Psychiatric and Mental Health Commons^™

An Assessment Of The Health Needs Of Maine Veterans And Their Access To Veterans Administration Health Care Services, Kristin Brawn

Muskie School Capstones and Dissertations

On a state level, only a few assessments have been conducted, which indicate that Maine veterans are also experiencing similar mental and physical health issues; however, it does not appear that the adequacy of Maine’s VHA services to meet the needs of Maine’s veterans has been comprehensively evaluated. It is unknown whether the physical and mental health needs of Maine’s veterans are currently being met. Therefore, this project proposes to determine if there is a similar problem among Maine’s veterans in regard to health issues and lack of access to VHA health services, as has been reported at the national …

Ethics And The Use Of Coercion In The Treatment Of Psychiatric Patients, Jen Rushforth

Themis: Research Journal of Justice Studies and Forensic Science

Involuntary psychiatric treatment occurs under such conditions as the medicating or placing in treatment facilities of patients without their consent. Such involuntary treatment has been litigated in the Supreme Court; however, the Court’s rulings have been applied to incarcerated persons, with the notable exception of the 1975 ruling in O’Connor v. Donaldson, a case argued as a civil rights violation. Using O’Connor v. Donaldson as a framework, this paper argues that forcing non- violent psychiatric patients to take medication, or be otherwise treated against their will, is an unethical practice and must be discontinued. This practice of forcible treatment violates …

Psychometric Evaluation Of A Standardized Set Of Alcohol Cue Photographs To Assess Craving, David Edison Lovett

Graduate Theses and Dissertations

To date, research paradigms using alcohol-related stimuli have been limited in their reliability and generalizability due to a lack of published studies examining the psychometric properties of alcohol cues. The primary aim of the current study was to examine the factor structure of a set of alcohol cues and the associated validity and reliability of examining craving for alcohol in an alcohol cue-reactivity paradigm. Participants (N = 195, 74.4% male, 56.4% Asian, Asian American, or Pacific Islander) completed a web-based survey in which valence, arousal, and craving ratings were obtained following presentation of picture cues. Prior to picture cues, participants …

Resources Matter: The Role Of Social Capital And Collective Efficacy In Mediating Gun Violence, Jennifer Lynne Dean

USF Tampa Graduate Theses and Dissertations

Abstract

This study explains how community activists make use of available social capital and collective efficacy while attempting to mediate gun violence. It specifically focuses on twelve in-depth interviews of activists' perspectives, processes and rationales to alleviate community gun violence, based on informal social control models. Findings suggest activists must establish trust and respect with youth they work with before mediation begins, which is established through similar life experiences or backgrounds. Once a strong bond is established with youth, activists identified five core processes to reduce violence: 1) improve the mindset, 2) provide life skills, 3) assist youth as their …

What Does Performance Theory Have To Teach Us About The Treatment Of Severe And Persistent Mental Illness (Spmi) In Prison?, Kaley Joanne Raskin

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Deinstitutionalization of psychiatric hospitals, which occurred in the 1970's, led to an overwhelming number of mentally ill individuals within jails and prisons. In fact, correctional facilities have become the mainline providers of mentally ill inmates; however, these facilities' primary form of intervention is psychotropic medication. Although beneficial in some instances, when viewed through the lens of Goffman's theories of performance and stigma, simply providing medication promotes the role of mental patient. Arguably, within correctional facilities, medication management assists in maintaining security in the institution (i.e., external change); however, this prohibits the inmate from internal change, which might otherwise be facilitated …

Is Hyperbaric Oxygen Therapy An Effective Treatment For Autism? A Review, Daniel Dunleavy, Bruce A. Thyer

Journal of Adolescent and Family Health

Objectives: We review outcome studies regarding the effectiveness of hyperbaric oxygen therapy (HBOT) for Autism Spectrum Disorders (ASD). Method: Studies were identified through electronic bibliographic databases and manual searches of article reference lists. Results: A total of 8 studies met eligibility criteria, consisting of three randomized controlled trials (RCTs), one quasi-experimental study involving a comparison group, two pre-experimental one-group pretest–posttest studies, and two single-system designs. Studies reviewed did not offer credible evidence to suggest that HBOT is an effective treatment for autism. Conclusion: It is premature to call HBOT an effective treatment for Autism and ASD. Individuals clinically treated with …

Relationship Between Altitude And Lithium In Groundwater In The United States Of America: Results Of A 1992–2003 Study, Rebekah S. Huber, Namkug Kim, Carl E. Renshaw, Perry F. Renshaw, Douglas Kondo

Dartmouth Scholarship

Therapeutic dosages of lithium are known to reduce suicide rates, which has led to investigations of confounding environmental risk factors for suicide such as lithium in groundwater. It has been speculated that this might play a role in the potential relationship between suicide and altitude. A recent study in Austria involving geospatial analysis of lithium in groundwater and suicide found lower levels of lithium at higher altitudes. Since there is no reason to suspect this correlation is universal given variation in geology, the current study set out to investigate the relationship between altitude and lithium in groundwater in the United …

A Pilot Study On The Effects Of Exercise On Depression Symptoms Using Levels Of Neurotransmitters And Eeg As Markers, Timothy H. Barclay, Scott Richards, James Schoffstall, Chad Magnuson, Christine Mcphee, Josh Price, Stephen Aita, Audrey Anderson, Dan Johnson, Jerry Price

Faculty Publications and Presentations

Context: The prescribing of exercise by physicians has become a popular practice, yet the effectiveness of exercise on symptoms of depression is difficult to determine due to a lack of randomized controlled trials with clinical populations. Reports also indicate that only a small percentage of physicians advise their patients regarding exercise and confusion still exists as to how much and what types are best. Aims: To understand the mechanisms that make exercise a viable treatment in depression. Settings and Design: This study employed a six‑week, two group, single‑level trial, pre‑ and posttest design using self‑report of symptoms, blood …

An Introduction To Drugs And The Neuroscience Of Behavior, Adam J. Prus

Books

This up-to-date text provides an introductory overview of the nervous system actions and behavioral effects of the major classes of psychoactive drugs, using pedagogy unique among pharmacology texts to make the topic approachable.

Coping Similarity And Psychosocial Risk Factors In Couples With Chronic Pain, Amy M. Williams

Wayne State University Dissertations

Chronic pain is an important public health problem that is associated with a host of negative individual and relationship outcomes. Chronic pain is a chronic stressor that both the individual in pain and their spouse must cope with. The current study examined how pain coping similarity within the couple predicted not only patient adjustment, but also spouse adjustment in a longitudinal study. Participants were 108 heterosexual couples in which one partner had chronic pain. The participants completed measures at 3 time points at 6 month intervals. Both the patient and spouse individually completed questionnaires pertaining to their marriage, mood, pain …

Pre-Traumatic Factors Of Career-Related Ptsd: A Systematic Review Of The Literature, Michael G. Curtis, Russell T. Hurlburt

McNair Poster Presentations

This paper examined and synthesized the (limited) available literature on the pre-traumatic predictors of PTSD, specifically targeting populations in which traumatic events are experienced frequently because of the requirements of their positions, i.e., firefighters, police, and military personnel. A total of 21 articles were included in the final literature review and were used to assess the current available knowledge of the pre-traumatic traits of career-related PTSD, and address potential gaps in the literature. The culmination of this research was used to create specific risk profiles for each of the high risk careers included in this review, firefighters, police, and military …

A Computational Perspective Of Schizophrenia, Ernesto H. Bedoy, Geoff Powell, Jefferson Kinney

McNair Poster Presentations

The etiology of schizophrenia remains largely elusive, thus dampening the effectiveness of current treatment strategies. Abnormal neural migration and neurogenesis in the hippocampus have been suggested to be involved in schizophrenia (Jakob & Beckmann, 1994). A few approaches, including computational modeling, have investigated schizophrenia as a network disorder. Computational modeling uses mathematics to predict the behavior of biological systems based on the input of a set of parameters collected from laboratory experiments. In this study, we constructed a computational model to explore the ramifications of additional PV neurons migrating to an aberrant location in the hippocampus and interfering with a …

Present Futures: Possibilities For Selfhood At A Community Mental Health Center In Detroit, Michigan, Talia Gordon

Wayne State University Theses

Since the 1990s, recovery-oriented approaches to mental illness have become the dominant paradigm in contemporary U.S. non-clinical institutional settings. Central to the recovery paradigm is a discourse of self-determination that separates psychiatric pathology from personhood and expects those diagnosed to enact and manage themselves as autonomous subjects - as empowered, responsible, independent, and transformable. For many individuals, however, everyday experiences of illness are at odds with expectations for recovery, defined as a "process of change" through which the self is continuously worked upon and improved (SAMHSA 2011). One particularly popular non-clinical recovery modality is the Clubhouse model of psychosocial rehabilitation …

Dsm-Iv-Tr/Dsm-5, An Evidence-Based Comparative Analysis With Focus On The Cultural Context Of Mental Health Illness Of: Bipolar Disorders, Depression, Autism Disorders, Anxiety And Adhd., Claudia Zendejas-Finley

All Graduate Theses, Dissertations, and Other Capstone Projects

The DSM-5 presents many changes in the criteria and categories used in the clinical diagnosis of clients. In addition, the proposed changes within the DSM-5 also attempts to address some of the concerns regarding the lack of a contextual assessment process regarding the role of culture within the lives of clients (Warren, 2013). This research aims to create a comparison between the DSM-IV-TR and the DSM-5 of some of the most common diagnosis used by Family Service Rochester including: bipolar disorder, depression, autism disorder, anxiety and ADHD. In addition, this project also intends to develop a comprehensive cultural analysis of …

The Changes In Major Diagnoses From Dsm Iv-Tr To Dsm 5: How To Talk To Clients About Changes In Their Diagnosis, Abigail Malterer

All Graduate Theses, Dissertations, and Other Capstone Projects

• Outline and present the changes in diagnostic criteria and diagnoses between the DSM IV-TR and the DSM 5.
• Discuss how to talk to and work with clients if their diagnosis has changed or been removed.
• Upon early research, it appears that there is little literature that focuses on how staff can talk to clients about diagnosis changes or elimination.
• Learn more about changes and talking to clients
• Present this information to staff so they have an awareness of this when the changes are made in October of 2015 and the DSM 5 is to be fully implemented.

Exercise Habits, Mindfulness, And Indicators Of Mental Health Among College Students, Emily R. Faust

All Master's Theses

The differences in levels of mindfulness and indicators of mental health were examined between groups of individuals currently engaging in various types of exercise. Eighty-two undergraduate and graduate-level college students completed an online survey regarding their past and current exercise habits and their levels of mindfulness, stress, anxiety, and affect. Four exercise groups, matched on age and gender, were created based on the types of exercise that participants reported currently engaging in: (a) yoga plus any other type of exercise; (b) aerobic exercise only; ( c) more than one type of exercise; ( d) no current activity. The results showed …

Behavioral Relaxation Training: A Stress Management Tool For Graduate Students, Natalie Anne Juhlin

All Master's Theses

Stress can have maladaptive effects on health and academic performance. This study examined the effectiveness of teaching Behavioral Relaxation Training (BRT) as a stress management technique for graduate students. BRT is a form of relaxation training that teaches individuals 10 relaxed behaviors to use when experiencing distressing emotions. A concurrent multiple probe design across four participants was used in conjunction with pretest and follow-up scores from the Perceived Stress Scale (PSS). Following baseline probes, participants received two BRT training sessions focusing on acquisition and proficiency of relaxed body postures. Results revealed that after BRT training all participants achieved greater than …

College Student Perceptions Of Mental Health Counseling At Minnesota State University, Mankato, Holly Barkeim

All Graduate Theses, Dissertations, and Other Capstone Projects

The Counseling Center at Minnesota State University, Mankato offers mental health counseling services to MNSU students that are free, confidential, and conveniently located on campus. Despite the range of services, the affordability and confidentiality, as well as current marketing strategies used by the Counseling Center, services appear to be significantly underutilized by students on campus. This study examines student perceptions of on campus mental health services and barriers that may prevent students from accessing services. The goal of the project is to assist the Counseling Center in improving their marketing strategies to students identified as being underserved.

Cpt Vs Pe For Ptsd? Literature Review On Efficacy Of Cpt And Pe Based On Gender, Chronicity, And Race/Ethnicity, Christelle C. Sackey

All Graduate Theses, Dissertations, and Other Capstone Projects

Post-traumatic stress disorder (PTSD) is a debilitating mental health condition that can be diagnosed on veterans who have been exposed to traumatic events. PTSD not only has negative physical symptoms, but it also compromises veterans’ chances of living a productive live. Efforts to find effective treatments for PTSD has led to the development of a few form of therapies, including Prolonged Exposure(PE) and Cognitive Processing Therapy (CPT) which have received special attention for military related PTSD. After more than 20 years of research, it has been proven that CPT and PE are the best treatments of choice for PTSD. However, …

Expanding ‘Family Education’ Programs For Intensive Residential Treatment Services (Irts): A Study Of Minnesota Irts Programs, Abby Sharp

All Graduate Theses, Dissertations, and Other Capstone Projects

Intensive Residential Treatment Services (IRTS) programs provide mental health treatment to adults with a Severe and Persistent Mental Illness (SPMI). The programs are required by the state of Minnesota to offer family education and support to clients and their families while the clients are receiving IRTS treatment. The purpose of this project was to assess IRTS programs across the state, and in conclusion, provide an expansive family education program at Horizon Homes, Inc. IRTS program in South Central Minnesota.

Responding To A Community Need: Mobile Crisis Program Training Manuals, Kelsey Tollefson

All Graduate Theses, Dissertations, and Other Capstone Projects

The purpose of this project was to develop a training curriculum for the South Central Mobile Crisis Program, which is a part of Horizon Homes, Inc. Continued education and training is required for all mental health professionals, mental health practitioners, and rehabilitative staff. Because of the requirements outlined in Minnesota statute 256B.0944, 256B.0624,and the Department of Human Services, all staff within this program must receive at least thirty hours of crisis-related training prior to working with clients.

Caffeinated Alcohol Use And Expectancies For Caffeine Versus Alcohol, Cathy Lau-Barraco, Ashley N. Linden

Psychology Faculty Publications

Background- Caffeinated alcoholic beverage (CAB) use is related to alcohol-related risk. Limited research has examined outcome expectancies and CAB consumption.

Objectives- This study tested the predictive utility of caffeine and alcohol expectancies in CAB use outcomes (i.e. quantity, frequency, and alcohol-related harms).

Methods- Participants were 419 (302 women) alcohol and caffeine users from a mid-sized urban university. Data collection occurred between August 2010 and December 2011. Participants completed measures of caffeine and alcohol expectancies, alcohol problems, alcohol use, and CAB use.

Results- Caffeine and alcohol expectancies contributed uniquely to approximately 12% of the variability in quantity, 8% in frequency, and …

Psychotherapy And The Embodiment Of The Neuronal Identity: A Hermeneutic Study Of Louis Cozolino's (2010) The Neuroscience Of Psychotherapy: Healing The Social Brain , Ari Simon Natinsky

Antioch University Dissertations & Theses

In recent years, there have been several ways in which researchers have attempted to integrate psychotherapy and neuroscience research. Neuroscience has been proposed as a method of addressing lingering questions about how best to integrate psychotherapy theories and explain their efficacy. For example, some psychotherapy outcome studies have included neuroimaging of participants in order to propose neurobiological bases of effective psychological interventions (e.g., Paquette et al., 2003). Other theorists have used cognitive neuroscience research to suggest neurobiological correlates of various psychotherapy theories and concepts (e.g., Schore, 2012). These efforts seem to embody broader historical trends, including the hope that neuroscience …

Advanced Nurses' Perspectives On The Drug Addiction Treatment Act, 13 Years Later, Dorothy L. Were

Walden Dissertations and Doctoral Studies

The United States experiences opioid addiction at epidemic levels. In 2012, the National Institute of Drug Abuse reported that 23.1 million Americans were in need of addiction treatment services, although only 2.5 million were enrolled in treatment. Following an amendment to the Drug Addiction Treatment Act of 2000 (Public Law 106-310), advanced practice nurses were qualified as providers who could bridge the healthcare gap in treatment access. The purpose of this project was to determine the interest of advanced practice nurses in (a) prescribing buprenorphine and (b) establishing guidelines that would allow them to do so. This quantitative project used …

Big Five Personality Traits, Pathological Personality Traits, And Psychological Dysregulation: Predicting Aggression And Antisocial Behaviors In Detained Adolescents, Katherine S. L. Lau

LSU New Orleans Theses and Dissertations

This study tested the utility of three different models of personality, namely the social and personality model, the pathological personality traits model, and the psychological dysregulation model, in predicting overt aggression, relational aggression, and delinquency in a sample of detained boys (ages 12 to 18; M age = 15.31; SD = 1.16). Results indicated that the three personality approaches demonstrated different unique associations with aggression and delinquency. The psychological dysregulation approach, composed of behavioral dysregulation, emotional dysregulation, and cognitive dysregulation, emerged as the overall best predictor of overt aggression, relational aggression, and delinquency. After controlling for the Big Five personality …

Research Brief: "Investing In Vets: Strategies To Help Returning Gulf War Vets Enter The Civilian Work Force Successfully", Institute For Veterans And Military Families At Syracuse University

Institute for Veterans and Military Families

This study found that corporate leadership, veteran-specific training, and a long-term commitment to veterans’ employment were all significant factors in diminishing barriers to veteran employment and reintegration. In practice, social workers who understand business and organizational change can be leaders in supporting veterans in the workplace, and also in advocating for positive social change for veterans and their families. For employers, increased cultural competence concerning military populations would be helpful. In policy, organizations should work on creating coalitions of corporate leaders who have the power to change policies, programs, and practices, and who will monitor the success of these policy …

The Role Of Culture In Making Psychiatric Diagnosis: Hwabyung (火病) And Neurasthenia (神經衰弱), Jonghyun Lee

2013 New England Association for Asian Studies Conference

The Role of Culture in Making Psychiatric Diagnosis: Hwabyung (火病) and Neurasthenia (神經衰弱)

My paper looks at two psychiatric illnesses and discusses their social and cultural dimensions. The two illnesses to be compared are the Korean affliction called hwabyung, and the once-popular Western malady labeled neurasthenia, a common ailment in 19th century America.

Neurasthenia was defined as “a disorder characterized by feelings of fatigue and lassitude,” which is caused by the nervous system. That definition could fit most people at some time or another. Hwabyung, on the other hand, means “fire illness.” Koreans believe that chronic distress can …

Treatment Of Psychiatric Inpatients With Relationship Dysfunction Using A Short Term Cognitive Interpersonal Intervention: A Pilot Study, Tamra Rasberry

Doctoral Dissertations and Projects

Relationship conflict for the psychiatric patient can have significant detrimental effects. There are specific types of interactions that can increase conflict and predict the potential for relapse; these have been identified by research and designated as components of Expressed Emotion (EE). Cognitive Behavioral Therapy (CBT) and Interpersonal Therapy (IPT) have been very effective when targeting specific psychiatric diagnoses, but less effective when addressing relationship conflict. The majority of studies addressing relationship conflict have taken place in an outpatient, long-term setting. There is limited research that utilizes an inpatient short-term intensive therapy with relationship conflict as its sole focus, targeting areas …

Research Brief: "Suicide Among Patients In The Veterans Affairs Health System: Rural-Urban Differences In Rates, Risks, And Methods", Institute For Veterans And Military Families At Syracuse University

Institute for Veterans and Military Families

This brief is about the differences between rural and urban veterans in risks and rates for suicide. In policy and practice, communities should implement support programs for rural veterans, and veteran families should educate themselves about the risk factors for suicide and support veterans in their families; policymakers should increase VA outreach programs in rural areas, as well as programs educating rural veterans about the importance of mental health treatment for those at risk for suicide. Suggestions for future research include looking at the impact of social context on suicide rates, determining the relationship between suicide risk for rural veterans …

The Lived Experiences Of African American Women With Breast Cancer: Implications For Counselors, Latasha K. Clay

LSU New Orleans Theses and Dissertations

Qualitative phenomenological methodology was used to explore the lived experiences of African American women diagnosed with breast cancer. Phenomenology focuses on the meaning of the lived experiences of individuals experiencing a concept, structure, or phenomenon (Creswell, 2007). The purpose of phenomenological research is to identify phenomena as perceived by the individual. Utilizing an existential perspective, the focus of this study was to uncover meaning which defined the essence of the participants’ experiences. Seven African American women diagnosed with breast cancer participated in this study. The participants’ ages ranged from 33-63 years. A semi-structured interview process with open-ended questions was utilized …