Psychiatry and Psychology Commons^™

The Relationship Of Teacher, Student, And Content In The Clinical Psychology Classroom, Hannah Lord

Antioch University Dissertations & Theses

The field of clinical psychology is in the midst of redefining graduate school education with a push for competency-based approaches and measurable learning outcomes. This dissertation explores the best-practice knowledge regarding the education of professional clinical psychology graduate students and uses cooperative inquiry to richly detail the educational approach of a thus far “silent stakeholder,” Dr. Colborn W. Smith, a long-time teacher and training director. This inquiry is intended to help me [Hannah Lord] understand an important personal educational experience, to explore the tangible art of teaching that made such an experience possible, and to contribute to the evolving discourse …

Existential Concerns Of Individuals Living With Chronic Mental Illness In Guam, Christina Maria B. Dela Cruz

Antioch University Dissertations & Theses

Individuals living with chronic mental illness experience a host of challenges associated with the symptoms of their illness. In an effort to help restore healthy functioning, mental health treatment for individuals with chronic mental illness thus focuses primarily on symptom reduction and management. Recent research exploring the lived experience of individuals with chronic mental illness suggests that apart from their symptoms, these individuals also encounter existential issues related to the self, relationships with others, temporality, making meaning out of the illness experience, and managing life with the illness. At the same time, however, this research has tended to focus on …

The Post-Combat Couple Adjustment Questionnaire: A Preliminary Validation, Valerie Maine

Antioch University Dissertations & Theses

This dissertation presents the results of a psychometric study regarding the preliminary validation of The Post-Combat Couple Adjustment Questionnaire (PCCAQ). This measure was designed to assess post-combat and post-deployment adjustment for male veterans and their female partners. The measure was created using existing literature on veterans, posttraumatic stress disorder (PTSD), and couples. The PCCAQ consists of four domains of couple functioning, including: (a) redefining roles, expectations, and division of household responsibilities; (b) managing strong emotions; (c) abandoning emotional constriction and creating intimacy in relationships; and (d) creating a sense of shared meaning surrounding the deployment experience. The PCCAQ was compared …

Expression Of Borderline Personality Disorder Symptoms Across The Ovulatory Cycle: A Multilevel Investigation, Tory A. Eisenlohr-Moul

Theses and Dissertations--Psychology

Borderline Personality Disorder (BPD) is a disabling condition characterized by chronic emotion dysregulation and behavioral impulsivity. Prospective studies that test proposed mechanisms of within-person change in BPD hold the key to improving symptom predictability and control in this disorder. A small body of evidence suggests that fluctuations in estradiol such as those occurring naturally at ovulation during the monthly female reproductive cycle may increase symptoms in women with BPD (DeSoto et al., 2003). Furthermore, there is preliminary evidence that both self-esteem and feelings of social rejection are highest at ovulation, when estradiol peaks (Durante and Hill, 2009; Eisenlohr-Moul et al., …

Research Brief: "Impact Of The Seeking Safety Program On Clinical Outcomes Among Homeless Female Veterans With Psychiatric Disorders", Institute For Veterans And Military Families At Syracuse University

Institute for Veterans and Military Families

This brief is about the effect of the Seeking Safety program's services on improvement in PTSD, psychiatric symptoms, and social support among homeless female veterans. In policy and practice, clinicians should be trained on how to use the program to better serve homeless female veterans, and policymakers should push for clinician training for those who work with homeless veterans. Suggestions for future research include applying this study and the Seeking Safety program to non-VA healthcare systems, assessing substance use within the program, and assessing the long-term effects of the Seeking Safety program.

Construct And Criterion Validity Of The Rey Auditory Verbal Learning Test-Spanish Version In Adults With Traumatic Brain Injury, Cristobal Neblina

UNLV Theses, Dissertations, Professional Papers, and Capstones

The Rey Auditory Verbal Learning Test (RAVLT) is among the most commonly used English-language neuropsychological tests of verbal learning and memory. Previous research supports the validity and clinical utility of adaptations of the RAVLT into many diverse languages. In the United States, Hispanics represent the largest and fastest-growing ethnic minority group. As the Hispanic populace continues to grow, so does the need for empirically validated Spanish-language neuropsychological measures. In 2002, a Spanish adaptation of the RAVLT was developed in Puerto Rico (Acevedo-Vargas, 2002). However, validation studies have not been undertaken with clinical samples, and little is known regarding its psychometric …

Psychotherapy Clients’ Online Behavior And Opinions Regarding Internet Searches Conducted By Therapists, Emily B. Gale

Department of Psychology: Dissertations, Theses, and Student Research

The Internet has become possibly the most popular medium to find information and communicate in our society. For the field of psychology, the Internet offers a new way to collect data and communicate with both study participants and, for practicing psychologists, possibly clients. Little is known, however, about the implications of interacting with clients online. The existing empirical studies in this area (DiLillo & Gale, 2011; Lehavot, Barnett, & Powers, 2010; Taylor et al., 2010) have focused on psychology graduate students’ actions online. These studies highlight the importance and paucity of research regarding the online behaviors of psychotherapy clients and …

The Effects Of Combat Exposure On Post-Deployment Coping Deficits In Oef/Oif/Ond Veterans, Alex Emerson Dryden

Psychology Theses & Dissertations

As members of the United States Military return stateside from the combat zones in Iraq and Afghanistan, an increasing number of veterans exposed to combat are reporting symptoms of posttraumatic stress disorder (PTSD) as well as other significant detrimental impacts on their ability to cope with the stressful situations they experienced in the combat arena. The purpose of the current study is to ascertain the presence of posttraumatic stress disorder in veterans returning from Operation Iraqi Freedom (OIF), Operation Enduring Freedom (OEF), and Operation New Dawn (OND), the potential impairment in their abilities to cope with the combat-related stress. The …

The Role Of Engagement Across Conceptually Distinct Treatment Elements For Social Anxiety Disorder, Timothy M. Emge

Department of Psychology: Dissertations, Theses, and Student Research

There are currently several efficacious treatments for social anxiety disorder (e.g. exposure therapy and cognitive therapy). Each of these treatments is thought to reduce symptoms of social anxiety by disrupting maintenance mechanisms of the disorder, yet mechanism of change research has not supported this view. The current study compared components from each therapy modality in order to better understand why symptoms reduce similarly between conceptually distinct treatments. Participants with high social anxiety were randomly assigned to give a speech with cognitive restructuring and engagement-enhancing procedures, cognitive preparation and video feedback, or a speech alone. Self-ratings of speech performance, confidence in …

Dimensions Of Individuals' Judgements About Sexual Attraction, Romantic Attachment, And Sexual Orientation, Luis F. Morales Knight

Department of Psychology: Dissertations, Theses, and Student Research

Despite 150 years of scientific interest in sexual orientation, contemporary investigators grapple with a number of serious difficulties. A precise, unified definition of sexual orientation appropriate for scientific use continues to elude researchers, most likely because there is still no single coherent theory of sexual orientation. This lack impedes research into the measurement of sexual orientation. Existing measurements of sexual orientation rely on partial or incompletely empirical research. The present study identified promising avenues for development of credible definitions, theories, and measurements of sexual orientation: (a) mate-selection tasks; (b) the idea that bisexually-identified individuals place a lower priority on partner …

Descriptive Experience Sampling Interactive Multi-Media Training Tool For Subjunctification And Illustrative Interviews, Stacy Lynne Reger

UNLV Theses, Dissertations, Professional Papers, and Capstones

Modern experience sampling methods attempt to understand the phenomenology of inner experience through a variety of methods, including questionnaires, diaries, and verbalization of ongoing cognitive processes. The goal of such studies is to minimize potential roadblocks to accessing inner experience, such as retrospective recall, memory failures, and bias. The current project focuses on one such method, Descriptive Experience Sampling (DES). DES is an idiographic, exploratory, and ecologically valid method of studying inner experience. In this method, participants wear a beeper with an earphone that emits a random beep. When the beep sounds, the participant is to write down notes about …

Culture Ontogeny: Lifespan Development Of Religion And The Ethics Of Spiritual Counselling, Glen Milstein, Amy Manierre

Publications and Research

The counsellor has an ethical obligation to treat the whole person. Humans are cultural beings and the foundation of most cultures is religion. Religion and culture are received from our early relation~ ships and modified through later relationships across the lifespan. The paper introduces the term "culture ontogeny" to emphasize that this is a biological process wherein abstract ideas of culture and religion become material in the developing neurophysiology of each brain. A framework and methods are offered to examine the changing roles of religion in clients' emotional self~ structure, inclusive of those who describe themselves as spiritual, not religious. …

Fruit Of The Spirit: Next Steps, Thomas G. Plante

Psychology

Overall, the chapters provide support for the notion that religious and spiritu al practices, behavior, and engagement are associated with improved psychological, physical, and community functioning and wellbeing. Religion and spirituality can make us better. The fruit of the spirit can result in a better quality of life. However, we must be mindful of the need for future quality research as well as the downside of religious engagement, too. Intolerance, rigidity, and in-group/out-group conflict can be problematic and create a situation in which tills type of religious engagement can lead to fruit that is not healthy but unhealthy. This fruit …

Examining The Effect Of Medical Risk, Parental Stress, And Self-Efficacy On Parent Behaviors And The Home Environment Of Premature Children, Kathryn Woods

College of Education and Human Sciences: Dissertations, Theses, and Student Research

The purpose of this study was to examine the relationship between medical risk and parenting stress and the extent to which parental self-efficacy moderates the relationship between medical risk, parenting stress, specific parenting behaviors (i.e., parental responsivity, acceptance of child, parental involvement) and the home environment (i.e., organization of environment, learning materials, variety in experience, and IT-HOME total score) of premature children. Participants included 72 parent-child dyads with premature children between the ages of 7 and 35 months corrected age. Measures included parent reports of medical risk, stress, self-efficacy, and the IT-HOME. Results show that medical risk was not significantly …

Interpersonal Aggression Perpetration: Static And Emotion Regulation Risk Factors, Jill Panuzio

Department of Psychology: Dissertations, Theses, and Student Research

Intimate partner aggression (IPA) is a serious public health problem for both men and women in the United States. With aspirations of alleviating the significant negative effects of IPA, a substantial body of literature has been devoted to uncovering risk factors for IPA perpetration. Much of this research has focused on static, or relatively stable, factors that may influence IPA, such as life stress, distress tolerance, rumination, and jealousy. However, considering situational variables that influence individuals more proximally to aggressive acts, in conjunction with these static factors, may provide more precise prediction of partner aggression. Current theoretical and empirical work …

Visual Attention And Social Anxiety: Oculomotor Behavior When Threatened, Jacqueline S. Singh

Department of Psychology: Dissertations, Theses, and Student Research

A growing theoretical and research literature suggests that trait and state social anxiety can predict attentional patterns in the presence of emotional stimuli. The current study addressed some inconsistencies and gaps in the literature using eye tracking methodology. Participants with high and low trait social anxiety were randomly assigned to either give a speech or to watch a video of another individual delivering a speech (state social anxiety manipulation). Next, participants were asked to engage in a free view task in which pairs of emotional facial stimuli (angry-happy, angry-neutral, or happy-neutral) were presented for 3 s. Eye movements were monitored …

Exploratory Analyses Of A Developmental Conceptualization Of Insight And Treatment Outcomes Of Individuals With Serious Mental Illness In Psychiatric Rehabilitation, Ashley R. Wynne

Department of Psychology: Dissertations, Theses, and Student Research

The purpose of the present study was to further examine the relationship between adolescent psychiatric pathology and SMI by assessing the relationship between prior mental health services before the age of 18 and time of assessment on people’s insight into their illnesses. A secondary relationship between adolescent psychiatric pathology and functioning in a variety of domains before, during, and after treatment was assessed. Overall, there was an inconsistent pattern of results and partial support of hypotheses. The current study was a retrospective longitudinal study in which assessments were given to 308 participants in an inpatient psychiatric rehabilitation unit every 6 …

Assessment Of Suny Upstate Medical University’S Child Telepsychiatry Consultation Program, Mary E. Lau

Renée Crown University Honors Thesis Projects - All

Objectives: The project assesses the child telepsychiatry services provided by SUNY Upstate psychiatrists to several county mental health clinics in central New York State. Method: Data for forty-five patients was extracted from pre-consultation forms completed by the referring clinic and post-consultation summaries completed by the Upstate psychiatrists that occurred between July 13^th, 2009 and May 12^th, 2010. The study identified characteristics of patients for whom telepsychiatry consultations were sought, reviewed recommendations provided by the telepsychiatry consultant, and noted recommended changes in therapy and medication. Results: Analysis of the data showed that there was a large variation …

Reassessing The Architecture Of The Health Beliefs Models In Low-Income Diverse Families, Krista B. Highland

Department of Psychology: Dissertations, Theses, and Student Research

Health beliefs contribute to health outcomes. These health beliefs extend to include health beliefs parents have regarding their children’s health. However, the role of parental health beliefs remains unexplored among a low-income population. This study aims to assess these beliefs and the effects they have on child health. Furthermore, this study aims to delineate potential belief differences between socioecological-level groups (e.g. population density, Latino identification, and insurance coverage).  The long-term goal is to understand the relationships among various personal health beliefs and parental health beliefs, psychosocial factors, community factors, cultural factors, organizational factors, and healthcare perceptions among this at-risk population. …

Child/Adolescent Sexual Abuse And Alcohol: Proposed Pathways To Problematic Drinking In College Via Ptsd Symptoms, Emotion Dysregulation, And Dissociative Tendencies, Alicia K. Klanecky

Department of Psychology: Dissertations, Theses, and Student Research

Research has discussed the use of alcohol to self-medicate posttraumatic stress (PTSD) symptoms following child/adolescent sexual abuse (CASA). Less research has examined the self-medication hypothesis in college students. Further, investigation of the self-medication hypothesis generally precludes the integration of additional psychological vulnerabilities that may impact students’ alcohol consumption. Supported by the “dynamic” stress-diathesis perspective, emotion regulation (ER) difficulties and insufficient dissociative tendencies existing prior to and potentially altered after CASA exposure may relate to problematic alcohol use. The current study aimed to provide an initial, cross-sectional examination of 1) the relations between CASA exposure severity and alcohol use, 2) the …

School Refusal Behavior: The Relationship Between Functions And Symptom Sets, Marisa Charlene Hendron

UNLV Theses, Dissertations, Professional Papers, and Capstones

The current study examined the relationship between functions of school refusal behavior and internalizing and externalizing symptom sets in a community sample of 200 youth and parents recruited from two truancy settings. The first hypothesis was that youth who endorsed refusing school primarily to avoid stimuli that provoke negative affectivity (function 1) would report more symptoms of generalized anxiety and depression. The second hypothesis was that youth who endorsed refusing school primarily to escape from aversive social or evaluative situations (function 2) would report more symptoms of social anxiety. The third hypothesis was that youth who endorsed refusing school primarily …

Policy And Practice: An Analysis Of The Implementation Of Supported Employment In Nebraska, Heng-Hsian N. Liu

Department of Psychology: Dissertations, Theses, and Student Research

Supported employment (SE) is an evidence-based practice (EBP) for persons with severe mental illness (SMI) aimed at competitive employment.  SE has a large evidence base, demonstrating outcomes across settings and populations. SE has been promoted by the Centers for Medicare and Medicaid Services (in the U.S. Department of Health and Human Services) and widely disseminated through the internet via a “community tool-kit” sponsored by the Substance Abuse and Mental Health Services Administration.

The SE literature expresses the opinion that state governments can successfully implement SE.  Researchers have developed implementation guidelines and identified stages of statewide implementation; however, most SE implementation …

Impact Of Exercise Partner Attractiveness On Mood, Enjoyment, And Exertion, Thomas G. Plante, Sarah Gregg, Jaclyn Rubbo, Thomas Favero, Ashley Morisako, Jessica Cuadra

Psychology

Social comparison theory was used to examine if males exercising with a female research confederate posing as either attractive or unattractive would alter their exercise mood, exertion, and enjoyment. A total of 101 college students (51 males and 51 females) were randomly assigned to one of three conditions: biking alone, biking with an attractive female confederate, or biking with the same female confederate appearing unattractive. All participants were instructed to complete 20 minutes of exercise at 60%-70% of their maximum target heart rate. Standard exercise mood measures (e.g., Activation-Deactivation Adjective Check List) were administered immediately prior to and immediately following …

A Concept Mapping Needs Assessment Of Young Families With Parental Cancer, Richard P. Durant

Antioch University Dissertations & Theses

The purpose of this research is to investigate the support needs of young families living with and beyond a parental diagnosis of cancer. The sample includes 56 participants comprised of 31 professional stakeholders and 25 patient stakeholders affiliated with the Charles R. Wood Cancer Center. It was hypothesized there would be differences in how the groups of stakeholders rated needs in terms of importance, satisfaction, and utilization. Differences in ratings are thought to be barriers to effective program development. While not a formal research hypothesis, it was anticipated other program development barriers germane to naturalistic clinical settings would emerge from …

Effectiveness Of A Motivational Enhancement Group Treatment In A Community Treatment Program With A Substance Abusing Population, Matthew S. Willerick

Dissertations

Motivational interviewing (MI) is a directive, client-centered intervention to elicit behavior change by assisting clients in the exploration and resolution of ambivalence toward change. MI-inspired approaches have been used in an attempt to facilitate change in a wide variety of domains including alcohol and drug abuse, safe water handling practices, dual diagnoses, gambling, spousal abuse, health related areas, mood and anxiety disorders, and parental engagement. MI seeks to resolve ambivalence in the direction of change by increasing the client's self-efficacy. This is accomplished by combining clientcentered (e.g., reflective listening) and directive strategies (e.g., attending selectively to change statements). The origins …

The Recovery Of Cognitive And Social Cognitive Functioning In Response To Social Cognition Interaction Training Administered In Community Settings: A Longitudinal Study, Lena Reddy

Department of Psychology: Dissertations, Theses, and Student Research

Psychosocial rehabilitation for persons with Serious Mental Illness (SMI) encompasses recovery of functioning in a broad array of domains, including neurocognitive, social cognitive, interpersonal, occupational, and self-care abilities. There is extensive evidence that improvements in these domains are possible as a result of targeted interventions, and that these improvements may generalize to other areas of daily functioning. The current study explored rehabilitative change over time among adults with SMI that were attending outpatient day centers. Social Cognition and Interaction Training (SCIT), a cognitive-behavioral skills-training modality, was implemented during the time period in which the data was collected. Forty adults participated …

Does D-Cycloserine Augmentation Of Cbt Improve Therapeutic Homework Compliance For Pediatric Obsessive Compulsive Disorder?, Jennifer M. Park

USF Tampa Graduate Theses and Dissertations

D-cycloserine (DCS), a partial agonist that acts on the N-methyl-D-aspartate (NMDA) receptor of the glutamatergic receptor complex, may enhance fear extinction learning during exposure-based therapy. Clinical studies in adults with obsessive-compulsive disorder (OCD) and non-OCD anxiety disorders - and a recent trial in pediatric OCD - have shown that DCS can improve treatment response to exposure therapy relative to placebo and exposure therapy. Some have hypothesized that improved treatment response is a function of increased compliance and engagement in therapeutic homework tasks, a core component of behavioral treatment. The present study examined the relationship between DCS and homework compliance in …

The Role Of Contextual Associations In The Selection Of Objects, Noah Patrick Sulman

USF Tampa Graduate Theses and Dissertations

This paper describes a sequence of experiments addressing basic questions about the control of visual attention and the relationship between attention and object recognition. This work reviews compelling findings addressing attentional control on the basis of high-level perceptual properties. In five experiments observers were presented with a rapid sequence of object photographs and instructed to either detect or selectively encode a verbally cued object category. When these object categories (e.g. "baseball") were preceded by contextual images associated with a given object category (e.g. "baseball diamond"), observers were less likely to accurately report information about the target item. This effect obtained …

Responding To Tobacco Craving: Acceptance Versus Suppression, Erika B. Litvin

USF Tampa Graduate Theses and Dissertations

Most treatments for substance use disorders (SUDs) are based on a model that craving is a primary cause of relapse, and therefore they emphasize skills for preventing and reducing craving. Acceptance and Commitment Therapy (ACT) provides a theoretical rationale for "acceptance" of drug-related thoughts and cravings, and proscribes suppression, a more intuitive and commonly used coping strategy. However, it remains largely unknown whether various coping strategies differentially affect craving intensity, drug use behavior, or other relevant outcomes during a craving episode. Using a randomized, between-subjects design (acceptance-based coping, suppression-based coping, or no coping instructions/control), the current study compared the effect …

Adapting An Evidence-Based Intervention To Improve Social And Behavioral Competence In Head Start Children: Evaluating The Effectiveness Of Teacher–Child Interaction Training, Christopher Campbell

Department of Psychology: Dissertations, Theses, and Student Research

Empirical studies indicate that as many as 35% of Head Start children meet the diagnostic criteria for oppositional defiant disorder or conduct disorder (Webster-Stratton & Hammond, 1998). Without early intervention, these problematic behaviors may become stable across childhood and adolescence (Campbell, 1995), increasing the likelihood of academic problems, school drop-out, substance abuse, delinquency, and violence (Snyder, 2001). Head Start children are also more likely to enter school with significant deficits in social-emotional readiness, with a many as 40% demonstrating delays in social competencies and communication abilities (Kaiser et al., 2000). Longitudinal research indicates that early gaps in social competence for …