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Full-Text Articles in Psychology

E-Cigarette Use And Perceptions Among Adolescents With Attention-Deficit/Hyperactivity Disorder: The Role Of Parental Messages About Tobacco, Mayra S. Ramos Jan 2021

E-Cigarette Use And Perceptions Among Adolescents With Attention-Deficit/Hyperactivity Disorder: The Role Of Parental Messages About Tobacco, Mayra S. Ramos

Theses and Dissertations

Adolescents with attention-deficit/hyperactivity disorder (ADHD) are at increased risk of using e-cigarettes compared to their neurotypical peers. Parent-adolescent communication about tobacco use and number of ADHD symptoms can influence adolescents’ perceptions of e-cigarettes and their e-cigarette use. Adolescents with ADHD (n = 80) completed questionnaires assessing parental messages about tobacco use; e-cigarette harm perceptions; susceptibility to use e-cigarettes; and e-cigarette use. Parents reported on messages about tobacco use, adolescent’s ADHD symptomatology, and completed demographic questionnaires. Twenty-percent of adolescents reported e-cigarette ever use. Adolescent girls were significantly more likely to report higher e-cigarette harm perceptions than boys. Parents reported providing messages …


Mobile-Based Contingency Management To Promote Daily Self-Monitoring Of Pain Severity And Related Measures In An Online Sample Of Individuals With Chronic Pain, Kathryn Polak` Jan 2021

Mobile-Based Contingency Management To Promote Daily Self-Monitoring Of Pain Severity And Related Measures In An Online Sample Of Individuals With Chronic Pain, Kathryn Polak`

Theses and Dissertations

Between 11% and 40% of the US population experience chronic pain. One promising pain management solution is remote self-monitoring. Unfortunately, low rates of adherence have impeded the use of remote self-monitoring among chronic pain patients. One robust strategy for improving adherence is contingency management (CM). This project pilot tested a fully-automated CM app (DynamiCare Rewards) programmed with an escalating variable-ratio reinforcement schedule for promoting daily self-monitoring of pain symptom severity, related variables (e.g., sleep), and prescription opioid use over a 28-day period in a sample of individuals with chronic pain. A pilot RCT compared participants randomized to CM (n …


Breaking The Cycle: A Longitudinal Study Of Factors That Disrupt Peer Selection And Influence Processes Among Urban Youth, Kelly E. Oconnor Jan 2021

Breaking The Cycle: A Longitudinal Study Of Factors That Disrupt Peer Selection And Influence Processes Among Urban Youth, Kelly E. Oconnor

Theses and Dissertations

Having friends who engage in problem behavior (i.e., aggression, substance use, delinquency) has consistently been linked to adolescents’ own engagement in problem behavior. There are, however, several key gaps in the literature on peer influence. Few studies have considered the influence of friends’ prosocial behavior and there has been limited research to identify promotive factors that influence urban youths’ affiliation with peers who engage in problem and prosocial behavior across early adolescence, a time of heightened susceptibility to peer influence. The purpose of this study was to identify modifiable promotive factors that reduce adolescents’ problem behavior by decreasing exposure to …


Mothers Know Best: Guidance For Healthcare Providers On Early Identification Of Perinatal Mental Health Disorders, Klarissa I. Garcia Orellana Jan 2021

Mothers Know Best: Guidance For Healthcare Providers On Early Identification Of Perinatal Mental Health Disorders, Klarissa I. Garcia Orellana

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Introduction: The perinatal period has been associated with an increased risk of developing psychiatric disorders among women. Perinatal mental health disorders (PMHD) are highly prevalent, yet highly underrecognized and untreated. The involvement of medical providers, especially obstetrics/gynecology and pediatric providers, in the early identification of PMHD is critical to ensure women with PMHD receive appropriate supports. However, providers lack the education, training, and ability to identify and screen for PMHD as well as the knowledge of appropriate referrals. Objective: This study explores the existing issues with healthcare providers’ early identification practices of PMHD from the perspective of ten mothers and …


Resilience In Cancer Patients, Lori A. Gardner Jan 2021

Resilience In Cancer Patients, Lori A. Gardner

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

The phenomenon of resilience has long been identified as a key talking point within the realm of overall mental health, but the concept’s specific meaning, qualities, and sources remain somewhat elusive. For those with chronic health conditions, resilience is often identified as essential to coping effectively with significant disruptions to daily activities. The purpose of this study was to better understand the concept of resilience and to determine themes that underlie resilience, specifically within a cancer patient population. This goal was addressed by using a qualitative approach to elicit commonalities among the experiences of cancer patients representing varying types and …


Lived Experience: The Training Of Therapists, Actors & Human Beings, Richard Williams Jan 2021

Lived Experience: The Training Of Therapists, Actors & Human Beings, Richard Williams

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

There is much in common between theater and therapy. Both happen live. Both are explorations of human experience. Both require participants to be emotionally and mentally present. Both are hard to do well (and easy to do poorly). Training to be a clinical psychologist requires hours of coursework, administrative work, supervision, and on the job clinical experience. Training to be a professional theater maker or actor requires hours of rehearsal. The elements of acting are deconstructed during training so that rehearsal consists of voice-work, physical theater, scene study, etcetera. Training to be an actor entails much more practice of the …


Co-Constructing Stigma: Treating Trauma In Adolescence, Isabelle Sanderson Jan 2021

Co-Constructing Stigma: Treating Trauma In Adolescence, Isabelle Sanderson

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Public stigma and self-stigma are major factors that impede the seeking of mental health treatment as well as the development of an effective therapeutic alliance. This paper explores the co-creation of stigma dynamics from an intersubjective systems theory lens suggesting these dynamics may play a role for adolescent clients who have experienced significant trauma. Specifically, the potential overlooking and/or misdiagnosis of trauma-related experiences and symptoms often occurring with adolescents diagnosed with ADHD may be contributing to a co-constructed dynamic between the therapist and client to avoid an exploration of trauma that would be experienced as more stigmatizing, more threatening, and …


Encountering Death: A Training Proposal For Psychologists Addressing Death Anxiety And End-Of-Life Care, Bridget Kromrey Jan 2021

Encountering Death: A Training Proposal For Psychologists Addressing Death Anxiety And End-Of-Life Care, Bridget Kromrey

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Inward reflection and knowing the self are an essential element to becoming a psychologist and is crucial when encountering themes of death and dying in psychotherapy. There are significant gaps in curriculum and training regarding death anxiety and end-of-life care for psychology trainees and psychologists despite psychologists’ growing presence in this type of work. The following paper will explore historical and current day theories of death anxiety and death education. It will also demonstrate the gaps in training for psychologists in the areas of death anxiety and end-of-life care and describe the need for this type of training to be …


Clinical Considerations For Treating Adult Survivors Of Child Sexual Abuse: A Proposal For Integrating Intersubjective Systems Theory And Feminist Perspectives, Kristen Schrijver Jan 2021

Clinical Considerations For Treating Adult Survivors Of Child Sexual Abuse: A Proposal For Integrating Intersubjective Systems Theory And Feminist Perspectives, Kristen Schrijver

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

The goal of this paper is to offer clinical considerations for clinicians working with adult survivors of extrafamilial child sexual abuse (CSA) by 1) defining the stages of sexual abuse grooming of the child and their entire family system, 2) defining and integrating intersubjective and feminist approaches to treatment, and 3) providing methods for depathologizing CSA survivors’ experience of shame. These three objectives aim to increase awareness and knowledge of sexual abuse grooming, as well as offer an integrative theoretical framework for individual therapy with adult survivors of CSA.


Urban School Violence Prevention: A Suggested Intervention Utilizing Liberation Psychology, Meghan K. Hogan Jan 2021

Urban School Violence Prevention: A Suggested Intervention Utilizing Liberation Psychology, Meghan K. Hogan

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

In the past decades, numerous programs have been developed in attempts to reduce the rates of violence facing students in American schools. The spotlight on these programs have increased since horrific mass shooting events have taken place throughout the country. Many of these programs have utilized varied methods in their attempt to reduce school-based violence, from the implementation of hardline policies meant to act as violence deterrents to the development of risk assessment teams aimed at identifying and intervening against potential threats; however, few of the existing programs have shown substantial efficacy rates. Additionally, several of the violence prevention programs …


From Military Service To Diakonia: A Training Program For Clergy Ministering To Veterans, Danielle Xanthos Jan 2021

From Military Service To Diakonia: A Training Program For Clergy Ministering To Veterans, Danielle Xanthos

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Many veterans opt to seek the support of clergy before mental health professionals. Most clergy, however, are unfamiliar with the nuances of the veteran culture and experience. Mental health professionals who specialize in working with the veteran population can collaborate with clergy to bridge this gap of care to mutually develop a better understanding of veteran culture and symptoms of mental health conditions common among the veteran population, and by equipping clergy with basic tools that promote psychological and spiritual wellbeing. Special consideration is given to the concept of moral injury and the application of Acceptance and Commitment Therapy, illustrating …


Canine-Assisted Exposure Therapy, Stephanie B. Bono Jan 2021

Canine-Assisted Exposure Therapy, Stephanie B. Bono

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Fear and anxiety are natural reactions to actual threat conditions but can become “pathological” when over-generalized avoidance interferes with long-term wellbeing and valued living. Pervasive experiential avoidance hinders natural extinction processes as it reduces repeated contact with feared stimuli, a condition necessary for extinction to occur. Exposure therapy (ET) is a clinical analogue of extinction, and one of the best evidence-based treatments for fear and anxiety. However, ET’s usefulness suffers in real-world clinical conditions. The current conceptual paper proposes that ET’s limitations may be overcome through a tailored approach that integrates animal-assisted therapy (AAT), specifically the use of dogs, to …


Protective And Risk Factors Associated With Posttraumatic Growth And Psychopathological Symptoms Following Trauma, Jessica Henninger Jan 2021

Protective And Risk Factors Associated With Posttraumatic Growth And Psychopathological Symptoms Following Trauma, Jessica Henninger

PCOM Psychology Dissertations

Most people experience at least one traumatic event in their lifetimes, yet only a small proportion of individuals develop posttraumatic stress disorder. Many studies have examined risk factors associated with psychopathological symptoms in individuals with trauma, but few have examined protective factors associated with posttraumatic growth, and even fewer have examined risk and protective factors concurrently. Factors that contribute to discrepancies between individuals who experience pathology and those who experience growth are unclear Recent studies suggest that mild stressful life events in childhood may impact the way in which an individual experiences later stress via a strengthening or “steeling” effect. …


Diabetes Training Camp: A Brief Intervention To Improve Self-Management And Physical Activity In Adults With Type 1 Diabetes, David Charny Jan 2021

Diabetes Training Camp: A Brief Intervention To Improve Self-Management And Physical Activity In Adults With Type 1 Diabetes, David Charny

PCOM Psychology Dissertations

Type 1 Diabetes (T1D) is less common than Type 2 Diabetes (T2D); however, its growing incidence, chronic prognosis, and increased self-management burden, produce unique psychosocial challenges for this population. Specifically, these individuals are atrisk for poor diabetes self-efficacy, and poor glycemic control, which can contribute to diabetes-specific mood alterations, or diabetes distress (DD), and an overall reduction in diabetes-specific health-related quality of life. This study evaluated the effectiveness of the Diabetes Training Camp (DTC) 1-week intervention in mitigating psychosocial distress utilizing a repeated measures design to evaluate the impact of participation on measures of DD, diabetes quality of life (DQOL) …


Predictors Of Utilization Of Care In A Community Outpatient Mental Health Sample, Matthew F. Bloom Jan 2021

Predictors Of Utilization Of Care In A Community Outpatient Mental Health Sample, Matthew F. Bloom

PCOM Psychology Dissertations

The term superutilizer is used to classify individuals who frequent emergency departments and inpatient medical settings for preventable reasons. The exact criteria for this term are unclear, and there is dearth of literature on how it applies to the outpatient medical setting and to mental health utilization. The purpose of this study was to identify potential client demographic and clinical variables predictive of the utilization of mental health services/resources, as measured by number of sessions attended over the course of treatment in an outpatient mental health setting. It was hypothesized there would be a predictive relationship between being female, younger, …


Pediatric Health Care Providers’ Perceptions And Knowledge Of Caregiving Youth, Brianna Bliss Jan 2021

Pediatric Health Care Providers’ Perceptions And Knowledge Of Caregiving Youth, Brianna Bliss

PCOM Psychology Dissertations

Many young people younger than the age of 18 years are involved in providing care to family members who are unable to manage their own medical, physical, or mental illnesses. Youth caregivers are an understudied population in the United States. The small yet growing research base has illustrated the relationship between the caregiving role, academic performance, and an individual’s social and psychological well-being. Medical settings are uniquely positioned to identify caregiving youth and provide supportive resources. A survey was created and administered to pediatric health care providers who offered medical and psychosocial support to children and adolescents. Providers were recruited …


Lesbian, Gay, And Bisexual Adults’ Experiences With Supportive Religious Groups, Rachel Grossman Jan 2021

Lesbian, Gay, And Bisexual Adults’ Experiences With Supportive Religious Groups, Rachel Grossman

Antioch University Dissertations & Theses

This qualitative research study was designed to explore lesbian, gay, and bisexual (LGB) young adults’ views about how being a member of supportive and affirming religious places of worship and social groups influenced their self-acceptance, as well as their ability to integrate their religious and sexual minority identities. In this study, six in-person interviews were completed with participants who (a) were 18-24 years old; (b) identified as lesbian, gay, or bisexual; (c) were members of supportive Jewish and Christian religious groups; and (d) identified as cisgender. The data from the interviews were analyzed using thematic analysis to tell cohesive stories …


The Inclusion Of Autism Spectrum Disorder In Mainstream Classrooms: Teachers’ Perspectives, Alyssa Maiuri Jan 2021

The Inclusion Of Autism Spectrum Disorder In Mainstream Classrooms: Teachers’ Perspectives, Alyssa Maiuri

Antioch University Dissertations & Theses

This dissertation explored the unique experiences of general education teachers teaching in an inclusive classroom (which will also be referred to as a “mainstream classroom”) with a combination of students with and without autism (which will also be referred to as “autism spectrum disorder” and “ASD”). This was a qualitative research study that applied the Interpretative Phenomenological Analysis (IPA) research method, as presented by Smith, Flowers, and Larkin (2009). The participants in this study were seven general education teachers, each of whom taught kindergarten or fourth grade. Purposive sampling was used to gain a better understanding of the teachers’ experiences …


An Assessment Of Therapist Attitudes Toward Polyamorous People, Chelsea V. Randall Jan 2021

An Assessment Of Therapist Attitudes Toward Polyamorous People, Chelsea V. Randall

Antioch University Dissertations & Theses

Polyamorous people can encounter unique negative experiences in psychotherapy. Western culture perpetuates the ideal of romantic and sexual exclusivity between two people through monogamy as the dominant social norm, to the extent that nonmonogamous relationships are considered abnormal or othered. Polyamorous people have reported experiencing such biases from therapists, resulting in being pathologized, inaccurately labeled as infidelitous, and spending excessive treatment time providing education on polyamory. Research on the therapist’s contribution to polyamorous clients’ negative experiences is lacking, which limits suggestions for affirmative practices and the rationale from which to implement them. The current study sought to directly survey therapists’ …


The Relationship Of Societal Pressures And Disordered Eating Among Lebanese Women, Rita Hage Jan 2021

The Relationship Of Societal Pressures And Disordered Eating Among Lebanese Women, Rita Hage

Antioch University Dissertations & Theses

Messages that women receive from the media, family, and peers are often intended to promote the female thin ideal, and these messages may contribute to the development of eating disorders. In Lebanese society, unrealistic standards for thinness are a central component of how Lebanese society defines glamour. The following paper examined the relationship of societal pressures on Lebanese women to meet these beauty expectations and how those pressures are related to disordered eating. Ninety Lebanese women between the ages of 18 and 39 responded to two questionnaires: (a) the Eating Attitudes Test-26 (EAT-26) and (b) the Sociocultural Attitudes Towards Appearance …


Pediatric Bullying And Victimization: Quality Improvement Project In A Primary Care Setting, Melanie Sklar Jan 2021

Pediatric Bullying And Victimization: Quality Improvement Project In A Primary Care Setting, Melanie Sklar

Antioch University Dissertations & Theses

Bullying is a form of aggression characterized by repeated psychological or physical oppression, which negatively impacts children. More recently, the phenomenon of cyberbullying, or electronic bullying, has become prevalent. Despite efforts by schools to address forms of bullying, young people continue to be victimized. Primary care settings are well placed to address these issues with patients and their families to improve care and outcomes. Screenings and mental health referrals by physicians have been shown to reduce future involvement in bullying and increase access to treatment. When thinking about healthcare improvements in primary care settings, screening has been shown to be …


Adoptive Identity: Emerging Adult International Adoptees’ Narrative Coherence Following Early Institutional Care, Samuel Vladimir Highland Jan 2021

Adoptive Identity: Emerging Adult International Adoptees’ Narrative Coherence Following Early Institutional Care, Samuel Vladimir Highland

Antioch University Dissertations & Theses

It is well established that, while all orphanages are not equally harsh, none can provide the quality of care found in most homes. The depriving circumstances of many such institutions often leads to lingering delays across social, emotional, cognitive, psychological, and physical domains of development. However, for many international adoptees there is evidence of resilience and catch-up growth across these same domains following adoption. Adoptive identity theory provides the framework for this qualitative exploration assessing the degree of coherence among six previously-institutionalized (PI) international adoptees’ narratives about the meaning and role of adoption in their lives as emerging adults. Adoptive …


Circling The Wagons: A Re-Entry Program For Substance Use In Nh, Angela Leigh Walter Jan 2021

Circling The Wagons: A Re-Entry Program For Substance Use In Nh, Angela Leigh Walter

Antioch University Dissertations & Theses

This dissertation aimed to adapt Circles of Support and Accountability (CoSA) to a substance-involved population in New Hampshire (NH). CoSA is a volunteer-based community program that provides accountability and various forms of support to previously incarcerated individuals rejoining the community. Program recommendations were created through qualitative realist thematic analysis of a literature review and interviews. Recommendations were integrated with existing CoSA manuals to create the proposed program. NH CoSA, through the principles of narrative reconstruction, risk-need-responsivity, and the Good Lives Model, aims to help individuals successfully re-integrate into their community over a period of about a year. The program will …


The Student Experience Of Psychoeducational Assessment: A Phenomenological Study, Teresa Hoffman Jan 2021

The Student Experience Of Psychoeducational Assessment: A Phenomenological Study, Teresa Hoffman

Antioch University Dissertations & Theses

Emerging adults with specific learning disabilities (SLD) are interviewed to understand the student experience of the psychoeducational assessment process that is codified by the Individuals with Disabilities Education Act of 2004 (IDEA). The assessment practice is well established to qualify students for special education and related services (SERS) to ensure every child in the United States has the opportunity for free and appropriate education. An overview of the general psychoeducational assessment practice and specific assessment for SLD is supplemented by the literature regarding best-practices for psychological assessment with children/adolescents to set the context for a process that is encountered triennially …


The Relationship Between Concussion And Violent Criminal Behavior In Professional Football Players, Sarah Jeanne Boucher Jan 2021

The Relationship Between Concussion And Violent Criminal Behavior In Professional Football Players, Sarah Jeanne Boucher

Antioch University Dissertations & Theses

This dissertation explored the relationship between head injury and violent crime among professional football players. This study was particularly focused on determining if the frequency or severity of head injury was related to the severity of violent crime among National Football League (NFL) football players. Additionally, this study explored possible differences in violence severity and concussion history among offensive and defensive positions. Based on information gathered from publicly available archival databases, sixty-three participants were placed into four groups based on their concussion and violent crime histories. Pearson correlations were conducted to determine the relationship between concussion history and violent crime …


The Relational Interpretation Of Dreams: A Book Proposal, Alicia Macdougall Jan 2021

The Relational Interpretation Of Dreams: A Book Proposal, Alicia Macdougall

Antioch University Dissertations & Theses

Dream interpretation has been a widely recognized component of psychological practice since the publication of Sigmund Freud’s (1900/2010) The Interpretation of Dreams. By providing initial conceptualizations of the dream’s function, Freud created the foundation for the numerous iterations of dream work to follow. What these modalities of dream work all have in common is the utilization of dream interpretation to uncover information, or the engagement in research and empirical practice to search for answers regarding the how and why of dreaming phenomenon. Dreams, however, have yet to be considered within the context of relationship. This dissertation, in the format of …


Sickle Cell In A Poor Community In Haiti: Attention, Emotion, And Sleep, Sarajane Rodgers Jan 2021

Sickle Cell In A Poor Community In Haiti: Attention, Emotion, And Sleep, Sarajane Rodgers

Antioch University Dissertations & Theses

Hemoglobin disorders or inherited blood diseases affect about 5% of the world population. One main category of these disorders is sickle-cell disease (SCD). SCD can cause many physical complications, such as kidney problems, leg ulcers, and chronic pain. Less frequently discussed symptoms include complications like attention problems and emotion regulation. The study looked at a small sample of pediatric and adult patients (N=22) with SCD at a primary care clinic in a very poor community in Haiti, researching sleep and emotion regulation, given their shared neurobiological systems. As these symptoms can influence attention, the relationships among attention, emotion, and sleep …


Influencing Legislation For Juveniles In The Adult Judicial System: A Phenomenological Examination Of Legal Advocates, Krista F. Franklin Jan 2021

Influencing Legislation For Juveniles In The Adult Judicial System: A Phenomenological Examination Of Legal Advocates, Krista F. Franklin

Antioch University Dissertations & Theses

INFLUENCING LEGISLATION FOR JUVENILES IN THE ADULT JUDICIAL SYSTEM: A PHENOMENOLOGICAL EXAMINATION OF LEGAL ADVOCATES Krista Franklin Antioch University Seattle Seattle, WA This phenomenological study explores the lived experience of Washington State lawmakers and legal activists regarding their involvement in passing Washington State Senate Bill 5064 in February 2014. In response to the 2012 landmark federal Supreme Court decision, Miller v. Alabama, Senate Bill 5064 reduced the number of crimes for which juveniles could be sentenced as adults to life without parole. Six interviewees were selected from those who testified in Olympia, WA. Individual interviews were conducted in an open-ended …


Construction Of A Developmental Social Privilege Integration Scale, Abigail M. Martin Jan 2021

Construction Of A Developmental Social Privilege Integration Scale, Abigail M. Martin

Antioch University Dissertations & Theses

The APA’s 2017 multicultural guidelines task psychologists with the aspirational goal of understanding the nuances of historical and contemporary systems of power, privilege, and oppression. Scholars such as Helms (1984) demonstrated the critical need to readjust psychology’s focus from oppressed groups to privileged groups. In her seminal 1988 article, McIntosh insisted that in order to “redesign social systems,” privileged groups must first acknowledge their “unseen dimensions” (p. 1). Similarly, Black and Stone (2005) and Johnson (2018) asserted the lack of social privilege awareness is part of American culture, which helps to maintain the invisibility of privilege and the status quo …


"The Candy Problem, Solved!": White Children And White Parents Grappling With Dysconscious Whiteness, Lindsay E. Olson Jan 2021

"The Candy Problem, Solved!": White Children And White Parents Grappling With Dysconscious Whiteness, Lindsay E. Olson

Antioch University Dissertations & Theses

During an amplification of the Black Lives Matter (BLM) movement, white children and parents have faced multiple interruptions to their protective territory of dysconscious whiteness—an uncritical approach to a structural status quo that favors white lives. Through semi-structured activities and interviews with ten children ages 3 to 9 and nine of their parents who observed these activities, I discovered a parent–child subsystem of dysconscious whiteness. White children and parents revealed aspects of this subsystem by grappling with dysconscious whiteness (grappling) as they struggled to avoid implicating skin color in resource inequality. Through grounded theory analysis of the process of grappling, …