Clinical Psychology Commons^™

The Predictive Power Of Therapeutic Alliance On Treatment Retention, James B. Anderson

Dissertations

Therapeutic alliance has long been recognized as an important contributor to successful psychotherapy, and research has demonstrated that it has a moderate and reliable impact on treatment outcome across studies employing a variety of treatment strategies. The current study seeks to build on the alliance literature by examining the degree to which therapeutic alliance is predictive of treatment retention. Two trained raters assessed the alliance between therapists and their patients by watching and rating therapeutic alliance in videotaped psychotherapy sessions. They watched tapes of therapists using two different types of treatment: cognitive modification and supportive therapy. Alliance was assessed via …

The Santa Clara Strength Of Religious Faith Questionnaire: Assessing Faith Engagement In A Brief And Nondenominational Manner, Thomas G. Plante

Psychology

The Santa Clara Strength of Religious Faith Questionnaire is a brief (10-item, or five-item short form version), reliable and valid self report measure assessing strength of religious faith and engagement suitable for use with multiple religious traditions, denominations, and perspectives. It has been used in medical, student, psychiatric, substance abuse, and among general populations nationally and internationally and among multiple cultures and languages. Brief non denominational self report measures of religious and faith engagement that have demonstrated reliability and validity are not common but can have potential for general utility in both clinical and research settings. This article provides an …

An Exploration Of The Relationship Among Online Social Network Usage, Intimacy, Social Comparison Tendencies, And Relationship Satisfaction, Matthew Hand

Doctoral Dissertations

The popularity of online social networks prompts an examination of the effects these websites have on intimate relationships. While these networks have received a considerable amount of attention in mainstream media, peer-reviewed research examining the effects these websites have on users is sparse. By their very nature, online social networks involve the creation and maintenance of interpersonal relationships. As such, the effect of these networks on relationships may be profound and with the paucity of research on the topic, the relationship between online social networks and interpersonal relationships is an important area of study. The present study sought to examine …

Socially Desirable Responding On The Mmpi -2, Mcmi-Iii, And Pai In A Substance Abuse Treatment Setting, James Brian Rutland

Doctoral Dissertations

Objectively scored measures of psychopathology are increasingly relied upon to aid in the diagnosis of mental disorders and treatment planning, and three commonly used measures are the MMPI-2, MCMI-III, and PAI. A difficulty with such measures, however, is that response sets are subject to both intentional and unintentional distortion by examinees. Underreporting of psychopathology and attempts to present oneself in an overly favorable light can be particularly difficult to detect. Therefore, scales and other indices have been developed to identify underreporting and defensiveness. Paulhus (2002) has developed and refined a model for this phenomenon of underreporting, which he calls Socially …

College Students Who Self-Injure: A Study Of Knowledge And Perceptions Of Self-Injury, Stacey Edwards Clinard

Masters Theses & Specialist Projects

Archived data was utilized for the present study which examined self-injurious behaviors in a college population. College students, who engage in non-suicidal self-injury, or NSSI, were expected to evidence a higher knowledge base for the behavior than those who do not. The demographic variables of gender and sexual orientation were predicted to be over represented in the NSSI group. Further, this study examines the perceived riskiness of the behavior in individuals who self-injure, as well as their perceptions of others who engage in NSSI. The survey consisted of four sections: demographics, knowledge ofNSSI, experience with NSSI, and perceptions ofNSSI. Individuals …

Understanding Alcohol-Related Sexual Assaults: Characteristics And Consequences, Sarah E. Ullman, Cynthia J. Najdowski

Psychology Faculty Scholarship

Sexual assaults commonly involve alcohol use, but little is known about alcohol’s effects on many aspects of assaults and their aftermath. We investigated characteristics of victims, perpetrators, and assaults as a function of whether alcohol was involved in the assault, as well as differences in women’s post-assault experiences. Assaults prior to which only perpetrators were drinking differed not only from non-alcohol-related assaults, but also from those prior to which both perpetrators and victims were drinking. Understanding the effects of alcohol-related assaults is important for identifying victims who should be targeted for mental health and substance use interventions.

Alcohol-Related Help Seeking In Problem Drinking Women Sexual Assault Survivors, Sarah E. Ullman, Cynthia J. Najdowski

Psychology Faculty Scholarship

Correlates of alcohol-related help seeking were studied in women sexual assault survivors who were current problem drinkers (N = 526) in a large metropolitan area in 2002-2003. Volunteer participants completed several valid and reliable instruments, which assessed alcohol use and misuse and related help seeking (i.e., the TWEAK, GFM, and MAST). Data were analyzed using logistic regression models. Results suggest that correlates of women survivors’ alcohol-related help seeking vary depending on the specific source. Limitations and implications are noted and recommendations for future research are made. This study was funded by the National Institutes on Alcohol Abuse and Alcoholism.

Inpatient Group Psychotherapy: Predicting Attendance And Participation, Sharon E. Silverberg

Counseling & Human Services Theses & Dissertations

Inpatient group psychotherapy is one of the primary talk therapy interventions offered to patients necessitating acute psychiatric treatment. Research indicates that patients who attend and participate in group psychotherapy sessions while admitted to psychiatric hospitals have a lower rate of recidivism and are more successful in the community utilizing lower levels of psychiatric care. Unfortunately, not all patients attend group psychotherapy while admitted to a psychiatric facility and therefore do not benefit, possibly contributing to non-compliance with community-based treatment and readmissions to inpatient psychiatric institutions for stabilization and safety. This lack of participation in group psychotherapy deprives the patient the …

The Relationships Between Perceived Therapeutic Alliance, Therapist Self-Disclosure, And Dropout Expectancy Among Male Substance Abuse Treatment Participants, Harriett Elizabeth Reeh

Walden Dissertations and Doctoral Studies

There are contrasting views from Freudian, humanistic, and feminist theorists regarding whether therapist self-disclosure (TSD) affects the relationship between the therapeutic alliance (TA) and dropout of substance abuse treatment by males. However, there is a paucity of research regarding these topics yet therapists need clear empirical support for the use of TSD in enhancing the TA such that dropout can be averted. This study investigated whether or not TSD moderated the relationship between perceived TA and dropout expectancy. The research participants were 132 men attending residential substance abuse treatment. Four groups of men were randomly assigned to 1 of 4 …

Attachment Styles, Social Skills, And Depression In College Women, Eileen L. Cooley, Amy Van Buren, Steven P. Cole

Psychology Faculty Publications

Attachment styles, social skills, and depression were studied in 93 college women using the Relationship Questionnaire (K. Bartholomew & L M. Horowitz, 1991), the Beck Depression Inventory-ll (AT. Beck, R.A. Steer, & G. K. Brown, 1996), and the Interpersonal Competence Questionnaire (D. Buhrmester,W. Furman, M.T.Wittenberg, & H.T. Reis, 1988).The self and other attachment models and the social skills of negative assertion, self-disclosure, and conflict management all correlated with depression. Conflict management partially mediated the relationship between attachment self-model and depression. Implications for counseling are discussed.

The Association Between Parental Perceptions Of Children's Residential Mental Health Treatment And The Parent-Child Relationship, Susanne Elizabeth Preston

Counseling & Human Services Theses & Dissertations

Residential mental health treatment for children as an intervention for children is increasing, potentially affecting the relationship within families. The purpose of this study was to examine the parental perspectives of the associations between the parent-child relationship and children's residential mental health treatment. This study explored parental perspectives of specific aspects of the parent-child relationship: parental support, satisfaction with parenting, parental involvement, communication, and limit setting-and the association between these aspects and the child's residential mental health treatment. Paired samples t-tests were conducted; resulting in statistically significant changes on all scales measured, with varying effect sizes. Results indicated parents …

Validating The Attitudes Toward Sex Offenders Scale, Charmeka. Whitehead

Dissertations

This study investigated the reliability and validity of the Attitudes Toward Sex Offenders Scale (ATS) measurement by assessing attitudes of counselors in training towards juvenile sex offenders. The specific aims of this study were to determine (a) internal consistency of the ATS, (b) construct validity of the ATS based on exploratory factor analysis, and (c) the degree to which this instrument has convergent and discriminate validity. The intellectual merit of this study was to provide appropriate scale validation of the ATS so that it might be used to assess attitudes of mental health professionals who work with juvenile sex offenders. …

Informed Consent As A Predictor Of Working Alliance And Perception Of Counselor/Psychotherapist, Scott E. Kerby

Dissertations

Client informed consent is an important component and ethical dimension of counseling and psychotherapy required by each of the mental health professions. The purpose of this study was to examine the extent to which informed consent in counseling/psychotherapy may relate to client perceptions of the working alliance, measured by the Working Alliance Inventory - Short Version (WAI-S) (Tracey and Kokotovic, 1989), and clients' general opinion of the counselor/psychotherapist, measured by the short form of Counselor Rating Form (CRF-S) (Corrigan and Schmidt, 1983). In particular, the study investigated: (1) how discussion and understanding of informed consent related to client perceptions of …

Phenomenological Study Of Resilience In The Lives Of White, Midlife Lesbian Psychologists In Clinical Practice, Melissa A. Lidderdale

Dissertations

The unique experiences and adversities encountered by midlife lesbian therapists have not been directly investigated. How the midlife lesbian women in this study were influenced by their individual experiences and cultural changes, both in general society and within the mental health profession, are paramount to more fully understanding the adversities, support, and resilience that they experienced while becoming psychologists. Due to the scarcity of empirical literature pertaining to the therapist's experience of resilience and the paucity of empirical literature related to resilience in lesbians, phenomenological research methods were chosen for this study. The goal of this study was to provide …

A Psychometric Evaluation Of The Revised Optimism-Pessimism Scale Of The Mmpi-2, Ginger Burge Debrule

Dissertations

The present study tested the psychometric properties of the Revised Optimism-Pessimism Scale (PSM-R) of the MMPI-2. This scale purportedly measures the respondent's explanatory style on a dimension of optimism and pessimism. Participants included 92 college undergraduates and 2,729 participants from archived outpatient data. The PSM-R is a reliable measure, based on test-retest reliability and internal consistency. However, the construct validity of the measure is questionable. Evaluation of the PSM-R items suggests that the items are not all related to the optimism-pessimism construct. In addition, convergent validity of the PSM-R was assessed using measures of attributional style, dispositional optimism, hope, depression, …

Attachment Anxiety And Avoidance: Relationship To Body Image And Exercise Behavior, Kathryn Louise Brown

Dissertations

This study was designed to investigate the role of attachment anxiety and avoidance in predicting persons' body image, body appreciation, and obligatory exercise behavior. Two hundred and twenty eight participants (100 men and 128 women) completed the Relationship Scales Questionnaire (RSQ; Griffin & Bartholomew, 1994), Multidimensional Body-Self Relations Questionnaire (MBSRQ; Cash, 2000), Body Appreciation Scale (BAS; Avalos et al., 2005), and Obligatory Exercise Questionnaire (OEQ; Pasman & Thompson, 1988). Results provided at least partial support for many of the hypotheses. The current study replicated results from previous research pertaining to the relationship between attachment and body image. However, the results …

A Longitudinal Examination Of Outcomes Related To Emotional Abuse In Children, Lauren Seale Fryer

Dissertations

Emotional abuse has been linked to both intemalizing and extemalizing outcomes in adults and children, even after controlling for the presence of physical and/or sexual abuse in childhood (Braver, Bumberry, Green, & Rawson, 1992; Gibb et al., 2001; Kaufman & Cicchetti, 1989; Kim & Cicchetti, 2006). The developmental/organizational perspective, as well as attachment theory, suggests that emotional abuse occurring in childhood will result in disrupted views of subsequent relationships, leading to maladaptive outcomes such as aggression, depression, and low self-esteem (Cicchetti & Toth, 1995). The current study examined these relations in an archival sample of lowincome urban children ages 5 …

The Effect Of Holland's Person-Environment Fit On Trait Anger, Interpersonal Conflict At Work, And Workplace Aggression, Aimee Chantelle Pseekos

Dissertations

This study examined the effect of Person-Environment fit, as defined by Holland's (1997) theory, on trait anger, interpersonal conflict at work, and workplace aggression in a sample of employees in the United States. Job satisfaction was also examined with regard to concurrent and discriminant validity information for this sample. Results indicated that there was not a statistically significant effect of Person- Environment fit on trait anger, interpersonal conflict at work, or workplace aggression. The concurrent and discriminant validity of findings was supported through relationships between job satisfaction, Person-Environment fit, and workplace aggression. Limitations and implications for further research related to …

Examination Of The Clinical Benefit Of Adding Reversal Theory Concepts To The Expressive Writing Paradigm, Stephanie Ellis

Doctoral Dissertations

Expressive writing as a form of emotional disclosure produces many physical and psychological benefits (Pennebaker, 2004). Central to the present study are findings that expressive writing decreases symptoms of depression, anxiety, and PTSD (Koopman, Ismailji, Holmes, Classen, Palesh, & Wales, 2005; Opre, Coman, Kallay, Rotaru, & Manier, 2005; Russ, 1992). Reversal Theory (RT) suggests that individuals experience the world from eight different psychological states including serious, playful, conforming, rebellious, mastery, sympathy, self, and other (Apter, 2007). Teaching individuals to be aware of and elicit these states also decreases depression and anxiety (Charat, 2006). The present study sought to determine if …

The Comparative Efficacy Of Dosed, Enhanced Dosed, Prolonged Exposure, And Mindfulness In The Reduction Of Anxiety, Sophie Rubin

Dissertations

Exposure-based treatments have proven effective in treating a range of fears and phobias and can be accounted for by mechanisms described in behavioral theory. Enhanced dosed and dosed-only exposure are promising new behavioral approaches for treating fears and phobias. Fifty participants with speech anxiety were randomly assigned to a prolonged exposure condition (PE), a dosed-only exposure condition (DE), a positively enhanced dosed exposure condition (PDE), a negatively-supplemented dosed exposure condition (NDE), or a mindfulness enhanced dosed exposure condition (MDE). End of session results for all of the enhanced groups resulted in significantly lower subjective ratings of discomfort than the non-enhanced …

Parental Abduction From The Perspective Of The Victims: Implications For Counselors, Mary Jo L. Gibbs

UNLV Theses, Dissertations, Professional Papers, and Capstones

This is a descriptive study that examined parental abductions from the perspective of the abductee. The results will help counseling professionals better to understand the psychological consequences of parental abduction, coping mechanisms that were used by the abducted children and counseling techniques and strategies that helped the children through this difficult time and after being returned to the left-behind parent.

A 32 multiple choice and short answer questionnaire was developed for this study. The survey consists of 12 closed answer (Yes or No) questions, three open ended questions, and seventeen demographic questions. The questionnaire was given through a phone interview …

Spiritual Struggles And Self-Discrepancy, Robert Carlisle

All-Inclusive List of Electronic Theses and Dissertations

Spiritual Struggles occur when a person's spirituality has been threatened and must be modified or changed. Researchers explain that there are three types of struggles - divine, interpersonal and intrapersonal. In this study it was proposed that religious discrepancies could lead to spiritual struggles. There are two major types of discrepancies: actual/ideal and actual/ought. Actual/ideal discrepancies exist when there is a difference between what people think they ideally should be like and what they are actually. An actual/ought discrepancy is a difference between what people think they ought to be and what they actually are. It was proposed that religious …

Examining Adolescent Suicide: How To Identify The Risks, Kelsey Moellering

Honors Capstones

Capstone submitted as a graduation requirement for the BSU Honors Program.

The Preliminary Assessment And Incidence Of Sexual Identity Issues At Liberty University, Jessica L. Buker

Senior Honors Theses

Currently, homosexual identity development is discussed through various models: stage model theory and milestone events. Different researchers propose their own models of homosexual identity development. These models may have different stages, but have the same underlying themes which are acceptance, attitude changes, frequent disclosure, and increased social contact with other homosexuals. There was a great need to develop an appropriate measure of homosexuality to be used by the Student Care Office at Liberty University. The measure could be used to asses and obtain a preliminary measure of incidence of the people who met our criteria for being included in the …

Correlates Of Suicidal Ideation And Attempts In Female Sexual Assault Survivors, Sarah E. Ullman, Cynthia J. Najdowski

Psychology Faculty Scholarship

Relations between (a) serious suicidal ideation and attempts and (b) demographics, trauma history, assault characteristics, post-assault outcomes, and psychosocial variables were examined among female adult sexual assault survivors. Younger, minority, and bisexual survivors reported greater ideation. More traumas, drug use, and assault disclosure related to greater attempts, whereas perceived control over recovery was related to fewer attempts. Child sexual abuse and some assault characteristics predicted suicidal behavior. Depression was related to suicidal behavior until psychosocial variables were accounted for. Specifically, using substances to cope and self-blame predicted greater ideation, whereas receiving aid/information support was related to less ideation. Implications for …

Competitiveness And Addictive Behaviors : Exploring The Role Of Competitiveness And Gender In Exercise Dependence, Disordered Eating, And Alcohol Use, Holly Felicia Serrao

Legacy Theses & Dissertations (2009 - 2024)

The current study explored whether or not trait competitiveness existed as an underlying factor contributing to the higher rates of exercise dependence, disordered eating, and alcohol use among athletes. Additionally, the study examined whether certain gender differences occurred, such that the relationship between competitiveness and disordered eating would be stronger for female athletes, the relationship between competitiveness and alcohol use would be stronger for male athletes, and the relationship between competitiveness and exercise dependence would be gender neutral.

Disordered Eating Among Collegiate Female Athletes : The Role Of Athletic Seasonal Status And Self-Objectification, Christy Duffy-Paiement

Legacy Theses & Dissertations (2009 - 2024)

Over the past several decades there has been a significant increase in attention to the eating related beliefs and behaviors of female college athletes, particularly in determining whether certain subgroups of athletes are at greater risk than others. At seemingly greatest risk for eating disorders are athletes involved in sports where leanness is emphasized or a thin physique is required for performance or aesthetics. However, it remains unclear if differences exist between aesthetic lean and non<–>aesthetic lean sport athletes. It is possible that seasonal status is associated with the transience of eating disorder symptoms and the motivation to engage …

Child Sexual Abuse, Ptsd, And Substance Use: Predictors Of Revictimization In Adult Sexual Assault Survivors, Sarah E. Ullman, Cynthia J. Najdowski, Henrietta Filipas

Psychology Faculty Scholarship

This study examined the unique effects of child sexual abuse simultaneously with post-traumatic stress disorder symptom clusters, problem drinking, and illicit drug use in relation to sexual revictimization in a community sample of female adult sexual assault victims. Participants (N = 555) completed two surveys a year apart. Child sexual abuse predicted more post-traumatic stress disorder symptoms in adult sexual assault victims. Posttraumatic stress disorder numbing symptoms directly predicted revictimization, whereas other post-traumatic stress disorder symptoms (reexperiencing, avoidance, and arousal) were related to problem drinking, which in turn predicted revictimization. Thus, numbing symptoms and problem drinking may be independent risk …

Prospective Effects Of Sexual Victimization On Ptsd And Problem Drinking, Cynthia J. Najdowski, Sarah E. Ullman

Psychology Faculty Scholarship

Posttraumatic stress disorder (PTSD) and problem drinking are common and often co-occurring sequelae experienced by women survivors of adult sexual assault, yet it remains unclear whether survivors drink to cope with PTSD symptoms or whether PTSD symptoms are exacerbated by drinking. Thus, we used a cross-lagged panel design with a large (N = 555), ethnically diverse sample of women assault survivors to determine whether PTSD prospectively led to problem drinking or vice versa. We also examined whether cumulative sexual victimization experiences related to greater PTSD and problem drinking. Structural equation modeling revealed that child sexual abuse was associated with …

Traumatic Stress As A Predictor Of Suicidality, Sherry Malana Todd

Counseling & Human Services Theses & Dissertations

Suicide is a deliberate act of annihilation against one's self due to a crisis of problem solving. Far too many youth are dying by their own hands resulting in suicide being the third leading cause of death for 10-19 year olds (CDC, 2005). Suicide is particularly problematic for adolescents due to the impulsivity inherent in adolescent development. Since 1980, the national suicide rate of African American youth has increased by 114 percent (CDC). Suicidality has been positively correlated with depression and posttraumatic stress disorder (PTSD; Kessler et al., 1999). Suicidality is more prevalent when a person experiences a tragic or …