Mental and Social Health Commons^™

A Critical Constructionist View Of "At-Risk" Youth In Alternative Education, Rachelle Silverstein Touzard

Loma Linda University Electronic Theses, Dissertations & Projects

Family therapists and school counselors are increasingly called upon to provide services for youth in alternative education (Carver, Lewis, & Tice, 2010). Alternative education systems are programs for youth who have been defined as at risk. This study explored the at-risk discourse and asked the questions (a) how do youth and staff define the term at risk, (b) construct their experience in alternative education systems, and (c) experience their relationships with each other.

Combined elements from critical theory and a social constructionist perspective guided this study. A qualitative, grounded theory method was used that included semi structured interviews with …

The Effects Of Parental Divorce On The Views Of Romantic Relationships And Marriages Of The Children Involved, Melissa D'Agostino

Theses and Dissertations

The purpose of this study was to determine if the occurrence of parental divorce resulted in negative views and experiences regarding the romantic relationships of the offspring. Four surveys were administered to undergraduate students enrolled in psychology courses at Rowan University. The first survey was used for informational purposes to group participants into two group (those from intact families and those from non-intact families) and to determine the current relationship status of all participants. The following three surveys addressed avoidant behaviors, anxiety level, the presence of conflict, and satisfaction regarding past or present romantic relationships. The data was analyzed for …

Chronic Self-Injury And Suicidality In Borderline Personality Disorder And Its Treatments, Megan Perry

Theses and Dissertations

This study examines the ethical considerations and ways of treating chronic suicidality in people with Borderline Personality Disorder. A sample of 62 clinicians working in the mental health field was surveyed. As predicted, the degree held by the participant, the type of organization the participant worked for, their occupation/title, type of treatment modality and years of experience were all related to how they responded to the questions on the survey. Unexpectedly, the sex of the participant was also related to how participants responded.

Trapped In The Bell Jar: Mental Illness In College Students, Julie Stagis

Honors Scholar Theses

This is a magazine article that explores the rising problem of mental health in college students, focusing on Connecticut. It explores the experiences of three college students dealing with depression and bipolar disorder, a family who lost a child to suicide, and the measures taken by colleges in Connecticut to curb the problem.

Immune Function And Health Outcomes In Women With Depression, Cherie Howk, Mary P. Bennett

Nursing Faculty Publications

This research reports immune function and health outcomes in women with depression, as compared with a nondepressed control group. Using Psychoneuroimmunolgy theory and a descriptive comparison design, scores on the Beck Depression Inventory (BDI) were used to divide 40 non-hospitalized Caucasian women between the ages of 18 and 65 years into either the control or depression comparison group. Women with depression were found to report significantly more incidences of illness over the previous two months and they were found to have significantly more indicators of illness at the time of the exam as compared to the controls. However, contrary to …

Encouraging Rural Health Clinics To Provide Mental Health Services: What Are The Options?, John A. Gale Ms, Stephanie L. Loux Ms, Barbara Shaw Jd, David Hartley Phd, Mha

Rural Health Clinics

Key Findings: Approximately 6% of independent and 2% of provider-based RHCs offer mental health services. 38% of study RHCs reported their mental health services were not profitable but continued to provide them in response to community and patient needs. An important factor in the development of RHC mental health services is the presence of a local "champion" who spearheads the development effort.

Institutional Policy Changes Aimed At Addressing Obesity Among Mental Health Clients, Linda L. Knol, Kelly Pritchett, Jeri Dunkin

All Faculty Scholarship for the College of the Sciences

Background
People with mental illness often experience unique barriers to healthy eating and physical activity. For these clients, interventions should focus on changes in the immediate environment to change behaviors. The purpose of this project was to implement and evaluate policy changes that would limit calorie intake and increase calorie expenditure of clients receiving mental health services.

Context
This intervention was implemented in a rural mental health system in the southeastern United States. Clients live in small group homes, where they are served breakfast, dinner, and a snack, and attend outpatient day treatment programs, where they are served lunch and …

Terrorism And Health: The Responsibility Of Intellectuals, Haider A. Naqvi, Syed Faraz Kazim, Shafqat Huma

Department of Psychiatry

No abstract provided.

Ask A Different Question, Get A Different Answer: Why Living Wills Are Poor Guides To Care Preferences At The End Of Life., Laraine Winter, Susan M Parks, James J Diamond

Center for Applied Research on Aging and Health Research Papers

CONTEXT: Living wills have a poor record of directing care at the end of life, as a copious literature attests. Some speculation centers on the questionable correspondence between the scenario described in living wills versus the real-life circumstances that typically arise at the end of life.

OBJECTIVE: To assess the strength of association between responses to a standard living will question and preferences for treatments in six end-of-life scenarios.

DESIGN: Cross-sectional.

SETTING: Telephone interviews.

PARTICIPANTS: Two hundred two community-dwelling men and women 70 years of age or older in the greater Philadelphia area.

MAIN OUTCOME MEASURES: Strength of preferences for …

The Provision Of Mental Health Services By Rural Health Clinics, John A. Gale Ms, Stephanie L. Loux Ms, Barbara Shaw Jd, David Hartley Phd, Mha

Rural Health Clinics

The number of Rural Health Clinics (RHCs) providing specialty mental health services remains limited. This study examined changes in the delivery of mental health services by RHCs, their operational characteristics, barriers to the development of services, and policy options to encourage more RHCs to deliver mental health services. Key Findings: Approximately 6% of independent and 2% of provider-based RHCs offer mental health services by doctoral-level psychologists and/or clinical social workers. Models used to provide mental health services include contracted and/or employed clinicians housed in the same facility as primary care providers. A key element in the development of mental health …

Art Therapy And Anorexia: A Heuristic Self-Study From Treatment To Career, Katie Kiskinis

EVMS School of Health Professions Theses & Dissertations

The purpose of this self-study was to explore the personal experience had during treatment for anorexia nervosa that included an art therapy component and what impact this has had on subsequent recovery, current healthy functioning, and the career decision to become an art therapist.

The total duration of the study was 13 weeks. Thirty-minute reflection sessions supplemented with writing were scheduled for the first four days of the study, during which there was a submersion in artwork made during treatment (Treatment Artwork) for anorexia nervosa and any related memories. On the fourth day, eight themes were identified to be the …

Art Therapists’ Strategies For Improving Adolescent Self-Esteem: A Qualitative Study, Jennifer Lauren Barnette

EVMS School of Health Professions Theses & Dissertations

The purpose of this study was to interview art therapists who work with an adolescent population in a variety of settings, to acquire an in depth understanding of what various therapeutic approaches and art-making strategies they utilized to improve adolescents’ self-esteem. Six art therapists were interviewed. The interviews, which were transcribed, generated information about the art therapists’ theoretical orientation, how they addressed self-esteem with their clients, and what processes and materials they find to be most effective for improving such a goal. Themes were extracted from the interviews in order to acquire a further understanding of work with adolescents as …

An Art-Based Self-Study Of Immersion In Amish Culture: Implications For Art Therapists, Alison R. Hunt

EVMS School of Health Professions Theses & Dissertations

Literature reveals that cross cultural experiences can be beneficial to therapists in terms of personal growth and cultural competency (Finlay, 2005). This heuristic study employed Moustakas’ (1990) six stages of initial engagement, immersion, incubation, illumination, explication, and creative synthesis to examine the impact of immersion in Amish culture on my sense of myself as an art therapist. Data collection included keeping a visual journal and making art during the immersion stage. The data was evaluated using qualitative techniques of categorizing, interpreting, and integrating (Ansdell & Pavlicevic, 2001). Themes which emerged from the artwork were reported in a narrative format and …

A Grant Proposal For An Art Therapy Open Studio For The Homeless Population Of Hampton Roads, Virginia, Jessica Renée Chevalier

EVMS School of Health Professions Theses & Dissertations

It has been shown that community arts programs for the homeless can aid in the development of problem-solving skills, raise self-esteem, facilitate the development of valuable workplace skills, and help the individual feel more connected to his or her community. Though homelessness is a tremendous problem in Hampton Roads, Virginia, there are currently no community art programs devoted to assisting this population. In addition to summarizing other successful community art programs, this paper explains just how valuable and necessary an art therapy based community art program, such as the one being proposed here, would be to the communities of Hampton …

Proposal For An Art-Based Program Promoting Positive Identity Formation In Sexual Minority Youth, Anthony Philip Stroud

EVMS School of Health Professions Theses & Dissertations

According to current scholarly research, there is a paucity of literature aimed at preventing negative identity formation for sexual minority adolescents. Unfortunately, most literature aims at the treatment of the consequences of negative minority identity formation. More important, strengthening positive minority identity formation, particularly in reference to sexual minority adolescents, needs to be a primary goal of current research. This paper provides an arts-based program plan for sexual minority adolescents grappling with identity formation. Moreover, this proposed program plan aims at utilizing art therapy and museum education to prevent negative identity formation amongst the participants.

An African-American Breast Cancer Survivor’S Journey With The Use Of Visual Journaling, Kristen Spellman

EVMS School of Health Professions Theses & Dissertations

This qualitative case study guided one female breast cancer survivor through a 6-week art therapy visual journaling experience. The art therapist taught the participant about the purpose of visual journaling and the potential benefits, as well as the basic methods used to journal. Qualitative data consisted of the visual journal entry (containing both images and writing) that she made in each session and entries made between sessions. Through content analysis, the following themes emerged from the data: breast cancer treatment, anger, family, body image, and depression. The sessions appeared to be beneficial to the participant, and she was enthusiastic and …

The Abortion Attitudes Of Counselor, Social Worker, And Nursing Trainees, Mary J. Ball

Dissertations

This study examined the similarities and dissimilarities in abortion attitudes among counselors (CTs, n = 51), social workers (SWTs, n = 42), and nurses in training (NTs, n = 78), based on profession, age, race, gender, and religion. Data were analyzed using analysis of variance and standard multiple regression. It was predicted that profession, religion, age, gender, and race would predict the abortion attitudes of CTs, SWTs, and NTs in training. It was also predicted that the attitudes of CTs and SWTs would be most similar, and that both of these groups would hold more positive abortion attitudes than NTs. …

Experimental Analysis Of Gambling Using A Concurrent-Schedules Procedure, Andrew Ellis Brandt

Dissertations

Gambling has been experimentally investigated using various types of gambling simulations designed to mimic the contingencies found in real-world games of chance. Findings from past risky choice research suggest that certain procedures used in existing gambling simulations may systematically increase levels of gambling. Two of these characteristics, the use of a participant stake and the type of options available during gambling, were tested in four experiments in which participants had the opportunity to gamble using tokens exchangeable for entries into a $50 lottery. Experiments 1 and 2 tested persistence on a gamble option when either a single-option or a concurrent …

Breaking Bad News: Exploring Patient's Perspective And Expectations, Sidra Ishaque, Taimur Saleem, Fariha Batool Khawaja, Waris Qidwai

Department of Family Medicine

OBJECTIVE: To explore patient's perspectives and expectations from physicians with respect to breaking of bad news.

METHODS: A cross-sectional survey was carried out in the Community Health Centre of a tertiary care teaching hospital in Pakistan. All consenting individuals from 18 to 60 years of age were interviewed on the basis of a structured, pre-tested questionnaire.

RESULTS: The response rate for this study was 91.3%. A total of 400 respondents completed the full interview. About 60% patients had a fairly accurate idea about the implications of the phrase "bad news". A big proportion (44.1%) of people reported that bad news …

Evaluation Of Medication Effects On Academic Performance, Sleep, And Core Adhd Symptoms In Children, Tina K. Head

Dissertations

Idiosyncratic effects of Vyvanse™ (lisdexamfetamine dimesylate) and placebo were evaluated in a double-blind alternating treatments experimental design in this 4-week study. Direct, objective measures were combined with traditional behavior ratings to provide data sets to assess whether or not the prescribed stimulant medication showed detectable therapeutic effects for a child whose positive response to medication was not obvious via traditional subjective methods. Effects of medication on core ADHD symptoms, academic performance, and sleep in four children ages 10-12 with attention deficit/ hyperactivity disorder. Potential side effects were also measured. Daily measures included parent rating scales, side effects checklist, sleep journal …

The Relationship Between Premarital Advice, Expectations And Marital Satisfaction, Cicile M. Rios

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

The purpose of this study was to determine the significance between advice, marital expectations, and marital satisfaction. This study also explored the sources couples use to gather information, or rather where they receive premarital advice, and if it was helpful. Included in this study were husbands (n = 56) and wives (n = 56) who had been married less than one year, to classify them as newlyweds. The relationship between sources of information and expectations was found to be highly significant for variables related to family of origin. It was also found that a high percentage of couples …

Opportunities For Intervention: Characteristics Of Alcohol Related Visits To United States Emergency Departments, 2003 - 2007, Jonathon Lavalley

UNLV Theses, Dissertations, Professional Papers, and Capstones

The cycle of alcohol intoxicated patients passing through United States (US) emergency departments (ED) and repeated inpatient detoxification for alcohol inebriates is costly, as these patients are continually exposed to injury and other health and legal consequences of their continued at risk alcohol use. The high proportion of ED resources used by these alcohol intoxicated patients has contributed to increased patient wait times, increased ambulance diversions, forced closures of US EDs, increased numbers of patients leaving without being seen, and an overall reduction in the quality of medical services provided in the ED. In order to contribute to efforts towards …

A Proposal For An Art Therapy Intervention For The Reduction Of Dementia Caregiver Stress, Eileen Douglas

EVMS School of Health Professions Theses & Dissertations

The purpose of this thesis was to develop an art therapy intervention program to test the efficacy of art therapy in the mitigation of stress among informal caregivers who are caring for individuals suffering from dementia. The design of this program is a prospective, randomized, controlled study of informal caregivers. This program will run for a period of 2 months, with a 30 day follow-up session. The study is designed to recruit at least 20 participants. Participants will be randomized into two separate groups, an art therapy intervention group and a controlled art making group. The Zarit Burden Interview, Cohen …

A Proposed Bereavement Art Therapy Group For Children Who Experienced A Loss, Laurie Mcarthur

EVMS School of Health Professions Theses & Dissertations

Bereavement, grief, and loss have been topics of interest to many individuals (Bowlby, 1969; Freud, 1917; Kubler-Ross, 1969) over the years, whereas child bereavement has become a more recent topic of interest. Recently, however, researchers (Lowenstein, 2006; Rogers, 2007; Trozzi, 1999) have gained an awareness of the importance of child bereavement as it pertains to developmental level, support systems, and circumstances surrounding the loss. Typically, both non-clinical and clinical interventions are used as forms of treatment for children who are experiencing grief and loss. Art therapy provides individuals with the opportunity to express themselves through their artwork. Individuals suffering from …

The Effect Of Art Therapy On The Working Memory Of Children With Attention Deficit Hyperactivity Disorder, Kelly N. Lee

EVMS School of Health Professions Theses & Dissertations

This study explored the effect of a short-term art therapy intervention on the working memory and behavior of male children with Attention-Deficit/Hyperactivity Disorder (ADHD). The methodology was quasi-experimental, involving a two-group controlled design with three objective pretest and posttest measures and one observer behavior report. Four subjects ages 7 to 9 were recruited for this study, and they were randomly divided between the experimental (i.e. art making) and control (i.e. board game play) conditions. Each subject participated in four individual sessions with the investigator, and completed two working memory measures at pretest and posttest administration. One parent for each child …

A Study Of Artwork By Individuals With Eating Disorders, Michelle L. Mong

EVMS School of Health Professions Theses & Dissertations

This study explored formal elements and content of 200 images created by eating disordered individuals to identify common themes or content. Images were found on 24 websites containing eating disordered artwork. Gathered artwork was viewed on a laptop and analyzed using methods of content analysis. After categories of formal elements and content were entered into a spreadsheet, percentages of categories and subcategories were calculated. The majority of images, 96.5%, were created with representational, rather than abstract, content. Other high percentages were in the subcategories of drawings (67.5%), vertical orientation (63%), color (61%), and partial figures (53%). Common themes noted in …

Experienced Clinician’S Understanding And Approach To Treatment With Male Survivors Of Child Sexual Abuse, Blendine Perreire Hawkins

UNLV Theses, Dissertations, Professional Papers, and Capstones

The number of males abused sexually as children are significant and while the awareness of the needs of this population has increased, the process in treatment has not been sufficiently examined. The purpose of this study was to explore experienced clinicians' approach and understanding within treatment with adult male survivors of child sexual abuse. A qualitative research design was utilized, using purposeful expert sampling procedures. In this study, data was collected from phone interviews with five participants who were identified as highly experienced clinicians in the area of male survivors of child sexual abuse treatment. Using qualitative methods within phenomenological …

Philosophical Concerns: Implications For Art Therapy, Anzhela Akbarova

EVMS School of Health Professions Theses & Dissertations

Throughout centuries, philosophers have asked and attempted to answer questions that address human concerns: identity establishment, search for purpose in life, fear of nonexistence, spirituality, and relationships with other people in the world. Some psychologists and arts therapists have also acknowledged the existence of these concerns. This thesis is a comparative analysis of philosophical literature and concludes that art therapists should acknowledge human concerns in their theory and practice.

The Interim Window: Women’S Experiences During In Vitro Fertilization Leading To Maternal Embryo Attachment, Tammy Mackinnon Lampley

UNLV Theses, Dissertations, Professional Papers, and Capstones

Infertility affects about 7.3 million women and their partners in the U.S., about 12% of the reproductive-age population. In vitro fertilization (IVF) has been used successfully in the United States since 1981. The number of women seeking artificial reproductive techniques (ART) has increased dramatically and the number of ART cycles performed in the United States has more than doubled, from 64,681 in 1996 to 134,260 in 2005 and 99% of these are IVF. Studies indicated that women rank waiting for the outcome of and IVF treatment and a negative pregnancy result as the most stressful events during their treatment. Although …

De-Mystifying The Magic: Meaningful Moments In Music Therapy When Working With Children That Have Severe Special Needs, Kayla C. Daly

Expressive Therapies Capstone Theses

The purpose of my study is to explore the “magic” that occurs in these music therapy sessions, and to discover what this word means for those who use it. For the purpose of this study we will define “magic” as having the occurrence of meaningful outcomes or moments in music therapy sessions. This study will attempt to reveal methods and techniques that are being used by music therapists to further facilitate the therapeutic process for children with severe special needs in their lives and everyday experiences. This study included naturalistic inquiry and phenomenological inquiry.