The Dual Impact Of Moral Injury: Links To Ptsd Symptoms And Disinhibited Externalizing In U.S. Combat Veterans, Bianca S. Islas

UNLV Theses, Dissertations, Professional Papers, and Capstones

Moral injury is an experience of psychological distress that occurs when a person’s morals are violated by themselves or others, including institutions and organizations. Such violations of morality can be impairing and have high rates of comorbidity with internalizing disorders (posttraumatic stress, depression, anxiety, suicidality), which may indicate that moral injury is a transdiagnostic construct. This study had four aims, which were accomplished using from a nationally representative, probability-based sample of 1,353 US military veterans. In the first aim, we created structural models of moral injury using the Moral Injury Events Scale (for which a bifactor structure with a specific …

Dermatoglyphic Fluctuating Asymmetry In Schizotypy, Marcus R. Thomas

All-Inclusive List of Electronic Theses and Dissertations

Schizotypy has been linked with many of the proposed endophenotypes of schizophrenia, but research is limited on the relationship between schizotypy and dermatoglyphic fluctuating asymmetry. The present study sought to examine relationships between schizotypy, dermatoglyphic fluctuating asymmetry, handedness, and season of birth. 146 undergraduate students were identified as schizotypes (n = 52) or controls (n = 94) based on the Multidimensional Schizotypy Scale and had their finger and palm prints collected along with completing additional measures of schizotypy and handedness. Schizotypes did not exhibit a greater degree of dermatoglyphic fluctuating asymmetry, negative schizotypy was associated with increased absolute finger ridge …

Drinking To Compensate: Expanding Upon The Motivational Model Of Alcohol Use, Douglas J. Glenn

Psychology Theses & Dissertations

The motivational model of alcohol use identifies four key drinking motives – coping, conformity, social, and enhancement – as important proximal antecedents of problematic drinking. However, applications of this model have been inconsistent in explaining drinking outcomes. Specifically, it is unclear under which conditions each drinking motive can be a risky or benign indicator of drinking behaviors. The current study theorized that a problematic drinking to compensate behavior could emerge across all drinking motives when alcohol is used to counteract a psychosocial (i.e., nondrinking) deficit. It was hypothesized, at the cross-sectional and daily level, that the associations between each drinking …

Stigma, Shame, And Narcissism: A Literature Review, Alex Gaither

University Honors Theses

This thesis is a literature review of 12 peer reviewed journal articles accessible through the Portland State University library database on the relationship between stigma, shame, and Narcissistic Personality Disorder (NPD). This thesis discusses ideas brought up in these articles regarding the classification and conceptualization of NPD as a disorder, the role that shame plays in the pathology of NPD, the ways that shame is addressed through treatment, and public and practitioner held bias resulting from the stigmatization of the disorder. New and upcoming ways of conceptualizing the disorder are also briefly discussed as there has been a push to …

Mindfulness As A Buffer Against Death Anxiety: Implications For End-Of-Life Care, Chad Alexander

University Honors Theses

Death anxiety, defined as the distress associated with the awareness of mortality, has profound psychological and cultural impacts. Western societies often respond to death salience through avoidance and medicalization, reinforcing defensive strategies described by Terror Management Theory. This project aimed to investigate whether mindfulness can serve as a buffer against death anxiety. A structured literature review was conducted using PsycINFO, PubMed, the Portland State University Library, and Google Scholar between January 2025 and April 2025. One study found that mindfulness moderated the effects of death anxiety on health-related quality of life in people living with HIV. Two experiments linked mindfulness …

Effective And Empowering Psychotherapy For Black Women: A Culturally Adapted Proposed Model, Kaylla A. Jackson

Dissertations

Black women in the United States are a minoritized group that has experienced oppression and suffering explicitly targeting their intersectional and minority identities. The intensity and frequency of stressors result in a negative impact on Black women that prompts a need to cope. Rather than relying on professional mental health care, many Black women rely on their religious and spiritual communities and other cultural and historical methods to cope with stressors. As a field and profession, clinical psychology has been overwhelmingly dominated by White individuals. The profession has a rich history of developing and perpetuating oppressive systems that have ignored …

Of Dolls And Jewels : Keeping As A Strategy Of Care And Belonging, Yuqi Fan

Masters Theses

In this thesis, I will discuss the psychology behind object attachment in the doll-keeping subculture by integrating doll language into contemporary jewelry. I researched the Chinese term “Pi” as an accurate way of explaining how doll-keepers are attached to their dolls. In this 21st century, the widespread use of social media and AI technologies have deepened people's reliance on virtual spaces, leading to emotional detachment in our society. Adopting the concept of “Pi” into contemporary jewelry, which encourages a shift in focus towards external objects, the practice of doll-keeping becomes a form of self-care that compensates for our current loneliness …

“It’S… Complicated:” A Literature Review On The Possibilities Of Using Drama Therapy To Improve Relational Functioning Of Emerging Adults With Complex Trauma, Sarah M. Drapeau

Expressive Therapies Theses

Interpersonal relationships play a crucial and complicated role in the mental well-being and development of emerging adults. Complex trauma has a significant negative effect on relational functioning, which plays an important role in post-traumatic growth, especially for emerging adults. This thesis reviewed current literature to outline the interaction between complex trauma and interpersonal relationships through the developmental lens of emerging adulthood. Empirical studies highlighted emotional (dys)regulation, attachment processes, and self-concept as mediating factors of this interaction. The literature reviewed offered current treatment approaches for this population, with connections that were relevant to drama therapy approaches. The literature showed that drama …

An Adaptive Paradox: Improvised Drama Therapy And Dialectical Behavior For Eating Disorders In Teens, Krystany Taylor

Expressive Therapies Theses

The complexity of treating eating disorders compels professionals to investigate collaborative and integrative approaches to address psychological rigidity and emotional aversion in affected individuals. Mindfulness within Dialectical Behavior Therapy (DBT) and improvisational theater techniques may contribute to advancing emotional flexibility. This thesis study explored spontaneity in expressive therapy and gauged budding adaptive skills related to emotion regulation in minors with eating disorders. At a behavioral health center in Southern California, I held a dual role as a group facilitator and trainee drama therapist; I therein joined DBT and improvised drama therapy methods into a group treatment setting for ages 14 …

Attachment Theory In Adult Romantic Relationships: The Influence Of Childhood Trauma On Adult Attachment Styles And Romantic Relationship Satisfaction, Shelby Bock

Senior Honors Theses

Attachment theory provides a key framework for understanding adult romantic relationships, especially for individuals with a history of childhood trauma. Early adverse experiences, such as emotional abuse and neglect, as well as broader categories of Adverse Childhood Experiences (ACEs), can disrupt attachment development, contributing to insecure attachment styles—anxious or avoidant—that influence relationship dynamics in adulthood. This review synthesizes current literature on how childhood trauma contributes to attachment patterns and emotional intimacy, trust, and relationship satisfaction in adult romantic relationships. It also highlights the role of attachment in mediating the effects of childhood trauma on romantic relationships. Finally, the review proposes …

Psychological Treatment Behind The Walls:Insights From The Inside, Rogelio Serrano

Psychology Division Scholarship

Repeated eras of mass incarceration, criminalization of marginalized communities, and substance use policies have created a revolving door of justice involved populations. The ever-increasing prison population has repeatedly become the largest contingency of mental health clientele for an overburdened mental health system. Those who work with formerly incarcerated individuals in the community often don’t know the unique set of challenges faced by practitioners within the system. Increased understanding and coordination of care can offer opportunities for sustained recovery and reduced levels of recidivism. In this presentation participants will learn about the unique insights on mental health treatment that can be …

Shadows Of Discrimination: Impacts Of Ambient Discrimination On Queer People In The United States, Kayla A. Dufour

Psychology | Senior Theses

People identifying as LGBTQIA2S+ in the United States experience victimization, direct discrimination, and violence at a rate of 2 to 4 times higher than their heterosexual counterparts (Bender & Lauritsen, 2021), leading to higher levels of psychological pain and suicidal ideation, with up to 50% of LGBTQIA2S+ people having suicidal thoughts in their lifetimes. Those who experience ambient discrimination, such as witnessing or being made aware of discriminatory behavior of someone other than oneself in your group, have higher levels of psychological pain, PTSD, and substance use (Peterson et al., 2019). The goal of the present study is to gain …

Personality And How It Relates To Coping Flexibility, Rebecca Kearns

Masters Theses & Specialist Projects

Stressful events, negative emotions, and negative events are all a normal part of life. How we react and cope with these events can reduce the damage stress can have on our mental health and well-being. There are many ways to cope with situations, but not all are considered to be beneficial. The ability to alternate between different coping strategies within a given situation is called coping flexibility. Having high coping flexibility is considered to be healthy and adaptive, but not everyone possesses the ability to flexibly cope with situations. Personality may explain individual differences among coping flexibility. The big five …

Not Strong Enough? The Role Of Resilience In The Development Of Big Five Personality In Adult Survivors Of Childhood Trauma, Erica Treto

Master's Theses or Doctor of Nursing Practice

Childhood trauma is a significant and increasing problem in the United States, with research showing that two-thirds of children have experienced at least one traumatic event before reaching the age of sixteen (SAMHSA, 2023). These events can have severe consequences in adulthood, including impacts on personality. However, there are protective factors, such as resilience, that can help mitigate the negative effects of childhood trauma. Extensive research and discussion have focused on the relationship between childhood trauma and personality, particularly in terms of mental health. However, research has been limited to investigating all Big Five personality traits and childhood traumas along …

The Role Of Social Inequality In The “Feminization” Of Borderline Personality Disorder, Jane Goldie Ekhtman

Dissertations and Theses

Borderline personality disorder (BPD) is a severe and prevalent mental illness that is three times more likely to be diagnosed in women than men. BPD research has attempted to explain this gender disparity, with clinician gender bias emerging as a possible factor. Yet, no research to date has examined the role of social status in the overdiagnosis of women with BPD. There is merit in examining BPD through a class lens as low SES is a risk factor for BPD, poverty and income inequality disproportionately affect women, and low status is associated with stereotypical traits of femininity. Additionally, mental health …

Putative Mechanisms Of Personality Change In Treatment, Hannah Croom

Theses and Dissertations--Psychology

BPD Compass was designed to engage the BPD-relevant traits from the Alternative Model of Personality Disorders in the DSM-5 by targeting putative mechanisms associated with these personality domains: aversive reactivity to engage negative affectivity, attachment insecurity to engage antagonism, and self-efficacy to engage disinhibition. The goal of the present study was to test the associations between putative mechanisms and respective personality traits. We used multilevel structural equation modeling to test if personality domains and putative mechanisms changed in treatment, if changes in putative mechanism were associated with changes in respective personality domain, and if within-person changes in putative mechanisms predicted …

At The Table: Queer Identity And Exploration Through Tabletop Role-Playing Games, Seth Carroll

Antioch University Dissertations & Theses

This study explored the phenomenon of a growing queer subculture within the tabletop role-playing game community. Eight participants, all self-identified members of the LGBTQIA+ community with significant experience playing tabletop role-playing games, were interviewed to better understand their lived experience within this subculture, what draws them to playing tabletop role-playing games, and the personal impacts and meaning they draw from engaging in them. Participants identified as White, between the ages of 23 and 30, and represented a variety of queer identities in both sexuality and gender. Data was analyzed using Interpretative Phenomenological Analysis (IPA) in order to derive six group …

Unraveling The Impact Of Cognitive Test Anxiety On Academic Performance Among Adolescents: The Case Of Minority And Majority Communities, Zulfiqar Ullah Siddiqui, Wael M. F. Abuhassan

An-Najah University Journal for Research - B (Humanities)

Background: Within the Indian society and its many communities, adolescents exhibit a wide range of individual differences, including cognitive abilities, learning styles, and personality traits. These differences can influence how students perceive and cope with test anxiety and related stress. Objective: The primary goal of this research study was to investigate the influence of cognitive test anxiety on academic performance in adolescents from both minority (Muslims) and majority (Hindus) communities in India. Method: Based on descriptive-inferential research design, a sample of 450 students was selected, with 223 students representing the majority community and the remaining 227 students representing the minority …

The Impact Of Race-Related Stress On The Minnesota Multiphasic Personality Inventory (Mmpi-3) Of An African American Community Sample, Cassandra Clayton

Theses and Dissertations

Black Americans have endured profound racial discrimination and systemic injustices rooted in the historical legacy of slavery in the United States. These injustices persist today, permeating various facets of life, such as social interactions, education, politics, legal systems, and employment opportunities. Previous research has explored the cultural ramifications of these experiences, which often lead to race-related stressors and negative impacts on the psychological well-being of Black Americans. However, the exploration of how discrimination and racial stressors impact personality test scores of African Americans, such as on the Minnesota Multiphasic Personality Inventory, 3^rd edition (MMPI-3), is limited. This study investigated …

An Overview Of Borderline Personality Disorder: Etiology, Stigma, And Treatment Approaches, Sofia A. Fernandez

Selected Student Publications

This review of borderline personality disorder (BPD) literature aims to evaluate current clinical and research-based knowledge on the etiology, symptoms, treatment approaches, interpersonal impacts, and stigma that surround the disorder. As borderline personality disorder is a personality disorder that affects a notable percentage of the adult population and is marked by high suicidality, it is a disorder where accurate education and understanding are crucial for clinicians and researchers. By exploring the interaction of biological and environmental factors that may contribute to the development of BPD, this paper highlights the importance of raising awareness and combatting the negative stigma that is …

A Laboratory Evaluation Of The Effects Of Empathy Training On Racial Bias, Victoria D. Suarez, Adel C. Najdowski, Angela Persicke, Jonathan Tarbox

Psychology Division Scholarship

The purpose of the current study was to evaluate the efects of behavioral procedures, including relational training and multiple exemplar training on empathic responding of individuals who display racial bias. In particular, this study used a multielement design with fve adult participants to evaluate whether the presentation of relational frames of coordination and distinction between the participants’ values and the values of a person belonging to a group for which a bias existed altered empathic responses toward people belonging to such groups. The results showed empathic responding was higher when relational frames of coordination were presented and lower when relational …

Personality Profile Of Rural-Dwelling Older Adults With Hoarding Disorder, Mary E. Dozier, Caitlyn A. Nix, Hilary L. Deshong

Journal of Public Health in the Deep South

Hoarding in late life represents a major barrier to aging in place, particularly for rural-dwelling older adults. One risk factor for hoarding disorder in late life may be underlying personality factors. However, there has not yet been an investigation of late life hoarding and possible maladaptive personality factors from the continuous five-factor model perspective in a sample of individuals diagnosed with hoarding disorder. Thus, we evaluated the five-factor personality profiles of older adults enrolled in treatment studies for hoarding disorder in rural Mississippi. Raw scores on the International Personality Item Pool-NEO-60 were converted into categories of Low (<1SD from …

A Brief Values-Based Intervention For Increasing Distress Tolerance In Overcontrol, Katherine Hyde Brott

Graduate Theses and Dissertations

Overcontrol is a transdiagnostic personality syndrome underlying difficult-to-treat psychopathology. Current treatments options are limited, and those that do exist are both cost- and time-prohibitive. Brief interventions are one pathway to improving the care of people with overcontrol. This study had two major aims: (1) evaluate a brief values-based intervention to increase distress tolerance in people with overcontrol and (2) examine the correlates of overcontrol using a novel, theoretically derived transdiagnostic measure of overcontrol. Participants (n = 177) were randomly assigned to one of three conditions: values clarification only, linking values to emotion, or a control condition. They then completed a …

Psychopathy And Moral Decision Making, Dimitra Kourtesi

UNLV Theses, Dissertations, Professional Papers, and Capstones

Since the 1800s, psychopathy has been regarded as the absence of morality. The goal of our study was to explore whether psychopathic traits can affect the moral decision-making process in sacrificial moral dilemmas. Participants completed multiple self-report measures of psychopathic traits, utilitarian tendencies, and 16 sacrificial moral dilemma vignettes. After each hypothetical vignette, participants decided whether they believed it was morally right, permissible, and whether they behaviorally intended to sacrifice one person to save five people. Positive correlations emerged among all variables, which allowed us to perform a mediation analysis. Instrumental Harm – the idea of sacrificing one individual to …

Emotional Reactivity And Recognition Deficits In Individuals With Callous-Unemotional (Cu) Traits: A Multilevel Meta-Analysis, Emily C. Kemp

LSU Doctoral Dissertations

Youth and adults with antisocial behavior present a significant mental health concern. Elevated callous-unemotional (CU) traits, characterized by deficient empathy and remorse, distinguish clinically important subgroups of antisocial individuals who present with more severe behavior and distinct cognitive-affective characteristics that may help to explain the underlying causes of their antisocial behavior and inform more effective treatments. Specifically, two mechanisms theorized to underlie the development of elevated CU traits by way of atypical empathy development are deficient reactivity to and recognition of others’ emotions. Though a substantive literature base reports associations between CU traits and emotional processing deficits, significant inconsistencies remain. …

Training In Trauma-Responsive And Anti-Racist Telehealth: A Model For Behavioral Health Clinicians And Providers, Ritchie Rubio

Psychology Division Scholarship

Telehealth's uptake in behavioral health services has been accelerated by the COVID-19 pandemic. However, many clinicians continue to lack focused training in providing trauma-informed and culturally-responsive telehealth care. This article outlines a model curriculum that was created to instruct and coach behavioral health providers in California on how to integrate anti-racist and trauma-responsive techniques into telehealth. Topics like evidence-based trauma therapies, racial/ ethnic trauma, marginalized communities, digital divide, and provider selfcare were all covered in the nine-part curriculum. Every three-hour session included evidence-informed didactic content, telehealth skills practice, and concrete planning for implementation. Trauma-responsive frameworks such as the tri-phasic model …

The Rainbow Wave: Rethinking Lgbtq Representation In Psychedelic-Assisted Therapy Research, Tyler King

University Honors Theses

This thesis critically evaluates the representation and inclusivity of LGBTQ+ populations in psychedelic-assisted psychotherapy (PAT) research from 2000 onwards, amidst the resurgence of interest in psychedelics for mental health treatment. Through a quantitative analysis of published studies, it investigates the prevalence and depth of gender identity and sexual orientation data collection, revealing a significant gap in demographic data pertinent to these populations. This research aims to highlight the ethical and scientific necessity for more inclusive study designs that incorporate the unique psychological experiences and needs of LGBTQ+ individuals. Recommendations are proposed for enhancing inclusivity in research methodologies, including organizational buy-in, …

Making Deception Fun: Teaching Autistic Individuals How To Playfriendly Tricks, Adel Naj, Megan St. Clair, Kacie Massoudie, Jonathan Tarbox, Lauri Simchoni, Marianne Jackson, Angela Persicke

Psychology Division Scholarship

Perspective taking is a critical repertoire for navigating social relationships and consists of a variety of complex verbalskills, including socially adaptive forms of deception. Detecting and being able to use socially adaptive deception likelyhas many practical uses, including defending oneself against bullying, telling white lies to avoid hurting others’ feelings,keeping secrets and bluffing during games, and playing friendly tricks on others. Previous research has documented thatsome Autistic1 children have challenges identifying deception and playfully deceiving others (Reinecke et al., 1997). Thecurrent study employed a multiple baseline across participants design to evaluate the use of multiple exemplar training, rules,modeling, practice, and …

Music As A Coping Mechanism: Clinical Implications Of How College Students Utilize Music To Cope With Anxiety, Depression, And Daily Stressors, Karly Pikel

Senior Theses

Many college students face stress, anxiety, and/or depression in their daily lives which they cope with in their own ways. Listening to music or playing an instrument are particularly powerful forms of coping that can have a plethora of positive effects on an individual. The purpose of this study was to conduct a survey amongst the University of South Carolina student body to determine how they utilize music to cope in their daily lives. Of 847 respondents, almost all of them reported experiencing some extent of anxiety and/or stress and listening to music to help them cope. Respondents agreed that …

At The Intersection Of Religion, Spirituality, And Clinical Psychology: A Conversation With Two Jewish Psychologists, Robert A. Demayo, David A. Levy

Psychology Division Scholarship

This article presents a dialogue between two Jewish psychologists who share their respective personal and professional journeys on how spirituality and religious affiliation impacts their work as clinicians. They address the following questions: How would you identify your cultural background with respect to your religious or spiritual history and identity? How do you manage the competing demands of respecting both individual cultural identity and group cultural identity? How did your early experiences with Judaism influence your professional practice? What were your earliest academic influences on the question of spirituality in psychology? How have religion and spirituality manifested in your clinical …