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Full-Text Articles in Clinical Psychology

Do Resilience And Treatment Satisfaction Moderate The Association Between Adhd And Quality Of Life?, Allison Macht May 2024

Do Resilience And Treatment Satisfaction Moderate The Association Between Adhd And Quality Of Life?, Allison Macht

Senior Theses and Projects

This study examined how resilience moderated the association between ADHD symptom severity and general Quality of Life (QoL) in emerging adults. Using data from an anonymous online survey distributed at six US colleges/universities, participants (N=4396; 73% female-identifying; 72% White) reported on ADHD symptomatology and their diagnostic status; resilience; perceived QoL; and satisfaction with pharmacological and behavioral treatment for ADHD (if diagnosed). As hypothesized, overall ADHD severity was inversely associated with the different facets of QoL (rs = -.18 to -.29). However, contrary to our hypothesis, inattentive symptoms showed larger inverse associations with QoL compared to hyperactive/impulsive symptoms. There was a …


Impact Of Framing Depression On Illness Perceptions And Coping Strategies, Abby Mcginnis May 2024

Impact Of Framing Depression On Illness Perceptions And Coping Strategies, Abby Mcginnis

Masters Theses & Specialist Projects

The current study aimed to adopt an experimental design used by Schroder et al. (2023) to investigate how framing of depression (as a disease vs a functional signal) impacts illness perceptions and coping strategies. Participants were given the Depression Anxiety and Stress Scale (DASS-42) to assess depression severity and prime participants for the framing condition. Each condition had five videos describing depression and the corresponding frameworks. Perceived control, timeline, and causes of depression were measured using the Illness Perception Questionnaire (IPQ-R). Participants were given the brief-COPE questionnaire to measure coping strategies, such as avoidant and problem-focused. There were no differences …


Making Deception Fun: Teaching Autistic Individuals How To Playfriendly Tricks, Adel Naj, Megan St. Clair, Kacie Massoudie, Jonathan Tarbox, Lauri Simchoni, Marianne Jackson, Angela Persicke Apr 2024

Making Deception Fun: Teaching Autistic Individuals How To Playfriendly Tricks, Adel Naj, Megan St. Clair, Kacie Massoudie, Jonathan Tarbox, Lauri Simchoni, Marianne Jackson, Angela Persicke

Psychology Division Scholarship

Perspective taking is a critical repertoire for navigating social relationships and consists of a variety of complex verbalskills, including socially adaptive forms of deception. Detecting and being able to use socially adaptive deception likelyhas many practical uses, including defending oneself against bullying, telling white lies to avoid hurting others’ feelings,keeping secrets and bluffing during games, and playing friendly tricks on others. Previous research has documented thatsome Autistic1 children have challenges identifying deception and playfully deceiving others (Reinecke et al., 1997). Thecurrent study employed a multiple baseline across participants design to evaluate the use of multiple exemplar training, rules,modeling, practice, and …


At The Intersection Of Religion, Spirituality, And Clinical Psychology: A Conversation With Two Jewish Psychologists, Robert A. Demayo, David A. Levy Mar 2024

At The Intersection Of Religion, Spirituality, And Clinical Psychology: A Conversation With Two Jewish Psychologists, Robert A. Demayo, David A. Levy

Psychology Division Scholarship

This article presents a dialogue between two Jewish psychologists who share their respective personal and professional journeys on how spirituality and religious affiliation impacts their work as clinicians. They address the following questions: How would you identify your cultural background with respect to your religious or spiritual history and identity? How do you manage the competing demands of respecting both individual cultural identity and group cultural identity? How did your early experiences with Judaism influence your professional practice? What were your earliest academic influences on the question of spirituality in psychology? How have religion and spirituality manifested in your clinical …


Psilocybin With Acceptance And Commitment Therapy (Act) For The Treatment Of Social Anxiety Disorder (Sad), Aspen E. Allred Mar 2024

Psilocybin With Acceptance And Commitment Therapy (Act) For The Treatment Of Social Anxiety Disorder (Sad), Aspen E. Allred

University Honors Theses

Social Anxiety Disorder (SAD) is a debilitating mental health condition characterized by an overwhelming fear and anxiety of social rejection that can lead to chronic patterns of social behavioral avoidance. Despite the existence of traditional efficacious treatments, a significant number of individuals either do not respond to treatment or experience a recurrence of symptoms over extended periods, spanning 10-12 years. Acceptance and Commitment Therapy (ACT), a form of acceptance-based behavioral therapy considered part of the "third wave" of cognitive behavioral therapies, has shown promising results in early studies, comparable to those of Cognitive Behavioral Therapy (CBT) that is considered the …


Psychological Athetosis: The Disjunctive Force Of The Unrepresentable Feb 2024

Psychological Athetosis: The Disjunctive Force Of The Unrepresentable

The International Journal of Ecopsychology (IJE)

In contrast to descriptions of a familiar and bonded-with “sense of place,” S. Freud employed a German definition of the term and experience as “unhomely” (Unheimliche) (1919, Das Unheimliche) -- “The Uncanny.” He argued that the uncanny is an intrusion of the dreadful into the familiar and thus, it is here proposed, signals a radical departure from known ground. Similarly, Kaplan and Kaplan (1974, 1977, 1989), in their studies of landscape preferences, employed the dimensions of ‘mystery’ and ‘complexity’ as a means for understanding an innate evolutionary rubric for assessing a given terrain in terms of …


The Relationship Between Cognitive Impairment In Psychiatric Patients And Readmission Rate To An Inpatient Facility, Cherilyn Isis Schuff Feb 2024

The Relationship Between Cognitive Impairment In Psychiatric Patients And Readmission Rate To An Inpatient Facility, Cherilyn Isis Schuff

Theses and Dissertations

The primary intention of this study was to further understand the impact of assessing cognitive impairment in psychiatric patients, as a mediating factor on readmission rates. Mild cognitive dysfunction impacts a patient’s functional outcomes (Bowie & Harvey, 2006; Davis et al., 2012; Marcantonio, et al., 2001). Little information exists to guide best practices in the treatment of adults with cognitive impairment who are hospitalized for acute conditions (Davis et al., 2012). A cognitive impairment may impact patient prognosis and ability to function outside of a setting focused on stabilization. Neuropsychological testing is a valuable tool in predicting a patient’s cognitive …


Proteomic Profiles Of Cytokines And Chemokines In Moderate To Severe Depression: Implications For Comorbidities And Biomarker Discovery, Kathleen T. Watson, Jennifer Keller, Caleb M. Spiro, Isaac B. Satz, Samantha V. Goncalves, Heather Pankow, Idit Kosti, Benoit Lehallier, Adolfo Sequeira, William E. Bunney, Natalie L. Rasgon, Alan F. Schatzberg Jan 2024

Proteomic Profiles Of Cytokines And Chemokines In Moderate To Severe Depression: Implications For Comorbidities And Biomarker Discovery, Kathleen T. Watson, Jennifer Keller, Caleb M. Spiro, Isaac B. Satz, Samantha V. Goncalves, Heather Pankow, Idit Kosti, Benoit Lehallier, Adolfo Sequeira, William E. Bunney, Natalie L. Rasgon, Alan F. Schatzberg

Psychology Division Scholarship

Objective: This study assessed the proteomic profiles of cytokines and chemokines in individuals with moderate to severe depression, with or without comorbid medical disorders, compared to healthy controls. Two proteomic multiplex platforms were employed for this purpose. Metods: An immunofluorescent multiplex platform and an aptamer-based method were used to evaluate 32 protein analytes from 153 individuals with moderate to severe major depressive disorder (MDD) and healthy controls (HCs). The study focused on determining the level of agreement between the two platforms and evaluating the ability of individual analytes and principal components (PCs) to differentiate between the MDD and HC groups. …


Cognitive Functioning In Well-Controlled Asthma, Erin Walsh Jan 2024

Cognitive Functioning In Well-Controlled Asthma, Erin Walsh

West Chester University Doctoral Projects

Asthma is a common lung disease that impacts lung functioning through inflammatory based mechanisms. Past research suggests that decreased blood oxygenation due to asthma attacks may impair cognitive capabilities (Irani et al., 2017). Moreover, the observed differences in cognition between those with and without asthma may be associated with disease severity or asthma control respectively in asthma populations. The current study explored differences in cognitive functioning between college students with and without self-reported asthma. Sociodemographic data, self-reported asthma severity, and measures of asthma control were collected. The current study did not find significant differences in measures of cognitive efficiency between …


Cortisol And Executive Functioning For Young Children Attending Head Start Preschool, Zachary Weaver Jan 2024

Cortisol And Executive Functioning For Young Children Attending Head Start Preschool, Zachary Weaver

West Chester University Doctoral Projects

Poverty circumstances impact the hypothalamic-pituitary-adrenal or HPA axis. Early childhood dysfunction in the HPA axis, marked by irregularities in cortisol, poses risk for the development of key executive functioning (EF) abilities. No studies have investigated the relation between cortisol and performance-based measures of EF in settings such as Head Start preschool that aim to promote positive outcomes for children facing economic hardship. This pilot study examined EF and cortisol for 50 children ages 3 to 5 years, who attended a Head Start preschool. This study was disrupted by the COVID-19 pandemic, which led to a sample size less than half …


An Examination Of The Relation Between Memory Self-Efficacy And Working Memory Within The Cognitive Reserve Framework, Genna Marie Mashinchi Ma Jan 2024

An Examination Of The Relation Between Memory Self-Efficacy And Working Memory Within The Cognitive Reserve Framework, Genna Marie Mashinchi Ma

Graduate Student Theses, Dissertations, & Professional Papers

Dementia has been found to negatively affect multiple aspects of cognitive functioning. Despite an increasing prevalence of cognitive decline, many aging adults do not experience reduced cognitive functioning. The reason as to why some experience cognitive decline and others do not is still unclear. One leading theory thought to explain this phenomenon is the cognitive reserve theory (CR), which proposes that certain lifestyle factors (e.g., educational attainment, occupational attainment, and leisure activity participation) prolong one’s cognitive functioning and reduce the risk of cognitive decline. Memory self-efficacy (MSE), defined as one’s beliefs in their memory ability, was found to be positively …


The Non-Standardization Of Attention Deficit Hyperactive Disorder: A Call To Action, Gabriel L.S Gomez Jan 2024

The Non-Standardization Of Attention Deficit Hyperactive Disorder: A Call To Action, Gabriel L.S Gomez

Psychology Doctoral Specialization Projects

Attention Deficit Hyperactive Disorder (ADHD) is one of the most diagnosed disorders in adults and children, yet there is no standardized method to assess for ADHD. The similarity of symptoms shared across other disorders (comorbidity) makes the assessment of ADHD a very delicate process. This is not aided by the fact that the assessment of ADHD is not standardized. This allows individuals able to assess for ADHD to give a test or a combination of tests that they find fitting. This in turn brings into question the quality of testing and disagreement in diagnosing across fields. Lastly, ADHD-focused measures typically …


Cognitive Fusion, Self And Other-Blame, And College Adjustment Outcomes, Olivia B. Tipton Jan 2024

Cognitive Fusion, Self And Other-Blame, And College Adjustment Outcomes, Olivia B. Tipton

Master's Theses

College students from socioeconomically challenging backgrounds are more likely to drop out of college before being awarded a bachelor’s degree. A challenging background predicts difficulties in emotion regulation, which may affect adjustment to college and, subsequently, persistence in college until a bachelor’s degree is awarded. Previous research has identified cognitive fusion, a state in which one unquestioningly believes the literal content of their thoughts, and inflexible usage of self and other-blame as predictors of negative social, psychological, and academic outcomes. The present study used self-report data collected from emerging adult college students at a small midwestern university to assess whether …


Psychological Effects Of Solitary Confinement, Asia Mclemore Jan 2024

Psychological Effects Of Solitary Confinement, Asia Mclemore

CMC Senior Theses

This thesis critically examines the controversial practice of solitary confinement (SC) in correctional facilities, aiming to elucidate its profound impact on the mental well-being of incarcerated individuals. Through a comprehensive review of empirical studies, theoretical frameworks, and case analyses, it explores the psychological, cognitive, emotional, behavioral, and physical responses of inmates subjected to prolonged isolation, revealing the intricate interaction between environmental deprivation and psychological distress. Key themes investigated include the induction and exacerbation of mental health conditions, including symptoms akin to post-traumatic stress disorder (PTSD), and the conflicting effects of SC on institutional order. Furthermore, the study evaluates the ethical …


Exploring The Relationships Among Adhd, Generalized Anxiety Disorder, And Emotion Regulation, Anna S. Hall Jan 2024

Exploring The Relationships Among Adhd, Generalized Anxiety Disorder, And Emotion Regulation, Anna S. Hall

Electronic Theses and Dissertations

This study investigated the relationships among Attention-Deficit Hyperactivity Disorder (ADHD) symptoms and common comorbid struggles for clients, including Generalized Anxiety Disorder (GAD) symptoms, and executive functions, especially emotion regulation. ADHD and GAD are prevalent mental health conditions, are commonly comorbid with each other, and are both correlated with relative deficits in executive functions. Executive functions comprise higher-order cognitive processes like planning, inhibition, initiation, and monitoring, as well as emotion regulation. Prior research established connections among ADHD symptoms, GAD symptoms, and emotion regulation but did not examine which specific facets of emotion regulation were most relevant. The current study aimed to …


Fantasia On A Theme Of Purpose: Using A Music-Guided Scribble Technique To Support Meaning-Making In Older Adult Retiree Musicians, Sophia R. Smith Jan 2024

Fantasia On A Theme Of Purpose: Using A Music-Guided Scribble Technique To Support Meaning-Making In Older Adult Retiree Musicians, Sophia R. Smith

Art Therapy | Master's Theses

Within the population of older adults, overall well-being corresponds with the ability to self-actualize and seek meaning, but age-related changes combined with ageism and isolation can negatively impact this capacity to maintain a sense of purpose, especially following retirement. It may be that retired musicians are especially vulnerable to this experience later in life due to a loss of the primary method of creative engagement and community that is facilitated by musical performance in a group setting. Integrating phenomenological and ethnographic approaches, this study utilized a qualitative design to understand how music-guided art-making incorporating the scribble technique could support a …


Nutrition As A Modifiable Risk Factor For Cognitive Decline: Associated Cognitive And Physical Health Changes, Taylor Mcmillan Aug 2023

Nutrition As A Modifiable Risk Factor For Cognitive Decline: Associated Cognitive And Physical Health Changes, Taylor Mcmillan

Electronic Theses and Dissertations

Dementia is defined as gradual, progressive loss of cognitive functioning, greater than what is expected of normal aging, resulting in functional impairment. There are several types of dementia clinical syndromes that are accompanied by unique patterns of cognitive dysfunction and neuropathological changes. Alzheimer’s disease (AD) is the most common type of clinical dementia syndrome, accounting for approximately 60-70% of cases. Neuropathological mechanisms associated with AD include the disruption of the cholinergic system, accumulation of amyloid-beta plaques and hyperphosphorylated tau, as well as vascular pathology. Vascular pathology complicates the characterization of clinical and neuropathic changes in AD, as there becomes significant …


Behavioral And Eye-Movement Correlates Of Item-Specific And Relational Memory In Autism, Greta Nicole Minor Aug 2023

Behavioral And Eye-Movement Correlates Of Item-Specific And Relational Memory In Autism, Greta Nicole Minor

Theses and Dissertations

Recent work has challenged past findings that documented relational memory impairments in autism. Previous studies have often relied solely on explicit behavioral responses to assess relational memory integrity, but successful performance on behavioral tasks may rely on other cognitive abilities (e.g., executive functioning) that are impaired in some autistic individuals. Eye-tracking tasks do not require explicit behavioral responses, and, further, eye movements provide an indirect measure of memory. The current study examined whether memory-specific viewing patterns toward scenes differ between autistic and non-autistic individuals. Using a long-term memory paradigm that equated for complexity between item and relational memory tasks, participants …


Adverse Childhood Experiences Effects On Hot And Cool Executive Functioning, Miriam Gabrielle Fenton Aug 2023

Adverse Childhood Experiences Effects On Hot And Cool Executive Functioning, Miriam Gabrielle Fenton

Electronic Theses, Projects, and Dissertations

Previous research has shown that adverse childhood experiences (ACEs) are related to executive functioning (EF). However, researchers have yet to explore the differences in hot and cool EF in participants who have experienced ACEs. This current study aims to measure ACEs' effects on EF while distinguishing between hot and cool EF. We did this by administering the WCST, Stroop task, and the Visual Digit Span (backward) to capture cool EF from an undergraduate sample. Additionally, we used the IGT, the emotional Stroop, and Go/No Go (EGNG) tasks to measure hot EF in the same participants. We predicted that participants who …


Mediumship And Mental Health: Investigating Spirit Communication And The Importance Of Integration, Daniel A. Seda Ph.D. Aug 2023

Mediumship And Mental Health: Investigating Spirit Communication And The Importance Of Integration, Daniel A. Seda Ph.D.

Journal of Conscious Evolution

Sensitivity to paranormal phenomena can be a source of emotional, mental and psychospiritual stress for individuals demonstrating verified mediumistic abilities, yet integrating these anomalous experiences in a healthy, affirming manner can reduce distress and potentially deflect egodystonic diagnoses of pathology. Because mediums can relay information which appear to be otherworldly from meditation, during trance, or by automatic writing and painting, health professionals have diagnosed mediums with mental disorders such as dissociative identity disorder and schizophrenia. This overreliance on pathology to explain anomalous experiences is troublesome and can cause severe distress to individuals demonstrating extrasensory capabilities. This paper was written to …


Sports, Family, And Leadership In Youth: Impacts Of Family Environments And Sport Participation On Youth Leadership Development, Michael Stout Jul 2023

Sports, Family, And Leadership In Youth: Impacts Of Family Environments And Sport Participation On Youth Leadership Development, Michael Stout

Theses and Graduate Projects

This study investigated the effects of family relationships/environment and sport participation on youth leadership development using the 2016 Minnesota Student Survey (MSS) questionnaire. Responses from 9th and 11th graders were used, resulting in 81,885 total participants between the ages of 13 and 19 for this archival, cross-sectional study. This study had two aims: One, to investigate the relationship between family relationships/environment and sport participation, and their impact on youth leadership skills and development; and two, to investigate whether participation in youth sports provides enough scaffolding to foster the development of youth leadership skills despite poor family relationships/environments. Scales …


Gender Roles, Sexual Cognitions, And History Of Victimization: A Preliminary Model Of Reporting Behavior Among College Students, Randi Spiker, Eu Gene Chin Jun 2023

Gender Roles, Sexual Cognitions, And History Of Victimization: A Preliminary Model Of Reporting Behavior Among College Students, Randi Spiker, Eu Gene Chin

Journal of Social, Behavioral, and Health Sciences

Sexual cognitions that flow from gender roles and previous history of victimization are strong predictors of sexual assault victimization. Because these cognitions reside within the individual themselves, we hypothesized that these same cognitions will also be predictors of subsequent reporting behavior to formal campus supports. An online self-report survey for assessing student awareness and perception of sexual safety was administered in a random stratified sample of college students (N = 98; 78% female). Participants were shown a hypothetical vignette involving a quid pro quo sexual harassment incident involving a student and were asked to rate their likelihood of making …


The Benefits Of Art Therapy On Stress And Anxiety Of Oncology Patients During Treatment, Helen Shiepe May 2023

The Benefits Of Art Therapy On Stress And Anxiety Of Oncology Patients During Treatment, Helen Shiepe

Expressive Therapies Capstone Theses

Within the last ten years research on art therapy and its positive impact on oncology patients’ stress and anxiety during treatment has been minimal. Oncology patients whether they are children or adults when diagnosed experience similar reactions due to their diagnosis, treatment, and in some cases end of life care. The current question is whether or not art therapy does have a positive impact on decreasing the stress and anxiety with oncology patients while undergoing treatment. Deane, Fitch & Carmen (2000), discussed art therapy as a healing art that is “intended to integrate physical, emotional, and spiritual care by facilitating …


Feathered Friends: The Positive Effects Of Owning A Companion Bird, Nicole Lea May 2023

Feathered Friends: The Positive Effects Of Owning A Companion Bird, Nicole Lea

Psychology | Student Research Posters

Loneliness is an epidemic whose full impact is only recently receiving the attention it urgently demands. While many solutions are suggested, a time-tested remedy is a companion animal. People report as deep a connection with a companion animal as with the humans in their lives due to the pet’s unconditional love and consistency. While much research has been dedicated to studying companion animal-human bonds with emphasis on dogs and cats, little has been conducted on the less popular household pet, the companion bird, even though bird owners report that their pets show just as much unconditional love and affection as …


An Evaluation Of Therapeutically Applied Role-Playing Games For Psychological And Social Functioning Amongst Youth/Young Adults, Adam Thomas Soleski May 2023

An Evaluation Of Therapeutically Applied Role-Playing Games For Psychological And Social Functioning Amongst Youth/Young Adults, Adam Thomas Soleski

Electronic Theses, Projects, and Dissertations

Tabletop role-playing games (TTRPGs) are “a collaborative narrative game where group members role-play a character that they create in order to solve puzzles, uncover treasure, and defeat monsters in a fictional environment that is created together using formal rules and participation structures'’ (Davis & Kilmer, 2020). TTRPGs have begun to increase in popularity and evoke new interest in exploring whether these new treatment modalities result in positive mental health outcomes. Specifically, therapeutically applied role-playing games (TARPGs) are TTRPGs that integrate therapeutic mechanisms in order to promote improved psychological and social functioning. The goal of the present study was to examine …


Current Practices For Forensic Assessments Of Offenders, Garet Bradford Jan 2023

Current Practices For Forensic Assessments Of Offenders, Garet Bradford

Walden Dissertations and Doctoral Studies

AbstractCurrent Practices for Forensic Assessments of Offenders by Garet Bradford MA, University of Cincinnati, 2017 BA, University of Nevada, 2014 Dissertation Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Philosophy Forensic Psychology Walden University August 2023


Myths And Fables Of Electroconvulsive Therapy: Knowledge, Attitudes, And Stigmas Of Ect In College Students, Madison Anne Brown Jan 2023

Myths And Fables Of Electroconvulsive Therapy: Knowledge, Attitudes, And Stigmas Of Ect In College Students, Madison Anne Brown

Senior Projects Spring 2023

This study builds upon extensive research on Electroconvulsive Therapy’s (ECT) effectiveness and advancements over time while providing insight into its continuous stigmatization as a psychotherapeutic treatment. The literature provided in this paper explores ECT’s historical background and its misrepresentations in society commonly perpetuated in the media. To further examine present day perceptions of ECT, this study evaluated Bard College undergraduate students’ (n = 24) knowledge, attitudes, and stigmas towards ECT. The data was collected using a five part questionnaire concerning the socio-demographic of participants (part 1), stigmas about ECT (part 2), knowledge about ECT (part 3), sources of knowledge of …


That’S Why We Drink: Effects Of Undergraduate Stress During The Covid-19 Pandemic On Alcohol Behaviors, Skylar St Clair Jan 2023

That’S Why We Drink: Effects Of Undergraduate Stress During The Covid-19 Pandemic On Alcohol Behaviors, Skylar St Clair

UNF Graduate Theses and Dissertations

Previous literature has shown that undergraduates’ alcohol use is often affected by their perceived stress, especially when there is a significant disruption to their typical college lifestyle. The primary goal of the study was to demonstrate that there is a relationship between perceived undergraduate stress and alcohol behaviors mediated by anxiety during the COVID-19 pandemic. The secondary goal was to determine if there were any significant moderating variables on the aforementioned mediation, specifically characteristics of personality. A self-report Qualtrics survey was conducted to assess perceived stress, anxiety, alcohol use, and personality domains along the Big Five Inventory for 244 students. …


Evaluation And Management Of Postpartum Depression In South Asian Women, Gujri Chadha Jan 2023

Evaluation And Management Of Postpartum Depression In South Asian Women, Gujri Chadha

Capstone Showcase

Postpartum depression is a worldwide phenomenon that affects about 10 to 20% of women within the first year of delivery. During the 12 months following delivery, about 85% of mothers experience a mood disturbance2. The importance of evaluating and managing postpartum depression is crucial as untreated postpartum depression can lead to a significant risk of morbidity for the child as well as the mother of the child3. Despite the remarkable prevalence of this diagnosis throughout cultures, the screening process for PPD is routinely missed, and the management is frequently incomplete for various reasons3. This phenomenon is exacerbated in minority populations …


Psychiatric Diagnostic Decision-Making: Investigating The Theory Of The Dual-Process Model, Christopher S. Kleva Jan 2023

Psychiatric Diagnostic Decision-Making: Investigating The Theory Of The Dual-Process Model, Christopher S. Kleva

Theses and Dissertations

Diagnostic decision-making is an important component of clinical practice; however, there is substantial diagnostic unreliability within mental health diagnoses. The lack of reliability emphasizes the importance of investigating diagnostic decision-making; however, the research to date is limited, primarily relying on a vague definition of decision-making based on the dual-process model. The present study is an exploratory attempt to apply the dual-process model to explain how mental health clinicians (n = 30, 73.3% cisgender female, 96.7% psychologists) arrive at making diagnostic decisions through the use of an interactive interview mechanism. For each participant, we are able to create a figure …