Clinical Psychology Commons^™

The Hypnagogic State And Hypnagogic Constraint Modulation In Ocd, Ari Rad

Academic Leadership Journal in Student Research

The past few decades of scholarly inquiries on the topic of the hypnagogic state and N1 sleep onset have introduced a new understanding of human general mentation. The underlying phenomenological, psychological, and neurological aspects of the hypnagogic state have been explored in depth by researchers. Hypnagogia and N1 sleep onset have been associated with creativity, spontaneous access to insights, symbolic representation of cognitive processes, and visual and auditory perceptions. The default mode network (DMN) has been largely associated with creativity and spontaneous thinking during N1 sleep onset. This paper reviews the basics of the neurology and phenomenology of N1 and …

Psychological Adaptation In Colorectal Cancer Survivors: Pilot Study Findings, Anuja L. Sarode, Emily M. Su, Amber Kerstetter-Fogle, Steve Paciorek, Erica L. Laipply

HCA Healthcare Journal of Medicine

Background

In this pilot study, we examined psychological impacts of colorectal cancer (CRC), focusing on cancer-related posttraumatic stress disorder (CR-PTSD) symptoms, posttraumatic growth (PTG), and their relationship with coping strategies in surgically treated CRC patients.

Methods

This prospective pre- and postoperative pilot study assessed CRC patients at 2 time points, pre- and postoperative. Psychological symptoms were evaluated using the PTSD Checklist for Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (PCL-5) and the PTG Inventory Short Form (PTGI-SF). Coping strategies were assessed using the Brief Coping Orientation to Problems Experienced (COPE) instrument. Changes in CR-PTSD, PTG, and coping …

Repairing Workplace Trust: A Process-Based Classroom Exercise For Management Education, Luke A. Langlinais Ph.D.

Posters

Trust is essential in every workplace, but conflicts, mistakes, and broken promises are inevitable. This project develops an experiential classroom exercise in which students diagnose workplace trust violations, examine the perspectives and emotions of both parties, and practice selecting and communicating evidence-based reparative actions. The exercise translates organizational behavior research into a practical learning experience that develops not only managerial competence but also the character, empathy, and relational wisdom needed to build healthy organizations and promote human flourishing.

I gratefully acknowledge peer review feedback on this project, and I am accountable for writing of this product without generative AI and …

A Poetic Call For And A Reflection And Commentary On Clarity, Understanding, Hope, Courage, And Compassion, Carroy U. Ferguson

Psychology Faculty Publication Series

Finding a published poem I had written as a teenager, titled “The Heavens Weep.” this article uses that poem as the basis for a commentary that reflects on the state of the world today (2026),  As a commentary, the article uses the poetic and metaphoric words in the poem as a relevant "reality check" for what is still going on today.  In essence, the commentary is about a call for Clarity, Understanding, Hope, Courage, and Compassion, or what I call Archetypal Energies, Higher Vibrational Energies that operate deep within our individual and collective psyches to creatively urge us to "see" …

Comparing Online Versus In-Person Administration Of Cognitive Tasks And Evaluating Their Predictive Utility Of Inattention Symptoms And Related Behaviors, Cameron Pothoven

Master's Theses

Attention-Deficit/Hyperactivity Disorder (ADHD) is a neurodevelopmental disorder associated with less developed working memory (WM) processes, theorized to be a core contributing factor in the development of ADHD and a predictor of ADHD symptom severity (Alderson et al., 2013; Rapport et al., 2008). Objective measures inclusive of working memory tasks, when used in conjunction with self-report measures, have been previously shown to increase the accuracy of diagnosing ADHD (Marshal et al., 2021. However, given that WM is typically assessed by a trained clinician, it is unclear how accurate and comparable online administration of adapted WM tasks are to their in-person counterparts. …

The Joint Effect Of Bilingualism And Sleep On Executive Functions Among Children And Adolescents With Attention Deficit/Hyperactivity Disorder (Adhd), Yirou Jiang

Doctoral Dissertations

Attention Deficit/Hyperactivity Disorder (ADHD) is a neurodevelopmental disorder that significantly impacts cognitive and behavioral functions, leading challenges for individuals across the lifespan. While extensive research has been conducted to understand the connection between executive functioning (EF) and ADHD, research findings related to the contributing factors of bilingualism and sleep still remains inconsistent (Bialystok et al., 2017). Investigating the joint effect between bilingualism and sleep on EF among children and adolescents with ADHD may help further clarify the connection between EF, language, and sleep, and facilitate the development of interventions from the perspective of these protective factors. EF encompasses cognitive processes …

The Relationship Between Depression And Cognitive Proficiency Index Across Biological Sex, Angela N. Ferdinardo

Dissertations

Depression is a widely studied mood disorder, and understanding its effect on cognitive functioning has become an important area of research. While research has examined relationships among depression, working memory, and cognitive deficits, limited research has explored depressive symptoms and cognitive proficiency across biological sex. Depression manifests similarly in men and women, though men are more likely to experience irritability, impulsivity, and anger, while women tend to experience sadness, stress, and sleep disturbances (Johns Hopkins Medicine, 2023). Women are also more likely to seek treatment and cope differently than men. This study examined the relationship between depression and cognitive proficiency …

Exploring Primary Care Providers’ Compassionate Care And Their Evidence-Based Practice With Death, Grief, And Loss: Patient Experience And Perspective, Kathryn Krzykala

Dissertations

Research on primary care providers’ (PCPs) education regarding Death, Grief, and Loss (DGL) remains limited. Specifically, data is lacking regarding patients' perceptions and opinions on what they need and expect from their PCPs regarding grief and loss. This exploratory mixed-method study comprised 146 participants who had experienced death and non-death loss. It examined participants' perceptions of 1) PCP compassion, 2) PCP utilization of evidence-based grief and loss practices, 3) their own level of comfort discussing DGL with their PCPs during medical visits, and 4) their personal grief and loss experiences. The findings revealed that PCPs' grief-informed evidence-based treatment, as reflected …

The Nature Of Physical Bravery: A Principal Component Analysis Of Bravery Using Personality Attributes, Trauma History, And Resilience In A Mixed Military And Civilian Sample, Colin Simsarian, Daniel Baldini, Brenda E. Hammond, Julianna Christofi, Sana F. Usmani, Holly M. Mcgrath, Carolina Rader, Erik Wendel Rice, James Moses, Bruce Bongar

Heroism Science

Heroism is a complex phenomenon shaped by psychological constructs such as bravery and courage, yet empirical research on physical bravery remains limited. This study examined the relationships among physical bravery, personality traits, trauma history, and resilience in a sample of military servicemembers and civilians (N = 197; M age = 27.69). Participants completed the Physical Bravery Survey, and data were analyzed using principal component analysis. Results identified four components explaining 70.52% of the variance in responses. Findings suggest that physically brave individuals tend to be adventurous, cognitively flexible, self-confident, humorous, resilient, and more likely to report a history of trauma. …

Long-Covid And Cognition, Mychael Bruce

Dissertations

COVID-19 is an evolving virus that can harm the body’s respiratory and cardiovascular systems. Directly related to COVID-19 are individuals who do not recover from their initial infection, making them long haulers. Long-COVID is transitioning from a range of isolated phenomena to higher prevalence rates in patients who contracted COVID-19. Many individuals report issues with cognitive function, referred to as ‘brain fog’, that affect memory, attention, and even language skills. This literature review addresses the available research on Long-COVID and how persistent infection correlates with cognitive difficulties. It aims to explain the neurobiology of Long-COVID and how Long-COVID interacts within …

Understanding And Enhancing Suicide Prevention Strategies In The Military: The Roles Of Culture, Leadership, And Command Climate, Kelly Johanna Pires

Dissertations

Military service members are shaped and molded to fit a military culture that emphasizes mission readiness and continuous preparedness. Countless hours are spent training for various situations that can arise. Many trainings are geared toward worst-case scenarios that can cause an increase in stressors and traumatic events. They are expected to demonstrate resilience and overcome adversity to remain mission-ready. This expectation to be mission-ready creates the space for mental health difficulties as well as stigma and avoidance of help-seeking behaviors. In many cases, the desire to stay mission-ready creates a barrier for conversations around mental health. The military emphasizes qualities …

Factors Relating To Memory, Kyra Vanheirseele

Honors Theses

Cognitive and emotional processes are increasingly recognized as important factors influencing memory functioning. In the current study, the associations between depressive symptoms, selfcritical rumination, sleep quality, and cognitive confidence with self-referent memory recall were examined in a sample of undergraduate students (N = 60; 70.0% female, 21.7% male; M age = 19.36 years, SD = 1.21). The sample was predominantly White (73.2%), with additional representation from Black or African American (14.3%), American Indian or Alaska Native (1.8%), Asian (1.8%), and other racial groups (8.9%). Using established self-report measures, participants reported on depressive symptoms (Schmitt & Maes, 2000; Sauer et al., …

Utilizing Self-Determination Theory In Therapy For Veterans With Substance Use And Mental Health Disorders, Carlos A. Tinoc

Electronic Theses, Projects, and Dissertations

Substance use disorder (SUD) has increasingly affected U.S. veterans, with rising misuse of alcohol and opioids. Many veterans also confront mental health issues, including Post-Traumatic Stress Disorder (PTSD). To explore this issue further, the researcher will investigate the effectiveness of Self-Determination Theory (SDT) in addressing substance use and mental health disorders (dual diagnosis) among veterans. Previous research on the implementation of SDT for dual-diagnosis patients has not sufficiently addressed the veteran population. The researcher will review existing systematic literature reviews on the topic of SDT implementation in the treatment of SUDs and mental health disorders among both civilian and veteran …

Examining The Relationship Between Executive Functions And Resilience, Joseph W. Toland

Electronic Theses, Projects, and Dissertations

The direct and indirect associations of executive functions (EF) and resilience hint towards a strong association between these variables, however there are still gaps in the literature. The current study aims to explore the relationship between EF's (inhibition, shifting, and updating) and resilience. We hypothesize that EF's scores will generally correlate with resilience. Specifically, we hypothesize that inhibition scores will positively correlate to resilience scores. That shifting scores will positively correlate to resilience scores. That updating scores will correlate positively with resilience scores. Finally, the strength of the association between EF's and resilience will change depending on which EF's is …

Heroes Of Medicine In The Rio Grande Valley: Documentary Interview With Dr. Cynthia Cavazos Gonzalez, Cynthia Cavazos Gonzalez, Raquel Elena Orellana

Heroes of Medicine in the Rio Grande Valley

Cynthia Cavazos Gonzalez PhD is an Associate Professor of Clinical Practice at UTRGV in Edinburg, Texas and she is the clinic director of the UTRGV Psychology training clinic. She completed a doctoral degree in Clinical Psychology from California School of Professional Psychology in Fresno, California. Her doctoral degree is in Clinical Psychology with a major specialization in Neuropsychology and minor specialization in Health Psychology. She completed an APA-accredited pre-doctoral internship at UTMB in Galveston with a major emphasis in hospital consultation, outpatient psychotherapy, and psychological and neuropsychological evaluations with diverse populations. She completed an informal neuropsychology post-doctoral residency in Texas …

The Use Of Virtual Reality In Ptsd Research And Practice, Kenneth B. Abrams, Lindsay Okindo, Marta E. Bacon, Yiking Skylar Yu, Sofia Santamaria Germani, Malvika Malhotra, Nancy A. Cullen

Psychology Faculty Work

In the aftermath of traumatic events such as combat, sexual violence, or a natural disaster, individuals may develop posttraumatic stress disorder (PTSD). Technological advancements in virtual reality (VR) over the past few decades have opened new avenues for improving the assessment, treatment, and understanding of PTSD. VR allows users to be immersed in interactive, computer-generated environments that simulate real-world scenarios, such as a warzone or assault location, that would be difficult or unsafe to reproduce using traditional methods. The present paper offers an overview of how VR technology has been employed in both clinical and research settings related to PTSD. …

Exploring The Relationship Between Discrete Cognitive Skills And Adaptive Skills In A Transdiagnostic Sample Of Children And Adolescents, Jacy L. Black

Doctor of Psychology (PsyD)

The relationship between intelligence and adaptive functioning has been well researched for neurodevelopmental disorders, including autism spectrum disorder and intellectual disability. However, the relationship between these constructs has yet to be fully explored in other clinical pediatric populations that exhibit significant deficits in adaptive functioning. This archival study investigated the relationship between cognitive functioning and adaptive behavior in a transdiagnostic sample of children and adolescents. Although past studies have examined these relationships utilizing estimations of generalized intellectual ability, the present research examined associations between adaptive skills and discrete cognitive skills, often referred to as cognitive domains. By identifying the association …

A Longitudinal Study On The Impact Of Childhood Air Pollution Exposure On Adolescent Cognition, Emily K. Carter

Open Access Dissertations

About 2 in 5 Americans live in areas with unhealthy levels of air pollution. Poor air quality has been shown to lead to a diverse set of negative health that can affect the cardiovascular system and have downstream effects on brain structure and cognition. The detrimental impacts of air pollution on cognition have been widely studied, though due to methodological limitations in the available research, a direct association between air pollution exposure and cognitive development remains inconclusive and unclear. Further, studies in this area have largely focused on prenatal exposure and neurocognitive impacts during early childhood; the potential longer-term effects …

Mild Cognitive Impairment (Mci) And Exceptional Parental Longevity: A Retrospective, Longitudinal Approach, Deepak Seshadri M.S.

Selected Full Text Dissertations, 2011-

The specific determinants and mechanisms of genetic longevity are an intriguing area of research. There is evidence to show that longevity and associated phenotypes of successful aging are partially determined by genetic factors (Adams et al. 2008; Barzilai et al. 2006; Barzilai et al. 2003; Murabito et al. 2013; Newman et al. 2011). Further research shows that offspring of parents with exceptional longevity (OPEL) may age more successfully and be protected from age related decline than the offspring of parents with usual survival (OPUS) (Ayers et al. 2014; Barzilai et al. 2006; Barzilai et al. 2003). Studies demonstrated an inverse …

Visual Aids And Numeracy In Healthcare: Leveraging The Drawing Effect, Zephyr J. Markley

Capstone Showcase

Healthcare decisions often require patients to interpret numerical risk information under stress, yet many struggle with low numeracy, which can distort comprehension and undermine informed consent. Well-designed visual aids can improve diagnostic inference, calibrate confidence, and support better choices, especially for patients with limited numeracy, but their impact depends on whether users can actually interpret the format accurately. Drawing may further enhance these tools by adding a tactile, generative layer that engages visual, semantic, and motoric processing while helping patients organize information into concrete models.

Passive visual aids appear useful but limited because they often position patients as observers rather …

Breaking The Cycle: Substance Use Disorders, Recidivism, And The Role Of Reentry Programs, Sophia R. Veloz

Williams Honors College, Honors Research Projects

This Honors Research Paper examines the relationship between substance use treatment and recidivism among justice-involved individuals, gathering from my academic background as a dual major in psychology and national security and my internship at Oriana House in Akron, Ohio. Oriana House is a private nonprofit organization that provides inpatient and outpatient services for adults with substance use disorders, including detoxification, motivational interviewing (MI), Substance Use Disorder (SUD) counseling, telehealth, and 12-step facilitation. Their mission emphasizes reducing recidivism by addressing substance use and supporting long-term recovery. The main research question in this study is whether taking part in structured, community-based treatment …

Individual Differences In Personality Traits And Anthropomorphic Tendencies, Olivia S. Young

Honors Undergraduate Theses

Anthropomorphism is broadly defined as the attribution of human characteristics to nonhuman entities. Those with higher levels of neurodivergent traits, such as autism spectrum disorder (ASD), may struggle to maintain eye contact with and interpret the emotions of others. Anthropomorphic interaction patterns between both those with and without ASD differ between various entities such as cars, cartoon characters, animals, and humans. Results of this study have implications across domains including human factors, cognitive science, and human-animal interaction. This study employed the use of unique stimuli in combination with various scales to measure personality traits and anthropomorphic tendencies. Participants were asked …

The Implicit Perceptions Of Asian American Adoptees And Their Clinical Implications, Cai Li L. Franckewich

Honors Undergraduate Theses

Asian American adoptees occupy a unique “in-between” space, shaped by societal perceptions of race, culture, and family context. This study examined how family composition and racial pairings influence perceptions of an Asian American adoptee. Undergraduate students completed an online survey in which they were randomly shown one of five images depicting the adoptee with different family compositions, without being told she was adopted. Participants then read a story describing the adoptee experiencing common college stressors, and rated statements on a 7-point Likert scale regarding the adoptee’s well-being, factors influencing her behavior, and behavioral descriptors. Results indicated that participants perceived stronger …

A Hispanic Generational View On Mental Health, Daniela Martinez

Honors Undergraduate Theses

This study aims to investigate the relationship between generation status and acculturation on mental health literacy and stigma, specifically with Binge Eating Disorder in Hispanic populations. The current literature focuses on mental health literacy levels in Hispanic populations in relation to depression and anxiety, but not binge eating disorder. Additionally, there is very little on how generation status and acculturation interact and can affect mental health literacy all together. To study their relationship, a survey and a short narrative piece about a character who is experiencing Binge Eating Disorder while in college were created alongside questions about the behaviors displayed …

Exploring The Impact Of Inpatient Mental Health Care On Adolescents, Alexandria M. Mckahan

2025 Fall Honors Capstones Projects - Archive

Adolescent psychiatric hospitalizations continue to rise, yet there is limited research on which daily practices inside inpatient units genuinely support engagement and recovery. This project examined how structure, staff tone, and therapeutic programming influence adolescents’ participation and emotional stability within a real inpatient setting. The study focused on three questions: how structured routines affect recovery, what challenges staff face when supporting adolescents with complex needs, and how adolescents’ engagement patterns reflect their perception of care. Using a mixed-methods case study at Mesa Springs Behavioral Health Hospital, I conducted approximately twenty field observations, semi-structured staff interviews, and descriptive engagement tracking across …

Eeg And Media Multitasking: Adhd As A Moderating Factor, Xiaoying Guo

Theses and Dissertations

Media use has become an integral part of everyday life. It has risen dramatically over the past century with the advent of television, computers, and digital platforms, and more recently, it has been characterized by individuals using multiple devices simultaneously (Bushman & Anderson, 2001; Nielsen Media Research, 1998; Rideout & Robb, 2019, 2021). Media multitasking (MMT) has been linked to cognitive control challenges and attentional difficulties. This study examined EEG workload (Fz theta/Pz alpha ratio), survey accuracy, and ADHD traits (ASRS v1.1) in 33 adult participants across baseline and single-versus dual-media conditions. Results indicated that mental workload was significantly higher …

Proposed Theoretical Model Of Pediatric Onset Multiple Sclerosis And Restrictive Eating Behaviors, Anna L. Smith

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Multiple Sclerosis (MS), a chronic, demyelinating, autoimmune disease that causes an array of physical and cognitive symptomatology, is commonly diagnosed in adulthood. Pediatric Onset Multiple Sclerosis (POMS) is characterized by diagnosis of the disease before age 18 and accounts for about 5% of MS cases. While there is a growing body of literature examining the impact of adult-onset multiple sclerosis on psychosocial functioning, research specifically addressing POMS remains limited. Moreover, there is a notable gap in the literature regarding the risk of eating disorders among individuals with POMS. This paper will explore a constellation of potential risk factors that may …

Error Processing In Psychopathy: An Analysis Of Event Related Brain Potentials And Post-Error Task Behavior, Ananda Liz Peixoto Couto

UNLV Theses, Dissertations, Professional Papers, and Capstones

Performance monitoring and error processing are crucial for learning from mistakes, adjusting responses, and adapting to the environment. Individuals with psychopathy present with failures in performance monitoring, particularly a failure to learn from experience, and error processing deficits have been reported in this population. Error processing literature has investigated its underlying mechanisms via two prongs, namely behavioral measures and electroencephalography (EEG) indicators. Behaviorally, error processing literature has focused on post-error slowing (PES) and post-error accuracy (PEA). Meanwhile, EEG research has identified two components of error-related brain potentials (ERPs) in error processing: error-related negativity (ERN) and error positivity (Pe). This study …

Computational Thinking As A Novel Framework For Enhancing Cognitive Organization In Older Adults With Cognitive Frailty (Letter To The Editor), Daisuke Akiba

Publications and Research

As aging populations grow, especially in high-income nations, the burden of dementia-related care continues to escalate both economically and socially. In response, this article introduces Computational Thinking (CT) as a novel, non-pharmacological framework to support cognitive organization in older adults experiencing cognitive frailty. Though CT has gained traction in fields like PK-16 education, including special education, for enhancing executive function and problem-solving, it has not yet been applied to geriatric- or memory-care contexts. This perspective proposes that CT’s core components (i.e., decomposition, pattern recognition, abstraction, and algorithmic thinking) may align with residual cognitive strengths in mild-to-moderate dementia, offering a strengths-based, …

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 …