Clinical Psychology Commons^™

The Clinical Utility Of The Adult Attachment Projective Picture System: A Clinician's Perspective, Ashley Gunterman

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

The Adult Attachment Projective Picture System (AAP) is the first performance-based measure of adult attachment to be developed. The purpose of the measure is to provide a clinical understanding of an adult client's attachment status and associated coping mechanisms. The AAP is a relatively new measure that has yet to be examined from a utility perspective. In the current study, seven psychologists completed a structured survey in order to identify their perspectives of the AAP and its utility as a clinical instrument. A phenomenological qualitative analysis of the data was conducted to derive themes about the AAP and its clinical …

Understanding Change In A Therapeutic Community For People With Severe Mental Illness: An Interpretive Phenomenological Study, Julie Caroline Keys

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

In order to gain better understanding of how therapeutic communities instigate change, this interpretative phenomenological study explores the recognized agents of change as reported by current and recent community members of a particular therapeutic community. Four superordinate themes were discovered: the structure of the program, engagement in the community, intentionality/mindfulness, and applied knowledge. While the results from this study are similar in several ways to the current literature, they also expand the literature about therapeutic communities in one important way. The change agents reported as leading to healing strongly resemble current best practice for the treatment of trauma. Limitations and …

Exploring Mindfulness As A Culturally Sensitive Intervention For The Deaf Community, Barrymore R. Rosellini

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Mental health issues are as prevalent in the deaf community as the hearing community, if not more. Yet, Deaf individuals are often treated by mental health professionals less frequently and less effectively. Many systemic barriers exist that influence the lack of services provided to the Deaf community, primarily related to a lack of cultural understanding rooted in perceptions of Deaf individuals. However, the Deaf community may be best understood as a cultural minority, a unique community sharing a distinct culture, history, and language. This paper investigates the effects of systematic barriers and cultural misunderstanding among mental health professions regarding the …

Development Of A Psychological Assessment Battery To Measure Client Beliefs About The Effectiveness Of Psychotherapy, Christopher Peavey

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

The author attempted to develop a brief scale to measure clients' beliefs about the effectiveness of psychotherapy. The study is an early pilot study to determine if the scale can predict therapy outcomes. While the scale did differ significantly between clients who were active in therapy and those who were not, higher scores on the instrument were not indicative of greater involvement. Possibilities for future research to refine the instrument are discussed.

Four Lessons Learned From Treatingcatholic Priest Sex Offenders, Thomas G. Plante

Psychology

Perhaps there is no one in our society more despised and vilified than sex offenders, especially those who sexually violate young children. And during the past decade perhaps no particular subgroup of sex offender has been more despised than those who are Roman Catholic priests. We need to be attentive to the state-of-the-art facts, best practices, and create policies and procedures to keep those who might harm children away from children. To do otherwise is foolish and harmful. Yet strong opinions, advocacy, and hysteria sometimes gets more attention than actual evidence-based quality research and practice which is not ultimately in …

The Effects Of Schedule Density Of Reinforcement For Alternative Behavior On Resurgence, Kathryn M. Kestner

Dissertations

Resurgence is the reemergence of a previously extinguished response when an alternative response no longer produces reinforcement. Although returning to previously successful methods for obtaining reinforcement is likely advantageous, resurgence also occurs in the form of treatment relapse. An individual may return to problematic behavior (e.g., aggression, self-injury, drug use) when an alternative behavior (e.g., communication response, coping skill, social behavior, etc.) is no longer successful at producing a reinforcer. Behavior analysts rely on treatments based on differential reinforcement of alternative behavior, and resurgence has been demonstrated following changes to reinforcement schedules due to errors in treatment integrity or intentional …

Functional Analysis Of Gambling, Mack S. Costello

Dissertations

Given high rates of gambling and the growing population of disordered gamblers, there is a need to develop assessment strategies with improved treatment validity. More specifically, assessment strategies are needed that identify the controlling variables for disordered gambling and, thus, provide guidance in the selection of treatment and prevention strategies. This study sought to develop a functional analysis for gambling by utilizing a simulated gambling environment in which contextual variables hypothesized to be causally linked to disordered gambling could be systematically manipulated. Seven experienced gamblers participated in the multi-element, single-subject experimental study. Participants who endorsed at least some problems from …

Distinguishing Originality From Creativity In Adhd: An Assessment Of Creative Personality, Self-Perception, And Cognitive Style Among Attention-Deficit/Hyperactivity Disorder Adults, Jean-Pierre J. Issa

Creative Studies Graduate Student Master's Theses

Debates over whether Attention-Deficit/Hyperactivity Disorder (ADHD) relates to high levels of creativity have been hampered by a lack of rigor when defining creativity. The purpose of the present study was to go beyond the rhetoric by empirically investigating creative personality, creative self-perception, and cognitive style among 49 ADHD adults. Comparative analysis to studies of non-ADHD samples revealed distinctive tendencies: A mean group score of 115.71 (SD=18.02) on the Kirton Adaption-Innovation Inventory (KAI) indicated preferences for originality, nonconformity, paradigm-breaking, and low efficiency that was over one standard deviation higher than average non-ADHD population scores. Combined inattentive/hyperactiveimpulsive subtypes (n …

Investigating The Theory Of Ambiguous Loss: The Role Of Ambiguity Tolerance In Pre-Death Grief For Caregivers Of Individuals With Dementia, Megan Kale-Cheever

Graduate Theses and Dissertations

This thesis sought to investigate the relationship between ambiguity tolerance and caregiver grief within the framework of ambiguous loss theory. Thirty-one family caregivers completed a quantitative survey comprising two pre-existing scales and several demographic questions designed to assess level of ambiguity tolerance, level of grief, caregiver age and gender, type of relationship to the care recipient, living situation, length of caregiving career, level of Social support and frequency of difficult behaviors. Quantitative data analysis revealed that while no relationship existed between total ambiguity tolerance and total caregiver grief, a modest, inverse relationship exists between tolerance toward general-type ambiguity and burden, …

An Examination Of Psychoeducation And Its Potential Modifying Influence On Alcohol Use Patterns Among Adults Reporting Co-Occurring Posttraumatic Stress Symptoms And Hazardous Alcohol Consumption, Sarah Jo Bujarski

Graduate Theses and Dissertations

Research has suggested that consumption of alcohol in the presence of elevated posttraumatic stress symptom (PTSS) may serve an avoidant function to cope with negative emotions. These coping-related motives for use are theorized to both maintain PTSS and relate to poorer prognoses in treatment for alcohol use disorders (AUDs). Treatments utilizing coping skills training, which typically also involves educating clients about the negative consequences of drinking alcohol to cope, suggest the utility of targeting coping behaviors to reduce alcohol use. These studies, however, have not attempted to isolate the effects of psychoeducation on alcohol-related factors. The current study investigated the …

The Importance Of Treatment For Foster Youth, Lyl T. Cartagena

Creative Activity and Research Day - CARD

This presentation provides an overview of mental health interventions including highlights of their outcomes.The summary of the extant findings helps identify the strengths and deficits of what has been done, and supports a call for further research in order to change current methods of care provided along with developing an improved method of treatment for foster care youth.

Psychosocial Correlates Of Perceived Stress And Depressive Symptoms Among Help-Seeking Hispanic Smokers, Monica Webb Hooper Phd

Journal of Health Disparities Research and Practice

Objectives: Research has demonstrated robust associations between perceived stress, depressive symptoms, and cigarette smoking. The extent to which these findings from the general population generalize to Hispanic smokers is unknown. The present study examined (a) correlates of perceived stress and depressive symptoms among help-seeking Hispanic smokers and (b) whether maladaptive coping and social support were related to stress and depressive symptoms. Design: Hispanic smokers (N=123) enrolled in an RCT completed demographic and smoking history, perceived stress, depressive symptoms, perceived social support, and maladaptive coping measures. Results: Bivariate associations indicated that perceived stress was positively correlated with depressive symptoms …

Understanding Representations Of Impulsivity In Dimensional Models Of Personality Pathology, Sarah Ann Griffin

Open Access Theses

Impulsivity is an individual difference that impacts many aspects of an individual's functioning; however, there as of yet has been no consensus on a single definition of impulsivity across the various fields that study it and its related outcomes. In fact, research at this point predominantly supports the idea that "impulsivity" is actually a multi-faceted construct comprised of multiple lower-order traits, but there is little agreement on what those lower-order facets should be. The purpose of the present study was to investigate the conceptualization of complex trait impulsivity within two new omnibus measures of maladaptive personality in terms of both …

Using Yoga Practice To Empower Psychotherapists’ Interpersonal Process, Jennifer Paz

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Yoga practice promotes awareness and acceptance, and serves as a body-centered medium for developing deepened self-understanding. Among patient populations, a growing body of evidence suggests that the benefits of yoga practice extend to both physical health and psychological well-being. However, the psychological impact of yoga practice on psychotherapists’ interpersonal responses, while potentially promising, has received little attention in the literature. This paper provides a historical overview of contemplative practices and discusses the role that yoga can play in developing certain interpersonal characteristics of the psychotherapist that are hypothesized to empower the therapeutic relationship and facilitate constructive behavior change on the …

Practice Recommendations For Mental Health Professionals: Perspectives From Grandparents And Their Adolescent Grandchildren, Kendra A. O'Hora, Megan L. Dolbin-Macnab

GrandFamilies: The Contemporary Journal of Research, Practice and Policy

Although grandfamilies are consumers of a variety of mental health services, less is known about what these families, particularly the grandchildren, want from practitioners. To gain insight into how practitioners can best meet the needs of grandfamilies, 40 custodial grandmothers and their adolescent grandchildren were interviewed. Results of a qualitative analysis indicated that grandmothers and grandchildren did not make clear distinctions between various types of services and service providers. Grandchildren, in particular, emphasized the need for mental health professionals to facilitate mentoring and to provide opportunities for grandchildren to socialize with other grandchildren who have been through similar circumstances. Grandmothers …

Do Masculinity And Perceived Condom Barriers Predict Heterosexual Hiv Risk Behaviors Among Black Substance Abusing Men?, A, Kathleen Burlew, Jerika Wilson, Latrice Montgomery, Bridgette Peteet, Candace Johnson, Mary Hatch-Maillette

Journal of Health Disparities Research and Practice

Although HIV prevention during substance abuse treatment is ideal, existing HIV risk-reduction interventions are less effective among Black and other ethnic minority substance abusers. The Sexual Health Model (SHM) and the Person, Extended Family and Neighborhood-3 model (PEN-3) both highlight the importance of increasing our understanding of the relationship of sociocultural factors to sexual-decision making as a step towards developing more HIV prevention interventions for ethnic minorities. However, few studies examine sociocultural factors in the sexual decision-making process of Black substance abusing men. This secondary analysis of data collected in an evaluation of Real Men Are Safe (REMAS), a HIV …

The Caregiver–Child Relationship, Youth Mental Health, And Placement Stability In A Child Welfare Sample, Laura A. Rindlaub

Electronic Theses and Dissertations

Objective: Healthy relationships between adolescents and their caregivers have been robustly associated with better youth outcomes in a variety of domains. Youth in contact with the child welfare system are at higher risk for worse outcomes including mental health problems and home placement instability. A growing body of literature points to youth mental health problems as both a predictor and a consequence of home placement instability in this population; the present study aimed to expand our understanding of these phenomena by examining the interplay among the caregiver-child relationship, youth mental health symptoms, and placement change over time. Method: The sample …

Is It Time To Consider The "Burnout Syndrome" A Distinct Illness?, Renzo Bianchi, Irvin Sam Schonfeld, Eric Laurent

Publications and Research

The "burnout syndrome" has been defined as a combination of emotional exhaustion, depersonalization, and reduced personal accomplishment caused by chronic occupational stress. Although there has been increasing medical interest in burnout over the last decades, it is argued in this paper that the syndrome cannot be elevated to the status of diagnostic category, based on (1) an analysis of the genesis of the burnout construct, (2) a review of the latest literature on burnout-depression overlap, (3) a questioning of the three-dimensional structure of the burnout syndrome, and (4) a critical examination of the notion that burnout is singularized by its …

Toward Enhancing Treatment For Pregnant Smokers: Laying The Groundwork For The Use Of Complementary And Alternative Medicine Approaches, Amy Michele Loree

Wayne State University Dissertations

Tobacco is the most widely used drug of abuse during pregnancy. Despite efforts to reduce perinatal tobacco use, its prevalence has remained steady over at least the past decade, suggesting that efforts to reduce smoking prevalence before and during pregnancy have not been effective. Although a range of effective treatments exist, most pregnant smokers neither seek nor receive any kind of treatment. Complementary and alternative medicine (CAM) treatments may be ideal as alternative, low-cost approaches capable of reaching and assisting a greater proportion of pregnant women with smoking cessation. This study examined characteristics and treatment utilization practices of pregnant smokers …

The Effect Of Clinician Hardiness On Posttraumatic Growth And Trauma Based On Vicarious Trauma Exposure, Maria Anne Stevens

All Graduate Theses, Dissertations, and Other Capstone Projects

There is a gap in the literature that examines posttraumatic growth outcomes in clinical psychologists. Additionally, few studies have explored personality characteristics that can mitigate negative psychological outcomes and foster growth. This study examined if the same model of Posttraumatic Growth (PTG) would be found in clinical psychologists who work with trauma as those who have experienced a traumatic event. Confirmatory Factor Analyses (CFA) indicated moderate model fit. Additionally, the study assessed whether the relationship between cumulative Vicarious Trauma Exposure (VTE) and Secondary Traumatic Stress (STS), and cumulative VTE and PTG would depend on the moderator hardiness, but no significant …

Effectiveness Of Psychotherapy For Youth In Poverty: A Benchmarking Study Of A Public Behavioral Health Agency Using A Client Feedback System, Jonathan Kodet

Theses and Dissertations--Educational, School, and Counseling Psychology

Objective: The purpose of this study was to evaluate the effectiveness of a public behavioral health (PBH) agency that had implemented continuous outcome feedback as a quality improvement strategy.

Method: I investigated the pre-post treatment outcomes of 4,389 ethnically diverse youths (6 to 17 years old) at or under the poverty line participating in treatment (from January 2008 to March 2014) for a broad range of primary diagnoses including depression and anxiety disorders (23%); adjustment disorders (27%); Attention Deficit/Hyperactivity Disorder (13%), various V-codes (18%); bipolar disorders (3%); and substance use disorders (2%). I also investigated the treatment outcomes …

Naturalistic Clinical Decision Making By Emergency Department Staff And The Assignment Of Categorical Suicide Risk Ratings Within An Urban Veteran Population, Gerd R. Naydock

PCOM Psychology Dissertations

The ability to comprehensively and effectively identify those individuals who are at greatest risk to engage in self-directed violence (SDV) forms the cornerstone for all professional suicide prevention activities. To that end, mental health professionals have come to rely on the use of risk stratification to identify at-risk individuals as a way to inform and guide risk management and treatment, without having the benefit of empirical evidence to support such practices. The current program evaluation examined archival data comprised of suicide risk assessments conducted by mental health professionals on suicidal veterans (N = 1,560) in the emergency department of a …

Is Burnout Separable From Depression In Cluster Analysis? A Longitudinal Study, Renzo Bianchi, Irvin Sam Schonfeld, Eric Laurent

Publications and Research

Purpose: Whether burnout and depression represent distinct pathologies is unclear. The aim of this study was to examine whether burnout and depressive symptoms manifest themselves separately from each other or are so closely intertwined as to reflect the same phenomenon.

Methods: A two-wave longitudinal study involving 627 French schoolteachers (73 % female) was conducted. Burnout was assessed with the Maslach Burnout Inventory and depression with the 9-item depression module of the Patient Health Questionnaire.

Results: Burnout and depressive symptoms clustered both at baseline and follow-up. Cluster membership at time 1 (T1) predicted cases of burnout and depression at time 2 …

Facebook Addiction And Impulsive Decision-Making, Daniel Delaney

Masters Theses

This study examined the relationship between Facebook "addiction" and impulsive decision-making. Impulsive decision-making as measured by the delay discounting task is associated with a number of addictions and other problem behaviors. We gave 152 students a paper-based packet including the Bergen Facebook Addiction Scale to measure problematic Facebook use and a delay discounting task to assess impulsivity. 16 Facebook "addicted" participants were matched to 16 control participants on demographic data to compare differences in impulsivity. Likewise, we explored whether a correlational relationship between Facebook addiction scores and impulsivity existed. We found that Facebook "addicts" discounted delayed rewards more quickly than …

The Contribution Of Mindfulness Meditation And Values Clarification To The Treatment Of Anxiety : An Experience Sampling Study, Christopher Robert Berghoff

Legacy Theses & Dissertations (2009 - 2024)

Anxiety disorders are the most prevalent mental health concern in the United States. Yet, many who suffer from anxiety do not receive treatment or fail to respond to well-established cognitive and behavioral interventions. Mindfulness- and values-based strategies are possible alternatives for these individuals. However, values-based approaches have not been adequately studied in anxious populations and it is unclear how they may interact with mindfulness-based approaches. Moreover, little is understood about the mechanisms of action underlying behavioral changes resulting from mindfulness meditation (MM) practices. Acceptance and Commitment Therapy (ACT) is one approach that employs values clarification (VC) and mindfulness to bring …

Burnout-Depression Overlap: A Review, Renzo Bianchi, Irvin Sam Schonfeld, Eric Laurent

Publications and Research

Whether burnout is a form of depression or a distinct phenomenon is an object of controversy. The aim of the present article was to provide an up-to-date review of the literature dedicated to the question of burnout–depression overlap. A systematic literature search was carried out in PubMed, PsycINFO, and IngentaConnect. A total of 92 studies were identified as informing the issue of burnout–depression overlap. The current state of the art suggests that the distinction between burnout and depression is conceptually fragile. It is notably unclear how the state of burnout (i.e., the end stage …

Predicting Antidepressant Treatment Without Controlling For Depression Is Ill-Advised, Renzo Bianchi, Irvin Sam Schonfeld, Eric Laurent

Publications and Research

All in all, the link observed by Madsen et al. (2015) between burnout and antidepressant intake may well conceal an expected relationship between depression and antidepressant intake. The impossibility of ruling out this reasonable alternative hypothesis renders the study inconclusive. We recommend that future research on (psychotherapeutic or pharmacologic) treatments for burnout incorporate measures of depression in order to facilitate research advance on burnout's characterization and burnout-depression overlap.

The Anxiolytic Effects Of Self-Selected Music Among Primary Care Patients, Jennifer West-Gavin

PCOM Psychology Dissertations

The primary care setting is commonly referred to as the first line of medical treatment sought for health related services. Anxiety is one of the most frequently encountered mental health issues in primary care. The purpose of this study was to examine the level of state anxiety experienced among primary care patients, attending for routine and nonroutine appointments; its further purpose was to examine if self-selected relaxing music accounts for the greatest reductions in state anxiety among primary care patients, as compared with investigator-selected (classical) music, audio commercials, or no music. Patients included a primarily underserved primary care population between …

Impacts Of Objective And Subjective Social Inclusion On The Quality Of Life Of Individuals With Schizophrenia Spectrum Disorders And Major Depressive Disorder, Katie A. Johanning-Gray

PCOM Psychology Dissertations

Increased social inclusion and enhanced quality of life for individuals with severe mental illnesses (SMIs) are goals of the recovery movement. The present study examined the differences in reported subjective social inclusion (SubSI) and objective social inclusion (ObjSI) between individuals diagnosed with schizophrenia spectrum disorders (SSDs) and those diagnosed with Major Depressive Disorder (MDD). Furthermore, the amount of variance in quality of life (QOL) which can be predicted by type of diagnosis, SSDs or MDD, symptom severity, and SubSI and ObjSi was determined. An archival data set was used. Participants were 337 individuals whose primary diagnosis was an SSD or …

Burnout: Absence Of Binding Diagnostic Criteria Hampers Prevalence Estimates, Renzo Bianchi, Irvin Sam Schonfeld, Eric Laurent

Publications and Research

Comments on an article by Jef Adriaenssens et al. (see record 2015-00662-015). In a recent review paper, Adriaenssens et al. concluded that about 26% of emergency nurses (EN) suffer from burnout and described their results as alarming. While commentators applaud Adriaenssens et al. efforts to provide a clearer picture of ill-health in EN, they thought that these authors' conclusions were weakened by a fundamental fact, namely, the absence of consensual, clinically valid diagnostic criteria for burnout. Trying to determine the prevalence of a condition that has no binding diagnostic criteria is problematic. Indeed, depending on how researchers decide to …