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Articles 661 - 690 of 991

Full-Text Articles in Marriage and Family Therapy and Counseling

Becoming An Ally: Multi-Family Group Therapy Pilot With Low-Income Families, Julie Virginia Estrella Nov 2015

Becoming An Ally: Multi-Family Group Therapy Pilot With Low-Income Families, Julie Virginia Estrella

Loma Linda University Electronic Theses, Dissertations & Projects

The increasing demand for couple and family therapists (CFT) in integrated health care settings requires CFTs to learn to effectively serve low-income families. Resilience literature suggests that building families’ resilience and social support directly impacts a family’s chances for socioeconomic mobility. Multi-family group therapy (MFGT) offers an effective vehicle for increasing resilience and social support. This dissertation examines the link between family resilience and poverty and presents an ecological, solution-focused, family resilience lens applied through a pilot MFGT program, Bouncing Forward Family (BFF) Groups, for low-income families. This dissertation includes two publishable papers, and the first focuses on the BFF …

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What Job Can You Get Without A Diploma? Gender Discrimination Against Relapsed Ex-Sex Workers, Resna Anggria Putri, Johanna Debora Imelda Oct 2015

What Job Can You Get Without A Diploma? Gender Discrimination Against Relapsed Ex-Sex Workers, Resna Anggria Putri, Johanna Debora Imelda

Jurnal Ilmu Kesejahteraan Sosial

This study aims at describing the subordination and marginalization of ex-commercial sex workers in Indramayu District. This qualitative research was conducted through in-depth interview and observation on 5 (five) interesting case studies whose data, then, was triangulated to ensure the valid-ity and reliability of the data. The results of the study showed that there were gender discrimination in the form of subordination and marginalization in education and employment which are applied at different periods, i.e.: before and after they worked as prostitutes. Hence, it is then caused them relapse working as prostitutes without any other opportunity to get more normative …

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Evaluation Of A Parent-Based Intervention For At-Risk Adolescents, Diana M. Doumas, Marianne King, Christa Stallworth, Polly Peterson, Amanda Lundquist Oct 2015

Evaluation Of A Parent-Based Intervention For At-Risk Adolescents, Diana M. Doumas, Marianne King, Christa Stallworth, Polly Peterson, Amanda Lundquist

Counselor Education Faculty Publications and Presentations

This study evaluated the effectiveness of a parent-based intervention, the Parent Project, among 84 parents of at-risk youth. Results indicated improvements in child management, family involvement, parent-child affective quality, substance use rules communication, and parental self-efficacy at a 10-week follow-up.

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Dinamika Program Penanggulangan Hiv Dan Aids Di Komunitas (Studi Kasus : Proses Persiapan Dan Implementasi Community Organizer Di Jakarta Utara), Edi Sugiarto, Sari Viciawati Machdum Oct 2015

Dinamika Program Penanggulangan Hiv Dan Aids Di Komunitas (Studi Kasus : Proses Persiapan Dan Implementasi Community Organizer Di Jakarta Utara), Edi Sugiarto, Sari Viciawati Machdum

Jurnal Ilmu Kesejahteraan Sosial

This research about community organizing heterogeneous in a geographic region on the issue of HIV and AIDS. The study was conducted for the prevention of HIV and AIDS has been made to key populations, individual and group (at the micro level). Research with qualitative approach and descriptive methods have found that it is not easy to organize geographic community with interven-tions on the mezzo level on the issue of HIV & AIDS with peculiarities in it. Community Organizer recruited not suitably qualified so the impact on their work. The role played not yet fully reflect the work processes at the …

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Pelatihan Terapi Autis Metode Applied Behavior Analysis (Aba) (Studi Kasus Pada Proses Pelatihan Terapi Autis Di Lembaga Pemasyarakatan Kelas 1 Tangerang, Nofri Julimet, Sofyan Cholid Oct 2015

Pelatihan Terapi Autis Metode Applied Behavior Analysis (Aba) (Studi Kasus Pada Proses Pelatihan Terapi Autis Di Lembaga Pemasyarakatan Kelas 1 Tangerang, Nofri Julimet, Sofyan Cholid

Jurnal Ilmu Kesejahteraan Sosial

Applied behavior analysis was a method of healing autistic that have not known by the Indonesian. Meanwhile, ABA was effective and efficient in reducing the behavior of disruptive which shown in autistic. Then, the benefit of ABA was taught in a systematic, structured, and measurable. This the-sis descrubed the training process of autism therapy that carried out in prison class 1 Tangerang, the instructor was inmates X. This research used qualitative approach by using depth-interview to the informants that consist of instructor, prison officers, and trainee. The is training including the three steps. Those were pre training, whils training, and …

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Modal Sosial Yang Di Miliki Anggota Kelompok Kerja (Pokja) Perilaku Hidup Bersih Dan Sehat (Phbs) Dalam Upaya Penerapan Perilaku Hidup Bersih Dan Sehat : (Studi Deskriptif Di Sekolah Menengah Pertama Negeri 107 Jakarta), Annisa Sherliany, Wisni Bantarti Oct 2015

Modal Sosial Yang Di Miliki Anggota Kelompok Kerja (Pokja) Perilaku Hidup Bersih Dan Sehat (Phbs) Dalam Upaya Penerapan Perilaku Hidup Bersih Dan Sehat : (Studi Deskriptif Di Sekolah Menengah Pertama Negeri 107 Jakarta), Annisa Sherliany, Wisni Bantarti

Jurnal Ilmu Kesejahteraan Sosial

The purpose of this research to describe the social capital that is owned by the working group members of PHBS of SMP Negeri 107 Jakarta in an effort to implement a clean and healthy living behavior. This research uses a qualitative approach and is a descriptive research through data collection techniques in-depth interviews, observation, and literature study. The results of this research shows that social capital is owned by members of the working group of PHBS of SMP Negeri 107 Jakarta can support its success in an effort to implement clean and healthy living behavior.

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Pemasaran Sosial Sebagai Upaya Meningkatkan Praktek Pemberian Asi Esklusif Bagi Ibu Hamil : (Studi Deskriptif Pada Pelaksanaan Program Kelompok Pendukung Ibu Kelurahan Rawa Buaya, Jakarta Barat), Amalia Reza Intani, Getar Hati Oct 2015

Pemasaran Sosial Sebagai Upaya Meningkatkan Praktek Pemberian Asi Esklusif Bagi Ibu Hamil : (Studi Deskriptif Pada Pelaksanaan Program Kelompok Pendukung Ibu Kelurahan Rawa Buaya, Jakarta Barat), Amalia Reza Intani, Getar Hati

Jurnal Ilmu Kesejahteraan Sosial

This study aims to explain the social marketing of Mother Support Group Program in Rawa Buaya as the way to improve breast feeding practice for pregnant mothers and to describe the obstacle of the program. The qualitative data were collected by conducting in-depth interview and direct observation. Based on the result of this study, social marketing of Mother Support Group Program has done various social marketing steps and it is one of the way to achieve the change of pregnant mother’s behavior in order to implement breast feeding practice for the further life. This social marketing is implemented with education …

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Relationship Education And Marital Satisfaction In Newlywed Couples: A Propensity Score Analysis., Rebecca J. Cobb, Kieran T. Sullivan Oct 2015

Relationship Education And Marital Satisfaction In Newlywed Couples: A Propensity Score Analysis., Rebecca J. Cobb, Kieran T. Sullivan

Psychology

The purpose of this study was to investigate whether premarital relationship education and characteristics of relationship education in a community sample of newlywed couples predicted marital trajectories over 27 months. Newlywed couples (N = 191) completed measures of marital satisfaction 9 times over 27 months, and prior to marriage they provided information about relationship education and demographic, personal, and relationship risk factors for marital distress. Propensity scores (i.e., the probability of receiving relationship education) were estimated using the marital distress risk factors, and used to derive a matched sample of 72 couples who participated in relationship education and 86 couples …

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Developing Dyadic Measurements In Marriage And Family Therapy: The Dyadic Supervision Evaluation, Adrian Avila Sep 2015

Developing Dyadic Measurements In Marriage And Family Therapy: The Dyadic Supervision Evaluation, Adrian Avila

Loma Linda University Electronic Theses, Dissertations & Projects

This study applies integrative developmental theory and a common factors approach in evaluating and describing how Marital and Family Therapy trainee’s progress in mastering the core competencies set forth by the Commission on Accreditation for Marriage and Family Therapy Education (COAMFTE) through the process of clinical supervision. More specifically, this project evaluates the internal reliability, construct validity, and predictive validity of the Dyadic Supervision Evaluation (DSE). The important role and influence of clinical supervision as well as the next steps for validating and evaluating dyadic, developmental, core competencies and common factors measurements in clinical supervision are discussed.

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Communities In Action: Participatory Assessments As An Initial Stage In Critical Consciousness Raising And Community Capacity Building, Carizma Amila Chapman Sep 2015

Communities In Action: Participatory Assessments As An Initial Stage In Critical Consciousness Raising And Community Capacity Building, Carizma Amila Chapman

Loma Linda University Electronic Theses, Dissertations & Projects

This paper presents the findings of two participatory community assessments conducted in Punta Raton and El Venado, two small coastal towns in Southern Honduras. The community assessments were designed and implemented to establish a baseline of community awareness and action, an important step in community development and environmental sustainability. The aim was to: build community partnerships, identify key stakeholders, facilitate dialogues about concerns, identify local and external resources required for progress, and construct actions plans targeting key communal concerns. The assessments were found to be successful in engaging community members and identifying local needs and resources. However, challenges in intervention …

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Examining The Role Of Antisocial Personality Disorder In Intimate Partner Violence Among Substance Use Disorder Treatment Seekers With Clinically Significant Trauma Histories, Rita E. Dykstra, Julie A. Schumacher, Natalie Mota, Scott F. Coffey Aug 2015

Examining The Role Of Antisocial Personality Disorder In Intimate Partner Violence Among Substance Use Disorder Treatment Seekers With Clinically Significant Trauma Histories, Rita E. Dykstra, Julie A. Schumacher, Natalie Mota, Scott F. Coffey

Department of Psychology: Faculty Publications

This study examined the associations among posttraumatic stress disorder (PTSD) symptom severity, antisocial personality disorder (ASPD) diagnosis, and intimate partner violence (IPV) in a sample of 145 substance abuse treatment-seeking men and women with positive trauma histories; sex was examined as a moderator. ASPD diagnosis significantly predicted both verbal and physical aggression; sex moderated the association between ASPD diagnosis and physical violence. PTSD symptom severity significantly predicted engaging in verbal, but not physical, aggression. Overall, these results suggest that an ASPD diagnosis may be an important risk factor for engaging in IPV among women seeking treatment for a substance use …

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Perceptions Of Child Wellbeing And Attitudes Towards Polygamy Between Members And Non-Members Of The Lds Church, Mccall Bowcut Lyon Jul 2015

Perceptions Of Child Wellbeing And Attitudes Towards Polygamy Between Members And Non-Members Of The Lds Church, Mccall Bowcut Lyon

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Perceptions of the wellbeing of children in polygamous families and attitudes toward polygamy in general were examined in this study, with comparisons between individuals who have a history of membership in the Church of Jesus Christ of Latter-Day Saints (LDS) and individuals who have never been members of the LDS church. No significant differences were found between members and non-members. Comparisons were also made between current and past members of the LDS church, resulting in only one significant difference: support/opposition for the legalization of polygamy. These results suggest that having a recent religious history of practicing polygamy does not necessarily …

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Ethnic Differences In Drinking Motives And Alcohol Use Among College Athletes, Diana M. Doumas, Aida Midgett Jul 2015

Ethnic Differences In Drinking Motives And Alcohol Use Among College Athletes, Diana M. Doumas, Aida Midgett

Counselor Education Faculty Publications and Presentations

This study examined drinking motives, alcohol use, and alcohol-related problems among White collegiate athletes and collegiate athletes of color (N = 113). Results indicated no differences in drinking motives between the two groups. Although White athletes reported higher levels of alcohol use, athletes of color reported higher levels of alcohol-related problems. Athletes of color with high levels of coping and conformity motives reported the highest level of alcohol-related problems.

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Parent And Adolescent Attachment And Adolescent Shame And Hope With Psychological Control As A Mediator, Natasha K. Bell Jul 2015

Parent And Adolescent Attachment And Adolescent Shame And Hope With Psychological Control As A Mediator, Natasha K. Bell

Student Works

The purpose of this study was to determine if parent adolescent attachment is correlated with adolescent hope and shame two years later with parent psychological control in the year in between as a mediator. Data at wave four, five, and six for 308 families from the Flourishing Families Project were used. In previous studies attachment has been shown to be important in adolescent development. This study found that the adolescent's perception of the relationship is negatively correlated with shame and positively correlated with hope in the adolescent. Additionally the adolescent's perception of their relationship with both mother and father was …

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Shame, Relational Aggression, And Sexual Satisfaction: A Longitudinal Study, Austin Ray Beck Jul 2015

Shame, Relational Aggression, And Sexual Satisfaction: A Longitudinal Study, Austin Ray Beck

Student Works

This longitudinal study examined the relationship between husband and wife shame and husband and wife sexual satisfaction one year later with husband and wife relational aggression as mediating variables. The sample included 353 heterosexual married couples who participated in the Flourishing Families Research Project, a longitudinal study of daily family life. Results showed that husband and wife shame was negatively related with husband and wife sexual satisfaction, respectively. Husband love withdrawal was negatively related with both husband and wife sexual satisfaction, while wife love withdrawal was negatively related with only husband sexual satisfaction. Each partner's use of social sabotage was …

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Individual Personality And Emotional Readiness Characteristics Associated With Marriage Preparation Outcomes Of Perceived Helpfulness And Change, Megan Ann Rogers Jul 2015

Individual Personality And Emotional Readiness Characteristics Associated With Marriage Preparation Outcomes Of Perceived Helpfulness And Change, Megan Ann Rogers

Theses and Dissertations

Little is known about the role that personality and emotional readiness factors may play in participation and outcomes of premarital education programs in varying formats. Data collected via the RELATionship Evaluation Questionnaire (RELATE: Busby et al., 2001) was used to analyze how personality and emotional readiness factors affect perceived change and helpfulness in self-directed and workshop formats of premarital education for 384 individuals who participated in such interventions. Depression was significantly and negatively related to participant perception of positive change and helpfulness in a workshop setting. Kindness was positively and significantly related to perceived positive change in both workshop and …

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Shame, Relational Aggression, And Sexual Satisfaction: A Longitudinal Study, Austin Ray Beck Jul 2015

Shame, Relational Aggression, And Sexual Satisfaction: A Longitudinal Study, Austin Ray Beck

Theses and Dissertations

This longitudinal study examined the relationship between husband and wife shame and husband and wife sexual satisfaction one year later with husband and wife relational aggression as mediating variables. The sample included 353 heterosexual married couples who participated in the Flourishing Families Research Project, a longitudinal study of daily family life. Results showed that husband and wife shame was negatively related with husband and wife sexual satisfaction, respectively. Husband love withdrawal was negatively related with both husband and wife sexual satisfaction, while wife love withdrawal was negatively related with only husband sexual satisfaction. Each partner's use of social sabotage was …

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Parent And Adolescent Attachment And Adolescent Shame And Hope With Psychological Control As A Mediator, Natasha K. Bell Jul 2015

Parent And Adolescent Attachment And Adolescent Shame And Hope With Psychological Control As A Mediator, Natasha K. Bell

Theses and Dissertations

The purpose of this study was to determine if parent adolescent attachment is correlated with adolescent hope and shame two years later with parent psychological control in the year in between as a mediator. Data at wave four, five, and six for 308 families from the Flourishing Families Project were used. In previous studies attachment has been shown to be important in adolescent development. This study found that the adolescent's perception of the relationship is negatively correlated with shame and positively correlated with hope in the adolescent. Additionally the adolescent's perception of their relationship with both mother and father was …

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The Moderating Effect Of Attachment Behaviors On The Association Between Video Game Use, Time Together As A Problem, And Relationship Quality, Stella Christine Dobry Jul 2015

The Moderating Effect Of Attachment Behaviors On The Association Between Video Game Use, Time Together As A Problem, And Relationship Quality, Stella Christine Dobry

Theses and Dissertations

The purpose of this study was to test whether video game use is associated with more problems with spending time together among married couples, whether problems with time together are associated with relationship quality, and whether attachment behaviors can moderate the association between time together as a problem and relationship quality. Previous studies have found a negative association between excessive video game use and couple relationship outcomes. Excessive video game use may negatively impact relationships by taking away from time spent on shared leisure and relationship maintenance activities. The Double ABCx model provided a theoretical framework for understanding how attachment …

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Effects Of Interparental Conflict On Taiwanese Adolescents’ Depression And Externalizing Problem Behavior: A Longitudinal Study, Chih Han Hsieh Jul 2015

Effects Of Interparental Conflict On Taiwanese Adolescents’ Depression And Externalizing Problem Behavior: A Longitudinal Study, Chih Han Hsieh

Theses and Dissertations

The link between interparental conflict and adolescents’ maladjustment has been well established among European Americans; however, relatively few studies examine these relationships in Chinese societies. This study used longitudinal data from the Taiwan Youth Project (TYP), an on-going longitudinal panel research project focused on adolescent development, in order to examine the relationship between interparental conflict and depressive symptoms and externalizing problem behaviors of adolescents. In addition, this study examined parental warmth as a mediating variable for the relationship between interparental conflict and adolescents’ maladjustment. The results showed that interparental conflict predicted depressive symptoms among adolescents two years later. Mediation analysis …

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The Cost Effectiveness Of Psychotherapy For Treating Adults With Post-Traumatic Stress Disorder, Micah Lavar Ingalls Jun 2015

The Cost Effectiveness Of Psychotherapy For Treating Adults With Post-Traumatic Stress Disorder, Micah Lavar Ingalls

Theses and Dissertations

This paper presents results from cost-analysis research for treating Post-Traumatic Stress Disorder in adults. Data for this research was provided by Cigna, a nation-wide healthcare manager in the United States of America. The sample size was 12,845 adults who were diagnosed with PTSD and received outpatient individual and family psychotherapy from one of the following mental health care providers: Marriage and Family Therapists (MFTs), Master’s Nurses (RNs), Medical Doctors (MDs), Professional Counselors (LPCs), Psychologists (PSYs), and Social Workers (MSWs). Results were compared across treatment modality, across practitioner license type and between practitioner educational levels. The results demonstrated that family therapy …

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The Effects Of Marital Attachment And Family-Of-Origin Stressors On Body Mass Index, Merle Natasha Bates Jun 2015

The Effects Of Marital Attachment And Family-Of-Origin Stressors On Body Mass Index, Merle Natasha Bates

Theses and Dissertations

The purpose of this study was to examine the moderating effect of couple's attachment behavior on family-of-origin (FOO) issues and body mass index (BMI). Previous research has indicated that family and couple relational factors may influence BMI. The vulnerability and stress model provided a theoretical framework for understanding how attachment behaviors may give greater adaptability to managing vulnerabilities from family stress. 1214 couples between the ages of 18 and 70, who identified themselves as in a serious relationship were surveyed using the RELATE questionnaire; both partners responded. Results indicated that there was a significant association between FOO stress and adult …

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Art Therapy And Evidence-Based Practice: An Exploration Of Interactions, Michael G. Bauer, Chauney Peck, Aubrey Studebaker, Naomi Yu May 2015

Art Therapy And Evidence-Based Practice: An Exploration Of Interactions, Michael G. Bauer, Chauney Peck, Aubrey Studebaker, Naomi Yu

LMU Theses and Dissertations

The purpose of this study is to examine the attitudes and beliefs of art therapists towards Evidence-Based Practices (EBP). EBP is a rising trend in healthcare that refers to the process of using empirically validated research to make clinical decisions that best meet the needs of each client (Patterson, Miller, Carnes & Wilson, 2004).The investigators used a mixed methods approach to the research topic. Part A consists of a survey distributed to graduates of the Department of Marital and Family Therapy (MFT) at Loyola Marymount University (LMU). In addition to answering questions, survey participants were asked to create an art …

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Expanding The Theoretical Lenses Of Addiction Treatment Through Art Therapy Practice, Lily F. Braverman May 2015

Expanding The Theoretical Lenses Of Addiction Treatment Through Art Therapy Practice, Lily F. Braverman

LMU Theses and Dissertations

This research explores the connection and interaction between literature describing addiction theory and clinical art therapy practice. Literature spanning a wide variety of theoretical understandings of addiction and recovery was reviewed, as well as literature published on the use of art therapy with the substance abuse population. Using the review of the substance abuse literature as a base, key theoretical concepts were identified and formatted into a table that came to serve as a data coding system. Applying case study methodology, this coding system was then utilized as an analysis tool for the art therapy process and artwork of four …

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Art Therapy Considerations With Transgender Individuals, Bryan A. Schnebelt May 2015

Art Therapy Considerations With Transgender Individuals, Bryan A. Schnebelt

LMU Theses and Dissertations

This qualitative research study examines the use of art therapy as a treatment modality with transgender individuals, as well as provides a brief background into transgender identity, in order to recognize considerations for enhanced care of this population. A semi-structured interview approach was applied with art therapists who have utilized art therapy with transgender clients. This study focuses on areas of identity development, aspects of trauma and transphobia and their effects, treatment approaches, and cultural components to working with transgender individuals. Through this research, a recognition of transgender identity as its own cultural entity was found to be important in …

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An Arts Based Exploration Of Immigration And Acculturation Through The Lenses Of First, Second And Third Generation Clinical Art Therapists, Elizabeth Barraza, Christina Sanchez, Carmen Solis May 2015

An Arts Based Exploration Of Immigration And Acculturation Through The Lenses Of First, Second And Third Generation Clinical Art Therapists, Elizabeth Barraza, Christina Sanchez, Carmen Solis

LMU Theses and Dissertations

This research examines the impact of acculturation and immigration through the lived experience of first, second, and third generation Hispanic/Latina clinical art therapists. The objectives include the exploration of cultural identity, processing the immigration experience and the role of art therapy. Topics that emerge in the general literature include development of identity, depression, and immigration-related stressors. Although the art therapy literature is limited within the context of immigration and acculturation, information regarding the role of the art, common imagery in groups, and the importance of cultural awareness is available. An arts-based approach is used in the clinical work to help …

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The Role Of Art Making In The Recovery From A Physical Disability Due To Trauma, Erika Y. Schreefel May 2015

The Role Of Art Making In The Recovery From A Physical Disability Due To Trauma, Erika Y. Schreefel

LMU Theses and Dissertations

This qualitative research study presents an examination of the role that art making fulfills in the recovery efforts following the development of a physical disability due to a trauma. Preexisting literature informed the current study on art making’s ability to manage psychological and physical stressors that can accompany the development of a physical disability due to a trauma experience. The current study utilized a focus group to gain a better understanding of art making’s benefits by obtaining firsthand accounts from individuals with experience incorporating art making in their own recovery process. Data collected during the focus group suggests that the …

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A Heuristic Study Of A Wounded Healer, Samantha Mcmullen May 2015

A Heuristic Study Of A Wounded Healer, Samantha Mcmullen

LMU Theses and Dissertations

Art therapy and narrative therapy techniques are both used separately in treating sexual abuse, however they are not often used together. This heuristic study explores the experience of a wounded healer when using art within a narrative therapy process, specifically storytelling, to support healing from multigenerational incestuous abuse. This researcher used a science fiction story she is currently writing, to stimulate 8 reflections on the parallels in that story and in her personal trauma narrative, and then made adjoining art pieces about the reflections. The data was analyzed to find themes, such as protection, anger and fear. The art helped …

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Adolescents, Social Media, And The Use Of Self-Portraiture In Identity Formation, Sharee Nicole Allen May 2015

Adolescents, Social Media, And The Use Of Self-Portraiture In Identity Formation, Sharee Nicole Allen

LMU Theses and Dissertations

Adolescence is a time of maturation, integration of selves, and, in the modern age, digital performance on social media. Conflicts in the identity vs. role confusion stage of Eriksonian development are addressed throughout this research, although the existing literature rarely connects them to online trends. A qualitative survey, sent to high school students, explores the tension between self-doubt and the desire to be seen. Responses indicate that teens who post on social media are attempting to make sense of their formative years via the reactions of this networked world. Certain participants show resistance to the phenomenon of the Selfie, implying …

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Fertility Counseling For Couples, Brennan Peterson Apr 2015

Fertility Counseling For Couples, Brennan Peterson

Marriage and Family Therapy Faculty Books and Book Chapters

"The purpose of this chapter is to provide fertility counselors with the tools necessary to effectively assess and treat couples experiencing fertility problems so that these couples can improve their relationships, reduce psychological and infertility related distress, and regain control and direction in their lives. The chapter will outline the challenges unique to couples experiencing infertility, and will integrate several case vignettes which portray common profiles of couples who fertility counselors may encounter. Gender differences in how couples communicate and cope with infertility distress will be presented. The chapter will also examine the impact of infertility on a couple’s sexual …

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