Clinical Psychology Commons^™

Practice Standards For Initial Adhd Assessment: A Review, Lauren Spencer

Masters Theses & Specialist Projects

There are many challenges that come with diagnosing attentiondeficit/ hyperactivity disorder (ADHD), including shared symptoms with many similar disorders, high comorbidity of other mental disorders, and subjective bias from informant reports. Three clinical guidelines for diagnosing ADHD currently exist, published by the American Academy of Pediatrics (AAP), the National Institute for Health and Care Excellence (NICE), and the American Academy of Child and Adolescent Psychiatry (AACAP). However, these guidelines are outdated as they are based on the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) and do not include more recent research. This project was intended to update …

Development Of The Clark And Becker Scale Of Symptomatology (Cbs): Symptom-Level Item Performance, Michael Clark

All Master's Theses

Depression and anxiety are common, often comorbid, mental disorders. Many researchers have developed efficient self- and clinician-report measures of depression and anxiety. Most of these existing measures of depression and anxiety measures yield overall or specific subscale scores. The Clark and Becker Scale of Symptomatology (CBS) was designed to measure individual symptoms of depression and anxiety. It utilizes a different type of bipolar scaling to aid in accurate symptom endorsement. Unlike other pre-existing measures, the CBS is designed to be interpreted at the symptom level. The CBS was administered to a nationally representative sample (n = 530). Concurrent validity …

Into The Wild: Factors Mediating The Positive Outcomes Of Wilderness Based Therapy, Layla Moehring

Scripps Senior Theses

Wildnerness therapy is becoming increasingly popular as a treatment for adolescents. It has been established as an efficacious treatment in previous literature, but the mechanisms as to why have thus far remained a mystery. This research is looking at the connection between wilderness therapy and DBT, another evidence-based treatment. This study will examine 156 adolescents, comparing the efficacy of wilderness therapy to traditional inpatient and intensive outpatient. Pre-treatment assessments of suicidal ideation, emotional regulation, and distress tolerance will be taken. It is expected that there will be main effects for each of the treatments, but that wilderness therapy will be …

Cortical Thickness Abnormalities Within The Salience And Reward Networks In Older Depressed Adults With Apathy, Monique A. Pimontel

Dissertations, Theses, and Capstone Projects

Background and Significance: Apathy is a common comorbidity in late-life depression. Among older depressed adults, apathy is associated with a number of adverse outcomes, including increased disability, comorbid illness, and mortality. The etiological substrates of apathy in late-life depression nonetheless remain poorly understood, and little is known about its optimal treatment. To this end, the aim of the current study was to examine cortical abnormalities within the salience (SN) and reward networks (RN), two brain systems involved in the processing of incentive salience that may underlie the syndrome of apathy in older depressed adults.

Methods: We examined the association between …

A Conceptualization Of The Body In Psychodynamic And Body-Based Psychotherapies: Areas Of Overlap And Possibilities For Integration, Aleksandra Rayska

Dissertations, Theses, and Capstone Projects

The distinction between verbal and nonverbal psychotherapies is clearly visible in theory and clinical practice. Moreover, this duality of approaches promotes a split between the body and the mind, defining them as separate from each other. This dissertation helps bridge the divide between the literature in body-based therapies and verbally-based psychotherapy by (i) exploring the conceptual frame used to understand the body in psychodynamic therapy (ii) identifying the areas of overlap between psychodynamic theory and theories that underlie body-based psychotherapies, and (iii) proposing ways in which psychodynamic and body-based theories can inform one another. A clinical case was used to …

Exploring A Multifactorial, Clinical Model Of Thought Disorder : Application Of A Dimensional, Transdiagnostic Approach., Mara Ann Hart

Electronic Theses and Dissertations

Background: Bleuler saw thought disorder as the core defining feature of psychotic phenomena, reflective of the “splitting of the psychic functions” that occurred when, in the process of thinking, one’s ideas and feelings disconnect, becoming fragmented and competing functions. Unfortunately, interest in thought disorder as the conceptual core of psychosis was lost with rise of the modern DSM system, paralleling the shift towards a more simplistic, categorical way of defining psychiatric disorders. Aims: This study examined thought disorder from a dimensional perspective, with the aim of disentangling qualitative heterogeneity and diverse sources of influence. Analyses were based on …

Clinical Social Workers’ Perspectives On Illicit Drug Use And The Development Of Psychotic Disorders, Asma Naseer

Electronic Theses, Projects, and Dissertations

This purpose of this study was to explore social workers’ perspectives of drug-induced psychosis. More specifically, it sought to determine how knowledgeable clinical social workers are on the impact illicit drug use on the development of psychotic disorders. The study also aimed to discover clinical social workers’ perspectives regarding the influence of illicit drug use on the development of psychotic illnesses. This study used mixed methods approach in attempt to solve the research question. The quantitative portion of the research, an anonymous survey, allowed for the assessment of social workers’ knowledge of drug-induced psychosis. The qualitative portion of the research, …

The Social Progression Of Post -Traumatic Stress Disorder: Post Vietnam And September 11th Attacks, Ellie Mcdonald

Capstone Projects and Master's Theses

The Social Progression of Post-Traumatic Stress Disorder Post-Vietnam and September 11^th Attacks is an examination on the infrastructure of the U.S. Department of Veterans Affairs’and of the Department of Defense’s lack of clarity and misinformation of the challenges and effects of mental illness within military ranks. Post-traumatic stress disorder (PTSD) made the Diagnostic Statistical Manual (DSM) after Vietnam. Since then, PTSD has been reevaluate numerous times, to properly define it. This research is a comparative analysis of the misconceptions of PTSD as experienced by Vietnam veterans and the first responders of the September 11^th tragedy. My research charts …

Consumers, Clergy, And Clinicians In Collaboration: Ongoing Implementation And Evaluation Of A Mental Wellness Program, Glen Milstein, Dennis Middel, Adriana Espinosa

Publications and Research

As a foundation of most cultures, with roots in persons’ early development, religion can be a source of hope as well as denigration. Some religious institutions have made attempts to help persons with mental health problems, and some mental health professionals have sought to engage religion resources. These programs have rarely been sustained. In 2008, the Mental Health Center of Denver (MHCD) developed a program to assess the utility of religion resources within mental health care. In response to positive feedback, MHCD appointed a director of Faith and Spiritual Wellness who facilitates community outreach to faith communities and spiritual integration …

Burnout Or Depression: Both Individual And Social Issue, Bianchi Renzo, Irvin Sam Schonfeld, Eric Laurent

Publications and Research

In view of the profound problems attached to the construct of burnout, we recommended that occupational health specialists focus on (job-related) depression rather than burnout to help workers more effectively. Epstein and Privitera (April 8, 1398) rejected our recommendation on the grounds that burnout is not a “purely individual syndrome”. Problematically, Epstein and Privitera attributed to us an idea that is not ours. In these authors’ view, equating burnout with depression is synonymous with mistakenly individualising a social problem. For two reasons, the argument that depression cannot replace burnout because burnout is a social problem whereas depression is an individual …

Consequences Of Job Stress For The Psychological Well-Being Of Teachers, Irvin Sam Schonfeld, Renzo Bianchi, Peter Luehring-Jones

Publications and Research

This chapter examines research on the relationship between job stressors and mental health (depressive symptoms, burnout, and mental disorders such as depression) in teachers. Teachers are exposed daily to job stressors (e.g., student disruptiveness) that have been linked to adverse mental health effects. Epidemiologic research indicates that when compared to members of other groups, teachers experience higher rates of mental disorder, although some studies question that conclusion. Large-scale studies indicate when compared to members of other occupational groups, teachers are at higher risk for exposure to workplace violence, with its adverse mental health consequences. Longitudinal research has linked teaching-related stressors …

Stigmatizing Attitudes Towards Men And Women Combat Veterans With Combat Related Ptsd, Heather L. Caldwell

Electronic Theses & Dissertations

Veterans with PTSD experience stigma and discrimination. The extent to which women combat veterans with PTSD may experience stigma and discrimination has yet to be investigated. This is critical given the increasing number of women veterans exposed to combat and combat trauma. Level of familiarity may affect stigmatizing beliefs. Gender may also affect stigmatizing beliefs. To assess this, 126 undergraduate students (men, n = 69) were randomly assigned to view videos of a man or woman veteran describing combat experience and their PTSD symptoms. Participants completed questionnaires assessing PTSD symptoms, level of familiarity with veterans, and stigmatizing attitudes toward the …

Observational Assessment Of Empathy In Parent-Child Verbal Exchanges And Their Influence On Child Behavior, Patty Carambot

Dissertations, Theses, and Capstone Projects

Empathy, the ability to both experientially share in and understand others’ thoughts, behaviors, and feelings, is vital for human adaptation. Deficits in empathy development have implications across the lifespan for the development of prosocial behavior, social functioning, mental health disorders, and risk for antisocial behavior (e.g., Guajardo, Snyder, & Petersen, 2009; Moreno, Klute & Robinson, 2008). In light of these societal and individual burdens, it is imperative to foster and strengthen the development of this ability early in life to prevent or ameliorate such negative outcomes. This type of prevention can take a variety of forms, but parent and child …

Full 3rd Edition

Journal of Clinical Art Therapy

No abstract provided.

Visual Sexualities: Exploring An Integration Of Art And Sex Therapies, Jillien Kahn

Journal of Clinical Art Therapy

This research explores the potential of integrating art and sex therapies. Three interviews were performed: two with certified art therapists one with a certified sex therapist, in order to understand how each of these professionals approaches issues of sexuality and creative expression within his or her practice. The resulting data was compared within and between each interviewee, resulting three overarching themes through which the challenges regarding this integration can be understood. It was found that there is great potential for an integration of the two therapies, provided clinicians have access to appropriate training, as well as a deeper understanding of …

Exploring Ranges, Tensions, And Potential Integrations: Editorial Notes For Jcat’S 3rd Edition, Einat Metzl

Journal of Clinical Art Therapy

No abstract provided.

Front Matter

Journal of Clinical Art Therapy

No abstract provided.

Relational Frame Theory: Implications For Training Perspective-Taking And Empathy In Children With High Functioning Autism, Lyssa Haase

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Perspective-taking involves the ability to shift one's visual-spatial and affective stance relative to contextual cues. Empathy responses leading to socio-emotional reciprocity depend intimately on perspective-taking processes. Deficits in perspective-taking have been widely documented in individuals with Autism Spectrum Disorders (ASD), and are commonly regarded to underlie impaired interpersonal functioning in this population. The most widely used frameworks for understanding ASD derive from a cognitive science program called Theory of Mind (ToM), and from an applied behavior analytic program based on Operant Theory (OT). Recent research interest has centered on a contemporary contextual behavior analytic approach to perspective taking drawing upon …

Symptom Patterns Of Posttraumatic Stress Disorder Among Deaf Trauma Survivors, Melissa L. Anderson, Amanda Sortwell, Kelly S. Wolf Craig, Douglas M. Ziedonis

JADARA

Details about Deaf people’s pattern of posttraumatic stress disorder (PTSD) symptoms remain relatively unknown due to inaccessible methods used in most epidemiological research. We conducted semi-structured American Sign Language interviews with 16 trauma-exposed Deaf individuals to explore their PTSD symptom patterns. Half met criteria for current PTSD, a rate higher than the general population. Underlying this disparity may be heightened rates of dissociation and psychogenic amnesia reported by many Deaf trauma survivors. Future research with large samples of Deaf survivors is needed to clarify this hypothesis, and to inform interventions that more accurately target Deaf people’s pattern of trauma symptoms.

The Effects Of A Trauma-Informed Care Training Program On Mental Health Professionals Knowledge, Skills, And Attitudes With The Smi, Angelina Pelletier

PCOM Psychology Dissertations

Trauma has been found to be highly prevalent among individuals diagnosed with SMIs. Mental health professionals have been reported to misdiagnose or avoid addressing trauma in this population. There is a need to provide information about trauma and to foster awareness among mental health professionals who are treating individuals diagnosed with SMIs. With a TIC approach, operating from a recovery-oriented philosophy, there have been interventions created to address trauma and SMIs with the aim of developing awareness about trauma and the impact it may have on someone’s life. With these factors in mind, mental health professionals should be competent in …

Saving Our Heroes: A Longitudinal Study Of Mental Disorders Within The Fire Service, Bailee Pelham

Scripps Senior Theses

Previous research on the mental health of firefighters has shown that they are at a greater risk than the majority of the population to develop various mental disorders, such as depression, anxiety, alcohol abuse, suicidal ideation, and post-traumatic stress disorder. However, very little research has been done on the repetitive cumulative exposure to trauma that is associated with their career, which may lead to elevated levels of mental disorders that may not be detected in one testing. In this study, a series of assessments will be given to a sample of urban firefighters every year for the entirety of their …

Association Between Depression And Aggression In Rural Women, Laetitia Meyrueix, Gabriel Durham, Jasmine Miller, K. Bryant Smalley Phd, Psyd, Jacob C. Warren Phd

Journal of Health Disparities Research and Practice

Rural women represent approximately 20% of women living in the United States, yet research on the specific mental health needs of rural women is limited. Given the well-recognized gender-linked disparity in depression, its correlated symptoms in women still need much investigation. While emerging notions of depression in men embrace potential symptoms related to irritability and aggression, less research has focused on the potential role of aggression in depressed women. This connection may be particularly relevant for rural women who face unique mental health stressors in comparison to their urban counterparts. The purpose of this study was to examine if aggression …

Apples And Oranges: An Argument For Psychopathy As A Formal Diagnosis, Katherine K. Mcmann

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

When one thinks of the psychopath, an image of one of the notorious serial killers of the 1980s generally pops in their head- Ted Bundy, Jeffrey Dahmer, or the Green River Killer. While still rare, psychopaths encompass much more than just serial killers, and they have a unique presentation that lies outside the confines of any current diagnosis. Characteristics such as lack of empathy, impulsivity, grandiosity, and poor behavioral controls are included in various personality disorders. The Narcissist will show lack of empathy and grandiosity while the Borderline will have poor behavioral controls and impulsivity, for example. However, the construct …

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 …

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 …

Trauma In Patients With Serious Mental Illness: The Acceptability And Impact Of A Brief Psychoeducational Intervention For Trauma In The General Acute Inpatient Psychiatric Setting, Kevin E. A. Giangrasso

PCOM Psychology Dissertations

Prevalence rates of posttraumatic stress disorder (PTSD) for individuals with serious mental illnesses (SMIs) are high, with an estimated 49% to 100% being exposed to potentially traumatic events. The consequences of these disorders are serious and lasting, with PTSD being the costliest of mental health disorders. At the same time, established evidence-based treatments for PTSD are often not feasible in treatment settings utilized by individuals with SMIs, namely the general acute inpatient psychiatric hospital. Psychoeducational approaches have been incorporated as a component of evidence-based interventions for trauma and have been feasibly implemented in the general acute inpatient psychiatric hospital. The …

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 …

Journal Cover And Front Matter

Journal of Clinical Art Therapy

No abstract provided.

Asperger's Disorder In Older Adulthood: The Unique Treatment Concerns And Implications For Applying Cognitive Behavioral Therapy, Brian Beaumund

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

This article provides a theoretical consideration for the problems faced by older adults diagnosed with Asperger’s Disorder as well as implications for applying Cognitive Behavioral Therapy with this distinct population. The author presents the relevant literature concerning the unique presentation and common problems of each, traditionally distinct population: (a) older adults and (b) Asperger’s Disorder. The author then extrapolates this data into a theoretical conceptualization of the unique clinical presentation and treatment considerations for the underrepresented population of older adults with Asperger’s Disorder. The author then presents a review of the relevant literature concerning the application of Cognitive Behavioral Therapy …

Mental Health Referral In Primary Care: Influence Of A Screening Instrument And A Brief Educational Intervention, Michael T. Miesner

Electronic Theses and Dissertations

Although less than half of all patients with mental disorders seek mental health treatment per se, approximately 80% of all people will visit their primary care physician (PCPs) within a year (Strosahl, 1998). However, it is not well understood how to best handle patients presenting with mental health issues in primary care practices. The purpose of this project was to implement an intervention involving a screening measure for anxiety and mood disorders in a primary care setting to increase the volume of anxiety and mood disorder screening, to increase the accuracy of disorder detection, and to also enhance PCPs patterns …