Clinical Psychology Commons^™

Technology Use In Rural Appalachia: A Pilot Study Of The Implications For Pediatric Behavioral Health, Courtney E. Lilly

Electronic Theses and Dissertations

Technology is a promising means for increasing rural individuals’ access to behavioral healthcare. However, the range of technology use in rural areas is currently unknown. The aims of this study were to examine the use of technology in rural areas, the relationship between technology use and willingness to access pediatric mental health services via videoconferencing, and this relationship within the context of other critical variables linked to service uptake. Data were collected at 2 pediatric primary care clinics. While no significant relationship was found between technology use and willingness to use videoconferencing, a significant relationship emerged between previous service seeking …

An Exploratory Study Of Recovery And Recovery Maintenance For Victims Of Childhood Sexual Abuse Who Completed Faith-Based Residential Treatment Programs, Ann Kerlin

Doctoral Dissertations and Projects

This interpretive phenomenological analysis of the experience of recovery and recovery maintenance for women with a history of childhood sexual abuse and its sequelae included interviews and a non-standard questionnaire. Ten women with this history who had completed a faith based treatment program for substance abuse and/or eating disorders described recovery. Themes that emerged related to the process of change included: Changes in Relationships with Others, to Self, to God, and lastly, Forgiveness as a Catalyst for Change. Six practices emerged in the exploration of maintenance recovery. This research highlighted the need for thorough bio-psycho-social-spiritual assessment and areas of concern …

Acculturation, Marianismo Gender Role, And Ambivalent Sexism In Predicting Depression In Latinas, Andreana T. Jezzini

Electronic Theses and Dissertations

This study explores acculturation, the Latina gender role of marianismo, and ambivalent sexism in predicting depression in a community sample of Latinas. A review of existing literature regarding these variables reveals that all three constructs can be both risk factors as well as protective factors. Since marianismo and ambivalent sexism may share similar traits, both may be self-protective coping mechanisms by Latinas in the context of a patriarchal environment with structured gender roles and strong gender disparities. One hundred and thirteen adult Latina participants from various ancestries of origin were solicited from the community using an Internet survey tool. …

Therapists' Attitudes Toward Forgiveness: The Relationship Between Forgiveness Conceptualizations And Predicted Likelihood To Assist Clients To Forgive During Treatment, Cameron F. Cannon

Electronic Theses and Dissertations

Research supports the use of forgiveness in psychotherapy; however, little is known about how this process is integrated into treatment. Views on the utility of forgiveness appear to be mixed. Differences in conceptualization appear to exist between interventionists who promote its use and those who argue against it. This study explored the potential relationship between therapists' conceptualization of forgiveness, categorized as either agreeing with popular interventionists or not, and their predicted assistance of client forgiveness, as well as relationships between attitudes toward forgiveness and other potentially related variables Two hundred sixty nine participants recruited from practice-focused graduate training institutions completed …

Effectiveness Of Teacher-Implemented Function-Based Interventions Versus Non-Function-Based Interventions For Preschoolers, Katherine Marie Bellone

Dissertations

Disruptive behaviors occur frequently in preschool classrooms. Children who exhibit early-onset behavioral concerns in educational settings are at greater risk for negative developmental outcomes than their peers. In order to address problem behaviors in the classroom, practitioners may use functional assessment methodology to design an individualized intervention tied to the function of the behavior. Alternatively, practitioners may choose to use an evidence-based practice, not tied to behavioral function, shown to be beneficial through research. Though much research states the need for empirical comparisons between function-based interventions and non-function-based interventions, past comparisons have often been unbalanced, such that the interventions included …

The Sexual Assault Severity Scale: A Comprehensive Measure Of Assault Severity, Karyn Crystal Swinson

Dissertations

Many studies in the sexual assault literature have found a significant relationship between sexual assault severity and psychological distress, specifically PTSD and suicidality. However, in the current literature, there is an inconsistent and incomplete definition of the construct of assault severity. The present study aims to create a comprehensive self-report questionnaire, called the Sexual Assault Severity Scale (SASS) that includes assault characteristics, such as victim-offender relationship, substance use, and peritraumatic responses, and cognitive variables, such as posttraumatic schema disruptions and coping self-efficacy in the conceptualization of assault severity. Two models evaluating the relationship between assault severity and post assault distress …

Strengths Versus Deficits: The Impact Of Gender Role Conflict And Counseling Approach On The Appeal Of Therapy For Men, Jeff Reznicek-Parrado

College of Education and Human Sciences: Dissertations, Theses, and Student Research

Current trends from the fields of mental health, criminal justice, and sociology suggest that despite men’s significant mental health problems (i.e. Moscick, 1995; Sue, Sue, & Sue, 2003; Greenfield & Snell, 1999; Follman, Aronsen, & Pan, 2013), they are much more reluctant to seek mental health help than women (Addis & Mahalik, 2003; Olfson & Marcus, 2010). Sociologists and psychologists have suggested that this disparity in help seeking can be largely explained by a cultural mismatch between the context of masculinity and the context of psychotherapy. Psychologists have called for a paradigm shift in the way clinical services are rendered …

Treatment Of Psychiatric Inpatients With Relationship Dysfunction Using A Short Term Cognitive Interpersonal Intervention: A Pilot Study, Tamra Rasberry

Doctoral Dissertations and Projects

Relationship conflict for the psychiatric patient can have significant detrimental effects. There are specific types of interactions that can increase conflict and predict the potential for relapse; these have been identified by research and designated as components of Expressed Emotion (EE). Cognitive Behavioral Therapy (CBT) and Interpersonal Therapy (IPT) have been very effective when targeting specific psychiatric diagnoses, but less effective when addressing relationship conflict. The majority of studies addressing relationship conflict have taken place in an outpatient, long-term setting. There is limited research that utilizes an inpatient short-term intensive therapy with relationship conflict as its sole focus, targeting areas …

Study Of Employment Retention Veterans (Serve): Improving Reintegration Of Oregon National Guard And Reserves In The Workplace, Gilbert Patrick Brady, Jr., Leslie B. Hammer

Student Research Symposium

This presentation will provide an overview of the recently funded Department of Defense grant (Principal Investigator, Leslie Hammer, Ph.D.). Since 9/11 over 2.8 million United States military personnel have served in and around Iraq and Afghanistan. By 2018, the number of post-9/11 veterans is projected to top 3.1 million. Of these most recent veterans, 18% have difficulty holding a job and many experience family difficulty. Presently, a third or more of these post-9/11 veterans – some 874,728 service members and counting – have deployed to various global hotspots as active-duty reservists of the U.S. armed forces. Unemployment, underemployment and mental …

Increasing Psychological Flexibility Regarding Interpersonal Conflict Between Religious Beliefs And Attitudes Towards Sexual Minorities: An Acceptance And Commitment Therapy (Act) Intervention, Cory John Myler

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

This study was designed to facilitate the development and assessment of a group therapeutic intervention for lesbian, gay, bisexual, and questioning individuals. Previous research has established that this population is particularly vulnerable to psychological distress and that religiosity contributes to this vulnerability, but there have been no interventions established specifically for the population of sexual minorities who are experiencing religious conflict. The components of Acceptance and Commitment Therapy were used to inform the development of a group intervention, which was then carried out. An assessment battery of numerous quantitative measures was given to participants before and after the intervention to …

An Exploration Of Men's Attitudes Regarding Depression And Help-Seeking, Brian Paul Cole

College of Education and Human Sciences: Dissertations, Theses, and Student Research

Despite significantly higher risk of suicide and co-morbid substance abuse, college age men are far less likely than college age women to seek help when depressed (ACHA, 2010). This “gender gap” has led researchers to suggest that college men are experiencing a mental health crisis (Davies, Shen-Miller, & Isacco, 2010). Several theories have been suggested for this gender gap including: (a) barriers caused by male gender socialization, (b) inaccurate diagnostic criteria, and (c) men experience different symptoms when depressed (Cochran, 2005; Levin & Sanacora, 2007). Additionally, the current researcher hypotheses that fear of femininity is a core aspect of the …

Trauma And Post-Traumatic Stress Disorder In Therapeutic Day School Students: Prevalence In This Population And Effective Treatment Programs, Monica Roberts

Dissertations

This survey-based, comparative study investigated the percentage of students at a suburban Chicago therapeutic day school who meet criteria for clinically significant levels of PTSD as compared to students in a general education setting. The directional hypothesis was that students placed at therapeutic day schools have a higher prevalence of PTSD than a general population of students. The method used was a survey assessment called the Child PTSD Symptom Scale (CPSS) given to 16 students at a suburban Chicago therapeutic day school. These CPSS scores were analyzed and statistically compared to CPSS scores of an already published study with students …

Counselor Demographics, Client Aggression, Counselor Job Satisfaction, And Confidence In Coping In Residential Treatment Programs, Erik Braun

Counseling & Human Services Theses & Dissertations

Counselors at residential agencies are sometimes assaulted by physically aggressive clients (Flannery & Walker, 2001, 2008). As a possible result of this professional hazard, mental health professionals typically resign from residential counseling positions after approximately 14.6 weeks (Connis, 1979). Although job satisfaction and counselor confidence in coping with client aggression have been widely studied individually in the context of residential settings, researchers have examined these variables together. The overarching purpose of this study was to examine the association between counselor demographic characteristics, agency/environmental characteristics, and crisis intervention training and job satisfaction and confidence in coping with client aggression. Data were …

Se Habla Inglés Aquí: Las Dificultades En El Tratamiento De La Depresión En Latinos En Los Estados Unidos, Melissa Kim Dundas

World Languages and Cultures

This project attempts to identify and bring to light the issues relating to treatment of Latinos and native Spanish speakers in the United States. The stigma surrounding depression is already strong in the U.S., and when minorities, who tend to have their own views of mental health disorders and who are less likely to seek treatment for any mental health disorder they might have, are added to the picture, the rates of treatment go drastically down. There are many factors that play into whether or not Latinos will seek treatment for depression, many of which revolve around language and culture, …

The Impact Of Acculturation And Labeling On African Americans' Stigmatization Of Mental Illness, Tahirah Abdullah

Theses and Dissertations--Psychology

Although African Americans endorse more stigma towards those with mental illnesses than European Americans and are quite susceptible to stigma’s detrimental effects on help-seeking for mental health problems, stigma has not been adequately studied for African Americans. Given that stigma is a key barrier to obtaining help for mental health problems, it is imperative that we gain a more nuanced understanding of stigma. This study used experimental design and vignettes to examine the influence of acculturation and labeling on African Americans’ stigmatization of depression, social phobia, alcohol dependence, and schizophrenia. Results indicated that schizophrenia was generally the most stigmatized disorder …

The Ticking Of The “Biological Clock”: Worry About Future Fertility In Nulliparous Women, Karen E. Kersting

Theses and Dissertations

Abstract

Title: The Ticking of the “Biological Clock”: Worry about Future Fertility in Nulliparous Women

By: Karen Kersting, M.A., M.S.

A dissertation submitted in partial fulfillment of the requirements for the degree of Doctor of Philosophy at Virginia Commonwealth University.

Virginia Commonwealth University, 2013.

Major Director: Kathleen M. Ingram, J.D., Ph.D.

Associate Professor of Psychology

Department of Psychology

Modern women are waiting until later in their lives to have children than women of previous generations, a trend influenced by a number of factors including financial stability, dating norms, and career goals and responsibilities. As women age, their fertility may decline …

Stigma And The Acceptability Of Depression Treatments Among African American Clergy, Connie Gardner

Doctoral Dissertations and Projects

The purpose of this cross sectional study was to investigate stigma associated with depression treatments and to approximate its association with treatment acceptability among African American Clergy. There were 109 African American clergy who completed three measures: treatment specific stigma instrument, treatment acceptability instrument, and a demographic questionnaire, anonymously. Three hypotheses were tested using descriptive statistics, Mantel-Haenszel common odds ratio estimate, Pearson correlation coefficient, and ordinal logistic regression. Statistical analysis revealed stigma did increase with the expansion of the social circle; Christian mental health counseling had the highest acceptability rate among clergy not pastoral or lay counseling and there was …

Can Psychopathic Traits Contribute To Success In Adolescence? Relations Between Boldness, Meanness, Disinhibition, And Adaptive Functioning, Matthew David Guelker

Dissertations

Psychopathy, though frequently couched as a distinctive set of traits with violent and aggressive behavioral consequences (i.e., Hart, Kropp, & Hare, 1988; McCord & McCord, 1964; Millon & Davis, 1998), was presented in one of the original conceptualizations as a set of specific traits (i.e., emotional unresponsiveness and behavioral deviance) that could manifest as charm, confidence, and social dominance without resulting in criminality and aggression (Cleckley, 1941, 1988). More recently, Patrick, Fowles, and Krueger (2009) developed the Triarchic Conceptualization of psychopathy that differentiates underlying components of psychopathy into boldness, meanness, and disinhibition. The factor structure of the Triarchic Psychopathy Measure …

Predicting Substance Abuse Treatment Participation With The Personality Assessment Inventory: An Investigation Of How Personality And Interpersonal Factors Affect Treatment, Annese Baum Hutchins

Doctoral Dissertations

The prevalence of alcohol and drug abuse or dependence among Americans ages 12 and over is thought to be about 9.4% of the total population, or 22 million Americans (Karpiak & Norcross, 2005; Substance Abuse and Mental Health Services Association [SAMHSA], 2003). According to Vuchinich (2002), substance use disorders (SUD) are the most common mental health problem in our society today. Additionally, estimates are that anywhere from half to 84% of all substance use disorder patients also experience a co-occurring disorder (Johnson, Brems, & Burke, 2002).

Traditional treatment facilities usually are focused primarily on either substance abuse treatment or psychiatric …

The Foundations Of Hope In Therapy, John M. Winslade

Special Education, Rehabilitation & Counseling Faculty Publications

Hope is a necessary construct in narrative therapy but we need to be careful how we think about it. It does not lie in the essence of persons. There are not categories of people who are hopeful or hopeless. Rather, hope lies in the stories that we use to make sense of our lives but dominant stories from the world around us sometimes interfere with our access to hopeful stories. Therapy can help us reconnect with these stories, leading to the exercise of personal agency in our own lives. This presentation will explore how to help people do this through …

Relationship Competence: Can Trainee Interpersonal Skills Be Measured Reliably And Do They Predict Clinical Effectiveness?, Jacqueline Camp

UNLV Theses, Dissertations, Professional Papers, and Capstones

Traditional evaluation and assessment procedures in professional psychology programs have long been criticized for inadequately attending to the set of interpersonal skills that are important to professional functioning in the field of psychology. The present study was exploratory and focused on examining the reliability and validity of an evaluation tool designed to capture a set of interpersonal skills that are clinically relevant and grounded in the empirical literature on psychotherapy outcome. Toward this end, the Facilitative Interpersonal Skills (FIS) task (Anderson, Patterson, & Weiss, 2006) was administered to a sample of trainees (n = 19) enrolled in a clinical psychology …

Does Psychopathy Predict Future Risky Sexual Behavior?, Jessica Jade Fulton

Dissertations

Risky sexual behavior (RSB), such as having sex with an unknown partner, is associated with a variety of negative consequences including sexually transmitted diseases and unplanned pregnancy. Previous research (e.g., Fulton, Marcus, & Payne, 2010) suggests that psychopathic personality traits as assessed by the Psychopathic Personality Inventory (Lilienfeld & Andrews, 1996) are associated with RSB. Self-Centered Impulsivity (SCI), which is characterized by impulsivity, irresponsibility, and reckless behavior, was positively associated with RSB among men and women. In contrast, Fearless Dominance (FD), which is characterized by fearlessness, manipulativeness, and social dominance, was positively associated with RSB among men but not women. …

The Relationship Between Suicide Ideation And Parasuicide: An Electrophysiological Investigation Using The Loudness Dependence Of Auditory Evoked Potential, Angelika Marsic

Dissertations

The loudness dependence of the auditory evoked potential (LDAEP) has been proposed as a promising valid and a non-invasive indicator of behaviorally relevant central 5-HT functioning. There is limited research on the utility of the LDAEP in discriminating individuals who engage in various degrees of suicidal behavior. The primary purpose of the present study was to examine if the LDAEP, as a measure of central serotonergic functioning, can be useful in distinguishing groups of individuals who: (a) solely experience suicidal ideation (SI group); (b) experience suicidal ideation and have engaged in deliberate self-harm acts (SH group); and (c) individuals with …

Efficacy Of Self-Care And Traditional Mental Health Counseling In Treating Vicarious Traumatization Among Counselors Of Hurricane Katrina Survivors, Mary Alice Many

LSU New Orleans Theses and Dissertations

The population consisted of 9,000 Gulf Coast Licensed Professional Counselors. Surveys were returned by 609 participants. In the researcher-developed demographic survey, 586 individuals responded to the questions regarding age, gender, ethnicity, and years of counseling experience; 585 individuals responded to questions about exposure to prior trauma, and personal Katrina-related losses; 578 individuals responded to the question about the percentage of their work week that was spent counseling victims, and 579 individuals responded to questions regarding the type of mental health care strategy they participated in. There were 439 usable surveys for the PTSD Checklist-Civilian Version (PCL-C) (Weathers, Litz, Huska, & …

Promoting Healthy Body Image In College Men: An Evaluation Of A Psychoeducation Program, Justin Henderson

College of Education and Human Sciences: Dissertations, Theses, and Student Research

Current psychological research indicates that men are increasingly dissatisfied with their bodies (e.g., McCabe & Ricciardelli 2004; Olivardia, Pope, Borowiecki, & Cohane, 2004). The consequences of body image concerns range from mild discontent (e.g., body dissatisfaction) to the more pathological (e.g., muscle dysmorphic disorder, steroid use, and eating disorders). College-age men are at particular risk of body image disturbances. Drawing from body image research and theory, a one session prevention intervention was designed for college men to address this growing concern. The prevention intervention was intended to serve as a preliminary step into men’s body image prevention programming. The intervention …

Diagnosing The Demonic, David W. Appleby

Faculty Publications and Presentations

One of the most difficult tasks for a therapist is to determine whether a client’s difficulty is psychologically based or spiritually based. Scripture shows us that virtually any physical, psychological, or social symptoms might be attributed to demonic spirits. The enemy attacks on all possible fronts, which complicates the whole process of diagnosis. The most accurate diagnoses come not from looking only at symptoms, but at predictive life experiences. If the individual has opened certain doors there is an increased probability that demonic involvement is present. These include (1) generational curses, oaths, and soul ties, (2) occult involvement, (3) trauma …

Research Motivation In Professional Psychology Doctoral Students: Examination Of The Psychometric Properties Of The Research Motivation Scale, Carly Bischoff Mayer

Doctoral Dissertations

Previous research suggests that the majority of clinical and counseling psychology doctoral students report low levels of research interest while in graduate school, and indicate little or no intention to pursue postdoctoral research despite having been trained within a scientist-practitioner model. Contextual and individual factors related to research interest, such as the research training environment (RTE) and self-efficacy, have been identified as potential contributors to research outcomes. Although these variables seem to be linked, many studies have found that they do not account for a substantial portion of variation in research interest. Recently, Deemer, Martens, and Buboltz (2010) developed the …

The Relationship Between Personality And Forgiveness Of Sexual Infidelity In Marriage, Karen Suggs Roper

Doctoral Dissertations

Discovery of sexual infidelity is often accompanied by a strong desire for infidelity relevant information (Peluso, 2007). This study explored how information and conceptualization of situational factors affects forgiveness in a spouse who discovers the extramarital sexual activity of his or her spouse. The current study focused on knowledge of details and how such knowledge affected rumination and motivations of revenge, avoidance, and benevolence. Popular literature currently promotes a process of healing that begins with a revelation of the details associated with the extramarital behaviors of the offending spouse. A unique objective of this study was consideration of the specific …

Comparing Measures Of Attachment : “To Whom One Turns In Times Of Stress,” Parental Warmth, And Partner Satisfaction, Marc A. Lindberg Ph.D., April Fugett, Stuart W. Thomas

Psychology Faculty Research

The Attachment and Clinical Issues Questionnaire (ACIQ; M. A. Lindberg& S. W. Thomas, 2011), was developed over an 18-year period containing 29 scales. Thepurpose of the present study was to test (a) the validity of the attachment scales in terms ofhow they predict to whom one turns in times of stress and for affective sharing, and (b) how the attachment scales compared with the Experiences in Close Relationship Questionnaire (ECR) in terms of concurrent, convergent, and discriminant evidence. The relevant secure scales of the ACIQ predicted to whom one turned in Study 1, and Study 2 demonstrated good convergent evidence …

How Psychotherapy Trainees Experience Theoretical Orientation Development : A Phenomenological Study, Mark Mason

Legacy Theses & Dissertations (2009 - 2024)

Knowledge and application of theory are integral to the practice of psychotherapy. Despite the focus on theory in clinical training, little is known about how psychotherapy trainees experience, learn about, and develop a theoretical orientation. This phenomenological study used grounded theory methods to examine 15 counseling and clinical psychology doctoral students' experiences developing a theoretical orientation. The specific purpose of the study was to understand in depth these trainees' perspectives on and attributions about learning and developing expertise with a specific theoretical orientation.