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Antioch University

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Full-Text Articles in Clinical Psychology

The Rorschach’S (R-Pas) Capacity To Predict Quality Of The Working Alliance, Jordan G. Stewart Jan 2019

The Rorschach’S (R-Pas) Capacity To Predict Quality Of The Working Alliance, Jordan G. Stewart

Antioch University Dissertations & Theses

The aim of this study was to explore the Rorschach’s ability to predict the working alliance by investigating associations between specific Rorschach Performance Assessment System (R-PAS) variables and the Goals, Tasks, and Bonds dimensions of the Working Alliance Inventory (WAI). Specific R-PAS variables were chosen based their theoretical relatedness to the three dimensions of the WAI. The linear multiple regression results trended toward significance within the Goals domain, with the Human Movement Proportion score (M/MC) significantly predicting individual’s initial WAI Goals scores, indicating that individuals who possibly have difficulty modulating their emotions and tend to be more reactive in their …

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“We’Re Together”: An Exploration Of Interracial Couples’ Perceptions Of Support And Relational Therapy, Maxine Notice Jan 2019

“We’Re Together”: An Exploration Of Interracial Couples’ Perceptions Of Support And Relational Therapy, Maxine Notice

Antioch University Dissertations & Theses

Interracial couples in the United States experience disproportionate amounts of adversity throughout their relationships. Backlash for loving interracially results in denied access to supportive systems, which literature indicates occurs commonly between micro and macro systems. Using ecological systems and narrative theories, a mixed methodological study was conducted using the Fragile Families Child and Wellbeing study to explore participant’s use of relational therapy and perceptions of access support systems. Subsequently, sixty interracial couple members completed a survey expressing perceptions of relational therapy, and the influence of support systems on their usage. Results indicate interracial and same-race couples attend relational therapy at …

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Growth After Developmental Trauma: A Co-Constructed Story, Naydine Johney Jan 2019

Growth After Developmental Trauma: A Co-Constructed Story, Naydine Johney

Antioch University Dissertations & Theses

In this study, I explored post-traumatic growth as embedded in a co-constructed healing relationship between a trauma survivor and a “mentor” who has been instrumental to their recovery. It is widely known that people who are resilient in overcoming early adverse childhood experiences have had someone in their corner who believed in them. In a separate, but related body of literature, there are similarly well-documented benefits for those who have the chance to make a difference in a survivor’s life, including for example: relatives, educators, and therapists. To date, we still don’t know if survivors and their mentors hold the …

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Women’S Lived Experiences Of Gender Microaggressions: Dental Hygienists’ Stories, Karin E. Hovey Jan 2019

Women’S Lived Experiences Of Gender Microaggressions: Dental Hygienists’ Stories, Karin E. Hovey

Antioch University Dissertations & Theses

This dissertation presents research involving women’s subjective experiences of gender microaggressions. The introduction includes a review of the literature on microaggressions: (a) the types of microaggressions, (b) the emotional and psychological cost to those who experience microaggressions, and (c) how gender microaggressions against women work to maintain oppression and sexual objectification of women in American society. This current research addresses the knowledge gap created by little research on women’s lived experiences of gender microaggressions they encounter in their everyday lives, particularly in the workplace. The population studied was dental hygienists. This population is unique because of the disproportionate number of …

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Computer Multitasking In The Classroom: Training To Attend Or Wander?, Elizabeth A. Rogers Jan 2019

Computer Multitasking In The Classroom: Training To Attend Or Wander?, Elizabeth A. Rogers

Antioch University Dissertations & Theses

This study aimed to examine the phenomenon of Psy.D. students’ multitasking on the computer while in the classroom. Using an online survey of 45 questions, the study invited Psy.D. students from across the US to answer questions pertaining to their non-class-related use of computers in the classroom, including an exploration of their relationship with computers and the internet, feelings and judgments regarding multitasking in the classroom, and opinions on the behavior and its potential impact on their profession. A total of 166 people visited the survey with 145 respondents who answered it to completion. Of the 145 participants, 86% (125) …

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Sexual Dysfunction: Providers’ Willingness To Ask Lgbq Veterans About Their Sexual Functioning, Melanie A. Brayman Jan 2019

Sexual Dysfunction: Providers’ Willingness To Ask Lgbq Veterans About Their Sexual Functioning, Melanie A. Brayman

Antioch University Dissertations & Theses

The prevalence of sexual dysfunction (SD) in veterans is high when compared to the general population because of its relationship to physical and mental health issues endured while serving their country (Hosain, Latini, Kauth, Goltz, & Helmer, 2013). Research has mainly concentrated on male, heterosexual veterans with SD and very little research has explored lesbian, gay, bisexual, and queer (LGBQ) veterans’ experiences. This is concerning considering research indicates that LGBQ veterans’ sexual minority status adds unique stressors such as fear of disclosing identity, fear of stigma, and internalized homophobia in addition to the stresses that occur from being in the …

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Therapist Attachment And Meaning-Making In Adolescent Residential Treatment, Lisa J. Milone Jan 2019

Therapist Attachment And Meaning-Making In Adolescent Residential Treatment, Lisa J. Milone

Antioch University Dissertations & Theses

This qualitative study explores therapist views of the therapeutic relationship in adolescent residential treatment from an attachment perspective. The therapeutic relationship is a strong predictor of outcomes in adult psychotherapy and a significant body of research has relied on the attachment literature to understand its importance. Research yields comparable results when examining the significance of the therapeutic relationship with children and adolescents; however, there is virtually no literature exploring it from the attachment lens. This is particularly notable for children and adolescents in residential treatment. As treatment intensity increases from outpatient to inpatient to residential, challenges and opportunities within the …

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Linguistic Issues In Culturally Sensitive Assessment: A Rorschach Case Study, Lauren M. Weisberg Jan 2019

Linguistic Issues In Culturally Sensitive Assessment: A Rorschach Case Study, Lauren M. Weisberg

Antioch University Dissertations & Theses

The Rorschach Inkblot Test (“Rorschach”) has historically been viewed as a culturally sensitive assessment instrument because it utilizes nonverbal stimulus cards (Meyer, Viglione, Mihura, Erard, & Erdberg, 2011). As a result, it has been considered a more appropriate assessment tool for bilingual and multilingual patients than assessments which rely heavily on verbal language. However, there are no evidence-based practice recommendations for Rorschach assessment of bi- and multilingual patients, despite the incredible linguistic diversity in the United States and the widespread use of the Rorschach. This dissertation includes a case study of a multilingual French–Israeli immigrant who was admitted to an …

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The Experience Of Relapse After Long-Term Sobriety And Subsequent Return To Sobriety, Bahram Edward Kaikhosrow Shahrokh Jan 2019

The Experience Of Relapse After Long-Term Sobriety And Subsequent Return To Sobriety, Bahram Edward Kaikhosrow Shahrokh

Antioch University Dissertations & Theses

While psychiatric medications have been categorized as the same as substances of abuse in Alcoholics Anonymous (AA), medications for common medical disorders were not affected by this disapproval of medication. It may be time for a new dialogue (Woody, 2015). According to Gjersing and Bretteville (2018), there has been a concerning increase in overdose deaths in the last decade. This includes a threefold increase in overdose deaths from prescription narcotics and six-fold increase in overdose deaths from heroin in the United States. When prescription opioid users find difficulty in obtaining pills, they may move on to heroin, which is much …

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Forgotten Victims: Understanding Latino/A Non-Offending Parents Of Sexually Abused Children, Alba Rocio Andrade Jan 2019

Forgotten Victims: Understanding Latino/A Non-Offending Parents Of Sexually Abused Children, Alba Rocio Andrade

Antioch University Dissertations & Theses

Childhood sexual abuse is widely condemned by society and religion (Roesler & Wind, 1994; McCallum, 2001). Nevertheless, it is estimated that approximately one in three girls and one in six boys are sexually abused by the time they turn 18 years old (Stauffer and Deblinger, 1996). This trauma affects the victim as well as other members of the family including the non-offending parent(s). However, services are often provided only to the victimized child, which overlooks the needs of the non-offending parents. The existing body of research into the stressors experienced by non-offending parents typically is focused on non-offending parents of …

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The Lived Experience Of Low-Income Single Mothers In The U.S. And The Effects Of Nature As A Psychotherapeutic Tool In Their Treatment, Suzanne L. Frost Jan 2019

The Lived Experience Of Low-Income Single Mothers In The U.S. And The Effects Of Nature As A Psychotherapeutic Tool In Their Treatment, Suzanne L. Frost

Antioch University Dissertations & Theses

This dissertation describes current research on the lived experience of low-income single mothers and explores the potential validity of utilizing exposure to natural settings as a psychotherapeutic intervention for this population. In 2014, 4,764,000 single mothers in the U.S. were living in poverty. A large percentage of this population suffers from poverty, hunger, social stigma, as well as mental illnesses associated with these conditions, such as anxiety, stress, and depression. A qualitative influential research study was performed that included interviews with eight low income White single mothers and one Biracial Turkish and Chaktau Native American low-income single mother in predominantly …

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Mothers’ Religious Influence On Children Experiencing Trauma: Haiti Community Clinic Focus Groups, Ashland C. Thompson Jan 2019

Mothers’ Religious Influence On Children Experiencing Trauma: Haiti Community Clinic Focus Groups, Ashland C. Thompson

Antioch University Dissertations & Theses

An earthquake measuring 7.0 on the Richter scale hit Haiti on January 10th, 2010. The earthquake, an urgent crisis, occurred in the context of persistent social dysfunctions, amplifying both the chronic poor living conditions and adversities for children and families. The purpose of the study was to enquire into the possible ways children in Haiti are socialized by the religiousness and other coping ways of their mothers and caretakers in the childhood contexts of societal and continuous trauma. Participants were Haitian mothers (N = 27) who participated in three focus groups that were conducted in their location of residence: Canaan-Damien …

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Emerging Adults’ Experiences Of Agency In Higher Education Decisions, Leah B. Benjamin Jan 2019

Emerging Adults’ Experiences Of Agency In Higher Education Decisions, Leah B. Benjamin

Antioch University Dissertations & Theses

Over the past several decades, there has been a cultural shift impacting the experience of individuals in their late-teens to mid-20s in the United States. These individuals undergo a time of “cultural limbo,” during which the lines between adolescence and adulthood are blurred. The term emerging adulthood describes this distinct developmental period, which fits within the context of Erikson’s preexisting stages of psychosocial development (Arnett, 2014). A challenge for emerging adults is coming to terms with some of their more adult-like responsibilities in life. This requires making complex decisions that will impact their lives for many years to come, such …

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Introducing Shame Resilience To Women Who Struggle With Complex Trauma And Substance Abuse, Kirsten R. Robertson Jan 2019

Introducing Shame Resilience To Women Who Struggle With Complex Trauma And Substance Abuse, Kirsten R. Robertson

Antioch University Dissertations & Theses

The relationship between shame and trauma has been documented in research beginning as early as the 19th century. Not until the second half of the 20th century did extensive research clearly define both trauma and shame, with the addition of Posttraumatic Stress Disorder (PTSD) as an official diagnosis in the field of mental health. Many researchers and clinicians believe an additional diagnosis should be added to the list of trauma-related mental health diagnoses—one that includes repeated traumatic experiences during childhood. Despite the known relationship between shame and various traumatic experiences, direct shame interventions have yet to find a place in …

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The Cost Of Comforting: Phenomenological Study On Burnout Among Marriage And Family Therapists In Community Settings, Steven Razo Apr 2018

The Cost Of Comforting: Phenomenological Study On Burnout Among Marriage And Family Therapists In Community Settings, Steven Razo

Antioch University Dissertations & Theses

Burnout is best defined as a condition consisting of symptoms of emotional exhaustion, depersonalization, and reduced personal accomplishment (Maslach, 1982). It has been characterized as a process that develops through a variety of work and individual factors. Furthermore, it has been shown to impact one’s career, physical health, and mental well-being. Much of the literature on burnout has been studied on psychologists, psychiatrists, and social workers, with a paucity of studies focused on marriage and family therapist (MFTs). The lack of burnout literature on MFTs is in spite of their employment in many diverse clinical settings. The purpose of this …

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Early Adversity And Executive Dysfunction In Children With Attention Deficit Hyperactivity Disorder, Jennifer Amato Jan 2018

Early Adversity And Executive Dysfunction In Children With Attention Deficit Hyperactivity Disorder, Jennifer Amato

PsyD Program in Clinical Psychology Doctoral Dissertations (New England)

This dissertation was designed to inform the existing literature gap regarding variability in Executive Dysfunction on neuropsychological assessment tasks in children with attention deficit/hyperactivity disorder (ADHD). The two primary objectives of the study included: (a) evaluation of the relationship between number of adverse childhood events (ACEs) and performance on neuropsychological tasks of executive functions (EF; as measured by neuropsychological test results on Color–Word Interference, Verbal Fluency, Trail Making Test, and Semantic Clustering) for children with ADHD; and (b) evaluation of the relationship between number of ACEs and behavioral impairment on parent ratings of EFs (as measured by the Inhibit, Task …

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Back On The Block: Spousal Transitional Difficulties In Military Retirement, Rhianna Kelsey Flohr Jan 2018

Back On The Block: Spousal Transitional Difficulties In Military Retirement, Rhianna Kelsey Flohr

PsyD Program in Clinical Psychology Doctoral Dissertations (New England)

Service members who serve active duty for 20 years qualify for military retirement with retired pay. This study examined whether sociodemographic and clinical factors are associated with higher levels of transitional difficulty in spouses of retired military service members following at least 20 years of active duty service. Veteran research has shown that a variety of sociodemographic and clinical factors influence the ease with which the service member transitions back into a civilian lifestyle. Factors contributing to greater transitional difficulties for veterans include: (a) experience of a traumatic event, (b) probable post-traumatic stress disorder (PTSD), (c) race and ethnicity, (d) …

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Attitudes Of Clinical Psychologists Towards The Reporting Of Nonhuman Animal Abuse, Laetitia Geoffroy-Dallery Jan 2018

Attitudes Of Clinical Psychologists Towards The Reporting Of Nonhuman Animal Abuse, Laetitia Geoffroy-Dallery

Antioch University Dissertations & Theses

Research consistently demonstrates that nonhuman animals are capable of cognition and complex emotions, but their legal status in the United States remains similar to that of property. As such, they are not protected under laws mandating psychologists to report suspicions of abuse of populations that are judged to be vulnerable and unable to protect themselves, such as children, the elderly and people with disabilities (American Psychological Association [APA], 2010). Findings from previous research suggest that animal abuse is a relatively common topic encountered in therapy and the majority of clinicians are in favor of allowing voluntary reporting of nonhuman animal …

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Delirium Predicts Three-Month Mortality In Critically Ill Patients: A New Model, Katharine E. Hartnack Jan 2018

Delirium Predicts Three-Month Mortality In Critically Ill Patients: A New Model, Katharine E. Hartnack

Antioch University Dissertations & Theses

Delirium is a neurocognitive disorder defined as an acute disturbance in attention, awareness, and cognition with a fluctuating course not better explained by a preexisting condition (American Psychiatric Association, 2013). It is prevalent in up to 70% of hospital patients and 82% of patients in the intensive care unit (ICU; Ely, Speroff, Gordon, & Bernard, 2004; Kavanagh & Gottfried, 2007; Mcnicoll, Pisani, Ely, Gifford, & Inouye, 2005). The impact of delirium on mortality is inconsistent in the literature. Many studies have concluded that delirium prevalence is associated with increased risk of mortality (Cole, 2004; Kavanagh & Gottfried, 2007; Moskowitz et …

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Equine-Facilitated Therapy: An Adjunct Treatment For Pre-Adolescent Girls With Adhd, Maya E. Michel Jan 2018

Equine-Facilitated Therapy: An Adjunct Treatment For Pre-Adolescent Girls With Adhd, Maya E. Michel

Antioch University Dissertations & Theses

This study examined the potential impact of equine-facilitated therapy (EFT) as an adjunct treatment for pre-adolescent girls with attention deficit hyperactivity disorder (ADHD). Research on EFT has shown some promise in helping children develop a sense of self and greater awareness of their behavior and body language. It has also shown potential for increasing externalizing and internalizing behaviors. The rationale behind the use of EFT with children with ADHD is that by taking part in an EFT program, they will receive immediate feedback on their behavior and will therefore experience an increase in attentional control and a decrease in impulsivity. …

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Proactive Stress Management For Firefighters, Amanda M. Mead Jan 2018

Proactive Stress Management For Firefighters, Amanda M. Mead

Antioch University Dissertations & Theses

Firefighters in the United States face significant risks as they serve their communities. Despite research that has thus far demonstrated the benefits of proactive coping strategies, and a previously suggested need for a proactive stress management program for firefighters, no such program has yet been implemented or evaluated specifically for firefighters. The purpose of this dissertation was to research stress and stress management using qualitative interviews with New Hampshire and Arizona firefighters to inform the development of a future primary prevention program (proactive stress management) to this at-risk population. Results yielded themes of sleep deprivation, stigma, protectiveness, mental health, lack …

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Sibling Survivors Of Suicide: A Retrospective Exploration Of Familial Attachment During Bereavement, Mark Macor Jan 2018

Sibling Survivors Of Suicide: A Retrospective Exploration Of Familial Attachment During Bereavement, Mark Macor

Antioch University Dissertations & Theses

The following qualitative study retrospectively explored the adolescent experiences and reactions of adult survivors to their loss of a sibling to suicide. The study employed Interpretative Phenomenological Analysis (IPA) to inform subsequent interpretation of interview data collected from a sample of five adult sibling survivors of suicide. Criteria for an individual’s participation included being of at least 25 years old at the time of the interview and that they experienced the loss of a sibling to suicide while they themselves were between the ages of 12 and 21 years old. Participant responses to an attachment self-report measure—Attachment Style Questionnaire (Feeney, …

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The Experience Of “Cool”: A Qualitative Exploration, Kristen Lauer Jan 2018

The Experience Of “Cool”: A Qualitative Exploration, Kristen Lauer

Antioch University Dissertations & Theses

This qualitative study explored the phenomenological experience of cool as retrospectively reported. I proposed cool as a phenomenological concept and advocate for the consideration of cool as relevant to clinical psychology through first, a literature review of related academic research and second, by identifying the information gap around cool as it intersects with clinical psychology. I utilized Interpretative Phenomenological Analysis (IPA) to inform analysis and exploration of participant narrative responses collected through an online survey. Participants consisted of 25 individuals between the ages of 18 and 25 who endorsed having experienced cool at some point in their life. In sharing …

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Emotional Self-Regulation And Management Of Disruptive Behaviors In Schools, Erin Hopkins Jan 2018

Emotional Self-Regulation And Management Of Disruptive Behaviors In Schools, Erin Hopkins

Antioch University Dissertations & Theses

This study investigated the relationship between teachers’ emotional regulation skills and their management of students’ disruptive behaviors. Teaching is an emotionally demanding job made significantly more stressful by the time and resources required to handle dysregulated and non-compliant students in the classroom. Unfortunately, the current disciplinary practices in many schools fail to support teachers in more effectively managing problematic behaviors. While some teachers appear to be skilled at diffusing an escalating classroom conflict, little is known about what distinguishes them from their more overwhelmed peers. This study sought to determine if there was a relationship between the teacher’s own capacity …

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Latent Structure Of The Wisconsin Card Sorting Test In Psychiatrically Hospitalized Youth, Jane S. Studeny Jan 2018

Latent Structure Of The Wisconsin Card Sorting Test In Psychiatrically Hospitalized Youth, Jane S. Studeny

Antioch University Dissertations & Theses

The aims of this study were to explore the latent factor structure of WCST performance in psychiatrically hospitalized youth, and to investigate associations between latent factors and various psychiatric, psychological, and neuropsychological variables. The results revealed a three-factor solution that is broadly attributed to executive abilities of problem solving, cognitive flexibility, and inhibitory control. The resulting three-factor solution accounted for 96% of the variance in the present study’s sample, and was comparable to results from similar studies in adult populations. Latent factors were associated with performance on a brief test of intelligence as well as to several measures of executive …

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Minority Stress, Same-Sex Couples, And Marriage Equality: A Qualitative Interview Study, Angela Lee-Attardo Jan 2018

Minority Stress, Same-Sex Couples, And Marriage Equality: A Qualitative Interview Study, Angela Lee-Attardo

Antioch University Dissertations & Theses

In June 2015, the marriage equality movement in the United States succeeded at the federal level. This study documents individuals’ perceptions of how the fight for marriage equality affected their thoughts, feelings, and behaviors within their own marriages to same-sex spouses. I conducted interviews with eight married individuals (five men and three women) who were married prior to the Supreme Court decision legalizing same-sex marriage nationwide. Areas of inquiry included (a) motivation to get married, (b) factors affecting commitment, (c) willingness to utilize couple therapy, and (d) factors affecting thoughts about divorce. I hypothesized that, for some individuals or couples, …

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Monitoring Psychiatric Patients’ Preparedness For Hospital Discharge, Carrie Olsen Hennessy Jan 2018

Monitoring Psychiatric Patients’ Preparedness For Hospital Discharge, Carrie Olsen Hennessy

Antioch University Dissertations & Theses

This mixed method study piloted a newly developed tool for monitoring preparedness among youth discharged from New Hampshire Hospital (NHH) and explored its influence on hospital discharge planning and follow-up care. This study spotlighted psychosocial variables in readmission risk for a psychiatric population and introduced a conceptualization of preparedness that included patient understanding of their discharge plan, as well as hope for change and supportive relationships. Quantitative methods were used to examine the relationship between aftercare and hospital readmission and further to explore the relationship between patient preparedness and readmission, as well as adverse events experienced post-discharge. Qualitative methods were …

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Can Podcast Listening Influence Attitudes About Mental Illness?: An Exploratory Study, Samuel B. Nathan Jan 2018

Can Podcast Listening Influence Attitudes About Mental Illness?: An Exploratory Study, Samuel B. Nathan

Antioch University Dissertations & Theses

Mental illness (MI) is a major problem in the United States, with significant economic, emotional, and physical impacts on individuals with MI, their loved ones, and their employers. Many of those who could benefit from treatment do not seek it out, despite the researched benefits of mental health care. The self-stigma (SS) associated with MI is a well-documented obstacle to help-seeking behavior. Mental health professionals have tried, with mixed results, to combat SS and encourage help-seeking. Individuals with MI have found and supported one another, forming a community and successfully advocating for reforms to the mental health system. Contemporary peer …

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Nonmonogamous Clients’ Experiences Of Identity Disclosure In Therapy, Viktoriya Fuzaylova Jan 2018

Nonmonogamous Clients’ Experiences Of Identity Disclosure In Therapy, Viktoriya Fuzaylova

Antioch University Dissertations & Theses

Presented is a qualitative phenomenological investigation of the experiences and perspectives of individuals who self-identify as consensually nonmonogamous regarding disclosure of that identity in psychotherapy. Members of this rarely-studied group (n=10) shared their accounts through an anonymous open-ended online questionnaire. Their prompted autobiographical accounts were analyzed for recurring themes and unique concepts which were drawn together into a model of disclosure of a nonmonogamous identity in a therapeutic setting. This model suggests that while nonmonogamous clients expect prejudice from their therapists, their desire for personal integrity and their culturally informed conviction that openness is necessary for best results, often leads …

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Case Study Of The Four-Year Neuropsychological Changes In An Elderly Male With Possible Chronic Traumatic Encephalopathy, Patrick Martin Jan 2018

Case Study Of The Four-Year Neuropsychological Changes In An Elderly Male With Possible Chronic Traumatic Encephalopathy, Patrick Martin

Antioch University Dissertations & Theses

Research demonstrates that the brain's response to Traumatic Brain Injury (TBI) is variable with age and the effects of TBI on the elderly are a critical and global public health concern, from both a medical and a neuropsychological perspective. Currently, there is scant research on the effects of TBI, including Chronic Traumatic Encephalopathy (CTE), on the elderly. Specifically, there is a paucity of literature regarding longitudinal neuropsychological changes in elderly post- TBI individuals. This dissertation will present a Single Case Research Design (SCRD) analysis of an elderly individual with possible Chronic Traumatic Encephalopathy and the associated neuropsychological changes over 49-months. …

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