Clinical Psychology Commons^™

Trauma In Patients With Serious Mental Illness: The Acceptability And Impact Of A Brief Psychoeducational Intervention For Trauma In The General Acute Inpatient Psychiatric Setting, Kevin E. A. Giangrasso

PCOM Psychology Dissertations

Prevalence rates of posttraumatic stress disorder (PTSD) for individuals with serious mental illnesses (SMIs) are high, with an estimated 49% to 100% being exposed to potentially traumatic events. The consequences of these disorders are serious and lasting, with PTSD being the costliest of mental health disorders. At the same time, established evidence-based treatments for PTSD are often not feasible in treatment settings utilized by individuals with SMIs, namely the general acute inpatient psychiatric hospital. Psychoeducational approaches have been incorporated as a component of evidence-based interventions for trauma and have been feasibly implemented in the general acute inpatient psychiatric hospital. The …

Institutional Aggression: Psychometric Development Of A Predictive Risk Assessment Screening Tool, Lauren Spotts M.S.

PCOM Psychology Dissertations

Aggression among those with mental illnesses has been extensively reviewed. Research has shown that aggression within an institutional or hospital setting, that is presently termed “Institutional Aggression,” threatens the ability to provide a safe and therapeutic environment for both patients and staff. Although earlier measures have been designed to address this construct, the present study examines Institutional Aggression based on the parameters of the Overt Aggression Scale (OAS; Yudofsky, Silver, Jackson, Endicott, & Williams, 1986). The purpose of the current study was to determine the predictive relationship between clinical and sociodemographic factors and the rate of Institutional Aggression with the …

An Attempt To Establish Approval As A Learned Reinforcer, Kelly T. Kohler

Dissertations

Approval does not function as a powerful reinforcer for many children with autism, making it difficult to reinforce appropriate behavior in a functional and consistent manner. The current study first assessed the effects of establishing approval (“Nice,” accompanied by a smile and nod) and nonsense words as discriminative stimuli, with the intent that they might also become learned reinforcers. We conducted several experiments to assess the effectiveness of approval as a reinforcer, including tests on learning new responses (receptive, expressive, freeoperant, and simple simultaneous discriminations) and tests on the performance of previously mastered responses (receptive and expressive responses). Despite the …

The Cessation Of Nssi: Differences In Acquired Capability And Distress Tolerance, Rondel T. Kittleman

Masters Theses & Specialist Projects

The purpose of this investigation was to examine the role of cessation of NSSI in acquired capability and distress tolerance. It was hypothesized that individuals with longer time in-between assessment and NSSI would show lower levels of acquired capability and higher levels distress tolerance regardless of lifetime frequency. These hypotheses were tested by surveying 375 undergraduate university students (64% female; mean age = 20.3) Participants completed packets with self-report measures that included: Inventory of Statements about Self- Injury, Acquired Capability of Suicide Scale, Distress Tolerance Scale, and Demographics. Results suggested that individuals with longer amount of time since last NSSI …

The Effects Of Varying Duration Of Reinforcement On Novel Selection-Based Mands Versus Topgraphy-Based Mands, Nicholas S. Acker

Masters Theses

In recent years, researchers have evaluated individuals' preferences for different mand modalities and its effects on the acquisition of novel mands during functional con1munication training (i.e., FCT; e.g., Falcomata, Ringdahl, Christensen, & Boelter, 20 I 0). In many of these studies, the modality of responding that Michael ( 1985) classified as selection-based responding, is preferred by participants (e.g., Falcomata et al., 201 0). Wraikat, Sundberg, and Michael (1991) suggest that topography-based responses may be preferable for the acquisition of complex language. However, selection-based verbal responses may have faster acquisition in learning initial verbal operants (Charlop-Christy, Carpenter, Le, LeBlanc & Kellet, …

Differences In Narcissistic Presentation In Abused And Non-Abused Children And Adolescents, Mallory Laine Malkin

Dissertations

The present study examined whether children and adolescents who have been victims of sexual or physical abuse report higher levels of narcissistic tendencies than children and adolescents who have not been victims of abuse. Inaddition to narcissism, internalizing symptoms, externalizing behaviors, and risky behaviors were evaluated, as such issues have been associated with both maltreatment (Baer & Maschi, 2003) and narcissism (Barry & Malkin, 2010; Bushman & Baumeister, 1998). One-hundred fifty- six (156) children and adolescents (100 females, 56 males) ranging in age from 8 to 17 (M = 12.90, SD = 2.66) were recruited as participants. The vast majority …

Normative Feedback, Levels Of Narcissism, And Student Evaluations Of A Lecture, Shirley Ann Hodges

Dissertations

Individuals who have narcissistic traits have a tendency to behave more aggressively in both indirect and direct ways, especially when confronted with negative feedback that threatens their self-esteem. Little is known about how trait-level individual differences affect aggression for people who have narcissistic tendencies. Among adults, where direct confrontation is generally discouraged, aggression may be difficult to detect. Rational-appearing aggression is used in the workplace, generally by supervisors toward employees. In some environments, however, including academic environments, 360o feedback is prevalent, with faculty grading student performance and students evaluating faculty in the form of course evaluations. Faculty are held accountable …

Incarceration And Reintegration: How It Impacts Mental Health, April M. Marier, Alex Alfredo Reyes

Electronic Theses, Projects, and Dissertations

ABSTRACT

Background: Previous criminal justice policies have been non-effective leading to overpopulated prisons and unsuccessful reintegration. There is a lack of effective supportive and/or rehabilitative services resulting in high rates of recidivism and mental health implications. Objective: This study investigated the perceived impact that incarceration and reintegration with little to no supportive and/or rehabilitative services has on the mental health status of an individual. The emphasis was on participant perception and not on professional reports because of underreporting and lack of attention to mental health in the criminal justice system. Methods: Focus groups in the Inland Empire and Coachella Valley …

Who Will Defy Authority? Personality Features And Destructive Obedience In The Milgram Paradigm, Ashton Caroline Southard

Dissertations

The present study examined the potential role of individual differences in personality in the likelihood of engaging in destructive obedience to authority within a modified version of the Stanley Milgram paradigm (Milgram, 1963, 1974). Personality features examined included the Big Five dimensions of agreeableness, openness, neuroticism, conscientiousness, and extraversion, and the dimensions of the Dark Triad, which consist of narcissism, psychopathy, and Machiavellianism (Paulhus & Williams, 2002). Participants were 39 undergraduates enrolled in introductory psychology classes who participated in exchange for partial fulfillment of a research requirement. Data were collected in two phases. Phase 1 consisted of online completion of …

Psychometric Evaluation Of A Standardized Set Of Alcohol Cue Photographs To Assess Craving, David Edison Lovett

Graduate Theses and Dissertations

To date, research paradigms using alcohol-related stimuli have been limited in their reliability and generalizability due to a lack of published studies examining the psychometric properties of alcohol cues. The primary aim of the current study was to examine the factor structure of a set of alcohol cues and the associated validity and reliability of examining craving for alcohol in an alcohol cue-reactivity paradigm. Participants (N = 195, 74.4% male, 56.4% Asian, Asian American, or Pacific Islander) completed a web-based survey in which valence, arousal, and craving ratings were obtained following presentation of picture cues. Prior to picture cues, participants …

An Anti-Bullying Intervention For Children With Autism Spectrum Disorder, Catherine Rex

CMC Senior Theses

The effects of a video modeling intervention, given to six children with ASD, were evaluated through a multiple-baseline and multiple-probe design across children. The research targeted teaching children with ASD to assertively respond to physical bullying, verbal bullying, and social exclusion, as well as telling one’s mother. In baseline, the participants demonstrated inconsistent to no skills for responding to the bullying in the vignette movies (SAAS) and the generalization probe skits. During intervention the participants watched a video of a person assertively responding to bullying, and were assessed through VM questions and SAAS. Post-intervention the children participated in generalization probe …

Suicide-Related Imagining And Acquired Capability: Investigating The Role Of Imagery In Self-Harm Behaviors, Tara C. Holaday

Masters Theses & Specialist Projects

The purpose of this investigation was to examine the role of suicide-related mental imagery in suicidal behavior. It was hypothesized that engagement (frequency, emotional impact, vividness, realism) with suicidal imagery would be related to suicidality, with greater engagement with imagery associated with more suicidal behaviors. Acquired capability for suicide was expected to be a mediator of this relationship. These hypotheses were tested by surveying 237 undergraduate university students (59% female; mean age = 20). Students completed a packet of self-report measures: The Modified Suicidal Cognitions Interview, The Acquired Capability for Suicide Scale, and the Self-Harm Behavior Questionnaire. Results suggested that …

Feeling Sad? Maybe You Are Just Uncertain! A Predictive Test For Depression, Dana Elizabeth Larson

Masters Theses & Specialist Projects

The current study examined the relationship between depression and uncertainty within the stress-diathesis model. Depression is a mental health disorder that is wide spread within our society. However, few causes of this disease have been able to be identified. Studies in uncertainty have shown that it is a major stressor in day-to-day life. Previous research has shown that individuals with high levels of uncertainty show higher levels of depression. The stress-diathesis model, a model originally developed to explain differences in development of schizophrenia, provides a theoretically meaningful way to combine these two concepts. The model states that a person who …

Actively Caring About The Actively Caring Survey: Evaluating The Reliability And Validity Of A Measure Of Dispositional Altruism, Philip Randall

Electronic Theses and Dissertations

Geller’s Actively Caring Survey (ACS) was theorized to measure person states deemed necessary to “Actively Care” or act altruistically toward others. Empirical research of the ACS has been limited, and this researcher sought to evaluate its reliability, validity, and factorial consistency. Undergraduate students (n = 1,095) completed the measure online. Hypotheses were partially supported. Unrotated primary component analysis found the ACS to be a unitary measure with 73.3% of the items loading onto the first factor. The ACS showed excellent internal consistency. Convergent and divergent validity with existing measures (i.e., the Big 5 Personality, Marlowe-Crowne Social Desirability, Cognitive Failures …

Mindfulness, Facets Of Big Five Personalities, And Psychological Health, Nicholas J. Schmidt

Dissertations

The concept of mindfulness, nonjudgmentally being aware of one’s environment, whether internal or external, has long been a core component of eastern religions, such as Buddhism, for over 2,000 years. Not until relatively recently, however, has the concept of mindfulness gained attention in Western psychology. As mindfulness has come to be associated with both psychological health and the absence of psychological distress, its practice has begun to be implemented in a number of cognitive behavioral therapies for a wide range of mental disorders.

The purpose of the present study was to examine the possible relationships between facets of measures used …

Effectiveness Of Teacher-Implemented Function-Based Interventions Versus Non-Function-Based Interventions For Preschoolers, Katherine Marie Bellone

Dissertations

Disruptive behaviors occur frequently in preschool classrooms. Children who exhibit early-onset behavioral concerns in educational settings are at greater risk for negative developmental outcomes than their peers. In order to address problem behaviors in the classroom, practitioners may use functional assessment methodology to design an individualized intervention tied to the function of the behavior. Alternatively, practitioners may choose to use an evidence-based practice, not tied to behavioral function, shown to be beneficial through research. Though much research states the need for empirical comparisons between function-based interventions and non-function-based interventions, past comparisons have often been unbalanced, such that the interventions included …

Computerized Behavioral Activation Treatment For Major Depressive Disorder And The Effects On Sexual Desire, Anthony G. Bonita

Dissertations

The present study was designed to examine the effects of a computerized behavioral activation treatment program on sexual desire, sexual behavior, and depression symptoms. Seven adults who met criteria for either major depressive disorder or dysthymic disorder were recruited from Kalamazoo, Portage, and surrounding areas in Southwestern Michigan. All participants completed at least five sessions of behavioral activation treatment, and six out of seven participants completed all ten sessions. Symptoms of depression, sexual desire, and sexual behavior were assessed at pretreatment and before each treatment session through a combination of the Beck Depression Inventory – II (BDI-II), the Revised Hamilton …

Treatment Of Psychiatric Inpatients With Relationship Dysfunction Using A Short Term Cognitive Interpersonal Intervention: A Pilot Study, Tamra Rasberry

Doctoral Dissertations and Projects

Relationship conflict for the psychiatric patient can have significant detrimental effects. There are specific types of interactions that can increase conflict and predict the potential for relapse; these have been identified by research and designated as components of Expressed Emotion (EE). Cognitive Behavioral Therapy (CBT) and Interpersonal Therapy (IPT) have been very effective when targeting specific psychiatric diagnoses, but less effective when addressing relationship conflict. The majority of studies addressing relationship conflict have taken place in an outpatient, long-term setting. There is limited research that utilizes an inpatient short-term intensive therapy with relationship conflict as its sole focus, targeting areas …

Empowerment-Based Positive Youth Development: A New Understanding Of Healthy Development For African American Youth, Raphael Travis Jr., Tamara Leech

Department of Public Health Scholarship and Creative Works

A shift occurred in research about adolescents in the general population. Research is moving away from deficits toward a resilience paradigm and understanding trajectories of positive youth development. This shift has been less consistent in research and practice with African American youth. A gap also exists in understanding whether individual youth development dimensions generate potential in other dimensions. This study presents an empowerment-based positive youth development model. It builds upon existing research to present a new vision of healthy development for African American youth that is strengths-based, developmental, culture-bound, and action-oriented. It emphasizes the relationship between person and environment, the …

Can Psychopathic Traits Contribute To Success In Adolescence? Relations Between Boldness, Meanness, Disinhibition, And Adaptive Functioning, Matthew David Guelker

Dissertations

Psychopathy, though frequently couched as a distinctive set of traits with violent and aggressive behavioral consequences (i.e., Hart, Kropp, & Hare, 1988; McCord & McCord, 1964; Millon & Davis, 1998), was presented in one of the original conceptualizations as a set of specific traits (i.e., emotional unresponsiveness and behavioral deviance) that could manifest as charm, confidence, and social dominance without resulting in criminality and aggression (Cleckley, 1941, 1988). More recently, Patrick, Fowles, and Krueger (2009) developed the Triarchic Conceptualization of psychopathy that differentiates underlying components of psychopathy into boldness, meanness, and disinhibition. The factor structure of the Triarchic Psychopathy Measure …

Eating Behaviors Of Older Adults Participating In Government-Sponsored Programs With Different Demographic Backgrounds, Yeon Bai, Shahla M. Wunderlich, Joseph Brusca, Johnson-Austin Marti, Michelle O'Malley

Department of Nutrition and Food Studies Scholarship and Creative Works

The purpose of this study was to determine the food behaviors of nutritionally high-risk seniors as a function of their racial background, gender, marital status, and education level. A total of 69 seniors were identified to be at high nutritional risk using the Nutrition Screening Initiative (NSI) checklist. A supplemental questionnaire (SQ) was created to examine the risk factors in relation to the participant’s demographic background. Key results indicated that Asians practiced healthy food behaviors and women were more likely to eat alone (p≤0.05). Married participants (90.9%) were most likely to consume 2 meals or more each day. College educated …

Empirical Identification Of Axis I And Axis Ii Symptom Subtypes Of Sex Addiction Using Lateny Profile Analysis, Maria Isabel Nino De Guzman

Dissertations

Sexual addiction is a disorder characterized by lack of control over sexual urges, pathological relationships and lack of intimacy, mood-altering experiences, and adverse consequences that tend to be disregarded by the person affected. Although not classified as a mental disorder in the Diagnostic Statistical Manual-IV-TR (DSM-IV-TR, APA, 2000) this distressful sexual manifestation is increasingly recognized as a clinical and public health problem. Previous studies suggest commonalities with addictive disorders and maladaptive personality traits. The purpose of the current study was to analyze personality configurations of individuals diagnosed as sex addicts and uncover specific subtypes or profiles associated to sexually addictive …

Does Psychopathy Predict Future Risky Sexual Behavior?, Jessica Jade Fulton

Dissertations

Risky sexual behavior (RSB), such as having sex with an unknown partner, is associated with a variety of negative consequences including sexually transmitted diseases and unplanned pregnancy. Previous research (e.g., Fulton, Marcus, & Payne, 2010) suggests that psychopathic personality traits as assessed by the Psychopathic Personality Inventory (Lilienfeld & Andrews, 1996) are associated with RSB. Self-Centered Impulsivity (SCI), which is characterized by impulsivity, irresponsibility, and reckless behavior, was positively associated with RSB among men and women. In contrast, Fearless Dominance (FD), which is characterized by fearlessness, manipulativeness, and social dominance, was positively associated with RSB among men but not women. …

Narcissism And Interpersonal Relationships: Examining The Use Of Prosocial And Coercive Behavior Strategies Among Adolescents In A Residential Setting, Marion Tam'eca Wallace

Dissertations

The association between Machiavellianism and bistrategic control has been demonstrated in children and adolescents (Hawley, 2003). Machiavellianism shares several features with narcissism. The present study investigated whether adolescents with higher levels of narcissism were perceived by peers as engaging in prosocial or antisocial behaviors depending on the phase of the relationship and whether control strategies translated to peers’ ratings of likability. Forty-seven participants (43 males, 4 females) provided data for this study. Overall, individuals who reported higher levels of Machiavellianism also reported using more coercive behavior strategies. Self-reported narcissism was only associated with self-reported use of more coercive control strategies …

The Differential Association Between Alexithymia And Primary Versus Secondary Psychopathy, Gwendoline Cecilia Lander, Catherine J. Lutz-Zois, Mark S. Rye, Jackson A. Goodnight

Psychology Faculty Publications

Using a sample of 104 college students, this study tested the hypothesis that alexithymia is positively related to secondary (also known as “neurotic psychopathy”), but not primary psychopathy (i.e., inability to form emotional bonds with others and a fear insensitivity). Participants completed the TAS-20 (alexithymia), the LSRP (primary and secondary psychopathy), the PPI-R (psychopathy), and the trait version of the STAI (trait anxiety). The interaction between the latter two measures was used as a second index of primary and secondary psychopathy. Support was found for the study hypothesis with both methods of assessing psychopathy (i.e., the LSRP subscales or the …

Anxiety Sensitivity, Non-Acceptance, And Coping Motives For Alcohol Use, Jennifer Ann Shaver

Graduate Theses and Dissertations

The present study probed the concurrent relation of two theoretically associated risk factors for coping-motivated substance use - non-acceptance of negative affect and anxiety sensitivity - with coping-motivated drinking frequency (drinking to cope). A two-factor model of coping-motivated substance use put forth by Brown, Lejuez, Kahler, Strong, and Zvolensky (2005) suggests that both non-acceptance and the physical and Social dimensions of anxiety sensitivity might be related to coping motives for substance use broadly. The present study represents a particularly stringent test of this model in the field of alcohol use motives. It was hypothesized that the individual facets of AS …

The Relationship Of Testosterone And 5-Ht To Aggressive, Self-Aggressive, And Antisocial Behavior In Men, Anne Winston Mcintyre

Master's Theses

Studies of humans show an inconsistent relationship between aggression and T, as well as between T and antisocial and self-aggressive behavior. Other biological variables, including cortisol and brain serotonin, have been implicated as having an effect on the regulation of antisocial and self-aggressive behavior. Researchers have suggested that inconsistencies in the T-aggression relation may be due to the presence of moderating variables. One theory posits that serotonin moderates the relation between T and aggression. The purpose of this study was to examine the relationship between T (as well as cortisol and 5-HT) and aggression-related constructs. A second purpose was to …

An Empirical Investigation Of Emotional Reactivity And Elevated Mental Contamination: A Comparison Of Sexual And Physical Assault, Christal Badour

Graduate Theses and Dissertations

Although evidence suggests that disgust and disgust-related phenomena such as mental contamination should be associated with the experience of sexual assault, there has been relatively little direct examination of this relation. Consequently, the primary aim of the current study was to conduct a multimodal assessment of disgust and mental contamination-based reactivity to an individualized script-driven imagery procedure. Participants included 27 sexually assaulted, 25 physically assaulted, and 30 non-traumatized control female adults. Subjective reactivity (i.e., ratings of disgust, anxiety, feelings of dirtiness, and urges to wash), physiological reactivity (i.e., electromyogram activity of the right levator labii superioris and medial frontalis regions) …

Testing The Effectiveness Of An Interactive Multimedia System To Train Clinicians In Behavioral Activation, Suzanne E. Decker

Dissertations

Although many treatments for mental health disorders have been found to be effective in research, community clinicians may not receive training in such empirically supported treatments, and therefore, individuals suffering from disorders may not have access to empirically supported treatment in the community. This study examined the use of an interactive multi-media computerized therapy program, Building a Meaningful Life through Behavioral Activation, as a training tool for mental health clinicians (N=21) using a pre-post study design. Participating clinicians were invited to complete this computer program over the course of several weeks, and to complete knowledge quizzes and written responses …

Using Environmental Sounds To Initiate Receptive Language Training For Children With Autism, Woan Tian Chow

Dissertations

A pre-test showed that three pre-school children with autism had difficulty learning to match spoken words to objects (receptive identification). Therefore, they were first taught to match environmental sounds to objects (e.g., to touch a tambourine, when they heard the sound of the tambourine) and then to match spoken words to other objects while continuing to match the mastered environmental sounds to the original objects.

For all three children, simply learning the environmental-sound/object matching did not facilitate learning spoken-word/object matching; however intermixing the training of spoken-word/object matching with the previously mastered environmentalsound/ object matching did result in the mastery of …