Clinical Psychology Commons^™

Improving Depression Care For Older Home Health Patients, Sarah R. Schirmer

DNP Projects

Rates of depression in older home healthcare (HH) patients are highly prevalent. Although depression in this population is associated with increased rates of re-hospitalization, falls, and suicides, it is frequently under diagnosed and under treated. This Capstone Report examined this problem through three interrelated manuscripts. The first manuscript explored the problem through a review of the literature. This review determined that while there are many barriers to adequate depression care, programs that train clinicians to screen for depression and connect patients to depression care encourage adequate evaluation and treatment and can result in clinically significant changes in depression scores. This …

Moral Judgments Of Differing Transgressions & The Influence Of Willingness To Seek Counseling & Religiosity, Marni Naleway

Masters Theses

The purpose of this study was to examine how moral judgments differ towards substance abusers and unfaithful spouses. Furthermore, the study compared judgments regarding the gender of the transgressor, the transgressor's willingness to go to counseling, and the participant's level of religiosity. Participants in the study were provided with a scenario describing a substance abuse transgression or an infidelity transgression followed by a survey of questions inquiring about their judgments towards the transgressor. Results indicated individuals judge a transgressor more harshly in an infidelity transgression compared to a substance abuse transgression. Results also indicated a gender bias between transgressions as …

Worlds Of Connection: A Hermeneutic Formulation Of The Interdisciplinary Relational Model Of Care, Susana Lauraine Mccune

Antioch University Dissertations & Theses

Despite a general agreement across health care disciplines that Advanced Care Planning (ACP) and Advanced Directives (ADs) add important elements to a patient's end-of-life care desires, and can inform their loved ones and advocates, help create ease of mind, and enhance quality of care, they continue to remain significantly underused. More than half of Americans transition to chronic and terminal illness without having completed them. The aim of this study was to increase the frequency and enhance the quality of communication about Advance Directives and Advance Care Planning within the clinical relationship. The resulting Interdisciplinary Relational Model of Care (IRMOC) …

A Model For A Haitian Comprehensive Community Mental Health Center: An Accounting, Corey Gifford

Antioch University Dissertations & Theses

Haiti is the poorest country in the Western hemisphere. Mental health resources are minimal and in need of further development. The goal of this dissertation project was to develop a model for a comprehensive outpatient Community Mental Health Center (CMHC) in Port-au-Prince, Haiti. It was both critical and essential that the development of a CMHC be considered within the sociopolitical and economic context of Haiti. As such, this project first examined relevant information regarding Haitian geography, poverty, government, and culture. Within this context, the impact of the 2010 earthquake was considered. This context was then used to consider relevant literature, …

A Narrative Study Of Emotions Associated With Negative Childhood Experiences Reported In The Adult Attachment Interview, Lynne Hartman

Antioch University Dissertations & Theses

Attachment patterns, which tend to be stable over time, are passed from one generation to the next. Secure attachment has been linked to adaptive social functioning and has been identified as a protective factor against mental illness. The parents’ state of mind with regard to attachment—as measured with the Adult Attachment Interview (AAI) (Main, Goldwyn, & Hesse, 2002)—predicts the attachment classification for the infant in Ainsworth’s Strange Situation Procedure (Ainsworth, Blehar, Waters, & Wall, 1978). Earned-secure individuals have overcome negative childhood experiences to achieve a secure state of mind in adulthood. Earned security, like continuous security, strongly predicts infant security …

Survey Of Compassion Fatigue Education In Apa-Accredited Clinical And Counseling Psychology Programs, Marissa Joy Scroggins

Antioch University Dissertations & Theses

The purpose of this study was to examine the present state of compassion fatigue (CF) education in APA-accredited clinical and counseling doctoral level training programs. It also sought to identify the number of training programs that require CF training or offer it as optional, attempted to discern the type of setting in which it is taught (class, supervision, etc.), as well as identified some of the reasons why it may not have been included (cost, time, interest, etc.) in programs without CF training. A researcher-developed survey was designed and consisted of a mixture of yes/no and multiple choice questions. Program …

Undiscovered Meanings Of Minority Doctoral Students In Counselor Education Programs, Beronica M. Salazar

Faculty Publications - Graduate School of Counseling

Higher education institutions aim at being more receptive to attract, recruit, and retain diverse students (“Diversity & the Ph.D.,” 2005). The increase of racial/ethnic diverse minority doctoral students in counselor education programs has created a need to understand their individual challenges. The dearth of research related to the in-depth experience of doctoral students in counselor education program affirms the need for exploration of minority doctoral student experience. This research proposal aspires to give voice to minority doctoral students’ stories of their challenging experiences, employing a reflexive process to discover the meanings connected to the experiences and identifying essential themes for …

Major Depressive Disorder: Precursors, Predictors, And Coping Mechanism Among Undergraduate Students, Grace Antia Bickham

Walden Dissertations and Doctoral Studies

Major depressive disorder (MDD) is common among college students. The disease perpetuates depressive symptoms and potentially leads to chronic depressive episodes. Existing literature has shown that students who use both cognitive and behavioral maladaptive coping skills are more prone to endure depressive symptoms and poorer academic performance. Despite these known associations, little research has examined the relationship between coping skills and self-efficacy in response to warning signs of MDD in college students. This study sought to fill the gaps in the research of MDD related to precursors, predictors, and coping mechanisms among undergraduate students in a national sample of U.S. …

The Effects Of Competency On Job Satisfaction For Professional Counselors When Providing Court Testimony, Joshua David Francis

Walden Dissertations and Doctoral Studies

Professional counselors experience increasing levels of ethical complaints when they provide opinions in child custody cases; the complaints question their competency levels and potentially affect job satisfaction. The purpose of the study was to determine any relationship between competencies and job satisfaction for 277 counselors and 66 psychologists. The competence theory served as the foundation of the study. The quantitative study was a nonexperimental, correlational design using a closed-ended survey. A new, validated Professional Competence Standards Instrument (PCSI) measured both competency as the independent variable and job satisfaction as the dependent variable to assess if competency affected job satisfaction. E-mail …

Maternal Depression: The Impact Of Perceived Social Support And Behavioral Health Rehabilitation Provider 50 Services, Tammy Lynn Gregorowicz

Walden Dissertations and Doctoral Studies

The purpose of this study was to identify if the rate of behavioral health rehabilitation services (BHRS) impacts depressive symptoms of mothers with children receiving these services and if the perception of social support moderates the severity of depression. The stress-buffering hypothesis and Bowen's family systems theory were used for the theoretical framework. A quantitative, cross-sectional survey design was used to collect data from mothers of children receiving BHRS Provider 50 services in northeast Pennsylvania. The Beck Depression Inventory, Second Edition and Multidimensional Scale of Perceived Social Support were used to assess depression and perceived social support. A self-made demographic …

Utilizing The Rorschach In Analyzing Characteristics Of Women Who Have Experienced Domestic Violence, Mary Aleksandra Iwanski

Walden Dissertations and Doctoral Studies

Intimate partner violence (IPV) affects millions of women, men, and families throughout the world each year, with more than a million incidents of domestic partner abuse reported to law enforcement officials each year in the United States. Being able to accurately assess and help a woman who is experiencing this type of violence can be difficult for even a seasoned mental health or medical professional. The purpose of this study was to determine whether clinicians can gain insight into the personality structure of women who have experienced IPV by clinical interview and administration of the Rorschach alone. This study analyzed …

Decision Making And Pediatric Bipolar Disorder Assessment/Diagnosis: A Phenomenographic Study, Kristen Davies

Walden Dissertations and Doctoral Studies

Prior to the 1990s, bipolar disorder, a behavioral disorder characterized by severe mood fluctuations, was not considered an suitable diagnosis for children. However, in recent decades, an increase in pediatric bipolar disorder (PBD) diagnosis has occurred in the U.S. The purpose of this study was to explore the perceptions and lived experiences of licensed mental health clinicians regarding their decision-making processes used during assessment and diagnosis of PBD. This phenomenographic study utilized individual, semi-structured interviews to explore the perceptions and lived experiences of 14 licensed clinicians in the Commonwealth of Massachusetts who assess and diagnose PBD. Data were collected with …

Health Behaviors, Hardiness, And Burnout In Mental Health Workers, Jeremiah Brian Schimp

Walden Dissertations and Doctoral Studies

Burnout has emerged as a significant and costly issue in the modern workforce. Researchers have not fully explored the role of individual health behaviors and personality in burnout among mental health workers. The knowledge gap addressed in this study was the connection between health behaviors, what mental health workers do to take care of themselves, and hardiness, the characteristic way they perceive and interpret environmental challenges. The purpose of this study was to examine the influence of health behaviors and hardiness among mental health workers on the 3 dimensions of burnout as measured by the MBI-HSS: emotional exhaustion, depersonalization, and …

Weighing In: Therapeutic Benefits Of Online Communities For Individuals With Eating Disorders, Cheri L. Greenfield

Educational Specialist, 2009-2019

The treatment of eating disorders involves a complex approach. In recent years, a number of websites have developed in an attempt to meet the needs of individuals struggling with this set of disorders. Some of these websites are nationally recognized organizations dedicated to improve treatment and provide educational resources, while other websites have been authored by individuals with eating disorders in an attempt to create a safe community of support. This project explores various components found in online communities, examines characteristics of eating disorders, and evaluates the worth of such resources, even when in perceived contrast with traditional treatment. Rather …

Psychotic Diagnosis And Artist Pathology: Schizophrenic Art’S Influence On The Identification Of The Disorder, Danielle Watson

Honors Projects

The use of artwork created by schizophrenic individuals is unique in its contextual elements, including bizarre imagery, strong border lines, and desexualized features. The uniqueness of schizophrenic art lends itself to the possibility of being identified as such, therefore, opening the possibility for it to be used as a diagnostic tool in the clinical setting. Presently, schizophrenic art is used in art therapy, but is not widely employed in diagnostic practices. The current study aimed to test the possible identification of schizophrenic art in contrast to normal art and no art. Three questionnaires were created and randomly distributed to participants. …

What Kills Love? Factors Influencing The Ending Of Love In Romantic Relationships, Michelle Duda

Theses and Dissertations

This thesis reports the results of an online survey study that examined dimensions of love, positive behaviors, negative behaviors, and relationship satisfaction in current romantic relationships where the individual currently had a feeling of being in love with their partner ("still in love" or SIL group) versus in past romantic relationships where the individual once had a feeling of being in love with that person, but ceased loving - essentially, fell out of love with - that person over the course of the relationship ("fell out of love" or FOL group). An MTurk sample of 202 individuals (Mean age = …

Interpersonal Needs And Suicide: Strengthening Measurement In An Offender Population, Rose Angeline Gonzalez

Dissertations

A disproportionate number of prisoners suffer from mental illness and engage in suicidal ideation or behaviors when compared to community adults (Tartaro & Lester, 2005; Torrey, Kennard, Eslinger, Lamb, & Pavle, 2010), placing a heavy burden on the correctional system for both housing and mental health treatment (Baillargeon et al., 2009). The Interpersonal-Psychological (IP) theory has been offered as a comprehensive framework for understanding and evaluating suicide risk (Joiner, 2005). The theory delineates two components that underlie both suicidal ideation and suicide behaviors, called interpersonal needs and acquired capability (Joiner, 2005). Although this theory could offer a clinically useful method …

The Fatherhood Factor: The Impact Of The Father-Child Relationship On The Social, Interpersonal, And Recidivism Risk Factors Of Previously Incarcerated Men, Larissa A. Maley

Seton Hall University Dissertations and Theses (ETDs)

Of the men who return home from prison, nearly 7 out of 10 will be re-arrested and sent back within 3 years of their release (Travis, Solomon, & Waul, 2001). This trend has large- scale implications, not just for individuals, but for their families and communities as well. Clearly, understanding the factors that contribute to a man’s success or failure in staying out of prison is extremely important in constructing policy and programs to assist these at-risk individuals and communities. Of the few studies that have explored the lives of previously incarcerated men, some have found fatherhood to be a …

Time Travel With Gilles Deleuze, John M. Winslade

Special Education, Rehabilitation & Counseling Faculty Publications

My focus here will be on working in therapy with an elastic concept of time built on Deleuze’s readings of time as a synthesis of the past, present and future. This interest has particular value for the construction of remembering conversations. I shall speak to the value I can see for this field of practice. The poststructuralist philosopher Gilles Deleuze has much to offer narrative practice through the concepts he developed. I intend to explore some specific aspects of his reconceptualization of time in this presentation.

The Impact Of Stereotype Threat On High School Females' Math Performance: Moderators And An Intervention, Jacqueline Hebert Ball

Doctoral Dissertations

Historically, there has been a significant gender gap in science, technology, engineering, and mathematics (STEM) careers (Beede et al., 2011; National Science Foundation, 2009), which has been attributed to females' lack of interest and pursuit of careers in these fields (Singletary et al., 2009). In the past, the lack of female participation in these careers was explained by a difference in natural abilities in these areas, especially in mathematics (Benbow & Stanley, 1983); however, research has shown that females are capable of performing just as well as males in the same age group in math (Smith & White, 2002; Spencer …

Responding To Trauma: Help-Seeking Behavior And Posttraumatic Growth In A College Sample, Aaron J. Burrick

Honors Scholar Theses

Research indicates that traumatic experiences can impact college students’ mental health, academic abilities, and relationships with peers. Trauma and associated symptoms of PTSD can lower students’ well-being and increase the risk of withdrawing from the university. Research also emphasizes the importance of psychological help-seeking as a way to experience posttraumatic growth. This study examines traumatic experiences, help-seeking attitudes, barriers, and behaviors, and posttraumatic growth in a sample of 168 undergraduate college students. Results indicated an overwhelming preference for informal help-seeking resources and the importance of traumatic severity in the decision to seek help. Additionally, female participants reported greater traumatic severity …

The Influence Of Bystanders In Subsequent Bullying Behavior, Jenny Lane Morris

Dissertations

Aggression that is targeted towards an individual or a group of individuals who is at a disadvantage to respond is known by several terms in the literature, including bullying, harassment, and mobbing. There has been much interest in this sort of targeted aggression among school-aged children and, therefore, a large body of literature on the topic exists. In adult populations, especially in workplace environments, much research has focused on the respective roles of the victim and bully in this adverse social dynamic, with less information available on the role of the bystander, which has emerged as an important part of …

Who Will Defy Authority? Personality Features And Destructive Obedience In The Milgram Paradigm, Ashton Caroline Southard

Dissertations

The present study examined the potential role of individual differences in personality in the likelihood of engaging in destructive obedience to authority within a modified version of the Stanley Milgram paradigm (Milgram, 1963, 1974). Personality features examined included the Big Five dimensions of agreeableness, openness, neuroticism, conscientiousness, and extraversion, and the dimensions of the Dark Triad, which consist of narcissism, psychopathy, and Machiavellianism (Paulhus & Williams, 2002). Participants were 39 undergraduates enrolled in introductory psychology classes who participated in exchange for partial fulfillment of a research requirement. Data were collected in two phases. Phase 1 consisted of online completion of …

Responsible Self-Stewardship For Counselor And Counselee Well-Being, Lisa S. Sosin

Faculty Publications and Presentations

This column, published in the Center for Counseling and Family Studies Quarterly e-magazine, provides information on responsible self-stewardship for counselor and counselee well-being. This edition covers the use of process notes to help counselors recognize and responsibly manage personal reactions that could potentially interfere with successful treatment. A case study and implications are provided.

The Neurobiology Of Burnout: A Christ-Centered Perspective On Managing Stress, Fear And Depression For Optimal Teaching And Functioning, Lisa S. Sosin

Faculty Publications and Presentations

This presentation focuses on developing a bio-psycho-social-spiritual toolbox for effectively managing stress, fear, and depression to support optimal teaching and functioning. Learning outcomes for the presentation include describing the neurobiology of burn out, exploring responses to stressful situations found in the Scriptures, practicing using tools introduced in the presentation to help regulate stress, fear, and depression, and applying content and skills taught in the presentation to develop a personal bio-psycho-social-spiritual toolbox for effectively managing stress, fear, and depression.

The Mediating Effect Of Self-Awareness In The Relations Of Self-Compassion And Training Variables To Therapist Self-Efficacy, I-Ching Grace Hung

Legacy Theses & Dissertations (2009 - 2024)

Therapist self-awareness is widely regarded by educators and clinicians as an essential factor that allows psychotherapists to treat clients effectively (Ridley, Mollen, & Kelly, 2011b). Accordingly, a central goal of therapist training is to increase self-awareness, which is believed to lead to important training outcomes, such as stronger trainee self-efficacy in clinical abilities (e.g., Barnes, 2004; Daniel, Roysircar, Abeles, & Boyd, 2004). Despite this common belief, there is a scarcity of theory and research on the role of self-awareness in affecting therapist training outcomes (Pieterse, Lee, Ritmeester, & Collins, 2013). Using a Social Cognitive Model of Counselor Training (SCMCT; Larson, …

Process Group Vs. Skills Group Modalities In The Treatment Of Individuals Diagnosed With Major Depressive Disorder, Kirk David Duncan

Wayne State University Dissertations

ABSTRACT

PROCESS GROUP

VS.

SKILLS GROUP MODALITIES

IN THE TREATMENT OF INDIVIDUALS DIAGNOSED WITH MAJOR

DEPRESSIVE DISORDER

by

KIRK DAVID DUNCAN

August 2014

Advisor: Dr. George Parris

Major: Counseling

Degree: Doctor of Philosophy

The goal of this study was to evaluate the impact of a process group vs. a cognitive behavioral skills group modality on depression while investigating the effects of facilitator bond on outcomes. Analysis of covariance (ANCOVA) was conducted on the BDI-II posttest scores, and pretest scores served as the covariate and the group membership as the independent variable. When observing Figure 1 there was a visual desired …

Development And Preliminary Validation Of The Youth Therapist Observational Cultural Competence Scale, Carrie Tully

Theses and Dissertations

The increasing diversity of the United States creates a pressing public health need to investigate methods to increase the engagement, retention, and efficacy of mental health services for racial/ethnic minority (REM) youth. Evidence from the adult psychotherapy treatment literature suggests that enhancing therapist cultural competence leads to increases in client satisfaction, alliance, and retention (Constantine, 2002; Sodowsky, Kuo-Jackson, Richardson, & Corey, 1998; Worthington, Soth-McNett, & Moreno, 2007). However, this relationship has not been adequately explored in youth mental health services, due in part, to a lack of valid and reliable measurement. This research project included measure development and initial validation …

Seasoned Psychotherapists' Experience Of Difficult Clinical Moments, Kirk J. Honda

Antioch University Dissertations & Theses

Purpose: This phenomenological study was concerned with the clarification of the experience of the difficult clinical moment which is defined as a discrete moment in which the psychotherapist experiences distress as a result of his or her work with a client. Method: Retrospective descriptions of experience of difficult clinical moments were obtained from a diverse sample of ten seasoned psychotherapists in the Seattle area. The interviews were transcribed, analyzed, and summarized, and these summaries were confirmed by each participant as being an accurate representation of their experience. Results: Thematic analysis revealed six themes of experience during a difficult clinical moment: …

Feeling Sad? Maybe You Are Just Uncertain! A Predictive Test For Depression, Dana Elizabeth Larson

Masters Theses & Specialist Projects

The current study examined the relationship between depression and uncertainty within the stress-diathesis model. Depression is a mental health disorder that is wide spread within our society. However, few causes of this disease have been able to be identified. Studies in uncertainty have shown that it is a major stressor in day-to-day life. Previous research has shown that individuals with high levels of uncertainty show higher levels of depression. The stress-diathesis model, a model originally developed to explain differences in development of schizophrenia, provides a theoretically meaningful way to combine these two concepts. The model states that a person who …