Clinical Psychology Commons^™

Cumulative Sexual Victimization And Mental Health Outcomes Among Incarcerated Women, Jennifer Hartsfield, Susan F. Sharp, Sonya Conner

Dignity: A Journal of Analysis of Exploitation and Violence

This research explores the relationship between three different types of self-reported sexual victimization and subsequent mental health problems in a sample of incarcerated women. Previous literature establishes a link between victimization histories and poor mental health outcomes. This study focuses on sexual victimization experienced as a child, as an adolescent and as an adult, both individually and cumulatively, in relation to entering prison with a mental health diagnosis as well as reporting current depressive symptoms while incarcerated. Each type of victimization is significantly related to both prior mental health diagnosis and current depression in prison. Furthermore, there is an additive …

Who Am I To You? Using Function Words As A Measure Of Transference, Jon William P. Lentz

Dissertations, Theses, and Capstone Projects

There is a gap in our understanding of transference resolution as an aspect of therapeutic process and its relation to observable changes in language. My hypotheses can contribute to this area by identifying whether there are detectible changes in pronoun use in a psychoanalysis that are related to the resolution of transference. Data: The de-identified transcripts of a young agoraphobic housewife in a four time a week then two time a week psychoanalysis from the 1970s. Method: The Linguistic Inquiry and Word Count software will be used to measure structural changes in language that may reflect intrapsychic changes in the …

Words Of Change: How Linguistic Shifts Over The Course Of A Short-Term Exposure Therapy Represent Movement Towards Psychological Health, Zachary A. Kahn

Dissertations, Theses, and Capstone Projects

Exposure therapy is currently considered the “gold standard” in treating posttraumatic stress disorder (PTSD). Though exposure therapy has been increasingly used and studied as an intervention for PTSD in recent years, little is known about the mechanisms of change in this type of treatment. The Trauma and Addiction Project at the City College of New York ran a clinical research trial for individuals with co-morbid PTSD and Substance Use Disorders (SUDs). Participants randomized into the experimental group, Concurrent Treatment with Prolonged Exposure (COPE), participated in a twelve-session therapeutic intervention that combined exposure therapy focused on the participant’s primary trauma with …

High Healthcare Utilization At The Onset Of Medically Unexplained Symptoms, Lisa M. Mcandrew, L. Alison Phillips, Drew A. Helmer, Kieran J. Maestro, Charles C. Engel, Lauren M. Greenberg, Nicole Anastasides, Karen S. Quigley

Educational & Counseling Psychology Faculty Scholarship

Objective: Patients with medically unexplained syndromes (MUS) often do not receive appropriate healthcare. A critical time for effective healthcare is the inception of MUS. The current study examined data from a prospective longitudinal study of Operation Enduring Freedom/Operation Iraqi Freedom (OEF/OIF) veterans to understand the relationship of increasing physical symptom burden to healthcare utilization.

Methods: Data was examined from a prospective study of OEF/OIF veterans assessed before and one year after deployment (n=335). Physical symptom burden was measured with the Patient Health Questionnaire (PHQ-15). Analyses were conducted with polynomial regression and response surface analysis (RSA).

Results: Increases in physical symptom …

Telephone-Based Versus In-Person Delivery Of Cognitive Behavioral Treatment For Veterans With Chronic Multisymptom Illness: A Controlled, Randomized Trial, Lisa M. Mcandrew, Lauren M. Greenberg, Donald S. Ciccone, Drew A. Helmer, Helena K. Chandler

Educational & Counseling Psychology Faculty Scholarship

Background:The goal of this randomized clinical trial was to examine the efficacy of a cognitive behavioral stress reduction treatment for reducing disability among veterans with chronic multisymptom illness (CMI).Method: Veterans (N=128) who endorsed symptoms of CMI were randomized to: usual care (n=43), in-person (n=42) or telephone-delivered cognitive behavioral stress management (n=43). Assessments were conducted at baseline, three months, and twelve months. The primary outcome was limitation in roles at work and home (i.e., ‘role physical’). Reductions in catastrophizing cognitions were evaluated as a mechanism of action. Results: Intent-to-treat analyses showed …

The Common Sense Of Counseling Psychology: Introducing, Lisa M. Mcandrew, Jessica L. Martin, Myrna L. Friedlander, Katherine Shaffer, Jessica Y. Breland, Sarah Slotkin, Howard Leventhal

Educational & Counseling Psychology Faculty Scholarship

The goal of therapy is typically to improve clients’ self-management of their problems, not only during the course of therapy but also after therapy ends. Although it seems obvious that therapists are interested in improving client’s self-management, the psychotherapy literature has little to say on the topic. This article introduces Leventhal’s Common-Sense Model of Self-Regulation, a theoretical model of the self-management of health, and applies the model to the therapeutic process. The Common-Sense Model proposes that people develop illness representations of health threats and these illness representations guide self-management. The model has primarily been used to understand how people self-manage …

Less Engagement In Pleasure Activities Is Associated With Poorer Quality Of Life For Veterans With Comorbid Post-Deployment Conditions, Lisa M. Mcandrew, Held F. Rachel, Abbi Bhavna, Karen S. Quigley, Drew A. Helmer, Radhika V. Pasupuleti, Helena K. Chandler

Educational & Counseling Psychology Faculty Scholarship

Objective: The presence of multiple comorbid conditions is common after combat deployment and complicates treatment. A potential treatment approach is to target shared mechanisms across conditions that maintain poorer health-related quality of life (HRQOL). One such mechanism may be decrements in pleasurable activities. Impairment in pleasurable activities frequently occurs after deployment and may be associated with poorer HRQOL.

Method: In this brief report, we surveyed 126 Veterans who had previously sought an assessment at a Veterans Affairs post-deployment health clinic and assessed pleasurable activities, HRQOL, and post-deployment health symptoms.

Results: Forty-three percent of Veterans met our criteria for all three …

Adult Attachment Style And Inter-Parental Discrepancy On Pediatric Behavior Assessment Scales, Laura Beliech Harris

Doctoral Dissertations

The process of diagnosing pediatric psychopathology is an important and sometimes complex endeavor. Diagnoses are useful for facilitating communication among providers, setting therapy goals, and intervention selection. However, beyond their utility, diagnoses potentially can influence client-therapist rapport, therapeutic alliance, and therapy outcomes in a negative manner, as well as leading to stigma and discrimination against the client (child). Best practice for pediatric psychological evaluations includes obtaining data regarding the child's behavior in multiple settings and from multiple respondents. This is most often accomplished through administration of standardized objective pediatric behavior assessment instruments. However, collecting data from multiple respondents in this …

Impact Of Child Sexual Abuse On Non-Abused Siblings: A Review With Implications For Research And Practice, Alayna Schreier, Jessica K. Pogue, David J. Hansen

Department of Psychology: Faculty Publications

Research has widely supported the numerous negative outcomes for victims of child sexual abuse (CSA), but little attention has been paid to the experiences of non-abused, non-offending siblings following the victim's disclosure. This review presents evidence indicating that this overlooked sibling population merits both clinical and research attention. Siblings may experience significant emotional and behavioral responses to the victim's disclosure due to changes within the family system. A sibling's internalizing and externalizing behaviors can increase family distress post-abuse, while a supportive sibling can contribute to the victim's recovery. The current state of clinical services for siblings is described. Services including …

Sexism Makes Me Sick : An Examination Of Potential Mediators In The Link Between Sexism And Women's Mental Health, Kristin L. Mclaughlin

Legacy Theses & Dissertations (2009 - 2024)

It has been well established in the literature that discrimination is related to negative mental health outcomes. Consistent with this research, studies have found women’s exposure to sexist discrimination is associated with a host of mental health problems. Moreover, research on women’s exposure to a specific form of sexism called sexual objectification suggests links with specific psychological outcomes related to poor body image and eating problems. Based on a theoretical framework informed by system justification theory, this study attempted to unify and extend research on perceived sexism and objectification theory by investigating benevolent sexism and self-objectification as potential mediators of …

Psychedelic Psychotherapy : Existential And Neuroscience Perspectives On The Therapeutic Journey, Arthur W. Seelig

Theses, Dissertations, and Projects

Psychotherapy with the use of high-dose psychedelic drugs shows immense promise in treating a myriad of debilitating psychiatric conditions. After a three-decade long suspension, regulators have allowed for new studies and re-awakened interest in the potential of psychedelics. However, while research on the topic has quickly progressed, little has been done to reinvigorate our clinical understanding of the psychedelic healing process. This thesis interprets the psychedelic state through the twin perspectives of existentialism and neuroscience with the goal of starting to develop a theoretical language.

The subjective experience of high-dose psychedelics under therapeutic conditions often results in a loss-of-self referred …

Healing From Racism With Compassion Meditation: Effects Of Coping On Mental Health, Courtney Chan

CMC Senior Theses

This study examines whether Compassion Meditation (CM) can help ethnic minority college students heal from race-related stress. The present study hypothesized that through participation in a CM intervention, the augmentation of adaptive coping strategies (i.e., self-compassion) and the reduction of maladaptive coping strategies (i.e., internalization, defined as self-blame, and detachment, defined as social isolation) would reduce depression and PTSD. Participants (N = 9) participated in an 8-session weekly CM intervention and completed three questionnaires at the beginning, middle, and end of the intervention. Results demonstrated that increasing self-compassion predicted decreases in depression, and that reducing coping via detachment predicted …

Parental Cultural Conflict And Children's Cultural Identity Development, Amanda Araki

Student Research Posters

Parent culturally incompatibility was evaluated for its possible negative impact on a bicultural offspring’s cultural identity development. The 43 self-identified bicultural participants, aged from 18 to 67 years, provided family cultural histories, and completed the Parental Cultural Conflict Scale (PCCS) and the Multigroup Ethnic Identity Measure (MEIM). The hypothesized relationship between high PCCS levels and low MEIM levels was not supported by the data; however, the range of responses on the PCCS was very limited with a complete absence of any very low or very high conflict scores. It was concluded that parents’ cultural incompatibility does not have the level …

An Exploration Of The Relationships Between Self Compassion And Burnout : Secondary Traumatic Stress And Compassion Satisfaction Among Providers Who Work With Children And Families Who Have Experienced Trauma, Binlin Xia

Theses, Dissertations, and Projects

The field of social work education has witnessed a soaring need to help providers cope with the negative emotional impact of working with clients who have experienced trauma. This study explored the association between self compassion and the experience of burn out (BO), secondary traumatic stress (STS) and compassion satisfaction (CS) among mental health providers who specifically work with children and youth who have experienced trauma. This quantitative study employed a survey in addition to two open-ended questions in a sample of 60 participants using a convenience sampling process.

The findings suggest that self compassion serves as a strongly correlated …

“Forming Ranks”: The Impact Of Negative-Destructive Leadership In The Aftermath Of Military Sexual Assault And Reporting, Jessica Payton

Electronic Theses and Dissertations

Military leaders play central roles in responding to sexual assault in the military social ecology, yet their impacts on victims’ post-assault and reporting experiences remain understudied. Using standpoint epistemology and a military-specific social ecological approach, this two-stage project investigated how military leaders impacted survivors’ post-assault and reporting experiences, as well as their experiences with military peers, community resources, and justice and separation processes. Data were gathered through an initial focus group with eight subject matter experts in advocacy, legal work, and policy reform, followed by subsequent in-depth individual interviews with eight female survivors of military sexual assault, seven of whom …

Clients' Experiences Of Recovery-Oriented Care For Schizophrenia: A Qualitative Research Study, Sarah A. Hamilton

Electronic Theses and Dissertations

A recovery model of care has been widely accepted and instituted both in the U.S. and internationally, but research suggests that the model has not been employed uniformly. While existing research has focused on creating consensus regarding application of the model, the lived experience of those receiving the care has not yet been considered. In order to address this gap, the present study proposed a qualitative analysis of mental health consumers’ experiences of recovery-oriented care for schizophrenia. Potential participants were recruited through a Regional Mental Health Board and the author individually interviewed four participants in semi-structured interviews. A qualitative analysis …

Youth In Transition: Culturally Sensitive Treatment Modules That Enhance Trauma Psychotherapy For Immigrant Latinx Youth, Valentina Nikulina

Open Educational Resources

This manual was developed as a modification to efficacy-based trauma-treatment for immigrant Latinx youth, ages 13 to 25 years old. The goal of the modification is to add to the effectiveness of existing efficacy-based treatments (Trauma-Focused CBT, specifically) to better serve this population of youth. In addition to the sections on the general cultural considerations and engagement strategies, there are three modules (i.e., Building a Network of Support; Effective Communication and Assertiveness, & Empowerment and Resilience/Strengths Building).

Correctional Mental Health Providers’ Experiences Of Forced Termination On The Working Alliance, Karin Gepp

Antioch University Dissertations & Theses

This is a study of the experiences of forced terminations in correctional facilities, particularly their impact on the working alliance between mental health service providers and incarcerated patients. The study includes an introduction to the research problem and its context, followed by a discussion of the literature on the working alliance in psychotherapy, conditions of forced terminations in the treatment of the incarcerated, the problem of forced termination and the working alliance in the correctional settings, and the study’s research methodology. The research methodology is qualitative and includes semi-structured interviews of providers in correctional settings and an analysis of these …

From Dawn To Dan: The Journey Of Karate Masters., Brandon W. Maynard

Antioch University Dissertations & Theses

The contributions martial arts training can make to mental health treatment have scarcely been explored by researchers in psychology. Practitioners of martial arts, such as karate, report that the training improves self-esteem, concentration, and emotional well-being. Several studies have provided empirical evidence in support of these anecdotal reports, but very few have utilized participants who have advanced training in martial arts to examine the emotional impact such training has across time. This study takes a phenomenological approach to studying the emotional effects training has had on master-level martial artists (fourth-degree black belt or higher) in the discipline of karate. Eight …

"You're Doing Fine, Right?": Adolescent Siblings Of Substance Abusers, Cynthia E. Clarfield

Antioch University Dissertations & Theses

There has been a rising interest in addiction medicine and addiction treatment in both the medical and behavioral health science fields. Research suggests having a family member with a substance abuse problem has negative impacts on both physical and mental health (Orford, Copello, Velleman, & Templeton, 2010a). Despite advances toward understanding the experiences of family members affected by a loved one's addiction, the siblings of substance abusers have been largely excluded from scientific research and literature. As a result, little is known about how siblings experience the impacts of a brother or sister's addiction; even less is known about the …

Pathways Linking Clinician Demographics To Mental Health Diagnostic Accuracy: An International Perspective, Julia Brechbiel

Theses and Dissertations

Significant research efforts have focused on examining the effect of patient factors on providing diagnoses across clinical settings; however, the influence of clinician demographics have received less attention. This study aimed to understand the impact of nonclinical factors such as clinician characteristics and response time on diagnostic accuracy. The study used data from a WHO field study of the ICD-11 development (n = 1822) that required clinicians to diagnose two case vignettes. Clinicians’ slower response times had a significant positive impact on their rates of diagnostic accuracy. However, there was no evidence that clinicians’ demographic features were directly related to …

Young Adults In Transition: Factors That Support And Hinder Growth And Change, Mona Treadway

Antioch University Dissertations & Theses

Young adults between 18 and 24 years of age with mental illness are significantly less likely to receive mental health services than adults in older age groups.Nationally, higher rates of depression, substance abuse, and psychiatric issues are reported in this age group.A therapeutic model referred to as young adult transition programs has emerged to better address the unique developmental challenges found in this age group.This study examined 317 critical incidents that supported or hindered young adults in a therapeutic transition program.The research design used a combination of an instrumental case study and critical incident technique (CIT).Using interviews and the Outcome …

Early Psychosis And Trauma-Related Disorders: Clinical Practice Guidelines And Future Directions, Casey A. Cragin

Antioch University Dissertations & Theses

Despite very high rates of trauma-related disorders among individuals with early psychosis, no clinical practice guidelines for the treatment of comorbid early psychosis and trauma-related disorders exist to date. Indeed, the routine exclusion of individuals with past and current psychosis from participation in trauma research and practice has limited the accumulation of research evidence that could inform such clinical practice guidelines. While preliminary research evidence suggests that traditional, empirically supported treatments for trauma-related disorders can be safely and effectively employed to reduce symptoms of posttraumatic stress and chronic psychosis, it remains unclear whether such treatments are appropriate for individuals in …

Graduate Students And Geropsychology: Growing Need And Lacking Interest, Samantha Marie Hague

Antioch University Dissertations & Theses

As the population of older adults continues to grow with time, the need for geropsychology clinicians also grows. Many barriers exist that contribute to why elderly individuals are not receiving adequate psychological treatment. This study explores why graduate psychology students are often disinterested in working with older adults and whether it is possible that student interest could increase with more geropsychology graduate coursework and practicum training opportunities. This study also explores the possible connection between quality of elderly relationships and interest in working with the elderly. The results of this study support that Clinical and Counseling Psychology graduate programs lack …

The Process Of Resolving Spiritual Struggle Following Adulthood Trauma, Aimee L. Keith

Antioch University Dissertations & Theses

Spiritual struggle has been described as a disruption in religious practice and spirituality resulting in questioning beliefs, experiencing discord within religious communities, decreasing spiritual practices, and experiencing painful cognitions such as the belief that one is being punished by God. This study used constructivist grounded theory to explore how women identifying as Protestant Christians at the time of the traumatic event resolve their spiritual struggles. Eleven conceptual categories, which are presented in a stage model, emerged from the data. The stages were Experiencing an Event Discordant with Beliefs, Emotional Reaction (following the traumatic event), Questioning (of beliefs, suffering and identity), …

Double Whammy: Interpretive Phenomenological Analysis Of Older African Americans Experiencing Hiv & Age Related Comorbidities, James W. Chavers

Antioch University Dissertations & Theses

HIV among older African Americans represents one of the fastest and largest growing populations of infected groups in America (CDC, 2008). With the availability of anti-retrovirals (ARV), or AIDS cocktail drugs, HIV has become a chronic illness. As African Americans are living longer with HIV, they are encountering the diseases that are consonant with aging. The effect of aging with HIV and an age-related comorbid condition can be physically and emotionally debilitating. Many of these older adults are also dealing with poverty, stigma, poor healthcare access, and limited social support. The purpose of this study was to explore how these …

How Eye Movement Desensitization And Reprocessing (Emdr) Trained Therapists Stabilize Clients Prior To Reprocessing With Emdr Therapy, Edward H. Brendler

Antioch University Dissertations & Theses

Helping clients develop resources and stability required to tolerate reprocessing memories can be a considerable part of psychotherapy, particularly with clients who are suffering symptoms related to complex developmental trauma or cumulative multiple-event trauma. There is a paucity of research regarding how experienced EMDR Therapy practitioners experience helping their clients to develop resources required to tolerate reprocessing of trauma memories. This dissertation is an in-depth study of five participants, each a licensed mental health practitioner in the State of Washington, who are trained in EMDR and experienced working with clients who are suffering symptoms of trauma. Each participant was interviewed …

Romantic Interest Selection From An Imago Relationship Therapy Perspective, Lauren O. Patterson

College of Graduate Studies: Theses & Dissertations

Imago Relationship Therapy (IRT) is a model of couples therapy that is not empirically validated (Jakubowski et al., 2004). IRT proposes that individuals select Romantic Interests (Interests) that are similar to their Childhood Caregivers (Caregivers) in an effort to heal childhood wounding (Hendrix, 1988). The current study sought to evaluate the IRT proposition of romantic interest selection by evaluating patterns in romantic interest selection, particularly the relationship between Caregiver and Interest personality characteristics, adult attachment dimensions, gender, and geographical location of origin. In addition, the study considers similarities in participant narratives of positive and negative experiences with Caregivers and Interests. …

The Effect Of Loving-Kindness Meditation On Physiological And Psychological Reactions To Violent Stimuli, Joseph A. Garcia

College of Graduate Studies: Theses & Dissertations

In the past, meditation research has focused primarily on mindfulness meditation, but little research has examined Loving-Kindness Meditation (LKM). LKM may be an important addition to treatment or preventative programs for people at risk of exposure to violence or aggression in their lives or work. The current research aims to add to the currently growing body of literature concerning LKM and compassion based meditation practices. The researchers sought to determine if a 12-week course in LKM would have any effect on galvanic skin response (GSR) and heart rate in beats per minute (BPM) during the presentation of a video containing …

Is Knowing Half The Battle? The Effects Of Acceptance And Commitment Therapy Compared To Psychoeducation On Stigma Towards Mental Illness, Rebecca L. Fountain

Murray State Theses and Dissertations

Both Acceptance and Commitment Therapy (ACT) and Psychoeducation have been shown to reduce stigmatizing thoughts towards individuals with mental illness. The present study compared the effects of a 50 minute ACT and 50 minute psychoeducation workshop on levels of stigma in college students (N = 76). Psychological flexibility and knowledge about mental illness were examined as potential mechanisms by which the workshops generated stigma reduction. Participants were randomly assigned to either workshop with pre and post scores on the Community Attitudes Towards the Mentally Ill scale used as the primary dependent variable. Both workshops were effective in reducing levels …