Mental and Social Health Commons^™

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 …

Trends And Developments In Global Natural Disasters, 1947 To 1981, Stephen A. Thompson

FMHI Publications

No abstract provided.

Analogic Communication As A Method Of Facilitating Change, Patricia Ann Tennery-Williams

Masters Theses

This thesis focused on nonverbal communication and the ways in which it may be employed to facilitate change in the context of psychotherapy. The anthropological, psychological, and medical literature was reviewed, and an overview presented of the relevant research on nonverbal communication. Nonverbal communication forms a critical dimension in the overall communication in the psychotherapeutic interaction. The importance of the therapist’s recognition of nonverbal behaviors characteristic of particular personality structures as well as the functions of nonverbal messages was examined. The utilization of meaningful nonverbal behavior by the therapist can greatly facilitate the client's change into more healthy and constructive …

Spontaneity In A Jungian Art Therapy Group, Ellen M. Sherwood

Theses

The problem of spontaneity in a Jungian art therapy group is addressed in terms of the integration of intuitive/ unconscious processes with the more cognitive aspects of art therapy. An explanation of basic Jungian theory is given, focusing on the process of active imagination, which forms the theoretical framework of the study. Conclusions are based on phenomenological data in conjunction with the writer's cognitive and subjective experiences while running the group.

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 …

Leadership Behavior Of Community Mental Health Centers' Program Supervisors In Michigan As Perceived By Program Supervisors, Immediate Superordinates, And Immediate Subordinates, Mamie Pang Campbell

Dissertations

The study examined the leadership behavior of community mental health centers' program supervisors in Michigan as perceived by program supervisors and their immediate superordinates and immediate subordinates. Consideration and initiating structure were the leadership behaviors examined in the study. Consideration and initiating structure were the leadership behaviors examined in the study. Consideration was defined as: "behavior indicative of friendship, mutual trust, respect, and warmth in the relationship between the leader and the members of the staff." Initiating structure was defined as: "the leader's behavior in delineating the relationship between himself and members of the work-group and in endeavoring to establish …

Trends In Health Care Expenditures, Maine 1974-1978, Bruce Armstrong

Maine Collection

Trends in Health Care Expenditures, Maine 1974-1978

by Bruce Armstrong, Research Consultant

Maine Department of Human Services, Bureau of Health Planning and Development, Division of Data and Research, Augusta, Maine (August 1981).

Contents: Preface / Highlights / List of Tables and Figures / Yearly Tables / Trend Illustrations and Tabular Descriptions

A Multiple Baseline Analysis Of The Use Of A Social Skills Training Package With Shy Children, Patricia A. Haist

Masters Theses

The effects of social skills training were examined in a multiple baseline across behaviors design. Three shy children were taught four component conversational skills: expressing feelings, expressing opinions, agreeing with another's opinion, and praising others. The training package consisted of instructions, modeling, rehearsal, feedback, and reinforcement. Results indicated that treatment was highly effective for each child. The subjects' improvement remained evident at two- and four-week follow-up sessions. Generalization to novel role play situations was variable within and across subjects. Extra-laboratory measures of generalization did not yield significant pre-, posttraining results.

The Effects Of Self-Management Training On Fluid Compliance In Hemodialysis Patients, Glen Roland Peterson

Dissertations

Seventeen adult, chronic hemodialysis out-patients were assessed on measures of: Compliance, beliefs about their health, and depression. The Multidimensional Health Locus of Control Scale was used to assess Internal Locus of Control (LOC), Chance LOC, or Powerful Other LOC. An assessment instrument was developed by the author using the Health Belief Model, and was administered to all subjects. This was designed to give a numerical value to patients' beliefs about the severity of their illness, beliefs about their susceptibility to the consequences of noncompliance, beliefs about the benefits of compliance, beliefs about the barriers that might stand in the way …

An Analysis Of Validity Constructs In The Dichotic Listening And Hemispheric Competition Procedures, Wade Addam Kapik

Masters Theses

This investigation was designed to determine the validity of two categories of neuropsychological measures of cerebral dominance. Forty right-handed subjects were administered two dichotic listening tests and two hemispheric competition tests in a random order. The principal data showed that none of the four tests had sufficient levels of criterion-related and concurrent validity to be considered clinically useful in measuring laterality. In addition, a Baysean analysis of one of the dichotic listening tests indicated that it possessed a predictive validity of .79. Finally, the assertion that the scoring methods of each test are dynamically different was disputed, and Kinsbourne's interhemispheric …

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 …

Women And Chronic Renal Failure: Some Neglected Issues, Nancy G. Kutner, Heather L. Gray

The Journal of Sociology & Social Welfare

It has been assumed until recently that chronic renal failure is more prevalent among men than among women, but data now indicate that at least half of all renal patients are women. The literature continues to focus on adjustment problems of male patients, especially sexual adjustment and job-loss problems, and to assume that women can adjust more easily because of their ability to maintain the homemaker role. However, women patients whose work status is that of homemaker are found to have the highest depression scores, and job loss results in low satisfaction for those who have held meaningful outside jobs. …

A Peer Counseling Training Program For Disabled Women: A Tool For Social And Individual Change, Marsha Saxton

The Journal of Sociology & Social Welfare

This article presents a description of a successful peer counseling training program for disabled women, offered in a community-based self help organization. The program provides both training in peer counseling skills, and a personal growth experience. It was carried out in a group context specifically designed for the needs of women with disabilities. The counseling approach, the training format and curriculum, and the evaluation procedures can all serve as a basis for agencies interested in developing similar programs.

Toward A Model Of Factors Influencing The Hiring Of Women With A History Of Breast Cancer, Nancy Mccharen, Jo Anne L. Earp

The Journal of Sociology & Social Welfare

Whether surgical treatment for cancer which results in the removal of an external part of the body is viewed by employers as a medical disability that interferes with the performance of job-related functions, or fits a more stereotypic definition of a physical handicap that might even prevent an employee from being hired, has not been adequately studied. To identify factors which influence employers' decisions to hire women who have had breast cancer, a model of factors influencing the decision to hire was developed. A random sample of personnel directors from an industrialized North Carolina county was surveyed. A majority had …

Benefits For The Disabled: How Beneficial For Women?, Elizabeth Ann Kutza

The Journal of Sociology & Social Welfare

The social and economic consequence of disability is of increasing interest in American society today. The numbers of persons reporting disabling conditions is rising, as is the number of persons qualifying for public disability benefits. This article examines the impact of current United States disability policy on disabled women, and concludes that the major programs - disability insurance, supplemental security income, workers' compensation, vocational rehabilitation - because of their relationship to labor market participation, disadvantage women. Women not only receive fewer, but less generous benefits. Explanations of this outcome, and implications for future policy are addressed.

The Self Disclosure Of Clinical Social Workers, Herman Borenzweig

The Journal of Sociology & Social Welfare

My interest in this study arose from what I believed to be the discrepancy between the conventional wisdom about self disclosure and its occurrence in the practice of clinical social work. Bradmiller'sI study, one of the few studies about self disclosure in the practice of social work, found that persons with masters degrees in social work (MSW's) disclose significantly more to their colleagues than do undergraduate social work majors. The MSW's in Bradmiller's study self disclosed to clients at a lesser rate than they did to other target persons. Bradmiller2 interprets her study, " ...... most simply as an indication …

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 …

A Behavioral Contracting Center For High School Students: Description, Research And Analysis, William K. Redmon

Dissertations

Most psychologists and educators agree that instructional procedures are most effective when individualized. Unfortunately, most approaches to individualization require that large institutional and training changes occur. Thus, educational programs most commonly apply group methods which focus on a hypothetical "average" learner. An alternative program, called the Guided Study Project, is described. This program is designed to augment group procedures without extensive change in current methods. The Guided Study Project is a school-wide contracting center available to all students of all classes. The procedures involve the use of a daily behavioral contract and the project is managed by students who serve …

First Do No Harm: Least Restrictive Alternative Analysis And The Right Of Mental Patients To Refuse Treatment, David Zlotnick

West Virginia Law Review

No abstract provided.

Developmental Counseling And Psychotherapy: Applying The Theories Of Piaget, Perry, Kohlberg And Erikson, Toni Perior Gross

Dissertations

While developmental theories have been used as a diagnostic tool in counseling adults, they do not seem to have been used as a basis for treatment. The author reviews the theories of Piaget, Kohlberg, Perry and Erikson and abstracts from them a series of basic statements and corollaries that form the core of a theory of developmental counseling and psychotherapy.

With these statements as a background, the author discusses the persons involved in therapy, the purposes of therapy, and the stages of therapy. In the considerations on the initial stage of therapy, emphasis is placed on the responsibility of the …

The Prevalence Of Hopelessness In Hospitalized Alcoholics, J. Michael Mccarthy

Dissertations

This study investigated the psychological construct of hopelessness as a factor in hospitalized alcoholics. There is a high suicide rate for alcoholics, and previous research has shown hopelessness to be a key factor in suicide. There have been no previous studies of hopelessness in alcoholics.

The purposes of this study were to establish norms and reliability of the Hopelessness Scale, an instrument designed to measure hopelessness, and to gain more information about hopelessness by testing several hypotheses concerning the relationship between hopelessness and certain variables. These variables included severity of alcoholism, depression, age, length of problem drinking, number of hospitalizations …

An Analysis Of Behavioral Approaches To Obesity/Weight Reduction, Charlene Marie Curtis

Masters Theses

Behavioral technology has been applied to obesity/weight reduction. Three problems are identified: (1) the discrepancy between the measurement of, and the duration of time required for the acquisition and remediation of obesity and of weight; (2) the consensus of various reviewers that there are a number of methodological deficiencies in experimental studies termed behavioral approaches to obesity/weight reduction; (3) the absence of expressed methodological criteria stated by reviewers for their recommendations of certain procedures. There is compliance to some of the methodological c rite ria of the experimental analysis of behavior as adapted to obesity, and to weight in the …

The Ongoing Art Therapy Interview Process In A Psychiatric Milieu, Vivian A. Ware

Theses

This paper presents the development and application of the Ongoing Art Therapy Interview (OATI), a structured approach designed to assess and support patients in a psychiatric day hospital setting. The OATI combines the therapeutic and diagnostic dimensions of art therapy by integrating artwork with guided interpersonal dialogue. It is informed by Harry Stack Sullivan’s interpersonal theory of psychiatry, particularly his diagnostic framework for understanding patient experience, communication, and relational patterns.

The study outlines the theoretical foundations of the OATI, its practical procedures, and its role as both a therapeutic intervention and an evaluative tool. In this model, patients produce visual …

External Versus Internal Locus Of Control In Longterm Drug Abusers, Heidi Knipe

Theses Digitization Project

No abstract provided.

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 …

The Relationship Of Professional Educational Level And Experience On The Attitudes Of Nursing Personnel Towards The Alcoholic, Patricia Pruett Barnes

Loma Linda University Electronic Theses, Dissertations & Projects

The abuse of alcohol is the most serious and pervasive substance abuse program in the country, outranking heroin addiction in the number of people affected, in cost, and in psychological-social-familial upheaval. Health problems generated by the excessive consumption of alcohol require that the nurse play a significant role in the care and treatment of alcoholics and their significant others, such role de riving its importance from the direct professional relationship which develops between the nurse and the client. In order to provide meaningful and effective nursing care to alcoholics, the nurse must have a thorough understanding of the disease known …

Mental Health Status Of Vietnamese Refugees In Utah County, Utah, David A. Acree

Theses and Dissertations

This study attempted to measure mental health status of Vietnamese refugees in Utah County, Utah. The test instrument used was the Cornell Medical Index (CMI). Two subproblems were considered: First, to see if refugee complaints on the CMI were predominantly physiological or psychological. Second, to see if there was a relationship between CMI scores and a related list of demographic variables.

Results showed the mean CMI score for the sample under study was well above the suggested score indicative of possible psychological dysfunction. For 80% of participants, psychological complaints were predominant over physical complaints. The only variables showing a relationship …

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.