Psychoanalysis and Psychotherapy Commons^™

First Elderly Client In Therapy: Factors That Influence Student Interest In Geropsychology, Cristina E. M. Filippelli

Antioch University Dissertations & Theses

In the coming decades, the elderly population in United States (U.S) is expected to grow significantly (U.S. Bureau of the Census, 1996). Consequently, the number of older individuals seeking mental health services will be greater than at any other time in the history of the U.S. The field of clinical psychology, however, is unable to meet the mental health needs of the current elderly population, and this gap is expected to widen in coming years. There is an ongoing discussion within the field of professional psychology as to how to train more clinicians to work with the elderly population (Gatz …

Descending Into And Out Of The Maelstrom: Soma And The Survival Struggle, Rachel M. Urbano

Antioch University Dissertations & Theses

The purpose of this qualitative phenomenological study is to highlight the ways “surviving therapists” adapt to the inner-spaces in which they are still affected by their traumas. Surviving therapists are defined as therapists who identify as having experienced a trauma caused by another human being while maintaining an observational stance in relation to their body and self-experience. Therapists are not immune to the lasting effects of trauma: they may experience somatic reactivity and painful affective states in working with trauma patients. As surviving therapists have experienced events they may unconsciously choose to keep out of awareness, they may rely on …

A Task Analysis Of Metacommunication In Time-Limited Dynamic Psychotherapy, Theodore Matthew Austin

Antioch University Dissertations & Theses

This study examined how successful metacommunication unfolded in time-limited dynamic psychotherapy (TLDP) using the task-analytic paradigm developed by Greenberg (2007). Specifically, the purpose of the study was to discern the elements, themes, and temporal sequences that were common to effective metacommunication. In accordance with the paradigm, this was accomplished by the creation of a rational model, which combined existing theoretical literature on metacommunication and anecdotal clinical evidence. Next, the distilled components of metacommunication in six high-quality (HQ) sequences were contrasted to the distilled components of six low-quality (LQ) sequences in order to generate an empirical model. These sequences were selected …

Client/Therapist Feedback And The Role Of The Alliance On Psychotherapy Outcomes, Elizabeth Preston Cisneros

Loma Linda University Electronic Theses, Dissertations & Projects

Through a system of patient-focused outcomes research which has employed a quality assurance system for tracking client progress in therapy, there has been consistent evidence that utilizing the system to identify those who are not responding to treatment and warning their therapist about the client’s risk significantly improves client outcomes in psychotherapy. Although outcomes have been improved, significant proportions of clients have treatment failures or see no improvement in therapy. Moreover, feedback to therapists appears to be most effective in improving outcomes for the minority of clients who are already at risk of treatment failure.

Attempts to augment the feedback …

Therapeutic Alliance And Client Satisfaction From The Client’S Perspective, Colleen Peterson, Armeda Stevenson, Katherine M. Hertlein, Stephen Fife

Graduate Research Symposium (2010 - 2017)

This was the second phase of a two phase mixed methodology study. Presented is the qualitative portion consisting of semi-structured phone interviews conducted with past clients in order to examine the relationship of the therapeutic alliance and client satisfaction with client retention and termination status.Findings were classified into three main categories: therapist characteristics, treatment structural characteristics and process characteristics.

Defining Intimacy In Diverse Asian Cultures, Blendine Hawkins, Katherine Herlein

Graduate Research Symposium (2010 - 2017)

America has continued to diversify as a nation, welcoming people from every race, culture and continent. The US Census Bureau (2004) reported that there were 13.5 million Asians in America and these numbers are increasing (US Census Bureau, 2004). This indicates that there is a greater demand for competent and effective mental health care to meet the needs of this heterogeneous group. Asian Americans can be best helped by a therapist who is sensitive, knowledgeable and has an understanding about the core values which are present in many Asian cultures. There are limited resources and treatment guides for this population …

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 …

Accuracy Of A Rationally-Derived Method For Predicting Failure In Residential Treatment, Jennifer Pester Grattan

Loma Linda University Electronic Theses, Dissertations & Projects

Recent studies of adult mental health treatment have used patient-focused research methods to improve outcomes, by tracking treatment response and comparing it with expected recovery patterns. One such line of research has used rationally-derived and empirically-derived methods to analyze data gathered by the OQ-45 and identify patients who are not responding as expected to treatment. This allows for adjustment of treatment, which results in improved outcomes and lower overall costs.

Similar but less extensive research has provided evidence that these approaches may also improve outcomes in outpatient treatment for children and adolescents. These approaches might be particularly useful in residential …

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 …

The Importance Of Gender And Readiness To Change In The Prediction Of Drinking And Negative Consequences Of First-Year Student Drinkers, Margot E. Ackermann

Psychology Theses & Dissertations

College drinking is widespread, and binge drinkers can experience serious consequences. The present study examined the effectiveness of two interventions, expressive writing and behavioral monitoring, as well a combined condition, in reducing drinking and negative consequences associated with drinking. Gender differences and differences in readiness to change binge drinking were also assessed. Participants (N = 97) completed a pretest, eight weekly intervention activities, and a posttest during their first semester of college. An ANOVA tested the hypothesis that individuals higher in readiness to change binge drinking participated in more of the weekly intervention activities; this hypothesis was not supported. A …

Authoritarianism, Hostility Toward Women, Attitudes Toward Violence, Rape Myth Acceptance, And Sexual Aggression, Gina M. Bondi

Psychology Theses & Dissertations

Almost one out of every five women has been, or will have been, the victim of sexual aggression and/or rape in their lives (National Institute of Justice, 2000). This staggering statistic exemplifies the importance of speculating which traits are related to, or are predictive of, sexually aggressive behavior. Based on previous research, the current study investigated relationships between authoritarianism, hostility toward women, attitudes toward violence, and rape myth acceptance, as related sexual aggression in undergraduate men It was projected that authoritarianism, hostility toward women, attitudes toward violence, and rape myth acceptance would significantly and positively predict all dimensions of sexual …

Bereavement In The Modern Western World, David San Filippo Ph.D.

Faculty Publications

Bereavement is the process of suffering that follows the loss of a living being that is significant to someone. When one suffers, she or he has to endure an unpleasant experience, in the case of bereavement, the loss of something special to the person. This loss most often is a loved one but could also include the loss of a pet, relationship, or physical or mental capability. This state of suffering is called grief. In describing his grief, C. S. Lewis stated, after the loss of his wife, “No one ever told me that grief felt so much like fear. …

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. …

Psychotherapists Working With Homeless Clients: The Experience Of Stress, Burnout Symptoms, And Coping, Sharon D. Young

Antioch University Dissertations & Theses

Stress, secondary trauma, and burnout symptoms are significant problems within the field of human services. Homeless clients present many challenges, frequently are highly traumatized, and often require many services. Psychotherapist working with homeless clients experience negative effects of exposure to the stress and trauma of homeless clients, and as a result must develop strategies for coping in order to continue in the work. This study used a mixed method design to investigate psychotherapists' experience working with homeless clients through Healthcare for the Homeless grantee projects, and their strategies for coping with the stress of their work. A survey, which included …

An Overview Of The Near-Death Experience Phenomenon, David San Filippo Ph.D.

Faculty Publications

Near-death experiences appear to be universal phenomena that have been reported for centuries. A near-death encounter is defined as an event in which the individual could very easily die or be killed, or may have already been considered clinically dead, but nonetheless survives, and continue his or her physical life. Reports of near-death experiences date back to the Ice Age. There are cave paintings, in France and Spain that depict possible after life scenes that are similar to reported scenes related to near-death experiences. Plato's Republic presents the story of a near-death experience of a Greek soldier named Er. In …

Sleep Quality Of College Students And Its Relationship To Coping Styles And Well-Being, Cathy Alison Word

Doctoral Dissertations

College students suffer from more sleep disturbances than the general population. Sleep difficulties in college students can lead to lower levels of performance, memory, and cognitive ability, as well as increased levels of anxiety and decreased levels of well-being. Sleep quality is known to impact individuals' physical and psychological health, which are indicators of well-being. Sleep also appears to influence individuals' choices of coping strategies. Sleep quality is also highly correlated with college students' emotional response to stress. The relationships between and among sleep quality, well-being, and coping style have not been fully examined. The purpose of this study was …

Historical Perspectives On Attitudes Concerning Death And Dying, David San Filippo Ph.D.

Faculty Publications

Beliefs and practices concerning death have changed throughout human history. In pre-modern times, death at a young age was common due to living conditions and medical practices. As medical science has advanced and helped humans live longer, attitudes and responses to death also have changed. In modern Western societies, death is often ignored or feared. Changes in lifestyles and improved medical science have depersonalized death and made it an encroachment on life instead of part of life. This has left many people ill equipped to deal with death when it touches their lives.

Religious Interpretations Of Death, Afterlife & Ndes, David San Filippo Ph.D.

Faculty Publications

This E-book reviews religious beliefs concerning death, afterlife, and near-death experiences. The discussion will provide commentary regarding the similarities between different religious beliefs and experiences concerning death, as well as between religious interpretations of near-death experiences.

Perspectives On The Fears Of Death & Dying, David San Filippo Ph.D.

Faculty Publications

This E-Book will examine some perspectives on fear, the fears of death, and constructs used to overcome or deal with the fears of death. By examining the literature on fear in general, a framework can be developed to understand how individuals become fearful. In the section, “Fears of Death,” what people fear about death and why they fear it will be discussed.

Philosophical, Psychological & Spiritual Perspectives On Death & Dying, David San Filippo Ph.D.

Faculty Publications

This Ebook reviews the philosophical perspectives on death, the psychological perspectives on death and the fears of death and some religious perspectives of death. The philosophic section will review perspectives of death from ancient Greece through modernity. The psychological section will review death, and the fear of death, from the perspectives of psychoanalytic, humanistic, and existentialist theories. The religious section will provide a brief overview of Prehistoric, African, Buddhist, Hindu, Islamic, Jewish, and Christian religious beliefs concerning death and afterlife.

Finishing Therapy Well (Book Review), Kristina M. Kays

Faculty Publications - Psychology Department

Reviews the book, "Good Goodbyes: Knowing How to End in Psychotherapy and Psychoanalysis" by Jack Novick and Kerry Kelly Novick (see record 2006-05376-000). Deciding when to end clinical therapy and how to end it well can be a mystifying process. In "Good Goodbyes: Knowing How to End in Psychotherapy and Psychoanalysis", Jack Novick and Kerry Kelly Novick share insights from their vast combined experience to diminish the mystery of therapeutic closure. The book, which is firmly based in psychoanalytic theory, uses a question format to explore the many hows, whys, whats, and whens of termination. The authors outline treatment stages …

Nonlinear Dynamics And Interpersonal Correlates Of Verbal Turn-Taking Patterns In A Group Therapy Session, David Pincus, Stephen J. Guastello

Psychology Faculty Articles and Research

Interpersonal processes and dynamics are ubiquitous topics in psychotherapy, yet they are difficult to study and are theoretically fragmented across therapeutic subdisciplines. The current study tests an integrative model of interpersonal dynamics in small groups using nonlinear dynamical systems theory. The conversation of one group therapy session (with six adolescent sex offenders) is analyzed using orbital decomposition, which allows for the identification of patterns in categorical time series data. The results show evidence of selforganizing social patterns, based on formal measures of turbulence (Lyapunov dimension), information novelty (Shannon's entropy), and complexity (fractal dimension). The degree of patterning in turn taking …

Queering Psychoanalysis: The Relational Turn, Jack Drescher

Center for LGBTQ Studies (CLAGS)

On Thursday, March 25, CLAGS hosted a panel entitled "Queering Psychoanalysis: The Relational Turn." The program, part of an ongoing CLAGS effort, introduced academics and scholars more familiar with Freud and Lacan to contemporary, relational psychoanalytic theories and practices.

Effect Of Comorbid Psychiatric Disorders On Measures Of Group Cohesion In Substance Abusers, Sharon Bradford Robbins

Doctoral Dissertations

Substance dependence and treatment have been the focus of research for a number of years. Recently more attention has been directed toward identifying the most appropriate treatments for people with more complicated substance disorders, those with substance dependence and mental illness. The current study examined three aspects of group cohesion, a necessary condition for effective outcomes, in 64 substance abusers with a comorbid mental illness. The rated aspects of group cohesion included overall group climate, individual group members' self-worth, and each member's perception of the relationship with the group leader. Groups were divided according to profiles based on results from …

What Is Positive Disclosure And To Whom Do We Disclose? The Role Of Topics, Gender And Type Of Relationship In Positive Self-Disclosure, Elizabeth Landers Ford

Psychology Theses & Dissertations

This study examined what topics (including experiences, feelings, and thoughts) people define as positive self-disclosure. The study also looked at reasons people generate for self-disclosing versus not disclosing something positive. Male and female students spontaneously described a past experience or feeling they perceive to be personal and positive. They then indicated whether or not they disclosed about these experiences or feelings to their father, mother, same-sex friend, and a past or present significant other/spouse. These descriptions were coded into one of eight categories: Religion, Family Development, Friendship, Sex, Romance, Self-Confidence, Achievement, and Helping Behavior, plus a Miscellaneous category. There were …

Coping Patterns Among Perpetrators Of Child Sexual Abuse, Henry Adolphus Beck

Loma Linda University Electronic Theses, Dissertations & Projects

This study examined the coping and religious coping strategies used by child sexual abuse (CSA) perpetrators. It was hypothesized that (1) Perpetrators of incestuous CSA would show greater use of Emotion-Oriented coping than perpetrators of non-incestuous CSA, (2) perpetrators of non-incestuous CSA would show greater use of Task-Oriented coping than perpetrators of incestuous CSA (3) Perpetrators of incestuous CSA would show greater use of Avoidance-Oriented coping than perpetrators of non-incestuous CSA, and (4) there would be a difference in the use of positive and negative religious coping between groups of incestuous and non-incestuous CSA perpetrators. Participants completed the Coping Inventory …