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Articles 391 - 420 of 435
Full-Text Articles in Clinical Psychology
Developmentally Informed Community Treatment For Adolescents With Problem Sexual Behavior, Janet Lyons Walker
Developmentally Informed Community Treatment For Adolescents With Problem Sexual Behavior, Janet Lyons Walker
Antioch University Dissertations & Theses
The sexual abuse of children often results in profound intrapersonal and interpersonal dysfunction or difficulties for the victims. In 2010, sexual assault was perpetrated upon more than 63,000 children in the United States, and in more than 35% of those incidents, adolescents were the perpetrators. Research suggests that adolescents with problem sexual behavior act from their own vulnerabilities. Understanding the developmental seeds and pathways that become etiological factors in the commission of sexual assaults against children is only one important step in a mission to protect them. The treatment that emerges from a comprehensive understanding of adaptive and maladaptive adolescent …
Heart To Heart: A Cardiac Rehabilitation Follow-Up Program, Tamara H. Bisbee
Heart To Heart: A Cardiac Rehabilitation Follow-Up Program, Tamara H. Bisbee
Antioch University Dissertations & Theses
This dissertation describes a tele-health follow-up program designed to attend to the problem of noncompliance in the process of health-behavior change after formal Cardiac Rehabilitation treatment at a southern New Hampshire community hospital. Cardiac Rehabilitation treatment encompassing lifestyle behavior change is associated with a significant reduction in morbidity and mortality in individuals with Coronary Heart Disease. However, evidence that adherence to lifestyle behavior change recommendations diminishes significantly within six months of treatment suggests that noncompliance is a significant barrier to the secondary prevention of a disease with prodigious consequences. Accumulating evidence that Cardiac Rehabilitation treatment encompassing extended duration of contact …
A Phenomenological Investigation Of Physician Job Satisfaction In Rural Integrated Primary Care, Jacob Brendan Austin
A Phenomenological Investigation Of Physician Job Satisfaction In Rural Integrated Primary Care, Jacob Brendan Austin
Antioch University Dissertations & Theses
The job satisfaction of rural primary care physicians is of import given the crucial role these physicians play in rural health care systems and their consistent decline in numbers nationwide. The professional isolation of practicing in rural areas, particularly in accessing specialty care, creates greater burdens for rural physicians than their more urban counterparts, which likely contributes to their low level of job satisfaction. The shortage of mental health providers in rural areas in particular is thought to create a burden for rural primary care physicians, who generally neither have the time, training, nor expertise to adequately deal with complex …
Is Suicide Training Sufficient For Psychology Trainees To Respond Appropriately To Suicidal Clients?, Nicole M. Bromley
Is Suicide Training Sufficient For Psychology Trainees To Respond Appropriately To Suicidal Clients?, Nicole M. Bromley
Antioch University Dissertations & Theses
This study reports the frequency of suicide training for current psychology trainees. Additionally,the research uses the Suicide Intervention Response Inventory - Second Edition (SIRI-2) to assess psychology trainees' ability to respond appropriately to suicidal clients. This study compares scores on the SIRI-2 between participants who are in pre-internship years of training and those currently in internship or having completed internship training. Finally, this study compares SIRI-2 scores between high training, low training, and no-training groups, as well as the scores of no-training versus training groups. Findings indicate no statistically significant difference in SIRI-2 scores between participants early in their programs …
Youth And Community Development Through Rites Of Passage: A Pilot Evaluation Model, Jason R. Emery
Youth And Community Development Through Rites Of Passage: A Pilot Evaluation Model, Jason R. Emery
Antioch University Dissertations & Theses
This project presents a pilot program evaluation model for measuring the effectiveness of rites of passage strategies for youth and community development. It begins by clarifying the key elements and meaning of modern day, community-based rites of passage experiences for youth transitioning into and through adolescence. An effective rite of passage for adolescence is an intentional and transformative process that increases the youth’s community status while supporting and challenging youth to adopt attitudes, behaviors, and skills for a healthy transition through this developmental period and beyond. Next, the project applies a systems-based program evaluation model (Wasserman, 2010) to a rite …
Therapeutic Riding: Effects On Emotional Well-Being In Adults, Jamie L. Lucas
Therapeutic Riding: Effects On Emotional Well-Being In Adults, Jamie L. Lucas
Antioch University Dissertations & Theses
Therapeutic interventions with horses are increasing and utilized to treat a number of ailments, including psychological ones. Despite the growth of these interventions, there has been little research performed, particularly quantitative, to determine efficacy. One proposed benefit of therapeutic riding, a particular type of intervention involving horses, is that it enhances or improves emotional well-being. This construct has been poorly defined and operationalized in the literature. The current study sought to operationalize and measure emotional well-being using a multidimensional model. Three proposed sub-domains of emotional well-being: positive affect, life satisfaction, and self-esteem were measured in adults prior to and after …
How Managed Behavioral Health Care Impacts Psychotherapeutic Practices, Beth S. Abramson
How Managed Behavioral Health Care Impacts Psychotherapeutic Practices, Beth S. Abramson
Antioch University Dissertations & Theses
The cost of health and mental health care is a growing problem for the United States. Managed care evolved as a way to continue providing quality services in a cost-effective fashion. In the mental health field, some individuals believe managed care reduces the quality of treatment. This exploratory study investigates current sentiments among mental health clinicians regarding managed care’s impact on mental health treatment and looks at how clinicians practice in light of managed care’s guidelines for treating patients. This study explores the current impact of managed care compared with managed care’s first detectable impact in the 1980s.
Exploring Ethical And Boundary Challenges In Outreach Psychotherapy: A Training Model, Susan M. Rogers
Exploring Ethical And Boundary Challenges In Outreach Psychotherapy: A Training Model, Susan M. Rogers
Antioch University Dissertations & Theses
The need for outreach psychotherapists has increased considerably over the past few decades. Research suggests graduate training has not kept up with this phenomenon. Graduate students continue to be trained for in-clinic work, and are not prepared for the challenges of going into clients’ homes and into the community. The literature supports the necessity for therapists who will be doing outreach psychotherapy to be trained in working in these atypical settings, as many innate challenges exist in this work. Challenging mental health issues, distracting environmental issues, safety concerns, lack of collegial support and supervision in the field, feelings of isolation, …
Comparing Static-99 Scores Of Incarcerated White, Black, And Latino Sex Offenders, Michele O. Waldron
Comparing Static-99 Scores Of Incarcerated White, Black, And Latino Sex Offenders, Michele O. Waldron
Antioch University Dissertations & Theses
Risk assessments contribute to sentencing and parole decisions, and thus are among the highest stakes assessments in the mental health field. The Static-99 has become a standard element of risk assessments for sex offenders, yet its norms and predictive accuracy have been established primarily with Caucasian samples, while the incarcerated population is disproportionately minority. Scoring of the Static-99 depends heavily on history of criminal offenses; if patterns of offenses differ along ethnic lines, the possibility that offense history should be understood to have ethnically-specific predictive validity (that is, the predictive significance of a given factor differs by ethnicity) becomes more …
Perceived Stress And The Buffering Hypothesis Of Perceived Social Support On Facebook, John G. Lynch
Perceived Stress And The Buffering Hypothesis Of Perceived Social Support On Facebook, John G. Lynch
Antioch University Dissertations & Theses
Online social networking sites have experienced a surge in popularity since their inception. Serving as a hub for communities of all ages, Web sites such as MySpace, Friendster and Facebook bridge geographic and time limitations and offer their members the opportunity to connect with anyone on the Internet at any time. The growing accessibility of technology for computer-mediated communication, outside of such Web sites offers similar opportunities. Although critics share concern over potential for the loss of intimacy, the possibility for increased levels of perceived social support through limitless networking options should not be overlooked. When we consider the strong …
The Other Child: Health Narratives Of Adults Raised With A Chronically Ill Sibling, Danielle Anna Hughes
The Other Child: Health Narratives Of Adults Raised With A Chronically Ill Sibling, Danielle Anna Hughes
Antioch University Dissertations & Theses
The sibling relationship brings with it a powerful experience and unique effects on individual development. Within this paper the personal health narratives of adult siblings who grew up with a chronically ill brother or sister are explored in depth. Using a naturalistic, qualitative paradigm and approach to the research a small sample of participants (N=7) provided in depth, semi-structured interviews geared to explore their experiences growing up with their siblings, and later effects on the development of personal health narratives. Using thematic analysis, a number of themes were identified including: (a) at home: finding out, the early relationship, early environment, …
Hoof Prints For Healing: An Equine-Assisted Therapy Program For A Unique School, Alison M. Roy
Hoof Prints For Healing: An Equine-Assisted Therapy Program For A Unique School, Alison M. Roy
Antioch University Dissertations & Theses
The unique and meaningful relationship that can develop between humans and horses has been well documented for centuries. More recently a hypothesis has emerged that humans can improve self-concept and social competence from having a horse in their lives. To date, few studies have empirically explored this hypothesis. The hypothesized social and emotional benefits of interacting with horses have inspired Equine-Assisted Therapy (EAT) programs which utilize horses in goal-directed treatment. EAT programs have been shown to be especially effective for socially and emotionally disadvantaged children and youth. In the current project, the author created an EAT program for the socially …
Raising Children On The Autism Spectrum: Parental Needs, Kathleen A. Ryan
Raising Children On The Autism Spectrum: Parental Needs, Kathleen A. Ryan
Antioch University Dissertations & Theses
The rates of Autism Spectrum Disorder (ASD) diagnoses have increased rapidly in the past few years. This increase is affecting many American families but the current research literature fails to evaluate the needs of parents who are raising children on the spectrum. Parents of children with Autism experience grief, denial, anger, guilt, depression, isolation, stress, financial difficulties, and marital struggles. The author proposed a mixed methods study to determine services received and satisfaction with those services; level of parental interest in specialized services; how well parents’ needs had been met with existing services; and what services parents of autistic children …
Bracing For Idiopathic Scoliosis: Improving Adherence Through Psychological Intervention, Shoshana J. Fagen
Bracing For Idiopathic Scoliosis: Improving Adherence Through Psychological Intervention, Shoshana J. Fagen
Antioch University Dissertations & Theses
Poor treatment adherence is increasingly being recognized as a significant problem in pediatric medicine. For the condition Adolescent Idiopathic Scoliosis, poor adherence rates to the most non-surgical intervention, orthotic bracing, have become a well-established fact. This treatment modality has been correlated with multiple psychosocial areas of difficulty, including low self image, suicidal ideation, feelings of isolation, social discomfort, depression, an external locus of control, increasing risk taking behavior, high levels of stress, anger, fear, shame, and eating disorders. Since the orthotic bracing has been linked to both poor adherence and to psychosocial problems, an intervention is created to increase adherence …
Disappearance And Return: Psychoanalytic Perspectives On The Past, Nathaniel C. Thorn
Disappearance And Return: Psychoanalytic Perspectives On The Past, Nathaniel C. Thorn
Antioch University Dissertations & Theses
This is a theoretical dissertation about the psychology of returning to the past. The purpose of this work is to examine the growth potential of psychological returns and to clarify and contribute to psychoanalytic theory. Special attention is given to involuntary memories, or integrative returns, which are illustrated by four vignettes taken from a mixture of sources. These experiences provide a contrast to familiar pathological returns, such as the return of the repressed and the repetition compulsion. Accordingly, generative returns are differentiated from non-generative returns. With this distinction in mind, psychoanalytic theories are reappraised. A variety of psychoanalytic concepts and …
Voices Of Adoptees: Stories And Experiences Within Schools, Elizabeth S. Donalds
Voices Of Adoptees: Stories And Experiences Within Schools, Elizabeth S. Donalds
Antioch University Dissertations & Theses
Adoption is an emotional topic for many families. Today there are between 5-7 million adoptees in the United States alone, and 40% of U.S. adults report considering adoption as a way to form families. With so many children being adopted, therapists who work with children in the public schools need to be educated about the ways in which adoption can affect those involved in the family of adoption. Unfortunately, there is little information about adoption available to professionals working in schools. The following research helps us understand the experiences of the adopted child in schools, as told by adult adoptees. …
The Collaborative Role Of Psychologists In Rural Pediatric Primary Care Settings, Kimberly M. Russo
The Collaborative Role Of Psychologists In Rural Pediatric Primary Care Settings, Kimberly M. Russo
Antioch University Dissertations & Theses
In this dissertation I discuss research conducted to gain a greater understanding of the unique collaborative needs and desires of medical professionals working with pediatric patients in rural communities. Specifically, I researched the following question: Do medical professionals working in rural areas desire more in-depth collaborative relationships with mental health professionals than they currently have? I acquired information on this subject by mailing surveys to primary care physicians, nurse practitioners, and family practice doctors to learn more about their opinions regarding collaboration with mental health professionals. I collected data over a one-month period, resulting in 11 completed surveys being returned. …
Fatherhood And A Partner's Postpartum Depression: Coping, Relationship Satisfaction, Gender Roles, And Empathy, Martha G. Ruiz
Fatherhood And A Partner's Postpartum Depression: Coping, Relationship Satisfaction, Gender Roles, And Empathy, Martha G. Ruiz
Antioch University Dissertations & Theses
The present study focused on assessing differences in new father’s coping styles when living with a partner suffering from symptoms of postpartum depression. It further investigated whether a relationship existed between father’s coping style and their level of relationship satisfaction, empathy, and views on gender. Five fathers, between the ages of 27 and 46 volunteered their participation in this study. Fathers were recruited through their partners from medical and mental health clinics and agencies offering services to new mothers or mothers suffering from symptoms of postpartum depression. The Coping Responses Inventory (CRI) was utilized to determine if differences existed in …
Wholeistic EducationTm, Cerissa Leigh Desrosiers
Wholeistic EducationTm, Cerissa Leigh Desrosiers
Antioch University Dissertations & Theses
This dissertation introduces Wholeistic EducationTM (WEDTM), an innovative, values-based, interdisciplinary pro-social theory that is the culmination of centuries of scientific and philosophical learning and exploration about optimal mental health and human development. WED is based on basic human nature and universal human rights, and so it applies to all variations of human society- racial, ethnic, religious, or otherwise. WED is a foundation theory to which any targeted implementation strategy can be applied. It is both a proactive strategy for seeking and maintaining health before a crisis arises in families, schools, and organizations as well as a treatment …
The Origin Of A Sense Of Self In Women, Kimberly Dewing Robbins
The Origin Of A Sense Of Self In Women, Kimberly Dewing Robbins
Antioch University Dissertations & Theses
This phenomenological study focuses on how a strong sense of self in women changes social precepts and gender stereotypes empowering women to define themselves instead of being defined by society. A sense of self may be defined as the ability to distinguish one’s own values from those of any outside persuasions, and to do so well enough to be able to protect those ideals from unwanted external influence. Is a sense of self, realized at a young age, an innate feeling or developed over time through adversity and the maturation process? This study will specifically look at what influences can …
The Phenomenology Of Court-Ordered Treatment: From The Perspective Of Methamphetamine Dependent Adults, Justin Steffener
The Phenomenology Of Court-Ordered Treatment: From The Perspective Of Methamphetamine Dependent Adults, Justin Steffener
Antioch University Dissertations & Theses
This phenomenological study was designed to explore with a sample of methamphetamine dependent adults their perceptions of the process involved in their experiences of court-ordered treatment. The motivation for this study derives from the researcher's wish to unearth ways to better understand and support the needs of adults suffering from addiction. A significant amount of research has already been conducted in regards to the treatment of methamphetamine addiction from the standpoint of quantitative measurements of treatment outcomes, but limited information is presently available from the perspective of the suffers. The stringent selection of the sample was composed of six individuals …
Stresses Of Mothers Caring For An Older Adolescent Diagnosed With Autism: A Phenomenological Exploration, Linda Mason
Stresses Of Mothers Caring For An Older Adolescent Diagnosed With Autism: A Phenomenological Exploration, Linda Mason
Antioch University Dissertations & Theses
A review of the literature provides ample research about caregiver stress in relationship to healthcare needs, aging, and mental illness. However, there is limited research about caregiver stress in regard to families that care for a child with disability. Further limited in scope is research about mothers who care for an older adolescent with diagnosed autism. This qualitative phenomenological study explored the lived experience of six mothers caring for an older adolescent diagnosed with autism. The question about what causes stress resulted in findings: isolation, coping with their child's challenging behaviors, and frustration with the establishment. The question about what …
The Wounded Healer: Finding Meaning In Suffering, Garret B. Wyner
The Wounded Healer: Finding Meaning In Suffering, Garret B. Wyner
Antioch University Dissertations & Theses
In modern history, no event has more profoundly symbolized suffering than the Holocaust. This novel “Husserlian-realist” phenomenological dissertation elucidates the meaning of existential trauma through an interdisciplinary and psychologically integrative vantage point. I use the testimony of a select group of Holocaust witnesses who committed suicide decades after that event as a lens to examine what their despair may reveal about an unprecedented existential, moral, and spiritual crisis of humanity that threatens to undermine our faith in human history and reality itself. By distinguishing what they actually saw about our condition from what they merely believed about reality, I show …
Resilience Factors Affecting The Readjustment Of National Guard Soldiers Returning From Deployment, D. Patricia Tackett
Resilience Factors Affecting The Readjustment Of National Guard Soldiers Returning From Deployment, D. Patricia Tackett
Antioch University Dissertations & Theses
Following the September 11, 2001 attack on the United States, there has been increased utilization of the Reserve Components (RC) by the military to fight the wars in Iraq and Afghanistan. Service members in the National Guard and Reserve (NG/R) represent approximately 40% of the forces involved in these conflicts. Current research indicates that NG/R personnel and their families may be at greater risk to deployment stressors than their Active Component counterparts. Estimates for the development of mental health problems including PTSD among returning RC personnel, range as high as 42%. The focus of this study was to advance the …
A Conceptualization Of Treatment Stigma In Returning Veterans, Jason B. Flick
A Conceptualization Of Treatment Stigma In Returning Veterans, Jason B. Flick
Antioch University Dissertations & Theses
The dissertation project combines three theoretical models that inform conceptualizations of the origins, manifestations, and consequences of stigma: the Social Psychological model (SPM), the Sociological model (SM), and the Cognitive-behavioral model (CBM). These models merge into a single, integrative lens, through which stigma can be examined on both cultural and individual levels. This lens is then applied to the cultural and individual manifestations of the stigma of seeking psychological treatment experienced by veterans who have served in Operation Iraqi Freedom (OIF) and Operation Enduring Freedom (OEF). Through this lens, an understanding of the inception, maintenance, and effects of this treatment …
First Elderly Client In Therapy: Factors That Influence Student Interest In Geropsychology, Cristina E. M. Filippelli
First Elderly Client In Therapy: Factors That Influence Student Interest In Geropsychology, Cristina E. M. Filippelli
Antioch University Dissertations & Theses
In the coming decades, the elderly population in United States (U.S) is expected to grow significantly (U.S. Bureau of the Census, 1996). Consequently, the number of older individuals seeking mental health services will be greater than at any other time in the history of the U.S. The field of clinical psychology, however, is unable to meet the mental health needs of the current elderly population, and this gap is expected to widen in coming years. There is an ongoing discussion within the field of professional psychology as to how to train more clinicians to work with the elderly population (Gatz …
A Concept Mapping Needs Assessment Of Young Families With Parental Cancer, Richard P. Durant
A Concept Mapping Needs Assessment Of Young Families With Parental Cancer, Richard P. Durant
Antioch University Dissertations & Theses
The purpose of this research is to investigate the support needs of young families living with and beyond a parental diagnosis of cancer. The sample includes 56 participants comprised of 31 professional stakeholders and 25 patient stakeholders affiliated with the Charles R. Wood Cancer Center. It was hypothesized there would be differences in how the groups of stakeholders rated needs in terms of importance, satisfaction, and utilization. Differences in ratings are thought to be barriers to effective program development. While not a formal research hypothesis, it was anticipated other program development barriers germane to naturalistic clinical settings would emerge from …
Descending Into And Out Of The Maelstrom: Soma And The Survival Struggle, Rachel M. Urbano
Descending Into And Out Of The Maelstrom: Soma And The Survival Struggle, Rachel M. Urbano
Antioch University Dissertations & Theses
The purpose of this qualitative phenomenological study is to highlight the ways “surviving therapists” adapt to the inner-spaces in which they are still affected by their traumas. Surviving therapists are defined as therapists who identify as having experienced a trauma caused by another human being while maintaining an observational stance in relation to their body and self-experience. Therapists are not immune to the lasting effects of trauma: they may experience somatic reactivity and painful affective states in working with trauma patients. As surviving therapists have experienced events they may unconsciously choose to keep out of awareness, they may rely on …
The Technology Of Grief: Social Networking Sites As A Modern Death Ritual, Jordan Ciel Fearon
The Technology Of Grief: Social Networking Sites As A Modern Death Ritual, Jordan Ciel Fearon
Antioch University Dissertations & Theses
Technology plays a significant role in the socialization and development of society. One popular technology includes Facebook, a Social Networking Site (SNS). As Facebook has become a common site for reaching out to others for a sense of support and connection, it has also become a site to express grief and bereavement through the creation of Memorial Groups. Through a qualitative survey design, descriptive information regarding the impetus to create a Memorial Group as well as the desired utility was examined through the perspective of the creator. An online questionnaire consisting of open and closed-ended questions was completed by 68 …
Work Interrupted: A Questionnaire Assessing The Relationship Between Work-Related Distress And Psychological Adjustment To Cancer, Betsy A. Bates Freed
Work Interrupted: A Questionnaire Assessing The Relationship Between Work-Related Distress And Psychological Adjustment To Cancer, Betsy A. Bates Freed
Antioch University Dissertations & Theses
Cancer is an increasingly survivable disease that significantly impacts the ability of individuals to negotiate successfully the developmental task most distinctly affiliated with middle adulthood: creating meaning through achievement, creativity, and service. For many adults, these goals are accomplished through employment. When cancer intrudes, patients may be deprived of the ability to participate fully in the “generativity” that developmental psychologist Erik Erikson deemed essential to a healthy adulthood. In qualitative studies, patients’ narratives speak of many work-related losses — of routine, normality, economic stability, social connection, purpose, and identity. While psychosocial issues and quality of life are viewed with increasing …