Clinical Psychology Commons^™

What’S Your Story? Assessing Childhood Maltreatment Using The Thematic Apperception Test In An Adult Inpatient Population., Thachell C. Tanis

Dissertations, Theses, and Capstone Projects

There is a robust evidence that childhood maltreatment contributes to the development of adult psychopathology (Brown & Anderson, 1991; Johnson, Cohen, Brown, Smailes, & Bernstein 1999; Johnson, Smailes, Cohen, Brown, & Bernstein, 2000; Ruggiero et al., 1999). However, the identification of childhood maltreatment remains a methodological problem that results in inconsistencies in the reported incidence and psychological sequelae of maltreatment. A primary method for identifying histories of childhood maltreatment among adults is retrospective self-report measures which are susceptible to multiple biases (Briere, 1992; Cicchetti & Rizley, 1981; Shaffer, Huston, & Egeland, 2008). This present study suggests that childhood maltreatment can …

A Preliminary Program Evaluation Of A Narrative Therapy Intervention For Persons Incarcerated For Violent Crime, Brooke C. Greene

Dissertations, Theses, and Capstone Projects

The Longtermers Project is a fifteen-session group therapy intervention that has been run in three prisons in New York state, two men’s facilities and one women’s, since 2010. The Coming to Terms curriculum, designed specifically for work with this population by Kathy Boudin and her partners at the Osborne Association, a non-profit organization that provides assistance to formerly and currently incarcerated persons in New York state, asks participants to think, write, and speak about their lives in general and particularly about the incident crime for which they were incarcerated. Now that the program has run for several years and a …

The Intergenerational Transmission Of Mentalization: How Parental Reflective Function On The Parent Development Interview Relates To Child Mentalization On The Thematic Apperception Test, Kira Boesch

Dissertations, Theses, and Capstone Projects

Mentalization is defined as the metacognitive ability to think about one’s own and other’s thoughts and feelings, with the goal of comprehending behavior (Benbassat & Priel, 2012). Mentalization is associated with secure attachment, and is both directly and indirectly linked to multiple social and emotional outcomes. This study looked at the correlation between parent and child mentalization as a means of exploring the impact of parent reflectiveness on children’s’ mentalization capacities.

Methods: This study utilized archival data collected at The Psychological Center, a community mental health clinic at the City College of New York. The sample consisted of 15 parent-child …

Casualties Of Racism: Racial And Ethnic Discrimination And Suicidal Thoughts And Behaviors Among Racial And Ethnic Minority Emerging Adults, Lillian Anais Polanco

Dissertations, Theses, and Capstone Projects

The evidence demonstrating that experiences of racial/ethnic discrimination is detrimental to the mental health of racial/ethnic minority youth is unequivocal. What remains unclear, however, is whether racial/ethnic discrimination increases vulnerability for suicidal thoughts and behaviors in particular, and if so, what are the underlying mechanisms to explain this relation. Drawing upon the Race-based Traumatic Stress Theory (Carter, 2007), which suggests that some individuals may experience racial/ethnic discrimination as a traumatic stressor, and thus, eliciting a traumatic stress response, the present study examined posttraumatic stress reactions (i.e., posttraumatic stress, depression, dissociation, stress sensitivity) as mediators in the relation between racial/ethnic discrimination …

Linking Hostile/Helpless Maternal Representations In Pregnancy And Later Child Protection Involvement: A Pilot Study, Madeleine Terry

Dissertations, Theses, and Capstone Projects

The present pilot study examined whether there are reliable indices in the narratives of pregnant women that can be used to identify child abuse and neglect potential before the birth of the child. The Hostile/Helpless (HH) Classification system (Lyons-Ruth et al., 1995-2005), which detects mental states associated with trauma, disturbances in early attachment, and severe pathology, was adapted for use with the Pregnancy Interview (PI), a semi-structured clinical interview (Slade, 2003) that assesses a woman's emotional experience of pregnancy, and quality of her developing relationship with her baby. The study sample was drawn from a replication study of the Minding …

Detecting Cognitive, Functional And Behavioral Response To Donepezil In Alzheimer’S Disease: The Role Of Attention Tasks, Clara Vila-Castelar

Dissertations, Theses, and Capstone Projects

Introduction: Cholinesterase Inhibitors (ChEIs) used in Alzheimer’s Disease (AD) have modest effects, heterogeneous treatment response, and it has been difficult to detect treatment response. The standard research and clinical outcome measure, the Alzheimer’s Disease Assessment Scale-Cognitive subscale (ADAS-Cog) aggregates multiple cognitive domains, and has limited sensitivity. We propose that because acetylcholine is directly linked to the cognitive domain of attention, and ChEIs increase available acetylcholine, measures of attention under high-load conditions could predict long-term cognitive, functional and behavioral response, and thus, unlike global measures, could be sensitive to treatment efficacy.

Method: We conducted a longitudinal, open label donepezil trial …

Subthreshold Ptsd And Associated Psycholgical Distress In Trauma Exposed Male And Female Veterans, Matthew A. Southard

Dissertations, Theses, and Capstone Projects

Post-Traumatic Stress Disorder (PTSD) represents the upper end of a stress-response continuum to traumatic events, rather than a discrete pathological syndrome (Ruscio, et al., 2002). Individuals with PTSD report higher levels of anxiety, depression, anger, aggression, and adjustment difficulties compared to non-traumatized individuals (Ginzburg, Ein-Dor, & Soloman, 2009; Thompson et al, 2011; Novaco and Chemtob, 2002; Kotler et al, 2001; Orth & Wieland, 2006). Subthreshold PTSD represents a less severe range on the stress-response continuum and these individuals may experience similar rates of symptoms of anger, aggression, and depression as those with full-PTSD (Jakupcak, et al., 2007; Mylle & Maes, …

Bias-Motivated Homicides: Toward A New Typology, Lindsey Sank Davis

Dissertations, Theses, and Capstone Projects

Despite significant progress towards equal protection under the law for women, LGBT individuals, and people of color in the United States, hate crime remains a pervasive problem, and rates appear to have increased in recent years. Bias-motivated homicide – arguably the most serious form of hate crime – is statistically rare but may have far-reaching consequences for marginalized communities. Data from the Uniform Crime Reports and the National Crime Victimization Survey have suggested that, on average, fewer than 10 bias-motivated homicides occur in the United States per year; however, data from open sources indicate that the rate of bias-motivated homicide …

A Qualitative, Phenomenological Study Of Psychotherapists’ Perception Of Ethnic Identity Shifts In Immigrant Patients, Ricardo Corbetta

Dissertations, Theses, and Capstone Projects

This qualitative phenomenological paper investigates ethnic identity shifts in immigrant patients by interviewing nine psychotherapists who work with immigrant patients in New York City. It takes into consideration the privileged and biased perspective of the therapist’s subjective experience of their patient’s ethnic identity shifts. The study argues that ethnic identity affiliation is relevant and worth investigating during the psychotherapeutic work, as it can shed light on crucial aspects of one’s emotions, thoughts and behavior.

The Prediction Of Personal Narrative On Features Of Recovery Among People With Schizophrenia-Spectrum Disorders, Beth Vayshenker

Dissertations, Theses, and Capstone Projects

Among individuals with schizophrenia, research has demonstrated that in addition to the positive and negative symptoms characteristic of schizophrenia, the diminishment of the self also represents an important aspect of the illness (Lysaker & Lysaker, 2010). Research has confirmed that the self-experience, particularly as measured by the telling of one’s life story through the Scale to Assess Narrative Development (STAND), is linked to a variety of subjective and objective recovery outcomes from schizophrenia. While this association has been documented in different research studies, less is known about the ways in which personal narrative functions to predict recovery outcomes in a …

Certainty About The Absence Of Positive Future Events As A Unique Predictor Of Suicidal Ideation Over An 18-Month Period, Christina A. Rombola

Theses and Dissertations

We examined the effects of two components of depressive predictive certainty, Certainty-AP and Certainty-N, on suicidal ideation over an 18-month period. We hypothesized that Certainty-AP would better predict SI than Certainty-N, and that future-event fluency would significantly moderate the Certainty-AP and SI relationship. Results and potential implications are discussed.

The Relation Between Dbt Skills Training And Attitudes Towards Individuals With Bpd, Kenny Gonzalez

Student Theses

Attitudes towards individuals with BPD are generally pessimistic (Cleary, Siegfried, & Walter, 2002; Fraser, 2001; McIntosh, 1998). Training as an intervention, in the form of different theoretical orientations, has been shown to improve attitudes among mental health professionals. However, few studies (Fraser, 2001; Hazleton et al., 2006; Carmel, Fruzzetti, & Rose, 2014) have investigated whether Dialectical Behavior Therapy (DBT; Linehan, 1991) can improve attitudes towards individuals with Borderline Personality Disorder (BPD). The current study was conducted at a 3-day DBT skills training workshop and sought to examine the impact of DBT skills training on attitudes towards individuals with BPD. Using …

Psychopathic Traits And P3 Modulation During Simple And Complex Target Detection Tasks, Olivia Aveson

Student Theses

Psychopathy is notable for traits of impulsivity, irresponsibility, and proneness to boredom, characteristics that are all substrates of executive function. However, event-related potential (ERP) P3 studies of attention-related abnormalities in the context of psychopathic traits have yielded inconsistent results (Gao & Raine, 2009). The current study attempted to address these discrepancies by investigating the effects of psychopathic traits on P3s during two attentional tasks. Two groups of ERP participants (n = 28) who had high (T score greater than or equal to 50) or low (T score less than or equal to 40) Psychopathic Personality Inventory – …

An Analysis Of Self-Reported Suicide Attempts And Ideation In A National Sample Of Incarcerated Sex Offenders, Kseniya Katsman

Student Theses

Suicide is the leading cause of preventable death in US jails and prisons, with rates three to nine times higher than those of the general population. Although suicide in correctional settings has been recognized as a serious problem, the research on suicide among incarcerated individuals remains limited. While the majority of suicide risk factors may be common across all offender types, sex offenders may be at a particularly elevated risk. Specifically, sex offenders have been found to report high rates of hopelessness and depressive mood, which are known predictors of suicidal behavior, and approximately 14% of incarcerated sex offenders have …

Predicting Child Molester Typologies: Can Control Methods, Violence, And Location Predict Mtc:Cm3 Axis I Typology?, Gabriel R. Perez

Student Theses

Child molesters have been a key focus of public fear so much that many policies have been created that focus on reducing public panic rather than being supported by empirical evidence. Knowing the psychological motivations and patterns of this particular population is important in order to advance research that can affect future investigations, policies and laws concerning the safety of the public. The purpose of this study was to determine whether the use of crime scene characteristics can accurately predict child molester typology using the MTC:CM3 Axis I Fixation and Social Competence levels. The crime scene characteristics: control methods (use …

Multimodal Depression Detection: An Investigation Of Features And Fusion Techniques For Automated Systems, Michelle Renee Morales

Dissertations, Theses, and Capstone Projects

Depression is a serious illness that affects a large portion of the world’s population. Given the large effect it has on society, it is evident that depression is a serious health issue. This thesis evaluates, at length, how technology may aid in assessing depression. We present an in-depth investigation of features and fusion techniques for depression detection systems. We also present OpenMM: a novel tool for multimodal feature extraction. Lastly, we present novel techniques for multimodal fusion. The contributions of this work add considerably to our knowledge of depression detection systems and have the potential to improve future systems by …

The Nature Of Defenses Used By School-Aged Children With Adhd, Laurie G. Slodounik

Dissertations, Theses, and Capstone Projects

This study sought to develop a more nuanced clinical picture of children with ADHD by examining the relationship between their emotional dysregulation and their use of defense mechanisms—the unconscious mental processes that guard against strong emotions. Children’s responses to the Thematic Apperception Test (TAT) were examined for evidence of defense mechanisms using an empirically validated scale, the Defense Mechanism Manual. The study employed a mixed between-within nonequivalent group design to examine the responses of 37 children ages 7-10. It was hypothesized that children with ADHD would use more frequent and more immature defenses than their peers without the disorder. Additionally, …

Neural Hypervigilance In Trauma-Exposed Women, Seungyeon A. Yoon

Dissertations, Theses, and Capstone Projects

Trauma-exposed people often experience hypervigilance, which is a tonic condition of elevated alertness and excessive scanning for potential threat. A cardinal feature of hypervigilance is that no actual threat is needed to evoke or maintain the over-alertness and heightened affective response. However, most neuroimaging research in trauma to date has only focused on reactivity to an actual threat. Thus, the overarching aim of this dissertation was to investigate neural signatures and salivary markers of post-trauma hypervigilance in the absence of threat that can cause impairment in daily functioning and contribute to developing other trauma-related symptoms such as heightened threat reactivity. …

The Development Of Affect And Defense In Childhood And Adolescence, Kari Gray

Dissertations, Theses, and Capstone Projects

The purpose of this study is to further determine the nature of the relationship between how defense mechanisms affect and are affected by the ways in which feelings are modulated and regulated in children and adolescents. This study has been built upon an IRB-approved research project conducted under primary investigator Steven Tuber, Ph.D. at the Psychological Center and the City College of New York (From Child Assessment to Child Treatment; A Preliminary Investigation). The study data are pre-existing, collected from 5 – 16 year old children and adolescents presenting for treatment and/or assessment at the Psychological Center, a …

The Relationship Among Reflective Functioning, History Of Childhood Trauma, And Symptoms Of Depersonalization And Derealization In Patients With Panic Disorder, Sarah J. Kay

Dissertations, Theses, and Capstone Projects

This exploratory study examined the relationship among reflective functioning (RF), history of childhood trauma, and symptoms of depersonalization and derealization in an attempt to provide a more nuanced clinical picture of panic disorder.

All analyses were conducted using baseline data collected as part of the “Dynamic therapy vs. CBT for Panic Disorder” study at Weill Cornell Medical College and the University of Pennsylvania. The study participants were 201 patients with a primary DSM-IV diagnosis of panic disorder with or without agoraphobia who completed the parent study.

While there was a significant relationship found between trauma and panic severity at one …

Impact Of Neurodevelopmental Genes On The Trajectory Of Adhd Severity: A Pilot Study, Agnieszka Mlodnicka

Dissertations, Theses, and Capstone Projects

Attention-deficit/Hyperactivity Disorder (ADHD) is a chronic neurodevelopmental disorder characterized by symptoms of inattention and hyperactivity, and is associated with delays in neural development. To assess the association of genes involved in neurodevelopment with symptoms and trajectory of ADHD, saliva was collected and genotyped from 145 participants from a longitudinal study of preschoolers who were followed annually for 7 years. We examined four single nucleotide polymorphisms (SNPs) in genes associated with neurodevelopment: neuregulin-1 (NRG-1; SNP rs3924999), neurotropin-3 (NT-3; SNP rs6489630), brain-derived neurotrophic factor (BDNF; rs6265), and regulator of G protein signaling 4 (RGS4; rs951439). Hierarchical linear modeling revealed that neuregulin-1 and …

Singing And Stress, Joseline Lopez

Theses and Dissertations

College students use various methods to cope with stress. The effects of singing on stress, have been scarcely examined in students with little to no singing experience while in their natural environments. College students' stress levels were examined before and after singing. A significant decrease in stress levels was found.

Burnout Research: Eyes Wide Shut, Irvin Sam Schonfeld, Eric Laurent, Renzo Bianchi

Publications and Research

In a study published in a recent issue of Critical Care Medicine, Colville and Smith (2017) found modest overlap between burnout and depression and assumed that burnout and depression are distinct entities. For four reasons, we think that the study is seriously flawed. First, Colville and Smith assessed burnout symptoms with an abbreviated version of the Maslach Burnout Inventory (MBI), the psychometric properties of which are unclear. Second, they used clinically and theoretically arbitrary cutoff scores for categorizing burnout, a modus operandi that, unfortunately, has become commonplace in studies of medical professionals. Third, participants could be categorized as “burned out” …

Burnout Syndrome And Depression, Renzo Bianchi, Irvin Sam Schonfeld, Eric Laurent

Publications and Research

In this chapter, we proposed an overview of burnout, from the introduction of the construct in the mid-1970s to the growing realization that the syndrome was better conceived of as a depressive condition. Recent studies have shown that the distinction between burnout and depression is problematic, both theoretically and empirically. The history of burnout research suggests that transdisciplinary communication and methodological standards should be strengthened to avoid the proliferation of constructs that, in fact, refer to the same phenomena. Construct proliferation, a transgression of the scientific canon of parsimony, is considered a major problem today because it undermines theory building …

A Neglected Problem In Burnout Research, Renzo Bianchi, Irvin Sam Schonfeld, Eric Laurent

Publications and Research

Although we share with Eckleberry-Hunt et al. (2018) some of their criticisms regarding the problematic conceptualization of burnout, we are perplexed by the authors’ silence regarding burnout–depression overlap, which is arguably the most troubling problem attached to the burnout construct. The extensive research suggests that burnout reflects a combination of depressive responses. The emotional exhaustion component of burnout involves fatigue and depressed mood, two diagnostic criteria for depressive disorders. Maslach et al. (2001) wrote that there is “a predominance of dysphoric symptoms” in burnout. Depersonalization symptoms are commonly found in depressed individuals. Diminished personal accomplishment reflects well-known depressive manifestations of …

On The “Bubble” Of Burnout's Prevalence Estimates, Eric Laurent, Irvin Sam Schonfeld, Renzo Bianchi, Laura Hawryluck, Peter G. Brindley

Publications and Research

Hawryluck and Brindley (2018) addressed the issue of burnout—a syndrome thought to be induced by job stress—among critical care medicine (CCM) practitioners. Although we agree that the practice of CCM can be stressful, relying on burnout as an indicator of the practitioners’ response to occupational adversity is unwarranted. Despite its popularity, burnout remains poorly defined. Disconcertingly, investigators have widely relied on the Maslach Burnout Inventory (MBI) for “diagnosing” burnout in spite of the fact that the MBI is not a diagnostic instrument.Experiencing fatigue or distancing oneself from one’ work—what burnout is about—is not necessarily a sign of ill-being in itself. …

Burnout-Depression Overlap: Nomological Network Examination And Factor-Analytic Approach, Renzo Bianchi, Irvin Sam Schonfeld

Publications and Research

Burnout has been defined as a condition in which individuals are left exhausted by a long-term confrontation with unmanageable job stressors. The question of whether burnout reflects anything other than depressive responses to unresolvable stress remains an object of debate. In this 911-participant study (83% female; mean age: 42.36), we further addressed the issue of burnout-depression overlap. Burnout was assessed with the exhaustion subscale of the Maslach Burnout Inventory-General Survey (MBI-GS) and depression with the PHQ-8. The relationships of burnout and depression with three jobrelated variables – illegitimate work tasks, work-nonwork interference, and job satisfaction – and three “context-free” variables …

When We Say 'Physician Burnout,' We Really Mean Depression, Irvin Sam Schonfeld

Publications and Research

There has been controversy regarding the extent to which burnout overlaps depression. I enumerate eight reasons explaining to why depression is at the heart of burnout. Some of these reasons pertain to the highly similar work-related causes of burnout and depression, burnout adherents' faulty categorical and dimensional conceptualizations of burnout and depression, problematically high correlations between emotional exhaustion (the core of burnout) and depressive symptoms, research on physicians and dentists that underline burnout-depression overlap, and the problem of alexithymia being similarly related to burnout and depression. Suggestions for addressing the problem of burnout-depression among physicians are presented.

Is A Meta-Analytic Approach To Burnout’S Prevalence Timely?, Eric Laurent, Irvin Sam Schonfeld, Renzo Bianchi

Publications and Research

Cañadas‐De la Fuente et al. performed a meta‐analysis of the prevalence of emotional exhaustion, depersonalization, and diminished personal accomplishment—the three definitional components of the burnout syndrome—among nursing professionals working in oncology units. All in all, their meta‐analysis was inconclusive because of the very state of burnout research. Because there is mounting evidence that burnout is a depressive condition, we recommend that investigators focus on depression, rather than burnout, in occupational health research and practice.

Interpretation Bias Toward Ambiguous Information In Burnout And Depression, Renzo Bianchi, Eric Laurent, Irvin Sam Schonfeld, Jay Verkuilen, Chantal Berna

Publications and Research

Burnout has been defined as a job-related syndrome combining pervasive fatigue and loss of motivation. In recent years, evidence has mounted that burnout may reflect a depressive condition. In this study, we expanded on past investigations of burnout-depression overlap by focusing on interpretation biases toward ambiguous information among the two entities. We conducted a web-based study involving 1056 participants (83% female; mean age: 42.87). Burnout symptoms were assessed with the Shirom-Melamed Burnout Measure and depressive symptoms with the PHQ-9. The Ambiguous Scenarios Test (AST), a measure of interpretation bias validated among dysphoric individuals, was the outcome of interest. The AST …