Clinical Psychology Commons^™

Hoping As A Transformational Imperative In Puerto Rico: A Phenomenological And Grounded Theory Study Within Colonized Space, José Luiggi-Hernández

Electronic Theses and Dissertations

As the United States continues to restrict Puerto Rico’s self-determination and imposes oppressive institutions such as the Oversight Board, the people of the archipelago live in precarity and hopelessness. Limited psychological research on colonialism has focused on the detrimental impact of oppression and its influence on the development of fatalism and the inferiority complex. On the other hand, existing psychological theories of hope fail to describe how it is lived within the post-colonial context and to explain the ways in which this psychological phenomenon arises even in the face of systematic dehumanization. As Puerto Ricans show evident signs of hope …

The African American Dream Deferred: Exploring The Relationship Between The “American Dream” And The Black American Millennial Reality, Simonleigh P. Miller

Seton Hall University Dissertations and Theses (ETDs)

The purpose of this qualitative study is to highlight and bring understanding to the lived experiences of Black American millennials. This study was conducted from the constructivist and critical research paradigms and utilized Reflexive Thematic Analysis methods to analyze qualitative data. The study places specific focus on Black or African American millennials’ associated thoughts and feelings regarding their current reality and positionality within the American context, and its relation to the idealized reality of the American Dream. The influence of the American Dream on the African American millennial reality was explored to gain a better understanding of how, or if …

Beyond Stressors: Identifying Protective Cultural Factors And Coping Strategies For Mental Health Symptoms Among Aging Latino/Hispanic Immigrants, Juan M. Pena

Psychology ETDs

Within the next decade, Latino immigrants will constitute the largest middle-aged and older immigrant group living in the U.S. This cross-sectional study investigated traumatic stressors, acculturative stress and perceived structural injustices and their associations with mental health symptoms. This study also examined the linkages between cultural factors, social support, and coping strategies and mental health outcomes. Eighty Latino/Hispanic immigrants who were 45 years of age or older completed a series of questionnaires and optional open-ended questions. A greater exposure to traumatic events, higher acculturative stress, and perceived injustices were associated with greater psychological distress and symptoms of anxiety, depression, and …

Mediumship And Mental Health: Investigating Spirit Communication And The Importance Of Integration, Daniel A. Seda Ph.D.

Journal of Conscious Evolution

Sensitivity to paranormal phenomena can be a source of emotional, mental and psychospiritual stress for individuals demonstrating verified mediumistic abilities, yet integrating these anomalous experiences in a healthy, affirming manner can reduce distress and potentially deflect egodystonic diagnoses of pathology. Because mediums can relay information which appear to be otherworldly from meditation, during trance, or by automatic writing and painting, health professionals have diagnosed mediums with mental disorders such as dissociative identity disorder and schizophrenia. This overreliance on pathology to explain anomalous experiences is troublesome and can cause severe distress to individuals demonstrating extrasensory capabilities. This paper was written to …

Voiding The Unwanted Self: An Examination Of Racialized Violence In The United States, Benjamin Stark

Dissertations, Theses, and Capstone Projects

This dissertation is concerned with the role of the psychic defenses projection and projective identification in the processes which lead to racialized violence in the United States. The dissertation posits that projection has been less considered as a primary driver of racialized violence than other psychic processes and should be better integrated into psychological research and literature on racialized violence. The thesis begins with a detailed examination of two instances of racialized violence, the first a macro example of nation vs. nation: the United States’ invasion of Iraq in 2003, before which the United States fantasized Iraq was developing weapons …

The Role Of Cultural And Expressive Arts Therapies In The Puerto Rican Diasporic Identity: A Literature Review, Melissa Clay

Expressive Therapies Capstone Theses

Identity for Puerto Rican immigrants is a growing concern with the influx of migration due to numerous natural and human based disasters. This literature review will review Puerto Rico’s tumultuous history and the development of identity through history. Including the Taino, the influence of African slaves, The Three Root Model and colonization by Spain and the United States. Accordingly, this review explores culturally specific beliefs and culturally creative arts and how those can be used in healing practices through Expressive Arts Therapies. We will also consider the culturally sensitivities needed in further research on this topic and within current day …

Racialized Experiences Of Covid-19: Help-Seeking Patterns In Response To Racial Discrimination Among Asian American College Students, Jeeyun Lee

Student Theses

In the United States, reported anti-Asian hate crimes increased by 164% from 2020 to 2021, with New York demonstrating a difference of 223% (Center for the Study of Hate & Extremism, 2021). Ample evidence suggested its deleterious emotional impact; COVID-19-associated racial discrimination was found to be significantly associated with increased levels of mental distress, such as anxiety, depression, and PTSD symptoms (e.g., Hahm et al. 2021). With an aim of addressing the significant dearth of research on Asian Americans’ help-seeking behaviors in response to COVID-19-associated racism and distress, this study employed grounded theory to explore the experiences of 10 self-identified …

Cultural Concepts Of Distress And Clinical Intake Processes For Chinese And Chinese American Populations In The United States, Jasmina Harambasic

Undergraduate Theses

Research shows that Chinese Americans underutilize mental health services more than any other ethnic group in the U.S. This project aims to explore the mental health experiences of Chinese American and immigrant communities, with a specific focus on clinical intake processes, including interviews and screening assessments. Cultural concepts of distress refer to ways that cultural groups experience and communicate mental distress, and an exploration of these illness experiences within Chinese American populations can inform how to adapt or develop screening and interview tools to fully capture personal narrations of illness during intake processes in preparation for treatment. Challenges that may …

Clinician Heal Thyself: Turning The Mirror Inward To Dismantle The Barriers Of Psychotherapy, Lynne-Marie Shea

Graduate Theses and Dissertations

The practice of psychotherapy developed in the United States within and in response to its sociopolitical context. As such it has always been unable to live up to its stated value of being accessible and effective for all people who are willing to seek and accept help. We explore the practice of psychotherapy within the larger field of Psychology and its ongoing commitment to capitalism and the social hierarchy at its center. We consider how Psychology’s intentional avoidance of class identity in the therapy space has allowed the field to justify and maintain this hierarchy while simultaneously ignoring its existence. …

Psychosocial Outcomes Of African American Traumatic Race-Based Stress, Zenith Lamb

Senior Theses

Most research into trauma-related mental health concerns has focused predominantly on European American participants, leading to many African American individuals receiving inaccurate diagnoses, if they are able to receive diagnoses at all. This project sought to help fill that gap by identifying clear definitions and examples of “racial trauma” and “race-based stress” - as defined during participation in a focus group interview by the collective experience-based responses of two undergraduate African American students at a predominantly White institution - and identifying symptoms of posttraumatic stress and dissociation - measured by an online survey distributed to the participants that included questions …

"The Power To Heal And Cure": Adaptations Of Western Therapy By American Indian And Alaska Native Therapists, Calleaghn B. Kinnamon

Antioch University Dissertations & Theses

The legacy of colonialism has created a modern-day reality where Indigenous populations of the United States (US) experience mental, physical, and emotional distress at disproportionately higher rates than other cultural groups in the country. Increased distress translates to an increased need for supportive services. Because the field of Western Psychology is based in colonialistic EuroWestern worldviews which positions that worldview as superior, Indigenous clients and communities have often experienced further harm in their encounters with mental health services. In recent decades, there has been increasing attention to adapting research, training, academic and clinical work in ways that are culturally appropriate …

Cognitive Assessment Of Latinx/E Bilinguals In The United States: A Fictitious Case Study, Vanessa Magro

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Despite a growing body of literature and best-practice guidelines and considerations, assessment providers working with Latinx/e populations are left with numerous questions about how to translate these ideas into practice. This paper is meant to begin to answer some of these questions for Spanish-speaking providers administering cognitive tests to bilingual Latinx/e clients in the United States. The basis for these answers is a comprehensive literature review and my experience providing culturally-responsive assessment services to a bilingual Latinx/e population in the United States. A fictitious case study is included so that providers can get a concrete idea of how to bring …

Psychedelic Assisted Psychotherapy: Equity Through Contextual Frameworks, Emanuel Hermosillo

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Psychedelic assisted psychotherapy (PAP) is a psychotherapeutic modality in which the non-ordinary states of consciousness that result from the consumption of psychedelic medicines are utilized to facilitate therapeutic healing. A wide range of cultures have used a variety of these psychotropic substances as medicines since ancient times, and there has been a resurgence of interest in their beneficial properties across many disciplines including psychology. Given that there are extra dimensions of vulnerability in using these medicines therapeutically, increased attention needs to be given to diversity, equity, and inclusion across psychedelic research and clinical practices. This paper focuses on how internal …

Adapting Grief And Bereavement-Focused Cognitive Behavioral Therapy For Chinese-Identifying Individuals In America: A Cultural Analysis, Ian Tsang

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Anti-Asian hate as well as shifting circumstances brought on by current events all around the world highlight the increased need for mental health support and services in an ever-growing Chinese population in the United States, particularly in regard to grief work. Additionally, Chinese Americans demonstrate a disproportionate and lower utilization of mental health services, especially in comparison to the general population in the country. This paper discusses the various factors contributing to this phenomenon before presenting recommendations for culturally adapting evidence-based approaches to grieving individuals in the target population. More specifically, a cultural analysis consisting of topics such as Chinese …

African American Female Identified Therapists' Experiences Working Culturally Similar And Dissimilar Populations, Kimiko J. May

Doctoral Dissertations

African-American female-identified individuals continue to be one of the smallest subgroups of licensed therapists. However, this group continues to grow steadily and offer services to a broad array of clientele. While the aims of literature have grown to include populations that have been historically marginalized, the research surrounding African-American female-identified therapists is scarce. Deep understanding of their lived experiences while navigating the multifaceted nature of clinical work has been grossly overlooked. This study aimed to qualitatively analyze the lived experiences of African-American female-identified therapists who work with diverse populations using interpretative phenomenological analysis. Since the nature of clinical work is …

Faith-Based Counseling Versus Traditional Psychotherapy: A Phenomenological Evaluation Of African American Protestant Experiences, Shannon Gray

Dissertations

This phenomenological study was designed to evaluate the experiences of African American Christian adult clients within traditional psychotherapy and faith-based counseling settings. Research has shown various therapist/counselor identities affect Christian African American clients, and that Christians as well as African Americans have historically been less likely to pursue traditional psychotherapy for a variety of reasons. Participants were six African American Christian adult participants (three traditional psychotherapy participants and three faith-based counseling participants). All participants were asked open-ended questions about their experiences in traditional psychotherapy or faith-based counseling. In addition, they were asked to evaluate several aspects of their therapy/counseling experience …

Moderating Roles Of Racial Identity In The Effects Of Racial Discrimination On Distress, Sarah Gobrial

Psychology Theses and Dissertations

Racial discrimination has been linked to psychological distress among people of color. The degree to which psychological distress is associated with racial discrimination experiences varies across individuals. Racial identity may be one key set of individual difference factors that can influence how discrimination impacts psychological distress, but existing empirical findings remain mixed on the moderating role of racial identity in the links between discrimination and distress. The present study leveraged virtual reality technology to experimentally invoke experiences of discrimination. The study was aimed to (1) determine the causal effects of racial discrimination on psychological distress (i.e., stress and negative affect), …

Family Rejection Predicting Suicidal Thoughts And Behaviors Among Sexual Minority Males: Indirect Effects Through Internalized Homophobia And The Interpersonal Theory Of Suicide Constructs, Brian Bulla

Dissertations

Past research has identified sexual minority males as presenting with more suicidal thoughts and behaviors in comparison to the general population, possibly due to additional stressors (e.g., family rejection, internalized homophobia) encountered throughout their lives that are specific to minority identities (Meyer, 2003). Extant literature has also examined constructs from the Interpersonal Theory of Suicide (ITS; Joiner, 2005; Van Orden et al., 2008) with mixed support for each (e.g., perceived burdensomeness, thwarted belongingness, capability) predicting suicidal thoughts and behaviors among sexual minority males. The current study, therefore, sought to further existing literature by examining indirect effects of family rejection on …

Uniting African Philosophy With Traditional African Dance Rituals To Help Heal Mental Health Symptoms From The Impact Of The African Diaspora, Brittnea Jones

Dissertations

The mental health challenges of members of the African diaspora have been a worldwide occurrence for centuries, initially beginning with the transatlantic slave trade. Africans were scattered abroad to different countries and subjected to the severe psychological impact of enslavement. Despite the considerable financial systemic pressure of profit in the slave trade, it caused significant harm to the enslaved Africans and their descendants by erasing Africa's memory and their healing traditions from the hearts and minds of the population. Severe mental health symptoms can arise from oppression and the impact of the African diaspora. This dispersion has left many African …

Breaching Weird Psychology: Brujería As Mental Health Treatment, Emily Greenslit

CISLA Senior Integrative Projects

Through this project, I am proposing that the psychology field look to brujería in order to make the field, which has been historically WEIRD-centric, more inclusive and widely applicable. However, I would like to make it clear that I am not advocating for the removal of more traditional methods of therapy and medication that have long been established in the field of psychology. These methods work effectively for many people, and there is no reason that they should not continue to be used as mental health treatment. With this being said, the limited lens through which psychologists tend to view …

Asian Immigrant Parents And Their Asian/Asian-American Children: Bridging The Emotional Gap, Natalie Vergara Realubit

Educational Specialist, 2020-current

This manuscript explores and examines Asian/Asian-American identity and values. A brief discussion of Asian immigration history, intergenerational trauma, and the impacts of COVID-19 will be linked to Asian identity. Eastern values are explored in conjunction with Western values to highlight the differences and contradictions Asians/Asian-Americans navigate. Biculturalism is explained, as well as how the navigation of values results in individuals living in their ethnic and host cultures simultaneously. Acculturation and enculturation, the model minority myth, education and the American Dream, and bicultural stress experienced by Asian-Americans and Asian international students are explored to highlight the various ways in which biculturalism …

“All Skinfolk Ain’T Kinfolk”: Attributions Of Race-Based Discrimination When An Ingroup Member Is The Perpetrator, Christin Alexandra Mujica

Graduate Theses and Dissertations

Most research addressing racial/ethnic discrimination is focused on instances perpetrated by White people or someone not of the same race or ethnic background as the target (i.e., outgroup discrimination). However, based on theories of ethnic identity development and internalized racism, it is possible for people of color to discriminate against people in their own racial or ethnic group. The current study used a qualitative approach to 1) understand what people of color believe about racism and discrimination broadly and based on the race of the perpetrator, 2) describe under what situations (e.g., race of perpetrator or overtness/subtlety of the act) …

Testing Barriers To Non-Suicidal Self-Injury With College Students: Narcissistic Traits As Moderators, Philip Stoner

Dissertations

Research on non-suicidal self-injury (NSSI) has produced mixed findings, resulting in a lack of clarity regarding these behaviors (Klonsky & Meuhlenkamp, 2007). To address this, Hooley and Franklin (2018) developed the Benefits and Barriers Model (BBM) to provide a comprehensive understanding of NSSI, in which they identified the barriers that commonly prevent people from engaging in these behaviors (e.g., self-esteem, shame, and peer-bonding motivations/social norms). They also identified adverse childhood experiences (ACEs) as a distal predictor of NSSI, which aids people in overcoming the barriers to engaging in these behaviors. Recent NSSI literature has shown that college women in the …

Examining The Associations Between Experiences Of Perceived Racism And Drug And Alcohol Use In Aboriginal Australians, Victoria Gentile, Adrian Carter, Laura Jobson

Journal of the Australian Indigenous HealthInfoNet

Objective
This study aimed to explore the relationships between experiences of perceived racism, mental health and drug and alcohol use among Aboriginal Australians.

Method
Sixty-two Aboriginal Australians, ranging in age from 19-64 years (M_age = 33.71, SD = 12.47) and residing in Victoria completed an online questionnaire containing measures of perceived racism, alcohol use, substance use and mental health.

Results
First, 66% of the sample reported experiencing interpersonal racism, with the highest proportion of reported experiences occurring in health settings, educational/academic settings and by staff of government agencies. Second, perceived racism was significantly associated with poorer mental health …

The Gender Freedom Model: A Framework For Helping Transgender, Non-Binary, And Gender Questioning Clients Transition With More Ease, Rae Mcdaniel, Laurel Meng

Journal of Counseling Sexology & Sexual Wellness: Research, Practice, and Education

Transgender/non-binary experiences and identities are often represented in academic literature through narratives of distress and are often pathologized through a medical lens. This holds implications for the field of psychotherapy, as interventions aimed to support transgender/nonbinary individuals often focus solely on risk mitigation. This article presents a therapeutic framework that rests on three pillars—Play, Pleasure, and Possibility—as the focal points for reimagining work with transgender/non-binary clients. This model aims to help this population explore gender transition with more ease through building practical skills, cultivating personal and collective pride, and centering pleasure equity.

Are You My Nurse? The Effects Of Patient-Delivered Gender Microaggressions On Women Trainees’ Clinical Work In Integrated Primary Care, Julia Ratchford Kauffmann

Electronic Theses and Dissertations

Gender microaggressions are a form of sexist discrimination that have detrimental effects on women’s psychological well-being. Unfortunately, these sexist occurrences are commonplace in the United States and can be experienced in a variety of ways. As such, there is a need to understand behavioral health providers’ experiences with patient-delivered gender microaggressions. In doing so, we may be able to better support women behavioral health trainees’ during their clinical development by potentially understanding the ways in which women trainees are affected by sexist patient encounters. Therefore, the present study sought to apply the Social Cognitive Model of Counselor Training and the …

Inviting The Perspectives Of Refugee Mental Health Interpreters: A Critical Narrative Analysis, Emme Y. Paik

Electronic Theses and Dissertations

The research literature lacks examination into several areas concerning mental health interpretation for refugee clients. This includes the management of interpreters’ vicarious trauma and retraumatization, interpreter’s perspectives on the appropriateness of hiring refugees as mental health interpreters, how interpreters define their trauma as well as their clients’ trauma, and support that interpreters seek for their traumatic responses from their work. The literature is also missing an analysis of how oppressive power differentials are repeated in workplace institutions, specifically for refugee mental health interpreters. Thus, this study aimed to invite the perspectives of refugee mental health interpreters on several issues pertaining …

Executive Function And Parenting Among Latinx Caregivers Of Young Children, Amy Dominguez Fabatz

Electronic Theses and Dissertations

Supportive and responsive parenting is vital to the healthy development of young children. Parenting behaviors are determined by many factors, including caregivers’ cognitive resources and abilities such as executive functioning (EF). The present study investigated how two core dimensions of EF, working memory and set-shifting abilities, are related to parenting behaviors in a sample of Latinx caregivers of young children experiencing low income. Positive parenting was measured using a multi-method approach including video-coded observations, parent self-report, and evaluation of the home environment. Findings from hierarchical regressions indicated that caregiver working memory, but not set-shifting, predicted positive parenting as measured by …

Humanitarian Workers' Perspectives On Mental Health And Resilience Of Refugee Youth: Implications For School Psychology, Diana Maria Diaków

Graduate Student Theses, Dissertations, & Professional Papers

Almost half of the 79.5 million forcibly displaced persons worldwide are youth under the age of 18, including refugees. Refugee youth face deliberate threats across all migration stages including violence, abuse, exploitation, poor living conditions, limited or no access to healthcare and education, interrupted family structure, and discrimination. Noteworthy, school psychologists who practice in host countries face new challenges as these diverse youth enroll in public schools. During the migration stage, humanitarian workers are a primary source of psychosocial and educational support for refugee youth and their families. Therefore, the aim of this research study was to inform school psychology …

Barriers To Mental Health Service Use And Preferred Treatment Format Among Racial And Ethnic Minorities, Jasmine Maxwell

Murray State Theses and Dissertations

One of the most pressing concerns in mental healthcare is the limited use of mental health services across the country. Research has indicated that individuals from racial/ethnic minority groups are significantly less likely to seek mental health services, which has led many to examine specific barriers to treatment-seeking. Given research that has suggested that barriers to treatment-seeking may be structural, attitudinal, or cultural in nature, this study aimed to gain a better understanding of the relationship between these barriers and willingness to seek psychological help. Another goal of the current study was to examine the role of online therapy in …