Psychoanalysis and Psychotherapy Commons^™

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 …

Horses In Therapy: The Practice Of Equine Facilitated Psychotherapy, Mandi J. Turner

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Horses are being used in psychotherapy at increasing rates despite a lack of evidence establishing efficacy of the practice (Anestis, Anestis, Zawilinski, Hopkins, & Lilienfeld, 2013; Selby & Smith-Osborne, 2013). Without common and consistent practices based on a working theory of how Equine Facilitated Psychotherapy (EFP) creates change, it is unknown how varied the practice is across the United States (Anestis et al., 2013). A lack of studies establishing efficacy leaves providers to determine effectiveness based on anecdotal evidence that may be at risk for bias (Lilienfeld, Ritschel, Lynn, Cautin, & Latzman, 2014). The American Psychological Association (APA) provides recommended …

Cinematherapy With Inside Out: A Theoretical And Practical Guide, Jessica Rosenfeld

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Since its release in 2015, the Disney/Pixar film "Inside Out" has received widespread critical and commercial acclaim. Despite the film's basis in established psychological theories, little has been published regarding its clinical applicability, particularly for adolescent and adult clients in traditional talk therapy. Through the use of cinematherapy, a deeper examination of the film is offered, and suggestions for treatment use are provided. Via the lens of modern psychodynamic (Intersubjectivity) and behavioral (ACT) techniques, this paper offers diverse options for integrating "Inside Out" in psychotherapy and proves that it contains clinical applicability for a wide range of practitioners.

Development Of A Psychological Assessment Battery To Measure Client Beliefs About The Effectiveness Of Psychotherapy, Christopher Peavey

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

The author attempted to develop a brief scale to measure clients' beliefs about the effectiveness of psychotherapy. The study is an early pilot study to determine if the scale can predict therapy outcomes. While the scale did differ significantly between clients who were active in therapy and those who were not, higher scores on the instrument were not indicative of greater involvement. Possibilities for future research to refine the instrument are discussed.

Preferences For Evidence-Based Depression Treatments: An Emphasis On Patient-Focused Care, Lauren A. Frye

Dissertations

Research indicates most depressed patients in the general U.S. adult population seek depression treatment in primary care settings where the prevailing method of treatment is antidepressant medication. Although primary care physicians regard this approach as a preferable first line method of depression treatment, studies indicate many patients do not. Several studies have found depressed patients in these settings prefer psychotherapy or counseling over anti-depressant medication. Many advocate patient preferences should be integral to the treatment decision making process. There is a demonstrated propensity towards psychotherapy or counseling over antidepressant medication among depression patients. However, it is unclear which psychological depression …

Effectiveness Of Psychotherapy For Youth In Poverty: A Benchmarking Study Of A Public Behavioral Health Agency Using A Client Feedback System, Jonathan Kodet

Theses and Dissertations--Educational, School, and Counseling Psychology

Objective: The purpose of this study was to evaluate the effectiveness of a public behavioral health (PBH) agency that had implemented continuous outcome feedback as a quality improvement strategy.

Method: I investigated the pre-post treatment outcomes of 4,389 ethnically diverse youths (6 to 17 years old) at or under the poverty line participating in treatment (from January 2008 to March 2014) for a broad range of primary diagnoses including depression and anxiety disorders (23%); adjustment disorders (27%); Attention Deficit/Hyperactivity Disorder (13%), various V-codes (18%); bipolar disorders (3%); and substance use disorders (2%). I also investigated the treatment outcomes …

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: …

Freeing The Voice Within Through Guided Imagery And Music, Amy Clements-Cortés

Music Faculty Publications

This paper presents the case study of a 38-year-old female, "Joy," and her Guided Imagery and Music (GIM) process. Joy was born in Hong Kong and immigrated to Canada in 2008 to pursue further studies along with her husband. Joy is a music educator who was drawn to GIM to explore issues with her parents, husband, anxiety and stress in order to lead her to improved well-being and healing. This paper provides the relevant background information on GIM, and several important topics in Joy's therapeutic process, including: gender issues being raised in Hong Kong, effects of parental gambling on child …

An Intergenerational Study: Mirrors As A Tool For Self-Reflection, Susan Ridley

Expressive Therapies Dissertations

Globalization and advances in technology have resulted in a loss of cultural, community, and individual identity. Having a strong sense of self can be a protective factor in resisting peer pressure and involvement in negative behaviors, and a determining factor in the formation of one’s coping skills, and resiliency to life’s challenges. This was especially important for adolescents who are negotiating the developmental growth from childhood to adulthood, and older adults who are transitioning from the independence of adulthood to the dependence of old age.

This was a qualitative intergenerational study on the process of self-reflection on identity. Mirrors have …

David Grove's Metaphors For Healing, David Pincus, Anees A. Sheikh

Psychology Faculty Articles and Research

Within the ever-expanding list of approaches to psychotherapy, there is a tendency to overlook deep imagery approaches. The current article reports on one such metaphor-based therapy developed by David Grove (Grove & Panzer, 1989). The approach is analyzed within the context of mainstream contemporary psychotherapy in general, the state of empirical understanding of common processes to psychotherapy, and in relation to other deep imagery-based approaches to therapy. Next, a step-by-step description of the techniques used within metaphor therapy are presented, along with a case example demonstrating the use of these techniques on a case involving pain symptoms. Finally, it is …

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 …

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 …

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 …

An Exploration Into Gender Role Conflict, Attitudes Toward Females, And Relationship Beliefs, Julia M. Wood

Doctoral Dissertations

Gender role conflict and negative attitudes toward females have been areas of increasing concern since the early 1970s. Research has shown that both gender role conflict and negative attitudes toward females cause complications for the person with such perspectives. Relationships are an area that has been impacted by gender role conflict and attitudes toward females. Determining the impact that gender role conflict and attitudes toward females have upon each other and upon relationship beliefs will increase awareness of the seriousness of these complications allowing clinicians to focus therapeutic interventions on methods that will increase relationship quality.

Using the Gender Role …

Psychological Effects Of Martial Arts Training: Fear Of Physical Assault And Self -Esteem, Robert C. Clanton

Doctoral Dissertations

The purpose of this study was to examine gender differences in the effects of martial arts training on self-esteem and fear of physical assault. Two studies were performed. The Fear of Physical Assault Scale was developed in the first study in order to measure individuals' perceived vulnerability to attack. Results indicated that the instrument was a reliable measure. Males scored significantly higher on the scale, indicating that they tend to perceive themselves as less vulnerable and more competent at defending themselves against physical assault. The second study examined the effects of martial arts training on the self-esteem and fear of …

Self -Esteem And Sense Of Entitlement In Violent And Nonviolent Criminal Behavior, Susan Frank

Doctoral Dissertations

There are two conflicting theories concerning self-esteem in violent and nonviolent criminal behavior. One theory proposes that low self-esteem is more influential than high self-esteem in an individual's decision to participate in criminal behavior, whereas the other theory proposes the opposite. Limited research is available concerning the role that sense of entitlement has in criminal behavior, beyond its previously explored role in rape. The first purpose of this study was to clarify the role of self-esteem in criminal behavior by having individuals currently incarcerated for both violent and nonviolent crimes complete the Self-Esteem Rating Scale. Using the scores obtained on …

An Investigation Of The Relationship Among Life-Skills, Self-Esteem, And Well-Being In Adults, Scott David Meche

Doctoral Dissertations

This study examined the relationship among life-skills, self-esteem, and well-being in 278 adults. Adults were classified into three age groups. Of the 278 participants, 96 were young adults, 92 were middle-aged, and 90 were older adults. Life-skills, global organizations of general coping skills that are learned behaviors which enable effective functioning, were assessed with the Life-Skills Inventory - Adult Form (Gazda, Illovsky, & Taylor, 1991). Analyses were performed to understand the influence of four generic life-skills areas, interpersonal communication/human relations, problem-solving/decision making, identity development/purpose in life, and physical fitness/health maintenance, on self-esteem. Self-esteem was measured with the Self-Esteem Inventory-Adult Form …

Psychological Reactance As A Personality Characteristic: Relationships To Attachment And Autonomy, Maurine Traville Hargrove Ladner

Doctoral Dissertations

Psychological reactance is a construct that motivates people to restore lost or threatened freedoms (Brehm, 1966). Research is beginning to show that psychological reactance may be related to family of origin dynamics. Autonomy is developed through a secure attachment. Dowd (1993) stated that autonomy is fostered by an optimal level of reactance, and one's personal identity is dependent on the development of a flexible autonomy. This study explored the relationship between psychological reactance and attachment. Additionally, research has suggested that level of reactance may be related to level of autonomy. This relationship was empirically explored. Participants were assessed using the …

Pre-Verbal Trauma, Dissociation And The Healing Process, Dorothy Dreier Scotten

Educational Studies Dissertations

This qualitative research study examines some of the ways in which the healing process takes place in adults who have experienced dissociation, and who have most likely been psychologically traumatized before full language development. The impact of early trauma on human cognitive, socio-emotional, and spiritual development are explored within the context of participant narratives in order to develop an understanding of what may be helpful in developing effective teaching strategies for clinical and teacher education. In-depth interviews were conducted with four adult persons who had been diagnosed with Dissociative Identity Disorder. All had histories of infant psychological trauma and all …

Development And Evaluation Of The Sleep Treatment And Education Program For Students (Steps), Franklin Christian Brown

Doctoral Dissertations

Sleep difficulties are becoming progressively more common among university students and may be related to increased academic and emotional difficulties. Psychoeducational interventions are among the most effective methods for reducing sleep difficulties and are significantly better than pharmacological treatments. Attempts to demonstrate the effectiveness of such treatments among university students are not present in the literature.

The purpose of this study was to develop the Sleep Treatment Education Program for Students (STEPS) and evaluate its effectiveness to improve sleep habits and reduce sleep complaints. The study used a double blind, experimental design. Participants in the treatment condition received Sleep Hygiene …

The Impact Of Psychological Reactance And Desire For Control On Perceptions Of Common Elements Of Cognitive, Affective, And Behavioral *Change, Morgan Edward Williams

Doctoral Dissertations

The present study was designed to assess the impact of two dispositional variables, psychological reactance and desire for control, on individual perceptions of common elements of psychological change. These common elements represent cognitive, affective, and behavioral aspects of psychological change. The study tested whether individuals with different levels of psychological reactance and desire for control systematically differed in their perception of the importance of elements relevant to psychological change. Participants (N = 420) completed three self-report assessment instruments: (a) the Common Elements of Change Questionnaire, (b) Hong's Psychological Reactance Scale, and (c) the Desirability of Control Scale. As hypothesized, …

Foreign Policy As Psychotherapy: Iatrogenic Disorders Of The People's Republic Of China, Ibpp Editor

International Bulletin of Political Psychology

This article employs a model of foreign policy as psychotherapy to illustrate dilemmas in the political relationship between the United States (US) and the People's Republic of China (PRC).

Trends. Psychotherapy And Foreign Policy, Ibpp Editor

International Bulletin of Political Psychology

The author reviews Russia's involvement in the G-8.

Responses To Dissatisfaction In Psychotheraphy: The Influence Of Prior Satisfaction, Perceptions Of Problem Severity And Attachment Style, Christopher C. Read

Psychology Theses & Dissertations

This study examined the influence of prior satisfaction, perceptions of problem severity, and attachment style in determining Rusbult's Exit, Voice, Loyalty, and Neglect responses to dissatisfying events depicted in a psychotherapy simulation. Constructive responses to therapy dissatisfaction (i.e., Voice and Loyalty) were positively related to prior satisfaction with the therapist and negatively related to perceptions of problem severity. Destructive responses (i.e., Exit and Neglect) were negatively related to prior satisfaction and positively related to problem severity. Attachment style was associated with individual differences in approaches to resolving conflict, but it was not consistently related to Exit, Voice, Loyalty, and Neglect …

The Effectiveness Of A Dual Modality Treatment Sequence For Depression, Diana L. Yoshino

Theses Digitization Project

Beck Depression Inventory

A Social Exchange Approach To Explaining Satisfaction With Therapy, Brenda B. Counts

Psychology Theses & Dissertations

The present study examined the effect of Reward, Cost, Comparison Level, Comparison Level of Alternative, and Investment on Satisfaction and Commitment in therapy from the perspective of social exchange theory and the investment model. Relationship variables were assessed by 114 subjects for the beginning of therapy, the first few sessions: middle of therapy, when therapy was clearly underway and issues were being dealt with; and the end or last few sessions. Results confirmed that Satisfaction and Commitment were significantly predicted by greater Reward, lower Cost, and Comparison Level. Investment was consistently positively related to Commitment and not to Satisfaction. However, …

Internal External Locus Of Control And The Choice Of Therapy, Marlene Eid

Dissertations and Theses

The purpose of this study was to determine whether a relationship exists between the scores subjects obtain on Rotter's Internal-External Locus of Control Scale and the type of therapy they prefer. Two hundred and fifty-four students in general psychology classes were given Rotter's Scale. Considering their upper- and lower-third scores, 54 were classified as " Internals," 53 as "Externals." Subjects also were given written descriptions of both psychoanalytic and behavioristic therapies. Each of these descriptions dealt with the goal and the specific therapeutic procedure of the respective therapies. Subjects were asked to identify which therapy they preferred and to provide …