Clinical Psychology Commons^™

Hoarding And The Hoarded Home: A Phenomenological And Psychoanalytic Study, Brianna Stich

Electronic Theses and Dissertations

While research on hoarding tends to isolate hoarders from the homes they hoard and in which they live, the hoard and the hoarder share a life in the home. This study explores how hoarders live with and live through their hoard at home. It combines psychoanalysis and phenomenology within a unique methodological framework to provide a hermeneutic reading of the psychological significances of the hoarded home. In this study, the contemporary conceptualization of hoarding is historically situated and critiqued from a phenomenological perspective, and the view that hoarding is a single, behaviorally-defined syndrome that is explainable by a cognitive-behavioral model …

Exploring The Impact Of Inpatient Mental Health Care On Adolescents, Alexandria M. Mckahan

2025 Fall Honors Capstones Projects - Archive

Adolescent psychiatric hospitalizations continue to rise, yet there is limited research on which daily practices inside inpatient units genuinely support engagement and recovery. This project examined how structure, staff tone, and therapeutic programming influence adolescents’ participation and emotional stability within a real inpatient setting. The study focused on three questions: how structured routines affect recovery, what challenges staff face when supporting adolescents with complex needs, and how adolescents’ engagement patterns reflect their perception of care. Using a mixed-methods case study at Mesa Springs Behavioral Health Hospital, I conducted approximately twenty field observations, semi-structured staff interviews, and descriptive engagement tracking across …

Comparing Profiles Of Impairment Among Children With Dmdd, Adhd, And Odd, Joanna Christmas

All-Inclusive List of Electronic Theses and Dissertations

Disruptive Mood Dysregulation Disorder (DMDD) has a high comorbidity rate with ADHD (Bruno et al., 2019), meaning that many children referred for ADHD evaluation may also meet criteria for DMDD. Additionally, the two disorders can have some similarity in how they present. Thus, clinicians who frequently assess children for ADHD could benefit from being aware of how measures commonly used in ADHD evaluations can also be useful in identifying characteristics of DMDD as well as patterns of impairment more specific to DMDD. The present study explored possible differences in parent and teacher ratings of child peer impairment as well as …

Observed Parenting, Parent-Child Aggression, And Intimate Partner Violence As Predictive Of Family Dysfunction, Paige Munshell

Psychology Theses & Dissertations

Family systems theories contextualize violence as occurring across multiple levels of the family, yet much of the existing literature focuses on a single family member’s outcome (i.e., the child) and neglects to include data collected from fathers. This study examined the associations between indicators of functioning at the dyadic-level in the family system—observed parenting, Intimate Partner Violence (IPV) perpetration, and Parent-Child Aggression (PCA) risk—and later overall family dysfunction. Participants were 180 mothers and 144 of their male partners evaluated when their child was 18 months old and re-evaluated at 4 years old. Measures of observed parenting, IPV perpetration, and PCA …

Learning To Be Trauma-Informed: An Examination Of Individual-Level Factors Predicting Perceptions Of And Response To Trauma-Informed Practice Trainings, Kelly Daniel

Electronic Theses and Dissertations

Trauma is a substantial threat to public health. As such, significant effort has been exerted into developing interventions which mitigate the consequences of trauma. Trauma-informed practice (TIP) aims to alleviate the effects of trauma by building policies and practices focused on safety, trust, transparency, support, collaboration, and empowerment. This study investigated how individual-level factors, including readiness for organizational change, perceived benefit of TIP training, and personal trauma history affect one’s ability to apply a TIP lens in a sample (n =100) of members of a graduate-level college. Further, it explored if one’s perceptions of and response to trauma-informed practice training …

Therapeutic Outcomes Of Racially Matched Families And Clinicians In Parent-Child Interaction Therapy With Toddlers, Emily B. Frey, Julia L. Kiefer, Lauren B. Quetsch, Rebecca S. Bradley, Emma I. Girard

Inquiry: The University of Arkansas Undergraduate Research Journal

Abstract

Parent-Child Interaction Therapy (PCIT) is an evidence-based therapy for children aged 2.5-7 with disruptive behavioral problems. In recent years, the PCIT protocol has been adapted for use as a preventative model with toddlers (PCIT-T) aged 12-24 months. Given the recency of the PCIT-T adaptation, research has not yet examined the similarity of PCIT-T attrition rates compared to PCIT, though it is speculated rates are similar (between 30-69%; Ufford et al., 2022). Previous research suggests that racial dissimilarity between a treatment provider and the family may influence treatment dropout. Therefore, the current study explored the effect of racial matching between …

9th Gsep Research Symposium - 2025

GSEP Research Symposium

The Ninth Annual GSEP Research Symposium, themed "Building Bridges to Elevate Humanity: Innovations and Insights in Education and Psychology", was hosted by the Pepperdine University Graduate School of Education and Psychology (GSEP) on June 19–20, 2025, at the historic Château d’Hauteville in Switzerland and virtually via Zoom.

This hybrid symposium convened a vibrant global community of students, alumni, faculty, and scholars to share research that addresses real-world challenges, advances scholarly inquiry, and builds pathways for inclusive collaboration and leadership. Spanning a wide array of topics—from artificial intelligence and mental health to trauma-informed practices, educational equity, social justice, and cross-cultural leadership—the …

Eeg And Media Multitasking: Adhd As A Moderating Factor, Xiaoying Guo

Theses and Dissertations

Media use has become an integral part of everyday life. It has risen dramatically over the past century with the advent of television, computers, and digital platforms, and more recently, it has been characterized by individuals using multiple devices simultaneously (Bushman & Anderson, 2001; Nielsen Media Research, 1998; Rideout & Robb, 2019, 2021). Media multitasking (MMT) has been linked to cognitive control challenges and attentional difficulties. This study examined EEG workload (Fz theta/Pz alpha ratio), survey accuracy, and ADHD traits (ASRS v1.1) in 33 adult participants across baseline and single-versus dual-media conditions. Results indicated that mental workload was significantly higher …

The Role Of Parent Psychiatric Symptoms In The Intergenerational Continuity Of Child Neglect: A Prospective Examination, Cody D. Stitzel

Dissertations, Theses, and Capstone Projects

Parental history of childhood neglect is a risk factor for offspring neglect. When a parent and their offspring both experience neglect in childhood, the phenomenon is referred to as the intergenerational continuity of child neglect. Understanding how child neglect is continued from one generation to the next is essential for creating effective interventions and prevention strategies that may help break the cycle. Since links between childhood neglect and heightened risk for various psychiatric symptoms have consistently been identified in research, as well as links between various psychiatric symptoms and heightened risk for child neglect, it may be that parents’ psychiatric …

Illness Terminable And Interminable: A Lacanian Exploration Of Medical Assistance In Dying, Matthew Devine

Electronic Theses and Dissertations

More and more people worldwide are requesting euthanasia, physician-assisted suicide (PAS), or medical assistance in dying (MAiD). Arguments in favor of expanding access to MAiD tend to prioritize the rational, competent, autonomous subject who has the right to make decisions about their body, including their death. Some have argued that this perspective – common in biomedical and bioethical literature – tends to neglect the fact that requests for assisted dying involve a relational structure: a relationship between the subject who requests an assisted death and the Other to whom this request is addressed. After reviewing relevant psychoanalytic approaches to suicide …

Aging Is Not All Doom And Gloom: How Do Beliefs About Aging Moderate The Effects Of Mortality Salience On Ageism Attitudes?, Kristen Schwindt Edmondson

Masters Theses & Specialist Projects

The purpose of the study is to examine how young adults’ beliefs about aging moderate the effects of mortality salience on their ageism attitudes. Past research suggests that ageism is, in part, due to the presence of elderly people reminding people of their own aging process and mortality (Martens et al., 2004). Little is known, however, about how individuals’ beliefs about aging may moderate the impact of mortality salience on their attitudes toward aging. Some people tend to perceive aging-related changes as relatively fixed (i.e., essentialist belief), whereas others perceive them as relatively malleable (nonessentialist belief). Would a more malleable …

Caregiver Perceptions, Knowledge, And Likelihood To Intervene With Suicidal Youth, Amber L. Willwerth

All-Inclusive List of Electronic Theses and Dissertations

This study utilized an online survey to target primary caregivers of a child aged 5-18. The survey highlighted factors regarding caregiver involvement in suicide prevention efforts, such as their knowledge, comfort and confidence intervening with a youth experiencing suicidality, and barriers to doing so. It was found that caregivers who had experienced suicide prevention training reported higher levels of comfort and confidence intervening with their own child and another child than those who had not, as well as lower levels of worry. Higher levels of education were also found to predict lower levels of worry, suggesting that further training and …

Invisible Intersections: Race, Adhd, And The Role Of Disciplinary Actions In Academic Outcomes, Miles Feller

Clinical Psychology Dissertations

Race is a marginalized identity linked to significant achievement gaps for Black and Latino students in the USA (de Bray et al., 2019). These students experience higher rates of exclusionary school discipline (ESD) than White and Asian peers (Aud et al., 2010; de Bray et al., 2019), with suspensions correlating to lower academic performance (Del Toro & Wang, 2022; Wang et al., 2023; Owens & Hinshaw, 2016). Additionally, developmental disabilities like ADHD intersect with these issues; despite narrowing racial disparities in diagnoses (Cénat et al., 2022; Fairman et al., 2020), access to treatment remains uneven (Baglivio et al., 2017; Coker …

Minority Stressors And Internalizing Symptoms In Sexual And Gender Minority Adolescents: A Systematic Review And Meta-Analysis, Anni R. Subar

Electronic Theses and Dissertations

Sexual and gender minority (SGM) adolescents are at elevated risk for internalizing symptoms, such as anxiety and depression, due in part to chronic exposure to minority stress. To provide a comprehensive synthesis of this literature, we conducted a meta-analysis of 32 studies, yielding 162 effect sizes from 41,360 participants aged 8– 22. All included studies examined the association between minority stress, defined as stigma-related stressors such as discrimination, victimization, and internalized stigma, and internalizing outcomes in SGM youth. The random-effects meta-analysis revealed a small but significant association (r = .25) between minority stress and internalizing symptoms, consistent across stressor …

Stigma, Shame, And Narcissism: A Literature Review, Alex Gaither

University Honors Theses

This thesis is a literature review of 12 peer reviewed journal articles accessible through the Portland State University library database on the relationship between stigma, shame, and Narcissistic Personality Disorder (NPD). This thesis discusses ideas brought up in these articles regarding the classification and conceptualization of NPD as a disorder, the role that shame plays in the pathology of NPD, the ways that shame is addressed through treatment, and public and practitioner held bias resulting from the stigmatization of the disorder. New and upcoming ways of conceptualizing the disorder are also briefly discussed as there has been a push to …

Inhibitory Control: A Mediator Between Sensory Responsivity And Externalizing Behaviors In Children On The Autism Spectrum, Kaitlyn M. Drafton

Clinical Psychology Dissertations

Sensory differences are among the most commonly reported symptoms in children on the autism spectrum and have been linked to both externalizing behaviors and executive functioning challenges. However, few studies have explored the potential mechanisms that underlie these relationships. The present study examined whether inhibitory control mediates the relationship between sensory responsivity and externalizing behaviors in young autistic children, each rated via caregiver-report measures. Participants included 107 caregivers of autistic children between the ages of 5-10 years old. It was hypothesized that higher levels of sensory responsivity would predict greater difficulty with inhibition, which in turn would be associated with …

Do Resiliency And Coping Skills Moderate The Relationship Between Mood Disorders And Parenting Styles Due To Parental Relationship Distress?, Tiffany Burks

Electronic Theses and Dissertations

Parental relationship dynamics such as intimate partner violence (IPV), interpersonal distress (IPD), and parental alienation (PA) can significantly affect both mental health and parenting practices. This study examined whether personal strengths, specifically resilience and problem-focused coping, could help buffer these negative outcomes. Correlational analyses showed that IPV, IPD, and PA were positively associated with symptoms of depression and anxiety. IPV and PA were also negatively associated with the use of an authoritative parenting style. In contrast, resilience and problem-focused coping were linked to fewer mood-related symptoms and greater use of authoritative parenting. Multiple regression analyses revealed that IPV significantly predicted …

"La Vida Es Un Carnaval": An Exploration Of Cuban Identity And Nostalgia Through Dance/Movement Therapy - A Community Engagement Project, Maria Fernanda Mendez Mendoza

Expressive Therapies Theses

“La Vida Es Un Carnaval” is a community engagement project and thesis that explores how identity and nostalgic resilience show up through dance/movement therapy with Cuban immigrants living in the United States, specifically Massachusetts. This project brought together six Cuban-born participants, ages 26 to 67, each with their own unique migration stories; from the Rafter Balsero Crisis of 1994, to the “Wet-Foot/Dry-Foot” policy, and family reunification. Through a mix of in-person and online sessions, participants explored their experiences using intermodal activities including dance/movement therapy techniques, conversation, journaling, artwork, and music. Themes of cultural pride, “Cubanía” – Cuban-ness, culture shock, and …

Alexithymia: A Review Of Existing Literature And A Prospective Route For Future Training, Jessica C. Friedman

Dissertations, Theses, and Projects

Alexithymia, a trans-diagnostic construct characterized by a disability to identify and articulate emotions, has received increasing attention within the medical and psychiatric communities due to its profound, negative impact on treatment outcomes. This paper provides insight into its complex and pervasive nature, its conceptualization and assessment, underlying neurobiological mechanisms and acquisition, extensive comorbidities, treatment implications, clinical manifestations, clinical considerations, and analysis of the existing body of research. While previous research assumed Alexithymia to be largely untreatable, recent publications have indicated its ability to be affected by emotional-awareness skill building and relationally based interventions, though no specific treatments for Alexithymia currently …

Examining Components Of The Interpersonal Psychological Theory Of Suicide In A Clinical Sample Of Children With Suicidal Thoughts And Behaviors, Alana Brixner Nunes

Theses and Dissertations

Suicide is the second leading cause of death among 10- to 14-year-olds. Despite a need to identify risk factors for suicide among children, there is limited research on suicidal thoughts and behaviors (STBs) in childhood. The interpersonal psychological theory of suicide (IPTS) suggests that the desire for suicide emerges from perceived burdensomeness and thwarted belongingness and that the transition from suicide ideation (SI) to a suicide attempt (SA) results from an acquired capability for suicide. However, no research has examined whether the IPTS applies to suicidal thoughts and behaviors among children. The present research examined components of the IPTS in …

Measuring The Effects Of Adverse Childhood Experiences (Aces) On Adolescents’ Self-Esteem And Self-Appraisal: How Can School-Based Interventions Help?, Kayla M. Moses

Undergraduate Theses and Capstone Projects

This paper explores the lasting impact of Adverse Childhood Experiences (ACEs) on adolescents’ self-esteem and self-appraisal, with a focus on the role of school-based interventions in mitigating these effects. Adverse Childhood Experiences (ACEs) encompass various forms of trauma such as physical, emotional, or sexual abuse, neglect, and familial dysfunction during childhood. Due to adolescence being a critical period of identity formation and emotional development, Adverse Childhood Experiences (ACEs) can significantly undermine adolescents' self-esteem, leading to lasting negative effects. These effects include various emotional, social, and psychological challenges, ultimately changing one’s life trajectory. Based on numerous theoretical foundations, it is supported …

Useful Measures Of Adult Attachment And Object Relations In Psychotherapy, Matilde A. Torallas Huerta

Dissertations

This is a literature review of objective and projective measures of attachment and object relations in adults, with the objective of reviewing outstanding research to identify the key factors for adult attachment assessment considered within attachment and object relations theories, what measures of adult attachment styles and dysfunction work best, and to provide key themes of assistance in the measurement of attachment and object relations in adult clients in psychotherapy. Theoretical foundations of attachment and object relations theory are reviewed as well as objective and projective instruments grouped by format. The 10 themes found to be useful in the assessment …

Pilot Implementation Of Mom Power In The Appalachian Highlands: Acceptability And Effectiveness Of A Parenting Group For Mothers With High Psychosocial Need, Megan Wolff

Electronic Theses and Dissertations

Children need safe, stable, and nurturing relationships with a caregiver for optimal development. Maternal childhood adversity, traumatic life experiences, and mental health challenges can adversely impact parenting beliefs and behaviors in ways that compromise a caregiver’s ability to create and sustain a healthy caregiving environment for their child(ren). In the professional world of infant and early childhood mental health (IECMH), policies, providers, and programs work together to promote optimal child and family wellbeing to reduce the intergenerational transmission of risk and to empower resilience in families and communities. The present study investigated the feasibility, acceptability, and effectiveness of the pilot …

Exploring Young Adults’ Implicit Theories Of Emotion And Emotion Dysregulation On Parental Emotion Socialization And Internalizing Symptomology, Daryl Parungao

Electronic Theses and Dissertations

Research regarding emotion socialization suggests parents’ responses towards their children’s negative emotions, which may be characterized as either emotion dismissive or emotion coaching behaviors, are associated with children’s well-being into adulthood. A heuristic model of emotion socialization suggests that child-level factors related to emotion processing may moderate this association (Eisenberg, 1998), which warrants further examination when considering relevant risk factors for mental health disorders such as anxiety and depression. This dissertation explored how parent emotion socialization responses interact with young adults’ beliefs about the controllability of emotions and their difficulties with emotion regulation with regard to their impact on young …

Adolescent Externalizing Symptoms And Parent Emotion Socialization: An Examination Of Longitudinal Effects And Differences By Adolescent Sex, Cheston West

Electronic Theses and Dissertations

Adolescence is an important developmental context with several changes in social and emotional functioning. Though adolescents are gaining independence from their caregivers, they still engage in dynamic interactions with their caregivers who remain key figures in their lives. When adolescents express emotions, caregivers engage in various behaviors in response to these expressions, a process known as emotion socialization. This process has mostly been examined as a parent-driven construct in which parent emotion socialization impacts child-level outcomes, namely internalizing symptoms, with limited research on externalizing symptoms. However, available literature demonstrates that child-level characteristics (e.g., externalizing symptoms) are linked to differences in …

Evaluating The Effects Of Parental Serious Mental Illness On Life Functioning Of Adult Offspring: A Longitudinal Study, Lena E. Leyva

Electronic Theses, Projects, and Dissertations

Background: Parental mental illness greatly impacts a child’s development by posing great risks to their physical and mental health, academic success, and overall functioning (Naughton et al., 2019; Adjej et al., 2023). It remains clear that exposure to parental mental illness has short-term implications. However, long-term impacts on offspring while entering and managing adulthood has not been thoroughly examined. Objective: This longitudinal study proposes to determine the effects of parental mental illness on life functioning of adult offspring at baseline and then occur every two years over the course of eight years. Method: Quantitative data will be collected from 120 …

Attachment Theory In Adult Romantic Relationships: The Influence Of Childhood Trauma On Adult Attachment Styles And Romantic Relationship Satisfaction, Shelby Bock

Senior Honors Theses

Attachment theory provides a key framework for understanding adult romantic relationships, especially for individuals with a history of childhood trauma. Early adverse experiences, such as emotional abuse and neglect, as well as broader categories of Adverse Childhood Experiences (ACEs), can disrupt attachment development, contributing to insecure attachment styles—anxious or avoidant—that influence relationship dynamics in adulthood. This review synthesizes current literature on how childhood trauma contributes to attachment patterns and emotional intimacy, trust, and relationship satisfaction in adult romantic relationships. It also highlights the role of attachment in mediating the effects of childhood trauma on romantic relationships. Finally, the review proposes …

Parent–Child Interaction Therapy Adapted For Older Children, Luke W. Badley

Dissertations, 2020-current

Externalizing behavior problems in children refer to negative outward actions directed toward others and the environment (Liu, 2004; Maughan et al., 2005). Between 2013–2019, the CDC reported a prevalence of 8.9%, with the highest rates in children aged 6–11 (Bitsko et al., 2022). If untreated, these behaviors may worsen and impact broader psychological functioning (Masten & Cicchetti, 2010). A review of the literature regarding the treatment of child behavior problems using Behavioral Parent Training (BPT) interventions highlights the critical role that parents play in the development and treatment of childhood behavior problems. BPT interventions enable parents and other important adults …

Psychological Treatment Behind The Walls:Insights From The Inside, Rogelio Serrano

Psychology Division Scholarship

Repeated eras of mass incarceration, criminalization of marginalized communities, and substance use policies have created a revolving door of justice involved populations. The ever-increasing prison population has repeatedly become the largest contingency of mental health clientele for an overburdened mental health system. Those who work with formerly incarcerated individuals in the community often don’t know the unique set of challenges faced by practitioners within the system. Increased understanding and coordination of care can offer opportunities for sustained recovery and reduced levels of recidivism. In this presentation participants will learn about the unique insights on mental health treatment that can be …

Between Healing And Harm: An Analysis Of Residential Treatment Centers For Youth, Virginia B. Finch

Senior Theses

Residential treatment for children and adolescents has evolved greatly. Today, a therapeutic individualized treatment approach is standard. Despite past and present improvements in care, this paper examines the persistent challenges faced by residential treatment centers (RTCs) serving youth with mental health issues. This paper argues that residential treatment, while sometimes necessary, has the potential to cause more harm than good due to systemic issues like overdiagnosis, inappropriate medication, and the troubled teen industry’s (TTI) profit-focused approach.