Social and Behavioral Sciences Commons^™

The Impact Of Cannabis Use On Neuropsychological And Neural Biomarkers Of Treatment Response In Schizophrenia Spectrum Disorders, Melanie B. Thies

Dissertations, Theses, and Capstone Projects

Cannabis use among patients with schizophrenia-spectrum disorders (SSD) is at significantly greater levels than in healthy populations but the impact of cannabis on neural mechanisms of clinical improvement is poorly understood. Cognitive functioning and neural connectivity are disrupted as a result of both SSD and cannabis use, and research indicates that neuropsychological capacity and connectivity of the striatum, a region involved in salience and reward processing, may be integral to effective antipsychotic drug (AP) treatment response. Despite this overlap, no previous research has investigated the effect of cannabis on the brain functions implicated in AP treatment response. The present study …

Investigating Young Adult Cancer Survivors' Perspectives On Their Future And Interpersonal Relationships, Zeba N. Ahmad

Dissertations, Theses, and Capstone Projects

For many young adults (YA, aged 18-39) who have recently survived cancer, planning and working towards goals for the future is a fraught process. Prior research consistently identifies the challenges of survivorship, including: rebuilding personal identity, accepting the impact of cancer-related interruptions on personal goals, navigating new roles in significant close relationships, and initiating new relationships as a survivor. However, there is limited research describing the mechanisms underlying these persistent challenges, which poses difficulties when tailoring evidence-based psychological intervention. The present study consolidates both established and newly hypothesized survivorship challenges into a novel conceptual model, hypothesizing that they are interrelated, …

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 …

Exploring Social And Emotional Functioning In Emerging Adult Survivors Of Adverse Childhood Experiences, Sara Babad

Dissertations, Theses, and Capstone Projects

As many as two thirds of adults in the United States have experienced adverse childhood experiences (ACEs) and 60% of these individuals have experienced multiple, or cumulative ACEs. ACEs are associated with a range of outcomes, including social, emotional, and cognitive changes, health risk behaviors, psychopathology, worse physical health, and early death. Although some ACEs effects have been well-researched, social and emotional changes have received minimal attention in the literature in general. Research on ACEs effects in emerging adults (ages 18 to 25), an already vulnerable population, is also limited. Furthermore, there is debate in the field as to which …

Countertransference And The Patient's Experience: Exploring How Engagement With Affect Is Related To Short-Term Psychotherapy Outcomes, Ariel R. Westerman

Dissertations, Theses, and Capstone Projects

Background: Therapist focus on affect in the here-and-now can facilitate a patient’s emotional experience as well as expression of affect, both of which are associated with better outcome over the course of treatment (Diener et al., 2007). A therapist’s use of her own experience of the patient can serve as a signal to intervene in the here-and-now. While “countertransference” was historically seen as an obstacle to a therapist’s neutrality and therefore efficacy (Freud, 1910), shifts in the field toward a two-person psychology model led some to reconsider it as a potential source of clinical data (Winnicott, 1947; Heimann, 1950; Racker, …

Identification Of Sexual Grooming Behaviors In Male And Female Perpetrators, Stephanie Mignogna

Student Theses

It is estimated up to 12% of all sexual abuse is perpetrated by females. However, little is known regarding the tactics that women use to perpetuate the abuse. There is evidence that almost all cases of child sexual abuse involve grooming and that female perpetrators may also engage in sexual grooming to perpetrate the abuse. Identification of sexual grooming behaviors can prevent abuse before it occurs however, previous research has found that individuals are poor at identifying sexual grooming behaviors before they occur. Using an experimental vignette design, this study compared the ability to identify sexual grooming behaviors when the …

Stigma Related To Criminal Justice History: The Role Of Offense Type, Mental Health Treatment, Mental Illness, And Race From Formerly Incarcerated Persons’ Perspective, Lindsey Ryan-Jones

Student Theses

Research has shown that offenders perceive stigma and anticipate stigma once they are released from incarceration, especially regarding employment and housing (LeBel et al., 2012). However, there is limited information about offense type, mental health treatment, mental illness and race affect how formerly incarcerated persons perceive, anticipate and experience stigma. While research has shown that those with mental illness are more likely to have recidivate and sex offenders are viewed negatively by the public, there are gaps in understanding reasons why this occurs (Bureau of Justice Statistics, 2017; Sample & Bray, 2006; Levinson et al., 2007; Rade, Desmarais & Mitchell, …

Making Sense Of Pre-Symbolic Trauma: A Qualitative Study On The Lived Experiences Of Adults Who Were Born Extremely Prematurely, Noia Efrat

Dissertations, Theses, and Capstone Projects

The psychological experiences of adults (n=5) who were born at or before the threshold for extreme prematurity (weeks) was examined using Interpretive Phenomenological Analysis (IPA) (Smith, Flowers & Larkin, 2009). Subjects were interviewed to learn about how their extreme prematurity has become organized and integrated on the levels of fantasy, identity and personality. Results showed that dysregulation and the propensity to self-contain on both somatic and affective levels were common themes across cases, supporting current research connecting the ongoing impacts of prematurity to the context of overstimulation and fundamental absence in the first months of life in the NICU. Despite …

"A Fallen Woman": The Use Of Metaphor In Psychoanalysis, Matthew Schneider

Dissertations, Theses, and Capstone Projects

This study sought to understand the use of a central metaphor in a psychoanalytic treatment and its relationship to the process of change for the analysand. In linguistics, a metaphor is a word, phrase or idea that stands in for another idea. In psychoanalysis the relationship between conscious and unconscious conflictual material can share similar metaphorical connections as conscious thoughts or behavior often stands in for an unconscious wishes. The presence of a word or phrase that appears in speech in the context of particular affective moments in an analysand’s experience could be understood to be linked to unconscious processes …

Reducing Fear Overgeneralization With Safety Learning: Attention Bias As A Moderator, Boyang Fan

Dissertations, Theses, and Capstone Projects

Anxiety disorders are the most prevalent mental health condition and affect one out of nine individuals around the world. Fear generalization is a neurocognitive mechanism thought to maintain and exacerbate anxiety, and thus is an important target of therapeutic interventions. Yet, intervention research and practice place relatively little emphasis on its importance. Given that a significant proportion of individuals do not respond to extant treatments of anxiety disorders, a strengthened focus on fear generalization may inform the development and personalization of new treatment approaches. Recent notions have linked fear generalization to failures in distinguishing between signals that predict the occurrence …

Joint Laughter Between Patient And Therapist: Exploring The Function Of These Moments And Their Relationship To The Working Alliance In Short-Term Psychotherapy, Molly Rappaport

Dissertations and Theses

Laughter emerges in infancy and reflects mutually aroused and regulated positive affect within the caregiver-infant relationship and repeated cycles of shared, co-regulated positive arousal have been shown to play a critical role in fueling secure attachment bond formation and laying the groundwork for the infant’s capacity for affect regulation (Schore, 2003). Throughout life, laughter continues to function as an attachment behavior with the possibility of promoting interpersonal closeness or creating distance. Attitudes toward the role of laughter in psychotherapy vary among psychodynamically-oriented clinicians and research has mostly focused on the kinds of humor and interventions that provoke laughter rather than …

“I Knew These Marvelous People”: Gay Men’S Experiences Of Long-Term Hiv/Aids Survival, Ilana J. Sichel

Dissertations and Theses

The gay and bisexual men who were diagnosed with HIV/AIDS before the pharmaceutical breakthroughs of the mid-1990s were given what was expected to be a death sentence. Instead, the majority of those who began the newly available treatments outlived not just their initial prognoses but their lovers, friends, and community members who had already perished. This study used grounded theory analysis of semi-structured interviews with a sample of 10 self-identified gay men who are long-term HIV/AIDS survivors to explore experiences of trauma, loss, and mourning in relation to current psychological wellbeing. Qualitative thematic analysis indicated that despite demographic variance among …

Early Risk Factors For School-Age Adhd And Irritability: The Roles Of Prenatal Risk, Intrusive Parenting Style During Preschool And Caregiver-Child Attachment Quality., Ashley M. Rainford

Dissertations and Theses

ADHD is a highly impairing neurodevelopmental disorder and the family context provides a critical early environment where children’s risk for the disorder may be heightened or reduced. A parent’s style, that is their approach to interacting and guiding the child may provide children with warmth and security, or elicit fear, distrust and disappointment, both of which in turn impact behavior. However, the parent-child relationship is not unidirectional; it is dynamic. Children with high ADHD-like behaviors have greater difficulty relating to and interacting with their caregivers, while caregivers become increasingly stressed and show greater hostility and less warmth in their parenting. …

Loneliness, Interpersonal Sensitivity And The Mechanisms Through Which The Dimensions Of Trait Emotional Intelligence May Protect Against Clinical Depression, Eva H. Leighton

Dissertations and Theses

Reducing the prevalence of loneliness and depression are important public health objectives. This dissertation aims to contribute to these objectives by improving our understanding of the relationship between loneliness and depression. Specifically, we assessed three additional constructs known to be strongly associated with loneliness and depression –-perceived social support, emotional intelligence, and interpersonal sensitivity –- with the aim of showing how these three constructs influence the relationship between loneliness and depression. Previous research that jointly examines all five constructs has not been identified by the author in an extensive search of prior literature.

Specifically, this dissertation tested the following hypotheses: …

Identification Of Adhd And Comorbid Disorders In Children: The Potential Role Of Minority Group Membership, Rachel H. Tayler

Dissertations and Theses

Identification of ADHD and Comorbid Disorders in Children: The potential role of minority group membership

by

Rachel Tayler, MSc, MA

Advisor: Sarah O’Neill, PhD

Attention-Deficit/Hyperactivity Disorder (ADHD) affects six million US children. Females, Latinx, and possibly Black children have lower rates of diagnosis than their Male and White non-Latinx peers. ADHD is behaviorally defined, and as such, clinicians' perceptions of symptoms and determination of diagnoses may be influenced by demographic factors such as race, ethnicity and sex.

This vignette study examined whether clinicians' implicit ethnic, racial, and sex biases affect diagnosis of ADHD and comorbid conditions. Psychiatry trainees and pediatricians …

Being Black & Blue: Sex As A Moderator Between Adverse Childhood Experiences And Depressive Symptoms Among Black Emerging Adults, Wynta C. Alexander

Dissertations and Theses

Adverse Childhood Experiences (ACEs) have been linked to adult mental health consequences (e.g., depressive symptoms). Black people are disproportionately affected by ACEs, and factors related to ethnic subgroups and/or sex may produce differential depressive outcomes. The current study examined the moderating role of sex in the association between adverse childhood experiences and depression symptoms using a life course of health approach among a sample of Black emerging adults. Participants (n = 159) of the current study were Black (e.g., African – American) and Black Caribbean (e.g., Jamaican) undergraduate students (18 – 59 years old; 72.3% female) attending a large, public …

Youth Bystander Intentions To Intervene In Peer Intimate Partner Violence: The Co-Influence Of Perceived Perpetrator Race And Perceived Culpability, Nana Amoh

Dissertations, Theses, and Capstone Projects

In recent years, bystander intervention programs that focus on addressing violence have notably become more popular and prevalent on college campuses. Bystander intervention programs serve to help college students identify and intervene in emergency situations like intimate partner violence. Despite advances in the bystander intervention literature, there is a dearth of research that has examined bystander intentions to intervene in situations of intimate partner violence among youth who have witnessed violence between peers. This study examined bystander intentions to intervene among young adults who witnessed peer male-to-female physical intimate partner violence and whether intentions to intervene varied depending on perpetrator …

A Randomized Controlled Trial Of Psychological Outcomes Of Mobile Guided Resonant Frequency Breathing In Young Adults With Elevated Stress During The Covid-19 Pandemic, Al Amira Safa Shehab

Dissertations, Theses, and Capstone Projects

Deep breathing practices have shown promise in reducing stress, anxiety, and depression in different populations, including young adults. Specifically, resonant frequency breathing can exert an impact on stress response systems through the vagus nerve and the hypothalamo-pituitary-adrenal (HPA) axis. This may induce reductions in stress and improvement in emotion regulation. Young adults, including college students, tend to be at a higher risk for psychological distress, as they face several psychosocial challenges. The COVID-19 pandemic has imposed new and unique stressors that resulted in higher levels of stress and emotional symptoms and it has been shown that this may have placed …

The Relationship Of Pathological Narcissism To Empathic Functioning, Antonia M. Mcmaster

Dissertations, Theses, and Capstone Projects

This study examined the relationship of pathological (grandiose and vulnerable) expressions of narcissism to empathic functioning by comparing performance-based and self-report assessments of empathy. Current research suggests that narcissism is related to more impairments in affective than cognitive empathy, and that narcissistic individuals over-report their empathic capabilities overall on self-report measures because empathy is a socially-desirable trait, and they may wish to appear more empathic in order to manage the positive impression of others. Hierarchical regression analyses were conducted in an undergraduate college sample of eighty-nine participants using a cross-sectional study design. It was hypothesized that self-reported pathological (grandiose and …

The Effect Of Psilocybin On Personality, Ravital Labua

Dissertations, Theses, and Capstone Projects

As classic psychedelics are increasingly legalized and reintroduced into the psychotherapeutic frame, a deeper understanding of their effect on personality and overall wellbeing - as well as their clinical contraindications and potential pitfalls - will prove essential. As a result, this study represents a preliminary investigation into the effect of psilocybin exposure on a range of personality constructs.

Methods: Data was collected through a collaboration with The Psychedelic Society, an organization that legally administers psilocybin truffles in the Netherlands to self-selecting retreat attendees who have been screened for mental health disorders in accordance with Johnson et al.’s (2008) widely accepted …

Semantic Network Activation Contributes To The Relationship Between Mood And Inhibition, James S. Maniscalco

Dissertations, Theses, and Capstone Projects

Prior research has identified several relationships between mood and executive functions. Very broadly, these findings generally suggest that positive moods are associated with enhanced cognitive performance, particularly in working memory and learning. However, recent studies note that there are some instances in which negative moods may benefit select executive skills, such as those involved in divided attention and inhibition. In sum, these findings indicate that positive moods favor top-down, heuristic, or relational processing, whereas negative trait moods favor bottom-up, detail-oriented processing. However, a clear mechanism by which these effects occur has yet to be identified.

The most compelling theories that …

Pilot Study Of The Effects Of Mobile Based Resonant Frequency Breathing On Cognitive Performance In Healthy Young Adults With Elevated Stress, Daniel Saldana

Dissertations, Theses, and Capstone Projects

Objective: Prior research has shown a bidirectional relationship between breathing, emotions, behavior, and cognitive functions thought to be mediated by the autonomic nervous system (ANS). Studies have shown that deep or diaphragmatic breathing interventions are associated with improved affect and decreased stress levels, but little attention has been paid to the effects of breathing training on cognition. The few studies that have looked at this have shown improved attention, memory, and executive functioning as a result of breathing interventions. While suggestive of positive benefits, these studies used control groups that are either inactive or inappropriate for determining their respective mechanisms …

Treatment, Diagnostic, Demographic, And Historical Factors Affecting Mental Health Diversion Outcomes, Amanda L. Reed

Dissertations, Theses, and Capstone Projects

The deinstitutionalization movement, which began in the 1950s and culminated in the closure of most psychological institutions by the 1980s, promised to usher in a new era of community mental health (Torrey et al., 2010). While the movement, which began largely due to advances in psychological treatment and the exposure of widespread abuses in asylums, was well-intentioned, it ultimately created new problems for people experiencing mental illness. Many of the programs designed to handle the influx of newly-released patients were never fully funded or well-received (Human Rights Watch, 2003). The criminal justice landscape also changed dramatically around the same time, …

Childhood Adhd, Impulsivity, And Alcohol-Related Impairment Among Diverse College Students, Mariely Hernandez

Dissertations, Theses, and Capstone Projects

Aims: We examined (1) if students with high childhood ADHD symptoms, and at high risk for alcohol use disorder (AUD) reported greater alcohol-related impairment (ARI) than their low childhood ADHD peers who had comparable rates of alcohol use; and (2) whether alcohol-related problems were more severe for those with high childhood ADHD and high AUD risk when their trait impulsivity was high.

Method: 18-to 25-year-old (N=81), racially/ethnically diverse, college students completed a two-part study. An online survey assessed childhood ADHD symptoms (Wender Utah Rating Scale) and past-year alcohol use (Alcohol Use Disorders Identification Test). Laboratory assessment comprised neuropsychological and self-report …

Barriers And Bridges To Intimacy: A Constellation Of Same-Sex Female Couples’ Experiences, Struggles And Strengths, Jenna K. Bennett

Dissertations, Theses, and Capstone Projects

Intimacy is central to romantic relationships, however, this aspect of experience has been largely unstudied in female couples. Further, few studies have looked at how minority stress and internalized homophobia impact these women’s experiences of intimacy. With a sample of 19 women, through self-report measures and a semi-structured interview, experiences of intimacy, the factors that impact intimacy, barriers to intimacy, and how couples bridge these barriers were explored. Quantitative analysis revealed an association between internalized homophobia and relationship satisfaction. Qualitative thematic analysis indicated that this group of women had a robust range of explicit and implicit experiences of intimacy. Further, …

A Comparison Of Simulated Schizophrenia In Mental Health Experts And Genuine Schizophrenia In Psychiatric Patients, Amanda Rosinski

Dissertations, Theses, and Capstone Projects

Malingering includes the intentional feigning of psychiatric symptoms combined with motivation for external gain (American Psychiatric Association, 2013). Malingering is likely to occur in the justice system in both criminal and civil contexts, as there is increased opportunity for secondary gain in these settings. When individuals successfully malinger, it can be very costly for the United States. For example, if an individual successfully malingers, it can delay their criminal proceedings, allow them to inappropriately use resources associated with psychiatric or medical treatment, allow them to gain access to unneeded medications or financial assistance, or allow them to avoid work (Chafetz …

How Frustration Impacts The Relationship Between Potential For Child Physical Abuse Perpetration And Emotion Processing, Amanda L. Zwilling

Dissertations, Theses, and Capstone Projects

Research conducted over the past 20 years has substantiated the serious, long-lasting impacts of child physical abuse (CPA) has on individuals, families, and society. Research has also suggested several appreciable risk factors for perpetration of CPA. Intergenerational transmission of abuse, described as the personal experience of abuse or neglect during childhood, is prominent in the literature as a predictor of subsequent perpetration of CPA. However, the majority of individuals who experience abuse in childhood do not subsequently engage in perpetration of child abuse as adults. As such, the literature has sought to investigate risk factors that mediate the relationship between …

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 …

Learning To Feel Safe: A Translational Study Of The Influence Of Safety Learning On Anxiety-Related Overgeneralized Fear, Hyein Cho

Dissertations, Theses, and Capstone Projects

Anxiety disorders are among the most common mental health diagnoses, affecting about a third of the population in their lifetime. However, approximately a third of individuals with anxiety do not respond to current treatment approaches, highlighting the need to identify additional potential therapeutic mechanisms. Safety learning is one such mechanism, but methodological challenges and a dearth of research have prevented the field from advancing the understanding of the role of safety learning in the etiology and remediation of anxiety disorders. Animal research, using single-cued safety learning paradigms, has yielded promising early findings, demonstrating that safety learning directly reduces anxiety-related behaviors …

Traces Of Absence: How The Trauma Of The Yemenite, Mizrahi And Balkan Kidnapped Children Affair Is Present In Photographs And Home Movies, Natalie Haziza

Dissertations, Theses, and Capstone Projects

Between 1948 and 1956, an estimated thousands of babies and young children were kidnapped through the state medical system, in the newly established State of Israel. They were offered for adoption to barren parents (often Holocaust survivors), sold to international adoptive families (often in the United States), and in the most disturbing cases used in medical experiments. Parents were often told that their children had died during routine medical care, but were provided with neither death certificate nor body. The majority of the victims of these kidnappings were Mizrahi - Jewish immigrant families from Arab and Muslim countries. Most families …