Clinical Psychology Commons^™

Critically And Creatively Engaging With Trauma-Informed Mental Health Research And Treatment Of Lgbtqia+ Communities As Expressive Arts Therapists: A Literature Review, Kelli Lavallee

Expressive Therapies Capstone Theses

Expressive Arts Therapists are uniquely situated as both artists and mental health counselors working in psychological pedagogy rooted in systems of oppression. Given the arts-based approaches to the therapeutic relationship, it can be unethical to offer these approaches without acknowledgement of the ways in which the arts intersect with social justice, and justice is only viable if practitioners critically review the clinical mental health education they are consuming from the institutions they learn in, specifically trauma-informed mental health research assimilation and treatment approaches for Expressive Arts Therapists in training, practice, and education. A review of the literature in this paper …

Moving Through Depression: Development Of A Dance/Movement Therapy Method In Psychiatric Inpatient Care, Melissa Olmedo

Expressive Therapies Capstone Theses

Short-term psychiatric hospitalization is a challenging health care model due to its short duration of care, treating the highest risk psychiatric population. Priority care within a short-term psychiatric hospitalization involves monitoring a patient’s safety for stabilization by decreasing acute mental health symptoms. Holistic psychotherapy treatment options are needed to meet the severity of patients’ symptoms for effective stabilization within a short-term model of care. This paper investigates the first implementation of a dance/movement therapy (DMT) method within two short-term units in a notable Boston hospital. The DMT group called Mindful Movement was facilitated weekly as single sessions to adults ranging …

Connecting To The Self: Increasing Self-Awareness In Children With Asd, Development Of A Method, Madison Janke

Expressive Therapies Capstone Theses

Dance/movement therapy is a popular method utilized with the autism spectrum population due to its focus on increasing social skills, developing relationships, improving function, increasing positive body image, and expanding movement repertoire. The literature indicated that mirroring is the most common and most utilized DMT intervention for this population, but it provided minimal alternative dance/movement therapy interventions. The dance/movement therapy method implemented through this research attempted to provide an alternative to mirroring through the creation of a body outline. This method was developed through the theoretical framework of relational-cultural theory, emphasizing the impact that relationships can have on the shaping …

Creating Connection Through Dance/Movement Therapy Among Older Adults With Dementia: Development Of A Method, Anna J. Barnes

Expressive Therapies Capstone Theses

The purpose of this thesis is to examine the use of Dance/movement therapy (D/MT) with a focus on sensory stimulation among individuals living with dementia to promote a higher level of engagement, connection, and reminiscence. This thesis will provide a literature review on the challenges that individuals living with dementia experience and the importance of a person-centered approach to care that is grounded in relationship (Newman-Bluestein & Chang, 2017). Additionally, the role that Dance/movement therapy plays among people with dementia and the benefits of sensory stimulation within this population are also included. Finally, a Dance/movement therapy intervention that was implemented …

Navigating "Technoference" In The Family System, Kathlynn Sergent

Educational Specialist, 2020-current

This integrative literature review explores the increase of technology use in families, with a focus on how technology is disrupting in-person social interactions within the family system. Many studies have been conducted on how technology impacts a couple’s romantic relationship, and only a few have examined the relationship between the parent and child. This review is one of the first to examine how technology may affect the entire family unit from before children to raising adolescents. Each section of the family unit is examined, beginning with before children, followed by the early bonding and attachment associated with infant/childhood, and then …

Drawing Out Trauma: Visual Art Therapy For Child Sexual Abuse Victims, Katelynn K. Mckinnon

Intuition: The BYU Undergraduate Journal of Psychology

Child sexual abuse (CSA) is a global problem that can have lasting effects cognitively, physiologically, and emotionally for the victim. If the psychological damage from CSA goes untreated, it can lead to unstable conditions within one’s self, and in relationships. When children are affected by sexual abuse, it can be difficult for them to verbalize the traumatic incident. This inability to express can lead to problems in viewing and experiencing the self, and may lead to dissociation. Many aspects of trauma symptoms are difficult for individuals and especially children to express verbally. Visual arts therapy offers an alternative to verbal-based …

Mindfulness-Based Dance/Movement Therapy For Obsessive-Compulsive Disorder And Health Anxiety: Development Of A Method, Katherine Stahl

Expressive Therapies Capstone Theses

Despite the development of effective interventions such as Exposure and Response Prevention, the literature on Obsessive-Compulsive Disorder (OCD) demonstrates a large proportion of individuals whose symptoms do not improve with behavioral therapies alone. Supplemental therapies such as Mindfulness have been studied in order to address this issue, demonstrating partial success. The current thesis focuses on individuals diagnosed with Obsessive-Compulsive Disorder who present with health anxiety symptomology. Dance/Movement Therapy is a modality which addresses the mind/body connection, especially important those who have body-based triggers. In order to address the need for supplemental treatment modalities for individuals suffering from OCD, a mindfulness-based …

Coping On The Fly: School Psychologists' Perceptions Of Cultural Competence, Jennifer Wynn

UNLV Theses, Dissertations, Professional Papers, and Capstones

The goal of this qualitative ethnographic study is to explore how school psychologists demonstrate multicultural competence (MC) when testing students for K-12 special education. As the population of the United States (US) becomes increasingly diverse, mental health professionals are encouraged to become culturally competent. Cultural competence is the ability to work with culturally and linguistically diverse populations; and being aware of stereotypes, biases and microaggressions. Cultural competence is taught within some psychology preparation programs; however, courses are often limited. Although cross-cultural competencies have been explored in clinical and counseling psychology, they have yet to be explored in the field of …

Black American Students With And Without Disabilities: Stress And Coping Strategies, Gabriel Asare Sarpong

Theses and Dissertations

This study examined if perceived level of stress for Black /African American students was exacerbated by their disability status. This study also examined the relationship between Africultural coping, minority stressors (racial minority stress, disability related stress) and perceive stress level. 123 students who identified themselves as Black/African American enrolled in two Midwestern universities participated in the online survey of this study (n = 39 with disabilities; n= 84 with no disabilities). Results showed that Black students with disabilities reported higher level of perceived stress compared to those with no disabilities. Racial minority stressors, and societal barrier component of disability related …

Exploring Differential Effects Of Therapeutic Alliance Across Treatment Therapies, Alexandra T. Tonigan

Individual, Family, and Community Education ETDs

Effects of therapeutic alliance has been widely studied for depression, anxiety, and interpersonal problems and been found to have small to moderate positive outcomes. Consistent findings are lacking, however, regarding the relationship between therapeutic alliance, treatment therapy, and client characteristics, in alcohol use disorder (AUD) treatment.

The current paper utilizes data from Project MATCH to assess the differential effects of therapeutic alliance on 12-month alcohol abstinence across clients receiving Cognitive Behavioral Therapy (CBT), Motivational Enhancement Therapy (MET), and Twelve Step Facilitation (TSF) treatment. Moreover, higher order interactions were explored to determine whether such effects differed across client characteristics. This research …

Effects Of The Supervisory Relationship On Counselors Development Of Self-Efficacy, Carolyn A. Russo

Education Dissertations

Abstract

The growing need and use of mental health services illustrates how critical the development of competent counselors is to the nation’s health. Level of counselor self-efficacy is suggested to strongly influence counselor development and competency in practice. Several supervisory factors have been identified in the literature as significantly influencing counselors’ level of self-efficacy. However, the effect of the supervisory relationship and its impact on post-graduate counselor-in-training self-efficacy is unknown. The purpose of this phenomenological study was to explore the construct of counselor self-efficacy in relation to the supervisory relationship and the development of counseling skills in a post-graduate sample. …

Attitudes And Beliefs Of Christian Denominations Toward Mental Health, Javier Velez

Dissertations

This empirical study assessed common attitudes and beliefs toward mental health services in the varying denominations of Christian churches. Specifically, the objective of this study was to identify the effects of Christian denomination on attitudes toward seeking mental health treatment and to identify whether there are racial and age differences that also impact those attitudes within the church. The study sought to answer the following questions: (a) What is the difference in attitudes and beliefs between different races toward mental health services in the church among Christians? (b) Is there an age difference in attitudes and beliefs toward mental health …

Value-Aligned Behavior & Psychological Flexibility: Exploring Relationships Between Seeking Mental Health Services And Core Acceptance And Commitment Therapy Processes, Morgan Brewington

Scholars Week

Acceptance and Commitment Therapy (ACT) focuses on acceptance, cognitive defusion, being present, the sense of self as context, committed action, and values (Hayes et al., 2006). Valued living, or acting in line with personal values, includes behaviors that are personally meaningful and intrinsically engaging (Smout, et al., 2014). Behavior aligning with values has been related to lower levels of anxiety and depression, as well as lower impairment for individuals experiencing posttraumatic stress symptoms, pain, or other psychological stressors (Fox et al., 2019). Psychological flexibility, particularly low experiential avoidance, aids in valued living (Fox et al., 2019). Approaches such as ACT …

The Impact Of Social Climate On Self-Identity, Substance Use, And Mental Health Among Lgbtq+ College Students, Laura Agnich, Liyah C. Morgan

National Youth Advocacy & Resilience Conference

Substance abuse is an unfortunate but commonly used escape for many LGBT youth as they lack resources to help address anxiety and trauma. When faced with a constant state of fear of violence and identity concealment many turn to drugs or suicide. This session will provide information on addressing LGBT youth substance abuse and creating an inclusive campus climate.

Origins Of Self-Compassion: The Impact Of The Early Caregiving Environment, Nicoleta Dragan

Electronic Theses, Projects, and Dissertations

The purpose of the present study was to examine the impact of early attachment on self-compassion in early adulthood utilizing a causal model to assess the mediating effects of emotional regulation and shame (Figure 1). Participants were 133 undergraduate students (143 females and 90 males) between 18 and 28 years old (M = 22.7 yrs.) from a Southern California university. Structural equation modeling (SEM) using EQS (version 6.1) was used to analyze the data. Results showed an indirect effect of early attachment on self-compassion through emotional regulation and shame; a direct, moderate effect of early attachment on emotional regulation and …

Empty Cribs: Infertility Challenges For Orthodox Jewish Couples, Itay Kohane

Antioch University Dissertations & Theses

This dissertation discusses an issue that is of importance to many people throughout their lifetime—infertility. One in every eight couples (12%) is incapable of carrying a pregnancy to term after one year of natural attempts. This paper further examines the prevalence of infertility among couples, bringing into focus more common variables such as gender and age. But, going beyond these, the present study will demonstrate that other variables including stressors such as social factors, interpersonal dynamics, and personal judgment affect couples in a manner which indirectly reduces their chances of conceiving a child. This research will touch on a number …

Training Issues Related To Touch In Counseling, Jonathan D. Wright

Journal of Counselor Preparation and Supervision

Touch is considered by many to be the most important of the five senses for optimal human development and has been used in healing and medical practices throughout history. Touch also plays a key role in human communication but maintains a position detached from other forms of verbal and nonverbal communication within the field of counseling. Most counselors receive little training in the role of touch in counseling, and there are no ethics codes specific to the use of touch available to guide counselors. The purpose of this article is to provide an overview of historical and current issues related …

How Does Autism Affect The Processing Of Child Sexual Abuse Trauma?, Jose Carbajal, Regina T. Praetorius

Journal of Human Services: Training, Research, and Practice

Children in general are a vulnerable population, but children with neurodevelopmental disorders are even more vulnerable. This case study, which uses secondary qualitative data to focus on a survivor of sexual abuse who has autism, explores how a child with autism interprets and processes being sexually abused. We contrast how a child with autism experiences child sexual abuse with the experiences of children without autism; major differences emerged in terms of how a child with autism normalizes and interprets sexual abuse. The findings of this study indicate mental health professionals need more training regarding the complications autism adds to the …

The Dyadic Dance During Deployment: Veteran And Partner Romantic Attachment, Warren Ponder, Jose Carbajal

Journal of Human Services: Training, Research, and Practice

A strong family unit and dyadic relationship can buffer against the possible development of depression and Posttraumatic Stress Disorder (PTSD). A growing body of literature has been investigating how couples communicate during a combat separation. However, there has not been a robust framework to conceptualize the findings; this paper posits that attachment theory can fill this gap. This study was a cross-sectional retrospective design that included twenty-two heterosexual dyads. Nine modes of communication were assessed: letters, care packages, email, telephone, text with phone, social networking, Skype, instant messenger and instant messenger with video. Also, frequency of communication was examined for …

Evaluation Of Unm's Parental Leave Policy, Julia Fulghum, Karlyn A. Edwards, Charlie Christian, Steven Verney, Lisa A. Marchiondo, Teagan Mullins

ADVANCE Reports

Experiences with UNM’s parental leave policy C215 have been evaluated using the ADVANCE 2018 Main Campus Faculty Climate Survey, a series of junior faculty interviews, and concerns brought to the ADVANCE leadership. Key findings are:

• Women and STEM faculty are more hesitant to use family-leave policies, and perceive greater disadvantage in using them than men and non-STEM faculty
• Sharing of information about, and implementation of, parental leave varies significantly between units
• The attitude of the department chair and senior faculty strongly influence the experience of faculty who use parental leave
• Appropriately implemented, the parental leave policy contributes to faculty recruitment …

Therapist Mentalization And Patient Outcomes In The First Year Of Psychotherapy, Michael Palumbo

Dissertations, Theses, and Capstone Projects

This study examined associations between therapist mentalization and patient outcomes in the first year of psychotherapy. Mentalization is the implicit and explicit consideration of mental states—one’s own as well as others’—and how such states mediate a person’s experiences in the world. It is conceptualized as existing on a scale of increasing complexity. This study sought to extend developmental research that has illustrated the positive influence of a parent’s mentalization on a child’s emotional well-being. Specifically, it was proposed that psychotherapy cases with high levels of therapist mentalization would have better patient outcomes than those with low levels of therapist mentalization. …

The Role Of Occupational Therapy For Homeless Women And Women At-Risk Of Homelessness, Kelcey Storkersen

Student Capstone Papers

This paper seeks to identify the occupational barriers and needs of homeless women and women at risk of homelessness. A qualitative research study was performed to learn more about the lived experience of two women at-risk of homelessness. Themes uncovered in this study are described in order to provide more understanding and advocacy for this population. A program proposal was delivered for future fieldwork students to provide occupational therapy students at this resource center.

Age Bias In Clinical Judgment: Moderating Effects Of Ageism And Multiculturalism, Kristin Pyne

Electronic Theses and Dissertations

The proportion of older adults in the United States is growing rapidly (U.S. Census Bureau, 2014) and mental health concerns in older adults are expected to increase rapidly (Choi, DiNitto & Marti, 2015). Despite increasing caseloads of older adults, few practicing psychologists have received specific training or specialization in geropsychology (American Psychological Association, 2016). Simultaneously, a growing body of literature demonstrates differential treatment of older adults in psychotherapy (Kessler & Bowen, 2015, Kessler & Schneider, 2016, Mejia et al., 2018). The present study aimed to examine the prevalence of clinical bias toward older adults among clinical trainees and to explore …

Doctor Recommendations Are Related To Patient Interest And Use Of Behavioral Treatment For Chronic Pain And Addiction, Lisa M. Mcandrew, Alexandria Brunkow, Margeaux Cannon, Fiona S. Graff, Jessica L. Martin, Leslie R.M. Hausmann

Educational & Counseling Psychology Faculty Scholarship

The opioid crisis has highlighted the importance of improving patients’ access to behavioral treatments for chronic pain and addiction. What is not known is if patients are interested in receiving these treatments. In this cross-sectional study, over 1000 participants with chronic pain were surveyed using an anonymous online questionnaire on Amazon Mechanical Turk (Mturk) to investigate participants’ use of and interest in pharmacological and behavioral treatments for chronic pain and addiction. Participants also indicated whether their doctor had recommended these treatments. The majority of participants reported using medication for their pain (83.19%) and that their doctor recommended medication (85.05%), whereas …

Associations Between The Adult Adhd Self-Report Rating Scale And The Test Of Differential Inhibition And Attention, Andrew Benton Darling

Graduate Theses, Dissertations, and Problem Reports (ETD)

Attention-Deficit/Hyperactivity Disorder (ADHD) ranks among the most common mental health disorders in adults (APA, 2013). ADHD assessment is complicated by heterogenous symptoms, gender and age differences in diagnosis, variability in symptom manifestation across the lifespan, and comorbidity with other psychiatric disorders and medical conditions (Asherson, 2016; Willcut, 2012; Williamson & Johnston, 2015). The stop-signal task (SST) identifies ADHD clinical groups in children and adults (Lifffijt et al., 2005), yet it remains unclear whether SST performance reflects general deficits in attention (Alderson et al., 2007) or a selective deficit in motor response inhibition (Aron & Poldrack, 2005). Studies of SST often …

Therapist Self-Disclosure And Recall Of Therapy Content, Shivani Mansharamani, Steven Robbins

Capstone Showcase

SHIVANI MANSHARAMANI

Therapist Self-Disclosure and Recall of Therapy Content

Research Mentor: Dr. Steven Robbins

Patients’ faulty memory of what they learned in therapy is often associated with poor outcomes. One way to improve therapeutic outcome is to improve patients’ memory of therapy content. Therapist Self-Disclosure (TSD) refers to a therapist’s disclosure of personal information to facilitate the client-therapist relationship. It has been employed as a tool to improve alliance and overall treatment outcome, and has often been used to prime more client disclosure. Past research on a memory support system has been unsuccessful at significantly improving client memory. In this …

I’M Sexy And I Know It: The Impact Of Sexual Self-Esteem And Body Satisfaction On Disordered Eating Behavior, Marissa Parks

Scripps Senior Theses

Rates of dieting, disordered eating, and eating disorders are continuing to rise in the United States. Many factors influence decisions to engage in problematic eating, including body satisfaction and self-esteem. This paper outlines two studies that examined these relationships and proposed an intervention to reduce disordered eating. In the first study participants were primed to think about a time when they had negative thoughts about their intelligence, their body, or their sexual self-esteem and then measured body image avoidance, self-esteem, sexual self-esteem, disordered eating behaviors, well-being, and depressive symptoms. Consistent with previous research, it was found that having participants recall …

Effect Of Religious Support And Perception Of Available Social Support On Seeking Formal Psychotherapy, Adaeze W. Akubueze

Masters Theses

This study sought to investigate the relationship between perceived availability of social support and religious support on willingness to seek professional mental health counseling. Sixty-five (41 females and 18 males, 6 gender unspecified) students at Eastern Illinois University completed measures of religiosity (the Duke University Religion Index; DUREL), perceived availability of social support (the Late Adolescent Social Support Inventory; LASSI), religious support (from God, from religious leaders, from fellow religious participants; the Multi-Faith Religious Support Scale; MFRSS) and willingness to seek counseling (Willingness to See a Counselor scale; WSC). Religiosity did not play a significant role in influencing the willingness …

Construct Validity Of The Teate Depression Inventory: Convergent And Discriminant Validity And Equivalence For Black/African American And White/Caucasian Samples, Dylin Coons

Masters Theses

The purpose of this study was to replicate the construct validity of a new measure of depression, the Teate Depression Inventory (TDI; Balsamo & Saggino, 2013), with the primary focus on Black/African American participants. Research has purported that Black/African Americans experience inequality in obtaining mental health care for internalizing disorders. This may partially be caused by errors in diagnosing these individuals with symptoms. Correctly diagnosing internalizing disorders is a critical step in obtaining appropriate treatment. More research on depression and anxiety is needed to enhance mental health practices by addressing the need for professionals to be culturally competent and conscious …

A Phenomenological Inquiry Into The Client Experience Of The Psychotherapy Relationship, Mark D. Knutzen

Antioch University Dissertations & Theses

Meta-analyses have indicated that there are likely common factors across varied treatment modalities that account for the effectiveness of psychotherapy. Research has attempted to identify therapist and treatment relationship components that correlate with effective mental health treatment. Yet, there is a paucity of research directly addressing the qualitative experience of the relationship between psychotherapists and their clients.

Eight adult psychotherapy clients were interviewed regarding their experience of the psychotherapy relationship with their mental health therapist. The interviews were analyzed through the use of Interpretative Phenomenological Analysis (IPA). Seven themes emerged. Three themes related to the formation, and overall foundation of …