Psychiatry and Psychology Commons^™

An Interventional Pilot Of Customized Adherence Enhancement Combined With Long-Acting Injectable Antipsychotic Medication (Cae-L) For Poorly Adherent Patients With Chronic Psychotic Disorder In Tanzania, Christopher J. Burant, Carol E. Blixen, Kristin A. Cassidy, Jennifer B. Levin, Martha Sajatovic

Faculty Scholarship

Background: Chronic psychotic disorders (CPD) impose a particularly significant burden in resource-limited settings. Combining long-acting antipsychotic medication (LAI) with a customized adherence enhancement intervention (CAE-L) has potential to advance care. Methods: Nineteen adults ≥ age 18 with CPD who self-reported missing ≥20% of antipsychotic medication within the last month were stabilized on oral haloperidol prior to transitioning to monthly haloperidol decanote for 25 weeks. Outcome evaluations were conducted at baseline and Week 25. Primary outcomes were oral medication adherence assessed via the Tablet Routines Questionnaire (TRQ) and LAI injection frequency. Secondary outcomes included CPD symptoms measured by the Brief Psychiatric …

The Rubber Hand Illusion: Top-Down Attention Modulates Embodiment, Rémi Thériault, Mathieu Landry, Amir Raz

Psychology Faculty Articles and Research

The Rubber Hand Illusion (RHI) creates distortions of body ownership through multimodal integration of somatosensory and visual inputs. This illusion largely rests on bottom-up (automatic multisensory and perceptual integration) mechanisms. However, the relative contribution from top-down factors, such as controlled processes involving attentional regulation, remains unclear. Following previous work that highlights the putative influence of higher-order cognition in the RHI, we aimed to further examine how modulations of working memory load and task instructions—two conditions engaging top-down cognitive processes—influence the experience of the RHI, as indexed by a number of psychometric dimensions. Relying on exploratory factor analysis for assessing this …

Consciousness Explained Or Described?, Aaron Schurger, Michael S. A. Graziano

Psychology Faculty Articles and Research

Consciousness is an unusual phenomenon to study scientifically. It is defined as a subjective, first-person phenomenon, and science is an objective, third-person endeavor. This misalignment between the means—science—and the end—explaining consciousness—gave rise to what has become a productive workaround: the search for ‘neural correlates of consciousness’ (NCCs). Science can sidestep trying to explain consciousness and instead focus on characterizing the kind(s) of neural activity that are reliably correlated with consciousness. However, while we have learned a lot about consciousness in the bargain, the NCC approach was not originally intended as the foundation for a true explanation of consciousness. Indeed, it …

Self-Conscious Emotions And The Right Fronto-Temporal And Right Temporal Parietal Junction, Adriana Lavarco, Nathira Ahmad, Qiana Archer, Matthew Pardillo, Ray Nunez Castaneda, Anthony Minervini, Julian Keenan

Department of Biology Faculty Scholarship and Creative Works

For more than two decades, research focusing on both clinical and non-clinical populations has suggested a key role for specific regions in the regulation of self-conscious emotions. It is speculated that both the expression and the interpretation of self-conscious emotions are critical in humans for action planning and response, communication, learning, parenting, and most social encounters. Empathy, Guilt, Jealousy, Shame, and Pride are all categorized as self-conscious emotions, all of which are crucial components to one’s sense of self. There has been an abundance of evidence pointing to the right Fronto-Temporal involvement in the integration of cognitive processes underlying the …

Optimism And Lipid Profiles In Midlife: A 15-Year Study Of Black And White Adults, Farah Qureshi, Jackie Soo, Ying Chen, Brita Roy, Donald Lloyd-Jones, Laura D. Kubzansky, Julia K. Boehm

Psychology Faculty Articles and Research

Introduction

Optimism is associated with better cardiovascular health, yet little is known about the underlying mechanisms and whether protective relationships are consistently observed across diverse groups. This study examines optimism's association with lipid profiles over time and separately among Black and White men and women.

Methods

Data were from 3,206 middle-aged adults in the Coronary Artery Risk Development in Young Adults study. Optimism was measured in 2000–2001 using the Revised Life Orientation Test. Triglyceride, total cholesterol, high-density lipoprotein cholesterol, and low-density lipoprotein cholesterol measurements were obtained at 5-year intervals through 2015–2016. Linear mixed models evaluated relationships between optimism and …

Short Chain Fatty Acids Taken At Time Of Thrombectomy In Acute Ischemic Stroke Patients Are Independent Of Stroke Severity But Associated With Inflammatory Markers And Worse Symptoms At Discharge, Nicholas Henry, Jacqueline A. Frank, Christopher J. Mclouth, Amanda L. Trout, Andrew J. Morris, Jianzhong Chen, Ann M. Stowe, Justin F. Fraser, Keith R. Pennypacker

Behavioral Science Faculty Publications

Introduction: Short chain fatty acids (SCFA) are gut microbiota-derived metabolites that contribute to the gut-brain axis and may impact stroke outcomes following gut dysbiosis. We evaluated plasma SCFA concentrations against stroke severity parameters and identified SCFA-associated protein networks.

Methods: The Blood and Clot Thrombectomy Registry and Collaboration (BACTRAC), a continuously enrolling tissue bank, was used to obtain stroke samples. Arterial blood distal and proximal to the thrombus was obtained from Acute Ischemic Stroke (AIS) Patients (n=53) during thrombectomy. Patient demographics, stroke presentation and outcome parameters were reported. The SCFAs were isolated from proximal plasma via chemical derivatization UHPLC coupled tandem …

Prenatal Exposure To Maternal Psychological Distress And Telomere Length In Childhood, Stephanie A. Stout-Oswald, Laura M. Glynn, Marco Bisoffi, Catherine H. Demers, Elysia Poggi Davis

Psychology Faculty Articles and Research

Telomere length (TL) is a biological marker of cellular aging, and shorter TL in adulthood is associated with increased morbidity and mortality risk. It is likely that these differences in TL are established long before adulthood, and there is growing evidence that TL can reflect prenatal experiences. Although maternal prenatal distress predicts newborn TL, it is unknown whether the relation between prenatal exposure to maternal distress and child TL persists through childhood. The purpose of the current longitudinal, prospective study is to examine the relation between prenatal exposure to maternal distress (perceived stress, depressive symptoms, pregnancy-related anxiety) and TL in …

Prevalence Of Mental Health Conditions Among 6078 Individuals With Down Syndrome In The United States, Anne Rivelli, Veronica Fitzpatrick, Sagar Chaudhari, Laura Chicoine, Gengjie Jia, Andrey Rzhetsky, Brian Chicoine

Journal of Patient-Centered Research and Reviews

Findings from a recent study of the largest documented cohort of individuals with Down syndrome (DS) in the United States described prevalence of common disease conditions and strongly suggested significant disparity in mental health conditions among these individuals as compared with age- and sex-matched individuals without DS. The retrospective, descriptive study reported herein is a follow-up to document prevalence of 58 mental health conditions across 28 years of data from 6078 individuals with DS and 30,326 age- and sex-matched controls. Patient data were abstracted from electronic medical records within a large integrated health system. In general, individuals with DS had …

Directly Observed Weekly Fluoxetine For Major Depressive Disorder Among Hemodialysis Patients: A Single-Arm Feasibility Trial, Kelley M. Kauffman, Jacqueline Dolata, Maria Figueroa, Douglas Gunzler, Anne Huml, Julie Pencak, Martha Sajatovic, Ashwini R. Sehgal

Faculty Scholarship

Rationale & Objective: Major depressive disorder (MDD) is common among hemodialysis patients, but treatment can add to their pill burden and may be limited by nonadherence. We sought to investigate the value of directly observed, once-weekly fluoxetine dosing in MDD. Study Design: Feasibility trial of adult hemodialysis patients with untreated MDD. The diagnosis of MDD was determined using the Mini International Neuropsychiatric Interview. Setting & Participants: 16 patients at 15 hemodialysis facilities in Northeast Ohio. Intervention: Patients were initially prescribed 20 mg of fluoxetine once daily for 2 weeks to assess their tolerance. The patients took this daily fluoxetine unobserved …

Posttraumatic Growth In Women With A Long-Standing Experience Of Involuntary Childlessness In The Czech Republic, Gabriela Ďurašková, Brennan Peterson

Marriage and Family Therapy Faculty Articles and Research

This qualitative research study aimed to examine aspects of posttraumatic growth (PTG) in women with a long-standing experience of involuntary childlessness. In-depth semi-structured interviews, lasting an average of 53 min, were conducted in the Czech Republic. Twenty-four women, averaging 38.8 years old with an average of 6.2 years of infertility experience, participated. They were asked how involuntary childlessness affected/changed their partnerships, sexual life, job, future plans, attitude to children/values/faith, and leisure time. Participants shared both positive and negative aspects of the infertility experience. Data were analyzed using thematic analysis. Five main themes of PTG were identified: strengthening of partnership, greater …

The Gender Freedom Model: A Framework For Helping Transgender, Non-Binary, And Gender Questioning Clients Transition With More Ease, Rae Mcdaniel, Laurel Meng

Journal of Counseling Sexology & Sexual Wellness: Research, Practice, and Education

Transgender/non-binary experiences and identities are often represented in academic literature through narratives of distress and are often pathologized through a medical lens. This holds implications for the field of psychotherapy, as interventions aimed to support transgender/nonbinary individuals often focus solely on risk mitigation. This article presents a therapeutic framework that rests on three pillars—Play, Pleasure, and Possibility—as the focal points for reimagining work with transgender/non-binary clients. This model aims to help this population explore gender transition with more ease through building practical skills, cultivating personal and collective pride, and centering pleasure equity.

Esfuerzos Realizados En Puerto Rico Hacia La Consolidación De Políticas Públicas Para La Prevención De Cánceres Asociados Al Vph, Diana T. Medina-Laabes, Vivian Colón-López, Vilnery Rivera-Figueroa, Coralia Vázquez-Otero, Glizette O. Arroyo-Morales, Lara Arce-Cintrón, Paola Fernández-Rivera, Idamaris Vega, Roxana Soto-Abreu, Olga L. Díaz-Miranda, Ángel Rivera, Iris Cardona, Ana P. Ortiz, Lilliam Rodríguez Capó, Pamela C. Hull

Behavioral Science Faculty Publications

El propósito de este informe especial es describir cronológicamente los eventos que contribuyeron al desarrollo y aprobación de la legislación e implementación del requisito escolar de vacunación en Puerto Rico (PR), con el fin de prevenir el VPH y los cánceres asociados a este. A partir del 2010, PR inició las aprobaciones de políticas públicas con el objetivo de mejorar el registro de casos de los cánceres y la cobertura de la vacuna contra el VPH a través de los planes médicos en adolescentes de 11 a 18 años. En el 2014, los esfuerzos científicos y comunitarios lograron documentar la …

Behavioral Coping Phenotypes And Associated Psychosocial Outcomes Of Pregnant And Postpartum Women During The Covid-19 Pandemic, Denise M. Werchan, Cassandra L. Hendrix, Jennifer C. Ablow, Ananda B. Amstadter Phd, Autumn C. Austin, Vanessa Babineau, G. Anne Bogat, Leigh-Anne Cioffredi, Elisabeth Conradt, Sheila E. Cromwell, Dani Dumitriu, William Fifer, Morgan R. Firestein, Wei Gao, Ian H. Gotlib, Alice M. Graham, Kimberly D. Gregory, Hanna C. Gustafsson, Kathryn L. Havens, Brittany R. Howell, Kathryn L. Humphreys, Lucy S. King, Patricia Kinser, Elizabeth E. Krans, Carly Lenniger, Alytia A. Levendosky, Joseph S. Lonstein, Rachel Marcus, Catherine Monk, Sara W. Moyer, Maria Muzik, Amy K. Nuttall, Alexandra S. Potter, Amy Salisbury, Lauren C. Shuffrey, Beth A. Smith, Lynne Smith, Elinor L. Sullivan, Judy Zhou, Moriah E. Thomason, Natalie H. Brito

Psychiatry Publications

The impact of COVID-19-related stress on perinatal women is of heightened public health concern given the established intergenerational impact of maternal stress-exposure on infants and fetuses. There is urgent need to characterize the coping styles associated with adverse psychosocial outcomes in perinatal women during the COVID-19 pandemic to help mitigate the potential for lasting sequelae on both mothers and infants. This study uses a data-driven approach to identify the patterns of behavioral coping strategies that associate with maternal psychosocial distress during the COVID-19 pandemic in a large multicenter sample of pregnant women (N = 2876) and postpartum women ( …

Using Legos® In Research Facilitation: An Advanced Scripted Research Method, Samuel W. Root

International Journal of Transpersonal Studies Advance Publication Archive

Transpersonal research methods can help individuals access useful information and material that typically reside out of conscious awareness. The playful activity of LEGO® block-building can be adapted for research purposes and used to overcome research impasses, for example. This paper presents a novel transpersonal LEGO® building process for facilitation in each of the four major phases of research. Readers are provided with a 6-step script that takes between 30 minutes and 1 hour to complete. Steps include: Prepare to Exercise; Set Intentions; Build While Intending Solution; Appreciate/Take In; Project and Actively Imagine; and Reflect and Ease Out. Future studies could …

Intimations Of A Spiritual New Age. V. Socio-Cultural Bases Of A Globalizing Neo-Shamanism And Its Relation To Climate Crisis: Possibilities, Inevitabilities, Barriers, Harry T. Hunt

International Journal of Transpersonal Studies Advance Publication Archive

Extending this series of papers on a futural spirituality, and considering the numinous as an inherent human capacity for an awe that confers a sense of all-inclusive meaning, communality, and humility, the question arises whether, in the face of a secularization of traditional world religions, globalization of a techno/capitalist economy of perpetual commodification of planet and person, and a widening sense of loss of meaning and higher purpose, some collective re-newal of the sense of the sacred might be possible – or not. While Jung, Toynbee, and Sorokin regarded such a movement as inevitable, bringing forward to the degree possible …

Effects Of Brief Daily Kundalini Yoga Meditation On Self-Esteem, Mood And Emotional Self-Efficacy: A Randomized Comparison Study, Sonia Romero Martinez

International Journal of Transpersonal Studies Advance Publication Archive

This randomized comparison study measured the impact of brief daily use of two types of kundalini yoga meditation from the Yogi Bhajan lineage on self-esteem, regulatory emotional self-efficacy, and positive and negative affect in a non-clinical sample of 46 Spanish-speaking adults residing in Spain. Results of the two meditation types—Kirtan Kriya and Internal Conflict Resolution—are compared. Results showed that both types of meditation had positive impacts on all study variables, though the degree of change and effect size depended on the type of meditation used. Results point to these relevant forms of brief daily meditation as simple and inexpensive tools …

There's A Duwende On My Shelf: The Parapsychological Studies Of Fr. Jaime C. Bulatao, Sj, Carl Lorenz Cervantes

International Journal of Transpersonal Studies Advance Publication Archive

In the Filipino transpersonal worldview, the mind is not contained within the brain, and is often projected onto the world as “spirits”. Studying these cultural metaphors may allow for a deeper understanding of the Filipino psyche. Fr. Jaime C. Bulatao, SJ, one of the founders of the Psychological Association of the Philippines, studied the projections of the Filipino psyche as they manifested in paranormal phenomena. Bulatao provides the metaphor of eggs frying in a pan as a framework to understand this: the egg whites fuse despite the yolks being far apart. It is in the dissolution of boundaries that transpersonal …

Exceptional Human Experiences Among Pilgrims On The Camino De Santiago: A Study Of Self-Reported Experiences And Transformative Aftereffects, Miran Lavric, Snezana Brumec, Andrej Naterer

International Journal of Transpersonal Studies Advance Publication Archive

The Camino de Santiago pilgrimage is an extraordinary endeavour that tends to trigger exceptional human experiences. Following our previous investigation of this topic, we conducted an online survey of 501 pilgrims in order to assess the frequency of different exceptional experiences (EEs) on the pilgrimage and their transformative aftereffects (TAs) in everyday life afterwards. More than 70% of the respondents reported improvement in terms of self-confidence, personal relationships and letting go of emotional “baggage”. The results show strong correlations between the observed EEs and the (consequent) TAs. We contend that walking the Camino de Santiago often produces exceptional experiences that …

What Is Transpersonal Psychology? A Concise Definition Based On 20 Years Of Research, Glenn Hartelius

International Journal of Transpersonal Studies Advance Publication Archive

Research on definitions of the field of psychology and themes in the literature of the field over a period of 20 years inform this description: Transpersonal psychology is a transformative psychology of the whole person embedded within a diverse, interconnected, and evolving world that pays particular attention to states of consciousness and developmental models reflecting expansion beyond conventional notions of self. Each element of this definition is examined, as well as the four phases of definitional development within the field from its founding in 1968 up to the present.

Brain Activity During Paired And Individual Mindfulness Meditation: A Controlled Eeg Study, Hessel Engelbregt, Hugo F. Alderse Baas, Sietske De Grauw, Jan Berend Deijen

International Journal of Transpersonal Studies Advance Publication Archive

Objective: In this study, we evaluated brain electroencephalographic (EEG) activity in healthy participants during the performance of paired and individual mindfulness meditation (MM). We hypothesized that EEG activity is differentially affected by meditation in pairs compared to individual meditation.

Methods: A total of 20 healthy female university students (mean age 19.54 years, SD =1.53) with no prior experience in MM participated in this study. All participants had to perform a 5-minute MM task together and individually while the other participant was in rest or performing a concentration task (control condition). To exclude social interaction as main factor, participants were separated …

The Varieties Of Spiritual States Triggered By Sex: A Systematic Review Of The Empirical Literature, Jenny Wade

International Journal of Transpersonal Studies Advance Publication Archive

This systematic review integrates the empirical evidence of spiritual experiences triggered by sexual activity, including studies by 10 authors. Despite venerable sexual meditative traditions of embodied spiritual practices, such as Hindu Tantra, Vajrayana Buddhism, and Taoism, empirical studies of sexual spiritual experiences are in their infancy. This review presents the range of sexual altered states experiences identified to date and how they qualify as spiritual experiences phenomenologically and in terms of their lifechanging effects. Seventeen distinct sexual-spiritual states have been identified across authors, with 4 others identified at significant levels in qualitative studies by individual authors. As an emergent area …

Tripping In The Moment: The Spiritual Journey Of Baba Ram Dass, Charles S. Hamilton

International Journal of Transpersonal Studies Advance Publication Archive

Ram Dass, the iconic, countercultural, spiritual seeker, brought the wisdom of the East to those of us in the West through his many books and frequent, charismatic dharma talks. This view of his spiritual journey describes the transformation of Richard Alpert, clinical psychologist and product of the Western milieu’s often-shackling conventional expectations, into Ram Dass, the free, embodied soul who, through explication and example, and with witnessing attention, tries to guide us all to the always present abode of loving awareness. Ram Dass’s idea of self in existence was transformed: first, from a psychological object of clinical study, to a …

The Perceived Impact Of Holotropic Breathwork: An Interpretive Phenomenological Analysis, Felipe Landaeta Farizo

International Journal of Transpersonal Studies Advance Publication Archive

Holotropic Breathwork (HB) is a method of self-exploration developed by Stanislav and Christina Grof. Research has only just begun to investigate the effects of HB, while the possible influence of the context and other features of HB within the experience and its impact have not been studied in depth. This qualitative study investigated the perceived impact of HB on 6 women and 6 men (ages 25-67) in Chile, using Interpretive Phenomenological Analysis (IPA), an emergent method developed specifically to work with these types of subjective issues. Results revealed 10 major themes involving both intrapsychic and relational features prior, during and …

The Luminous Night Of The Soul: The Relationship Between Lucid Dreaming And Spirituality, Tadas Stumbrys

International Journal of Transpersonal Studies Advance Publication Archive

Lucid dreams, in which the dreamers are aware that they are dreaming, can be a source of spiritual and mystical experiences. This empirical study aimed to explore the relationship between lucid dreaming and spirituality, taking into account the role of mystical lucid dream experience, in an online sample of 471 respondents, 95% of whom had lucid dream experience and 65% were frequent lucid dreamers. The findings support the relationship between lucid dreaming and spirituality: spiritual transcendence was positively associated with both lucid dream frequency and mystical lucid dream experiences. Thus having recurrent lucid dreams and mystical experiences in them may …

Emotion And Judgment In Young Women Of A Society In Transition, Maura A. E. Pilotti, Khadija El Alaoui

International Journal of Transpersonal Studies Advance Publication Archive

The present study asked whether emotional responses to narratives of moral transgressions are shaped by the reader’s assumed relationship with the injured party (i.e., oneself, familiar other, and unfamiliar other). Its goal was to test a cultural, religious, and individualistic account of such responses in young females of a traditional society in transition towards a sustainable integration into the global economy. To this end, female college students from the Kingdom of Saudi Arabia were asked to identify their emotional reaction to each of several moral transgressions, report its intensity and then judge the severity of the transgression. In agreement with …

The Mystical Exodus In Jungian Perspective: Transforming Trauma And The Wellsprings Of Renewal, B. Les Lancaster

International Journal of Transpersonal Studies Advance Publication Archive

No abstract provided.

Life Before Birth: A Thematic Analysis Of Memories Of Coming Into Life Part 2: Recollections Of Fetal Life And Birth, Jenny Wade

International Journal of Transpersonal Studies Advance Publication Archive

This article examines a second set of data produced in a thematic analysis of 68 “earliest memory” narratives submitted to an independent website to explore the question: what do people who claim to remember how they came into the world say about their experience prior to and including birth? Part 1 examined the first and largest subset of the data, narratives of an otherworldly existence consistent with Western reincarnation intermission stage 2 experiences, near-death experience accounts and mythic traditions. This article thematically analyzes descriptions of life in the womb, birth, and apparently veridical out-of-body and other paranormal impressions of events …

The Role Of Spiritual Intelligence And Differentiation In Predicting Marital Adjustment Of Married Iranian Students, Sedigheh Ahmadi, Richard H. Morley, Faezeh Ghalebi, Hossein Ilanloo, Christine D. Nguyen

International Journal of Transpersonal Studies Advance Publication Archive

The aim of this study was to investigate the role of spiritual intelligence and differentiation in predicting marital adjustment of Iranian students. The participants of this study were 312 married students from Yazd University. The instruments used in this study were the Dyadic Adjustment Scale (DAS) to measure marital adjustment, Differentiation of Self- Inventory, and the Spiritual Intelligence Self-Report Inventory (SISRI). The results of the study demonstrated that spiritual intelligence predicted the marital adjustment of married students (p

Unexpected Side Effects: A Cautionary Note On Challenges Of Persistent Self-Transcendence, Elizabeth D. Stephens, Harris L. Friedman

International Journal of Transpersonal Studies Advance Publication Archive

Self-transcendence is an ambiguous construct without consensual meaning, yet many claim that it relates to, or even causes, beneficial outcomes. Few discuss its potential deleterious side effects, choosing to focus primarily on positive effects. However, anything with sufficient potency to heal may have unintended side effects, especially when it leads beyond a transitory state to becoming an enduring trait, such as when self-transcendence (ST) becomes persistent self-transcendence (PST). With PST, evidence is overviewed here, along with two illustrative case reports, that people can suffer emotional difficulties, motivation changes, loss of self-reflexivity, anhedonia, dissociation, depersonalization, memory problems, and other psychological concerns. …

Life Before Birth: A Thematic Analysis Of Memories Of Coming Into Life Part 1: Recollections Of Another Realm, Jenny Wade

International Journal of Transpersonal Studies Advance Publication Archive

Autobiographic memories prior to birth remain controversial in psychology because such memories are traditionally believed to begin much later when some sense of self is formed. Prenatal sentience, including fetal learning, occurs in species from arthropods to humans, and evidence for autobiographic memories from pre- and neo-natal humans has typically come from clinical case histories of altered-state regression techniques eliciting records from adults or clinical case histories of children in normal states. This thematic analysis examined 68 “earliest memory” narratives submitted to an independent website to explore the question: what do people who claim to remember how they came into …