Psychology Commons^™

Blurred Lines Between Role And Reality: A Phenomenological Study Of Acting, Gregory Hyppolyte Brown

Antioch University Dissertations & Theses

When an actor plays a character in a film, they try to connect with the emotions and behavioral patterns of the scripted character. There is an absence of literature regarding how a role influences an actor’s life before, during, and after film production. This study examined how acting roles might influence an actor during times on set shooting a movie or television series as well as their personal life after the filming is finished. Additionally the study considered the psychological impact of embodying a role, and whether or not an actor ever has the feeling that the performed character has …

The Relationship Between Mindfulness And Leadership: How Mindfulness Practices Affect Leadership Practices, James Van Auken

Antioch University Dissertations & Theses

The aim of this study was to explore and understand the relationship between mindfulness practices and actual leadership practices. This qualitative study utilized narrative inquiry with phenomenological interviewing techniques to explore selective leaders who use mindfulness practices, and see how they used mindfulness in their leadership practice. Sixteen in-depth interviews were conducted and thematic analysis was utilized. Eleven themes were identified with multiple sub- and sub-sub-themes, including: “Personal, Internal Mindfulness Practice,” “Being Mindful Toward Self,” “Being Present with Others,” “Being Present with a Group,” “Mindful Shift of Focus/Attention,” “Emotional Intelligence,” “Buffering of Reactivity,” “Resilience and Recovery,” “Alignment,” “Improved Job Performance,” …

The Cost Of Comforting: Phenomenological Study On Burnout Among Marriage And Family Therapists In Community Settings, Steven Razo

Antioch University Dissertations & Theses

Burnout is best defined as a condition consisting of symptoms of emotional exhaustion, depersonalization, and reduced personal accomplishment (Maslach, 1982). It has been characterized as a process that develops through a variety of work and individual factors. Furthermore, it has been shown to impact one’s career, physical health, and mental well-being. Much of the literature on burnout has been studied on psychologists, psychiatrists, and social workers, with a paucity of studies focused on marriage and family therapist (MFTs). The lack of burnout literature on MFTs is in spite of their employment in many diverse clinical settings. The purpose of this …

Monitoring Psychiatric Patients’ Preparedness For Hospital Discharge, Carrie Olsen Hennessy

Antioch University Dissertations & Theses

This mixed method study piloted a newly developed tool for monitoring preparedness among youth discharged from New Hampshire Hospital (NHH) and explored its influence on hospital discharge planning and follow-up care. This study spotlighted psychosocial variables in readmission risk for a psychiatric population and introduced a conceptualization of preparedness that included patient understanding of their discharge plan, as well as hope for change and supportive relationships. Quantitative methods were used to examine the relationship between aftercare and hospital readmission and further to explore the relationship between patient preparedness and readmission, as well as adverse events experienced post-discharge. Qualitative methods were …

A Single-Subject Evaluation Of Facilitated Communication In The Completion Of School-Assigned Homework, Nancy A. Meissner

Antioch University Dissertations & Theses

Few projects have combined quantitative and qualitative approaches in the analysis of facilitated communication as did this study of a 17-year-old nonverbal autistic male responding to homework questions using facilitated communication. Findings were consistent with prior studies: Tim was minimally able to produce correct responses independent of facilitator influence under controlled conditions; whereas, at least some typed messages in the spontaneous narratives appear to be his authentic communications independent of facilitator control.

An overview of the history of facilitated communication, its related research, and the heated debates around its validity are presented. Disparate findings between controlled and non-controlled circumstances are …

Case Study Of The Four-Year Neuropsychological Changes In An Elderly Male With Possible Chronic Traumatic Encephalopathy, Patrick Martin

Antioch University Dissertations & Theses

Research demonstrates that the brain's response to Traumatic Brain Injury (TBI) is variable with age and the effects of TBI on the elderly are a critical and global public health concern, from both a medical and a neuropsychological perspective. Currently, there is scant research on the effects of TBI, including Chronic Traumatic Encephalopathy (CTE), on the elderly. Specifically, there is a paucity of literature regarding longitudinal neuropsychological changes in elderly post- TBI individuals. This dissertation will present a Single Case Research Design (SCRD) analysis of an elderly individual with possible Chronic Traumatic Encephalopathy and the associated neuropsychological changes over 49-months. …

Self-Care And Self-Compassion Of Disaster Responders: Predictors Of Resilience, Marie F. Macedonia

Antioch University Dissertations & Theses

Every year, natural and human-made disasters occur around the world bringing chaos and destruction to unsuspecting populations. Disaster responders, both trained professionals and volunteers, rally from around the world to provide care, help, and support to survivors of these catastrophes. Responders operate often in tragic circumstances and are exposed to various stressors. Despite a large body of literature on self-care and growing research on self-compassion and their respective effects on resilience (Friborg et al., 2006; Germer & Neff, 2013; Leary, Tate, Adams, Allen, & Hancock, 2007; Roysircar, 2008) there exists no measure that assesses first responders’ self-care, self-compassion, resilience, and …

Disclosure And Nondisclosure In Clinical Supervision: Negotiation Of The Learning/Vulnerability Paradox, Vanessa Jayne Leary

Antioch University Dissertations & Theses

Few studies have explored the long-term impact of nondisclosure and disclosure events on supervisee development and identity formation. This qualitative study explored the retrospective accounts of supervisee (non)disclosure experiences in clinical supervision as supervisees negotiated the learning/vulnerability paradox that accompanies disclosure. Through the use of Interpretive Phenomenological Analysis (IPA), six early career licensed clinical psychologists who completed their predoctoral internships between 3 and 5 years ago, graduated from an APA-accredited program, and who were actively practicing in the field of psychology were interviewed. Following interview transcription, I engaged in the process of convergent and divergent analysis in order to elicit …

Attitudes Of Clinical Psychologists Towards The Reporting Of Nonhuman Animal Abuse, Laetitia Geoffroy-Dallery

Antioch University Dissertations & Theses

Research consistently demonstrates that nonhuman animals are capable of cognition and complex emotions, but their legal status in the United States remains similar to that of property. As such, they are not protected under laws mandating psychologists to report suspicions of abuse of populations that are judged to be vulnerable and unable to protect themselves, such as children, the elderly and people with disabilities (American Psychological Association [APA], 2010). Findings from previous research suggest that animal abuse is a relatively common topic encountered in therapy and the majority of clinicians are in favor of allowing voluntary reporting of nonhuman animal …

Perspectives On Restraint Reduction In Residential Facilities, Ashley Welch

Antioch University Dissertations & Theses

This study was designed to explore how the youth and staff in long term residential treatment experience the use of physical restraints, as well as what they view as essential to reduce the need for these restraints. Youth placed in residential care typically have a history infused with trauma that is often more intense than the general population. As a result, these youth are at risk of engaging in dangerous behaviors that may be deemed demonstrably dangerous, which could warrant the use of a restraint. To date, restraint usage in residential treatment centers has decreased through the following means: (a) …

Knitting As An Adjunctive Treatment For Substance Use Disorder: A Mixed Methods Multiple Case Study, Aubriana M. Teeley

Antioch University Dissertations & Theses

Substance abuse disorder is a characterized by the presence of cognitive, behavioral, and physiological symptoms from substance use with continued use despite these consequences. It has serious individual and societal implications, such as negative health effects, overdose, poor work and school performance, negative impacts on relationships, and even death. Economic effects include more frequent use of emergency and hospital services as compared to peers without substance use disorder. A variety of treatments for substance use are available, including inpatient and outpatient programs accompanied by behavioral interventions, individual or group psychotherapy, or 12-step programs. However, there is no one treatment that …

From The Perspectives Of School Staff: The Helpful And Hindering Factors Of Recovery From A School Crisis, Andria Weiser

Antioch University Dissertations & Theses

The impact of a violent event at a high school has an effect that ripples throughout the entire community. The present study sought to review what led teachers and school staff to recover after an unexpected violent event killed two students. The study sought to understand the process of recovery, including the post crisis intervention, response, and factors of personal resiliency, from the perspective of the staff and teachers involved. Enhanced Critical Incident Technique (ECIT), a robust qualitative research methodology used to study phenomenological constructs in a systematic way, was employed to give voice to the participants and understand the …

"The Way To Become A Man": The Influence Of Commercial Sex On Male Psychosocial Development, Adrian Deluna Garcia

Antioch University Dissertations & Theses

Hegemonic masculinity and the negative consequences that it has on men and women continues to gain increasing attention in research and in popular culture. Particular attention is paid to the sexual violence that is perpetrated by men towards women, however, the research on men’s sexual development and its relationship to this sexual violence focuses largely on biological explanations. The feminist literature, however, on sexual violence offers a differing perspective, which includes the socialization processes that men undergo in their sexual development that lead them towards normalizing sexual violence. One of these processes is the existence and normalization of the commercial …

The Way We Say Sorry, Brie E. Everard

Antioch University Dissertations & Theses

People living with autism struggle with social interaction, social play, and communication. Over the last decade, technology-based interventions have been used as a way of teaching social skills to children with autism. To investigate these issues more thoroughly, three topics were the focus of this research: (a) the development of autism, (b) theory of mind, and (c) technology-based interventions. The information gained from studying these topics was used to create a technology-based intervention called The Way We Say Sorry (TWWSS). This intervention was created to help children with autism better understand the way sorry is used in the English language. …

Addressing Mental Health Stigma In Korean Americans: Culturally Adapted Anti-Stigma Psychoeducation, Alice Lim

Antioch University Dissertations & Theses

Stigma is a major barrier to mental health service utilization and treatment adherence. Effective anti-stigma interventions have been identified using predominantly Caucasian research subjects. Participation in research studies by other racial and ethnic groups has been limited. This pilot study examined the external reliability of Wood and Wahl’s (2006) study, which examined the effectiveness of an anti-stigma program, In Our Own Voice (IOOV), by the National Alliance on Mental Illness (NAMI) among predominantly Caucasian undergraduate students. An older Korean ESOL group in a Korean community center in New York City (N = 20) served as the participants in this study …

Feelings Of Enlightenment: A Hermeneutic Interpretation Of Latent Enlightenment Assumptions In Greenberg's Emotion-Focused Therapy, Alex A. Gomez

Antioch University Dissertations & Theses

The purpose of this dissertation is to explore how a mainstream theory of psychological practice might inadvertently conceal and ignore contemporary values and ideologies and their pathological consequences. Through a hermeneutic approach, I interpreted Leslie Greenberg’s Emotion-focused therapy: Coaching clients to work through their feelings (2^nd ed), a popular and widely used theory in psychotherapy. As a practitioner with humanistic foundations, this was also an opportunity for the author to understand his own unexamined values as a therapist. Specific EFT constructs and concepts that reflected Enlightenment assumptions and values were examined. EFT was situated within Enlightenment philosophy, particularly …

Avoiding Unhelpful Statements: A Proposed Theoretical Measure Of Readiness To Work With Transgender Clients, A. Ianto West

Antioch University Dissertations & Theses

When transgender people most need help, many face hostility and inadequate care from their health providers, including psychologists. This hostility is not surprising given widespread lack of familiarity with transgender issues or perspectives amongst clinicians. Even amongst those who hold the stance of openness to the other, most still have considerable difficulty working with transgender clients. Transgender training efforts vary in quality; some even appear to worsen attitudes towards transgender clients. Given these risks, it is crucial that clinical training directors and supervisors evaluate trainees' abilities to facilitate respectful initial conversations with transgender clients. This project proposed an objective instrument …

The Experience Of “Cool”: A Qualitative Exploration, Kristen Lauer

Antioch University Dissertations & Theses

This qualitative study explored the phenomenological experience of cool as retrospectively reported. I proposed cool as a phenomenological concept and advocate for the consideration of cool as relevant to clinical psychology through first, a literature review of related academic research and second, by identifying the information gap around cool as it intersects with clinical psychology. I utilized Interpretative Phenomenological Analysis (IPA) to inform analysis and exploration of participant narrative responses collected through an online survey. Participants consisted of 25 individuals between the ages of 18 and 25 who endorsed having experienced cool at some point in their life. In sharing …

Fidelity Assessment Of The Hillsborough County South Drug Court, Christina Marie Minasian Hunt

Antioch University Dissertations & Theses

This study details the application of the Utilization Focused Evaluation model (Patton, 2012) to the Hillsborough County South Drug Court (HCSDC) program evaluation. The program requested an evaluation as part of the National Adult Drug Court model and expressed a desire to better understand their fidelity to the established model. Drug courts across the United States are required to base their programs on the Ten Key Components and the Best Practice Standards. I used this model to evaluate the extent to which the HCSDC team has utilized these concepts in their planning and execution of their drug court. The study …

Cultural Consultations In Criminal Forensic Psychology: A Thematic Analysis Of The Literature, Alesya Radosteva

Antioch University Dissertations & Theses

The importance of culture as a reference point in clinical practices such as forensic psychology has been considerably valued yet poorly understood, especially in an age where precision and sophistication outlast cultural authenticity and patient-clinician relationship. This paper looks at the gaps and inconsistencies that exist in current forensic psychology research. The topic is introduced by delving into the understanding of the phenomenon of culture and its influences on our everyday conditioning. Aspects such as language, biological development, traditions, rituals, and narratives are emphasized as potent tools that drive individuals to create and mold culture according to needs and requirements …

Nami Nh Youth Suicide Prevention Initiative: Most Significant Changes, Catherine E. Mayhew

Antioch University Dissertations & Theses

In 2013, the National Alliance for Mental Illness New Hampshire (NAMI NH) was awarded the Garrett Lee Smith (GLS) grant to develop and implement grassroots suicide prevention initiatives in key regions of the State housing high proportions of at-risk youth. I investigated the effectiveness of this work by gathering stories of significant change from key grant affiliates who implemented the interventions and then verifying and enriching those stories with others who had experienced them. Below, I describe the need for suicide prevention interventions in NH youth—both at the time the grant was awarded, as well as at present. I outline …

Nonmonogamous Clients’ Experiences Of Identity Disclosure In Therapy, Viktoriya Fuzaylova

Antioch University Dissertations & Theses

Presented is a qualitative phenomenological investigation of the experiences and perspectives of individuals who self-identify as consensually nonmonogamous regarding disclosure of that identity in psychotherapy. Members of this rarely-studied group (n=10) shared their accounts through an anonymous open-ended online questionnaire. Their prompted autobiographical accounts were analyzed for recurring themes and unique concepts which were drawn together into a model of disclosure of a nonmonogamous identity in a therapeutic setting. This model suggests that while nonmonogamous clients expect prejudice from their therapists, their desire for personal integrity and their culturally informed conviction that openness is necessary for best results, often leads …

Delirium Predicts Three-Month Mortality In Critically Ill Patients: A New Model, Katharine E. Hartnack

Antioch University Dissertations & Theses

Delirium is a neurocognitive disorder defined as an acute disturbance in attention, awareness, and cognition with a fluctuating course not better explained by a preexisting condition (American Psychiatric Association, 2013). It is prevalent in up to 70% of hospital patients and 82% of patients in the intensive care unit (ICU; Ely, Speroff, Gordon, & Bernard, 2004; Kavanagh & Gottfried, 2007; Mcnicoll, Pisani, Ely, Gifford, & Inouye, 2005). The impact of delirium on mortality is inconsistent in the literature. Many studies have concluded that delirium prevalence is associated with increased risk of mortality (Cole, 2004; Kavanagh & Gottfried, 2007; Moskowitz et …

Key Considerations For Collaborative School-Based Mental Health Services: Partnering Community Psychology Principles With Systems Of Care Methodology To Address Issues Of Stigma, Brittany L. Foxley

Antioch University Dissertations & Theses

Mental health issues among school-aged children are a growing concern and subject of intervention and prevention studies nationwide. While several implementation and service delivery models exist for school-based mental health services (SBMHS) they are often localized, population or program specific, and do not adequately address the issues related to stigma. Building on Cook and Kilmer's 2012 article integrating community psychology principles and systems of care values, a review of the literature is conducted to identify issues and barriers from stigma in current school-based and mental health service delivery. Key guidelines and specific considerations are presented to address identified limitations and …

The Psychological Effects Of Restraints On Mental Health Workers, Jessica Baroni

Antioch University Dissertations & Theses

This dissertation describes an empirical study of the psychological effects of restraints on mental health workers that perform this duty. To date, there is little research on the long-term, detrimental, and potentially traumatizing effects of restraints on an individual’s personal and professional life. Five self-report measures assessed the frequency that participants performed restraints, use of support after a restraint incident provided by their employer, perceived social support within their work environment, intention to leave their job, absenteeism, levels of job burnout, and post-traumatic stress symptoms. The study investigated the relationship between exposure to restraints and adverse stress effects and the …

Equine-Facilitated Therapy: An Adjunct Treatment For Pre-Adolescent Girls With Adhd, Maya E. Michel

Antioch University Dissertations & Theses

This study examined the potential impact of equine-facilitated therapy (EFT) as an adjunct treatment for pre-adolescent girls with attention deficit hyperactivity disorder (ADHD). Research on EFT has shown some promise in helping children develop a sense of self and greater awareness of their behavior and body language. It has also shown potential for increasing externalizing and internalizing behaviors. The rationale behind the use of EFT with children with ADHD is that by taking part in an EFT program, they will receive immediate feedback on their behavior and will therefore experience an increase in attentional control and a decrease in impulsivity. …

Development And Validation Of The Adaptive Leadership With Authority Scale, Mohammed Raei

Antioch University Dissertations & Theses

A reliable scale to measure adaptive leadership with authority—leadership from a position of power—does not exist. This was an embedded mixed-methods study–QUAN(qual) with data collected through an online survey instrument that included the proposed scale items and an open-ended question. The quantitative part of the study, using data from 436 respondents (92.7% from Mechanical Turk, 7.3% from snowball sampling), involved the development and validation of a unidimensional scale that measures adaptive leadership with authority using exploratory and confirmatory factor analysis. The 11-item scale had a Cronbach’s alpha value of .891 and thus displayed high reliability. In the qualitative part of …

Differences Between Introverts And Extraverts With Bipolar Disorder, Ray E. Mchale

Antioch University Dissertations & Theses

People living with bipolar disorder have vastly different presentations and experiences despite sharing a common diagnosis. While some research has explored the role of temperament in these different presentations (Azorin, Adida, & Belzeaux, 2015; Graham, Parker, Breakspear, & Mitchell, 2015; Iasevoli et al., 2013), little is currently known about whether individuals’ levels of introversion or extraversion are related to the symptoms they experience or their general way of understanding their experiences with bipolar disorder. For this study, participants were asked to complete an online survey that measured their level of extraversion, their symptoms of mania, and background information concerning their …

Proactive Stress Management For Firefighters, Amanda M. Mead

Antioch University Dissertations & Theses

Firefighters in the United States face significant risks as they serve their communities. Despite research that has thus far demonstrated the benefits of proactive coping strategies, and a previously suggested need for a proactive stress management program for firefighters, no such program has yet been implemented or evaluated specifically for firefighters. The purpose of this dissertation was to research stress and stress management using qualitative interviews with New Hampshire and Arizona firefighters to inform the development of a future primary prevention program (proactive stress management) to this at-risk population. Results yielded themes of sleep deprivation, stigma, protectiveness, mental health, lack …

Latent Structure Of The Wisconsin Card Sorting Test In Psychiatrically Hospitalized Youth, Jane S. Studeny

Antioch University Dissertations & Theses

The aims of this study were to explore the latent factor structure of WCST performance in psychiatrically hospitalized youth, and to investigate associations between latent factors and various psychiatric, psychological, and neuropsychological variables. The results revealed a three-factor solution that is broadly attributed to executive abilities of problem solving, cognitive flexibility, and inhibitory control. The resulting three-factor solution accounted for 96% of the variance in the present study’s sample, and was comparable to results from similar studies in adult populations. Latent factors were associated with performance on a brief test of intelligence as well as to several measures of executive …