Psychiatry and Psychology Commons^™

Impact Of Forensic Medical Evaluations On Immigration Relief Grant Rates And Correlates Of Outcomes In The United States., Holly G. Atkinson, Katarzyna Wyka, Kathryn Hampton, Christian Seno, Elizabeth Yim, Deborah Ottenheimer, Nermeen Arastu

Publications and Research

The purpose of this study was to investigate the impact of forensic medical evaluations on grant rates for applicants seeking immigration relief in the United States (U.S.) and to identify significant correlates of grant success. We conducted a retrospective analysis of 2584 cases initiated by Physicians for Human Rights between 2008-2018 that included forensic medical evaluations, and found that 81.6% of applicants for various forms of immigration relief were granted relief, as compared to the national asylum grant rate of 42.4%. Among the study’s cohort, the majority (73.7%) of positive outcomes were grants of asylum. A multivariable regression analysis revealed …

A Prospective Examination Of Sex Differences In Posttraumatic Autonomic Functioning, Antonia Seligowski, Elizabeth Steuber, Rebecca Hinrichs, Mariam Reda, Charis Wiltshire, Cassandra Wanna, Sterling Winters, Karlye Phillips, Stacey House, Francesca Beaudoin, Xinming An, Jennifer Stevens, Donglin Zeng, Thomas Neylan, Gari Clifford, Sarah Linnstaedt, Laura Germine, Kenneth Bollen, Guia Guffanti, Scott Rauch, John Haran, Alan Storrow, Brittany Punches, Michael Kurz, Vishnu Murty, Meghan Mcgrath, Lauren Hudak, Jose Pascual, Mark Seamon, Elizabeth Datner, Anna Marie Chang, Claire Pearson, David Peak, Roland Merchant, Robert Domeier, Niels Rathlev, Brian O'Neil, Leon Sanchez, Steven Bruce, Mark Miller, Robert Pietrzak, Jutta Joormann, Deanna Barch, Diego Pizzagalli, John Sheridan, Beatriz Luna, Steven Harte, James Elliott, Karestan Koenen, Ronald Kessler, Samuel Mclean, Kerry Ressler, Tanja Jovanovic

Psychology Faculty Works

BackgroundCross-sectional studies have found that individuals with posttraumatic stress disorder (PTSD) exhibit deficits in autonomic functioning. While PTSD rates are twice as high in women compared to men, sex differences in autonomic functioning are relatively unknown among trauma-exposed populations. The current study used a prospective design to examine sex differences in posttraumatic autonomic functioning.Methods192 participants were recruited from emergency departments following trauma exposure (Mean age = 35.88, 68.2% female). Skin conductance was measured in the emergency department; fear conditioning was completed two weeks later and included measures of blood pressure (BP), heart rate (HR), and high frequency heart rate variability …

Posttraumatic Stress Symptom Clusters Differentially Predict Late Positive Potential To Cocaine Imagery Cues In Trauma-Exposed Adults With Cocaine Use Disorder, Heather E Webber, Danielle A Kessler, Emma C Lathan, Margaret C Wardle, Charles E Green, Joy M Schmitz, Scott D Lane, Anka A Vujanovic

Faculty, Staff and Student Publications

BACKGROUND: While studies have investigated the effects of posttraumatic stress disorder (PTSD) symptoms on substance use, information on these associations in the context of drug cue reactivity is lacking, which can provide meaningful information about risk for relapse. The current study assessed the associations between PTSD symptom clusters and reactivity to cues in trauma-exposed adults with cocaine use disorder.

METHODS: We recorded electroencephalogram on 52 trauma-exposed participants (M

RESULTS: Linear mixed modeling indicated that higher NACM symptomatology was associated with higher LPPs to cocaine cues and higher arousal/reactivity was associated with lower LPPs to cocaine cues.

CONCLUSIONS: These results highlight …

Educating Providers To Screen For Post-Traumatic Stress Disorder, Alyssa Fraino

Doctor of Nursing Practice (DNP) Projects

Background: The purpose of this evidence-based change in practice is to increase the knowledge base of psychiatric providers in outpatient psychiatric settings, by educating clinicians regarding the significance of implementing a post-traumatic stress disorder (PTSD) screening tool during the initial evaluation of patients. This can help to identify patients with PTSD that may not have been identified on initial visit, and may otherwise go unrecognized or untreated for PTSD, without the inclusion of a PTSD screening tool.

Problem: Evidence suggests that PTSD is underreported and overlooked in most populations. However, there is no standardized practice surrounding the routine use of …

A Tailored Multicomponent Intervention In Primary Care For Survivors Of Adverse Childhood Experiences (Aces), Rebecca L. Peterson

Evidence-Based Practice Project Reports

Adverse childhood experiences (ACEs) include 10 traumatic events of abuse, neglect, and household dysfunction that occur before 18 years of age. Adverse childhood experiences affect greater than 60% of the population, and approximately one in six individuals affirm that they have experienced four or more types of ACEs. They are associated with negative, long-term health outcomes in adults, including 9 out of the 10 leading causes of death in the United States (Centers for Disease Control and Prevention, n.d.; Felitti et al., 1998). The purpose of this evidence-based practice project was to implement a tailored, multicomponent intervention to mitigate the …

The Aftermath Of Sexual Assault: Creating The "I Am More Than My Experience" Workbook, Isabella Chung

Calvert Undergraduate Research Awards

The following thesis includes a literature review of the immediate and long-term effects of sexual assault on victims in regards to their physical, mental, and emotional health and romantic relationships, followed by a proposed workbook for sexual assault victims/survivors. Being that typical responses immediately after an assault are fear, disbelief, and activation of the sympathetic nervous system, it is to no surprise that long term issues of depression, anxiety, and Posttraumatic Stress Disorder (PTSD) often arise as well. Thus, a workbook was created with the intention of educating readers about sexual assault and helping victims/survivors to heal from the trauma …

Understanding The Traumatized Brain, Sam Marion, Elizabeth Marston

National Youth Advocacy & Resilience Conference

Students who have experienced trauma are often in need of behavioral intervention due to challenging behaviors and reactivity. Understanding the body’s threat response system gives insight into these behaviors and allows for empathy within the interventions. This presentation will outline basic neuroscience theories, propose interventions focused on self-regulation, and demonstrate how adding basic elements to existing interventions can increase efficacy.

A Predictable Home Environment May Protect Child Mental Health During The Covid-19 Pandemic, Laura M. Glynn, Elyssia Poggi Davis, Joan L. Luby, Tallie Z. Baram, Curt A. Sandman

Psychology Faculty Articles and Research

Objective

Information about the adverse effects of the COVID-19 pandemic on adolescent and adult mental health is growing, yet the impacts on preschool children are only emerging. Importantly, environmental factors that augment or protect from the multidimensional and stressful influences of the pandemic on emotional development of young children are poorly understood.

Methods

Depressive symptoms in 169 preschool children (mean age 4.1 years) were assessed with the Preschool Feelings Checklist during a state-wide stay-at-home order in Southern California. Mothers (46% Latinx) also reported on externalizing behaviors with the Strengths & Difficulties Questionnaire. To assess the role of environmental factors in …

Improving Psychological Trauma Awareness For Culturally Responsive Care: A Dnp Project, Jose M. Cruz

Doctor of Nursing Practice Projects

Racism and racial discrimination occur in a variety of forms (Kendi, 2017). Both can contribute to poor mental health outcomes in the United States (Alvarez, Liang, & Neville, 2016; Comas-Diaz, Hall, & Neville, 2019; Levy, 2019; Malott & Schaefle, 2015; Williams, Lawrence, Davis, & Vu, 2019). These social conditions have been identified as chronic stressors that can illicit trauma symptoms, result in post-traumatic stress disorder (PTSD), and contribute to increased suicidality (French et al., 2020). Providers should understand the ramifications of the psychological trauma that can occur and endeavor to deliver evidence-based solutions. This doctoral project was designed to develop, …

Does Team Leader Gender Matter? A Bayesian Reconciliation Of Leadership And Patient Care During Trauma Resuscitations, Elizabeth D. Rosenman, Anthony Misisco, Jeffrey Olenick, Sarah M. Brolliar, Anne K. Chipman, Marie C. Vrablik, Georgia T. Chao, Steve W.J. Kozlowski, James A. Grand, Rosemarie Fernandez

Psychology Faculty Publications

OBJECTIVE: Team leadership facilitates teamwork and is important to patient care. It is unknown whether physician gender-based differences in team leadership exist. The objective of this study was to assess and compare team leadership and patient care in trauma resuscitations led by male and female physicians.

METHODS: We performed a secondary analysis of data from a larger randomized controlled trial using video recordings of emergency department trauma resuscitations at a Level 1 trauma center from April 2016 to December 2017. Subjects included emergency medicine and surgery residents functioning as trauma team leaders. Eligible resuscitations included adult patients meeting institutional trauma …

Traumatic Shame Memories And Development Of Paranoid Ideations, Anwesha Maitra

Psychology and Counseling Theses

Paranoia and persecutory delusions constitute the symptoms of established disorders such as schizophrenia in clinical population. Paranoia is believed to exist as a continuum within the general population. A ‘threat anticipation model’ was established by Freeman and his colleagues suggested that paranoid delusions arise from the interaction of vulnerability, emotional processes, and reasoning basis. Paranoia in the subclinical population can be caused due to high levels of emotional variants such as depression, anxiety, fear and a concept of self-awareness in a psychological individual (Carvalho et al., 2019; Lincoln et al.2009).

Recent studies have focused on the associations between these emotional …

Rhythm And Safety Of Social Engagement: Polyvagal Theory Informed Dance/Movement Therapy, Suzanne Weare

Expressive Therapies Capstone Theses

The polyvagal theory has exerted great influence on the field of clinical therapy since the 1990s by proposing an understanding of the psychological expression seen in clients as a reflection of their physiological state of safety or threat of danger. When affect and psychological states are viewed through the lens of the autonomic nervous system directed by neuroception through bidirectional vagal nerve information, therapeutic presence and somatic therapy practices, such as those utilized in the field of dance/movement therapy, become more conceivable as best practices to treat a variety of psychological conditions to include trauma recovery, autism spectrum disorders, and …

Loss Of Self In Dissociation In Prostitution; Recovery Of Self In Connection To Horses: A Survivor's Journey, Sandra Norak

Dignity: A Journal of Analysis of Exploitation and Violence

This narrative is about dissociation in the lives of women who have been exploited through prostitution. When we speak about prostitution, we do not speak often enough about the dissociation needed for women and girls to survive sexual exploitation. The author challenges the wisdom of governments such as Germany that legalize prostitution, treating it as a “job” and ignoring the violence and subsequent dissociation in women. The author describes her personal journey, explaining how women are traumatized even after the first commercial sex act, which is a sexual assault. They dissociate which makes their lives bearable, but they fail to …

The Healing Power Of The Arts - Drama Therapy And The Use Of Theatre In The Treatment Of Trauma, Brooklyn Snyder

Student Scholar Symposium Abstracts and Posters

Theatre is an incredibly valuable therapeutic tool. In this thesis, I explore the ways in which trauma can reshape individuals lives, both cognitively and physically, impeding their sense of self, ability to trust, engagement, and many other seemingly ordinary aspects of day to day life that those of us unaffected by trauma take for granted. Additionally, I cover how employing theatrical tools, like improvisation and role play, can act as a beneficial treatment option for those who have suffered a traumatic past. Drama therapy allows individuals to reconnect with their bodies and their minds, gain new perspectives on their experiences, …

Prevalence And Characterization Of Adverse Childhood Experiences Of Women In Substance Use Treatment, Meghan Gannon, Phd, Msph, Vanessa Short, Phd, Mph, Marianna Lanoue, Phd, Diane J. Abatemarco, Phd, Msw

Department of Obstetrics and Gynecology Posters

• Rates of illicit drug use among women reproductive age significant national public health problem
• Adverse childhood experiences (ACE’s) associated with higher rates of prenatal depression and maternal childhood maltreatment
• Ace’s prevalent in those with Opioid Use Disorder (OUD)

Aims of Study:

1. Determine prevalence of ACE’s in a population of pregnant and parenting women in treatment for substance use disorder
2. Characterize ACE’s
3. Compare our sample to Behavioral Risk Factor Surveillance System (BRFSS) Pennsylvania data

Childhood Sexual Abuse: The Truth Behind The Trauma, Alexandra Punch

Population Health Research Brief Series

There are many misconceptions about coping behaviors, laws, and regulations that make coming forward difficult and painful. This issue brief discusses the hurdles for child victims of sexual assault and the initiatives taking place across the country to combat stereotypes and bring justice to children and their families.

Moving Blind Spots: Cultural Bias In The Movement Repertoire Of Dance/Movement Therapists, Ebony Nichols

Expressive Therapies Capstone Theses

This thesis explores the need for cultural diversity in the field of dance/movement therapy and the impact of unconscious bias as it relates to cultural rhythmic patterns, movement styles, and music choices in therapeutic practice. This literature review examines the historical context that has contributed to the field of dance/movement therapy while outlining cultural competency and ethical considerations in practice as it relates to cultural and/or race identity. Common themes are summarized notating the effects of oppression, bias, and trauma on populations of statistically marginalized communities with specific emphases on African American cultural identity. With consideration toward action steps, culturally …

Breathing Life Into Life: A Literature Review Supporting Body-Based Interventions In The Treatment Of Trauma, Andrea Werbalowksy

Expressive Therapies Capstone Theses

In the recent turn toward a more trauma-informed practice of mental health counseling, a glaring gap remains between the research validating that trauma is a somatic experience and the continued privileging of cognitive and behaviorist interventions commonly used to treat trauma. In an effort to explore this gap, this paper presents a literature review inquiry into the neurophysiological and overall life effects trauma can have on the people who experience it. The review further explores how Stephen Porges’s Polyvagal Theory elucidates the benefits of using body-based therapeutic interventions in the treatment of trauma. The inquiry investigates the wide gap between …

Unveiling The Mask:Sexual Trauma's Impact On Academic Achievement, Behavior, And Self-Identity, Teshaunda Hannor-Walker, Sarah Kitchens, Lacey Ricks

National Youth Advocacy & Resilience Conference

Sexual trauma is an unfortunate but a common and often masked experience for many students in America. While sexual trauma in itself is not a mental health disorder, it can become a risk factor for many academic and mental health problems. Trauma-informed schools can play an important role in helping students deal with the aftercare of a traumatic experience.

When Self-Care Is Not Enough: Reflections On How To Make Trauma-Intensive Clinical Work More Sustainable, Brianna C. Delker

Dignity: A Journal of Analysis of Exploitation and Violence

As a psychology resident on the psychiatry consultation-liaison service at a trauma center, I was asked by another trainee how I cope with the devastating cases of traumatic injury and abuse that we witnessed regularly on the service. This trainee’s courageous question about how we as providers cope sustainably with bearing witness to trauma coincided with my own reflection on the limits of “self-care” as it is often discussed and practiced in human service professions. In this article, I argue that an activity-based approach to self-care is not enough for providers in trauma-intensive service settings and must be complemented with …

Second Language Acquisition And Acculturation Differences Between Immigrants And Refugees, Ali Jasemi

Theses and Dissertations (Comprehensive)

The main difference between refugees and immigrants lies in the reason for their migration. Economic immigrants migrate to other countries voluntarily, while refugees are forced to leave their countries due to fear of death or persecution (UNHCR, 2018). Such fears may lead to psychological trauma among refugees. Research has shown that the presence of trauma can negatively impact language learning (Iversen, Sveaass, & Morken, 2014), which may have important implications for both second language (L2) acquisition and acculturation, particularly in refugees. In addition, strong linguistic abilities in a first language (L1) may be beneficial to acquire other languages (Cook, 2003). …

Are Chronic Inflammatory Diseases Associated With Trauma Exposure And Gender? An Empirical Analysis Of Self-Reported Trauma And Health Histories Of Men And Women, Meghan Lacienski

College of Graduate Studies: Theses & Dissertations

A growing body of research indicates an association between trauma, inflammation, and chronic inflammatory disease; however, the mechanisms of this relationship are not fully understood, and the salience of potential risk factors, such as cumulative effects of trauma, trauma type, and gender, remain unclear. Trauma is associated with poor mental and physical health, such as PTSD, depression, and chronic inflammatory conditions, and this association may be stronger when certain risk factors are considered (Brody, Pratt, & Hughes, 2018; Groer, Kane, Williams, & Duffy, 2014; Husky, Mazure, & Kovess-Masfety, 2018; Kilpatrick et al., 2013). For example, sexual trauma and multiple traumatic …

Negative Voice-Content As A Full Mediator Of A Relation Between Childhood Adversity And Distress Ensuing From Hearing Voices, Cherise Rosen, Simon Mccarthy-Jones, Nev Jones, Kayla A. Chase, Rajiv P. Sharma

Mental Health Law & Policy Faculty Publications

A key predictor of whether or not an individual who hears voices (auditory verbal hallucinations; AVH) meets criteria for a psychiatric diagnosis is the level of negative content of the voices (e.g., threats, criticism, abuse). Yet the factors that contribute to negative voice-content are still not well understood. This study aimed to test the hypotheses that levels of childhood adversity would predict levels of negative voice-content, and that negative voice-content would partially mediate a relation between childhood adversity and voice-related distress. These hypotheses were tested in a clinical sample of 61 patients with formally diagnosed psychotic disorders (48 schizophrenia …

What’S Your Story? Assessing Childhood Maltreatment Using The Thematic Apperception Test In An Adult Inpatient Population., Thachell C. Tanis

Dissertations, Theses, and Capstone Projects

There is a robust evidence that childhood maltreatment contributes to the development of adult psychopathology (Brown & Anderson, 1991; Johnson, Cohen, Brown, Smailes, & Bernstein 1999; Johnson, Smailes, Cohen, Brown, & Bernstein, 2000; Ruggiero et al., 1999). However, the identification of childhood maltreatment remains a methodological problem that results in inconsistencies in the reported incidence and psychological sequelae of maltreatment. A primary method for identifying histories of childhood maltreatment among adults is retrospective self-report measures which are susceptible to multiple biases (Briere, 1992; Cicchetti & Rizley, 1981; Shaffer, Huston, & Egeland, 2008). This present study suggests that childhood maltreatment can …

How Can Developmental Transformations Address Culture Shock To Those Moving From Collectivist Societies Into Individualistic Ones, Such As, Chinese Immigrants Into The United States?, Fabiola Valdivia

Expressive Therapies Capstone Theses

Immigration has always existed, and lately with the heyday of social networks and media, we have witnessed high rates of immigration due to different social and political contexts that have forced people to leave their homes looking for a better situation. Many of these individuals have emigrated and continue to emigrate to the United States of America, in search of, what in some cases they believe will be, the American dream.

This document explores the implementation of developmental transformations (DvT), originally a drama therapy approach, with an immigrant population coming from a collective society such as the Asian into an …

A Multimodal Assessment Of Disgust In Response To Traumatic Event Reminders Among Adolescents, Teah-Marie R. Bynion

Graduate Theses and Dissertations

The majority of youth will report traumatic event exposure by the time they reach adulthood. Research suggests exposure to such events is linked to myriad negative outcomes. Not all traumatic events are alike, however; evidence suggests that, compared to non-interpersonal events, interpersonal events in which another person intentionally perpetrates harm are linked to elevations in the likelihood of negative outcomes, including posttraumatic stress disorder (PTSD). One reason for this discrepancy is that interpersonal traumatic events may elicit greater levels of disgust. However, this is a very under-developed research base, no study has examined this question among youth. The current study …

Trauma Recovery: A Heroic Journey, Brenda Keck, Lisa Compton, Corie Schoeneberg, Tucker Compton

Heroism Science

Trauma survivors who choose to enter into trauma recovery may be viewed as individuals embarking on a hero’s journey. Historically, many of the coping strategies utilized by individuals who are experiencing post-traumatic stress have been viewed as inherently disordered and personally dysfunctional. An alternative perspective of these behaviors calls for an examination of strengths present within trauma survivors, suggesting a reframe of their symptomology as ingenuity in coping during adverse circumstances and an appreciation for the difficulty of living with traumatic memories. This article highlights the challenging process of trauma recovery as it parallels Campbell’s (1949) metaphor of the hero’s …

An Examination Of The Impact Traumatic Events Has On Psychosocial Impairment In Eating Disorder Patients, Jennifer Parker Hackett

Electronic Theses, Projects, and Dissertations

Research suggests that trauma has an impact on eating disorders. While prior research has demonstrated that the trauma from abuse has a significant impact on eating disorders, research has failed to explore other types of trauma. In addition, previous studies have stopped short of examining the impact trauma has on functioning among individuals with an eating disorder. This study aimed to address that gap in the literature. The purpose of this study is to examine whether traumatic life events impact psychosocial functioning among individuals living with an eating disorder. Furthermore, this study aimed to identify which traumas are shown to …

How Can The Attunement Needs Of Children With Disorganized Attachment Styles Be Supported Through Expressive Arts Therapy?, Jayne Paley

Expressive Therapies Capstone Theses

Treatment strategies for school age children with disorganized attachment are not well established. This population exhibits a range of difficulties in social relationships and self-regulation. Additionally, children with disorganized attachment generally rely on defense mechanisms and present with other comorbid conditions, adding to the complexity of treatment. This paper explores current research and theories about disorganized attachment and then, on the basis of evidence provided throughout this paper, proposes the concept of attunement needs in relation to working with children with disorganized attachment. The attunement needs described in this paper, derived from the literature, include safety/security, control/power, consistency, affective release, …

Social Work Trauma Interventions: Dialectical Behavioral Therapy, Kassie Baumann

Senior Honors Theses

According to Lynne Weilart (2013), in her article on the reasons why people seek out therapy, trauma is the number one reason people attend counseling. Many different trauma-informed approaches are designed specifically to address the consequences of trauma and to facilitate healing. Some of these approaches are as follows: Cognitive Behavioral Therapy (CBT); Dialectical Behavioral Therapy (DBT);Mentalization Based Therapy (MBT); Trauma Systems Therapy (TST); Trauma Assessment Pathway (TAP); and Attachment, Self-Regulation, and Competency (ARC) (de Arellano, Danielson, Ko, & Sprauge, 2008). The effectiveness of each trauma intervention will be examined. DBT is one of these trauma interventions that is growing …