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Full-Text Articles in Social and Behavioral Sciences

The Role And Effect Of Mindfulness In Intimate Relationships, Mazyar Karandish Dec 2019

The Role And Effect Of Mindfulness In Intimate Relationships, Mazyar Karandish

Antioch University Full-Text Dissertations & Theses

Mindfulness practice, a present-centered approach to experience, has been shown to effectively enhance various dimensions of the human experience. Recent literature has explored how the practice of mindfulness meditation has provided benefits to practitioners seeking to enhance relationship dynamics. There are multiple examples of mindfulness-based relationship enhancement programs aiming to enhance the quality of intimate relationships in adults. This study utilizes a repeated-measures design to address whether a neutral mindfulness-based program, not geared at enhancing relationships, can significantly alter the quality of intimate relationships. The research will further examine the central mechanisms of action through which mindfulness can enhance relationships. …


Childhood Witnessing Of Domestic Violence And Its Impact On Character Development Across Time And Adulthood Relationships, Zena Ouzounian Dec 2019

Childhood Witnessing Of Domestic Violence And Its Impact On Character Development Across Time And Adulthood Relationships, Zena Ouzounian

Antioch University Full-Text Dissertations & Theses

This phenomenological research study explored the experiences of five adult participants who reported witnessing domestic violence between their parents during childhood. Through the process of open-ended interviews, this work added further support to the existing understanding of the impact that childhood witnessing of parental violence can have on one’s adult behavior and relationships. Thus far, child witnesses to parental violence receive little attention, perhaps due to the lack of tangible evidence that they have been harmed. Existing studies in the field primarily make use of quantitative methods to examine negative outcomes of such experiences. This study identified similar themes among …


Diabetes Management For Low-Income Patients: Within-Case Analyses In Primary Care, Samuel Collier Jan 2019

Diabetes Management For Low-Income Patients: Within-Case Analyses In Primary Care, Samuel Collier

Antioch University Full-Text Dissertations & Theses

The study evaluated the effectiveness of a diabetes management program in a co-located mental health and primary care setting in Nashua, New Hampshire. The patient-participants were primarily underserved, low-income, working-class or homeless patients from the surrounding region. A few participants were also older adults. Examination of the literature highlighted the growing diabetes epidemic at local, state, and national levels. A review of past clinical trials of diabetes programs indicated further investigation into diabetes self-management education programs that integrate medical and behavioral health components under the biopsychosocial model. Thus, for the present study, the Stanford Diabetes Self-Management Program (SDSMP; Lorig, Ritter, …


Integrated Primary Care: Development Of A Patient Satisfaction Measure, Sarah C. Pearson Jan 2019

Integrated Primary Care: Development Of A Patient Satisfaction Measure, Sarah C. Pearson

Antioch University Full-Text Dissertations & Theses

Primary care is often the first stop for individuals seeking services for a variety of behavioral health concerns including mental health and substance use disorders. However, many such patients are inadequately treated in these settings. Integrated primary care addresses this issue by adding a behavioral health provider to the primary care team to improve care and patient outcomes. A growing body of evidence suggests that increased integration of behavioral health and primary care yields a variety of significant outcomes including improved patient care, increased access to mental health treatment, and increased patient and provider satisfaction. When thinking about healthcare improvement …


Caregivers' Experience In Wraparound: A Qualitative Study, Mackenzie Soniak Jan 2019

Caregivers' Experience In Wraparound: A Qualitative Study, Mackenzie Soniak

Antioch University Full-Text Dissertations & Theses

A large number of youth in the United States suffer from a severe emotional disturbance (SED). Due to a number of factors (e.g., lack of access to services, siloed service providers), many of these children have unmet severe emotional and behavioral health needs. Wraparound has been identified as a care philosophy and intervention to meet the needs of these youth. Wraparound programs aim to provide individualized, comprehensive, community-based care for children and their families. Although this intervention is widely spread across the United States, research findings on the efficacy of the approach are mixed. Previous research aimed to identify and …


Internalized Homophobia Of Lgb Emerging Adults: Identity Complexities And Mental Health, Emily Christine Newbury Jan 2019

Internalized Homophobia Of Lgb Emerging Adults: Identity Complexities And Mental Health, Emily Christine Newbury

Antioch University Full-Text Dissertations & Theses

Meyer’s (2003) minority stress model explores the relationship between the social stress of sexual minorities and mental health. Internalized homophobia is linked to feelings of shame, guilt, and worthlessness, and contributes to the development of mental health problems (Ramirez-Valles, Molina, & Dirkes, 2013). The present study examined the relationship between internalized homophobia and mental health in young adults who identify as LGB. Participants (N =130) were recruited from universities in Connecticut and Georgia, as well as from the Amazon Mechanical Turk website. It was hypothesized that higher levels of internalized homophobia would be related to higher levels of self-reported anxiety, …


Involuntary "Whiteness": The Acculturation Of Black Doctoral Female Students In The Field Of Clinical Psychology, Carmela A. Maxell-Harrison Jan 2019

Involuntary "Whiteness": The Acculturation Of Black Doctoral Female Students In The Field Of Clinical Psychology, Carmela A. Maxell-Harrison

Antioch University Full-Text Dissertations & Theses

This dissertation is based on qualitative research that documents the experiences of Black women matriculating through clinical psychology doctoral programs in predominantly white institutions (PWIs) and the perceived psychological effects of becoming a psychologist in a stigmatized field. Additionally, the historical and collective traumas that are continually experienced by this group and their coping mechanisms are explored and highlighted. More specifically, as existing research has revealed, Black women in doctoral programs in general experience a series of responses to racialized and gendered discriminatory practices leading them to withdraw from their programs or invoke coping mechanisms that may be counterintuitive to …


Growth After Developmental Trauma: A Co-Constructed Story, Naydine Johney Jan 2019

Growth After Developmental Trauma: A Co-Constructed Story, Naydine Johney

Antioch University Full-Text Dissertations & Theses

In this study, I explored post-traumatic growth as embedded in a co-constructed healing relationship between a trauma survivor and a “mentor” who has been instrumental to their recovery. It is widely known that people who are resilient in overcoming early adverse childhood experiences have had someone in their corner who believed in them. In a separate, but related body of literature, there are similarly well-documented benefits for those who have the chance to make a difference in a survivor’s life, including for example: relatives, educators, and therapists. To date, we still don’t know if survivors and their mentors hold the …


Residential Needs Of Adolescent Females: A Feminist Perspective, Elizabeth Manley Jan 2019

Residential Needs Of Adolescent Females: A Feminist Perspective, Elizabeth Manley

Antioch University Full-Text Dissertations & Theses

With approximately 20,000 adolescent females living in residential treatment centers (RTCs) in the United States (Warner & Pottick, 2003), the need for RTCs that focus on meeting the unique developmental, psychological, and emotional needs of adolescent females is clear. Current research on the subject of adolescent females in residential treatment is largely focused on the overall efficacy of RTCs, rather than examining specific programmatic components offered to adolescent females in this treatment setting. While some research has been conducted that examines how to improve gender-specific RTCs, much of this research builds on socially constructed ideas of gender differences and often …


Helping Animals, Helping Ourselves: Reciprocal Benefits Of Prosocial Behaviors Directed Toward Animals, Casey A. Culligan Jan 2019

Helping Animals, Helping Ourselves: Reciprocal Benefits Of Prosocial Behaviors Directed Toward Animals, Casey A. Culligan

Antioch University Full-Text Dissertations & Theses

This is a dissertation project on the reciprocal benefits—to volunteers and animals—of volunteering at animal shelters, rescues, and sanctuaries. I have provided a brief literature review on the relationship between prosociality and helper/recipient wellbeing, highlighting the current scarcity of research on the human enactment of prosocial behavior with animal recipients of help. I then further supported the need for continued research in this regard by examining the emerging body of research on the suggested wellbeing-benefits of human–animal interaction. An ecopsychological framework was utilized to emphasize the potential therapeutic affects (to both humans and animals) of engaging in prosocial behaviors directed …


Therapist Attachment And Meaning-Making In Adolescent Residential Treatment, Lisa J. Milone Jan 2019

Therapist Attachment And Meaning-Making In Adolescent Residential Treatment, Lisa J. Milone

Antioch University Full-Text Dissertations & Theses

This qualitative study explores therapist views of the therapeutic relationship in adolescent residential treatment from an attachment perspective. The therapeutic relationship is a strong predictor of outcomes in adult psychotherapy and a significant body of research has relied on the attachment literature to understand its importance. Research yields comparable results when examining the significance of the therapeutic relationship with children and adolescents; however, there is virtually no literature exploring it from the attachment lens. This is particularly notable for children and adolescents in residential treatment. As treatment intensity increases from outpatient to inpatient to residential, challenges and opportunities within the …


Sexual Desire As Experienced By South Asian Women Living In British Columbia, Seema M. Buksh Jan 2019

Sexual Desire As Experienced By South Asian Women Living In British Columbia, Seema M. Buksh

Antioch University Full-Text Dissertations & Theses

Cultural beliefs and values play a significant role in the conceptualization, expression, and experience of sexual desire and functioning. Previous studies have found higher mainstream acculturation was associated with higher sexual desire and arousal. Many of these studies have also linked the cultural effects on sexual functioning to culture-differences in sexual conservatism. Within South Asian culture there is a propensity towards sexual conservatism, especially in relation to female sexual desire, yet research with regards to sexual desire and South Asian women is absent from the literature. Given the dearth of research related to this topic, further research in this area …


The Lived Experience Of Low-Income Single Mothers In The U.S. And The Effects Of Nature As A Psychotherapeutic Tool In Their Treatment, Suzanne L. Frost Jan 2019

The Lived Experience Of Low-Income Single Mothers In The U.S. And The Effects Of Nature As A Psychotherapeutic Tool In Their Treatment, Suzanne L. Frost

Antioch University Full-Text Dissertations & Theses

This dissertation describes current research on the lived experience of low-income single mothers and explores the potential validity of utilizing exposure to natural settings as a psychotherapeutic intervention for this population. In 2014, 4,764,000 single mothers in the U.S. were living in poverty. A large percentage of this population suffers from poverty, hunger, social stigma, as well as mental illnesses associated with these conditions, such as anxiety, stress, and depression. A qualitative influential research study was performed that included interviews with eight low income White single mothers and one Biracial Turkish and Chaktau Native American low-income single mother in predominantly …


Graduate Student Competencies In Working With Lesbian, Gay, And Bisexual Youth, Rachael Roberts Jan 2019

Graduate Student Competencies In Working With Lesbian, Gay, And Bisexual Youth, Rachael Roberts

Antioch University Full-Text Dissertations & Theses

The focus and purpose of this dissertation was to explore students’ who are enrolled in APA-accredited clinical psychology doctoral programs self-perceived competency levels for working with LGB youth. This research utilized the Sexual Orientation Counselor Competency Scale (SOCCS; Bidell, 2005) in conjunction with an experience and demographic questionnaire. A survey was sent to all APA-accredited clinical psychology doctoral programs and all responses were analyzed through correlational analysis. The primary research question dealt with the possibility of a relationship between access and utilization of doctoral program training (in class or otherwise), practicum experiences, and level of confidence that graduate students have …


Sexually Objectifying Microaggressions In Film: Using Entertainment For Clinical And Educational Purposes, Jackie M. Nelson Jan 2019

Sexually Objectifying Microaggressions In Film: Using Entertainment For Clinical And Educational Purposes, Jackie M. Nelson

Antioch University Full-Text Dissertations & Theses

Our culture is steadily becoming more aware, and less tolerant, of sexual harassment and misconduct. This is particularly evident in the wake of the viral Me Too movement beginning in 2017 which highlighted the breadth of personal experiences of sexual harassment on various social media platforms. Often the focus of these experiences is on overt sexual harassment and assault, but less attention is paid to the buildup that can lead to these terrible events. What is more, is that often these events are attributed to character flaws of the perpetrator without taking covert social norms into perspective. This dissertation takes …


Family Estrangement And Hospital Readmission Rates Among Severely Mentally Ill Adults, Jenna A. Gunnels Jan 2019

Family Estrangement And Hospital Readmission Rates Among Severely Mentally Ill Adults, Jenna A. Gunnels

Antioch University Full-Text Dissertations & Theses

Most crisis stabilization, and mental health treatment in general, is delivered solely to the individual in crisis, by professionals who are careful to protect the individual’s right to privacy. An unintended consequence of this objective, unfortunately, can be the undermining of the potentially significant role played by family members in the treatment, maintenance, and stabilization of individuals with mental illness. Without family involvement, some individuals burdened by mental illness slowly and steadily decline. This study investigates how familial relationships impact mental health problems, specifically psychiatric hospital readmissions. The goal of this study is to determine whether being estranged from one’s …


When Bad Genes Ruin A Perfectly Good Outlook: Psychological Implications Of Hereditary Breast And Ovarian Cancer Via Narrative Inquiry Methodology, Cammi Clark Jan 2019

When Bad Genes Ruin A Perfectly Good Outlook: Psychological Implications Of Hereditary Breast And Ovarian Cancer Via Narrative Inquiry Methodology, Cammi Clark

Antioch University Full-Text Dissertations & Theses

Scientists debunked the belief that breast cancer is always viral with the mid-90s discovery of the first hereditary genetic mutation linked to a significantly higher-than average chance of breast and ovarian cancer. This genetic condition, called Hereditary Breast and Ovarian Cancer (HBOC), passes the mutation from generation to generation in a family. Thousands of variations of such mutations exist, and carriers account for 10 to 15% of all breast cancer, and up to 20% of ovarian (Childers et al., 2017). In addition, genetic testing uncovered a rapidly rising number of healthy people (never had breast/ovarian cancer) who are also carriers, …


Veterans’ Help-Seeking And Spousal Support For Ptsd: A Preliminary Study, Kimberly S. Sollows Jan 2019

Veterans’ Help-Seeking And Spousal Support For Ptsd: A Preliminary Study, Kimberly S. Sollows

Antioch University Full-Text Dissertations & Theses

Continued engagement in military conflicts and known underutilization of mental health services by veterans necessitates understanding of factors influencing veterans’ attitudes about mental health treatment and decisions to seek services. The present study examined relationships between posttraumatic stress disorder (PTSD) symptom severity, perceived support from spouse, and attitudes toward mental health help-seeking among married U.S. veterans. Participants (N =39) were recruited using social media outreach, an online gaming platform, and through print fliers. First, it was hypothesized that perceived spousal support would be significantly positively correlated with attitudes toward treatment seeking, which was supported to a moderate degree (r=.345, p=.031). …


Women’S Lived Experiences Of Gender Microaggressions: Dental Hygienists’ Stories, Karin E. Hovey Jan 2019

Women’S Lived Experiences Of Gender Microaggressions: Dental Hygienists’ Stories, Karin E. Hovey

Antioch University Full-Text Dissertations & Theses

This dissertation presents research involving women’s subjective experiences of gender microaggressions. The introduction includes a review of the literature on microaggressions: (a) the types of microaggressions, (b) the emotional and psychological cost to those who experience microaggressions, and (c) how gender microaggressions against women work to maintain oppression and sexual objectification of women in American society. This current research addresses the knowledge gap created by little research on women’s lived experiences of gender microaggressions they encounter in their everyday lives, particularly in the workplace. The population studied was dental hygienists. This population is unique because of the disproportionate number of …


Computer Multitasking In The Classroom: Training To Attend Or Wander?, Elizabeth A. Rogers Jan 2019

Computer Multitasking In The Classroom: Training To Attend Or Wander?, Elizabeth A. Rogers

Antioch University Full-Text Dissertations & Theses

This study aimed to examine the phenomenon of Psy.D. students’ multitasking on the computer while in the classroom. Using an online survey of 45 questions, the study invited Psy.D. students from across the US to answer questions pertaining to their non-class-related use of computers in the classroom, including an exploration of their relationship with computers and the internet, feelings and judgments regarding multitasking in the classroom, and opinions on the behavior and its potential impact on their profession. A total of 166 people visited the survey with 145 respondents who answered it to completion. Of the 145 participants, 86% (125) …


Sexual Dysfunction: Providers’ Willingness To Ask Lgbq Veterans About Their Sexual Functioning, Melanie A. Brayman Jan 2019

Sexual Dysfunction: Providers’ Willingness To Ask Lgbq Veterans About Their Sexual Functioning, Melanie A. Brayman

Antioch University Full-Text Dissertations & Theses

The prevalence of sexual dysfunction (SD) in veterans is high when compared to the general population because of its relationship to physical and mental health issues endured while serving their country (Hosain, Latini, Kauth, Goltz, & Helmer, 2013). Research has mainly concentrated on male, heterosexual veterans with SD and very little research has explored lesbian, gay, bisexual, and queer (LGBQ) veterans’ experiences. This is concerning considering research indicates that LGBQ veterans’ sexual minority status adds unique stressors such as fear of disclosing identity, fear of stigma, and internalized homophobia in addition to the stresses that occur from being in the …


Parental Involvement And The Mental Health Of Adolescents With Chronic Pain, Amanda Mikedis Jan 2019

Parental Involvement And The Mental Health Of Adolescents With Chronic Pain, Amanda Mikedis

Antioch University Full-Text Dissertations & Theses

The present research examined the relationship between parental involvement and the internalizing symptomatology of adolescents with chronic pain. Parents play a significant role in the pain experience and the mental health of adolescents with chronic pain, but research on parental involvement and symptoms of anxiety and depression in adolescents with chronic pain is scarce. The aim of this study was to examine the benefits of parental involvement for the mental health of adolescents with chronic pain. Archival data from the National Longitudinal Study of Adolescent Health (Add Health) of 616 adolescents with chronic pain was used to address the research …


Cultural Influence On The Assessment Of Adjudicative Competency: A Grounded Theory, Shawn D. Curtis Jan 2019

Cultural Influence On The Assessment Of Adjudicative Competency: A Grounded Theory, Shawn D. Curtis

Antioch University Full-Text Dissertations & Theses

The Washington State Supreme Court has strongly recommended that culture should be considered as a factor for multicultural defendants when questions regarding competency to stand trial have been raised and an evaluation is ordered by the Court. This represented a departure from prior decisions, which have ignored culture as a factor for consideration in such cases. Though culture had long been identified as a core pillar within clinical psychology, research in the sub-field of forensic psychology has shown a dearth in the literature regarding culture as a factor in forensic assessment. Despite the recent cases in Washington State, the criminal …


Servant Leadership Characteristics And Empathic Care: Developing A Culture Of Empathy In The Healthcare Setting, Mark Anthony Martin Jan 2019

Servant Leadership Characteristics And Empathic Care: Developing A Culture Of Empathy In The Healthcare Setting, Mark Anthony Martin

Antioch University Full-Text Dissertations & Theses

The purpose of this study was to assess the degree to which servant leadership characteristics are exhibited in medical group practices, and the degree to which servant leadership characteristics correlated with measures of empathic care. This study featured an explanatory mixed methods research design embedded in appreciative inquiry. A total of 189 mid-level practitioners consisting of nurse practitioners, physician assistants, and practice mangers responded to a 32-item scale survey that featured a six-point Likert scale to measure servant leadership items and a 10-point continuous scale to assess measures of empathic care. The servant leadership items were based on the seven …


Risk Management For Persons With Serious Mental Illness: A Process Analysis Of Washington State Department Of Corrections' Tools, Martin J. Tobin Jan 2019

Risk Management For Persons With Serious Mental Illness: A Process Analysis Of Washington State Department Of Corrections' Tools, Martin J. Tobin

Antioch University Full-Text Dissertations & Theses

Although many evidence-based techniques are outlined in the literature, systems often assess, plan, and mitigate risk for Persons with Serious Mental Illness (PSMI) in significantly divergent ways. For more than 20 years now, the Washington State Department of Corrections has relied on the Offender Reentry Community Safety Program (ORCSP) to appraise dangerousness and presence of mental disorder, utilizing a staged process that considers a wide-ranging set of criminogenic and non-criminogenic variables. A growing body of research suggests that the ORCSP is effectively decreasing recidivism through collaborative reentry planning and mitigation between mental health and criminal justice professionals; however, whether ORCSP …


Descriptive Phenomenological Analysis Of Influences To Death Anxiety, Michelle M. Ehle Jan 2019

Descriptive Phenomenological Analysis Of Influences To Death Anxiety, Michelle M. Ehle

Antioch University Full-Text Dissertations & Theses

There are two certainties in life: we are born, and we will die. Everything in between birth and death is our life. This truth leads many individuals to existential questions: What is the meaning of life? How do we become satisfied with life, knowing that death is impending? Does awareness of death motivate how we live? Death anxiety is a well-studied subject; well over 500 studies provide information on who is the most fearful of death among a variety of groups (women versus men, religious verses secular, youth verses elderly, et cetera). These studies also use presuppositions to explain fear …


The Experience Of Relapse After Long-Term Sobriety And Subsequent Return To Sobriety, Bahram Edward Kaikhosrow Shahrokh Jan 2019

The Experience Of Relapse After Long-Term Sobriety And Subsequent Return To Sobriety, Bahram Edward Kaikhosrow Shahrokh

Antioch University Full-Text Dissertations & Theses

While psychiatric medications have been categorized as the same as substances of abuse in Alcoholics Anonymous (AA), medications for common medical disorders were not affected by this disapproval of medication. It may be time for a new dialogue (Woody, 2015). According to Gjersing and Bretteville (2018), there has been a concerning increase in overdose deaths in the last decade. This includes a threefold increase in overdose deaths from prescription narcotics and six-fold increase in overdose deaths from heroin in the United States. When prescription opioid users find difficulty in obtaining pills, they may move on to heroin, which is much …


Forgotten Victims: Understanding Latino/A Non-Offending Parents Of Sexually Abused Children, Alba Rocio Andrade Jan 2019

Forgotten Victims: Understanding Latino/A Non-Offending Parents Of Sexually Abused Children, Alba Rocio Andrade

Antioch University Full-Text Dissertations & Theses

Childhood sexual abuse is widely condemned by society and religion (Roesler & Wind, 1994; McCallum, 2001). Nevertheless, it is estimated that approximately one in three girls and one in six boys are sexually abused by the time they turn 18 years old (Stauffer and Deblinger, 1996). This trauma affects the victim as well as other members of the family including the non-offending parent(s). However, services are often provided only to the victimized child, which overlooks the needs of the non-offending parents. The existing body of research into the stressors experienced by non-offending parents typically is focused on non-offending parents of …


The Experience Of Pregnant Women In Remission From Anorexia Nervosa, Meghan Butcher Jan 2019

The Experience Of Pregnant Women In Remission From Anorexia Nervosa, Meghan Butcher

Antioch University Full-Text Dissertations & Theses

This qualitative study explored the subjective experience of pregnant women in remission from Anorexia Nervosa (AN). This subject matter is of importance due to the high relapse rates of AN, the ability for women to become pregnant while in remission from AN, the significant physical and emotional tolls of pregnancy, and the known dangers of AN behaviors during pregnancy. Prior to this study, minimal research had been conducted pertaining to the experience of women who became pregnant while in remission from AN. This study utilized Interpretative Phenomenological Analysis (IPA) to inform interpretation of narrative responses collected through semi-structured interviews. Participants …


Expectancies As A Predictor Of Prescription Stimulant Use Among Medical Students, Katherine Gorman Jan 2019

Expectancies As A Predictor Of Prescription Stimulant Use Among Medical Students, Katherine Gorman

Antioch University Full-Text Dissertations & Theses

Research suggests that individuals’ expectations about a drug’s effects are predictive of various types of substance abuse, including nonmedical prescription stimulant use (Torrealday et al., 2008). Nonmedical prescription stimulant use, or NMPSU, refers to any use of prescription stimulants without a medical prescription, use of prescription stimulants for nonmedical purposes, or use that exceeds what is prescribed (Bavarian, Flay, Ketcham, &Smit, 2013). NMPSU is associated with a number of negative outcomes, including drug and alcohol abuse, risk-taking behavior, mental illness, physical health problems, and lower educational attainment (McCabe, Teter, Boyd, & Wechsler, 2005). While most previous research has focused on …