Clinical Psychology Commons^™

Pilot Study: Role Of Social Support And Stress On Anxiety In First-Year College Students, Erin N. Smith, Deven L. Dancy, Lauren E. Nee, Kali Rebuck, Stephanie J. Shirk

Journal of Applied Disciplines

Research indicates worsening mental health, especially anxiety, in college populations; yet few studies have investigated anxiety and related factors in this population. This study examined the impacts and interrelations among anxiety, stress, and social support in first year, first semester college students. In a sample of 119 students, the following models of the impact of social support in the stress-anxiety relation were tested: 1) a direct impact of social support, 2) a moderating effect of social support, and 3) an indirect impact of social support. Results indicated that the indirect model of the influence of social support best fit the …

The Integration Of Culture, Identity, And Belongingness In Emdr Therapy: Practitioners’ Perspectives, Robert Anthony Richards

Counseling and Psychology Dissertations

This dissertation examines how EMDR (Eye Movement Desensitization and Reprocessing) practitioners approach power dynamics, identity, and belongingness in therapy from a multicultural and social justice perspective. Using a qualitative narrative research design guided by intersectional feminist epistemology, the study investigates how privilege, positionality, and belongingness influence clinicians’ approaches to EMDR therapy. Semi-structured interviews were conducted with nine EMDR-trained practitioners from diverse sociocultural backgrounds to explore how relational, systemic, and contextual factors influence their clinical work. Thematic analysis was used to illuminate how EMDR practitioners navigate complex power dynamics both within the therapeutic alliance and in broader sociocultural contexts. Participants emphasized …

Behind The Curtain: A Literature Review Of Personal And Ecological Risk Factors And Current Multi-Level Interventions For Performing Artists, Christopher A. Robles

Social Work Theses

Performing artists experience psychological distress, including anxiety, depression, burnout, and substance use disorders, at rates significantly exceeding those of the general population. Guided by Bronfenbrenner’s Ecological Systems Theory (EST) and the Person-in-Environment (PIE) perspective, this structured literature review synthesizes research published between 2010 and 2026 to examine individual personality traits, environmental stressors across meso- and macro-systems, and existing multi-level mental health interventions for performing artists. Findings reveal that while traits such as high openness to experience, sensory processing sensitivity, and perfectionism foster artistic expression, they also heighten vulnerability to occupational stressors, financial precarity, social isolation, and venue-based substance exposure. Current …

Showpony, George Theodore Ellington

Undergraduate Theses, Professional Papers, and Capstone Artifacts

The poetry collection Showpony focuses on the real-life experiences of a woman in her twenties during the 1970s, who is treated by psychiatrist Dr. Robert J. Stoller at UCLA in a desperate attempt to make her normal. Mrs. G struggles with homicidal and suicidal thoughts, psychosis, as well as her homosexuality and transgender identity. Showpony examines the ways in which psychology has pathologized these experiences and the ramifications for patients, particularly those who have been publicly showcased as examples of their conditions used to train future students. The collection critiques the exploitation of patients by psychiatrists and psychologists, highlighting unethical …

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 …

Moving Positively: A Review Of Positive Psychology Interventions In Counseling, Spencer M. Fleming, Ingrid Weigold Ph. D

Williams Honors College, Honors Research Projects

Positive psychology is a relatively new and developing subfield of psychology which examines the machinations and roles of various character strengths and traits such as growth, well-being, meaning, life satisfaction, character strengths, and more. Positive psychology holds various implications for counseling, therapy, individual growth, and self-determination. However, current literature on positive psychology interventions (PPIs) are scattered, nuanced, and lack overall consensus. Thus, encompassing research is necessary to identify common trends, areas for improvement, and a clear direction moving forward. The present review analyzes positive psychology interventions (PPIs) within psychology and counseling. This review examined forty-eight articles, including fifteen meta-analyses, on …

Cultural Schemas Regarding Resilience And Strength In Blacks: Implications For Well-Being And Academic Success, Aniya G. Ashford

Honors Undergraduate Theses

Culturally shaped strength-based coping frameworks among Black college students, particularly the Strong Black Woman Schema and John Henry’s Active Coping, are associated with responses to racism-related stress and academic pressure, yet the ways these internalized expectations interact with emotional regulation, perceived cultural norms, and academic functioning remain unclear. Prior research has primarily examined these constructs in isolation or focused on psychological distress or physical health outcomes, often relying on single-method self-report designs that do not capture how culturally embedded coping processes are reflected in lived experiences; as a result, limited work has integrated identity-based schemas, behavioral coping strategies, and narrative …

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 …

Social Media, Masculine Body Ideals, And The Drive For Muscularity: A Serial Mediation Model Across Sexual Identities, Sean P. Mcdaniel

Theses and Dissertations

Body image concerns among men are increasingly prevalent yet remain understudied compared to women’s experiences. Drawing on objectification theory, the present study examines the relationship between social media influence and men’s drive for muscularity through a serial mediation model. Specifically, the present study investigates whether the internalization of masculine body ideals and engagement in body surveillance behaviors mediate the link between social media influence and the drive for muscularity. Furthermore, the present study model attempts to explore how these processes differ across sexual identities, given evidence that sexual minority men face distinct sociocultural pressures regarding appearance. Adult male-identifying social media …

Emotion Regulation Difficulties And Substance Use: The Role Of Conscientiousness, Caitlyn M. Donnelly

Theses and Dissertations

Difficulties in emotion regulation have been consistently linked to substance use among college students. However, individual differences may influence this relationship. Conscientiousness, a personality trait characterized by self-control, planning, and goal-directed behavior, has been proposed as a potential protective factor. The present study examined associations among difficulties in emotion regulation, conscientiousness, and substance use behaviors, as well as whether conscientiousness moderates the relationship between emotion regulation difficulties and substance use. Using a quantitative, cross-sectional, correlational design, data was collected from college students recruited through a university participant pool. Participants completed self-report measures of emotion regulation difficulties, conscientiousness, and substance use …

The Effects Of A Work-Strengths Affirmation Intervention On Death Anxiety: Meaning And Self-Esteem As Mediators, Begüm Orhan

Theses and Dissertations

Death anxiety is a transdiagnostic construct and a universally experienced existential fear that has been linked to a wide range of psychological difficulties, including anxiety, depression, and impaired well-being. Despite its widespread impact, empirical research on targeted interventions for death anxiety remains limited. The present study aimed to address this gap by developing and evaluating an online, single-session, theory-based (i.e., Terror Management Theory, positive psychology) intervention focused on affirming personal strengths in the context of one's work. The intervention was designed to target work-strengths (i.e., leadership, adaptability)—an intersection of positive and vocational psychology.

College students from a large Midwestern university …

Parental Behavior, Attachment, And Sibling Outcomes In Asd Families, Bridget W. Mwaura

Theses and Dissertations

Neurotypical siblings of individuals with Autism Spectrum Disorder (ASD) often experience unique challenges, including increased familial stress and differences in parental treatment, which may affect the sibling bond. Grounded in the Attachment Theory and Siblings Embedded Systems Framework, this study examined relationships among attachment security, parenting behaviors and sibling relationship quality. It was hypothesized that secure parental attachment and helpful parenting behaviors would predict greater sibling closeness and lower conflict, and that attachment security would mediate the relationship between parenting behaviors and sibling relationship quality. Results from a sample of emerging adults (N=91) partially supported these hypotheses. Bivariate …

Survivors Of Historical Intergenerational And Familial Trauma Scale For Black American Descendants Of Enslaved People: A Development And Initial Validation Study, Loryn Chás Kimbrough

Graduate Research Theses & Dissertations

Despite extensive research documenting cultural and racialized trauma, no validated assessment tool had previously captured the intrafamilial mechanisms of trauma transmission specific to the BADEP population, whose trauma lineage is rooted in slavery. The present study addresses this gap through the development and initial validation of the Survivors of Historical Intergenerational and Familial Trauma Scale (SHIFTS), a culturally grounded instrument designed to measure the transmission of historical trauma (HT) and ongoing intergenerational trauma (IGT) among Black American Descendants of Enslaved People (BADEPs). The SHIFTS examines how HT gives rise to the continued transmission of two interrelated legacies: survival-based and trauma-rooted …

Personality-Based Clinical Predictors Of Transdiagnostic Suicidality In Emotional Disorders, Harshini Arun

Masters Theses

No abstract provided.

"Why Don't I Talk To A Therapist?": Motivations And Reflections Of Female-Identifying Chinese Immigrants Seeking Psychotherapy For Depression, Qiuyi Wei

Antioch University Dissertations & Theses

This phenomenological study explored the lived experiences of Chinese immigrants and temporary residents struggling with depressive symptoms and their process of seeking and accepting psychotherapy support. The study aimed to describe the factors that motivated participants to enter therapy for depression while also addressing their internal concerns about treatment. Nine female-identified Chinese immigrant adults with such experiences were recruited. Participants’ perceptions of their depressive symptoms and the factors contributing to their decision to seek professional therapy were explored through in-depth, semi-structured qualitative interviews conducted in Mandarin. The interview transcripts were analyzed in Mandarin using interpretative phenomenological analysis, through which four …

Hiding In Plain Sight, Gayle M. Perreault

Antioch University Dissertations & Theses

Some autistic individuals reach adulthood without receiving a diagnosis, and the processes contributing to delayed recognition are not yet fully understood. This study explored how contextual conditions across development related to the emergence and use of camouflaging behaviors in late-diagnosed autistic adults from groups historically underrepresented in autism research. Using an inductive collective case study design, narrative interviews were conducted with seven autistic adults diagnosed after age 15. The analysis examined how participants described learning, maintaining, and interpreting camouflaging behaviors across childhood through early adulthood within social, environmental, and institutional contexts, with attention to how participants experienced environmental expectations and …

Beyond The Rabbit Hole: Dmt, Death, And The Hereafter, Abby Molina

Antioch University Dissertations & Theses

This dissertation explores a proposed relationship between death and N,N-dimethyltryptamine (DMT) within the context of contemporary clinical psychology and the current psychedelic renaissance. Building on Rick Strassman’s hypothesis that DMT may be released at the moment of death and Imants Barušs’ conceptualization of death as an altered state of consciousness, this project examines the phenomenological similarities between DMT-induced experiences (psychedelic “trips”) and near-death experiences (NDEs). Through review of neurobiological research, psychedelic-assisted therapy literature, religious and cultural ceremonial practices, and documented DMT trip and NDE reports, this work evaluates the plausibility that endogenous DMT contributes to altered states of consciousness observed …

Doctoral Trainees’ Experiences Of Vicarious Trauma Within Inpatient Settings: An Exploratory Study, Melissa Neitlich

Antioch University Dissertations & Theses

Vicarious trauma (VT), first coined by Irene Lisa McCann and Anne Pearlman, is described as a pervasive and cumulative impact of working with survivors of trauma, resulting in changes to the therapist’s identity, worldview, psychological needs, beliefs, and memory. In spite of the unique vulnerabilities of doctoral trainees for experiencing VT, there is limited research on the impact of VT among doctoral trainee populations, as most of the extant literature focuses on the impact of VT in middle- to late-career psychological practice. In this primarily qualitative dissertation, I examined trainees’ experiences of vicarious trauma within various inpatient settings using the …

Developing And Evaluating A Multidimensional Measure Of Pride In The Lgbtqia+ Community, Donovan Edward

College of Graduate Studies: Theses & Dissertations

Pride in LGBTQIA+ spaces has thus far been an ethereal concept with no universally agreed-upon definition. Previous literature frequently connects pride to traits such as resilience, comfort, confidence, and identity expression. This is a critical oversight, as most measures of LGBTQIA+ experiences focus on the negative aspects of queer experiences (e.g., vulnerability, victimization) or are created to evaluate non-LGBTQIA+ perceptions of LGBTQIA+ people, falsely characterizing this community in a deficit-based light. In response, this study aimed to offer a holistic definition of pride and develop a psychometrically sound measure of pride stemming from culturally salient expressions by using rigorous analytical …

Mindfulness As A Potential Facilitator Of Self-Forgiveness?, Isabella S. Lindsay Castelli

Scripps Senior Theses

Despite clinicians’ attestation to self-forgiveness’ relevance in clinical practice, as well as research suggesting its positive relationship to well-being, most clinicians are not familiar with models for facilitating self-forgiveness. The present study draws on theoretical overlap between mindfulness theory and three prominent models of the self-forgiveness process, as well as empirical research showing a positive association between dispositional mindfulness and dispositional self-forgiveness. Participants were adults in the United States, randomly assigned to a mindfulness exercise or control (progressive muscle relaxation exercise). Participants were asked to think of a transgression they committed, report their self-forgiveness for that transgression, and retake the …

The Role Of Alcohol Expectancies In The Relationship Between Social Anxiety And Protective Behavioral Strategies Among College Students, Jordan Ortman

Graduate Studies Theses and Dissertations 2026

College students with elevated social anxiety are at heightened risk for alcohol-related consequences despite not consistently reporting greater alcohol use. One potential explanation for this pattern is lower engagement in protective behavioral strategies (PBS). Social alcohol expectancies are relevant to PBS use because students with elevated social anxiety often expect alcohol to reduce social discomfort or facilitate social interaction, and these beliefs may correspond with lower use of strategies that constrain the pace or amount of drinking. The present study examined whether positive and negative social alcohol expectancies were intermediate variables in associations between social anxiety and three PBS domains: …

A Test Of The Three-Step Theory: Examining Pain, Hopelessness, And Suicidal Desire Among College Students, Shelby Baker

Graduate Studies Theses and Dissertations 2026

Suicide is a leading cause of death, and suicidal thoughts are prevalent among emerging adults and undergraduate students. Still, many prominent risk factors remain understudied. Guided by the Three-Step Theory of Suicide (3ST), this study examined the roles of hopelessness, psychological pain, and physical pain in prediction of suicidal desire among undergraduate college students (N = 1,705) recruited from UCF’s SONA system and CloudResearch’s Connect platform. Participants completed an online, cross-sectional survey that included measures of suicidal thoughts and behaviors, hopelessness, psychological pain, physical pain, and other psychological variables of interest. Psychological pain and physical pain were tested as moderators …

Internalized Shame, Self-Focused Attention, And Post-Event Processing In Everyday Social Anxiety, Wooje Lee

Graduate Studies Theses and Dissertations 2026

The purpose of this study was to investigate how emotional processes, represented by internalized shame and daily shame (from the emotion-focused therapy model), and cognitive processes, represented by self-focused attention and post-event processing (from cognitive-behavioral models), operate on a daily basis to contribute to social anxiety. Data collected from a sample of 39 individuals with high social anxiety via an online survey and daily diaries was analyzed using multilevel path analysis. The results showed that, at the within-person level, daily shame experienced during an important social interaction influenced self-focused attention during that same interaction and subsequent post-event processing, which in …

Development Of The Simultaneous Alcohol And Cannabis Use Expectancy Questionnaire (Sac-Eq), Shane D. Marohnic

Graduate Studies Theses and Dissertations 2026

Background: Simultaneous alcohol and cannabis use (SAC/SAM), defined as using alcohol and cannabis at the same time so that their effects overlap, has been identified as a hazardous form of polysubstance use. Expectancies are a causal mechanism and can be changed with predictable reductions in substance use and associated consequences, yet only one measure has been developed to assess expectancies related to SAC. Due to limitations of the existing measure, this study sought to create a more comprehensive SAC expectancy scale. Method: Three phases of participants (Phase 1, N = 493; Phase 2, n = 4; Phase 3, n …

Systematic Review Of Ketamine Therapy For Treatment Resistant Depression, Amal Abdulkadir

Antioch University Dissertations & Theses

a systematic literature review the results of 29 published studies from 2020-2025 that met specified inclusion criteria. The review identified costs and benefits of traditional algorithms for treating this problem, as well as the trend in research to include the use of ketamine. Studies have demonstrated a potential association between the use of ketamine therapy and significant clinical improvement in depressive symptoms. However, the current efficacy of ketamine therapy compared to treatment as usual, side effects and contraindications have not been addressed. This dissertation is available in open access at AURA, https://aura.antioch.edu/, and OhioLINK ETD Center, https://etd.ohiolink.edu/

Academic Satisfaction Of Graduate Students In Mental Health Professions: Mediating Roles Of Burnout And Engagement, Yu Ying Li

Electronic Theses & Dissertations (2024 - present)

Academic satisfaction for students is as critical to their retention and well-being as job satisfaction for working adults; however, it has received limited empirical attention particularly among graduate students in mental health-related programs. One of the barriers to mental health trainees’ satisfaction with their academic training is burnout. The current study evaluated the applicability of Study Demands-Resources (SD-R) framework (Lesener et al., 2020) to trainees. Specifically, this study examined the relations between study demands (i.e., perceived stress), study resources (i.e., supervisory alliance and social support), student burnout, student engagement, and academic satisfaction. It also tested if student burnout and engagement …

Family Routines And Cognitive Emotion Regulation: The Role Of Harsh Parenting And Family Activities, Vidhi Jain

Electronic Theses & Dissertations (2024 - present)

Cognitive emotion regulation (CER), consisting of adaptive and maladaptive strategies, is a critical developmental process linked to various well-being outcomes across the lifespan. Family contexts such as daily routines, parenting, and engagement shape the development of emotion regulation. Existing literature generally links family routines to better CER outcomes (Selman & Dilworth-Bart, 2023), but has not yet investigated the impact of routines in adverse family environments. The present study examined whether harsh parenting and the frequency of shared family activities jointly moderate the relationship between family routines and adaptive and maladaptive CER. A sample of emerging adults (N = 210; …

The Emotional Landscape Of Cult Involvement From Recruitment To Disaffiliation: A Grounded Theory Study Of Survivor Experiences To Inform Trauma Counseling, Yaroslaba Garcia, Suzanne M. Dugger, Jackie Greene

Trauma Counseling and Resilience

This study used a constructivist grounded theory design to explore survivors’ unwanted emotions across the recruitment, retention, and disaffiliation phases of cult involvement. Through inductive analysis, the researchers developed a theoretical model grounded in participants’ experiences to explain the persistence and impact of these emotions. The researchers conducted in-depth interviews with 15 U.S.-based cult survivors of diverse types of cults and with varying lengths of membership. Participants completed three onehour interviews, each focused on unwanted emotions during a specific phase of cult involvement. Data analysis included iterative coding, bracketing meetings, and memo-writing. Analysis revealed 16 categories of unwanted emotions, with …

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 …

Our Teens Are Not Okay, But They Can Be: An Application Of The Family Firo Method To Improve Parent-Adolescent Communication About Suicide, Janene Pack Lpc, Cmhc, Peder Schillemat

Issues in Religion and Psychotherapy

This article explores the critical role of parent-teen communication in the mental well-being of teenagers, with a particular focus on its connection to suicide risk. A particular focus is on teens who live in Utah as the suicide rate for Utah teens and young adults is almost twice the national average. Despite the focus on families and religion in Utah, a significant number of teens continue to struggle with loneliness, hopelessness, and even thoughts of suicide. One key contributing factor to this struggle is the lack of open, supportive communication between Utah teens and their parents. The absence of effective …