Clinical Psychology Commons^™

Expand Your Horizon: Investigating An Online Intervention For Weight Bias Internalization, Alexandria Davies

Theses and Dissertations

Weight bias internalization (WBI; i.e., self-directed weight stigma or the degree to which individuals apply negative weight-based stereotypes to themselves), is problematic because it is associated with increased stress, emotional eating, healthcare avoidance, and exercise avoidance. Thus, WBI exacerbates health disparities and there is an urgent need to create treatments that address this concern. The current study examined the preliminary effectiveness of a previously developed online body gratitude journaling intervention (i.e., Expand Your Horizon) compared to an active control writing condition in emerging adult women with WBI. Racially/ethnically diverse women (N=100; n=49) or Expand Your Horizon ( …

An Assessment Of Therapist Attitudes Toward Polyamorous People, Chelsea V. Randall

Antioch University Dissertations & Theses

Polyamorous people can encounter unique negative experiences in psychotherapy. Western culture perpetuates the ideal of romantic and sexual exclusivity between two people through monogamy as the dominant social norm, to the extent that nonmonogamous relationships are considered abnormal or othered. Polyamorous people have reported experiencing such biases from therapists, resulting in being pathologized, inaccurately labeled as infidelitous, and spending excessive treatment time providing education on polyamory. Research on the therapist’s contribution to polyamorous clients’ negative experiences is lacking, which limits suggestions for affirmative practices and the rationale from which to implement them. The current study sought to directly survey therapists’ …

“Child Witches”: Sexual Exploitation And Abuse Of Homeless Girls In South-Southern Nigeria, Chima Agazue

Dignity: A Journal of Analysis of Exploitation and Violence

Sexual exploitation and abuse of girls is one of the endemic social problems in Nigeria. Although this problem has attracted much research attention in recent times, some newly emerged factors contributing to the problem have been mostly ignored. This study explored how the abandonment of children following their stigmatization as witches contributes to sexual exploitation and abuse of the girls in the Akwa Ibom and Cross River states of Nigeria. The study was based on the qualitative research paradigm. Data was collected via semi-structured interviews of three senior staff members of the Child’s Rights and Rehabilitation Network (CRARN)—a children’s charity …

Understanding The Psychological Experience And Perspective Of Frontline Healthcare Workers And Psychological First Aid Providers During The Covid-19 Pandemic: A Qualitative Study, Hemavathi Shanmugam

Student Works (2020-2029)

Background: The growing number of coronavirus disease 2019 (COVID-19) cases since December 2019 has led to burnout and psychological distress among the frontline healthcare workers (HCWs). In Malaysia, remote Psychological First Aid (PFA) via teleconsultation was launched to ameliorate the mental health distress among HCWs. Objectives: The purpose of this study was to understand the psychological experience and perspective of frontline HCWs and PFA providers as a guide in improvising the delivery of the remote PFA service during the COVID-19 pandemic. Methodology: A descriptive qualitative research design based on semi-structured individual in-depth interviews were conducted with a total of 30 …

A One-Session, Brief Acceptance And Commitment Therapy Workshop For Chronic Pain Patients: A One-Sample Pretest-Posttest Prospective Exploratory Study, Kelly Anne Thomas Ms

Graduate Theses, Dissertations, and Problem Reports (ETD)

Chronic pain affects one in every four persons (NIH, 2010). For individuals residing in rural communities where chronic pain treatment is often not accessible (Artnak et al., 2011), a one-session brief mental health intervention is a critical healthcare need. More specifically, acceptance and commitment therapy (ACT) for chronic pain is a novel treatment approach in need of more research (Society of Clinical Psychology, 2016). This current study contributes to the gap in the literature by implementing an ACT workshop in a rural healthcare setting for individuals with chronic pain. It was hypothesized that the workshop would increase adaptive coping mechanisms …

Psychologists' Use Of Touch In Individual Psychotherapy With Deaf And Hard-Of-Hearing Clients, Caroline M. Kobek Pezzarossi Ph.D, Irene W. Leigh Ph.D, Daniel S. Koo Ph.D

JADARA

The use of touch in psychotherapy is a topic often undiscussed in graduate training programs. Stenzel and Rupert’s 2004 study showed that nearly 90% of clinicians never or rarely offered touch to clients during a session. This study examined the use of touch in a psychotherapeutic setting with culturally Deaf clients, since touch is a culturally accepted, even expected, practice. Results indicated that there was no statistically significant difference among culturally Deaf therapists compared with the Stenzel and Rupert’s (2004) findings, but there is a statistically significant difference in those who identify as hearing and work with culturally Deaf clients. …

Cuban Immigrants’ Experience With Acculturation And How They Cope In The United States, Lourdes Araujo

Dissertations

Objective: This research examines how Cuban immigrants experience cope and adapt to the United States. Cuban immigration is associated with specific stressors related to the immigration experience and the necessary process of acculturation and assimilation. These major stressors can result in mental health concerns among Cuban immigrants; however, no studies have examined how acculturation may influence Cuban immigrants’ coping skills and resultant mental health concerns. This unique study is the first to examine the coping skills Cuban immigrants use during acculturation and the effects of these skills on Cuban immigrants’ mental health. Methods: Seventeen participants completed a semistructured interview and …

A Mule For The Patriarchy: Waking Up To The Harm Of Prostitution To Wives And Families, Andrea Heinz

Dignity: A Journal of Analysis of Exploitation and Violence

I exited from commercial sexual exploitation eight years ago. Here, I share my reflections on how my actions directly impacted other women. I describe how my participation in the sex trade adversely affected the wives and girlfriends of sex buyers. I posit that sex sellers negatively impact these vicarious victims by subscribing to and endorsing “sex work” ideology. I assert that the collective good of all women is diminished by viewing sexual services as a market commodity. I stress that the collective good of all women is enhanced by assuming responsibility and compassion for one another.

Relationships Between Religiosity, Spirituality, Gender, Psychological Distress, And Treatment Preference, Reid Wollett

Undergraduate Honors Thesis Projects

The underutilization of mental health services by college students is an enduring problem, highlighted by increasing popularity of mental health awareness efforts. One strategy used to understand this problem is examining college students’ attitudes toward seeking psychological help. The present study sought to examine college students’ attitudes toward seeking both psychological and religious forms of help, and the roles of religiosity/spirituality, psychological distress, and gender in predicting treatment preference. Understanding what kind of treatment students prefer and the important predictors of this preference may help us to address more effectively the problem of mental health service underutilization. In a large …

Socially Just Trauma-Informed Responses To Covid-19 With Undocumented Communities, Daniela Dominguez

Journal of Interdisciplinary Perspectives and Scholarship

No abstract provided.

Xenophobia And Racism Against Asian Americans During The Covid-19 Pandemic: Mental Health Implications, Hsiu-Lan Cheng

Journal of Interdisciplinary Perspectives and Scholarship

No abstract provided.

Loss, Grief, And Racial Health Disparities During Covid-19: Same Storm, Different Boats, Joyce Yang, Sierra Carter

Journal of Interdisciplinary Perspectives and Scholarship

No abstract provided.

Introduction To The Issue: Evaluating The Psychological Impact Of Covid 19, Saera R. Khan, Christine J. Yeh

Journal of Interdisciplinary Perspectives and Scholarship

Evaluating COVID 19 in its entirety is an enormous undertaking--one which will take many years and many scholars from every academic discipline to fully convey the impact of this disaster. In this three-part Special Issue of the Journal of Interdisciplinary Perspectives and Scholarship, we present current understandings of the immediate impact of COVID 19. The authors of these contributions participated in a webinar series produced by the University of San Francisco’s Center for Teaching Excellence and Center for Research, Artistic, and Scholarly Excellence in March through May 2020. Scholars from various academic sub-disciplines were invited to discuss the impact of …

Assessing A Cognitive Model Of Trauma-Related Sleep Disturbance, Rebecca Chesher

Dissertations

Sleep disturbance is a symptom of many mental health disorders that may negatively affect cognition and mood. Trauma-related sleep disturbance is a core reaction of traumatic stress and PTSD, similar to symptoms experienced by individuals with insomnia or other sleep-wake disorders. Although the cause and symptom progression of trauma-related sleep disturbance may be very different, research and clinical practice assess and treat it with measures and interventions designed for general insomnia. Using a cognitive model of insomnia modified for trauma-related sleep disturbance, the current study assessed the relations between select trauma and sleep variables within the proposed constructs of: 1) …

The Development Of A Therapeutic Alliance Focused Intervention, Amanda L. Mendez

Loma Linda University Electronic Theses, Dissertations & Projects

The therapeutic working alliance is defined as the collaborative relationship between the therapist and the patient. This relationship largely determines whether the patient experiences therapy as helpful or unhelpful in reaching their agreed upon goals. The relationship between the therapeutic alliance and psychotherapy outcome has been well documented in the literature. The therapeutic alliance is considered a “main curative component” in the interpersonal process of therapy, and is the foundation necessary for successful therapy outcomes across various orientations of psychotherapy. Still, far less research has examined the relationship between specific therapist personality characteristics and the quality of the therapeutic alliance. …

Experiences Of Latinx's Adult Transition To The U.S. And The Clinical Implications That Arise In Acclimating Into The Dominant Culture: An Interpretive Phenomenological Analysis, Gabriela Olavarrieta

Doctoral Dissertations

There has been a significant gap in the literature regarding the lived experience of the Latinx adult transition to the United States and the clinical implications that arise in acclimating to the dominant culture, particularly under the Trump Administration. The approach for the current research examined Latinxs’ adulthood transitions to the United States, experiences of acculturative stress, including instances of discrimination as well as their experiences acclimating or assimilating into the dominant culture. This study also examined what seeking, or being unable to seek, mental health services looked like in the current sociopolitical climate. Interpretive phenomenological analysis was utilized to …

An Interpersonal View Of Personality Disorders, Mariafé T. Panizo Jansana

Dissertations, 2020-current

One of the most controversial psychological disorders in the mental health field is personality disorders. Personality disorders are difficult to study and difficult to treat. Among other issues, high comorbidity among personality disorders interferes with its reliability and differential diagnosis. Substantial efforts in the last decades are attempting to address some of these issues by rethinking the way personality disorders are diagnosed, and special attention has been placed on traits-based dimensional models. Despite the multiple advantages of traits-based dimensional models, there is some hesitancy in the field regarding whether these models are truly equipped to serve as the basis for …

A General Education Course Designed To Cultivate College Student Well-Being, Jessica C. Davis

Dissertations, 2020-current

Mental health issues appear to be on the rise across our world, especially within the college student population. Considerable data suggests that today’s students have lower rates of well-being and healthy psychological functioning and higher rates of distress, fragility, and clinically significant mental health problems than seen in previous generations. These findings have led some scholars to define this trend as a college mental health crisis. The purpose of this study was to respond to this crisis via the development and administration of a well-being general education course conceptually grounded in Henriques’ Unified Framework of psychology and psychotherapy (see, Henriques, …

Mindfulness And Technology: Evaluating An Online Mindfulness Intervention For Symptoms Related To Sexual Assault, Erica Catherine Johnson

Dissertations

Sexual assault has been found to increase the risk of distressing psychological symptoms including PTSD, depression, somatization, drug and substance use, lower quality of life and experiential avoidance. As such, interventions for reducing the distress and negative impacts of sexual assault are of importance. Mindfulness is of particular interest as it addresses one of the prominent factors known to maintain psychological distress after trauma, experiential avoidance (Polusny et al., 2004; Merwin et al., 2009). Furthermore, an online mindfulness-based intervention can increase the accessibility and reduce the barriers to treatment. A within subjects repeated measures open clinical trial design was used …

Exploring The Relationship Between Mindfulness, Self-Compassion, And Empathy In Student Therapists, Nicole Montes

Dissertations

Literature suggests that the practice of mindfulness may foster self-compassion within the practitioner. Mindfulness is also associated with increased empathy towards others. The current study explored the relationship between a mindfulness intervention and student clinicians’ levels of self-compassion and empathy towards a mock “client.” Graduate student clinicians were randomly assigned to two groups: one that participated in a mindfulness exercise then viewed a mock client video, and another that did not participate in the mindfulness exercise and went directly to viewing the mock client video. Participants’ levels of empathy towards the client and self-compassion were measured. The results revealed no …

Romantic Relational Aggression Among College Students: A Moderated Mediation Study Of Attachment Style, Romantic Jealousy, Mate Value, And Relationship Investment, Skylar Hicks

Dissertations

Most of the research on intimate partner violence has concentrated on overt physical and verbal aggression, and less is known about relational aggression in the framework of romantic relationships. Relational aggression is more prevalent in college students’ romantic relationships compared to physical aggression and may be a risk factor for intimate partner violence. Additionally, a number of adverse correlates have been associated with romantic relational aggression, suggesting that it is worthy of study independent of its association with intimate partner violence. The present study explored the relationships among adult attachment, romantic jealousy, mate value, relationship investment, and romantic relational aggression …

Student-Athlete Success: An Examination Of Parenting, Grit, Academic Success, And Mental Health Outcomes, Jackson Howard

Dissertations

Factors such as poor adjustment, substance misuse, and mental health concerns have been found to be detrimental to college student success. Considering this, researchers have focused on investigating protective factors, which may enhance performance in higher education. Specifically, non-cognitive traits, such as grit, or an ability to maintain determination and passion for long-term goals in the face of adversity, and positive parenting strategies, such as psychological autonomy granting, have been tied to positive outcomes for college students in higher education. Conversely, overparenting behaviors and negative outcomes, such as burnout, have been found to be damaging to student success. Student-athletes are …

The Mediating Effects Of Drinking Refusal Self-Efficacy On The Associations Between Alcohol Protective Behavioral Strategies And Alcohol Use Outcomes, Kray Scully

Dissertations

Alcohol use continues to pose a serious public health problem at universities across the U.S., largely due to the extent of consumption and frequency of negative consequences experienced among college students. Alcohol protective behavioral strategies (PBS-A) are an empirically supported repertoire of safe drinking behaviors college students can use to monitor and control their alcohol consumption as well as limit harm while drinking. However, there remains a need to better understand how cognitive mechanisms, such as drinking refusal self-efficacy (DRSE), help explain college student safe alcohol use behaviors to enhance evidenced-based intervention and prevention efforts. Recently, studies that examined the …

Symptom Presentation Of Sexually Abused Youth: Associations With Abuse Attributions, Brittany Biles

Department of Psychology: Dissertations, Theses, and Student Research

Child sexual abuse (CSA) outcomes are heterogeneous. Some victims display a combination of externalizing behaviors (e.g., aggression) and internalizing symptoms (e.g., depression), while others present with minimal symptoms (Domhardt, Munzer, Fegert, & Goldbeck, 2015). Among the factors that have been explored as relating to CSA outcomes are child characteristics (e.g., age; Dube et al., 2005), abuse-specific variables (e.g., abuse severity; Stroebel et al., 2012), and family variables (e.g., familial social support; Ryan, Kilmer, Cause, Watanabe, & Hoyt, 2000). Although much of the literature supports these factors as contributing to outcomes following CSA, conclusions have been inconsistent. Research has begun to …

Feasibility And Validity Of Asking Patients To Define Individual Levels Of Meaningful Change On Patient-Reported Outcomes, Salene M.W. Jones, Yuxian Du, Ari Bell-Brown, Kaylin Bolt, Joseph M. Unger

Journal of Patient-Centered Research and Reviews

Purpose: Patient-reported outcomes (PROs) are frequently used in clinical care to monitor treatment response. However, most guidelines on PRO use treat all patients the same. This study tested the feasibility and validity of a method for determining individually meaningful change in PRO measures.

Methods: Participants (n = 398) completed 12 pain and distress questions to define individually meaningful change. This mixed-methods study used both quantitative and qualitative analyses, including descriptive statistics, inferential statistics, and content analysis.

Results: Two-thirds (67%) of the sample reported at least one medical condition, including depression and back pain. Most participants (70%–90%) were able to answer …

Creatively Exploring Self: Applying Organic Inquiry, A Transpersonal And Intuitive Methodology, Larisa J. Bardsley Phd

The Qualitative Report

This article explores the merit of using Organic Inquiry, a qualitative research approach that is most effectively applied to areas of psychological and spiritual growth. Organic Inquiry is a research approach where the psyche of the researcher becomes the instrument of the research, working in partnership with the experiences of participants and guided by liminal and spiritual influences. Organic Inquiry is presented as a unique methodology that can incorporate other non-traditional research methods, including intuitive, autoethnographic and creative techniques. The validity and application of Organic Inquiry, as well as its strengths and limitations are discussed in the light of the …

Reducing Narcissistic Aggression: Examining The Effect Of Self-Affirmation On Subclinical Levels Of Narcissism, Kelsey Ann Anello

Theses and Dissertations

The concept of narcissism has been studied for hundreds of years and has typically emphasized grandiose aspects of personality – inflated self-esteem and being socially domineering. More recent literature has sought to differentiate between two aspects of narcissism – grandiosity and vulnerability; that is, narcissism may be marked by not only grandiose thoughts and beliefs, but also have negative emotionality and hypersensitivity. Both grandiose and vulnerable narcissism exhibit tendencies to act out aggressively, especially in the face of interpersonal rejection. There are still gaps in the literature when it comes to interventions, especially ones that may be used in order …

Psychometric Properties Of The College Athlete Psychological Screening Tool: Validation Of The Depression And Anxiety Subscales, Joseph C. Case

Dissertations

The aim of the present study was to gain a better understanding of the descriptive psychometric properties of the College Athlete Psychological Screening (CAPS) measure. The CAPS is a newly developed assessment screening measure designed to assess 14 common problem areas for college athletes. For the present investigation, 395 participants completed the 108-item CAPS measure. To establish criterion validity, participants also completed the Beck Depression Inventory (BDI) and the Beck Anxiety Inventory (BAI). The present study had three research questions. Question one discussed the descriptive psychodynamic properties (Cronbach’s alpha, means, and standard deviations) of the 14 CAPS subscales. Question two …

Cultural Homelessness, Self-Esteem, And Skin Color Satisfaction Among Latinxs, Josephine M. Almanzar

Dissertations

This study explored feelings of cultural homelessness, self-esteem, and skin color satisfaction among Latinxs. A close interest was placed in examining responses of participants who identified as racially Black or Afro-Latinx. Through an electronic survey, the study aimed to answer the four research questions: (1) Is there a correlation between cultural homelessness, self-esteem, and skin color satisfaction; (2) Do participants of different self-perceived skin colors differ in self-esteem, cultural homelessness, and skin color satisfaction; (3) Does age moderate the relationship between self-perceived skin color and self-esteem; and (4) Does age moderate the relationship between self-perceived skin color and cultural homelessness. …

Examining Afro-Cultural Values In African American Women With Childhood Sexual Abuse History: Its Relationship With Therapeutic Outcomes, Bibi Aneesa Subhan

Student Theses

In the United States, African American women are not only more likely to have experiences of childhood sexual abuse (CSA) but experience some of the severest forms of it. The presence of Afro-cultural values can play a significant role in the therapeutic outcomes of women who do seek out treatment after their experiences of CSA. That is, Afro-cultural values such as spirituality, communalism, utilization of the Black Church, and adherence to the Strong Black Women archetype (SBWA) can impact the efficacy of treatment for Black female survivors of CSA. The purpose of this study is to assess the separate relationships …