Psychology Commons^™

Disclosing Mental Disorders: Whether, When, How, And With Whom To Share A Mental Disorder Diagnosis To Maximize The Likelihood Of Receiving A Positive Response, Eli Z. Hendricks

FHSS Mentored Research Conference

Individuals with mental disorders face complex decisions about whether, when, how, and to whom they disclose their diagnosis. Disclosure is significant because it can lead to both substantial positive and negative outcomes. This review examined how disclosure outcomes differ across five major classifications of mental disorders. Through a search of three academic databases, 23 relevant articles were identified and analyzed. Findings indicate that both the likelihood and type of disclosure outcomes vary considerably by diagnosis. Furthermore, the optimal disclosure strategy, which maximizes the likelihood of positive outcomes, is unique for each disorder. The optimal timing, context, and audience are also …

Schema, Stigma, And The “We-Them” Divide: Perspectives On Ageism From Everyday Life To Healthcare, Temple D. West

English Theses & Dissertations

Ageism remains a pervasive and often underexamined form of discrimination, affecting older adults across both everyday and clinical contexts. This paper explores how cognitive schemas—mental frameworks that shape perception and experience—and stigma interact to reinforce a “we–them” divide between and older patients and healthcare providers, as well as between older and younger individuals in broader society. Through focus groups and listening to the voices of older patients, this study examines how assumptions of age-based decline are embedded in society and inform schemas of ageism. It considers how those schemas shape the spoiled identity of older people as a stigmatized group, …

Mental Health Education For Latinx Students In High School, Wilbert F. Rivas-Vides

Capstone Projects and Master's Theses

Mental health has become a significant concern for adolescents, especially high school juniors and seniors who are getting ready to transition into adulthood. At this age, students often face academic pressure, uncertainty about their future, and the challenge of balancing increased independence with family and cultural expectations. These stressors can be even harder for students from immigrant, low-income, or bilingual backgrounds because they may face extra barriers when trying to seek support. National data show that mental and behavioral health conditions are common among teens, with anxiety and depression standing out as leading concerns (Sappenfield et al., 2024). To address …

Understanding Mental Health Crisis Response Through The Lens Of First Responders, Ella Gibson

Student Theses

Responses to mental health crises are becoming an increasingly contentious topic as cases of extreme police violence or fatality during a crisis are publicized in the media. Although first responders’ experiences with mental health crisis response have been explored in prior literature, there remains a lack of research that gathers data from multiple first responder roles and compares their experiences across groups. There is also a significant gap in research examining the perspectives of co-response teams. This study sought to gather qualitative data on the experiences of police officers, EMTs/paramedics, and co-response team members, and to explore their perceptions of …

Young Adults And Early-Onset Psychosis: A Grounded Theory Study Of Experiences Of Identity Development, Katherine Hayden-Lewis, Deborah Rubel

The Qualitative Report

While identity development is a crucial task for young individuals ages 15-25, current research inadequately centralizes identity development in the context of first-time psychosis related to schizophrenia spectrum disorders. This study addresses the knowledge gap by exploring the grand research question, “How does a young person experience their identity development after the first episode of psychosis?”. Constructivist grounded theory methods influenced by critical frameworks were used to collect and analyze data with seven young adults engaged in first episode psychosis programs. Participants were young adults, between the ages of 19-24, that at the time of the study were enrolled in …

Stigma And Barriers To Seeking Mental Health Care Among Emergency Department Providers – A Mixed Methods Study, Shannon C. White, Charlotte H. Harris, Ravindra Gopaul, Joshua M. Smyth

Student Papers, Posters & Projects

High levels of psychological distress and depression are common among clinicians working in US emergency departments [ED], yet treatment-seeking remains rare, contributing to burnout and negative well-being. Reluctance to seek care often reflects concerns about negative consequences (e.g., stigma, negative professional impact). We sought to characterize the availability of mental health resource availability, beliefs about seeking care, and barriers faced by emergency department healthcare providers. A sequential mixed-method design was employed. Phase 1 included a survey of ED physicians, advanced practice providers (APPs; i.e., nurse practitioners and physician assistants) and medical residents at an academic medical center. The survey assessed …

Understanding Firefighter Culture And Mental Health, Alyssa G. Chirillo

Doctoral Dissertations and Projects

This qualitative study, using a grounded theory approach, explores the lived experiences of firefighters, the cultural dynamics within the firefighting profession, and the stigma surrounding mental health, particularly post-traumatic stress disorder (PTSD), among this group. Drawing on previous research, the study examines how exposure to vicarious trauma, the roles and responsibilities of firefighters, and the inherent risks of the profession shape attitudes toward mental health treatment. The research investigates explicitly whether firefighter culture and lived experiences influence the pursuit of mental health support. Participants from the Summerville Fire Department in Summerville, South Carolina, were recruited voluntarily. Data were collected through …

Mental Illness And The Role Of The Church, Shelle Mathis

Doctoral Dissertations and Projects

Mental illness remains a growing concern in society, prompting increased focus on the church’s role in offering support. The purpose of this qualitative phenomenological study was to explore the beliefs, attitudes, and perceptions of pastors and congregants regarding mental illness and the stigmas associated with it. Sixteen adult participants, ages 31 to 65, from churches in Elyria and Lorain, Ohio, were interviewed through semi-structured questions. Thematic analysis revealed five key themes: stigma, overspiritualization, education and training, collaboration with mental health professionals, and resource accessibility and advocacy needs. Pastors with lived experience of mental illness expressed greater empathy and recognized the …

Factors Affecting Public Knowledge About Ocd Mental Health Literacy, Lauren Angell, Aleena Babu, Jimmy Dumont, Lauren Masapollo, Kaitlyn Silva

The Graduate Review

This research project aimed to examine how varying portrayals of obsessive-compulsive disorder (OCD) influence public mental health literacy (MHL). Our research questions focused on the impact of multidimensional vs single portrayals of OCD on OCD MHL, as well as the influence of certain sociodemographic factors on OCD MHL. Additional exploratory questions were investigated and aimed to explain the relationship between OCD MHL and media, as well as OCD MHL and education levels. To investigate these questions, the study employed a combination of experimental and survey-based methods. By fostering greater awareness of misinformation about OCD, the study not only aimed to …

Exploring Mental Health Stigma Among Law Enforcement Officers, Nicholas D. Chestnut

FDLA Journal

This applied dissertation investigates the prevalence and impact of mental health stigma among law enforcement officers (LEOs) in the United States. Despite growing awareness of the importance of mental health in the law enforcement community, stigma surrounding mental illness remains a significant barrier to help-seeking behaviors among officers. The study employed a research design that examined attitudes, perceptions, and experiences related to mental health stigma among LEOs.

Through online self-assessment surveys administered via a secure portal, participants provided insights into their attitudes toward mental illness, perceptions of stigma, and willingness to seek help for mental health concerns.

Data analysis revealed …

Stigma And Attitudes Of Hearing Parents Regarding Sign Language On The Perceived Resilience Of Their Deaf And Hard-Of-Hearing Emerging Adults: A Correlational Study, David Eric Barr

Doctoral Dissertations and Projects

Research studies investigating DHH emerging adults’ resilience are scarce. Current resilience investigations suggest that success in overcoming life challenges depends on the personal resourcing of learned social skills. For the DHH emerging adult, adversity (i.e., stigma and attitudes regarding sign language) fosters hindrance against resilience, which is imperative for one’s successful adaptation to challenging life experiences. The purpose of this quantitative correlational study was to examine stigma and the attitudes of hearing parents, the target population, regarding sign language and its perceived impact on the resilience of their Deaf and hard-of-hearing emerging adults. Data were collected using an online anonymous …

A Phenomenological Qualitative Study: The Lived Experiences Of Women Diagnosed With Substance Use Disorders And The Stigma Associated With Their Disorder, Emily E. Fitzgerald

Doctoral Dissertations and Projects

The purpose of this qualitative phenomenological study was to describe the lived experiences of women with the stigma of being diagnosed with substance use disorders within the Northeastern United States. Women diagnosed with substance use disorders who experience significant barriers to recovery were defined as a vulnerable population that experiences significant adversities and hardships navigating stigma and the wellness process. Substance use disorders have been a rising public health issue that affect millions of Americans across the United States, and societal and self-perceived stigma have continued to mitigate recovery efforts and individuals’ access to treatment and healthcare. This study focused …

The Problem Of Stigma: Equipping The Christian Church By Exploring An Integrated Response, Charles Mcgannon

Doctoral Dissertations and Projects

Research has shown stigma to be a significant barrier to help-seeking and effective functioning in every domain of human life. Current research has shown that attempts to enact a solution to this problem have largely failed and, in some cases, have made the problem worse. With an integrated approach incorporating the biblical perspective and supportive scientific insights, effective solutions were explored while helping to connect the Christian and scientific communities toward common goals of removing barriers for help-seekers and reducing stigma and its effects on human lives. For the current qualitative study, 10 leaders within the Christian Church were interviewed …

The Impact Of Mental Health Courts On Public Attitudes Held Toward Justice-Involved Individuals With Mental Illness, Maeve Porter

Student Theses

Prior research has established that mental health court programs play an important role in reducing recidivism and mental health symptoms of defendants. However, there is a lack of understanding of the stigma that justice-involved individuals may encounter upon release from mental health court into the community, and the extent to which the general public is aware of mental health court programs. The present study sought to address public perceptions regarding mental health courts, their efficacy, and their participants based on the awareness and availability of these specialized courts in two similar states (New York and New Jersey), one in which …

Internalized Weight Stigma As A Mediator Between Past Weight Stigma And Current Healthcare Avoidance/Comfort In Seeking Medical Care, Shannon Joyel Sagert

UNLV Theses, Dissertations, Professional Papers, and Capstones

Research has found that medical providers such as physicians, nurses, and medical support staff may contribute to externalized weight stigma directed toward youth (Garcia et al., 2016; Gorlick et al., 2021). Individuals who have encountered weight stigmatization may internalize those experiences, leading to psychological, physical, and behavioral changes that reduce their quality of life (Palad et al., 2019; Romano et al., 2023; Tanas et al., 2022; Zancu & Diaconu-Gherasim, 2023). However, little is known about how historical externalized weight stigma from medical providers relates to future healthcare access behaviors. This study examined whether internalized weight stigma mediated two relationships: First, …

Mind Mentor, The Workplace Mental Health Navigator: Evaluating The Utility Of A Self-Paced Web-Based Mental Health Awareness Training For Supervisors, Lauren Offermann

Theses, Dissertations and Culminating Projects

The growing prevalence of mental health challenges in the workplace – such as anxiety and depression, burnout, suicide, and substance abuse – has increased demand for evidence-based supervisor training programs that promote psychological well-being. This study evaluated the effectiveness of Mind Mentor: The Workplace Mental Health Navigator, a 1.5-hour, web-based, self-paced adaptation of the Mental Health Awareness Training (MHAT; Dimoff, 2016) for supervisors. The training aimed to enhance mental health knowledge, awareness, self-efficacy, and supportive behaviors among U.S.-based supervisors with at least one direct report. Using a pre/post/follow-up design (baseline N = 51, immediate post-test N = 35, and 4-week …

Understanding The Willingness Of Christian Ethnic Minority Student-Athletes To Seek On-Campus Mental Health Services: A Mixed Methods Approach, Benael J. John-Rose

Doctoral Dissertations and Projects

Romans 12:1 tells Christians that their unique physical abilities are gifts from God that should be used to honor Him (New International Version Bible, 1978/2011). Christian racial/ethnic minority student-athletes (CMSAs) often navigate complex intersections of spirituality, identity, and stigma in relation to mental health. Despite growing research in biopsychosocial-spiritual (BPSS) models, CMSAs remain underrepresented in mental health literature. This mixed-methods study explored the willingness of CMSAs to seek on-campus mental health services at a public university in the Southwestern United States. Data was collected through a web-based survey (N = 20) and semi-structured interviews with a subset of participants (N …

Moral Judgment Toward Individuals In Consensually Non-Monogamous Relationships As A Function Of Moral Foundations And Disgust Sensitivity, Dylan Selterman, Jeff Bowen, Ria Datwani, Amy C. Moors

Psychology Faculty Articles and Research

In two experiments we demonstrate how participants perceive individuals in consensually non-monogamous relationships (e.g., polyamory) more negatively compared to those in monogamous relationships, as a function of moral foundation variables and trait-level disgust sensitivity. In Study 1, we experimentally presented participants with vignettes depicting characters in one of two relationship types (monogamous or non-monogamous), after which participants completed character judgments (ethics) and relationship impressions. Participants viewed the characters in a monogamous relationship as more ethical and having higher relationship quality, and these associations were fully mediated by perceptions of the characters as pure, loyal, caring, fair, and honest. Participants high …

Stigma, Shame, And Narcissism: A Literature Review, Alex Gaither

University Honors Theses

This thesis is a literature review of 12 peer reviewed journal articles accessible through the Portland State University library database on the relationship between stigma, shame, and Narcissistic Personality Disorder (NPD). This thesis discusses ideas brought up in these articles regarding the classification and conceptualization of NPD as a disorder, the role that shame plays in the pathology of NPD, the ways that shame is addressed through treatment, and public and practitioner held bias resulting from the stigmatization of the disorder. New and upcoming ways of conceptualizing the disorder are also briefly discussed as there has been a push to …

Social Perception Of Bipolar Disorders On Employment Outcomes, Mary E. Henson

Student Theses and Dissertations

An important component to quality of life in those living with bipolar disorders is employment. Employment gives people an opportunity to provide for themselves and others, granting them the ability to live bountiful lives. For those with mental health diagnoses, it also provides them with economic access to affordable treatment. Literature agrees that many people with these diagnoses, specifically people with bipolar disorders, are less likely to be employed and maintain employment. It is likely that a lack of employment is due to stigma faced from employers and colleagues. Many studies have investigated internal stigma of bipolar disorders, but there …

Exploring The Connection Between Mental Health Stigma, Social-Emotional Risk, And Help-Seeking Behaviors Among High School Students, Dorie Ross

USF Tampa Graduate Theses and Dissertations

Throughout the United States, the rate of adolescents experiencing mental health-related challenges continues to rise, impacting their social-emotional well-being. Despite increasing concerns, the majority of adolescents do not seek treatment for mental health problems. One barrier contributing to a lack of help-seeking behaviors is mental health stigma. Furthermore, for students who have sought help for such concerns, there is a lack of consensus on whom high school students turn to for support when seeking help. The current study utilized quantitative methodology in the form of Structural Equation Modeling to examine the complex relationship between social-emotional risk, perceptions of mental health …

The Role Of Stigma In Help-Seeking Strategies Among African Migrants In Australia: A Qualitative Study, Agness Tembo, Kathomi Gatwiri, Obed Adonteng-Kissi, Nnaemeka Meribe, Lillian Mwanri, Frank Darkwa Baffour, Edith N. Botchway-Commey, David Chisanga, Ahmed A. Moustafa, Samara Kim, Uchechukwu Levi Osuagwu

Research outputs 2022 to 2026

African migrants living in Western countries often report experiencing high levels of stress, trauma and mental health conditions due to migration-related challenges, including racial discrimination, social exclusion and economic hardships. This mixed-method study that sought to explore to This mixed-method study explored the help-seeking behaviours of Africans in Australia. The quantitative study engaged 167 participants, who completed an online survey, and the qualitative aspect involved an in-depth interview with 12 participants. This paper reports on the qualitative aspect of the study, which was seen as essential to gaining deep, rich insights into the everyday meaning-making processes of how African migrants …

Experiences Of Group Support For Partners Of Sex Offenders, Monika Szabo

Walden Dissertations and Doctoral Studies

Intimate relationships with individuals who have committed sex offenses significantly stigmatize and traumatize partners. Partners also face barriers to effective treatment, negatively impacting both themselves and their children affected by these offenses. The purpose of this generic qualitative study was to gain an understanding of partners’ experiences with support groups in coping with trauma symptoms and stigma, thus addressing a gap in the literature. Grounded in theoretical concepts of trauma, mutual aid, and stigma, how social support dynamics facilitate healing by investigating coping strategies and support group stages to understand participants’ healing journeys were examined. Data were collected from 10 …

Reducing Stigma Towards Alcohol Use Disorder (Aud): A Parasocial Contact Approach, Prah Haider

Honors Thesis

Alcohol use disorder (AUD) is characterized by loss of control over alcohol intake, compulsive alcohol use and a negative emotional state when not drinking, which can follow a chronic, relapsing course (Carvalho et al., 2019). AUD ranks among the most prevalent mental disorders globally. According to the 2022 National Survey on Drug Use and Health, 28.8 million adults ages 18 and older (11.2% in this age group) had AUD in 2021 (NIH, 2024). My proposal seeks to create a novel approach to addressing stigma through creating the illusion of a relationship between a television viewer and a mediated on-screen persona. …

Speech Stigma: Exploring Predictors Of Attitudes Toward Nonspeaking Autistic Individuals, Kate Herrmann

Honors College Theses

Roughly 30% of autistic individuals are nonspeaking, meaning they do not (or very minimally) communicate with speech. Many nonspeaking individuals have the ability to communicate with others by using augmentative and alternative communication, such as speech-generating devices or communication boards. The purpose of this study was to examine the attitudes of speaking individuals toward nonspeaking autistic people through a survey measuring attitudes and stigma toward nonspeaking people, autistic people, and disabled people, respectively. Predictors of attitudes, such as contact, knowledge, gender, and psychological inflexibility were examined. It was hypothesized that participants who have more contact with and knowledge of nonspeaking, …

Is There A Limit? Honor Ideology And Perceptions Of Extremely Violent Responses To Threat, Alexandria Elise Archer

Undergraduate Honors Thesis Collection

Honor ideology revolves around the idea that men must obey strict masculine norms including toughness, bravery, and a lack of showing one’s emotions. These expectations contribute to stigma against mental illness and help seeking behavior due to perceptions that these behaviors are “unmanly”. Research has failed to examine who men who act in an honor consistent way (i.e., aggressive response to threat) but also struggle with mental health issues may be perceived within the framework of honor ideology. For this reason, we explored whether masculine honor ideology predicted differing perceptions of a man with schizophrenia versus a man without mental …

Navigating A Neurotypical World: The Relationship Between Perceptions Of Visible Vs Non-Visible Disabilities And Sense Of Belonging On A College Campus, Caroline Yager

Undergraduate Honors Thesis Collection

Disability is defined through social, historical, and functional perspectives, making the disability movement unique in its overall fight for increased acknowledgement, education, and rights (Robinson & Judge, 2017). Distinguishing the differences between visible and non-visible disabilities is important to provide a general understanding of the unique barriers and challenges that people with disabilities face on a daily basis. Both people with visible and non-visible disabilities encounter stigmas and discrimination that impact their employment or education, as well as misconceptions about their capabilities. This study utilized a diverse sample of undergraduate students recruited through the Prolific survey platform to ensure broad …

Student Veterans' Attitudes Towards Mental Health Issues And Treatments, Elicia S. Ramu

Undergraduate Honors Theses

Mental health concerns with United States veterans have been a pervasive issue for decades. The changes and evolving nature of the mental health field, including terminology and diagnoses, are believed to discourage veterans from reaching out and asking for help when it is needed most. However, these are not the only reasons why veterans choose not to seek out treatment. It has been found that other reasons include the stigma towards mental health alongside financial, external costs, and hidden costs of treatment. The following study has been conducted to understand the various barriers that hinder student veterans with mental health …

More Than Meets The Eye: Misaligned Expectations In Social Interactions For Individuals With Chronic Illness, Janice Patricia

Dissertations and Theses Collection (Open Access)

Despite the importance of social relationships for well-being, individuals with chronic illness often face barriers that deter them from initiating meaningful connections, such as perceived stigma, fear of rejection, or strained relationships upon a disclosure of their illness. These challenges reveal two key misalignments: overestimated negative (or underestimated positive) expectations of social interactions held by individuals with chronic illness, as well as perceptions held by potential acquaintances. The present study examined how these misalignments hinder social interactions and relationship initiation. Study 1 involved individuals with chronic illness and revealed that participants overestimated the likelihood of awkwardness, disrespect, and rejection, while …

Protective And Risk-Related Factors Associated With College Student Burnout, Dominic X. Chavez

Honors Theses

Burnout is an occupational phenomenon commonly defined by the exhaustion, cynicism, and lack of efficacy a person experiences with regard to their role (i.e., educator, healthcare worker, student, etc.). Despite the prevalence of burnout in academia, very few research studies have attempted to examine the variables associated with burnout’s severity in the case of American college and university students. Thus, the current study sought to analyze the protective and risk-related factors previously determined to be associated with academic burnout within a college population. Specifically, burnout self-ratings were compared to perceived burnout stigma, resilience, perceived social support, help-seeking attitudes, and perceived …