Clinical Psychology Commons^™

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 …

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. …

Interprofessional Practice And Handling The First Break: A Case Study, Jalen D. Clemmons

Social Work Masters Capstone Projects

Handling the first psychotic break can be a delicate process. In order to do so effectively, it is important to utilize the perspectives and disciplines offered within an inter-professional team. This paper is a case study revolving around the work done by an inter-professional treatment team at Eastern State Hospital.

Psychophysiological Effects Of Increasing Awareness Of Nondual Consciousness In Young Adults With Depression And Anxiety, Milena Braticevic

CONSCIOUSNESS: Ideas and Research for the Twenty-First Century

Young adults increasingly suffer from anxiety and depression during the time of transition into adulthood. This research study examined the effects of increasing awareness of nondual consciousness in young adults who were experiencing various levels of anxiety and depression. The methodology was mixed-method and included four 1-hour group-based sessions over 4 weeks. Increasing awareness of nondual consciousness through educational, experiential, and behavioural components resulted in reduction in the average depression score from 19.4 (borderline clinical depression) to 10 (normal), and reduction in the average anxiety score from 12.7 (moderate anxiety) to 6.9 (mild). Participants reported increased mental, emotional, physical, and …

Virtual Reality Supplement To The Peers Social Skills Intervention For Adolescents With Asd, Kevin Ambrose

Dissertations, Theses, and Capstone Projects

The purpose of this study was to replicate findings of the Program for the Education and Enrichment of Relation Skills (PEERS) parent-assisted social skills training program for a diverse group of adolescents with historical autism spectrum disorder (ASD) diagnoses in an urban locality. Additionally, this study sought to pilot a 3D multi-user virtual environment for adolescent participants and an online learning community for parent coaches; both hypothesized to reinforce the social skills curriculum. A randomized controlled trial of PEERS was completed with 12 adolescents diagnosed with ASD with some participation from their caregivers. Results show that participants who received the …

Lifetime Racism And John Henryism On Cognition And Cardiovascular Health In Black Men, Roy Mitchell

Dissertations

Lifetime racism is a type of chronic stress that is often accompanied by depression. Racism is the experience of many Black men because of several psychosocial stressors such as reduced resources and institutional barriers, to name a few. Active coping is typically utilized by Black men as a consistent means to reduce the negative outcomes linked to racism, however, this up-tempo coping style can contribute to poor cardiovascular health and cognitive impairment over time. The present study aimed to provide data to support the effects of lifetime racism and active coping on cardiovascular health and cognition. There were three hypotheses …

How Valuable Are Clinical Neuropsychological Assessments? A Meta-Analysis Of Neuropsychological Tests With Comparison To Common Medical Tests And Treatments, Murphy N. Harrell

Graduate Theses and Dissertations (2019 - present)

There has been a general decrease in neuropsychological assessments at a time when medical diagnostic technology and treatments have expanded, leading to a faulty assumption that medical tests and healthcare treatments provide more reliable or valid data than psychological assessments. A landmark report from the American Psychological Association’s (APA) Psychological Assessment Work Group (PAWG) found that validity coefficients for many psychological tests were indistinguishable from those of medical tests (Meyer et al., 2001). An updated systematic review of the advancement in neuropsychological testing is essential to the continued advancement of the value of neuropsychological assessment in healthcare. This meta-analysis sought …

Effects Of Music Exposure On Autobiographical Memory In Alzheimer's Patients: A Systematic Review And Meta-Analysis, Gregory Vance

Honors Theses

The progression of Alzheimer’s disease is primarily characterized by a loss of memory concerning past events, as well as a lack in ability to create new memories. While this spans across many subsets of memory, such as recognition, recall, and autobiographical memory, there seems to be a lesser impact on musical memory in those with Alzheimer’s. Multiple studies have suggested that exposure to music and introduction of music therapy can even improve other aspects of memory in Alzheimer’s patients. This systematic review and meta-analysis sought to examine the relationship between music exposure and autobiographical memory specifically. A pool of electronic …

Implementing An Online, Integrative, Multi-Component, Group-Based Cognitive Behavior Therapy (Cbt) For The Reduction Of Caregiver Burden In Primary Familial Caregivers Of Persons With Dementia: A Preliminary Test Of Feasibility, Daniel Robert Schaffer

Psychology Theses & Dissertations

The purpose of this study was to examine the preliminary feasibility of an online, manualized, group-based, multi-component, cognitive behavioral therapy (CBT) treatment approach for the reduction of caregiver burden among family caregivers of persons with dementia. This study had five primary hypotheses: (1) the recruitment plan, as outlined within this study, would yield the target number of participants within a 12-month period; (2) the proposed group therapy protocol would produce a positive therapeutic climate, as operationalized by increased levels of perceived social support, perceived group cohesion, positive therapeutic alliance, and positive engagement; (3) this study would maintain adequate participant retention, …

A Case Report And Review: Charles Bonnet Syndrome Plus With Dementia, Sindhura Kompella, Shivani Kaushal, Sara A. Khan, Clara L. Alvarez Villalba

HCA Healthcare Journal of Medicine

Introduction

Charles Bonnet Syndrome (CBS) refers to visual hallucinations in visually impaired patients without psychiatric illness who are typically aware that their hallucinations are not real. Rare cases in the literature describe patients with atypical CBS, or CBS plus, who experience hallucinations in the context of sensory deficits but do not meet all of the criteria of a CBS diagnosis. These cases may include hallucinations in more than one sensory modality, including auditory hallucinations, which are thought to arise by a similar pathophysiology to that of the visual hallucinations in CBS. Unfortunately, the clinical criteria for atypical CBS are ambiguous, …

Testing A Community Developed Training Protocol For An Evidence-Based Treatment, Lauren B. Quetsch, Amy D. Herschell, David Kolko, Brittany K. Liebsack, Regina A. Carroll

Psychological Science Faculty Publications and Presentations

The implementation of evidence-based treatments (EBTs) in community behavioral health settings is a recommended practice, yet training experienced by community-based clinicians may require novel and creative training methods. The current study focused on creating a training protocol for Alternative for Families: a Cognitive-Behavioral Therapy from both evidence-based foundations and community-based agency feedback to promote better EBT integration into agencies. Twenty-four clinicians from three agencies were trained using a community-informed training protocol. Outcomes for clinician-reports of organizational functioning, self-reports of skill and knowledge, and observational single-subject data of clinician skills were assessed. Minimal improvements were found for clinician skills across self-report …

Mental Construal And Alterations In Emotional Memory, Olivia D. Beers

Dissertations

Psychological distancing refers to a shift from a psychologically immersed perspective that involves thinking about the details of an event (concretely) or stepping back from it and watching the event from an outside point of view (abstractly)––this can help individuals change how they feel about the experience. Investigating how construal levels affect emotional memories may provide more insight into how individuals may potentially alter the recall of their memories. The current study reflects a new examination of the effect of primed high and low construal levels on the recall of positive and negative arousing stimuli. This study included a pilot …

Examining The Associations Between Experiences Of Perceived Racism And Drug And Alcohol Use In Aboriginal Australians, Victoria Gentile, Adrian Carter, Laura Jobson

Journal of the Australian Indigenous HealthInfoNet

Objective
This study aimed to explore the relationships between experiences of perceived racism, mental health and drug and alcohol use among Aboriginal Australians.

Method
Sixty-two Aboriginal Australians, ranging in age from 19-64 years (M_age = 33.71, SD = 12.47) and residing in Victoria completed an online questionnaire containing measures of perceived racism, alcohol use, substance use and mental health.

Results
First, 66% of the sample reported experiencing interpersonal racism, with the highest proportion of reported experiences occurring in health settings, educational/academic settings and by staff of government agencies. Second, perceived racism was significantly associated with poorer mental health …

The Impacts Of Learning 2 Breathe On Rumination, Adessa Flack

West Chester University Doctoral Projects

The present study examined the impact of Learning2Breathe (L2B), a mindfulness-based stress reduction program developed for use with adolescents on rumination. The program was applied to rumination in college-age men and women. Our experiment utilized a quasi-experimental design. The sample consisted of 50 undergraduate students that were placed in either the experimental or control group. Data was collected pretest and posttest through a variety of measures including the Rumination Reflection Questionnaire (RRQ) which consisted of a rumination and reflection subscale, and the Mindfulness Attention Awareness Scale (MAAS). A two-way mixed ANOVA design was used to analyze data. There was no …

Visionary Art As Evolving Consciousness, Azul Delgrasso

Journal of Conscious Evolution

Visionary art is art that is not confined by form, it argues that the artist who creates spiritual art allows the spirit to guide them, rather than relying on traditional form or technique. This can result in art that is incredibly unique and expressive, as it comes from a place of pure creativity and intuition. It also examines the visionary art of Alex Grey whose works offer a gateway into a different state of consciousness, where the viewer can access new insights and perspectives. In in a world that is becoming increasingly disconnected from the creative body, visionary art can …

Examining Jealousy In Mixed-Orientation Relationships: An Experimental Vignette Study, Madison Marie Glende

All Graduate Theses, Dissertations, and Other Capstone Projects

Experiences of romantic jealousy, measured by ratings of emotional and sexual jealousy, in same-orientation and mixed-orientation hypothetical relationships were examined among 83 heterosexual cisgender women, 18 years of age or older, who are students at Minnesota State University, Mankato. Surveys were distributed through SONA systems and were available to students enrolled in at least one psychology course at the time of participation. Participants were randomly assigned to one of four possible vignettes, of which followed a 2 (partner’s sexual orientation) x 2 (gender of partner’s friend) factorial design, and were instructed to read and imagine themselves in the presented hypothetical …

Comparison Of Chinese And Western Arts Mirroring The Evolvement Of Consciousness, Rui Peng

Journal of Conscious Evolution

A few researchers of consciousness in the West demonstrate that the development of western art mirrors the evolvement of human Consciousness since human civilization emerged. This paper explores the differences in art development between China and the West by comparing the artworks in the same era. Furthermore, discussing why the Chinese scholar art over two thousand years does not reflect the same structures of Consciousness that western researchers defined.

A Grounded Approach To Integral Art Therapy: Initial Reflections On Art Materials, Natalia Gómez-Carlier

Journal of Conscious Evolution

Art therapy has the power to bring healing and wholeness as it expands globally, an awareness of the integral structure of consciousness can benefit an adaptation of this profession that is both integrative and respectful of multiple perspectives and cultural views. The art-making process in art therapy can ground experience, and art materials can serve as vehicles through which different structures on consciousness are elicited, experienced, documented, and integrated. Integral art therapy can study the use of art materials to activate an integral structure of consciousness. Integrality is defined by its ability to play simultaneously from all structures of …

Aesthetic Altruism: Consciousness Of Street Artists, Melanie Cheng

Journal of Conscious Evolution

In the past few decades, many street artists have gained international recognition and now straddle the worlds of actual street art – art in the streets, art in the public domain – and fine art – art that is perceived to be of a particular quality, shown in galleries or museums. Despite perhaps “transcending” the streets, most successful street artists choose to continue creating artwork in public spaces, both legally with permission, or illegally without. Street art is different from public art, which is categorically created through a public process; while some street art, if not created aesthetically or …

The Impact Of Creative Arts On Meaning Reconstruction And Loss Adaptation In Widowed Adults, Dani Baker-Cole

Antioch University Dissertations & Theses

In counseling, helping grieving clients find meaning after significant loss is a unique, multidimensional, and lengthy process. This is particularly true in Western societies, where antithetical linear grief models, supported by hegemonic expectations to move on after loss, add exhausting pressure to speed up an individual’s natural grieving process. For that reason, this study examined how creative arts interventions such as using traditional art media and expressive writing, combined with postmodern, nonlinear, culturally sensitive bereavement models, help individuals explore their loss narrative to make meaning and adapt to loss. Specifically, this study examined the impact of a switch from traditional …

Capitalizing On Stress: Improving Affect And Self-Efficacy Through An Arousal Reappraisal Intervention, Angel Long

College of Graduate Studies: Theses & Dissertations

Stress is a non-specific reaction to the body (Jamieson et al., 2018), defined as a feeling of tension when one’s personal resources are taxed or exceeded (Folkman & Lazarus, 1985). Coping mechanisms for stress often focus on reducing associated features (Connor-Smith & Flachsbart, 2007). However, stress can produce challenge states, mindsets where individuals perceive personal resources as greater than situational demands (Jamieson et al., 2013). Challenge states are more likely to elicit positive behavior (Jamieson et al., 2018) and improved cognitive performance (Jamieson et al., 2010). One prospective mechanism to foster challenge states is arousal reappraisal, a cognitive mechanism …

Cancer Related Cognitive Impairment In Breast Cancer Patients: Guidelines For Neuropsychological Evaluation And Management, Ali Al-Humadi

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Current literature indicates there is still some debate regarding the scope and severity of cancer treatment related cognitive impairment (CRCI), with a wide variety of complex factors contributing to cognitive decline and discrepancies between objective findings and patient self-report. This paper aims to provide guidelines for neuropsychological evaluation, management, and rehabilitation of CRCI in breast cancer patients based on current research. This paper also aims to discuss current research on proposed mechanisms of action for CRCI, the cognitive domains affected in CRCI, and significant bio-psycho-social risk factors impacting CRCI.

A Missing Narrative: The Creation Of A Trauma-Informed Children’S Book For Children In The Foster Care System, Elizabeth Hoff Saunderson

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

This article includes a review of literature relevant to the experiences of children in the foster care system including demographics, trauma and stressful experiences, attachment challenges, and useful interventions. Limited research has been conducted to inform resource tools for children in foster care. The aim of the present study was to create a trauma-informed resource tool for children in the foster care system in the form of a children’s book. A review of children’s books related to foster care yielded four major themes including the importance of mindful language, the need for a resource tool, a focus on safety, and …

Imposter Phenomenon And Ces Doctoral Students, Michael Drane

Antioch University Dissertations & Theses

The aim of the study was to explore the lived experience of counselor education and supervision students who reported experiencing symptoms of imposter phenomenon (IP). The population included counselor education and supervision students in their first year of their program, with a sample of convenience (N = 4). The method used in this study was an interoperative phenomenological analysis. Data analysis revealed four major themes: (a) counselor education students express self-doubt, lack of confidence and concern about competence, (b) students rate different levels of competence in counselor education and supervision roles, (c) instructor feedback impacts student perceptions of competence, and …

Reported Motivations For Non-Medical Use Of Prescription Stimulants In A Sample Of Community College Students, Taylor Wexler

Undergraduate Honors Theses

Introduction. Prior research has found high rates of behavioral health concerns, including several forms of substance use, among community college students. However, the prevalence of non-medical use of prescription stimulants (NMUS) as well as the motivations driving NMUS among community college students is unknown. Methods. Survey results from 13 community colleges within the Tennessee Board of Regents school system were evaluated to explore 1) rates of NMUS, 2) reported motivations for NMUS, and 3) how demographic characteristics including race, age, and income differ based on self-reported reasons for NMUS. Results. NMUS was reported by approximately 9% of the overall sample. …

Women's Age Of First Exposure To Internet Pornography Predicts Sexual Victimization, Sarah J. Harsey, Laura K. Noll, Melissa J. Miller, Ryan A. Shallcross

Dignity: A Journal of Analysis of Exploitation and Violence

Increases in the availability and accessibility of Internet pornography have led growing numbers of children to become consumers of sexually explicit media. Research has identified negative behavioral and attitudinal outcomes associated with Internet pornography use in childhood and adolescence, but few studies have examined sexual victimization as a correlate. The current study aimed to examine the association between age of first Internet pornography exposure and sexual victimization. Data from 154 undergraduate women yielded several important findings. Women who viewed Internet pornography unintentionally at a younger age reported more sexual victimization. Specifically, compared to women who were first unintentionally exposed to …

Semantic Network Activation Contributes To The Relationship Between Mood And Inhibition, James S. Maniscalco

Dissertations, Theses, and Capstone Projects

Prior research has identified several relationships between mood and executive functions. Very broadly, these findings generally suggest that positive moods are associated with enhanced cognitive performance, particularly in working memory and learning. However, recent studies note that there are some instances in which negative moods may benefit select executive skills, such as those involved in divided attention and inhibition. In sum, these findings indicate that positive moods favor top-down, heuristic, or relational processing, whereas negative trait moods favor bottom-up, detail-oriented processing. However, a clear mechanism by which these effects occur has yet to be identified.

The most compelling theories that …

Pilot Study Of The Effects Of Mobile Based Resonant Frequency Breathing On Cognitive Performance In Healthy Young Adults With Elevated Stress, Daniel Saldana

Dissertations, Theses, and Capstone Projects

Objective: Prior research has shown a bidirectional relationship between breathing, emotions, behavior, and cognitive functions thought to be mediated by the autonomic nervous system (ANS). Studies have shown that deep or diaphragmatic breathing interventions are associated with improved affect and decreased stress levels, but little attention has been paid to the effects of breathing training on cognition. The few studies that have looked at this have shown improved attention, memory, and executive functioning as a result of breathing interventions. While suggestive of positive benefits, these studies used control groups that are either inactive or inappropriate for determining their respective mechanisms …

Lgbt Inclusivity In Transpersonal Psychology: A Case For Incorporating Lgbt Spiritual Experiences In Transpersonal Education, Daniel A. Seda, Phd

Journal of Conscious Evolution

After conducting three qualitative interviews on the somatic experiences of transgender individuals and finding relatively few resources with which to draw significant conclusions in the field, it is clear that Lesbian, Gay, Bisexual, and Transgender (LGBT) scholarship is severely lacking in transpersonal psychology.

Method: This research revealed that an understanding and appreciation for the lived experiences of gay people––specifically that of gay men––are also limited and are not appropriately represented through the use of feminist or queer models. Therefore, an alarming number of issues affecting the transgender and gay male populations are not being adequately addressed within the discipline of …

Book Review: Mythic Imagination Today: The Interpretation Of Mythology And Science By Terry Marks-Tarlow, Ivana Gligoric

Journal of Conscious Evolution

Terry Marks-Tarlow interprets mythology and science as endless curiosity about the workings of the Universe, combing with humans’ creative urges to transform inner and outer worlds. The author perceives mythology as a universal product of the human imagination in interaction with the physical and social world, driven by the urge to communicate with others symbolically and make meaning out of life experiences. Moreover, Marks-Tarlow studied the origins of a human story within the social brain, mythmakers, and myths from multiple cultures. At the same time, she explored how contemporary sciences of chaos, complexity theories, and fractal geometry unite with ancient …