Clinical Psychology Commons^™

Traces Of Absence: How The Trauma Of The Yemenite, Mizrahi And Balkan Kidnapped Children Affair Is Present In Photographs And Home Movies, Natalie Haziza

Dissertations, Theses, and Capstone Projects

Between 1948 and 1956, an estimated thousands of babies and young children were kidnapped through the state medical system, in the newly established State of Israel. They were offered for adoption to barren parents (often Holocaust survivors), sold to international adoptive families (often in the United States), and in the most disturbing cases used in medical experiments. Parents were often told that their children had died during routine medical care, but were provided with neither death certificate nor body. The majority of the victims of these kidnappings were Mizrahi - Jewish immigrant families from Arab and Muslim countries. Most families …

Learning To Feel Safe: A Translational Study Of The Influence Of Safety Learning On Anxiety-Related Overgeneralized Fear, Hyein Cho

Dissertations, Theses, and Capstone Projects

Anxiety disorders are among the most common mental health diagnoses, affecting about a third of the population in their lifetime. However, approximately a third of individuals with anxiety do not respond to current treatment approaches, highlighting the need to identify additional potential therapeutic mechanisms. Safety learning is one such mechanism, but methodological challenges and a dearth of research have prevented the field from advancing the understanding of the role of safety learning in the etiology and remediation of anxiety disorders. Animal research, using single-cued safety learning paradigms, has yielded promising early findings, demonstrating that safety learning directly reduces anxiety-related behaviors …

Profiling Child Molesters: Thematic Differentiation Of Crime Scene Indicators And Correlations To Psychopathology, John P. Santora

Student Theses

Offender profiling has become an increasingly important tool in criminal investigations. The current research took an expansive, multifaceted empirical approach to the profiling of child molesters through investigative psychological methodologies with additional perspectives investigating concomitant clinical implications. In doing this, offenders were thematically differentiated based on their behaviors at the offense. The quality of the differentiation was tested, and the distribution of offenders across the derived themes was developed. Associations between the Massachusetts Treatment Center Child Molester Three, Axis One (MTC:CM3 A1) were assessed. This process was repeated for offender characteristic variables which were also thematically differentiated. Finally, behavioral themes …

The Joint Influence Of Social Support And Coping On Anxiety In Aya Cancer Survivors, Genevieve Durso

Theses and Dissertations

Background Adolescent and young adult (AYA) cancer survivors experience unique psychosocial needs during remission. Cancer-related anxiety is endemic amongst AYA survivors and can impede upon the survivor’s life post-cancer treatment. Independent of one another, confiding in a social support system and frequent engagement in coping mechanisms benefit those throughout the cancer experience, leading to more positive psychosocial outcomes. Hypothesis The dual utilization of one’s social support network and coping mechanisms would reduce cancer-related anxiety in AYA cancer survivors. Methods This study’s data was derived from a prior study conducted at Memorial Sloan Kettering Cancer Center, consisting of 128 adolescent and …

Psychiatrist Burnout, Irvin Sam Schonfeld, Renzo Bianchi

Publications and Research

We critique a paper published by Summers et al. (2020) and papers in general that, because of flawed methods, arrive at exceedingly high estimates of burnout in psychiatrists and other professionals.

Smartphones And Somatizing, Jonathan Berkowitz

Dissertations, Theses, and Capstone Projects

This project explores the relationship between smartphone use, somatizing, and mentalized affectivity. The sample consisted of 511 iPhone users who completed an online survey that included scales measuring somatizing, mentalized affectivity, and general symptoms, as well as measures of smartphone engagement and addiction. Participants also provided data from their screentime application, and information about game-playing tendencies. A series of regression models were used to analyze data.

Results showed that smartphone addiction and game playing predicted somatizing, and did not interact with mentalized affectivity. Game-players somatized more than non-game players, and within the game-playing subgroup, those who reported spending more time …

How Psychotherapists Practice In The Digital Era, Josh Weinstein

Dissertations, Theses, and Capstone Projects

The digital era, marked by digital devices connected via high speed data networks, has altered human experience in profound ways over the past 40 years. The potential for novel forms of human relating and fulfillment of desire has led to myriad changes in behavior, thought and unconscious activity. While many adapt or thrive in expanded reality, for some, the digital can be context, source and/or location for psychological affliction. When those who suffer seek psychological relief, how psychotherapists listen for, conceptualize and work with the effects of the digital matter a great deal. While theoretical and quantitative research literature exists …

Antecedents Of Borderline Personality Disorder And Antisocial Personality Disorder: An Examination Of Gene X Environment Interactions, Amy L. Medina

Dissertations, Theses, and Capstone Projects

Current thinking suggests that genotypes associated with impulse-control disorders and negative emotionality, such as monoamine oxidase-a (MAOA), interact with negative early environmental factors like childhood maltreatment and develop into the disorders know as Borderline Personality Disorder (BPD) and Antisocial Personality Disorder (ASPD). Using existing data from a prospective cohort design study of the consequences of child abuse and neglect, participants (N = 896 represent individuals with documented histories of child abuse and neglect and a matched comparison group that were followed up into adulthood and interviewed. A subsample of 631 participants gave permission for DNA extraction and analyses during …

A Solution For Breaking The Impasse Of Burnout Measurement, Renzo Bianchi, Irvin Sam Schonfeld

Publications and Research

In view of the profound problems affecting burnout’s conceptualization and measurement and because there is now robust evidence that burnout is a depressive condition, we recommend that occupational health specialists shift their focus from burnout to depression. A measure of job-related depressive symptoms, the Occupational Depression Inventory (ODI), has recently been developed. Advantageously, the ODI resolves many of the persistent problems linked to burnout while being consistent with burnout researchers’ original aim of assessing a work-attributed form of distress. The ODI includes a diagnostic algorithm that allows investigators to estimate the prevalence of depressive disorders that individuals specifically ascribe to …

The Occupational Depression Inventory—A Solution For Estimating The Prevalence Of Job-Related Distress, Renzo Bianchi, Irvin Sam Schonfeld

Publications and Research

We are concerned about researchers’ reliance on the burnout construct and the MBI-GS to estimate the prevalence of job-related distress. In this paper, we first describe some of the problems plaguing the burnout construct and its measures. Then, we present the Occupational Depression Inventory, a new instrument designed to help occupational health specialists get a clearer view of the mental health status of the workforce (Bianchi and Schonfeld, 2020).

The Contribution Of Adverse Childhood Experiences To The Interplay Between Insecure Attachment Characteristics, Trait Emotional Intelligence, Difficulties In Emotion Regulation, And Personality Organization, Kseniia Gvozdieva

Dissertations and Theses

There are well-established connections between unfavorable attachment experiences and subsequent personality pathology. Individuals with adverse attachment experiences and those with personality pathology have been found to have difficulty with emotional awareness and emotion regulation. Attachment characteristics inform emotional intelligence and emotion regulation, while emotional intelligence and emotion regulation capacities can be protective against personality pathology and serve as a potential mechanism of positive change in one’s attachment. Complex trauma disrupts attachment and the subsequent development of emotional intelligence, emotion regulation, as well as personality structure.

In this dissertation, we examine the ways in which individual attachment patterns can be linked …

Does Social Media Promote Disordered Eating?, Carly Feldstein

Dissertations and Theses

Hispanic people are the largest and fastest-growing minority group in the U.S. with a total of 18.5% of the U.S population being of Hispanic descent (United States Census Bureau, 2020). Although eating disorders (ED), particularly those involving binge eating, comprise a significant health concern, EDs are often overlooked in the Hispanic culture (Higgins et al., 2016; Opara & Santos, 2019). Hispanic individuals have comparable rates of anorexia nervosa, bulimia nervosa, and an even higher rate of binge eating disorders compared to non- Hispanic (NH) White individuals (Higgins et al., 2016). Within Hispanic adults, the lifetime prevalence of EDs is higher …

Is Burnout A Depressive Condition? A 14-Sample Meta-Analytic And Bifactor Analytic Study, Renzo Bianchi, Jay Verkuilen, Irvin S. Schonfeld, Jari J. Hakanen, Markus Jansson-Fröjmark, Guadalupe Manzano-García, Eric Laurent, Laurenz L. Meier

Publications and Research

There is no consensus on whether burnout constitutes a depressive condition or an original entity requiring specific medical and legal recognition. In this study, we examined burnout–depression overlap using 14 samples of individuals from various countries and occupational domains (N = 12,417). Meta-analytically pooled disattenuated correlations indicated (a) that exhaustion—burnout’s core—is more closely associated with depressive symptoms than with the other putative dimensions of burnout (detachment and efficacy) and (b) that the exhaustion–depression association is problematically strong from a discriminant validity standpoint (r = .80). The overlap of burnout’s core dimension with depression was further illuminated in 14 exploratory structural …

Occupational Depression, Cognitive Performance, And Task Appreciation: A Study Based On Raven’S Advanced Progressive Matrices, Renzo Bianchi, Irvin Sam Schonfeld

Publications and Research

The Occupational Depression Inventory (ODI) was recently developed to assess depressive symptoms that individuals specifically attribute to their work. Research on the criterion validity of the instrument is still in its infancy. In this study, we examined whether the ODI predicted performance on, and appreciation of, a cognitively challenging test. In light of the link established between clinical depression and neuropsychological impairment, and considering that individuals with depressive symptoms are more likely to feel helpless under challenging circumstances, we hypothesized that occupational depression would be associated with poorer cognitive performance and a darkened appreciation of the task undertaken. We relied …

Exploring The Relationship Between Anger, Aggression, And Perpetrator Substance Use In The Commission Of Sexual Offenses, Dominique Rivera

Student Theses

This study examined the potential association between perpetrator substance use, anger, and aggressive behavior in the commission of sexual crimes. The sample included 246 adult males convicted of rape (n = 54) or child molestation (n = 192). Descriptive statistics revealed that 64.6% of the individuals in this sample (n = 159) were intoxicated at the time of the offense. Results showed that perpetrators who used substances at the time of the offense were more likely to exhibit aggressive behavior toward the victim (e.g., weapon use, verbal abuse) than those who did not. Offenders with higher pervasive anger scores were …

The Occupational Depression Inventory: A New Tool For Clinicians And Epidemiologists, Renzo Bianchi, Irvin Sam Schonfeld

Publications and Research

Background: Depressive symptoms induced by insurmountable job stress and sick leave for mental health reasons have become a focal concern among occupational health specialists. The present study introduces the Occupational Depression Inventory (ODI), a measure designed to quantify the severity of work-attributed depressive symptoms and establish provisional diagnoses of job-ascribed depression. The ODI comprises nine symptom items and a subsidiary question assessing turnover intention. Methods: A total of 2254 employed individuals were recruited in the U.S., New Zealand, and France. We examined the psychometric and structural properties of the ODI as well as the nomological network of work-attributed depressive symptoms. …

Attachment, Exploration, And Internalized Homonegativity, Gregory J. Gagnon

Dissertations, Theses, and Capstone Projects

Background: Internalized homonegativity (IH; a.k.a. internalized homophobia), has been implicated in health disparities between lesbian, gay, and bisexual persons (LGBs) and their heterosexual peers. Yet, little available research has explored factors that may increase or decrease IH.

Objective: This dissertation investigates relations between child and adult attachment and IH. It further examines the mediating and moderating roles of exploration and mentalization, respectively, in the attachment–IH relation.

Method: One hundred fifty cisgender LGB adults participated in two waves of an online survey. The first assessed recalled child–maternal and child–paternal attachment and current attachment to the romantic partner. The second, conducted two …

Taking It To Heart: Trauma And Cardiovascular Risk In Court-Involved People Of Color, Tanya Erazo

Dissertations, Theses, and Capstone Projects

Research supports that racial disparities in health persist in the United States, with cardiovascular risk and cardiovascular disease remaining particularly high in low-income, communities of color (U.S. Department of Health and Human Services: Centers for Disease Control and Prevention, 2013; Winkleby, Jatulis, Frank, & Fortmann, 1992). Public health literature often focuses on sociodemographic variables when assessing for health disparities without considering trauma or forensic populations. This dissertation provides an overview of literature that examines cardiovascular disease and its relationship to trauma, particularly in low-income, communities of color, and forensic populations. Although the dissertation culminates in providing results for an investigation …

Intra-Familial Microaggressions, Object Relations, And Racial Identity Formation In Multiracial Individuals, Ashley Danies

Dissertations, Theses, and Capstone Projects

The concept of the self in relation to others is referred to in psychoanalytic theory as one’s ‘object-relations’ (Kernberg, 1984). One of the earliest object-relationships is between baby and caretaker(s), through which the baby develops a sense of their own identity (Mahler, 1967; Sandler & Sandler, 1978). Multiracial individuals, or those whose families fall in two or more different racial/ethnic groups, report racial microaggressions from within their own families (Nadal, Sriken, Davidoff, Wong, & McLean, 2013). Notably, Multiracial individuals who have one White parent and one non-White parent face a greater possibility of rejection from one or both sides of …

Sex/Gender Differences In Serial Position Profiles In Patients With Mild Cognitive Impairment And Healthy Controls, Emnet Z. Gammada

Dissertations, Theses, and Capstone Projects

Introduction: Alzheimer’s disease disproportionately affects more women, but paradoxically, men have a higher incidence of Mild Cognitive Impairment (MCI). Researchers have suggested that women’s verbal memory advantage across the lifespan reflects better premorbid skills, which then require more neurodegeneration to manifest early clinical impairment. To date, measurement of sex differences in verbal memory have used total list scores. We proposed that a granular examination of serial position effects (SPE) in list-learning can refine the source of sex/gender differences.

Methods: A cross-sectional analysis of participants with Mild Cognitive Impairment (MCI) and Healthy Controls (HC) was examined from the Alzheimer’s Disease Neuroimaging …

The Role Of Mentalized Affectivity In Romantic Love And Relationship Satisfaction, Camilla P. Hegsted

Dissertations, Theses, and Capstone Projects

Introduction: The role that mentalized affectivity plays in the relationship between romance love and relationship satisfaction was investigated. Methods: 504 participants completed three measures: Mentalized Affectivity Scale, Adapted Triangular Love Scale, and the Relationship Assessment Scale. Results: A number of relationships among the variables was found. However, the processing variable of mentalized affectivity did not moderate the relationship between the intimacy and relationship satisfaction variables. Conclusion: Possible reasons for this finding are discussed. Results show the importance of modulating ability on romantic relationships: being better skilled at modulating one’s affects and emotions predicts greater intimacy levels in relationships as well …

Stalking And Attachment Theory: Causes And Management, Zoe Turner

Dissertations, Theses, and Capstone Projects

Stalking is an issue that has drawn increasing attention over the past four decades. Approximately 6 million Americans report being the victims of stalking each year. The psychological and physical effects of stalking can be severe, ranging from anxiety and depression to physical harm and even death. With the rise of technology and social media, cyberstalking has become an additional problem in recent years. It is vital to understand the root causes of stalking behavior from a psychological perspective in order to create appropriate management and treatment plans. The current research investigates the role of attachment theory in stalking. Within …

Neurodevelopmental Mechanisms Of Adverse Trauma Outcomes In Emerging Adulthood, Olena Kleshchova

Dissertations, Theses, and Capstone Projects

Background: Exposure to traumatic stress and adversity during the formative years of development can have adverse effects on mental health, neuroendocrine stress system function, and the brain, that persist into adulthood. One candidate mechanism that might confer vulnerability to enduring adverse outcomes of early life trauma is disruption of normal brain maturation. As the brain matures, functional interactions among brain regions change until the functional brain architecture (i.e., the functional connectome) reaches a mature state in adulthood. Given that different neural circuits have distinct developmental trajectories and sensitive periods, traumatic stress at a given point in development might have …

Affect, Behavior And (Dys)Regulation: Integrating Youth's Projective Tests And Self-Reports, Laurel Wright

Dissertations, Theses, and Capstone Projects

Past and current research indicates that unconscious processes (e.g., outside the realm of conscious awareness) contribute to aspects of adaptation and development, such as emotion regulation, adaptability, interpersonal flexibility and overall identity formation. Further, unconscious processes including: Defense Mechanisms (DMs), Affect Maturity (AM) and Object Relations (OR), can be operationalized and scored using valid and reliable psychodynamic instruments (e.g., Rorschach Inkblot Method), with theoretical and empirical links to underlying emotion regulation processes. Currently however, emotional dysregulation and its sequelae (e.g.,depression and ADHD symptoms) are most often assessed based on one’s conscious awareness, using standardized self-report measures or structured clinical interviews. …

Do Criminal And Successful (Non-Institutionalized) Psychopaths Differ On Internal, Environmental, And Contextual Characteristics?, Ahmed E. Enaitalla

Dissertations, Theses, and Capstone Projects

Psychopathy is a personality disorder characterized by shallow emotions, particularly social emotions such as guilt, remorse, and empathy, as well as an arrogant and impulsive interpersonal style that involves the manipulation and domination of others. Despite the long history of theory and research on psychopathy, there continues to be a disagreement as to whether antisocial tendencies and criminal behaviors are an inherent part of the construct or are one possible byproduct of the aforementioned traits. In an attempt to resolve this disagreement, some researchers have shifted their efforts towards the study of psychopaths who reside beyond the walls of prisons …

Developmental Predictors Of Adolescent Mental Health Stigma And A Cluster Randomized Controlled Trial Of "Ending The Silence" In New York City, Joseph S. Deluca

Dissertations, Theses, and Capstone Projects

This study explored predictors of mental health stigma among adolescents and the effectiveness of a school-based mental health stigma reduction and health promotion program, “Ending the Silence” (ETS), developed by the National Alliance on Mental Illness. Youth mental health service use is impacted by many factors, but concern about stigma and low mental health knowledge have been consistently identified as leading barriers to help-seeking. Beyond education and contact program components, existing research on how to design a successful adolescent stigma reduction intervention has been inconclusive. A diverse sample of 206 high school students in New York City participated in the …

Intrapersonal And Interpersonal Factors Predicting Distress And End-Of-Life Planning Among Individuals With Advanced Cancers, Aliza A. Panjwani

Dissertations, Theses, and Capstone Projects

The social-cognitive processing model of adaption to cancer posits that both intrapersonal and interpersonal factors influence psychological adjustment (Lepore, 2001). In this dissertation, two intrapersonal factors, intolerance of uncertainty (IU) and experiential avoidance (EA), were examined in relation to emotional distress (psychological outcome) and advanced care planning (behavioral outcome) among patients living with advanced cancer. EA (efforts intended to avoid negative emotions, thoughts, images or memories) was hypothesized to mediate the relationship between IU (the ability to tolerate uncertainty or the unknown) and emotional distress. In line with the social-cognitive model, two interpersonal factors, social support from family and friends …

The Contribution Of Trait Emotional Intelligence To The Relationship Between Childhood Adversity And Pscyhiatric Symptoms In Adulthood, Aura-Maria Morales

Dissertations, Theses, and Capstone Projects

Trait emotional intelligence (TEI) has been found to be an important predictor of and protective factor against psychopathology, including psychopathology in the context of trauma (Hofman et al., 2016; Rudenstine & Espinosa, 2018). The long-established empirical investigation of the relationship between trauma and psychopathology has brought attention to the significance of adverse childhood experiences (ACEs). Similarly, recent literature has honed in on how important aspects of a person’s development such as their attachment style and the culture within which their development is embedded, can mutually inform their development of TEI. This dissertation is an attempt to derive a greater understanding …

Object Relations, Identity Formation, And Transitional Space In Religious Conversion, Arielle Rubenstein

Dissertations, Theses, and Capstone Projects

Conversion between broad religious groups is a life transformation undertaken by 15% of Americans, yet it has seldom been studied closely from a psychodynamic perspective. The psychological study of conversion began with a Protestant paradigm of sudden and total transformation of the self, and over time came to characterize different manifestations of conversion to more diverse religious groups. Research on conversion has primarily sought to understand whether conversion is essentially a psychopathological phenomenon, and has led to a multiplicity of both positive and negative, at times contradictory, findings. Research has shown that conversion is associated with insecure attachment, neurotic personality …

A Comparison Of Strain, Social Learning, Control, And Trauma Theories Of Crime, Nicole Trauffer

Dissertations, Theses, and Capstone Projects

The field of criminology has been dominated by Strain, Control and Social Learning Theories, among others. More recently, research and theory has focused on the role of trauma as a predictor of criminal behavior, especially for women. However, little research has empirically compared these theories to one another. The current study examined these four major theories to determine which best explains non-violent and violent criminal behaviors. Race and sex differences were examined. The data is from a large prospective cohort design study of individuals with documented histories of physical and sexual abuse and neglect and a control group of children …