Psychoanalysis and Psychotherapy Commons^™

I’M So Satisfied: A Qualitative Approach To Understanding The Process Of Marriage Satisfaction Among African American Couples, Rashida Spence

Antioch University Dissertations & Theses

The current study uses a strengths-based framework to identify the process of marriage satisfaction among 1 same-sex African American married couple and 5 heterosexual African American married couples. Six themes emerged through qualitative analysis demonstrating that marriage satisfaction is a co-constructed experience created between couples through a series of interactions cultivating healthy conditions that strengthen relationship functioning and promote well-being. Based on the results the experience of marriage satisfaction is formed by the organizing concepts of connection, intentionality, purpose, sentiments of peace, authentic communication, and well-being. Results are discussed in association with existing research, as well as, Self-Determination, and Relationship …

Experience Of Gender Role Expectations And Negotiation In Second Generation Desi Couples, Deepa Patel

Antioch University Dissertations & Theses

Due to the lack of research on the Desi community, this qualitative study was the first of its kind to investigate the process of gender role expectation and negotiation style among second generation Desi couples. Previous research provided awareness of unequal treatment amongst the male and female genders within the patriarchal structure of the Desi community. However, this study provided a unique understanding on Desi couples’ perspective on gender dynamics. Six couples, ages 25- 35, who were married for at least 3 years and identified as second generation Desi were interviewed in order to gain a deeper understanding of gender …

Emotional Response To Climate Change Learning: An Existential Inquiry, Jennifer Hutchinson

Antioch University Dissertations & Theses

This qualitative study aims to explore and explain the existential underpinnings of learning about climate change and potential emotional responses to climate change learning. Undergraduate students in environmental sciences and studies classes at the University of Washingrounded theory on in Seattle, WA participated in semi-structured interviews. Participants were asked about their experiences learning about climate change and how they responded emotionally to the learning. This dissertation examines the responses from those interviews and builds a theory out of the data analyzed. Constructivist Grounded theory as outlined by Kathy Charmaz (2014) was used to analyze the interviews. Codes were created and …

A Phenomenological Inquiry Into The Client Experience Of The Psychotherapy Relationship, Mark D. Knutzen

Antioch University Dissertations & Theses

Meta-analyses have indicated that there are likely common factors across varied treatment modalities that account for the effectiveness of psychotherapy. Research has attempted to identify therapist and treatment relationship components that correlate with effective mental health treatment. Yet, there is a paucity of research directly addressing the qualitative experience of the relationship between psychotherapists and their clients.

Eight adult psychotherapy clients were interviewed regarding their experience of the psychotherapy relationship with their mental health therapist. The interviews were analyzed through the use of Interpretative Phenomenological Analysis (IPA). Seven themes emerged. Three themes related to the formation, and overall foundation of …

Discovering Themes: Disability Identity Development As It Pertains To People Born With Spina Bifida, Elizabeth H. Scriven

Antioch University Dissertations & Theses

To date, disability identity development is a highly understudied construct. There are many models of disability, each interpret disability through a specific lens, but do not address the influence of disability on identity development. The few theories of disability identity that do exist have not been widely adopted. In addition, there is a lack of empirical evidence to support them. Another difficulty is that these theories do not separate different disability groups. Rather, the theories are applied to a broad heterogenous group of disability types. This is a problem because each disability type is quite distinct from the others and …

Is It Who Am I Or Who Do You Think I Am? Identity Development Of Adolescents With Substance Use Disorders, Danielle N. Treiber

Antioch University Dissertations & Theses

The purpose of this study was to unearth how adolescents with substance use disorders achieve the task of identity formation and the construction of self-concept in the midst of the drug culture and society that exists. It sought to uncover the social constructs designed to ignore and/or remove human complexities and allow an intersectional approach to be brought to a study on this population. Historically, there has been a failure to investigate the underlying social attitudes and behaviors that impact the very delicate and vulnerable process of finding self. Psychosocial and relational adjustment are strongly influenced by the extent to …

“We’Re Together”: An Exploration Of Interracial Couples’ Perceptions Of Support And Relational Therapy, Maxine Notice

Antioch University Dissertations & Theses

Interracial couples in the United States experience disproportionate amounts of adversity throughout their relationships. Backlash for loving interracially results in denied access to supportive systems, which literature indicates occurs commonly between micro and macro systems. Using ecological systems and narrative theories, a mixed methodological study was conducted using the Fragile Families Child and Wellbeing study to explore participant’s use of relational therapy and perceptions of access support systems. Subsequently, sixty interracial couple members completed a survey expressing perceptions of relational therapy, and the influence of support systems on their usage. Results indicate interracial and same-race couples attend relational therapy at …

Psychologists' Use Of Dogs In Psychotherapy: A Therapeutic Exploration, Christine A. Treece

Antioch University Dissertations & Theses

The current fund of literature documents the many benefits of using dogs as adjunct healing agents for both physical and psychological ailments. Despite the ever-growing body of research about dogs as adjunct interventions, there is a meager amount of information available about clinician’s experience of bringing their dogs to work with them. This dissertation is an in-depth exploration of six psychologists licensed in the state of Washington who brought their dogs with them to work. Each participant’s interview was analyzed using Interpretative Phenomenological Analysis. From their interviews, nine primary themes were identified: Reason for the Acquisition of Dog, Nature of …

Aces Wild: Making Meaning Out Of Trauma Through Altruism Born Of Suffering, Jessica Gibson

Antioch University Dissertations & Theses

Childhood exposure to early adverse experiences is prevalent—affecting almost one-half of children from birth to 17 years old—and brings with it the potential for the long-lasting detrimental effects of traumatization. At the same time, a growing body of compelling evidence also suggests that many survivors of trauma exhibit more resilience and prosocial behaviors than individuals who have never experienced a traumatic event. This phenomenon has been coined altruism born of suffering (ABS); it is a relatively new concept in trauma research that seeks to better understand the possible positive outcomes of trauma. Building further beyond the concepts of resilience and …

Feelings Of Enlightenment: A Hermeneutic Interpretation Of Latent Enlightenment Assumptions In Greenberg's Emotion-Focused Therapy, Alex A. Gomez

Antioch University Dissertations & Theses

The purpose of this dissertation is to explore how a mainstream theory of psychological practice might inadvertently conceal and ignore contemporary values and ideologies and their pathological consequences. Through a hermeneutic approach, I interpreted Leslie Greenberg’s Emotion-focused therapy: Coaching clients to work through their feelings (2^nd ed), a popular and widely used theory in psychotherapy. As a practitioner with humanistic foundations, this was also an opportunity for the author to understand his own unexamined values as a therapist. Specific EFT constructs and concepts that reflected Enlightenment assumptions and values were examined. EFT was situated within Enlightenment philosophy, particularly …

Attune With Baby: An Innovative Attunement Program For Parents And Families With Integrated Evaluation, Sara Beth Lohre

Antioch University Dissertations & Theses

Infants speak in their own language; sounds, screeches, cries, and howls that help them to communicate their caregiving needs. Unaware, parents may develop a checklist of caregiving approaches to the baby. The infant tells the adult directly what they need, and waits for the parent to respond. Infant talk may change from soft and quiet to loud and aggressive; coos and cries become crying and screams as the infant’s caregiver—communicating the intensity of emotion, urgency of their request, or their frustration with varied and sometimes inadequate, failed, or missing caregiving patterns the infant has no choice but to accept. When …

How Eye Movement Desensitization And Reprocessing (Emdr) Trained Therapists Stabilize Clients Prior To Reprocessing With Emdr Therapy, Edward H. Brendler

Antioch University Dissertations & Theses

Helping clients develop resources and stability required to tolerate reprocessing memories can be a considerable part of psychotherapy, particularly with clients who are suffering symptoms related to complex developmental trauma or cumulative multiple-event trauma. There is a paucity of research regarding how experienced EMDR Therapy practitioners experience helping their clients to develop resources required to tolerate reprocessing of trauma memories. This dissertation is an in-depth study of five participants, each a licensed mental health practitioner in the State of Washington, who are trained in EMDR and experienced working with clients who are suffering symptoms of trauma. Each participant was interviewed …

A Narrative Study Of Emotions Associated With Negative Childhood Experiences Reported In The Adult Attachment Interview, Lynne Hartman

Antioch University Dissertations & Theses

Attachment patterns, which tend to be stable over time, are passed from one generation to the next. Secure attachment has been linked to adaptive social functioning and has been identified as a protective factor against mental illness. The parents’ state of mind with regard to attachment—as measured with the Adult Attachment Interview (AAI) (Main, Goldwyn, & Hesse, 2002)—predicts the attachment classification for the infant in Ainsworth’s Strange Situation Procedure (Ainsworth, Blehar, Waters, & Wall, 1978). Earned-secure individuals have overcome negative childhood experiences to achieve a secure state of mind in adulthood. Earned security, like continuous security, strongly predicts infant security …

The Personal And The Professional: Buddhist Practice And Systemic Therapists, Joanne R. Grassia

Antioch University Dissertations & Theses

This dissertation consists of two articles. The first article presents a literature review of research on therapists’ personal and professional lives as practitioners of Buddhist meditation and psychotherapy in the past ten years. Nineteen articles were reviewed that met the inclusion criteria of a) between 2004 and 2014; b) exploring meditation; and c) studies related to therapist personal or professional lives. The results of the review identified four broad themes: a) presence and acceptance; b) empathy; c) countertransference; and d) self-care/compassion and gratitude. The content analysis indicated a positive association between therapist meditation practice and therapist qualities, both for personal …

The Utilization Of Evidence-Based Treatments In Trauma Treatment Of Active Military Personnel And Their Families, Matt Brickell

Antioch University Dissertations & Theses

This study reviewed the literature regarding the effectiveness of evidence-based treatments in addressing traumatic stress injuries such as post-traumatic stress disorder in active military personnel and their families. Top tier treatments recommended by the Department of Defense and Department of Veteran Affairs Clinical Practice Guidelines for the treatment of traumatic stress disorders are discussed, and the literature is critically examined with a focus on exploring the reported evidence of effectiveness. In addition, this study contributed unpublished archival clinical outcome data from evidence-based treatment of active military personnel and their families in real-world clinical settings. The effectiveness of an evidence-based treatment …

Coping Responses And Mental Health Symptoms In Incarcerated Juvenile Males, Jennifer Renae Newhard

Antioch University Dissertations & Theses

Coping responses develop throughout the lifespan of an individual. Unfortunately for some, difficult life circumstances may lead to the use of maladaptive forms of coping. This study investigated coping responses amongst male incarcerated juvenile offenders and examined which specific mental health symptoms may occur with specific coping responses. The goal of this study was to determine whether male incarcerated juvenile offenders utilize avoidant coping responses over approach coping responses. Also, this study investigated whether specific mental health symptoms, such as depression, anxiety, anger, and disruptive behaviors, were more prevalent amongst those who utilize avoidant coping responses. De-identified, archival data for …

Factors That Promote And Inhibit Client Disclosure Of Suicidal Ideation, Robert William Orf

Antioch University Dissertations & Theses

Approximately 36,000 people commit suicide in the U.S. each year, making it the fourth leading cause of death for adults between 18 and 65-years-old. Clients participating in psychotherapeutic treatment are at elevated risk for suicide, due to the emotional distress that drives their entry into psychotherapy. Therapists cannot know the full extent of their clients’ risk for suicide if clients do not fully confide their thoughts and intentions. The current study sought to discover factors that inhibit and promote client disclosure of these thoughts and behaviors. The study utilized the Suicidal Ideation in Psychotherapy Questionnaire (SIPQ), a questionnaire developed for …

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 …

Seasoned Psychotherapists' Experience Of Difficult Clinical Moments, Kirk J. Honda

Antioch University Dissertations & Theses

Purpose: This phenomenological study was concerned with the clarification of the experience of the difficult clinical moment which is defined as a discrete moment in which the psychotherapist experiences distress as a result of his or her work with a client. Method: Retrospective descriptions of experience of difficult clinical moments were obtained from a diverse sample of ten seasoned psychotherapists in the Seattle area. The interviews were transcribed, analyzed, and summarized, and these summaries were confirmed by each participant as being an accurate representation of their experience. Results: Thematic analysis revealed six themes of experience during a difficult clinical moment: …

Ways Of Being In Trauma-Based Society: Discovering The Politics And Moral Culture Of The Trauma Industry Through Hermeneutic Interpretation Of Evidence-Supported Ptsd Treatment Manuals, Sarah Peregrine Lord

Antioch University Dissertations & Theses

One hundred percent of evidence-supported psychotherapy treatments for trauma related disorders involve the therapist learning from and retaining fidelity to a treatment manual. Through a hermeneutic qualitative textual interpretation of three widely utilized evidence-supported trauma treatment manuals, I identified themes that suggested a particular constitution of the contemporary way of being—a traumatized self—and how this traumatized self comes to light through psychotherapeutic practice as described by the manuals. The manuals included: 1) a trauma focused cognitive-behavioral therapy for children; 2) an eye-movement desensitization and reprocessing therapy for adults; and, 3) an early intervention and debriefing therapy series for post-traumatic stress …

The Relationships Between Attachment Style And Boundary Thickness, Dore Lavering

Antioch University Dissertations & Theses

Despite the multitudes of research on attachment and many different aspects of relational structures, only one study to date has researched the relationship of adult attachment to boundary thickness. The possible benefits to understanding this relationship would provide therapists and clients a better conceptualization of individual's internal working model of attachment. This study investigated the relationship between the Hartmann Boundary Questionnaire (HBQ), a measure of boundary thickness, and an adult romantic attachment measure, the Experiences in Close Relationships Inventory-Revised (ECR-R) two dimensions of attachment. This study theorized that attachment anxiety would be related to thinner boundaries and conversely attachment avoidance …

Supporting Families With Congenital Adrenal Hyperplasia: Encouraging Whole Family Health, Kathryn A. Kraft

Antioch University Dissertations & Theses

In this dissertation, I discuss the medical and psychological needs of families with children with Congenital Adrenal Hyperplasia (CAH). Due to these needs, I have designed and described a program of social support and psychoeducation to be offered to parents and families. Specifically, I discuss the difficulty that parents have when finding out that their child has CAH, the emotional toll this takes on a parent, on their relationship, and on their family. Using a Family Systems Illness Model, I designed a program that takes into account family functioning, organization, structure, and communication when determining what would be most helpful …

My Journey From Physician To Psychologist: Relational Touch In Psychotherapy, Brita S. Reed

Antioch University Dissertations & Theses

A physician's armamentarium includes the presence of the tool of touch which is used not only to diagnose and to heal, but also to reassure patients that they are safe and well cared for in the hands of the physician. The use of touch in the practice of psychology, however, is relatively proscribed. In this essay, I examine how we, as psychologists, can best "hold" our clients without the use of touch. In the first part of this essay, I explore some theoretical considerations on relational touch in psychotherapy. I define relational touch as touch that occurs between people and …

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 …

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 …

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 …

Levels Of Acculturation And Resilience Among Southeast Asian Adolescents Who Have And Have Not Witnessed Domestic Violence, Skultip (Jill) Sirikantraporn

Antioch University Dissertations & Theses

The central purpose of this research study was to elucidate the relationship between the levels of acculturation and resilience among Southeast Asian adolescents in the U.S. who have and have not witnessed domestic violence. There is a voluminous amount of research on resilience, acculturation, and domestic violence and their impacts on adolescents. However, there is virtually no research that investigates the relationship among these three major social constructs. Previous research on acculturation, resilience, and coping abilities showed that immigrant children and adolescents who were bicultural were found to be highly adaptive in the midst of stress. No previous studies were …

Childhood Nature Contact And Its Effect On Adult Coping Skills, Mary-Jeanne Raleigh

Antioch University Dissertations & Theses

Reported anxiety levels continue to rise, in conjunction with a decrease in the depth and breath of coping strategies reported in college populations throughout the United States (Arthur, 1998; Twenge, 2000). Emotional management skills begin development in middle childhood (8-12yrs) and transition into adult coping skills in early adulthood (18-24yrs) (Seifert, 2000). The uses of natural restorative environments for coping may be reinforced during developmental phases in which coping skills are being learned. The development of coping strategies incorporating the use of natural restorative environments maybe contingent on early exposure to the qualities of natural restorative space found in routine …

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 …