Clinical Psychology Commons^™

Multiple Determinants Of Sexualized Behavior In Middle Childhood: A Developmental Psychopathology Perspective, Natasha Elkovitch

Department of Psychology: Dissertations, Theses, and Student Research

In order to adequately and appropriately intervene with children exhibiting problematic sexual behaviors, a comprehensive understanding of etiology is imperative. Although sexually abused children are observed engaging in more problematic sexual behaviors than their normative or psychiatric counterparts, it is clear that such behaviors may be the result of factors other than, or in addition to, sexual abuse. The goal of the present study was utilize a developmental psychopathology perspective in broadening our understanding of mechanisms associated with the development of problematic sexual behaviors in childhood. Participants for the study include 1, 149 children (51.8% female) drawn from the Longitudinal …

The Influence Of Treatment Team Cohesion In The Success Of In-Home Mental Health Treatment For Children And Adolescents With Emotional And Behavioral Disorders, Jaimie C. Orndorff

Antioch University Dissertations & Theses

Background: The author pursued this area of interest due to having had a positive experience working as a therapist within a high cohesion treatment team in an in-home setting. This experience with a high cohesion team seemed to lead to more successful results than other teams that were deemed low cohesion, in the same format. This experience led to a general curiosity about why the team this author was on was more effective. Additional research allowed this author to determine the possible link between cohesion, success of treatment and reduced risk for burnout, defined as a response to chronic job …

A Molecular Analysis Of Training Multiple Versus Single Manipulations To Establish A Generalized Manipulative Imitation Repertoire, Breanne K. Hartley

Dissertations

This study evaluates the necessity of training multiple versus single manipulativeimitations per object in order to establish generalized manipulative-imitation. Training took place in Croyden Avenue School's Early Childhood Developmental Delay preschool classroom in Kalamazoo, MI. Two groups of 3 children each were trained to imitate in order to determine the most appropriate number of manipulations required (per object) to establish a generalized manipulative-imitation repertoire. Three children received single-manipulations training, and 3 children received multiple-manipulations training. It was anticipated that the multiple-manipulations training group would acquire a greater amount of generalized manipulative-imitation because the training required that the children discriminate between …

Attachment: The Antidote To Trauma, Joshua Straub

Faculty Publications and Presentations

Trauma and loss in life are inevitable. And all too often the traumatic experience itself can be enough to paralyze the mental, emotional, and spiritual state of any given person. Unable to interpret the traumatic experience, many instead are left defined by it. Helping clients discern the objective experience and their subjective reactions to it will help free them from the emotions and beliefs that subsequently control their lives. Based on the most relevant attachment theory research and clinical techniques, this workshop teaches the attentional strategies necessary to helping clients overcome trauma.

Social Support Domains For Parents Of Children With Autism Spectrum Disorder: Assessing Perceived Needs And Stress Levels, Rachel N. Wolf

Masters Theses & Specialist Projects

The current study investigated types of social support needs through a number of domains reported by parents of children with autism spectrum disorder (ASD) along with the relationship of these needs to reported parental stress. Female participants (N = 35) in the South Central Kentucky region responded to a number of measures regarding perceptions of their current stress levels on the Parenting Stress Index - Short Form (PSI-SF) and their perceptions on social support needs through a modified version of the Family Needs Questionnaire (FNQ). The results indicated that there was a moderately strong correlation between social support needs and …

A Longitudinal Examination Of Outcomes Related To Emotional Abuse In Children, Lauren Seale Fryer

Dissertations

Emotional abuse has been linked to both intemalizing and extemalizing outcomes in adults and children, even after controlling for the presence of physical and/or sexual abuse in childhood (Braver, Bumberry, Green, & Rawson, 1992; Gibb et al., 2001; Kaufman & Cicchetti, 1989; Kim & Cicchetti, 2006). The developmental/organizational perspective, as well as attachment theory, suggests that emotional abuse occurring in childhood will result in disrupted views of subsequent relationships, leading to maladaptive outcomes such as aggression, depression, and low self-esteem (Cicchetti & Toth, 1995). The current study examined these relations in an archival sample of lowincome urban children ages 5 …

History Of Maltreatment And Psychiatric Impairment In Children In Outpatient Psychiatric Treatment, Kerry Gagnon

Honors Scholar Theses

There is increasing evidence that childhood victimization and attachment disruptions impact a child’s development. In this study, children and adolescents from an outpatient psychiatric clinic were assessed, measuring history of trauma, history of out-of-home placement, initial diagnoses, and CBCL internalizing and externalizing problem scores. Multiple regression analyses showed that both violent abuse trauma (physical/sexual abuse) and victim trauma (physical abuse/sexual abuse/witnessing domestic violence/witnessing community violence) are prevalent among patients with externalizing severity problems; concluding that diagnosis alone may not account for a history of victimization, but externalizing problem severity does. Overall, the study is consistent with past literature that it …

Parental Abduction From The Perspective Of The Victims: Implications For Counselors, Mary Jo L. Gibbs

UNLV Theses, Dissertations, Professional Papers, and Capstones

This is a descriptive study that examined parental abductions from the perspective of the abductee. The results will help counseling professionals better to understand the psychological consequences of parental abduction, coping mechanisms that were used by the abducted children and counseling techniques and strategies that helped the children through this difficult time and after being returned to the left-behind parent.

A 32 multiple choice and short answer questionnaire was developed for this study. The survey consists of 12 closed answer (Yes or No) questions, three open ended questions, and seventeen demographic questions. The questionnaire was given through a phone interview …

The Effects Of Prenatal Exposure Of Valproic Acid On Cranial Nerve Nuclei: A Rat Model For An Autistic Phenotype, Shannon Pickup

Renée Crown University Honors Thesis Projects - All

Autistic spectrum disorder is a term referring to five pervasive developmental disorders characterized by impairment in social interaction, deficits in verbal and non-verbal communication and stereotyped repetitive behaviors and interests. The underlying brain injury that leads to autism is also unknown. The cause is also unknown but appears to be a combination of genetic and environmental factors. A study on prenatal thalidomide exposure found patients exposure on days 20-24 of gestation lead to a 1/3 rate of autism, a huge increase from the 1/150 rate of the general population. The thalidomide data suggests the initial injury leading to autism occurs …

Examining Adolescent Suicide: How To Identify The Risks, Kelsey Moellering

Honors Capstones

Capstone submitted as a graduation requirement for the BSU Honors Program.

Training The Execution Of Single-Case Research Methodology Skills In An Early And Intensive Behavioral Intervention Setting, Jessa R. Love

Dissertations

Early and intensive behavioral intervention (EIBI) for children with autism is a fruitful area for conducting research on clinically relevant problems in an attempt to investigate some of the unanswered questions about which procedures are most effective and efficient. Unfortunately, it is unlikely that therapists providing these services have received adequate training in conducting relevant single-case design research in this area. Providing such therapists with the skills needed to implement single-case design research protocols could improve the use of the scientist-practitioner model in these settings and greatly expand the base of scientific knowledge in the area.

Behavioral Skills Training (BST; …

School-Based Screening To Identify At-Risk Students Not Already Known To School Professionals: The Columbia Suicide Screen, Michelle A. Scott, Holly C. Wilcox, Irvin Sam Schonfeld, Mark Davies, Roger C. Hicks, J. Blake Turner, David Shaffer

Publications and Research

Objectives.Wesought todeterminethedegreeofoverlapbetweenstudents identified through school-based suicide screening and those thought to be at risk by school administrative and clinical professionals. Methods. Students from7 high schools in theNewYorkmetropolitan area completed the Columbia Suicide Screen; 489 of the 1729 students screened had positive results. The clinical status of 641 students (73% of those who had screened positive and 23%of thosewho had screened negative) was assessedwithmodules from the Diagnostic Interview Schedule for Children. School professionals nominated by their principal and unaware of students’ screening and diagnostic status were asked to indicate whether they were concerned about the emotional well-being of each participating student. …

Child Neglect And Trauma: The Additive Traumatic Effects Of Neglect On Maltreated Adolescents, Adrianna Rachel Wechsler

UNLV Theses, Dissertations, Professional Papers, and Capstones

Child maltreatment affects thousands of youths in the United States and poses numerous detrimental effects to individuals, families, and the community. Neglect is the most commonly reported and least studied form of child maltreatment. All types of child maltreatment may result in negative outcomes, but the chronic and pervasive nature of child neglect poses a significant threat to child development. No studies have been published evaluating the role of child neglect in the development of Posttraumatic Stress Disorder (PTSD) and PTSD-related symptoms. This study examined whether neglect has an additive traumatic effect on maltreated youth. The first hypothesis was that …

Using Virtual Reality Enhanced Behavioral Skills Training To Teach Street-Crossing Skills To Children And Adolescents With Autism Spectrum Disorders, Tina R. Goldsmith

Dissertations

Children with Autism Spectrum Disorders (ASDs) often have poor safety skills due to their insensitivity to subtle environmental cues and poor problem solving in the face of stressful tasks. These skill deficits threaten their physical well-being and limit their personal independence. An effective intervention model for teaching safety skills is behavioral skills training (BST). The effects of this 4-part intervention, which includes Instructions, Modeling, Rehearsal, and Feedback, improve with the addition of in situ training. However, creating realistic, safe, and logistically feasible contexts for rehearsal of skills may prove difficult, if not impossible. Virtual reality (VR) may present a solution. …

Combined Cognitive Behavioral Treatment Plus Caregiver Sessions For Childhood Depression, Dikla Eckshtain

Dissertations

Childhood depression is intimately related to the family context and caregiver-child relations, but only a limited number of treatment outcome studies for depressed youth have formally included members of the family in the intervention. To address this discrepancy the present study evaluated the efficacy of adding caregiver sessions to individual cognitive behavioral therapy (CBT) for the treatment of depressed youth. The treatment included 16 individual sessions and 7 caregiver sessions administered in the child's school to promote accessibility. Fifteen children (10 females and 5 males ranging in age from 8-13), who met inclusion criteria based on self-report and interview measures …

A Comparison Of Maintenance-Training Methods For Children Diagnosed With Autism, Nicholas L. Weatherly

Dissertations

The current study evaluated the effects of two different maintenance-training methods and one control condition on skill maintenance within a public-school classroom for children diagnosed with autism. The two training methods involved the use of either a continuous-reinforcement schedule or a thinned partial-reinforcement schedule during 20 overlearning training sessions following skill acquisition. The control condition did not involve any overlearning following skill acquisition. Three children were each taught two curricular programs, with each program involving the two training methods and the control condition using a multielement design. Overlearning using a thinned partial-reinforcement schedule reliably produced greater maintenance across all participants, …

The Impact Of Adolescent Social Anxiety On Adulthood Adjustment Among Sexually Abused Girls, Madeline Anne Rakow Ivanchenko

Master's Theses and Doctoral Dissertations

Childhood sexual abuse (CSA) is a significant social problem that has gained increased recognition since the 1980s. The increased attention has led to a substantial body of research that documents both the high prevalence and pervasive effects of CSA. CSA is associated with a wide range of adulthood psychopathology, including major depression, posttraumatic stress disorder, anxiety disorders, substance use, suicidal behavior, alterations in self-concept, and disruptions in interpersonal relatedness (Beichtman, Zucker, Hood, DaCosta & Cassavia, 1992; Browne & Finkelhor, 1986; Cole & Putnam, 1992; Polusny & Follette, 1995; Russell, 1986; Wilson, 2006). Sexually abused children are also at a higher …

Schedule Thinning Following Mand Training: Attempts To Enhance Signaled Delay To Reinforcement, Jamie M. Severtson

Masters Theses

Mand training, a common component of language training programs for children with autism, is associated with several clinical benefits (Sundberg & Michael, 2001), yet mand training sometimes results in high-rate responding that is difficult to maintain. One method of reducing high-rate mands to manageable rates is known as graduated signaled delay to reinforcement. The current investigation involved a series of three studies to evaluate the ability of three independent variables (a) highly preferred toys, (b) signal duration, and (c) schedule thinning methods to enhance signaled delay to reinforcement. The results of the three studies indicate that 7 of the 8 …

Effects Of Father Absence On Adolescent Depression, Sexual Attitudes, And Substance Use, Nicole M. Hurtack

Theses, Dissertations and Capstones

The purpose of the current study was to investigate the relationship between father absence and depression, sexual attitudes, and substance use on adolescents. Data were collected from forty-nine high school students (28 males, 21 females) from ninth to twelfth grade from a private high school in Pennsylvania. The Beck Depression Inventory-II was used to measure levels of depression. A sexual attitudes and substance use, and family demographic survey were also administered. The results of this study provided no support for the hypothesized relationship between adolescent adjustment and father absence. Father absence did not significantly predicted sexual attitudes, depression or substance …

Female Sexual-Offenders: Personality Pathology As A Mediator Of The Relationship Between Childhood Sexual Abuse History And Sexual Abuse Perpetration Against Others, Kelly Ann Christopher, Catherine J. Lutz-Zois, Amanda R. Reinhardt

Psychology Faculty Publications

Objective: The goal was to examine, in an all-female sample, possible mechanisms for the relationship between a history of childhood sexual abuse and the likelihood of perpetrating sexual abuse as an adult. It was hypothesized that Borderline and Antisocial Personality Disorder tendencies would mediate the relationship between these two forms of abuse.

Method: One hundred forty two female participants (61 sex-offenders and 81 non-sex offenders) were recruited from a women’s prison in the Midwest. The participants completed measures that included a childhood history of sexual abuse, socially desirable responding, primary and secondary psychopathy, and Borderline Personality Disorder tendencies.

Results: Participants …

The Role Of Automatic Reinforcement In Early Speech Acquisition, Barbara E. Esch

Dissertations

No abstract provided.

Attachment And Adolescent Psychopathology In A Correctional Setting, Lindsay A. Lounder

Theses, Dissertations and Capstones

It was the purpose of this research to better understand the role of attachments and related clinical issues in relation to the development of criminality in late adolescence. This study involves designs comparing the youth at a maximum-security correctional facility versus controls matched on demographic variables using the Attachment and Clinical Issues Questionnaire (ACIQ). Within group data is also analyzed to study differences and similarities among the offenders. Significant differences were found between the offenders and control group on attachment classifications as well as other clinical scales. Offenders are more likely than controls to have insecure attachments to their mother, …

Examination Of The Impact Of Age, Family Conflict, And Perceived Parental Involvement On Treatment Adherence For Children And Adolescents With Cystic Fibrosis And Diabetes, Blake M. Lancaster

Dissertations

The success of medical interventions for patients with diseases that require consistent adherence to a medical regimen is largely contingent upon the patient’s ability to consistently follow medical recommendations. Medical regimen adherence significantly influences the patient’s health and impacts the health care providers’ ability to treat any disease or medical problem. Adherence levels are particularly low in the pediatric population among young patients with diabetes and cystic fibrosis. Researchers and clinicians hypothesize that levels of adherence are particularly low during adolescence (ages 11-15) because this may be the period in which primary responsibility for daily adherence is transferred from the …

Effects Of Anxiety Induction On Facial Recognition Skills Within A Sample Of Adult Victims Of Childhood Abuse, Kathryn M. Bell

Dissertations

Although it is well established that interpersonal victimization can lead to affect regulation problems, less is known about the extent to which childhood victimization impairs facial recognition skills. Most studies exploring this relationship have focused on emotion recognition (ER) in physically abused and neglected children. The degree to which these ER problems apply to sexual victimization and extend into adulthood is yet unknown. The current study examined the impact of physical and sexual childhood abuse on adult ER skills under a heightened arousal condition in 104 women with varying childhood victimization experiences. The relationship between childhood victimization and ER skills …

Effects Of Single Versus Multiple Verbal Operant Arrangements On The Acquisition Of Mands And Tacts In Preschool Children, Tina M. Sidener

Dissertations

Verbal Behavior programs for children diagnosed with autism typically teach novel language in the context of multiple verbal operant arrangements. Commonly called "mixed verbal behavior", this involves the interspersal of various exemplars across verbal operant categories. Despite the current recommended use of this teaching procedure, only 2 studies to date have empirically evaluated its effectiveness (i.e., Arntzen & Almas, 2001; Carroll & Hesse, 1987). In both of these studies, mixed mand-tact training resulted in faster mean acquisition of tacts than tact-only training. In Experiment 1 of the current investigation, a systematic replication of previous studies was conducted with 3 typically-developing …

Perceived Smoking Environment And Smoking Initiation Among Multi-Ethnic Urban Girls, Tracy R. Nichols, Amanda Birnbaum, Sara Birnel, Gilbert J. Botvin

Department of Public Health Scholarship and Creative Works

Purpose

To examine associations between the perceived smoking environment and smoking initiation among urban multi-ethnic adolescent girls in New York City.

Methods

Self-report surveys completed in grades 7, 8, and 9 assessed girls’ (n = 858) smoking initiation, and perceived smoking environment (family smoking, friends’ smoking, smoking norms, and cigarette availability). Carbon monoxide breath samples were collected from girls using a variation of the bogus pipeline procedure.

Results

Differences were found in smoking prevalence with white girls reporting the highest prevalence of smoking at baseline and the greatest increase in smoking prevalence from seventh to eighth grade. Black girls reported …

Why Girls? The Importance Of Developing Gender-Specific Health Promotion Programs For Adolescent Girls, Amanda Birnbaum, Tracy R. Nichols

Department of Public Health Scholarship and Creative Works

Adolescence is a time when many girls begin to develop unhealthy behaviors that can affect myriad short- and long-term health outcomes across their lifespan.2There is evidence that smoking, physical activity, and diet are habituated during adolescence, and some physiologic processes of adolescence, such as peak bone mass development, have direct effects on future health.3-4 Establishing healthy practices, beliefs and knowledge among adolescent girls will decrease morbidity and mortality among adult women and potentially affect the health of men and children through women’s role as healthcare agents. This paper provides a brief review of lifestyle health behaviors among women and girls …

Evaluating Progress In Behavioral Programs For Children With Pervasive Developmental Disorders: Continuous Versus Intermittent Data Collection, Anne Rena Cummings

Dissertations

It is well documented that intensive behavioral treatment of early childhood autism can result in significant improvements in adaptive behavior. The typical teaching format in such programs is based on the restricted operant (i.e., discrete trial) in which the performance of an exemplar skill follows a clear instruction and precedes programmed reinforcement or error correction. Because of the often-intensive nature of behavioral treatment, it is not unusual for thousands of learning opportunities to be presented each week. There currently exists a professional debate regarding the frequency of data collection necessary in autism treatment programs. One side of the argument favors …

Assessing The Differential Outcomes Procedure With Children Diagnosed With Autism, Ivy M. Chong

Dissertations

The differential outcomes effect (DOE) refers to the phenomenon whereby discrimination learning is enhanced when a correct response to a specific sample stimulus is followed by its own unique reward (Savage, 2001). According to some researchers, the DOE is a consistent and powerful effect that enhances the acquisition and retention of conditional discriminations (e.g., Urcuioli, 1990). This series of experiments sought to extend research on the DOE. In Experiment 1, we examined the differential outcomes procedure (DOP) with four children diagnosed with autism across various task types commonly used in early intervention. In Experiment 2, we examined the DOP with …

Role Of Naming In Stimulus Categorization By Preschool Children, Caio Flavio Miguel

Dissertations

The purpose of the current study was to assess whether children would categorize pictures when taught the relevant listener and speaker behaviors separately. A category-sort test was used to assess emergent conditional relations. Category-sort trials consisted of looking at (Test 1) or tacting/labeling (Test 2) a samplestimulus and selecting the appropriate comparison stimuli. In Experiment 1, 4 children (3- 5 years) were taught to tact pictures of six U.S. state maps as either north or south. An assessment was conducted to determine whether they would (1) correctly categorize or sort when presented with a visual sample and (2) select the …