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Clinical Psychology

City University of New York (CUNY)

Theses/Dissertations

Psychotherapy

Articles 1 - 5 of 5

Full-Text Articles in Social and Behavioral Sciences

The Impossible Situation? Impasse As Psychotherapeutic Paralysis, Possibility, And Progress, Leo Cancelmo Sep 2022

The Impossible Situation? Impasse As Psychotherapeutic Paralysis, Possibility, And Progress, Leo Cancelmo

Dissertations, Theses, and Capstone Projects

Psychotherapeutic impasse has long been understood in the clinical literature as treatment stagnation and even failure, both from one-person and two-person psychodynamic perspectives. However, there is a dearth of empirical research that delves deeper to understand this complex and rich phenomenon. Using semi-structured interviews with nine psychodynamic therapists speaking about individual adult patients, this study examined experiences of impasse to better understand treatments that become embroiled in a kind of paralysis. Qualitative analyses revealed dyads where patients were conceptualized as struggling chronically with negative feelings about themselves and others, and who experienced traumatic personal histories. Impasse in and of itself …


Stigma Towards Treatment Amongst People With Mental Illness, Haya M. Khan Aug 2021

Stigma Towards Treatment Amongst People With Mental Illness, Haya M. Khan

Student Theses

There is evidence for the persistence of stigma towards people diagnosed with mental illness, as well as that endorsement of stigma is associated with reluctance to seek treatment. However, the process by which self-stigma impacts treatment choice amongst people with mental illness is not well understood. This study examined the impact of self-stigma on one’s decision to take medication or undergo psychotherapy; as well as the impact of stigma on choice of individual or group therapy. Surveys were administered through CloudResearch to 128 participants from the U.S, who reported a disorder diagnosed by a professional. The SSMIS-SF and ISMI-9 estimated …


How Psychotherapists Practice In The Digital Era, Josh Weinstein Feb 2021

How Psychotherapists Practice In The Digital Era, Josh Weinstein

Dissertations, Theses, and Capstone Projects

The digital era, marked by digital devices connected via high speed data networks, has altered human experience in profound ways over the past 40 years. The potential for novel forms of human relating and fulfillment of desire has led to myriad changes in behavior, thought and unconscious activity. While many adapt or thrive in expanded reality, for some, the digital can be context, source and/or location for psychological affliction. When those who suffer seek psychological relief, how psychotherapists listen for, conceptualize and work with the effects of the digital matter a great deal. While theoretical and quantitative research literature exists …


A Qualitative, Phenomenological Study Of Psychotherapists’ Perception Of Ethnic Identity Shifts In Immigrant Patients, Ricardo Corbetta Sep 2018

A Qualitative, Phenomenological Study Of Psychotherapists’ Perception Of Ethnic Identity Shifts In Immigrant Patients, Ricardo Corbetta

Dissertations, Theses, and Capstone Projects

This qualitative phenomenological paper investigates ethnic identity shifts in immigrant patients by interviewing nine psychotherapists who work with immigrant patients in New York City. It takes into consideration the privileged and biased perspective of the therapist’s subjective experience of their patient’s ethnic identity shifts. The study argues that ethnic identity affiliation is relevant and worth investigating during the psychotherapeutic work, as it can shed light on crucial aspects of one’s emotions, thoughts and behavior.


Making Sense Of Missing Sessions: Attendance Patterns In Posttraumatic Stress Disorder And Substance Use Disorder Treatments, Margaret Rauen Sep 2017

Making Sense Of Missing Sessions: Attendance Patterns In Posttraumatic Stress Disorder And Substance Use Disorder Treatments, Margaret Rauen

Dissertations, Theses, and Capstone Projects

The current study examined the diverse ways individuals with co-occurring Posttraumatic Stress Disorder and Substance Use Disorders (PTSD-SUD) attend treatment. The study was a secondary analysis of a randomized controlled trial for PTSD-SUD (Ruglass et al., 2017), in which participants meeting criteria for both PTSD and SUD (N=82) were randomized to either Concurrent Treatment of PTSD and SUD using Prolonged Exposure (COPE: n=39) or Relapse Prevention Therapy (RPT: n=43). Latent class growth analysis (Muthén & Muthén, 2000) revealed three distinct classes of attendance as the model of best fit. Diagnostic, but not demographic, variables were significantly associated with treatment attendance …