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Full-Text Articles in Psychiatry and Psychology

Examination Of The Impact Of Race-Related Stress And Culture-Specific Coping On Burnout And Compassion Fatigue In Black Nursing Assistants, Marika A. Maris Jan 2013

Examination Of The Impact Of Race-Related Stress And Culture-Specific Coping On Burnout And Compassion Fatigue In Black Nursing Assistants, Marika A. Maris

Seton Hall University Dissertations and Theses (ETDs)

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International Perceptions Of Stalking And Responsibility: The Influence Of Prior Relationship And Severity Of Behavior, Adrian J. Scott, Nikki Rajakaruna, Lorraine Sheridan, Emma Sleath Jan 2013

International Perceptions Of Stalking And Responsibility: The Influence Of Prior Relationship And Severity Of Behavior, Adrian J. Scott, Nikki Rajakaruna, Lorraine Sheridan, Emma Sleath

Research outputs 2013

This study investigates the influence of prior relationship and severity of behavior on perceptions of stalking and responsibility with a combined sample of 1,080 members of the community from Australia, the United States, and the United Kingdom. Participants were presented with 1 of 12 versions of a hypothetical stalking scenario and responded to scale items regarding the behavior of a male perpetrator toward a female target. Prior relationship and severity of behavior influenced perceptions of stalking and responsibility, and the pattern of findings was consistent across the three countries. The perpetrator’s behavior was perceived to constitute stalking, and necessitate police …


The Attribution Of Responsibility In Cases Of Stalking, Adrian J. Scott, Jeffery Gavin, Emma Sleath, Lorraine Sheridan Jan 2013

The Attribution Of Responsibility In Cases Of Stalking, Adrian J. Scott, Jeffery Gavin, Emma Sleath, Lorraine Sheridan

Research outputs 2013

There is a general belief that stranger stalkers present the greatest threat to the personal safety of victims, despite national victimisation surveys and applied research demonstrating that ex-partner stalkers are generally more persistent and violent. The just-world hypothesis offers a possible explanation for this apparent contradiction. The current research used nine hypothetical scenarios, administered to 328 university students, to investigate the assumptions that underlie attributions of responsibility in cases of stalking. It explores whether these assumptions are consistent with the proposed mechanisms of the just-world hypothesis, and whether they vary according to the nature of the perpetrator–victim relationship and conduct …


The Relationship Of Teacher, Student, And Content In The Clinical Psychology Classroom, Hannah Lord Jan 2013

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 …


The Post-Combat Couple Adjustment Questionnaire: A Preliminary Validation, Valerie Maine Jan 2013

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 …


The Development Of Intimate Partner Relationships Among Men Sexually Abused As Children, Laura Beltran-Medina Jan 2013

The Development Of Intimate Partner Relationships Among Men Sexually Abused As Children, Laura Beltran-Medina

Antioch University Dissertations & Theses

This phenomenological study sought to understand the experience of seven men who came forward to contribute and discuss their intimate partner relationships for what relational intimacy could reveal about themselves, the meaning of intimate partnership, and their understanding of being in intimate relationships. The theoretical assumptions applied to this study are: (a) Childhood sexual abuse interferes with the ability to achieve deeper experiences of idealized love; (b) Negative effects of adult relational attachment are manifested in anxiety related to sexual intimacy, fear of emotional intimacy, and inability to fulfill dependency needs such as trust, love, and security; and (c) There …


Existential Concerns Of Individuals Living With Chronic Mental Illness In Guam, Christina Maria B. Dela Cruz Jan 2013

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 …


Stroop Interference In A Delayed Match-To-Sample Task: Evidence For Semantic Competition, Bradley R. Sturz, Marshall Lee Green, Lawrence Locker Jr., Ty W. Boyer Jan 2013

Stroop Interference In A Delayed Match-To-Sample Task: Evidence For Semantic Competition, Bradley R. Sturz, Marshall Lee Green, Lawrence Locker Jr., Ty W. Boyer

Psychology: Faculty Publications

Discussions of the source of the Stroop interference effect continue to pervade the literature. Semantic competition posits that interference results from competing semantic activation of word and color dimensions of the stimulus prior to response selection. Response competition posits that interference results from competing responses for articulating the word dimension vs. the color dimension at the time of response selection. We embedded Stroop stimuli into a delayed match-to-sample (DMTS) task in an attempt to test semantic and response competition accounts of the interference effect. Participants viewed a sample color word in black or colored fonts that were ongruent or incongruent …


Probabilistic Cue Combination: Less Is More, Daniel Yurovsky, Ty W. Boyer, Linda B. Smith, Chen Yu Jan 2013

Probabilistic Cue Combination: Less Is More, Daniel Yurovsky, Ty W. Boyer, Linda B. Smith, Chen Yu

Psychology: Faculty Publications

Learning about the structure of the world requires learning probabilistic relationships: rules in which cues do not predict outcomes with certainty. However, in some cases, the ability to track probabilistic relationships is a handicap, leading adults to perform non-normatively in prediction tasks. For example, in the dilution effect, predictions made from the combination of two cues of different strengths are less accurate than those made from the stronger cue alone. Here we show that dilution is an adult problem; 11-month-old infants combine strong and weak predictors normatively. These results extend and add support for the less is more hypothesis: limited …


Dispositional Mediators Of Burnout Syndrome In A Sample Of Direct Care Staff Employed At Group Homes In A Midwestern State, Cristovao Bartolo Carreira Jan 2013

Dispositional Mediators Of Burnout Syndrome In A Sample Of Direct Care Staff Employed At Group Homes In A Midwestern State, Cristovao Bartolo Carreira

Wayne State University Dissertations

The current research examined the dispositional characteristics that mediated burnout syndrome in a sample of direct care workers who were employed in group homes for the mentally ill in a Midwestern state. Specifically, the indirect effects that the direct care staff's attachment systems and problem solving ability were examined as they applied to their potential burnout status. Attachment theory, a contemporary psychodynamic theory of personality, was used to provide a context for the study. The researcher studied the interactions between construct subcomponents to address a criticism in the literature stating that only total scores were used to study burnout and …


Community-Based Approaches To Mental Health And Conflict Resolution In Post-Conflict Libya, Amanda Lubit Jan 2013

Community-Based Approaches To Mental Health And Conflict Resolution In Post-Conflict Libya, Amanda Lubit

Anthropology Theses

Post-conflict Libya faces the challenges of establishing a national health system that is capable of addressing mental health needs for a population traumatized by decades of repression and a recent war. In order to recover, traumatized populations require feelings of safety, calm, empowerment, connectedness, and hope. To help achieve this outcome, programs must focus on medical and social aspects at both the individual and community level.

As part of an internship experience, I worked with Dr. Omar Reda, a Libyan psychiatrist at Oregon Health and Science University (OHSU) who helps communities, organizations and mental health professionals throughout Libya to address …


Strengths And Limitations Of Qualitative Approaches To Research In Occupational Health Psychology, Irvin Sam Schonfeld, Joseph J. Mazzola Jan 2013

Strengths And Limitations Of Qualitative Approaches To Research In Occupational Health Psychology, Irvin Sam Schonfeld, Joseph J. Mazzola

Publications and Research

Like all research methods, qualitative methods have strengths and limitations. This chapter describes seven strengths and five limitations. With an understanding of their strengths and limitations and how to minimize and/or balance them, occupational health psychology (OHP) researchers can benefit from qualitative methods. It is important to understand that qualitative findings do not establish generalizable cause-effect relations. However, qualitative methods can help an OHP researcher develop a theory of causality and derive hypotheses related to the theory and, thus, motivate quantitatively organized research designed to test the hypotheses. The challenge for the OHP researcher is to be mindful of what …


Ethnic And Gender Differences In Psychosocial Factors In Native Hawaiian, Other Pacific Islanders, And Asian American Adults With Type 2 Diabetes, Jillian Inouye, Dongmei Li, James Davis, Richard Arakaki Dec 2012

Ethnic And Gender Differences In Psychosocial Factors In Native Hawaiian, Other Pacific Islanders, And Asian American Adults With Type 2 Diabetes, Jillian Inouye, Dongmei Li, James Davis, Richard Arakaki

Journal of Health Disparities Research and Practice

This study examined the differences between 207 Asians and Native Hawaiian, other Pacific Islanders (NHOPI) with type 2 diabetes among various psychosocial measures. Responses to five multivariable regression models including the Diabetes Quality of Life Questionnaire (DQOL) and Short Form -36® Health Survey (SF-36) were analyzed. Differences were determined by linear contrasts in the multivariate linear regression models after adjusted for multiple demographic and socioeconomic variables. Compared to Asians, NHOPIs perceived a lower impact of diabetes on their quality of life; highlighting differences in perceptions of self-efficacy and self-care activities. Females did better on their diet while males perceived better …


Autonomic And Behavioral Reactivity To An Acute Laboratory Stressor, Jeremy C. Peres Dec 2012

Autonomic And Behavioral Reactivity To An Acute Laboratory Stressor, Jeremy C. Peres

LSU New Orleans Theses and Dissertations

Stress has been widely shown to directly influence people’s emotional and behavioral processing as well as their underlying biological systems. This project examined physiological and behavioral responses as indicators of stress and coping in the context of a psychosocial stressor in a controlled laboratory setting. We examined the association between indicators of behavioral coping and underlying physiological reactivity within participants while experiencing stress. Participants included 68 emerging adults. Physiological measures include autonomic biomarkers (e.g., heart-rate, skin conductance) at rest and during the stressor while behavioral indicators that were coded include acute verbal and non-verbal actions exhibited by participants during the …


Research Brief: "Psychopathology, Iraq And Afghanistan Service, And Suicide Among Veterans Health Administration Patients", Institute For Veterans And Military Families At Syracuse University Dec 2012

Research Brief: "Psychopathology, Iraq And Afghanistan Service, And Suicide Among Veterans Health Administration Patients", Institute For Veterans And Military Families At Syracuse University

Institute for Veterans and Military Families

This brief is about the connections between being a OIF/OEF veteran who receives care from the VHA and suicide mortality. In policy and practice, mental health screenings for OIF/OEF veterans should be implemented in non-VHA healthcare settings and families of OIF/OEF veterans should encourage veterans to seek treatment if they exhibit signs of a mental health condition. The VHA should implement policies that promote its healthcare to veterans in order to decrease suicide risks among veterans and should also offer more mental health screenings for recently returned veterans. Suggestions for future research include looking at risks for suicide after traumatic …


Towards Integration: An Autoethnography On The Development Of Identity, Kanchana Henrich Dec 2012

Towards Integration: An Autoethnography On The Development Of Identity, Kanchana Henrich

Creative Arts Therapies Theses

This thesis is an autoethnography that explores my own experience of identity development. The intention of this research was to try and find an answer as to why I have not yet been able to develop a cohesive sense of self, in which I am able to accept and embody all of my seemingly disparate parts. I have thus far in my life felt scattered, and unable to accept both the cultures into which I was born, as well as the cultures to which I am organically drawn. Through introspection, reflective writing, and interviewing family members, I have been able …


Moving Toward Leadership: A Case Study Of Latina Adolescents And Effective Communication, Isela Estrada Dec 2012

Moving Toward Leadership: A Case Study Of Latina Adolescents And Effective Communication, Isela Estrada

Creative Arts Therapies Theses

The problem addressed in this study is the need for Latina adolescents to develop effective communication and leadership skills that will support their success in U.S. culture and society. This thesis is a case study of two Mexican-American adolescents who participated in a twelve-session leadership program at a dance studio. The goal of the study was to test the effectiveness of Rena Kornblum’s (2002) Disarming the Playground curriculum as a social skills program to improve leadership, effective communication skills, and group cohesion. This study included video footage of the adolescents engaging in movement-based role-play scenarios, which was examined using qualitative …


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 Oct 2012

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.


Randomized Clinical Trial Of Cognitive Behavioral Therapy (Cbt) Versus Acceptance And Commitment Therapy (Act) For Mixed Anxiety Disorders, Joanna Arch, Georg Eifert, Carolyn Davies, Jennifer C. Plumb Vilardaga, Raphael D. Rose, Michael G. Craske Oct 2012

Randomized Clinical Trial Of Cognitive Behavioral Therapy (Cbt) Versus Acceptance And Commitment Therapy (Act) For Mixed Anxiety Disorders, Joanna Arch, Georg Eifert, Carolyn Davies, Jennifer C. Plumb Vilardaga, Raphael D. Rose, Michael G. Craske

Psychology Faculty Articles and Research

Objective—Randomized comparisons of acceptance-based treatments with traditional cognitive behavioral therapy (CBT) for anxiety disorders are lacking. To address this research gap, we compared acceptance and commitment therapy (ACT) to CBT for heterogeneous anxiety disorders.

Method—One hundred twenty eight individuals (52% female, mean age = 38, 33% minority) with one or more DSM-IV anxiety disorders began treatment following randomization to 12 sessions of CBT or ACT; both treatments included behavioral exposure. Assessments at pre-treatment, post-treatment, 6-month, and 12-month follow-up measured anxiety specific (principal disorder Clinical Severity Ratings [CSR], Anxiety Sensitivity Index, Penn State Worry Questionnaire, Fear Questionnaire avoidance) and …


Research Brief: "Web-Based Post-Traumatic Stress Disorder Education For Military Family Members", Institute For Veterans And Military Families At Syracuse University Sep 2012

Research Brief: "Web-Based Post-Traumatic Stress Disorder Education For Military Family Members", Institute For Veterans And Military Families At Syracuse University

Institute for Veterans and Military Families

In this study, researchers introduced an educational website to assess and improve knowledge of PTSD, and also help to engage family members in positive actions to assist service members struggling with PTSD. Web-based content can serve as a valuable method of providing care and information to military service members without the risk of being stigmatized; therefore, policy makers should focus on creating and maintaining structural and financial support for programs that provide military service members, and their families, tools to manage post-deployment issues. Future studies should focus on providing an increased range of services for military families using the educational …


Dance/Movement Therapy And Autism: A Case Study, Katherine Ann Porter Aug 2012

Dance/Movement Therapy And Autism: A Case Study, Katherine Ann Porter

Creative Arts Therapies Theses

This thesis explores the development of the therapeutic relationship with a child with autism through dance/movement therapy. The characteristics of Autism Spectrum Disorder effect social interactions, communication, behavior and interests. This means there is difficulty engaging and maintaining reciprocal social interactions, and trouble with receptive and expressive language. The purpose of this study is to describe how movement mirroring in dance/movement therapy affects the development of the therapeutic relationship with a child with autism, through the analysis of the Ways of Seeing approach.

The data collected in this clinical case study consisted of video tapped sessions and Laban Movement Analysis …


Parametric Studies Of Antipsychotic-Induced Sensitization In The Conditioned Avoidance Response Model: Roles Of Number Of Drug Exposure, Drug Dose, And Test–Retest Interval, Natashia Swalve, Ming Li Aug 2012

Parametric Studies Of Antipsychotic-Induced Sensitization In The Conditioned Avoidance Response Model: Roles Of Number Of Drug Exposure, Drug Dose, And Test–Retest Interval, Natashia Swalve, Ming Li

Department of Psychology: Faculty Publications

Repeated haloperidol and olanzapine treatment produces an enhanced disruption of avoidance responding, a validated measure of antipsychotic activity. Experimental parameters affecting this sensitization-like effect have not been thoroughly examined. The present study investigated the role of three parameters (number of injections, dose, and interval between initial exposure and challenge) in antipsychotic sensitization in the conditioned avoidance response paradigm. Well-trained Sprague–Dawley rats received different numbers of drug treatment (1–5 days) or different doses of haloperidol (0.025–0.10 mg/kg, subcutaneously) or olanzapine (0.5–2.0 mg/kg, subcutaneously). After certain time intervals (4, 10 or 17 days), they were tested for the expression of haloperidol or …


A Test Of A Conceptual Model Of Sexual Self-Concept And Its Relation To Other Dimensions Of Sexuality, Arielle R. Deutsch Aug 2012

A Test Of A Conceptual Model Of Sexual Self-Concept And Its Relation To Other Dimensions Of Sexuality, Arielle R. Deutsch

Department of Psychology: Dissertations, Theses, and Student Research

One theoretical concept that has received modest attention in contemporary sexuality research is the sexual self, particularly focusing on sexual self-concept (SSC). While research on the sexual self has expanded over the past 20 years, there is a lack of cohesion within this research that has culminated in a collection of SSC models that, while sharing certain factors, are dissimilar from each other. Therefore a unified conceptual model of SSC needs to be empirically established. Additionally, little research has examined potential differences between genders in how SSC is expressed, as most SSC research focuses exclusively on women. Finally, understanding of …


Making A Large Class Feel Small Using Social Psychology: Introducing Teams To Improve Performance And Learning In A Large-Enrollment Course, Bethany Johnson Aug 2012

Making A Large Class Feel Small Using Social Psychology: Introducing Teams To Improve Performance And Learning In A Large-Enrollment Course, Bethany Johnson

Department of Psychology: Dissertations, Theses, and Student Research

Large-enrollment lecture-based classes are increasingly common in higher education. As an alternative approach, active learning methods are meant to develop academic skills and improve understanding of course content. Group work is an effective form of active learning, but students typically despise it. Social psychological small group theory can inform teachers about the characteristics of small groups that influence their capability to improve learning, so that teachers can design more effectual group work for their classes. This study examined what effect introducing permanent teams into a large enrollment class had on students’ sense of classroom community and their learning outcomes, using …


Construct And Criterion Validity Of The Rey Auditory Verbal Learning Test-Spanish Version In Adults With Traumatic Brain Injury, Cristobal Neblina Aug 2012

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 …


Affect Identification And Interpersonal Skills: An In-Depth Evaluation Of Social Cognition In Schizophrenia, Griffin Pollock Sutton Aug 2012

Affect Identification And Interpersonal Skills: An In-Depth Evaluation Of Social Cognition In Schizophrenia, Griffin Pollock Sutton

UNLV Theses, Dissertations, Professional Papers, and Capstones

The presence of deficits in various sub-domains of social cognition has been investigated to a degree in individuals with schizophrenia. Some of the most commonly researched and documented deficits have included impairments in the identification of affect portrayed in faces. Research has indicated that the performance of individuals with schizophrenia on such tasks is generally impaired as compared to normal controls. However, some have questioned the generalizability of such findings to real-world situations, as day-to-day interactions generally necessitate a constant, fluid assessment of the thoughts and feelings of others and are rarely, if ever, limited to still images of others. …


Research Brief: "Civilian Employment Among Recently Returning Afghanistan And Iraq National Guard Veterans", Institute For Veterans And Military Families At Syracuse University Jul 2012

Research Brief: "Civilian Employment Among Recently Returning Afghanistan And Iraq National Guard Veterans", Institute For Veterans And Military Families At Syracuse University

Institute for Veterans and Military Families

This brief shows the impact of OIF and OEF National Guard and Reserve veterans' mental health problems on their likelihood of employment. This study, unusually, found that less than half of the surveyed National Guard and Reserve service members had obtained employment by 45-60 days post-mobilization, despite their possible mental health problems. Suggestions for future research include gathering information from all potential survey participants, as well as service members entering the civilian workforce, beyond the first 45-60 days post-deactivation, rather than within this period.


Research Brief: "Protective Factors And Risk Modification Of Violence In Iraq And Afghanistan War Veterans", Institute For Veterans And Military Families At Syracuse University Jul 2012

Research Brief: "Protective Factors And Risk Modification Of Violence In Iraq And Afghanistan War Veterans", Institute For Veterans And Military Families At Syracuse University

Institute for Veterans and Military Families

This research studies non-combat related aggressive behavior in service members and the influence of protective factors. Veterans with protective factors, such as having positive social support, are less likely to engage in violence, and therefore expanding social support programs are beneficial. Future research should consider exploring various components of work life in relation to potential aggression.


Transformation Of Stimulus Function Through Relational Networks: The Impact Of Derived Stimulus Relations On Stimulus Control Of Behavior, Samantha Rose Florentino Jul 2012

Transformation Of Stimulus Function Through Relational Networks: The Impact Of Derived Stimulus Relations On Stimulus Control Of Behavior, Samantha Rose Florentino

USF Tampa Graduate Theses and Dissertations

Relational Frame Theory research involves either of two protocols utilized to establish relational networks and functions for stimuli in those relational networks. Years of research indicate the most prevalent method involves first establishing a relational frame, conditioning one of the stimuli to acquire a particular function, and then providing a test to see if the function trained to one of the stimuli in the network transferred through the relational network to other stimuli. The less common method involves first training a particular function for a stimulus, entering that stimulus in a relational network with at least two other stimuli, and …


Psychotherapy Clients’ Online Behavior And Opinions Regarding Internet Searches Conducted By Therapists, Emily B. Gale Jul 2012

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 …