Psychoanalysis and Psychotherapy Commons^™

Inpatient Group Psychotherapy: Predicting Attendance And Participation, Sharon E. Silverberg

Counseling & Human Services Theses & Dissertations

Inpatient group psychotherapy is one of the primary talk therapy interventions offered to patients necessitating acute psychiatric treatment. Research indicates that patients who attend and participate in group psychotherapy sessions while admitted to psychiatric hospitals have a lower rate of recidivism and are more successful in the community utilizing lower levels of psychiatric care. Unfortunately, not all patients attend group psychotherapy while admitted to a psychiatric facility and therefore do not benefit, possibly contributing to non-compliance with community-based treatment and readmissions to inpatient psychiatric institutions for stabilization and safety. This lack of participation in group psychotherapy deprives the patient the …

Attachment: The Antidote To Trauma, Joshua Straub

Faculty Publications and Presentations

Trauma and loss in life are inevitable. And all too often the traumatic experience itself can be enough to paralyze the mental, emotional, and spiritual state of any given person. Unable to interpret the traumatic experience, many instead are left defined by it. Helping clients discern the objective experience and their subjective reactions to it will help free them from the emotions and beliefs that subsequently control their lives. Based on the most relevant attachment theory research and clinical techniques, this workshop teaches the attentional strategies necessary to helping clients overcome trauma.

Comparison Of Rationally-Derived And Empirically-Derived Methods For Predicting Failure In Residential Treatment, Jennifer Pester Grattan

Loma Linda University Electronic Theses, Dissertations & Projects

Patient-focused research methods have been used in adult mental health treatment to improve outcomes by tracking individual treatment response and comparing it with expected recovery patterns. One such approach has used rationally- and empirically-derived methods to analyze data from the OQ-45 and identify patients who are not responding as expected to treatment. Treatment is then adjusted, improving outcomes and lowering overall costs.

Similar but less extensive research has shown analogous methods can be used with children and adolescents. This would be particularly useful in residential treatment, which is an expensive and inadequately researched approach. This study used archival data gathered …

Examining Adolescent Suicide: How To Identify The Risks, Kelsey Moellering

Honors Capstones

Capstone submitted as a graduation requirement for the BSU Honors Program.

The Effects Of Visual Media On Participants' Boundary Expectations, Joy P. Brock

Psychology Theses & Dissertations

The purpose of this study was to examine participants' expectations of psychotherapeutic boundaries and the influence of the media in the creation of these expectations. Four hundred forty seven Old Dominion undergraduates completed an online survey consisting of five separate scales: Exposure to Cine therapy Scale, Exposure to Cinematic Boundary Infringements Scale, Boundary Expectation Scale, Past Therapy Experiences Scale, and Demographic Questionnaire. Bivariate correlations were calculated and exposure to cine therapy was found to be significantly, positively related to participants' perceptions of the frequency of various boundary infringements. A principle components analysis was also computed to examine the underlying structure …

Evaluation Of A Sleep Hygiene Program To Improve Inmate Sleep Quality, Jennifer F. Hodges-Crowder

Doctoral Dissertations

Research investigating the effectiveness of treatments for inmates with poor sleep quality appears minimal. Some difficulties related to poor sleep quality can be addressed effectively with little time and expense. Studies show that psychoeducational interventions are effective in reducing sleep complaints and improving sleep quality in a variety of populations including college students and adults. However, the effect of sleep hygiene interventions on inmate sleep complaints is unknown. Thus, the purpose of this study was to evaluate a psychoeducational intervention program aimed at improving prison inmate sleep habits, length, and quality.

Participants of this study were inmates at a department …

Getting To The Heart Of It (Book Review), Kristina M. Kays

Faculty Publications - Psychology Department

Reviews the book, "Assessment of Client Core Issues" by Richard W. Halstead (see record 2006-21518-000). According to Kays, this book offers a conceptualization of clinical cases synthesizing elements from narrative, schema, and cognitive therapy traditions. The author's stated goal is "to present a model that might help counselors think past a symptom-based formulation for diagnosis and incorporate a structured process for analyzing the vast amount of information clients reveal about their struggles in life". Depending heavily on schema therapy concepts originally developed by J. E. Young, Halstead develops an assessment approach that addresses both the unremarkable and problematic client situations. …

The Contribution Of Enactments To Structural Family Therapy: A Process Study, Stephanie Fellenberg

Psychology Theses & Dissertations

In an era where the effectiveness of many forms of psychotherapy has been thoroughly examined, the focus of many researchers has shifted from investigating outcome to exploring therapeutic processes. Process studies serve to identify the active ingredients of therapy—that is, those interventions that bring about in-session changes. This process study examines the relationship between the use of enactments, a structural family therapy intervention, and in-session change as observed over the course of the session. Change was measured by the amount of change that occurred in the core problem dynamic, that is, the most prominent pattern of dysfunctional family …

Increasing Readiness To Change Among Smokers In A Primary Care Setting, Sheila F. Collicott

Psychology Theses & Dissertations

This study compared the effectiveness of two brief interventions, direct advice and motivational interviewing, for increasing motivation to quit among male smokers in the pre-contemplation and contemplation stages of change who were primary care patients at an Eastern urban VA medical center. Contrary to expectations, participants receiving motivational interviews did not increase more in readiness to change, motivation, and actions to quit, than those receiving direct advice or a control conversation, nor did they smoke fewer cigarettes per day. As expected, contemplators reported more cutting down and quit attempts than pre-contemplators. Factors that may have limited the effectiveness of interventions …

The Effects Of Group Counseling On The Self-Esteem, Anxiety, And Behavior Of Children With Deployed Parents, Nancy Taylor Mitchum

Psychology Theses & Dissertations

The purpose of this study was to examine the effectiveness of a six-session group counseling intervention for children who had a parent experiencing military-induced deployment. Participants were 65 children (30 boys, 35 girls) of enlisted military personnel attending elementary schools near the Norfolk Naval Base. Elementary school counselors facilitated the counseling groups.

An experimental/control group pretest-posttest design was employed. Independent variables were the child's participation in the Children of Deployed Parents-Group/control group, child gender and age. Dependent variables were self-esteem, anxiety, and behavior as measured by the Coopersmith Self-Esteem Inventory (SEI), the State-Trait Anxiety Inventory for Children (STAIC), the Child …

Views Of Feminist Family Therapy: A Q-Methodological Inquiry, Bronwen Cheek

Psychology Theses & Dissertations

The feminist critique of family therapy has had a growing impact on theory and practice for almost two decades (Hare-Mustin, 1978; Bograd, 1990). Writings on feminist family therapy (FFT) reveal both common and diverse opinions about what FFT is. The present study examined how views of FFT are segmented using Q-methodology (Stephenson, 1953; Brown, 1980; McKeown & Thomas, 1988), a small-sample empirical technique for identifying emergent viewpoints and studying their similarities and differences. A Q-sort instrument of 60 statements was constructed to sample diverse discourse on FFT. Magraw's (1992) interviews with leading experts in FFT served as a primary source …

Mmpi And Rorschach Findings Of Individuals Approved For Gender Reassignment Surgery, Gregory Ralph Caron

Psychology Theses & Dissertations

Both clinical experience and empirical data from psychological tests present a picture of extreme clinical variation among those individuals who request gender reassignment surgery. Results of past empirical studies utilizing the MMPI and the Rorschach Test have tended to be equivocal regarding the level and nature of psychopathology associated with samples of gender dysphorics. These past studies are considered limited particularly in terms of methodological problems related to statistical power. This present study examined the nature and degree of psychopathology in a sample of candidates approved for gender reassignment surgery as reflected on their MMPI-2 clinical scale values and scores …

Body-Image Attitudes And Perceptions Among African-Americans And Whites As A Function Of Socioeconomic Class, Christopher Eugene Huffine

Psychology Theses & Dissertations

While many facets of body image have been extensively researched, relatively few studies have examined racial and social class differences in body image. The present paper consists of two studies examining racial and class differences in body image among males and females. Study 1 utilized a national sample of respondents to a 1985 Psychology Today survey to examine racial (Black and White) and educational differences in body image among men and women. Study 2 utilized a smaller sample of Black subjects, half drawn from several Southeastern universities and the other half from non-academic locations in the Tidewater area of Virginia …

Gender Effects On Recall, Clinical Judgement And Treatment Recommendations For A Combination Of Major Depression And Alcohol Dependence Symptoms, Jodi L. French

Psychology Theses & Dissertations

This study investigated the effect of client gender on several aspects of clinical decision-making processes and clinical judgement when a client presented with a combination of depressive and alcohol-dependent symptoms. Forty-four male and 44 female clinicians, who came from various mental health disciplines (i.e., psychology, social work, counseling, nursing, and psychiatry), volunteered to participate as subjects.

The subjects were assigned to hear one of four audiotapes (two male tapes and two female tapes) in which mock clients gave the same initial presentation of symptoms and problems. After listening to the tapes, the clinicians were asked to engage in a number …

The Relationships Of Body-Image Attitudes To Sexual Functioning And Experiences In A Normal College Population, Jill D. Hangen

Psychology Theses & Dissertations

This study examined the relationships of body-image attitudes and sexual attitudes, experiences, and functioning in a college population. Sixty-five males and 120 females completed a variety of established self-report measures assessing the constructs under study, as well as two new measures developed in this study. The new measures included (1) The Sexual Experiences and Problems Survey for self-assessment of difficulties in sexual functioning, and (2) The Body Exposure in Sexual Activities Questionnaire to measure self-consciousness and avoidance of body exposure in sexual contexts. Analyses were performed in the data of those predominantly heterosexual subjects who reported a history of sexual …

Parallel Process: An Empirical Investigation, Thomas E. Pollack

Psychology Theses & Dissertations

The purpose of the present study was to conduct an empirical investigation of parallel process. The study used a cross-sectional design in which 30 therapy relationships and the corresponding supervision relationships were studied. The therapist assessed the behavior manifested by the patient during a targeted therapy session. Following the subsequent supervision session, the supervisor assessed the behavior manifested by the supervisee during the supervision session. In addition, each of the triad participants (patient, therapist, supervisor) rated the level of anxiety they experienced during the targeted therapy and supervision sessions. Measures of interpersonal style for each of the subjects were also …

The Relationship Between Needs And Interpersonal Problems Of Women In Four Interpersonal Categories, Valarie Elaine Sikes-Nova

Psychology Theses & Dissertations

This study empirically assessed the relationship between needs structure and interpersonal presentation in women. Proposed indices for selective attention were assessed as to their ability to detect pathology. The relationship between interpersonal presentation and interpersonal problems were also studied. The measures used were The Picture Identification Test (Chambers, 1976), The Interpersonal Adjective Scales-Revised (Wiggins, 1985), The Inventory for Interpersonal Problems (Horowitz, 1986), and The Marlowe-Crowne Social-Desirability Scale (1964).

Subjects were assigned to one of four interpersonal categories (Friendly-Dominant, Friendly-Submissive, Hostile-Dominant, Hostile-Submissive) on the basis of their self-reported IAS-R and one category on the basis of their counselor-reported IAS-R scores. Subjects …

Jungian Theory And Social Work Practice, Herman Borenzweig

The Journal of Sociology & Social Welfare

Carl Jung's contributions to psychology, psychotherapy, and social science have had little impact upon social wonk practice. Social Work Abstracts to lists only one article where Jungian theory is utilized by social workers. McBroom has recently written an article "The Collective Unconscious as a Unifying Concept in Teaching Human Behavior Cross Culturally:" If only two articles about Jungian psychology have appeared in the social work literature in the last twelve years it seems safe to assume either that the ,Jungian oriented social workers practice their Jung underground and fail to publish on that Jung remains anathema to the profession.

In …

Prediction Of Premature Termination Of Psychotherapy In A Community Mental Health Center, Jane Hoppin

Masters Theses & Specialist Projects

The purpose of this study was to determine if prediction of premature termination of psychotherapy through the use of the Barrett-Lennard Inventory. The Study was conducted at health center and involved the clients could be attained Relationship a community mental of five therapists. The Relationship Inventory which assesses the relationship between client and therapist was mailed to clients who had terminated therapy against the advice of their therapists, and to clients who were still in therapy. The clients were asked to fill out the questionnaire anonymously, and send it back to the Center. Demographic data, such as age, sex, marital …

The Social History Questionnaire As A Predictor Of Therapeutic Outcome, Susan E. Suter

Masters Theses

One of the most critical problems encountered in clinical practice concerns the outcome criteria used for predicting therapeutic improvement. At present, there is no single outcome criteria that is universally accepted as evidence of improvement. Representative studies by Lubarsky et al (1971) have emphasized the magnitude of this problem by citing the many patient variables that may effect the outcome of a therapeutic relationship.

The importance of this therapeutic relationship in terms of time and committment on the part of both the therapist and the client, necessitates some objective means for first, the development of an instrument that can measure …

The Social History Questionnaire As Related To Length Of Stay In Psychotherapy: A Cross-Validation, Robert Crowley

Masters Theses

The purpose of the present study was to cross-validate the Terminator-Remainer subscale of the Social History Questionnaire (Jachim, 1972). The subjects were 72 clients from a mental health clinic. Two groups were used in the study (N = 72 and N = 36). Both groups were divided into Terminators and Remainers.

A point biserial correlation between the score on the Terminator-Remainer subscale and the criterion groups was significant (N = 72: rpb = .24, p < .05; N = 36: rpb = .38, p < .05). Predictive validity was established.

No relationship was found between being a Terminator or a Remainer and sex (x² = 0.07, N …

The Social History Questionnaire As Related To Length Of Stay In Psychotherapy, David P. Jachim

Masters Theses

A serious problem encountered in clinical practice concerns the large proportion of clients who begin therapy but for various reasons terminate treatment after only a few interviews and without the consent of the therapist. Representative studies by Kurland (1956), Haddock and Mensch (1957), and Rosenthal and Frank (1958) have emphasized the severity of this problem by indicating that most mental health clinics face the possibility of losing half of their therapy clients prematurely.

This problem necessitates some objective means for identifying potential terminators and remainers prior to their entering therapy. Such a technique would permit a more efficient utilization of …