Psychiatry and Psychology Commons^™

Neurologists Look At Causes Of Baffling Brain Condition, Maggie Freleng

Capstones

It can be hard getting help for someone with mental illness, but almost impossible when that person doesn't think they are sick. At at least half of people with schizophrenia, for example, insist that the voices they hear are real. People who do not know they are ill often refuse therapy and medication -- and their symptoms can spiral out of control. Doctors call this lack of awareness anosognosia. Neurologists are trying to discover what causes this baffling condition--and how to treat it.

Association Between Depression And Aggression In Rural Women, Laetitia Meyrueix, Gabriel Durham, Jasmine Miller, K. Bryant Smalley Phd, Psyd, Jacob C. Warren Phd

Journal of Health Disparities Research and Practice

Rural women represent approximately 20% of women living in the United States, yet research on the specific mental health needs of rural women is limited. Given the well-recognized gender-linked disparity in depression, its correlated symptoms in women still need much investigation. While emerging notions of depression in men embrace potential symptoms related to irritability and aggression, less research has focused on the potential role of aggression in depressed women. This connection may be particularly relevant for rural women who face unique mental health stressors in comparison to their urban counterparts. The purpose of this study was to examine if aggression …

Depression With Pain Co Morbidity Effect On Quality Of Life Among Hiv Positive Patients In Uganda: A Cross Sectional Study, Shirley Moore, Martha Sajatovic

Faculty Scholarship

Background: Depression with pain comorbidity (DPC) has not been clearly defined among HIV positive patients in sub-Saharan Africa. It still remains a challenge despite many studies in Africa documenting a high prevalence of pain and depression among people living with HIV/AIDS. Both are associated with a grave impact on the health related outcomes in this pandemic. This study aimed at determining the prevalence, factors associated and effect on quality of life of DPC among HIV positive patients. Methods: In a cross-sectional survey, 345 HIV positive patients were enrolled into the study. Using a pre-tested standardised questionnaire the presence of DPC …

What Does Recent Neuroscience Tell Us About Criminal Responsibility?, Uri Maoz, Gideon Yaffe

Psychology Faculty Articles and Research

A defendant is criminally responsible for his action only if he is shown to have engaged in a guilty act—actus reus (eg for larceny, voluntarily taking someone else’s property without permission)—while possessing a guilty mind—mens rea (eg knowing that he had taken someone else’s property without permission, intending not to return it)—and lacking affirmative defenses (eg the insanity defense or self-defense). We therefore first review neuroscientific studies that bear on the nature of voluntary action, and so could, potentially, tell us something of importance about the actus reus of crimes.Then we look at studies of intention, perception of …

Knowledge, Attitudes And Perceptions Of Stroke: A Cross-Sectional Survey In Rural And Urban Uganda, Svetlana Pundik, Anthony J. Furlan, Martha Sajatovic

Faculty Scholarship

Background: Information regarding the increasing burden of non-communicable diseases such as stroke is largely unknown among the vulnerable communities. This analysis, which is part of a larger U.S. National Institute of Heath-funded Medical Education Partnership Initiative neurological disorder survey, assessed community knowledge and attitudes on stroke and stroke risk factors. Methods: A population cross-sectional survey was conducted in urban and rural Mukono, district, central Uganda. Through the systematic sampling method, data were gathered from 377 adult participants who were interviewed about selected aspects of stroke knowledge, attitudes and perception using a pretested structured questionnaire. Results: A total of 377 participants …

Examining The Connection Between Spirituality And Embodiment In Medical Education, Katie Bellamy

Creative Arts Therapies Theses

The purpose of this study was to explore and analyze the experience of spirituality for students of Western medicine as reflected in writing assignments for an elective course on embodiment and empathy building skills. Questions included: What is the relationship between embodiment and spirituality for students of Western medicine? How does (re-)embodiment lead to reflections on spirituality? Does mind-body awareness lead to mind-body-spirit awareness? How can incorporation of embodiment techniques into physician training foster spirituality as it relates to physicians’ professional healing roles? Based in a constructivist paradigm, this study used a qualitative grounded theory methodology to generate theory about …

Prescription For Critical Thinking: A Discussion Of Psychotropic Medication And Counseling, Barton W. Biggs

Educational Specialist, 2009-2019

This paper examines questions about the safety and efficacy of psychotropic medication, and looks at how these questions should impact the field of counseling. The paper first looks at increasing rates of use of psychotropic medication, and establishes that nearly every clinical mental health counselor will work with clients who are taking or considering taking such medication. The paper next examines the scientific literature and establishes that there is a legitimate basis for questions to be raised about the safety and efficacy of these medications. The paper goes on to establish that there is a foundation in ethical codes and …

The Happy Older Latinos Are Active (Hola) Health Promotion And Prevention Study: Study Protocol For A Pilot Randomized Controlled Trial, Daniel E. Jimenez, Charles F. Reynolds, Margarita Alegría, Philip Harvey, Stephen Bartels

Dartmouth Scholarship

Results of previous studies attest to the greater illness burden of common mental disorders (anxiety and depression) in older Latinos and the need for developing preventive interventions that are effective, acceptable, and scalable. Happy Older Latinos are Active (HOLA) is a newly developed intervention that uses a community health worker (CHW) to lead a health promotion program in order to prevent common mental disorders among at-risk older Latinos. This pilot study tests the feasibility and acceptability of delivering HOLA to older, at-risk Latinos.

Methods/Design: HOLA is a multi-component, health promotion intervention funded by the National Institute of Mental Health (NIMH). …

Ubu-Unique But United: A Movement-Based Curriculum For An Inclusive Pre-School Classroom Focusing On Social-Emotional Learning, Julie Schadeck

Creative Arts Therapies Theses

The purpose of this program development is to address the problem of true inclusion by focusing on the role of the body and movement in social-emotional learning (SEL) among pre-school children. Every year, millions of 3 to 4 year old children leave the safe cradle of their home and embark on a life-long journey of discovery where they soon find out that not everyone is like them. To teach them that different does not mean necessarily separate, I used the University of Wisconsin Cooperative Extension logic model to develop a movement-based curriculum for an inclusive pre-school classroom focusing on SEL. …

Adhd And Social Impairment Among Children: Problem Solving Skills As A Potential Mediator, Rebecca Mccord

Senior Theses

This study tested the hypothesis that problem solving skills mediate the relation between ADHD symptoms and social impairment in children. Problem solving skills were evaluated by the Test of Problem Solving 3 – Elementary Version (TOPS), which separated problem solving skills into six different subtypes: making inferences, sequencing, negative questions, problem solving, predicting, and determining causes. ADHD symptoms were assessed through the parent report of the Disruptive Behavior Disorder Scale (DBD). Social impairment was assessed through the parent report of social skills using the Social Skills Improvement System (SSIS). Three hundred seventy-two (372) children between the ages of eight and …

Nucleus Accumbens Deep Brain Stimulation In A Rat Model Of Binge Eating, W. T. Doucette, J. Y. Khokhar, A. I. Green

Dartmouth Scholarship

Binge eating (BE) is a difficult-to-treat behavior with high relapse rates, thus complicating several disorders including obesity. In this study, we tested the effects of high-frequency deep brain stimulation (DBS) in a rodent model of BE. We hypothesized that BE rats receiving high-frequency DBS in the nucleus accumbens (NAc) core would have reduced binge sizes compared with sham stimulation in both a 'chronic BE' model as well as in a 'relapse to chronic BE' model. Male Sprague-Dawley rats (N=18) were implanted with stimulating electrodes in bilateral NAc core, and they received either active stimulation (N=12) or sham stimulation (N=6) for …

Effects Of Repeated Quetiapine Treatment On Conditioned Avoidance Responding In Rats, Jun Gao, Min Feng, Natashia Swalve, Collin Davis, Nan Sui, Ming Li

Department of Psychology: Faculty Publications

The present study characterized the behavioral mechanisms of avoidance–disruptive effect of quetiapine in the conditioned avoidance response test under two behavioral testing (2 warning signals vs. 1 warning signal) and two drug administration conditions (subcutaneous vs. intravenous). In Experiments 1 and 2, well-trained adult male Sprague-Dawley rats were tested under the subcutaneous (s.c.) quetiapine treatment (5.0, 15.0, 25.0, 50.0 mg/kg) for 7 days in a novel procedure consisting of two conditioned stimuli (CS) (white noise serving as CS1 and pure tone as CS2). Only the highest dose (50.0 mg/kg) produced a persistent suppression of the avoidance response without impairing the …

The Visual Priming Of Motion-Defined 3d Objects, Xiong Jiang, Yang Jiang, Raja Parasuraman

Behavioral Science Faculty Publications

The perception of a stimulus can be influenced by previous perceptual experience, a phenomenon known as perceptual priming. However, there has been limited investigation on perceptual priming of shape perception of three-dimensional object structures defined by moving dots. Here we examined the perceptual priming of a 3D object shape defined purely by motion-in-depth cues (i.e., Shape-From-Motion, SFM) using a classic prime-target paradigm. The results from the first two experiments revealed a significant increase in accuracy when a "cloudy" SFM stimulus (whose object structure was difficult to recognize due to the presence of strong noise) was preceded by an unambiguous SFM …

The Hidden Epidemic: Mental Health Epidemiology In Post-Conflict Populations And Implications For Conflict Transformation Practices, Jennifer Sato

Capstone Collection

This capstone explores the ramifications of unmitigated mental health illness in conflict populations, paying special attention to refugees and migrants. The intersection between conflict and mental health is explored and analyzed in order to highlight the implications of the findings and to make recommendations to both metal health and conflict transformation practitioners. This capstone depends predominately on secondary resources and personal interviews and is informed by my own practicum experience at a refugee health center. The need to improve mental health outcomes in order to pursue conflict transformation and peace building is a key focus and is supported by the …

Searching For Connection: A Heuristic Study Of The Role Of Consciousness In Identifying And Meeting Human Needs Through Expressive Movement, Amy Leow

Creative Arts Therapies Theses

The purpose of this study was to draw initial conclusions regarding the relationships between expressive movement, consciousness, and human needs. Additionally, this study also aimed to illustrate how the process of shifting conscious awareness through expressive movement enables clients of DMT to identify and meet their needs. Data was collected using a heuristic examination of my own experience, as the only participant of this study, engaging in six Authentic Movement sessions over six weeks. Data analysis, using a heuristic methodology, resulted in several conclusions which piece together an initial framework from which to understand how the process of shifting conscious …

My Way Or The Highway: The Development And Use Of Behavior Management And School Discipline, Patricia Thomas

University Honors Program

Behavior management is a crucial topic in education. The management of student behavior in a classroom can affect the entire learning experience. As the needs of students and teachers change, the methods of behavior management adapt to accommodate new needs. This thesis identifies behavior management starting in the 1960’s and research determining its effectiveness. The causes of change in classroom and school-wide discipline systems are addressed, including political climates, court involvement, and tragic events within schools. The behavior management methods used in the current day are discussed. Through a review of literature and online sources, the information provided was gathered …

Aesthetically Significant: An Embodied Artistic Inquiry Exploring The Experience Of Aesthetics As An Emerging Dance/Movement Therapist, Hannah Bailey

Creative Arts Therapies Theses

The purpose of this study was to explore my aesthetic experience as an emerging dance/movement therapist, to understand the influence my aesthetic has in my clinical work and how my aesthetic preferences are shaping me as a novice clinician. An embodied artistic inquiry was used for this self-exploration and data were collected through semi-structured journals that included both words and art. Creative synthesis was utilized for data analysis. The data collection and analysis were co-occurring for eleven weeks. At the end of each week I explored what arose in the data through movement with a board-certified dance/movement therapist (BCDMT) consultant …

A Body-Based Program Development Project To Prevent Burnout Among Mental Healthcare Professionals, Amanda J. Abeling

Creative Arts Therapies Theses

Using the Delphi Method as a guide, a self-care program for staff members was developed out of one dance/movement therapy intern’s experiences at a suburban mental healthcare facility. Designed to increase one’s connection to self, personal observations were gathered, professionals in the field were consulted and the program was created and implemented. Themes of stress, fatigue, and burnout among the mental health care profession are discussed. Previous research on body awareness, dance/movement therapy theories, and self-care are also discussed in order to provide a framework with which to understand the development of the program. 72 pages.

Dance/Movement Therapy In-Service Model: A Collaborative Creation, Erin Arline Howe

Creative Arts Therapies Theses

The purpose of this thesis was to create a dance/movement therapy (DMT) in-service model for dance/movement therapists to effectively communicate and increase knowledge about DMT to colleagues on an interdisciplinary team. The Delphi Method was used to organize a panel of professional dance/movement therapists to collaborate and produce a cohesive in-service for other professional dance/movement therapists. Panel members offered their perspectives on the following research questions: What are effective ways to communicate the work of a dance/movement therapist to an interdisciplinary team? Which ways are ineffective in communicating the work of a dance/movement therapist to an interdisciplinary team? How do …

The Dance Of Here And Now: A Heuristic Journey Uncovering The Role Of Presence While Practicing Dance/Movement Therapy With An Elderly Population Experiencing Dementia, Kaitlynn Sinki

Creative Arts Therapies Theses

The goal of this heuristic research study was to further explore the concept of presence within the dance/movement therapist, and how presence could be accessed within the practice of dance/movement therapy. Specifically, how I the researcher, can efficiently utilize presence within myself as a vehicle for therapeutic change while working with an elderly population experiencing dementia. Guided by heuristic and intuitive inquiry methodologies, my personal experience of presence was observed and analyzed. Data collection took place over a three month period consisting of structured journaling, embodied movement responses, and spontaneous artmaking in relation to dance/movement therapy sessions. Findings suggested that …

Exploring Acceptance Of Using An Online Platform To Teach Parents Of Children With Autism Methods In Applied Behavior Analysis (Aba), Marwah S. Zagzoug

Seton Hall University Dissertations and Theses (ETDs)

Background and Purpose of the Study: A diagnosis of autism can lead to lifelong struggles for parents and children. These families face profound difficulties in coping with stress while seeking out early interventions and managing imperative service needs. Parents are increasingly turning to the internet for information, advice, and even formal training. Breakthroughs in technology have made the internet more accessible and more sophisticated. The involvement of parents in applying intervention strategies to help their autistic children has long been advocated as a useful approach. Enabling parents as interventionists provides renewed confidence and reduced stress for parents as well as …

Asenapine For Bipolar Disorder, Thomas Scheidemantel, Irina Korobkova, Martha Sajatovic

Faculty Scholarship

Asenapine (Saphris®) is an atypical antipsychotic drug which has been approved by the US Food and Drug Administration for the treatment of schizophrenia in adults, as well as the treatment of acute manic or mixed episodes of bipolar I in both adult and pediatric populations. Asenapine is a tetracyclic drug with antidopaminergic and antiserotonergic activity with a unique sublingual route of administration. In this review, we examine and summarize the available literature on the safety, efficacy, and tolerability of asenapine in the treatment of bipolar disorder (BD). Data from randomized, double-blind trials comparing asenapine to placebo or olanzapine in the …

Racial Attitude (Dis)Similarity And Liking In Same-Race Minority Interactions, Randi L. Garcia, Hilary B. Bergsieker, J. Nicole Shelton

Psychology: Faculty Publications

Two studies investigate the relationship between racial attitude (dis)similarity and interpersonal liking for racial minorities and Whites in same-race and cross-race pairs. In nationally representative and local samples, minorities report personally caring about racial issues more than Whites do (Pilot Study), which we theorize makes racial attitude divergence with ingroup members especially disruptive. Both established friendships (Study 1) and face-to-face interactions among strangers (Study 2) provided evidence for the dissimilarity-repulsion hypothesis in same-race interactions for minorities but not Whites. For minorities, disagreeing with a minority partner or friend about racial attitudes decreased their positivity toward that person. Because minorities typically …

The Transformative And Healing Powers Of Compassion, Forgiveness, And Wonder, Anna C. Eriksson-Marty

Senior Theses

Since time immemorial, humankind has struggled to coexist peacefully together. As human beings, we strive on our relationships with each other and, yet, with actions of hatred and prejudice, we seem to consistently destroy those very relationships we value so deeply. Our current society is plagued by fear, which seems to run more rampant now – more than ever – with assistance of our rapidly evolving communication technology. The question must be asked, “How can we end this madness and heal ourselves into a kinder and more fulfilling future?” By providing up-to-date scientific research on the human emotions of compassion, …

Trends In Psychotropic Dispensing Among Older Adults With Dementia Living In Long-Term Care Facilities: 2004-2013., Akshya Vasudev, Salimah Z Shariff, Kuan Liu, Amer M Burhan, Nathan Herrmann, Sean Leonard, Muhammad Mamdani

Psychiatry Publications

OBJECTIVE: Guidelines worldwide have cautioned against the use of antipsychotics as first-line agents to treat neuropsychiatric symptoms of dementia. We aimed to investigate the changes over time in the dispensing of antipsychotics and other psychotropics among older adults with dementia living in long-term care facilities.

METHODS: We used drug claims data from Ontario, Canada, to calculate quarterly rates of prescription dispensing of six psychotropic drug classes among all elderly (≥65 years of age) long-term care residents with dementia from January 1, 2004, to March 31, 2013. Psychotropic drugs were classified into the following categories: atypical and conventional antipsychotics, non-sedative and …

An Exploratory Investigation Of Tele-Counseling: Looking At The Power Of Therapeutic Alliance In Improving Wellness, Jorge Rostro

Theses and Dissertations

The present study explored the power of one tele-counseling session to elicit change within post wellness ratings scores and the relationship between clients’ perceptions of relationship, goals and topics, approach and method, and overall session with clients’ wellness ratings. Results indicated that the mean for post-session wellness was significantly greater than pre-test wellness ratings. The standardized effect size, d, was .43, indicative of a moderate effect size. No difference was found between client’s perceptions of predictor variables with post-wellness rating scores. This study adds support for the use of tele-counseling services as one session might have the power to elicit …

A Clinical Trial To Validate Event-Related Potential Markers Of Alzheimer's Disease In Outpatient Settings, Marco Cecchi, Dennis K. Moore, Carl H. Sadowsky, Paul R. Solomon, P. Murali Doraiswamy, Charles D. Smith, Gregory A. Jicha, Andrew E. Budson, Steven E. Arnold, Kalford C. Fadem

Neurology Faculty Publications

INTRODUCTION: We investigated whether event-related potentials (ERP) collected in outpatient settings and analyzed with standardized methods can provide a sensitive and reliable measure of the cognitive deficits associated with early Alzheimer's disease (AD).

METHODS: A total of 103 subjects with probable mild AD and 101 healthy controls were recruited at seven clinical study sites. Subjects were tested using an auditory oddball ERP paradigm.

RESULTS: Subjects with mild AD showed lower amplitude and increased latency for ERP features associated with attention, working memory, and executive function. These subjects also had decreased accuracy and longer reaction time in the target detection task …

Exposure To Predator Kairomones Influences Egg Number And Size In Littorina Littorea, Jessica Raynor, Simon Rundle

The Plymouth Student Scientist

Predator kairomones play an important role in intertidal ecosystems, but knowledge on their potential role in influencing maternal effects is lacking. The aim of this study was to test whether egg production by female Littorina littorea was influenced by short-term exposure to predator kairomones before egg laying. Laboratory populations were exposed to predator cues from the intertidal crab Carcinus maenas for nine days, and egg number, egg size, and survivorship of the offspring were measured and compared with those from reference populations. Snails exposed to predator cues produced significantly more eggs, which were also significantly smaller than those produced from …

Plymouth Undergraduate Research In Mathematics, Tom Heinzl, Tom Mccourt

The Plymouth Student Scientist

Guest editorial from lectures in Physics and Pure Mathematics.

Burden, Depressive Symptoms, And Perceived Health In Male Caregivers Of Persons With End Stage Renal Disease, Loretta Alexia Williams

Theses and Dissertations (ETD)

Introduction: Men are increasingly assuming the role of caregiver to individuals with chronic illnesses. The debilitating effects of ESRD cause many of those diagnosed with the disease to require assistance from family caregivers. Caregiver literature well reports that caregivers experience mental and physical health effects related to this role. However, research involving the experiences of male caregivers of individuals with ESRD is understudied. These studies use the background and contextual as well as primary and secondary domains of the Stress Process Model to determine the levels of and explore the experiences associated with caregiver burden, depressive symptoms, and perceived health …