Social and Behavioral Sciences Commons^™

The Effects Of Training And Experience On The Ability To Detect Relapse Precipitants In A Substance Abuse Client, Michael F. Sunich

Dissertations

This study examined the effects of training and experience on counselors' ability to detect relapse precipitants in substance abuse clients. Eighty counselor trainees from Western Michigan University and the University of Northern Colorado participated. They were classified as to their previous level of experience and then exposed to either the treatment condition or the control condition. Pretest-posttest data were gathered using a modified version of the Alcohol Confidence Questionnaire (Annis & Graham, 1988) (ACQ-M).

The findings from this study suggest that counselors with previous substance abuse experience tend to show less confidence in a client's ability to remain abstinent than …

Examination Of Community Mental Health Services For Persons With Serious Mental Illness: A Descriptive Study Of 31 Counties In Michigan, Pamela C. Werner

Masters Theses

Thirty-one out of 55 Community Mental Health Boards participated in a survey conducted by the Alliance for the Mentally Ill of Michigan. This study examined a number of variables in the questionnaire using a product-moment correlational analysis.

Results indicated that family and consumer input is modestly correlated with comprehensive service delivery and staff/consumer education and training. Budget and the active number of mentally ill cases had a low correlation with comprehensive service delivery and staff/consumer education and training. Interagency collaboration was modestly correlated with program evaluation, and comprehensive services available to consumers. Weaknesses were noted in the management structure of …

Shared Responsibility For Medication Use : An Experiment, Marjorie Tessner

Loma Linda University Electronic Theses, Dissertations & Projects

Medication adherence is an important part of effective therapy for gastrointestinal disease. Theory has suggested that the more involved the individual is in their care the more adherent they will be to their medication regime. However, such management is often complicated by patient psychological factors, health beliefs, self-efficacy, and lack of knowledge about medication.

In this experimental study of the impact of shared responsibility for medication use: an experiment, 60 patients from four ethnic groups were randomly assigned to three groups of 20 each: 1) routine discharge medication group, 2) formal education group, and 3) self medication and shared responsibility …

Motivational Effects On A Psychometric Measure Of Prefrontal Brain Functioning In Patients With Chronic Schizophrenia And Related Disorders, Paul C. Smith

Dissertations

This study compared multiple sequential performances on a computerized version of the Wisconsin Card Sorting Test (Grant & Berg, 1948; Harris, 1986) by adult men receiving institutional inpatient treatment for chronic schizophrenia and related disorders. Participants were exposed to differential test conditions of minimal post-session non-contingent token reinforcement (baseline phases) and enhanced intra-session performance-contingent token reinforcement (experimental phase). Each major participant resided at the same continuing treatment unit at Kalamazoo Regional Psychiatric Hospital receiving similar social therapies but idiosyncratic psychotropic medication regimens, changes in which were tracked in relation to test performances. A simple single-subject reversal design was employed with …

Characteristics Of Habitual Dysfunctional Behaviors, Carole Ryan Serena

Loma Linda University Electronic Theses, Dissertations & Projects

The suggestion that habitual dysfunctional behavior disorders (HDBs) have a common underlying cluster of addictive characteristics and dynamics is new. A broad research base which would support this theory has not kept current with clinical In order successes. In order to address the need for relevant research, an anonymous cross sectional study was designed to identify, describe and compare variables associated with 15 habitual dysfunctional behaviors (HDBs) in a sample (N =176) from a broad spectrum of socioeconomic groups.

People reporting two different HDBs (alcohol and food-related behaviors) were compared to those not reporting any HDBs on levels of four …

The Mmpi-2 Clinical Scales And Clinical Diagnosis: Differentiating Between Schizophrenic And Bipolar-Manic Disorders, Laura M. Volkmann

Student Dissertations & Theses

The validity of the Minnesota Multiphasic Personality Inventory (MMPI-2) clinical scales in differentiating schizophrenia and bipolar-manic disorders was evaluated in terms of MMPI-2 congruence with psychiatric hospital treatment team diagnoses. From a pool of 286 MMPI-2 profiles, valid profiles were obtained on 5 schizophrenia (paranoid type) inpatients and 5 bipolar-manic disordered psychiatric inpatients and were assessed by using each of four MMPI profile classification methods. Overall, the rate of agreement between treatment team diagnosis and the MMPI profile classification methods for both the schizophrenia (paranoid type) and bipolar-manic disordered groups was inconclusive. The results suggest that the MMPI-2 is of …

Occupational Stress Among Nurse Administrators In General Hospitals In Tennessee, Ruby T. Davis

Electronic Theses and Dissertations

The purpose of this study was to determine the level of occupational stress among nurse administrators and to identify the types of strategies used by nurse administrators to deal with or manage occupational stress. The study examined the relationship between selected demographic variables, occupational stress, and strategies. The research design included five research questions along with seven null hypotheses testing the relationship between occupational stress and demographic variables--age, gender, marital status, years of professional nursing experience, years as a nurse administrator, educational attainment, and hospital bed capacity. There were seven additional hypotheses testing the relationship between the same demographic variables …

Cognitive Disability Theory As A Basis For Activity Analysis For Elderly Persons With Dementia, Deborah S. Kaeser

Masters Theses

Allen's (1985) Cognitive Disability approach provides a guideline for modifying the cognitive demands of an activity to match the abilities of an individual. Thirty older adults with a mean age of 78.1 years and a diagnosis indicating an irreversible dementia were selected for the study. A counterbalanced design was used to compare the performance of 15 individuals with a Level Three cognitive ability and 15 individuals with a Level Four cognitive ability on two tiling craft activities: one with Level Three cognitive demands and one with Level Four cognitive demands. Analysis of variance indicated a significant interaction between cognitive level …

A Comparison Of Unidimensional And Multidimensional Locus Of Control Scales For The Measurement Of The Effects Of Self-Regulation Training, Alan Joseph Paduano

Electronic Theses & Dissertations

Comprehensive training in self regulation (SR) (including biofeedback training, relaxation techniques, and cognitive therapy principles) has been proposed as a means of affecting change in individual locus of control (LOC) orientation. The current study directly compared a uni-dimensional LOC scale (Ratter, 1966) with a multidimensional LOC scale (Levenson, 1973) in the ability to detect changes in the LOC orientation. Other effects of SR training were measured by the State-Trait Anxiety Scale (STAY) and the Irrational Beliefs Test (IBT). Nineteen participants in a biofeedback/stress reduction class completed a course in SR training. The pre-test/post-test results were compared with those of a …

Preventive Dental Care- Instruction And Contingency Management In The Acquisition And Maintenance Of Oral Hygiene Skills, Sandra K. Kallstrom

Masters Theses

Inadequate oral hygiene is one of the largest problems facing the dental profession to date. It is estimated that 98% of individuals suffer from dental problems associated with neglect. The objective of this study was to develop effective techniques which aided in the acquisition and maintenance of oral hygiene skills. This study compared the effects of instruction and demonstration with contingency management on plaque percentage scores. A between-subjects design was used with one control and three experimental groups. The results indicated that, oral hygiene instruction and demonstration appear to be ineffective in reducing plaque scores. Significant plaque reductions where found …

The Impact Of An Employee Involvement Program On Service Quality In A Nursing Home Organization, Diane Catanzaro

Psychology Theses & Dissertations

The purpose of this research was to investigate the effects of an intervention involving employee participation in decision making and behavior modeling training on quality of service. Subjects were nursing aides in two similar nursing home facilities operated by a medium-sized long-term care organization. Participation in decision making involved weekly meetings using a quality-circle-type problem-solving process to develop suggestions for improving quality of service to residents and their families. Behavior modeling training was used to teach interpersonal skills necessary for handling a customer complaint. Service quality was assessed through family, resident, and supervisor ratings of nursing aide service behaviors. The …

Differential Association And Patterns Of Drug Use, Robert S. Gossweiler

Dissertations, Theses, and Masters Projects

No abstract provided.

Racial Issues In White Dyads: An Investigation Of Helms's Interaction Model, Nancy G. Ochs

Dissertations, Theses, and Masters Projects

Experienced counselors in three eastern states were surveyed about the incidence of racial issues presented by their White clients and were asked to complete the White Racial Identity Attitudes Scales (WRIAS) and to respond to a questionnaire about a White client presenting a racial issue. Nearly a quarter of the counselors responding to the survey reported having some clients raising racial issues as main issues in counseling, and 45% reported having some clients bringing up racial issues relevant to their counseling. Respondents generally did not have training to help White clients with racial issues, nor did many report having special …

Opinions About Sex Offenders' Progress In Therapy, Laren Bays

Dissertations and Theses

Sex offenders are often required by the court to enter therapy and receive help so they can stop deviant sexual behaviors. Mental health professionals must have some means of evaluating a mandated client's progress in therapy, however, there are currently no valid criteria available. A survey form was developed containing 73 items which professionals identified as having possible utility in evaluating progress.

Alcoholic Women's Relationships As Related To Intimacy And Trust, Cara Leona Forth

Theses Digitization Project

Community college women -- Variable : parental drinking -- The Personal Assessment of Intimacy in Relationship Inventory -- The Trust Scale.

Empirical Analysis And Evaluation Of The California Department Of Youth Authority's Post Parole Substance Abuse Treatment Program: El Centro, California, Don Allen Josi

Theses Digitization Project

Adolescent parolee revocations.

Factors In The Non-Recognition Of Overseas Qualifications: The Case Of Medical Practitioners, Christine V. Farag

Theses : Honours

The overseas qualified doctor is a potential threat to the state-sanctioned control practising doctors have over medical knowledge in Australia. The nonrecognition of qualifications of many migrant and refugee doctors, in particular from non-English speaking background (NESB) countries, presses them into a subordinate relationship lo that of registered practitioners. The ownership of medical knowledge is limited lo state-recognised practitioners, thus allowing them to maintain significant economic and social advantage within the general community. The relationship between qualified practitioners and the state is indicative of a particular dynamic in which some individuals are able to exclude others by mechanisms of social …

Alumni As Givers: An Analysis Of Donor-Nondonor Behavior At A Comprehensive I Institution, Linda Faye Burgess-Getts

Dissertations, Theses, and Masters Projects

There has been limited research published about the characteristics of alumni donors in higher education. The majority of the research that has been done focused on large universities, consequently, such research findings may not be generalizable to smaller institutions.;The purpose of this study was to determine to what extent selected demographic, academic, behavioral, and attitudinal variables would discriminate between donors and nondonors in a smaller college or university such as a Comprehensive I institution.;Data for the study were gathered through a questionnaire mailed to a simple random sample of 300 alumni of a Comprehensive I institution. A 72 percent response …

Anger And Type-Related Coping Resources In The Experience Of Adult Survivors Of Incest, Kathleen M. Giles

Dissertations, Theses, and Masters Projects

The purpose of this study was to determine from a group of ending stage of treatment or post-treatment incest survivors their experience with anger before therapy, during therapy, and at present, using semi-structured interviews and the following objective measures: STAXI--State-Trait Anger Expression Inventory (Spielberger, 1988), CRI--Coping Resources Inventory (Hammer and Marting, 1988), MBTI--Myers-Briggs Type Indicator (Myers and McCaulley, 1985), a researcher-constructed outcome measure (a visual analog scale of awareness of feelings and symptom improvement) and a researcher-constructed Type-Related Anger questionnaire. Subjects who volunteered to participate in the study were 45 adult female (average 38 years old) survivors of childhood incest …

The Use Of Humor To Relieve Stress In Psychiatric Nurses, Joanne Kwandt

Dissertations, Theses, and Masters Projects

The purpose of this study was to investigate the effectiveness of humor as a coping mechanism to relieve work stress of psychiatric registered nurses (RNs).;The population was selected from 31 volunteer RNs who worked thirty-two to forty hours a week in psychiatric hospitals in the Norfolk-Tidewater-Williamsburg-Richmond areas of Virginia. The RNs completed three pretest self-report measurements on stress. The Social Readiness Rating Scale (SRRS) was given to assess preexisting life stress. The Work Environment Scale (WES), and the Psychiatric Nurses' Occupational Stress Scales (PNOSS) were given to measure for pre-treatment work stress.;The RNs were then randomly assigned to one of …

Effects Of Adventist Engaged Encounter On Role Expectations And Growth In Premarital Relations, Jeffrey O. Brown

Dissertations

Problem. There is a growing concern in present society over what have come to be known as 'family values.' At the heart of these values lies marriage, and the erosion of this ancient institution has caused practitioners and researchers alike to focus on possible opportunities afforded by premarital intervention. With the proliferation of enrichment programs, there is a need in the church for an evaluation of Adventist Engaged Encounter (AEE), the largest group premarital intervention program in the Seventh-day Adventist denomination, especially as it relates to two of its primary foci: role expectations and growth.

Method. Demographic details were obtained …

Factors Affecting Psychosocial Adjustment Of Individuals Following Ostomy Surgery, Margot Knapp

Masters Theses

The literature has documented the traumatic effect of ostomy surgery. Individuals who need to integrate a new body image must go through a period of psychosocial adjustment. Several studies have been done to analyze components of adjustment and to ascertain variables which might affect adjustment. Psychosocial adjustment to ostomy surgery is a new field of study and previous research has been limited in scope.

The current study sought primarily to identify both demographic and categorical variables predictive of a broad range of adjustment factors, and by using a comprehensive sample. Independent variables included age, level of education, precipitating illness, type …

The Relative Effectiveness Of Programmed Instruction Versus The Lecture And Discussion Method On The Assessment Skills And Reporting Patterns Of Child Abuse And Neglect Among Undergraduate Nursing Students, Pamela Valleria Wilson Hammond

Theses and Dissertations in Urban Services - Urban Education

The problem studied in this investigation was whether different instructional methods could increase the assessment skills and affect reporting patterns of child abuse and neglect among undergraduate students majoring in nursing.

Two hundred and nineteen nursing students were selected for inclusion in the study from two urban universities located in Hampton Roads, Virginia. The sample was predominantly female (91.3%), African-American (79.9%) and mostly under 25 years of age (67.1%).

A programmed instruction manual, Child Abuse and Neglect, a pretest booklet, and a posttest booklet were developed specifically for this research. The pretest booklets and posttest booklets contained vignettes and questions …