Clinical Psychology Commons^™

The Necessity Of Trauma-Focused Curricula In Mental Health Graduate Programs: Advocating For Comprehensive Trauma Etiology And Treatment Education With Proposed Course Outline, Aaron S. Gillespie

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

During the past four decades, it has become increasingly clear how prevalent trauma, polytrauma and co-morbid trauma-related disorders are within our shared, global communities. A growing body of research continues to uncover the mind-boggling impact these overwhelming experiences have on individuals, their families, and the communities that support them, including mental health professionals. It behooves us as allied mental healthcare providers to learn what trauma is, how it may affect the individual across the lifespan, as well as how to effectively identify and treat the trauma-related symptoms our clients present with. However, despite a proliferation of research demonstrating the growing …

Providing Effective Assessment Feedback To Patients: Lessons Learned From Feedback After A Severe Injury, Kelsie Mcquinn

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

This paper seeks to articulate lessons learned from feedback received after a severe injury in order to help guide neuropsychologists provide effective feedback to patients. Given that there is no agreed upon conceptual framework for providing neuropsychological assessment feedback, parallels are drawn from what works in clinical psychology – the working alliance. I use personal examples to highlight how the working alliance, as well as other psychological principles, can help inform neuropsychologists provide the most effective feedback to patients.

An Assessment Of Adhd/Ld Support In Psyd Programs From The Perspective Of Faculty Advisors, Mac Zimdars

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Among psychologists and doctoral psychology students, 14.3% and 10.7% reported having Attention Deficit Hyperactivity Disorder (ADHD) or learning disabilities (LD), respectively; 67.3% of those with any disability experienced disability-related impediments and discrimination during graduate school or the application process (Lund et al., 2014). This paper is focused on assessing current PsyD program supports for students with ADHD/LD from a faculty advisor perspective. Specifically, this research assesses the faculty advisor-advisee relationship, as well as available support services and resources. Data was collected from an anonymous survey and utilized an empirical mixed-methods approach. Three themes emerged from the study: (1) Advisors lack …

Equine Assisted Psychotherapy: Implications For Treating Trauma, Kara L. Harrison Psy.D.

Psychology Doctoral Specialization Projects

Trauma related symptoms and Posttraumatic Stress Disorder (PTSD) have been increasingly recognized for the key roles they occupy in mental health and overall individual well-being within both adult and childhood populations. They often represent significant barriers to the provision of mental healthcare within military populations and individuals diagnosed with serious mental illness (SMI). This original contribution to practice explores the significance of Equine Assisted Psychotherapy as a novel adjunctive approach to treating trauma. symptoms in adults and children. An extensive literature review examines current research and discussion on common definitions and nomenclature. It begins with discussion on the broader areas …

Athletic Injury And Resources For Student-Athletes: A Proposal For An Athlete Injury Playbook, Jessica J. Pauley

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Athletic injury happens frequently and is rarely predictable. While injury is common in sport involvement at all levels, this proposal focused on National Collegiate Athletic Association (NCAA) student-athletes and expanding the resources they have available to them. The vast literature on athletic injury and rehabilitation in sport has served researchers and academic consumers, and unfortunately, has lacked an easily accessible resource for student-athletes and sports medicine professionals to utilize. Therefore, the purpose of this doctoral paper was to propose a resource focused on post-athletic injury and written for collegiate student-athletes to understand called, The Secret Playbook. This playbook included information …

It Takes A Village: Tribalism As A Premise To Understand Societal Responsibility And Impact Of Mass Violence, Paige D. Schultz

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

What is a mass shooter? This is difficult to answer as there is no single definition. The definition of a mass shooter depends on contextual factors including victim count, setting, and motivation (Gramlich, 2019). The Federal Bureau of Investigation (FBI) defines active shooters as “one or more individuals actively engaged in killing or attempting to kill people in a populated area” (Federal Bureau of Investigation, 2021, page 1). While other definitions are used to identify a mass shooter, given the breadth of study in this area by the FBI, this paper will use the FBI definition.

Unique Types Of Angel And Ghost Memories In Low-Income, Diverse Pregnant Women, Rebecca Spear

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

This study examined the associations between three types of angel memories, defined as recollections of loving moments with childhood caregivers, and pregnant women’s reported childhood adversity and current PTSD symptoms. Angel memories were coded from the Angels in the Nursery Interview (Van Horn et al., 2008) into three subtypes: protection in the context of harm, rupture in the protective shield, and sensory memories. Participants were 175 ethnically-diverse pregnant women (M age = 28.07, SD = 5.68, range = 18-40 years; 61.1% non-White) who completed the Angels Interview, the Adverse Childhood Experiences scale (ACEs; CDC, 2021) for childhood adversity, and …

“It’S Right Below The Surface”: Clinicians’ Experiences Of Shame In Therapy Work With Adult Clients With Body Shame, Body Image Concerns, Or Eating Disorder(S), Tess Carroll Keeley

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Shame–understood as a feeling in which one believes that they are inadequate, or wrong to their core–is a painful emotional experience that seems to be at the crux of many mental health concerns. Despite the pervasiveness of shame as an emotional experience, little research has demonstrated if shame is a clinical theme in therapy, and if so, how it is identified and treated. The purpose of this qualitative study was to explore if, and how, shame manifests during therapy sessions with clients who are experiencing eating disorders and/or body image concerns. A secondary purpose was to discover how clinicians’ training …

Psilocybin And The Psychologist: A Proposed Methodology For Exploring The Effects Of Clinicians’ Psychedelic Experiences On Their Clinical Practice, Brian N. Iliescu

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

This paper proposes a phenomenological exploration of the perceived influence of psychedelic experiences on clinical psychologists’ practice of psychotherapy. The goal of the proposed study is to open-endingly explore the psychedelic experiences of psychologists to identify common themes, underlying phenomena, and the impact that those experiences may have on their individual practice of psychotherapy. At present, no published studies have explored or identified how the perceived long-term effects of psychedelics influence professional mindsets and practices. This paper aims to synthesize the current literature, identify a gap, provide rationale for future queries into the non-clinical uses and effects of psychedelic medicines, …

Working With Families With Refugee Experiences In The United States: The Impact Of Forced Displacement On Parent-Child Relationships After Resettlement, Sakshi Kapur

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Refugees resettled in high-income countries like the United States have a unique set of challenges ranging from great psychological disturbance to acculturation challenges. With recent changes to policies related to immigration and refugee resettlement in the United States after the 2016 presidential elections, the refugee diaspora was left with resettlement services focused more on ensuring national security and economic independence rather than services that catered to re-integration beyond economics like acculturation stress, family functioning, and cultural adjustment. This systemic literature review explores the impact of forced displacement and migration on individuals, with an emphasis on family systems and parent-child relationships. …

The Impact Of A Relationship Education Program On Health Disparities Among Pregnant Women, Anne Clara Biermann

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Health disparities amongst pregnant individuals of color have long been documented and yet, they persist. While there is growing recognition, the search continues for solutions to close the health disparity gap between White women and women of color. This research is a follow-up to a 2022 study exploring the impact of the MotherWise program on birth outcomes. MotherWise provides an individual-oriented relationship education program and case management service for minority and low-income pregnant women in Colorado. This research further explores a positive trend of the program's impact on preterm birth rates by examining differential effects of participation by race. In …

"Stay Strong": Internalized Stigma, Religiosity And Black Mental Health In Colorado, Breigh Jones-Coplin

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

While the societal stigma on mental illness deters people from seeking mental health services, there is limited research on how Black personality and cultural practices may impact stigma and Black mental health (NAMI, 2020). In an attempt to identify protective and risk factors for internalized stigma and Black mental health, the present study examined 416 Black adults in Colorado and identified significant relationships between African Self-Consciousness, internalized stigma of mental illness, religiosity, and mental health functioning. Results showed that having a strong African-centered identity and religious grounding are associated with less internalized stigma and difficulty in functioning and mental health …

Psychologists’ Graduate Training Experience And Attitudes In Religion And Spirituality, Kristi Santiago

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

In a nationwide poll, 76% of the population of the United States identifies with a formal religion of some kind (Gallup Organization, 2021). Despite the prevalence of religion and spirituality (R/S) throughout the country, graduate programs appear to neglect training on this multicultural issue. The purpose of this paper is to better understand psychologists’ attitudes toward the quality and depth of their graduate training in R/S, determine how competent psychologists feel at managing discussions of R/S within psychotherapy, and recommend necessary improvements to graduate training in R/S. Data was collected using a 24-item, online survey, which was circulated throughout college …

Bipolar Disorder & Substance Use Treatment In Adults: A Tool For Recovery, Kaitlin Vieweg Parker

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Bipolar Disorder is an affective disorder characterized by moderate to extreme lability in emotional states where individuals experience symptoms of mania, hypomania, mixed mood and/or depression. Individuals may be diagnosed with bipolar I disorder, which is hallmarked by extreme mood lability between mood states of mania and depression. Alternatively, bipolar II disorder is distinguished by fluctuating hypomanic and depressive episodes (DSM-V, 2014). Cyclothymia is defined by shifting mood states that are less severe than bipolar I or II. According to the National Alliance on Mental Illness (NAMI, 2017), 2.8% of adults in the United States are diagnosed with a type …

Attachment Theory To Inform Intervention In Correctional Populations With Adverse Childhood Experiences And Substance Use Disorders, Samantha Mendoza

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Research shows a correlation exists between Adverse Childhood Experiences (ACEs) and poor mental health such as psychiatric and substance use disorders (Adshead, 2018). Research further suggests a correlation between ACEs and insecure attachment in adults (Adshead, 2018). The National Institute on Drug Abuse (2020) estimates 85% of the correctional population either has a substance use disorder or was incarcerated for a drug-related offense. This paper theorizes that those involved in the correctional system with a history of high ACE scores and substance use also experience insecure attachment, which is not currently addressed in correctional SUD programs. Attachment theory moderates the …

Can Brazilian Jiu Jitsu Be A Viable Treatment Option For Law Enforcement Officers With Ptsd?, Megan Rinderer

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Law enforcement officers (LEO) are more likely to experience symptoms of PTSD when compared to the general population yet are less likely to seek mental health treatment (Jetelina et al., 2020). Given that LEO face unique occupational stressors and repeated exposure to traumatic events, treatment for PTSD among law enforcement populations poses unique challenges for clinicians. The combination of these variables precludes officers from seeking and receiving mental health services. Research regarding the efficacy of Brazilian Jiu Jitsu (BJJ) as a psychotherapeutic intervention is limited. To date, no studies have examined the use of BJJ to mitigate symptoms of PTSD …

Secondary Traumatic Stress In Intimate Partners And Children Of Service Members, Amber Foreman

Dissertations

This literature review addresses secondary traumatic stress (STS) in intimate partners and children of service members. More specifically, this literature review aims to explore if intimate partners and children of military service members are at risk for developing secondary traumatic stress. Secondly, this review aims to explore if there are specific risk factors associated with the development of secondary traumatic stress in intimate partners and children of service members. Finally, this review examines if there are other stressors and outcomes for intimate partners and children of service members. A systematic review of peer-reviewed research was explored to accomplish addressing the …

Pilot Study Of The Effects Of Mobile Based Resonant Frequency Breathing On Cognitive Performance In Healthy Young Adults With Elevated Stress, Daniel Saldana

Dissertations, Theses, and Capstone Projects

Objective: Prior research has shown a bidirectional relationship between breathing, emotions, behavior, and cognitive functions thought to be mediated by the autonomic nervous system (ANS). Studies have shown that deep or diaphragmatic breathing interventions are associated with improved affect and decreased stress levels, but little attention has been paid to the effects of breathing training on cognition. The few studies that have looked at this have shown improved attention, memory, and executive functioning as a result of breathing interventions. While suggestive of positive benefits, these studies used control groups that are either inactive or inappropriate for determining their respective mechanisms …

In Search Of A Simplified, Objective Attachment Style Assessment: The Attachment Implicit Measure, Lisa Savage

All NMU Master's Theses

ABSTRACT

IN SEARCH OF A SIMPLIFIED, OBJECTIVE ATTACHMENT STYLE ASSESSMENT: THE ATTACHMENT IMPLICIT MEASURE

By

Lisa M. Savage

Attachment is a lasting bond between two people (Bowlby, 1958). Bonding starts at birth and lasts through the lifetime (Bowlby, 1958). Emotional and social development is impacted by attachment (Bowlby, 1976). Measuring attachment is beneficial to clinical psychologists and psychological research. There are both implicit and explicit measures of attachment. Explicit measures are subject to social desirability and other bias and require a person's honesty and understanding of self. Current implicit measures are lengthy and expensive to administer and score. The development …

Disinhibition And Persistent Maladaptive Behavior, Angela T. West

Student Theses

Objective: There is an urgent need to reduce overpopulation in U.S. prisons, which are inundated with individuals needing substance use treatment. Research on both substance use and antisocial behaviors highlight maladaptive beliefs and behaviors, while also implicating disinhibition as an important factor. Disinhibition is a dynamic trait that can be targeted with therapeutic interventions. The current study explored the relationships between neurocognitive disinhibition, substance use, and recidivism among incarcerated men. The study hypothesized that disinhibition would be associated with history of substance use, history of antisocial behavior, and institutional misconduct, as well as predicting recidivism over and above history of …

How The Expressive Therapies Continuum Informs Intermodal Transfers, Erin M.L. Little

Expressive Therapies Capstone Theses

Expressive arts therapy (ExAT) is a therapeutic approach that incorporates visual art, music, drama, and dance/movement into the counseling environment. An essential element in ExAT practice is the intermodal transfer, an intentional shift between arts modalities to enhance clients’ understanding and realization. Currently, no theoretical guidelines for intermodal transfers exist in the field of ExAT. In search of a theoretical structure, the author of this Capstone Thesis proposed that the Expressive Therapies Continuum (ETC) informed intermodal transfers. Predominantly presented as an art therapy approach, the ETC originally intended to include all expressive therapies. Yet, there is minimal recent literature that …

Reiki For Recovery: Incorporating Japanese Health Practices To Increase Contemporary Resiliency In American Health, Leif Peterson

Master's Projects and Capstones

The Japanese health practice of Reiki attempts to maximize the latent ability of the human system to heal itself. The Reiki system, established over a century ago, combines multiple Asian health traditions, experimenting with practices that maximize the natural processes of the body to perform its own repairs. Reiki encourages healthy behaviors that balance the mind and body, return the human system to a lowered stress level, and allow for an optimal recovery state for the patient. This paper illustrates how this Japanese health-affirming method can be integrated and utilized within existing health and medical practices. An area that is …

Creating Appropriate Clinical Guidelines For The Bilingual Population With Acquired Brain Injuries, Sophia L. Pena

Dissertations

While there is a growing bilingual demographic in the United States, relatively little is known about treating this population should they experience a brain injury. This is a growing area of interest, as research has demonstrated that the acquisition of a second language promotes neuroplastic changes that then impact brain functioning pre- and post-brain-injury. Given bilingualism’s cognitive complexity, clinicians are left with challenges on how best to tailor treatment for brain-injured bilingual populations. Therefore, the focus of this review was to provide clinical recommendations to clinicians performing assessments with bilingual individuals with acquired brain injuries. The goal was for the …

The Role Of Interior Design In The Psychotherapist's Office, Vincent Ylagan

Senior Theses

A growing body of research in environmental and design psychology indicates that our surroundings can have subtle but significant effects on how we feel and think. One setting where thoughts and feelings are at the forefront of the work done is the psychotherapist’s office, where clients go to process stressors and learn strategies to overcome emotional difficulties. The current study aimed to investigate how therapists and clients view the therapist office and identify the features associated with the “ideal” therapist office. Therapists, current or past therapy clients, and individuals who have not been to therapy completed short surveys. Surveys asked …

Moth To A Flame: An Investigation Of The Personality Traits And Early-Life Trauma Histories Of Women Who Have Survived Adult Relationships With Men With Pathological Narcissism, Michelle D. Roberts

Dissertations

Although emotional and psychological abuse, in addition to physical assault, are now commonly accepted as aspects of Intimate Partner Violence (IPV), narcissistic abuse as a subset of IPV is not widely recognized or understood. Due to the extremely debilitating, chronic mental health effects of narcissistic abuse (Bremner, 2008; Campbell, 2002; Yoon et al., 2009), this study sought to explore the experiences, personalities, early-life (childhood) trauma histories and mental health outcomes of heterosexual women who self-identify as having been in an adult romantic relationship with a man with pathological narcissism. Specifically, this study aimed to identify the nature and frequency of …

Adhd Performance On Nonverbal Measures Of Set Shifting And Working Memory, S. Hans Stoltzfus

Doctor of Psychology (PsyD)

The relationship between language and cognition is an area of inquiry among many psychologists (Pellicano, 2010; Russel, 1996). The connection between thoughts, verbal language, and nonverbal communication turned researchers towards the relationship between language and executive functioning. Executive functioning (EF) is described as tasks involving working memory, inhibition, and set shifting (Miyake and Friedman (2012)). Despite studies demonstrating the correlation between language deficits and lower executive functioning there is not consensus on the directionality of the relationship (Kuhn, et al 2014; Boting et al., 2017). Data from the Leiter International Performance Scale, Third Edition (Leiter-3) (Roid, et al., 2013) were …

Personal Technology Use, Social Media, And Daily Affect In Emerging Adults, William Crabtree

Murray State Theses and Dissertations

Personal social and communication technology has been widely adopted by the world in the 21^st century. With this widespread worldwide adoption, significant controversy exists debating the effects these social technologies have. Specifically, there is a strong debate in the scientific literature over the psychological effects of social technologies, smartphones, and social media usage. Some arguments are made that modern technology can help improve psychological well-being, whilst others claim it has destroyed a generation of adolescents and merging adults. The present thesis aims to address this debate by exploring the current research from a variety of methodologies about social technology …

Do You Copy? Post-Traumatic Stress Disorder, Auditory Processing, And Heart Rate Variability, Lyndsey Johnson

UNF Graduate Theses and Dissertations

Self -report measures used in PTSD research have the potential to limit the degree of symptom severity in military veterans, especially as there is often underreporting in this population (Kline, Falca-Dodson, Susner et al., 2010). Polyvagal Theory provides a framework assessing if physiological measures can tap into PTSD Symptomology (Porges, 1995). It is therefore hypothesized that lower scores on auditory processing tests will be positively correlated with higher scores on Stress and PTSD measures. Additionally, it is thought that lower scores on auditory processing tedts as well as higher scores on PTSD and Stress Measures will be positively correlated with …

Co-Constructing Stigma: Treating Trauma In Adolescence, Isabelle Sanderson

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Public stigma and self-stigma are major factors that impede the seeking of mental health treatment as well as the development of an effective therapeutic alliance. This paper explores the co-creation of stigma dynamics from an intersubjective systems theory lens suggesting these dynamics may play a role for adolescent clients who have experienced significant trauma. Specifically, the potential overlooking and/or misdiagnosis of trauma-related experiences and symptoms often occurring with adolescents diagnosed with ADHD may be contributing to a co-constructed dynamic between the therapist and client to avoid an exploration of trauma that would be experienced as more stigmatizing, more threatening, and …

It’S All The Rage: An Animated Approach To Screening For Postpartum Depression, Amanda Gorham

Doctoral Dissertations

Postpartum depression presents a complication for mothers which can, in some cases, be severe and even life-threatening. Instruments commonly used to screen for this psychological condition have been challenged by an extensive body of literature, with many mothers being unidentified and even untreated for their symptoms. The presented research introduces a newly developed screening instrument for detecting probable postpartum depression using text-free scenario-based animations, based on the lived experience of the condition as qualified by empirical research and the existing body of literature. Developed items were controlled for quality via Think Aloud Protocol and alignment studies with subject matter experts …