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Full-Text Articles in Clinical Psychology

Managing Expectations After Expecting: A Phenomenological Study Of Anger And Societal Expectations In New Motherhood, Jennifer Monahan Demella Jan 2022

Managing Expectations After Expecting: A Phenomenological Study Of Anger And Societal Expectations In New Motherhood, Jennifer Monahan Demella

Antioch University Dissertations & Theses

The literature on motherhood is dominated by topics on the roles of attachment, prenatal care, and childrearing. Research on the negative effects of motherhood is typically described in terms of postpartum depression (PPD) or postpartum mood disorder (PPMD). However, anger is a prominent component in motherhood, which may not be seen through the criteria of PPD or PPMD. Additionally, angry mothers conflict with the mythos of the Good Mother. In this phenomenological study, the thematic structure of mothers’ experience within the first year of their newborns’ life are examined. Data from interviews with seven women who were four to ten …


Entitlement, Psychological Vulnerability, And Criminality: An Expansion On Grubbs And Exline's (2016) Model, Allison Dart Jan 2022

Entitlement, Psychological Vulnerability, And Criminality: An Expansion On Grubbs And Exline's (2016) Model, Allison Dart

Antioch University Dissertations & Theses

The current study examines the predictive relationships among Entitlement, criminal thinking, and psychological vulnerability. Eighty male incarcerated individuals participated in this research and four measures were administered to each participant: the Adverse Childhood Experiences Questionnaire (ACEs), the Texas Christian University Criminal Thinking Scale (TCU-CTS), the Woodcock Johnson-IV Cognitive Brief Intellectual Abilities scale (WJ-IV COG BIA), and the Minnesota Multiphasic Personality Inventory-2 Restructured Form (MMPI-2-RF). Results yielded the following findings: Behavioral/Externalizing Dysfunction was the best predictor of Entitlement. Behavioral/Externalizing Dysfunction and Thought Dysfunction were the best predictors of each of the other aspects of criminogenic thinking. Emotional/Internalizing Dysfunction did not reliably …


Youth Leadership Through Adventure: Alums' Perspectives On The Experience Of Leadership, Raynalde Schagen Jan 2022

Youth Leadership Through Adventure: Alums' Perspectives On The Experience Of Leadership, Raynalde Schagen

Antioch University Dissertations & Theses

In this study, I examined the perspectives that emerging adult alums of a program called Youth Leadership Through Adventure (YLTA) have of their adolescent experiences of being a leader. Eight YLTA alums engaged in semi-structured interviews focusing on the research questions: What are the lived experiences of leadership in emerging adult alums of YLTA? What factors of their adolescent involvement were most influential in their emerging adult lives? As a youth development program, YLTA is supported by Adapt and the North Country Health Consortium (NCHC), two nonprofit organizations devoted to improving health conditions and habits of individuals residing in the …


A Genuine Artifice, A Specific Vagueness: Psychotherapy, Performance, And The Practitioner, Chris M. Defossez Jan 2022

A Genuine Artifice, A Specific Vagueness: Psychotherapy, Performance, And The Practitioner, Chris M. Defossez

Antioch University Dissertations & Theses

The following is a literature review and research project aimed at examining the performative choices psychologists make when interacting with their patients. The goal for this research is to begin to understand the “essence” of a psychologist‘s experience as they present themselves in their work. Drawing from published literature on the therapeutic alliance, social constructionism, postmodern feminism, art, and aesthetics, the author argues that the therapeutic frame taken by a particular therapist can be understood as a performative act. This author examines the implications of this idea and what can be learned from conceptualizing the therapeutic alliance through a performative …


Therapist Self-Reported Attachment Organization And Countertransference Responses To Psychotherapy Clients, Morgan Janay Pell Jan 2022

Therapist Self-Reported Attachment Organization And Countertransference Responses To Psychotherapy Clients, Morgan Janay Pell

Antioch University Dissertations & Theses

Therapists experience thoughts, feelings, and behaviors in response to their clients, which are sometimes referred to as countertransference. Such responses may be influenced by the therapist’s personal history, including the quality of their attachment experiences. Research has demonstrated that adult attachment organizations influence a person’s cognitive, behavioral, and affective responses toward close others, thus providing a useful framework for understanding some countertransference experiences of therapists. This quantitative study sought to add to the existing literature by examining the relationship between therapist self-reported attachment organization and countertransference responses to clients. Seventy-three therapists participated in this study, including licensed psychologists, doctorate-level psychologists, …


Narrative Enhancement And Cognitive Therapy With Correctional Psychiatric Patients: A Pilot Study, Richelene Cesar Jan 2022

Narrative Enhancement And Cognitive Therapy With Correctional Psychiatric Patients: A Pilot Study, Richelene Cesar

Antioch University Dissertations & Theses

Narrative Enhancement and Cognitive Therapy (NECT) is a manualized, group-based intervention that was originally developed to treat self-stigma among individuals who present with severe and persistent mental illnesses (SPMIs; Roe, Lysaker, & Yanos, 2013). NECT has been shown to effectively reduce these individuals’ experience of self-stigma, and diminish its negative effects on their hope, self-esteem, self-efficacy, and quality of life (Yanos, Roe, & Lysaker, 2011). Supportive literature is scarce regarding NECT’s efficacy with people who have multiple stigmatized identities. For the purposes of this pilot study, NECT was implemented with a correctional psychiatric population. Research supports this population is doubly, …


The Flourishing Trainee: Operationalizing Self-Care Education In Clinical Psychology Training Programs, Bonnie B. Zinn Jan 2022

The Flourishing Trainee: Operationalizing Self-Care Education In Clinical Psychology Training Programs, Bonnie B. Zinn

Antioch University Dissertations & Theses

Evidence suggests that clinical psychology trainees may be vulnerable to stress, vicarious traumatization, secondary traumatic stress, compassion fatigue, and burnout. Research also indicates that engaging in self-care may help to protect clinical psychology trainees against those experiences and enhance their well-being. However, best available research suggests self-care education is not consistently incorporated into clinical psychology training or prioritized by program directors. This study provided a systematic review of existing literature on self-care for clinical psychology trainees, utilizing reflexive thematic analysis to identify the essential skills, knowledge, and attitudes of self-care which should be taught to trainees, and how to operationalize …


Both Sides Of The Coin: Sexual Minority Perspectives On Relationships, Quynh Tran Jan 2022

Both Sides Of The Coin: Sexual Minority Perspectives On Relationships, Quynh Tran

Antioch University Dissertations & Theses

This dissertation aimed to better understand sexual minority individuals’ perceptions of how various minority stressors affect their interpersonal connections. In this study, sexual minority identity was defined as a sexual identity that was not the heterosexual, and was defined to include lesbian, gay, bisexual, asexual, pansexual, and queer. Gender identity was not a criterion for either inclusion or exclusion in this study. This phenomenological study used semistructured interviews to explore the perspective of six participants who identify with sexual minority identities. Interpretative Phenomenological Analysis (IPA) of the data resulted in five main themes: (a) Growth-fostering relationships promote well-being, (b) Perceived …


Caregiver Experience Of Voice And Choice In Wraparound Systems Of Care, Kathryn O'Neil Jan 2022

Caregiver Experience Of Voice And Choice In Wraparound Systems Of Care, Kathryn O'Neil

Antioch University Dissertations & Theses

The following is a qualitative study of the caregiver’s experience of having voice and choice in the New Hampshire wraparound program, conducted through Keene State College’s Behavioral Health Improvement Institute (BHII). Wraparound systems of care emphasize the family’s role in directing the generation of a network of supports for intervening with a youth with Severe Emotional Disturbances (SED). Indeed, caregiver voice and choice are key principles of this service delivery model. There are many established benefits to encouraging family involvement in systems of care, but little research to date on the subjective caregiver experience. A review of literature covers the …


Love Outside Margins: Mental Health And Marginalization In Intercultural And Monocultural Couples, Tara Masseratagah Jan 2022

Love Outside Margins: Mental Health And Marginalization In Intercultural And Monocultural Couples, Tara Masseratagah

Antioch University Dissertations & Theses

As the number of intercultural couples increases in North America, the impact of perceived marginalization of these relationships on the mental health of individuals is an area that requires continued clinical understanding. This quantitative study sought to explore how anxiety and depression levels in intercultural and monocultural couples are associated with levels of perceived marginalization. Qualitative follow-up questions were used to understand the varying reasons for marginalization and support between couples. One hundred twenty-four individual participants in romantic relationships took part in this study; of this, 64 were in monocultural relationships and 60 were in intercultural relationships. This study found …


The Caregiver’S Experience Of Post-Treatment Lyme Disease Syndrome, Jordyn Deschene Jan 2022

The Caregiver’S Experience Of Post-Treatment Lyme Disease Syndrome, Jordyn Deschene

Antioch University Dissertations & Theses

As the rate of Lyme disease diagnoses increases in the United States, it can be assumed that the frequency at which post-treatment Lyme disease syndrome (PTLDS) is diagnosed will also increase. While research has been published on the experience of caregivers of other chronic illnesses, no studies have examined the experience of the PTLDS caregiver. This quantitative study sought to discover the most significant burdens, mental health status (levels of anxiety and depression), and level of invalidation experienced by the PTLDS caregiver. Thirty individual participants took part in this study. This study found that mental burden is a significant area …


Psychological Impact On Probation Officers Supervising Individuals With Mental Illness, Janelle Hickey Jan 2022

Psychological Impact On Probation Officers Supervising Individuals With Mental Illness, Janelle Hickey

Antioch University Dissertations & Theses

Every year, millions of adults in the United States are ordered to participate in supervised community probation and parole (Bureau of Justice Statistics, 2021). Probation and parole supervisees with serious and persistent mental illness (SPMI) are overrepresented in the criminal justice system and, therefore, probation and parole officers (PPOs) can expect to work with supervisees with mental illness. While there is extensive research on the impact of working with individuals with SPMI on community support professionals, there is little research focusing specifically on PPOs (Whitehead, 1985). The limited research that exists suggests PPOs who supervise individuals with SPMI endorse symptoms …


Examining Face-To-Face And Online Supervisee Disclosure Within The Supervisory Alliance, Letitia D'Aria Unger Johnson Jan 2022

Examining Face-To-Face And Online Supervisee Disclosure Within The Supervisory Alliance, Letitia D'Aria Unger Johnson

Antioch University Dissertations & Theses

The purpose of this research was to examine face-to-face and online supervisee disclosure within the supervisory alliance. Just as client care pivoted to online platforms, as a result of the COVID-19 pandemic, so did clinical supervision, which was uncharted territory for many, including those familiar with online counseling. The methodology used was consensual qualitative research (CSR). Eight participants were recruited as a sample of convenience, and semistructured interviews were conducted via Zoom. Results indicated domains such as important characteristics of the supervisory relationship, importance of communication, supervisor characteristics related to self-disclosure, positive aspects and negative aspects of online supervision, and …


The Impact Of Creative Arts On Meaning Reconstruction And Loss Adaptation In Widowed Adults, Dani Baker-Cole Jan 2022

The Impact Of Creative Arts On Meaning Reconstruction And Loss Adaptation In Widowed Adults, Dani Baker-Cole

Antioch University Dissertations & Theses

In counseling, helping grieving clients find meaning after significant loss is a unique, multidimensional, and lengthy process. This is particularly true in Western societies, where antithetical linear grief models, supported by hegemonic expectations to move on after loss, add exhausting pressure to speed up an individual’s natural grieving process. For that reason, this study examined how creative arts interventions such as using traditional art media and expressive writing, combined with postmodern, nonlinear, culturally sensitive bereavement models, help individuals explore their loss narrative to make meaning and adapt to loss. Specifically, this study examined the impact of a switch from traditional …


Imposter Phenomenon And Ces Doctoral Students, Michael Drane Jan 2022

Imposter Phenomenon And Ces Doctoral Students, Michael Drane

Antioch University Dissertations & Theses

The aim of the study was to explore the lived experience of counselor education and supervision students who reported experiencing symptoms of imposter phenomenon (IP). The population included counselor education and supervision students in their first year of their program, with a sample of convenience (N = 4). The method used in this study was an interoperative phenomenological analysis. Data analysis revealed four major themes: (a) counselor education students express self-doubt, lack of confidence and concern about competence, (b) students rate different levels of competence in counselor education and supervision roles, (c) instructor feedback impacts student perceptions of competence, and …


Adverse Religious Experiences And Lgbtq+ Adults, Alex Fox Jan 2022

Adverse Religious Experiences And Lgbtq+ Adults, Alex Fox

Antioch University Dissertations & Theses

The aim of this study is to explore the ways in which LGBTQ+ people are affected by adverse or traumatic experiences related to religion or spirituality. Many LGBTQ+ adults were reared in environments where negative, disaffirming beliefs or teachings about sexual orientation or gender identity were pervasive. This study utilized a mixed-methods approach to data collection and analysis. Participants responded to a brief online survey, the data from which was used for quantitative statistical analysis. Twelve participants were selected at random from a pool of survey volunteers and took part in in-depth interviews regarding adverse religious experiences (AREs). Results of …


The Mechanism Of Reducing Anxiety Through Mindfulness Interventions: Digital Therapeutic Program, Maria Neizvestnaya Jan 2022

The Mechanism Of Reducing Anxiety Through Mindfulness Interventions: Digital Therapeutic Program, Maria Neizvestnaya

Antioch University Dissertations & Theses

The COVID-19 pandemic exacerbated the prevalence of anxiety disorders, making it a population health concern in the United States and worldwide. The growing need for effective prevention and treatment of anxiety coincides with a deficit of mental health providers and physicians. With the healthcare system currently overwhelmed and the slow training pipeline of new providers, the gap between patient demand and treatment providers will not be closed in the next decade. There is a growing need for evidence-based treatments for anxiety disorders that can increase access to care while addressing the underlying mechanisms of anxiety. Digital therapeutics is a fast-developing …


The Lived Experiences Of Sports Retirement Among Elite, Action Sports Athletes, Gracie Struthers Jan 2022

The Lived Experiences Of Sports Retirement Among Elite, Action Sports Athletes, Gracie Struthers

Antioch University Dissertations & Theses

This study explored the lived experiences of sports retirement among elite, action sport athletes. This study examined participants’ retirement experiences, their well-being post-retirement, and recommendations participants had for current athletes about retirement. Interviews were conducted remotely with four participants. Participants identified as Caucasian, in the 25–38 age range, had been involved with their sport competitively for 17.75 years, and had been retired for 3.37 years. Data was collected and analyzed utilizing Interpretive Phenomenological Analysis (IPA). Participants’ experiences during retirement illustrated a significant disruption in their lives and the way they lived. This disruption was characterized by significant grief and distress, …


Incorporating Psychological Trauma Into Adhd Differentials: A Pilot Study Of Primary Care Providers' Perspectives, Amber Nipper Jan 2021

Incorporating Psychological Trauma Into Adhd Differentials: A Pilot Study Of Primary Care Providers' Perspectives, Amber Nipper

PsyD Program in Clinical Psychology Doctoral Dissertations (Seattle)

According to the American Academy of Pediatrics (AAP, n.d.), 40% to 50% of individuals seeking mental health services terminate prematurely due to lack of access, lack of transportation, financial constraints, child mental health professional shortages, and stigma related to mental health. These barriers contribute to primary care providers assessing and managing mental health concerns at increasing rates, particularly symptoms consistent with attention deficit/hyperactivity disorder (ADHD). ADHD is a neurobiological disorder beginning in childhood that is defined as “a persistent pattern of inattention and/or hyperactivity-impulsivity that interferes with functioning or development” (American Psychiatric Association [APA], 2013, p. 59). Current literature shows …


Motivational Interviewing In Vocational Rehabilitation: Why It Matters For People With Disabilities, Alicia Wein-Senghas Jan 2021

Motivational Interviewing In Vocational Rehabilitation: Why It Matters For People With Disabilities, Alicia Wein-Senghas

Antioch University Dissertations & Theses

Motivational Interviewing (MI) is increasingly being trained within and integrated into public vocational rehabilitation (VR) programs based on its efficacy in related fields and yet research specific to the efficacy of MI in public VR programs is almost nonexistent. This study used a quantitative sequential design to explore relationships between MI training, MI proficiency, and VR customer outcomes within the State of Vermont’s Division of Vocational Rehabilitation (VT DVR) program. The study occurred in two phases. In the first phase, 30 VR counselors were recruited, and their level of MI proficiency was established using the Motivational Interviewing Treatment Integrity Measure …


Circling The Wagons: A Re-Entry Program For Substance Use In Nh, Angela Leigh Walter Jan 2021

Circling The Wagons: A Re-Entry Program For Substance Use In Nh, Angela Leigh Walter

Antioch University Dissertations & Theses

This dissertation aimed to adapt Circles of Support and Accountability (CoSA) to a substance-involved population in New Hampshire (NH). CoSA is a volunteer-based community program that provides accountability and various forms of support to previously incarcerated individuals rejoining the community. Program recommendations were created through qualitative realist thematic analysis of a literature review and interviews. Recommendations were integrated with existing CoSA manuals to create the proposed program. NH CoSA, through the principles of narrative reconstruction, risk-need-responsivity, and the Good Lives Model, aims to help individuals successfully re-integrate into their community over a period of about a year. The program will …


The Student Experience Of Psychoeducational Assessment: A Phenomenological Study, Teresa Hoffman Jan 2021

The Student Experience Of Psychoeducational Assessment: A Phenomenological Study, Teresa Hoffman

Antioch University Dissertations & Theses

Emerging adults with specific learning disabilities (SLD) are interviewed to understand the student experience of the psychoeducational assessment process that is codified by the Individuals with Disabilities Education Act of 2004 (IDEA). The assessment practice is well established to qualify students for special education and related services (SERS) to ensure every child in the United States has the opportunity for free and appropriate education. An overview of the general psychoeducational assessment practice and specific assessment for SLD is supplemented by the literature regarding best-practices for psychological assessment with children/adolescents to set the context for a process that is encountered triennially …


Sickle Cell In A Poor Community In Haiti: Attention, Emotion, And Sleep, Sarajane Rodgers Jan 2021

Sickle Cell In A Poor Community In Haiti: Attention, Emotion, And Sleep, Sarajane Rodgers

Antioch University Dissertations & Theses

Hemoglobin disorders or inherited blood diseases affect about 5% of the world population. One main category of these disorders is sickle-cell disease (SCD). SCD can cause many physical complications, such as kidney problems, leg ulcers, and chronic pain. Less frequently discussed symptoms include complications like attention problems and emotion regulation. The study looked at a small sample of pediatric and adult patients (N=22) with SCD at a primary care clinic in a very poor community in Haiti, researching sleep and emotion regulation, given their shared neurobiological systems. As these symptoms can influence attention, the relationships among attention, emotion, and sleep …


Construction Of A Developmental Social Privilege Integration Scale, Abigail M. Martin Jan 2021

Construction Of A Developmental Social Privilege Integration Scale, Abigail M. Martin

Antioch University Dissertations & Theses

The APA’s 2017 multicultural guidelines task psychologists with the aspirational goal of understanding the nuances of historical and contemporary systems of power, privilege, and oppression. Scholars such as Helms (1984) demonstrated the critical need to readjust psychology’s focus from oppressed groups to privileged groups. In her seminal 1988 article, McIntosh insisted that in order to “redesign social systems,” privileged groups must first acknowledge their “unseen dimensions” (p. 1). Similarly, Black and Stone (2005) and Johnson (2018) asserted the lack of social privilege awareness is part of American culture, which helps to maintain the invisibility of privilege and the status quo …


Adult Attachment Interview Classification: Comparing Two Coding Systems, Patricia M. Hastings Jan 2021

Adult Attachment Interview Classification: Comparing Two Coding Systems, Patricia M. Hastings

Antioch University Dissertations & Theses

Research on the Adult Attachment Interview (AAI) provides an opportunity to study the ways in which early childhood relational experiences might influence an individual over a lifetime. It is not yet clear, however, whether results from different coding systems for the AAI are equally useful. The first purpose of this study was to compare attachment classification distributions obtained from coding AAIs with the Berkeley and Dynamic-Maturational Model (DMM) coding systems. The second purpose was to explore whether AAI classifications derived from the Berkeley or DMM system were more strongly associated with mother and mother-child dyad outcome variables. Participants were a …


Influencing Legislation For Juveniles In The Adult Judicial System: A Phenomenological Examination Of Legal Advocates, Krista F. Franklin Jan 2021

Influencing Legislation For Juveniles In The Adult Judicial System: A Phenomenological Examination Of Legal Advocates, Krista F. Franklin

Antioch University Dissertations & Theses

INFLUENCING LEGISLATION FOR JUVENILES IN THE ADULT JUDICIAL SYSTEM: A PHENOMENOLOGICAL EXAMINATION OF LEGAL ADVOCATES Krista Franklin Antioch University Seattle Seattle, WA This phenomenological study explores the lived experience of Washington State lawmakers and legal activists regarding their involvement in passing Washington State Senate Bill 5064 in February 2014. In response to the 2012 landmark federal Supreme Court decision, Miller v. Alabama, Senate Bill 5064 reduced the number of crimes for which juveniles could be sentenced as adults to life without parole. Six interviewees were selected from those who testified in Olympia, WA. Individual interviews were conducted in an open-ended …


"The Candy Problem, Solved!": White Children And White Parents Grappling With Dysconscious Whiteness, Lindsay E. Olson Jan 2021

"The Candy Problem, Solved!": White Children And White Parents Grappling With Dysconscious Whiteness, Lindsay E. Olson

Antioch University Dissertations & Theses

During an amplification of the Black Lives Matter (BLM) movement, white children and parents have faced multiple interruptions to their protective territory of dysconscious whiteness—an uncritical approach to a structural status quo that favors white lives. Through semi-structured activities and interviews with ten children ages 3 to 9 and nine of their parents who observed these activities, I discovered a parent–child subsystem of dysconscious whiteness. White children and parents revealed aspects of this subsystem by grappling with dysconscious whiteness (grappling) as they struggled to avoid implicating skin color in resource inequality. Through grounded theory analysis of the process of grappling, …


The Strategically Broken System: A Grounded Theory Study Of The Clinical Implications Of Immigration Law, Policy, And Practice, Kelle Agassiz Jan 2021

The Strategically Broken System: A Grounded Theory Study Of The Clinical Implications Of Immigration Law, Policy, And Practice, Kelle Agassiz

Antioch University Dissertations & Theses

The majority of clinicians do not receive education pertaining to the legal aspects of immigration in their curriculum, training, or continuing education. In addition, the process of navigating the immigration system has been exacerbated in recent years due to rapid policy changes under the Trump administration, which has contributed to a hostile political climate, particularly for immigrants from Central America and Mexico. Using a classic grounded theory research approach, this study explored the relationship between the psychological implications of immigration and the legal challenges that immigrants face today, with a specific focus on immigration from Central America and Mexico. Through …


Internet Pornography Addiction In The Treatment Of Heterosexual Dyadic Relationships: A Literature Review, Sarah Ogier-Bloomer Jan 2021

Internet Pornography Addiction In The Treatment Of Heterosexual Dyadic Relationships: A Literature Review, Sarah Ogier-Bloomer

Antioch University Dissertations & Theses

The following dissertation provides a thorough literature review of internet pornography and internet pornography addiction for psychologists treating heterosexual couples in therapy and those training said clinicians. Factors that contribute to the development of compulsive sexual behavior are discussed, as well as how the addiction is maintained through reinforcing cycles. Factors including neuropsychological effects of neurotransmitters on the pleasure-reward system, insecure attachment, and childhood development provide insight into the manifestation of an addiction to pornography. Therefore, a thorough literature review on these aspects is necessary for current clinicians, as well as for those who are training clinicians. In addition, questionnaires …


Homelessness And Adhd: A Hidden Factor?, Elizabeth A. Shepherd Jan 2021

Homelessness And Adhd: A Hidden Factor?, Elizabeth A. Shepherd

Antioch University Dissertations & Theses

Attention deficit/hyperactivity disorder, henceforth known as ADHD, is a common psychiatric problem recognized and diagnosed in children; however, it is not recognized or diagnosed as often in adults. There has been some research illustrating a relationship between ADHD and homelessness. The purpose of this study was to further explore if ADHD could be a hidden factor contributing to homelessness in adults. This descriptive study utilized archival data of patients at a health center in the United States to examine the relationship between homelessness and ADHD. Two analyses were completed using IBM SPSS version 25. Starting from a master dataset including …