally retarded in the community, as contrasted to the institutional setting.

This thesis reviews some of the factors involved in the transition to community care for the mentally retarded as a background for an examination of the characteristics and perceptions of the persons who provide community care.

The Psychological Intervention Of Group Therapy For Women Coping With Genital Herpes, Susan D. Ferguson

Dissertations and Theses

Three groups of women who had been diagnosed as having genital herpes completed a series of psychological assessments over the course of the four-month research period. One group received two-hour weekly group psychotherapy sessions for eight consecutive weeks as a mode of treatment intervention. Two control groups were used for efficacy of treatment comparison. One control group consisted of regular members of a local self-help chapter for herpes victims. The second control group was formed from those volunteers willing to participate, but who did not choose, or desire, any form of treatment, Outcome measures reflected a greater improvement in psychological …

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.