Clinical Psychology Commons^™

Repositioning Art Work From Patients Suffering From Anorexia Nervosa In A Gendered, Socio-Cultural Context: A Self-Reflective Study, Dafna Rehavia-Hanauer

Journal of Clinical Art Therapy

This article, conceptualized within a post-structuralist, feminist approach to art therapy, addresses the role of visual images as a controlling constituting discourse significant to the formation of the eating disorder anorexia nervosa. As a core position this article argues for a change in the way art work created within the art therapy process by women who suffer from anorexia nervosa is interpreted and analyzed by art therapists. The article argues for an enhanced appreciation and critical analysis of gendered, social-cultural contextualization of visual images and recognition of how these forces have a role in directing women to enact behaviors of …

The Use Of Creative Art As A Strategy For Case Formulation In Psychotherapy: A Case Study, Semra Karaca Phd, Nurhan Eren

Journal of Clinical Art Therapy

Case formulation refers to the appraisal of the individual data and the treatment plan in terms of certain principles. In psychotherapy, case formulation is relevant for the recognition of conceptual and clinical tools, as well as for the evaluation of the therapeutic endeavor. Art work (painting) provides an effective tool for case formulation because it allows the individual to express his/her thoughts and emotions, which are prone to the influences of subconscious drives, conflicts, fears, and desires in a symbolic fashion. In this study, case formulation of a 31-year-old woman, who could not overcome her verbal and physical aggressive behaviors, …

Editorial Poem, Einat Metzl

Journal of Clinical Art Therapy

No abstract provided.

Journal Cover And Front Matter

Journal of Clinical Art Therapy

No abstract provided.

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 …

Dissociation And Sexual Trauma: The Moderating Role Of Somatization, Amineh Abbas

Doctoral Dissertations

This study examined various types of trauma, with an emphasis on sexual trauma across the lifespan, in a clinical sample of male and female adult outpatients assessed for trauma, somatization, and dissociation. Two hundred forty-five adult outpatients at the University of Tennessee Psychological Clinic were administered the Dissociative Experiences Scale (DES), the Traumatic Experiences Checklist (TEC), and Symptom Checklist-90-Revised (SCL-90-R), as part of the routine intake procedure. Of those individuals, 200 patients completed the questionnaires correctly and were included in the final study sample. The experience of sexual trauma indeed accounted for additional variance in somatization scores over and above …

Collaborative Models Of Care In The Appalachian Region Of Tennessee: Examining Relationships Between Level Of Collaboration, Clinic Characteristics, And Barriers To Collaboration, Jeffrey Ellison

Electronic Theses and Dissertations

Decades of research have shown that there are significant advantages to maintaining close communicative and collaborative relationships between primary care and behavioral health providers. Fiscal, structural, and systemic barriers, however, often restrict the degree to which such interprofessional collaboration can occur. In the present study the authors examined relationships between primary care clinics in the Appalachian region’s characteristics (i.e., clinic type, rurality, and clinic size), barriers (i.e., fiscal, structural, and systemic) reported to using increased collaboration, and the level of collaboration used at a particular clinic.

For the present study 136 surveys were completed by providers working in primary care …

Parent-Adolescent Communication About Health Risk Behaviors Among Adolescents With Type 1 Diabetes Mellitus, Ashley Charlene Moss

Master's Theses (2009 -)

Health risk behaviors, like drinking alcohol or using tobacco, are a common problem among adolescents in the United States. For healthy adolescents, health risk behaviors may be hazardous to their health; for adolescents with chronic illnesses, the risks associated with these types of behavior are compounded and may further impact their health status. This is particularly true for adolescents with type 1 diabetes mellitus (T1DM), whose blood sugar may be directly impacted by consumption of alcohol or use of tobacco. Parent-child communication has been found to act as a protective factor against adolescent engagement in health risk behaviors; however, this …

At Risk For Ptsd: The Public Health Implications Of Trauma, Madeline Peyton

Master's Projects and Capstones

The fieldwork experience is the summation of six semesters of graduate level public health training. At commencement, students are to be proficient in basic data analysis and epidemiological principles, in how environmental risks impact health, and demonstrate strong program planning, evaluation and leadership skills. Throughout, students are encouraged to focus their academic work on an area of public health that interest them and on a problem that they hope to impact in their professional work. I continued in an area I began as an undergraduate student of medical anthropology and explored the systems that interact to influence mental health of …

Objective Measures And Insight Assessments Of Muscle Dysmorphia, Austin Blake Lowe

Masters Theses & Specialist Projects

Muscle dysmorphia is a relatively new psychological disorder primarily affecting males who engage in weightlifting or bodybuilding. Individuals with this disorder are obsessed with the idea that their body is not sufficiently lean or muscular when compared to others and engage in several, risky behaviors (i.e., frequent exercise sessions, anabolic steroid use, structured diets) to increase muscularity. As obtaining and maintaining a muscular physique is so important to his or her self-worth, an individual may have little insight to how their behaviors are affecting their social and occupational lives and are reluctant to seek out psychological treatment. The purpose of …

Relationships Among Constructive Communication, Self-Efficacy, And Motivation In Latino Men Who Smoke: A Path Analysis, Alexander Malik Khaddouma

Masters Theses

Previous authors have posited that the health and functioning of romantic relationships may play a role in individual partners’ motivation to engage in healthier behavioral patterns. This effect of romantic relationship functioning may be particularly applicable to Latino couples, given the cultural value of familismo (Galanti, 2003). Utilizing specific factors of Lewis and colleagues’ (2006) Interdependence Model, the present study tested a model of motivation for smoking cessation in which self-efficacy mediates the effect of perceived spousal constructive communication patterns on male partners’ motivation to quit smoking. The model was tested in a sample of 173 Latino couples who underwent …

What Factors Determine Disclosure Of Suicide Ideation In Adults 60 And Older To A Treatment Provider?, Steven D. Vannoy

Steven D Vannoy

Correlates of patient disclosure of suicide ideation to a primary care or mental health provider were identified. Secondary analyses of IMPACT trial data were conducted. Of the 107 patients 60 years of age or older who endorsed thoughts of ending their life at least "a little bit" during the past month, 53 indicated they had disclosed these thoughts to a mental health or primary care provider during this period. Multiple logistic regression was used to identify predictors of disclosure to a provider. Significant predictors included poorer quality of life and prior mental health specialty treatment. Among participants endorsing thoughts of …

Pregnant Teens In Foster Care: Concepts, Issues, And Challenges In Conducting Research On Vulnerable Populations, Lisa D. Lieberman, Linda L. Bryant, Kenece Boyce, Patricia Beresford

Department of Public Health Scholarship and Creative Works

Teens in foster care give birth at over twice the rate of other teens. Unique challenges exist for these vulnerable teens and babies, yet research on such populations, particularly within the systems that serve them, is limited. A demonstration project at Inwood House, a residential foster care agency in New York City, from 2000 to 2005, at the same time that the Administration for Children's Services was exploring policy and practice changes for this population, is described. Research design and implementation issues, descriptive data, and experiences provide lessons for improving the evidence base to meet the needs of pregnant teens …

Intrusive And Deliberate Rumination Predict Posttraumatic Growth In Members Enrolled In A Cardiovascular Rehabilitation Program, Erika Jade Gerwe

USC Aiken Psychology Theses

Posttraumatic growth (PTG) can be defined as the experience of positive change, or psychological growth, that occurs as a result of a highly challenging life event or crisis (Tedeschi & Calhoun, 2004). Given that over one-third of the American population lives with some form of cardiovascular disease (American Heart Association, 2011), promoting posttraumatic growth in this population may promote more successful adaptation and coping and may serve to reduce morbidity and mortality (Affleck, 1987). Thus, the present study investigated the predictors of posttraumatic growth in a cardiac rehabilitation setting at rehabilitation entrance (PTG1) and exit (PTG2) and examined change in …

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 …

Rural Pediatric Primary Care Practice Patterns As A Result Of An On-Site Behavioral Health Consultant: A Retrospective Analysis, Kayla D. Mccarter

Undergraduate Honors Theses

Nationally, it has been estimated that 10 to 21% of children with psychosocial concerns are seen in primary care settings (Jellinek et al., 1999; McInerny, Szilagyi, Childs, Wasserman & Kelleher, 2000; Palermo et al., 2002). Often, however, children go undiagnosed with/treated for psychosocial concerns in pediatric primary care due to lack of physician time and poor referral rates to mental health providers. Evaluations of integrated care models, in which a behavioral health consultant is present in primary care practices, has shown to increase the availability of mental health services (Stancin, Perrin, & Ramirez, 2009). Using extant data from patient records …

A Resilient Warrior: Coping Positively With Combat Stress Exposure, William Stallard

Walden Dissertations and Doctoral Studies

The purpose of this study was to explore and examine coping with combat stress exposure in a homogeneous group of 132 U.S. Marines who served in Operations Enduring Freedom or Iraqi Freedom, and who self-reported that they were coping positively. A mixed methods concurrent triangulation strategy was employed with positive psychology as the quantitative theoretical base and Husserlian transcendental phenomenology as the qualitative conceptual framework. Quantitatively, hardiness, hope, social support, personality, and coping strategies were assessed in the participants to examine how these variables may moderate or mediate the relationship between combat stress exposure and subjective well-being. Five hypotheses were …

The Relationship Between Emotion Regulation And Executive Functioning After Sleep Restriction In Healthy Preschool Children, Jessica R. Danilewitz

Undergraduate Honors Theses

Executive functions are a set of higher level cognitive processes that are necessary for the self-regulation of behavior and emotion, which allow individuals to engage in planned, goal-oriented behavior, and guide attention. Emotion Regulation (ER) is the ability to control emotional arousal and adapt to the demands of the daily environment. Sleep has been demonstrated to be important for daily functioning in children, adolescents and adults. However, the impact of emotion regulation on the relationship between sleep and executive functioning (EF) in healthy preschool children has not yet been tested. This study investigated the relationship between ER, EF, and negative …

The Role Of Social Support In Adolescents: Are You Helping Me Or Stressing Me Out?, Gonzalo Bacigalupe, Maria Camara

Counseling and School Psychology Faculty Publication Series

Interpersonal relationships are indispensable in helping adolescents cope with stressors, acting as social support sources that protect them from psychological distress. Learning from their experiences may elucidate what strategies could be employed to support adolescents during this vulnerable life stage. Focus groups (N = 80) with adolescents in the Basque Country, Spain, were conducted to capture adolescents' narratives on stress and social support. Findings revealed the dual role of interpersonal relationships – as stressors and as sources of social support. Adolescents draw on sources of support that are familiar, mature, friendly, and, most importantly, worth of trust. Their most valued …

The Role Of Social Support In Adolescents: Are You Helping Me Or Stressing Me Out?, Gonzalo Bacigalupe, Maria Camara

Gonzalo Bacigalupe, EdD, MPH

Interpersonal relationships are indispensable in helping adolescents cope with stressors, acting as social support sources that protect them from psychological distress. Learning from their experiences may elucidate what strategies could be employed to support adolescents during this vulnerable life stage. Focus groups (N = 80) with adolescents in the Basque Country, Spain, were conducted to capture adolescents' narratives on stress and social support. Findings revealed the dual role of interpersonal relationships – as stressors and as sources of social support. Adolescents draw on sources of support that are familiar, mature, friendly, and, most importantly, worth of trust. Their most valued …

Ingos In The Mirror: Critical Reflections Of Practitioners Implementing Psychosocial Support Programs, Stephen M. Richardson

Master's Capstone Projects

The purpose of this qualitative research is to learn from the professional wisdom of practitioners involved in implementing school-based psychosocial support in conflict-affected contexts. Practitioners from four different International Non-governmental Organizations (INGO) working in three different contexts—the Congo Basin region, the South Asia region, and the Sudan region—reflect on the concepts and realities of the psychosocial support models that their organizations use. A common theme emerging from these interviews is that the approach to psychosocial support has the potential to do harm. The practitioners provide real examples of the ways in which harm may occur and their possible causes. These …

A Pilot Study On The Effects Of Exercise On Depression Symptoms Using Levels Of Neurotransmitters And Eeg As Markers, Timothy H. Barclay, Scott Richards, James Schoffstall, Chad Magnuson, Christine Mcphee, Josh Price, Stephen Aita, Audrey Anderson, Dan Johnson, Jerry Price

Faculty Publications and Presentations

Context: The prescribing of exercise by physicians has become a popular practice, yet the effectiveness of exercise on symptoms of depression is difficult to determine due to a lack of randomized controlled trials with clinical populations. Reports also indicate that only a small percentage of physicians advise their patients regarding exercise and confusion still exists as to how much and what types are best. Aims: To understand the mechanisms that make exercise a viable treatment in depression. Settings and Design: This study employed a six‑week, two group, single‑level trial, pre‑ and posttest design using self‑report of symptoms, blood …

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.

Is Burnout A Depressive Disorder? A Reexamination With Special Focus On Atypical Depression, Renzo Bianchi, Irvin Sam Schonfeld, Eric Laurent

Publications and Research

Whether burnout and depression cover the same psychopathology remains to be elucidated. To date, subtypes of depression have been overlooked in research on the burnout–depression overlap. Our aim was to estimate the prevalence of depressive disorders in workers with burnout while examining the overlap of burnout with the atypical subtype of depression. The present study included 5,575 schoolteachers (mean age = 41 years; 78% female). Burnout was assessed with the Maslach Burnout Inventory. Depression was measured with the 9-item depression scale of the Patient Health Questionnaire (PHQ-9). Atypical features of depression were examined using a dedicated module, referenced to …

Diaphragmatic Breathing And Its Effect On Inhibitory Control, Matthew Russell

Theses and Dissertations--Psychology

Evidence suggests that slow paced diaphragmatic breathing (DB) can significantly affect prefrontal cortex functions through increasing an individual’s physiological self-regulatory capacity. The current research demonstrates the effects of paced DB on inhibitory control, which is considered to be a reliable measure of behavioral self-regulation. Eighty healthy participants were randomly assigned to one of two conditions (20 males and females each). Participants were instructed on either DB at a pace of six-breaths per minute (BPM) or instructions on environmental awareness and asked to breathe at 12 BPM. Following training, all participants completed a computer-based task designed to examine inhibitory processes. Physiological …

The Influence Of Exercise Environment And Gender On Mood And Exertion, Thomas G. Plante, Marily A. Opezzo, L. Aislinn Diaz, Selena Pistoresi, Michael Santos, Jacqueline E. Fahey, Elizabeth Kay, Briana Britton, Suheel Khan

Psychology

This study examined the influence of exercise environment and gender on post-exercise mood and exertion. College student participants (55 females, 49 males) were instructed to pedal a stationary bike at a moderate pace for 20 minutes. Participants were randomly assigned to one of three laboratory conditions: (1) exercising in front of a mirror and posters showing ideal fit body types (i.e., celebrity male and female personal trainers), (2) exercising in front of a mirror only, or (3) a control condition in which participants exercised without a mirror or posters. The Activation- Deactivation Adjective Check List (AD-ACL), measuring exercise-induced mood states, …

Undergraduate Women's Self-Reported Body Image After Exposure To Weight-Related Versus Nonweight-Related Media Images, Casey Elizabeth Swick

Honors Projects

The proposed study aims to determine whether there is a relationship between exposure to weight-related media images and self-reported body image. About 60 undergraduate women at Bowling Green State University will participate in the study. Half of these women will view five weight-related media images and the other half will view five nonweight-related media images. After exposure to either the experimental or control condition, the women will be asked to complete the Body Ideals Questionnaire as well as reveal their age, year in school, race/ethnicity, and number of women’s studies courses taken on a survey. Correlational data will be obtained …

Undergraduate Women's Self-Reported Body Image After Exposure To Weight-Related Versus Nonweight-Related Media Images, Casey Elizabeth Swick

Honors Projects

The proposed study aims to determine whether there is a relationship between exposure to weight-related media images and self-reported body image. About 60 undergraduate women at Bowling Green State University will participate in the study. Half of these women will view five weight-related media images and the other half will view five nonweight-related media images. After exposure to either the experimental or control condition, the women will be asked to complete the Body Ideals Questionnaire as well as reveal their age, year in school, race/ethnicity, and number of women’s studies courses taken on a survey. Correlational data will be obtained …

Follow-Up Evaluation Of Treatment For Anxiety And Depression Provided In A University-Based Primary Care Clinic, Renée M. Grinnell

Theses and Dissertations

Although integrated primary care psychology services are becoming increasingly common, the literature lacks adequate research support for the longitudinal durability of treatment effects following the conclusion of brief primary care interventions. This study served as a follow-up program evaluation of psychological services for depression and anxiety provided at the Medical College of Virginia’s Ambulatory Care Center in Richmond, Virginia. Data were collected on 47 adult primary care patients who received treatment for depression and/or anxiety between six and 18 months prior to the follow-up telephone call. Data were collected on the trajectory of depression scores throughout and following treatment, treatment …

Body Image Avoidance, Body Dissatisfaction And Eating Pathology: Is There A Difference Between Male Gym And Non-Gym Users?, Peta Stapleton, Amy Bannatyne, Timothy Mcintyre

Peta B. Stapleton

With research highlighting the increasing prevalence and severity of body image and eating disturbances in males, particularly athletes and regular gymnasium users, the current study examined body image and eating disturbances in a sample of male gym users and non-gym users (N = 180). Based on previous research, it was predicted that male gym users would report greater body image disturbance (e.g., body image avoidance and body dissatisfaction) and eating pathology, compared with non-gym users. Results of the study partially supported hypotheses, revealing body dissatisfaction and eating pathology were significantly increased in male gym users. However, no significant differences were …