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Antioch University

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Full-Text Articles in Clinical Psychology

Loneliness And Perceived Stigmatization Among Older Adults Enrolled In Opiate Substitution Treatment Programs And The Utilization Of Mental Health Services, Jennifer B. Armstrong Jan 2015

Loneliness And Perceived Stigmatization Among Older Adults Enrolled In Opiate Substitution Treatment Programs And The Utilization Of Mental Health Services, Jennifer B. Armstrong

Antioch University Dissertations & Theses

Little research has examined the role that loneliness and perceived stigmatization play in the decision to seek mental health services among older adults enrolled in opiate substitution treatment. Researchers studying this at-risk population have called for more studies to examine services that can be implemented within current opiate substitution treatment settings. This study advances research in the field by utilizing standardized self-report measures to examine the relationship between loneliness, perceived stigmatization, and the impact of said variables on the utilization of available mental health services among older adults enrolled in opiate substitution treatment programs. Ninety-four 50-71-year-old adults from an opiate …

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Solutions For Recruitment And Retention Of Rural Psychologists By Rural Psychologists, Beth Briggs Jan 2015

Solutions For Recruitment And Retention Of Rural Psychologists By Rural Psychologists, Beth Briggs

Antioch University Dissertations & Theses

There are too few mental health providers to meet the needs of residents of rural communities. Rural inhabitants often present for treatment with severe symptoms, high risk for suicide, comorbid chronic health conditions, and socioeconomic stressors. It is difficult to recruit psychologists to rural communities due to limited training in rural psychology, financial barriers to sustaining a practice, frequent ethical dilemmas posed by small towns, and limited cultural amenities. While there is a significant amount of scholarly literature describing the needs of this population and the challenges of maintaining a practice in such geographic regions, there is scarce literature on …

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The Understanding And Promotion Of Resilience In College Students, Jorie Pollak Himmel Jan 2015

The Understanding And Promotion Of Resilience In College Students, Jorie Pollak Himmel

Antioch University Dissertations & Theses

Transitioning to college can be hard for many adolescents and emerging adults. The field of psychology has long asked the question, “What helps a person cope with transition and with stress in general?” Research has shown that resilience plays a key role. In recent years there has been a growing interest among psychologists in the concept of resilience, and most importantly in the cultivation of it as both a trait and a learnable skill. Despite this interest in the development and cultivation of resilience, resilience research to date has neglected to explore the ways in which emerging adults understand resilience …

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Haitian Children's House-Tree-Person Drawings: Global Similarities And Cultural Differences, Abimbola Afolayan Jan 2015

Haitian Children's House-Tree-Person Drawings: Global Similarities And Cultural Differences, Abimbola Afolayan

Antioch University Dissertations & Theses

The issues of rising terrorism, violence, and scarcity of basic needs will increase in the coming decades, and children that need psychological services in disaster areas around the world will also increase (Alim, 2008). The study utilized the House-Tree-Person (HTP) projective test to examine the adaptation and maladaptation of Haitian children who lived in extreme urban poverty, broken infrastructure, and relocation camps in the aftermath of the 2010 earthquake. The 43 participants of the original archived data set provided 129 protocols of house, tree, and person drawings (Roysircar & Colvin, 2015). Out of that dataset, the present study used 39 …

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Therapeutic Horseback Riding With Military Veterans: Perspectives Of Riders, Instructors, And Volunteers, Leslie Lafleur Jan 2015

Therapeutic Horseback Riding With Military Veterans: Perspectives Of Riders, Instructors, And Volunteers, Leslie Lafleur

Antioch University Dissertations & Theses

Statistics reveal that over 353,000 military members have been diagnosed with PTSD and/or TBI resulting from war-related activities. With the rising number of war stress injuries, there have not been enough psychotherapeutic services to meet the current demand for the care of returning veterans from Iraq and Afghanistan. Although some intervention strategies have been deemed successful, the current standards of care (e.g., exposure therapy, cognitive therapy) are limited by training inadequacies, accessibility, and outcomes (e.g., retention, early drop out, resistance, non-responsiveness). Furthermore, it is unclear whether these treatments are efficacious in addressing the unique symptom presentations of this population. The …

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Assessing Suicide Risk Scores As A Predictor Of Suicidal Behaviors In A Correctional Psychiatric Facility, Janice Rice Jan 2015

Assessing Suicide Risk Scores As A Predictor Of Suicidal Behaviors In A Correctional Psychiatric Facility, Janice Rice

Antioch University Dissertations & Theses

This study evaluated suicide risk assessments in a correctional psychiatric setting. It considered whether clinicians’ judgment of suicide risk predicted future suicidal behaviors in seriously mentally ill prisoners. Data analysis did not show that higher suicide risk scores predicted more suicidal behaviors, nor did it show that suicide risk scores differentiated multiple attempters, or those who went on to attempt suicide or self-harm two or more times in the three years following the assessment. Study data did, however show that suicide risk scores significantly differentiated those who went on to attempt suicide or self-harm at least once in the three …

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Short-Term Attachment Outcomes Of Infants In The Child Welfare System, Tracy Markowitz Jan 2015

Short-Term Attachment Outcomes Of Infants In The Child Welfare System, Tracy Markowitz

Antioch University Dissertations & Theses

Children with prenatal substance exposure are often born into families of low socio-economic status, low educational level, and with restricted access to health services. Pregnant substance-using mothers tend to reject, neglect, and generally misattune to their infant children. These environmental risk factors increase the likelihood of negative developmental outcomes such as poor academic performance, externalizing behaviors, and an insecure attachment style. In compliance with the Child Abuse Prevention and Treatment Act and the Adoption and Safe Families Act, Child Welfare Services often places at-risk infants into traditional or kinship foster care placements. This study looked at how placement type and …

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Racial/Ethnic Status And Perceived Stigma For Breastfeeding In Public, Nicole I. Medina-Shewey Jan 2015

Racial/Ethnic Status And Perceived Stigma For Breastfeeding In Public, Nicole I. Medina-Shewey

Antioch University Dissertations & Theses

The World Health Organization recommends babies be exclusively breastfed for at least six months. However, the Centers for Disease Control reported that only 18.8% of American mothers exclusively breastfed their children to six months in 2014. Past studies have indicated that Minority women breastfeed at rates lower than Caucasian women. The current study aimed to determine if perceived stigma associated with breastfeeding in public is a possible factor in this phenomenon. It utilized a hardcopy and online version of a survey that was distributed at Women Infant Children’s (WIC) offices in New Hampshire and online breastfeeding support groups. The sample …

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Survey Of Compassion Fatigue Education In Apa-Accredited Clinical And Counseling Psychology Programs, Marissa Joy Scroggins Jan 2015

Survey Of Compassion Fatigue Education In Apa-Accredited Clinical And Counseling Psychology Programs, Marissa Joy Scroggins

Antioch University Dissertations & Theses

The purpose of this study was to examine the present state of compassion fatigue (CF) education in APA-accredited clinical and counseling doctoral level training programs. It also sought to identify the number of training programs that require CF training or offer it as optional, attempted to discern the type of setting in which it is taught (class, supervision, etc.), as well as identified some of the reasons why it may not have been included (cost, time, interest, etc.) in programs without CF training. A researcher-developed survey was designed and consisted of a mixture of yes/no and multiple choice questions. Program …

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Designing A Data-Tracking System For A Private Therapeutic Day School, Olin J. Bittner Jan 2015

Designing A Data-Tracking System For A Private Therapeutic Day School, Olin J. Bittner

Antioch University Dissertations & Theses

The Children's Institute on Mercer Island (CHILD) is a private therapeutic day school in the Seattle area serving students in elementary and secondary education. Their stated mission is to "provide innovative school programs and therapies that promote social, emotional and academic development for children with special needs." In the fall of 2012 they engaged in a program evaluation that in many respects resembles a needs assessment in order to explore and improve aspects of their functioning. Through preliminary evaluation processes, including dialogue with CHILD's Leadership Team and a survey of internal stakeholders, an area of interest in student mental health …

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Is There A Relationship Between Alcohol/Drug Counselor's Strength Of Belief In The Disease Concept Of Addiction And Burnout?, Dan D. Dodd Jan 2015

Is There A Relationship Between Alcohol/Drug Counselor's Strength Of Belief In The Disease Concept Of Addiction And Burnout?, Dan D. Dodd

Antioch University Dissertations & Theses

This study examined the association between substance abuse counselors’ (a) level of burnout and strength of belief in the disease concept of addiction, (b) level of burnout and recovery status, and (c) recovery status and strength of belief in the disease concept. Participants were recruited via a purposive convenience survey sampling method of counselors who were certified Chemical Dependency Professionals (CDPs) or Chemical Dependency Professional Trainees (CDPTs) who were employed in substance use disorder outpatient treatment facilities. A total of 130 surveys were distributed of which 72 were returned giving a 55% response rate. Six surveys were removed due to …

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Treatment Decision Making In The Postpartum Period: Examining Women’S Preferences And Perspectives, Jenessa Danielle Deleault Jan 2015

Treatment Decision Making In The Postpartum Period: Examining Women’S Preferences And Perspectives, Jenessa Danielle Deleault

Antioch University Dissertations & Theses

This research study aims to understand the medical decision-making process for new mothers who may be experiencing depression, anxiety, or psychological distress following birth, and understanding their treatment preferences. This study replicates one by Patel and Wisner (2011), and was developed from their suggestions in further research. The goal was to replicate the methodology with a more diverse sample of new mothers. The study reviews recent literature on postpartum depression and anxiety, including, symptoms, etiology, risk factors, the impact on family functioning and child development, as well as the literature on medical decision-making. The Decisional Conflict Scale, the Problem-Solving Decision …

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Fostering Connections: Group Therapy For Young Women Aging Out Of Foster Care, Meaghan Elizabeth Pilling Jan 2015

Fostering Connections: Group Therapy For Young Women Aging Out Of Foster Care, Meaghan Elizabeth Pilling

Antioch University Dissertations & Theses

The following dissertation outlines a group intervention designed to improve the relational and mental health of female emerging adults who have aged out of foster care. It is argued through review of the literature that emerging adulthood is a unique developmental phase in which relational connections are vital to successful transition to adulthood. Female emerging adults who have aged out of foster care frequently lack these social supports; their isolation renders them particularly vulnerable to psychological and interpersonal problems. Therefore, a mentoring component might be valuable to this population and is included in the current intervention. Included in the following …

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Evaluating An Organization's Response To Vicarious Trauma In Staff And Multidisciplinary Team Members, Molly O'Neil Jan 2015

Evaluating An Organization's Response To Vicarious Trauma In Staff And Multidisciplinary Team Members, Molly O'Neil

Antioch University Dissertations & Theses

Program evaluation method was utilized to examine the relationship between vicarious rauma (VT) and organizational policies and practices. VT and secondary traumatic stress (STS) refer to the impact of hearing explicit accounts of people being directly traumatized. Indirect exposure to a traumatic events can cause traumatic stress and changes in the person's way of experiencing the self and the world. The focus of this evaluation was developed collaboratively with the Clinical Director of Monarch Children's Justice and Advocacy Center (MCJAC), the site of the program evaluation. The question of study was How effectively is MCJAC addressing vicarious trauma in staff, …

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Clinical Supervision And Trainees' Perceptions Of Their Ability To Force Therapeutic Alliance, Julia Taddonio Jan 2015

Clinical Supervision And Trainees' Perceptions Of Their Ability To Force Therapeutic Alliance, Julia Taddonio

Antioch University Dissertations & Theses

Countertransference is a construct that originated in psychoanalysis that has been acknowledged in most forms of therapy. The management of countertransference is important for preventing it from adversely affecting treatment, especially for clinicians in training. While all therapists experience countertransference, training therapists may be more vulnerable to it impeding the development of a strong working alliance with clients. Outcome research has found a moderate relationship between the working alliance and treatment outcome. Only a small amount of writing has focused on the relationship between content and process of supervision and the trainee’s ability to form strong working alliances with clients. …

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Alliance Expectations And Alliance As Predictor Of Therapy Engagement And Outcome, Daniel C. Greif Jan 2015

Alliance Expectations And Alliance As Predictor Of Therapy Engagement And Outcome, Daniel C. Greif

Antioch University Dissertations & Theses

Clients begin psychotherapy with expectations that may or may not be met during treatment. Discrepancies between pretherapy expectations and the therapy experience may influence client response to treatment. This naturalistic observational pilot study investigated whether the discrepancy between initial expectations of the working alliance and the experience of the alliance predicts early client engagement and outcome. Participants were adult therapy clients at a university training clinic. Each participant completed the Expected-Working Alliance Inventory before their first session and a shortened version of the Working Alliance Inventory after. We hypothesized that the difference between expected alliance scores and actual alliance scores …

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A Phenomenological Exploration Of The Experience Of Parenting Half-Siblings Within A Blended Family, Nicole Josephsen Jan 2015

A Phenomenological Exploration Of The Experience Of Parenting Half-Siblings Within A Blended Family, Nicole Josephsen

Antioch University Dissertations & Theses

Blended families are a growing population and encompass a diversity of characteristics and family types. Among the different types of blended families are those with both stepchildren and mutual children. Research on the complex experience of parenting a mutual genetic child and a stepchild within a blended family is minimal. To better understand the unknown experience of such parents, this phenomenological study was conducted to provide an in depth description of the experience of simultaneously parenting mutual children and stepchildren within a blended family. In this phenomenological study the researcher conducted interviews with six participants who varied by gender, socioeconomic …

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The Role Of Heart Rate Variability In The Treatment Of Migraines, Thomas M. Ledoux Jan 2015

The Role Of Heart Rate Variability In The Treatment Of Migraines, Thomas M. Ledoux

Antioch University Dissertations & Theses

This dissertation assessed the role of heart rate variability (HRV) in the treatment of migraine headaches. The extent of this relationship was measured through a 12-session HRV biofeedback protocol to increase HRV and decrease migraine frequency through resonance frequency breathing (RFB) training. This project used a single-case design methodology to analyze phase changes in physiological variables with a specific focus on changes in HRV and migraine symptoms from baseline to completion of the biofeedback protocol. The prevalence of migraine headaches is discussed, the history of biofeedback as an intervention for migraine is reviewed, and the rationale for the relationship between …

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Behavioral Adjustment In Children With Life Threatening Illness A Qualitative Study, E. Joseph Becher Jr. Jan 2015

Behavioral Adjustment In Children With Life Threatening Illness A Qualitative Study, E. Joseph Becher Jr.

Antioch University Dissertations & Theses

This study investigated factors that affect adjustment in children with life-threatening illness from the viewpoint of the parents/caregivers. The data were collected from parents/caregivers whose children have a life threatening diagnosis. Parents/caregivers were interviewed and asked to complete the Parent Request Questionnaire (PRQ) which was given to them after the in-person interview. This newly developed PRQ was utilized into prior research to predict the levels of adjustment in children. It includes age, whether the child has been informed of the diagnosis, whether the child engages in age-appropriate activities, the child's prior experience with death, the child's family's involvement in treatment, …

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Understanding The "Refugee" Of Hurricane Katrina: An Exploration Of Titles, Time And Post-Traumatic Growth, Kandice L. Timmons Jan 2015

Understanding The "Refugee" Of Hurricane Katrina: An Exploration Of Titles, Time And Post-Traumatic Growth, Kandice L. Timmons

Antioch University Dissertations & Theses

This qualitative phenomenological study sought to understand the “refugee” experience of displacement from an individual perspective and the impact of trauma during a natural disaster through the lens of post-traumatic growth. It views survivors of Hurricane Katrina, who were displaced and returned home, and aims to investigate what changes, if any, have occurred since their return. The literature aids in understanding the complexities of the trauma endured in the aftermath, and seeks to better understand their refugee identity, the experience of displacement, the effects of trauma, and the changes that occurred in recovery. The data was collected through the Brief …

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Undergraduate Catholic Lesbians: The Intersection Of Religious And Sexual Aspects Of Identity, Christina Marie Chestna Jan 2015

Undergraduate Catholic Lesbians: The Intersection Of Religious And Sexual Aspects Of Identity, Christina Marie Chestna

Antioch University Dissertations & Theses

The following is a qualitative study designed to shed light on the experiences of undergraduate Catholic lesbians. The study focused on the unique ways in which these women negotiate the intersection of the religious and sexual aspects of their identities. Research shows that religious and sexual aspects of identity often conflict. In-depth research aimed specifically at the negotiation of religious and sexual identity dimensions is needed. In this study, semi-structured interviews were conducted with undergraduate Catholic lesbians who had the opportunity to speak about the ways in which they negotiate the potentially conflicting religious and sexual aspects of their identities. …

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Resilience To Trauma Throughout The Lifespan: Overcoming Child Sexual Abuse, Kaylee L. Curilla Jan 2015

Resilience To Trauma Throughout The Lifespan: Overcoming Child Sexual Abuse, Kaylee L. Curilla

Antioch University Dissertations & Theses

This qualitative dissertation project explored how young-old adults have healed from the traumatic experience of being sexually abused in childhood. This project utilized an Interpretative Phenomenological Analysis (IPA) to analyze themes across the young-old adults’ responses. Data collection consisted of interviewing six participants (age 51-58) who have had a history of child sexual abuse (CSA) from a loved one or other trusted individual and have felt that they have healed and demonstrated resiliency from the experience. Ten general themes emerged: (a) Getting older has helped me develop a better understanding and helped me to become less emotionally reactive; (b) After …

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Character Strengths Of Students At Risk Of Dropping Out Of High School, Sarah Baker Jan 2015

Character Strengths Of Students At Risk Of Dropping Out Of High School, Sarah Baker

Antioch University Dissertations & Theses

The goal of this study was to determine the participants' perceptions about what strengths at-risk students who follow through and graduate from high school have, using the conceptual framework of positive psychology, and its classification system of virtues and character strengths. To reveal the strengths of these students, this study used a qualitative methodology, interpretive phenomenological analysis (IPA). In addition, the participants were asked to fill out a Likert scale survey to rate how frequently at-risk students who graduated employed each of the 24 VIA characteristics. The purpose of this study was to add to the under-researched area of identifying …

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Factors That Promote And Inhibit Client Disclosure Of Suicidal Ideation, Robert William Orf Jan 2014

Factors That Promote And Inhibit Client Disclosure Of Suicidal Ideation, Robert William Orf

Antioch University Dissertations & Theses

Approximately 36,000 people commit suicide in the U.S. each year, making it the fourth leading cause of death for adults between 18 and 65-years-old. Clients participating in psychotherapeutic treatment are at elevated risk for suicide, due to the emotional distress that drives their entry into psychotherapy. Therapists cannot know the full extent of their clients’ risk for suicide if clients do not fully confide their thoughts and intentions. The current study sought to discover factors that inhibit and promote client disclosure of these thoughts and behaviors. The study utilized the Suicidal Ideation in Psychotherapy Questionnaire (SIPQ), a questionnaire developed for …

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Contemporary Franco Americans: A Study Of Ethnic Identity, Help-Seeking Attitudes, And Values, Jessica L. Mayo Jan 2014

Contemporary Franco Americans: A Study Of Ethnic Identity, Help-Seeking Attitudes, And Values, Jessica L. Mayo

Antioch University Dissertations & Theses

Given the proximity to Canada, many French Canadians who immigrated to the United States between 1850 and 1950 settled within New England. This immigration resulted in a large population of French Canadian descendants, now considered Franco Americans, within this region. Despite the number of Franco Americans, mental health professionals in New England are offered limited knowledge on conceptualizing and treating this population. To respond to this need, the present study investigated the cultural values, ethnic identity, and professional psychological help-seeking attitudes of contemporary Franco Americans. It was hypothesized that Franco Americans would prioritize values in line with the group’s traditional …

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Father Attachment Predicts Adolescent Girls' Social And Emotional Development, Reena Sandhu Jan 2014

Father Attachment Predicts Adolescent Girls' Social And Emotional Development, Reena Sandhu

Antioch University Dissertations & Theses

The principle focus of research on parental attachment and involvement has been about mothers and their young children, with the role of fathers relatively neglected. In addition, the study of father–child relational processes during the adolescent period has been meager, compared to mother–child influences during adolescence. The few studies on father–adolescent relationships rarely focused on the father–daughter attachment bond. This research study aimed primarily to consider the nature of father attachment on the social and emotional development of adolescent girls. The variables of interest were Father Attachment, Social Problems, Social Competence, and Internalizing Behavioral Problems, as perceived by adolescent girls. …

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Transracial Adoption: Racial Identity, Resilience, And Self-Esteem Of African American Adoptees, Jennifer Aufiero Bumpus Jan 2014

Transracial Adoption: Racial Identity, Resilience, And Self-Esteem Of African American Adoptees, Jennifer Aufiero Bumpus

Antioch University Dissertations & Theses

This study compared self-reported racial identity, resilience, and self-esteem of three independent sample groups consisting of African American adoptees (N = 45), aged 18–72. One group (n = 25) had been adopted by two Caucasian parents, the second (n= 10) by two African American parents, and the third (n = 10) by a single African American parent. The Multidimensional Inventory of Black Identity, Resilience Scale, and Rosenberg Self-esteem Scale were used. Adoptees had higher levels of racial identity when they had been adopted by two African American parents as opposed to two Caucasian parents. Racial …

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Enchanted: A Qualitative Examination Of Fairy-Tales And Women's Intimate Relational Patterns, Amanda Schnibben Jan 2014

Enchanted: A Qualitative Examination Of Fairy-Tales And Women's Intimate Relational Patterns, Amanda Schnibben

Antioch University Dissertations & Theses

Fairy-tales and myth have long been held as ways of communicating what is happening in society and within a culture. This dissertation study examined the interview narratives of 10 women regarding the impact of fairy-tales and myth on female identity in the context of intimate relationship patterns. This study utilized definitions of fairy-tale and myth derived from Biechonski's (2005) framework, while augmenting these conceptualizations with depth psychology perspectives. The study's findings were produced using qualitative, phenomenological research methods (Merriam, 2009). Results of the study demonstrated that some of the female participants identified with fairy-tales during their youth; however, all participants …

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The Relationships Between Attachment Style And Boundary Thickness, Dore Lavering Jan 2014

The Relationships Between Attachment Style And Boundary Thickness, Dore Lavering

Antioch University Dissertations & Theses

Despite the multitudes of research on attachment and many different aspects of relational structures, only one study to date has researched the relationship of adult attachment to boundary thickness. The possible benefits to understanding this relationship would provide therapists and clients a better conceptualization of individual's internal working model of attachment. This study investigated the relationship between the Hartmann Boundary Questionnaire (HBQ), a measure of boundary thickness, and an adult romantic attachment measure, the Experiences in Close Relationships Inventory-Revised (ECR-R) two dimensions of attachment. This study theorized that attachment anxiety would be related to thinner boundaries and conversely attachment avoidance …

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Wild Minds: Adventure Therapy, Ecopsychology, And The Rewilding Of Humanity, William Hafford Jan 2014

Wild Minds: Adventure Therapy, Ecopsychology, And The Rewilding Of Humanity, William Hafford

Antioch University Dissertations & Theses

This dissertation sits at the intersection of ecopsychology and adventure therapy. It explores humankind’s relationship with nature and wilderness, as well as the co-evolution of ecopsychology and adventure therapy within the field of psychology. The primary aim of this dissertation is to lay the groundwork for rewilding humanity with the specific focus of providing practitioners with a compelling case for intentionally integrating ecopsychology with their adventure therapy practice. This theoretical paper concludes with a suggested expansion of ethics and competencies for adventure therapists.

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