Clinical Psychology Commons^™

An Exploration Of Object Representations And Defense Mechanisms In Caregiver-Child Dyads On The Thematic Apperception Test, Hannah L. Bloom

Dissertations and Theses

Caregiver-child interactions, beginning in infancy, are essential for socio-emotional development. Through these exchanges, caregivers impart fantasies, fears, and beliefs—both consciously and unconsciously—that shape the child’s internal models of self and others (object representations) and strategies for managing intense emotions (defense mechanisms). Historically, projective tests, such as the Thematic Apperception Test (TAT), have been used to explore these constructs. In the TAT, participants craft narratives based on images that portray characters in different emotional states and interpersonal situations. Through their responses, participants project elements of their own internal world into the stories they create. Despite the TAT’s success in differentiating diagnostic …

The Role Of Social Inequality In The “Feminization” Of Borderline Personality Disorder, Jane Goldie Ekhtman

Dissertations and Theses

Borderline personality disorder (BPD) is a severe and prevalent mental illness that is three times more likely to be diagnosed in women than men. BPD research has attempted to explain this gender disparity, with clinician gender bias emerging as a possible factor. Yet, no research to date has examined the role of social status in the overdiagnosis of women with BPD. There is merit in examining BPD through a class lens as low SES is a risk factor for BPD, poverty and income inequality disproportionately affect women, and low status is associated with stereotypical traits of femininity. Additionally, mental health …

Examining The Complex Interplay Of Stress, Social Support, And Drinking Motives On Alcohol Use Behaviors: A Moderated Mediation Model Among College Students, Sabrina Perrin

Dissertations and Theses

College student alcohol use remains a public health concern, yet the psychological and social mechanisms that contribute to high-risk drinking patterns are not fully understood. Guided by the motivational model of alcohol use and stress-buffering theory, this study tested a moderated mediation model to examine how perceived stress, coping motives for drinking, and perceived social support interact to influence alcohol use behaviors. A sample of over 1,100 diverse urban college students completed measures of stress, social support, drinking motives, and four alcohol-related outcomes: binge drinking, frequency of alcoholic drinks consumed, negative drinking consequences, and use of protective behavioral strategies (PBS) …

Unveiling Invisible Wounds: Experiences Of Racial Microaggressions, Racial Gaslighting, And Mental Health Among Racially And Ethnically Minoritized Adults, Supriya Pandit

Dissertations and Theses

Racial microaggressions are momentary, subtle, and often unintentional comments or behaviors that nonetheless communicate negative race-based messages towards racially and ethnically minoritized individuals. Given the accumulated and differential impact of racial microaggressions on individuals' mental health over time, it is crucial to investigate its associations with specific mental health symptoms and intrapsychic alleviating factors. To further clarify which coping strategies for racial microaggressions can be more empowering versus harmful, it is also crucial to investigate the processes and mental health consequences that unfold when individuals choose to challenge racial microaggressions, such as racial gaslighting. Racial gaslighting is an insidious interpersonal …

Reply [To Burnout Reflections: Musings On Bianchi And Schonfeld’S Five Focal Areas], Renzo Bianchi, Irvin Sam Schonfeld

Publications and Research

Contrary to what one might assume, the burnout construct did not emerge from systematic research. The definition of burnout was formulated in the 1970s based on prenotions and anecdotal evidence. No sound empirical studies, no in-depth theoretical reflections, not even a review of the stress literature underpinned the introduction of the construct. It is thus unsurprising that some observers regard the edifice of burnout research with scepticism. The pioneers of burnout research neglected basic scientific standards and, by overlooking the abundant work of contemporary stress researchers, deprived themselves of important safeguards against illusions of novelty making big claims based on …

Study Abroad Angst: A Literature Review On The Mental Health Of International Students During Covid-19, Daisuke Akiba, Michael Perrone, Caterina Almendral

Publications and Research

Background: The COVID-19 pandemic presented unique and unprecedented challenges for international students, those studying at institutions of higher education outside of their home countries, due to their distinct circumstances and vulnerabilities. This literature review examines the multifaceted mental health burdens they experienced and highlights the need for targeted support and interventions. Methods: A rigorous search across three databases (i.e., PubMed, PsycINFO, and ERIC) yielded 50 empirical studies for inclusion in this literature review. A six-phase thematic analysis framework was employed to identify and synthesize key themes. Results: Seven prominent themes emerged: (1) academic and professional disruptions; (2) challenges navigating international …

Investigating The Impact Of Affect In Suicide-Specific Attentional Biases, Beverlin Rosario-Williams

Dissertations, Theses, and Capstone Projects

Objective: Biased processing of suicide-related information has been implicated in risk of future suicidal thoughts and behaviors. Although previous studies have classified this biased processing, the tasks used to examine these biases cannot definitely specify which attentional processes are related to risk for suicidal thoughts and behaviors. Therefore, via two independent studies, this dissertation sought to distinguish suicide-specific attentional engagement and disengagement biases from other forms of cognitive processing, such as accessibility of suicide-related stimuli and threat bias toward and away from socially threatening stimuli. Additionally, this dissertation investigated under which affective conditions suicide-specific engagement and disengagement biases emerged. …

Association Of Autistic Traits And Psychiatric Symptoms In Children With A Fragile X Premutation Allele: The Neurodevelopmental Profile, Ariel Zucker

Dissertations, Theses, and Capstone Projects

Throughout the lifespan, approximately 14% of males and 5% of females with a fragile X premutation (PM) (defined as 55-200 CGG repeats on the X-linked FMR1 gene) are diagnosed with Autism Spectrum Disorder (ASD). For individuals that do not meet diagnostic criteria for ASD, autistic traits (ATs) are often present in this population and have been shown to have a subtle and sub-clinical presentation of social communication and interaction deficits. While less is known about the phenotype of children with a PM, studies have found increased rates of ASD and ATs in adults with a PM allele compared to controls. …

Intimate Partner Violence And Negotiation During Covid-19: Stressors, Resources, And Perception, Victoria P. Diamond

Dissertations, Theses, and Capstone Projects

Intimate partner violence (IPV) is a serious public health concern that affects millions across the globe. The COVID-19 pandemic created unforeseen stress, and necessitated safety policies that required social isolation, often extended exposure to one’s intimate partner, and an inability to access stress-reduction resources. These factors, along with many others, lead to an abrupt increase in IPV in many couples. Using the couple-adapted family stress model (ABCX), the current study examines both previously defined (e.g., emotional dysregulation, stress, unemployment, communication issues) and COVID-19 specific risk (e.g., quarantine, unprecedented social isolation, fear of contracting COVID-19) and protective factors (e.g., meaning in …

Brain Injury And Psychosocial Trauma: Outcomes Among Justice-Involved Individuals, Mahathi D. Kosuri

Dissertations, Theses, and Capstone Projects

Justice-involved individuals experience disproportionately high rates of both traumatic brain injuries (TBI) and psychosocial traumas. However, these traumas have yet to be conceptualized together, leaving a chasm of research on how they interact and influence this population. The current study was the first to measure the effects of TBIs as well as psychosocial trauma among justice-involved men, within the context of executive functioning, history of justice involvement, and recidivism. A sample of men (N=95) from a private correctional facility were given the Ohio State University Traumatic Brain Injury Questionnaire (OSU-TBI-ID), the Lifetime Stressor Checklist- Revised (LSC-R), along with …

The Effect Of Working Memory Performance Under Stress On The Relationship Between Trauma History, Ptsd Symptoms, And Intimate Partner Violence, Gabriella Robinson

Dissertations, Theses, and Capstone Projects

Background: Over 12 million people annually experience intimate partner violence (IPV) in the United States. Emerging adulthood has the highest rates of IPV across the lifespan. While many theories attempt to explain why IPV rates are markedly increased during this age period, researchers call for more empirical studies to understand processes occurring during this period that result in increased IPV perpetration. Of the studies that assess IPV perpetration, samples generally consisted of male batterers that perpetrated severe IPV. Trauma history and PTSD symptoms have been seen as risk factors for IPV perpetration. Cognitive risk factors for IPV perpetration, such as …

Resting-State Eeg Microstate Features For Major Depressive Disorder Classification, George M. V. Quinn

Dissertations, Theses, and Capstone Projects

Neuroimaging studies have revealed consistent abnormalities in functional connectivity within specific neural networks that may serve as biomarkers for major depressive disorder (MDD). It is important to find inexpensive, non-invasive techniques that target these biomarkers to make diagnosis easier and more objective. EEG microstates are quasi-stable potential topographies that are thought to reflect the quasi-stable network activity of the underlying neural generators. MDD has been shown to alter features of the four canonical EEG microstates (A, B, C, D) with some conflicting results. The most consistent network abnormalities in MDD are found in the anterior default mode network, and this …

Original Vs. Simplified Miranda Rights: The Impact On Miranda Rights Comprehension And Subsequent Waiver Decisions, Sydney Baker

Dissertations, Theses, and Capstone Projects

Youths’ developmental immaturity negatively impacts their ability to meaningfully understand and appreciate their Miranda rights, raising questions about the validity of their waiver decisions. Moreover, most Miranda warnings are long, written at advanced reading levels, and contain complex sentence structure and vocabulary, which further hinders comprehension. In response, several jurisdictions have begun to use developmentally informed Miranda warnings for youth. However, research has yet to determine whether this improves youths’ ability to make informed Miranda waiver decisions. As such, the current research study explored whether simplified Miranda warnings increased youths’ comprehension of their rights, whether Miranda comprehension was related to …

Relationship Interventions For Autistic Children And Their Non-Autistic Siblings, Susan Vanessa Mchugh

Dissertations, Theses, and Capstone Projects

Relationships between children with autism and their non-autistic siblings are often characterized by great warmth, empathy, and affection. However, because of core deficits in social-emotional reciprocity, autistic children and their siblings often experience difficulties with communication, play, and associated mental health problems. Interventions aimed at improving relationships in these sibling dyads historically have involved teaching non-autistic children to behave similarly to interventionists for autistic siblings, and support groups for children with broad chronic illnesses. More recent interventions have shifted focus to improvement of play between siblings, and support groups for siblings of children with autism spectrum disorder. Some are naturalistic …

Defining Resilience In Young People With Inflammatory Bowel Disease: A Theory Informed Approach, Barbara Storch

Dissertations, Theses, and Capstone Projects

Inflammatory Bowel Disease (IBD) is a chronic gastrointestinal illness for which there is no existing cure. There is significant literature documenting the increased likelihood of adverse biopsychosocial outcomes in young people with IBD (e.g., Greenley et al., 2010); however, many individuals with IBD respond by either maintaining or increasing outcomes categorized as positive. These trajectories can be thought of as characterized by a resilient response. The study of resilience in young people with IBD is nascent. Given the unique disease-specific and developmental contexts young people with IBD experience, the first step in understanding the process of resilience in young people …

The Effects Of Mood And Anxiety Sensitivity On Attentional Engagement And Disengagement In Sleep Disturbance, Kara L. Buda

Dissertations, Theses, and Capstone Projects

Insomnia is a highly prevalent, chronic disorder that is associated with adverse psychological, physical, and psychosocial outcomes. Harvey’s (2002) cognitive model of insomnia and Espie’s (2006) attention-intention-effort pathway model highlight two critical processes believed to play a role in the onset and persistence of insomnia: (a) emotional distress and physiological arousal and (b) selective attention and monitoring. However, investigations examining attentional bias in sleep disturbance have produced mixed results and have exclusively used paradigms that are limited in their ability to differentially examine the two unique components of attentional bias (i.e., facilitated engagement, impaired disengagement). Discrepant findings in the attentional …

Computerized Cognitive Training In The Treatment Of Depression: Individual Differences And Perceptions Of Cct, Sophie Schiff

Dissertations, Theses, and Capstone Projects

Major Depressive Disorder is a serious mental health disorder that affects 8% of adults in the United States. Adults aged 18-29 are at an elevated risk with a prevalence of 12%. Depression is most often characterized by mood symptoms, however, individuals with depression often also present with cognitive weaknesses on objective neuropsychological measures across several domains. These deficits are not only associated with mood symptoms, but significantly interfere with treatment and have been found to persist even with successful treatment of affective symptoms. Research into interventions directly targeting cognition has increased in recent years. While traditional first-line treatments for depression, …

The Blackgirl Project: Examining The Impact And Manifestation Of Colorism Among Black Adolescent Girls In The United States: A Critical Participatory Action Research Approach, Gina (Diagou) R. Sissoko

Dissertations, Theses, and Capstone Projects

Colorism is a skin tone stratification system that privileges lighter-skinned people over their darker-skinned counterparts. Although colorism remains surprisingly understudied, it has been linked to a variety of negative mental health and social outcomes. Colorism particularly impacts Black girls—particularly in adolescence. This dissertation utilized microaggressions theory and a critical participatory action research framework to describe (1) the manifestation of colorism in the lives of darker-skinned Black girls, (2) the impact of colorism on Black girls’ mental health, (3) the ways in which Black girls cope with and resist colorist experiences, and (4) create a taxonomy of colorist microaggressions. Ten Black …

Measuring Intersectional Strength And Stigma Among Racially Minoritized Gender Diverse Young Adults, Joseph Carter

Dissertations, Theses, and Capstone Projects

Background: Racially minoritized transgender and gender expansive young adults (RMTGEYA; aged 18-26) experience mental health inequities due to intersectional, multilevel stigma. RMTGEYA communities embody intersectional strength and resilience that can mitigate the impact of stigma. Understanding and capturing strength and stigma factors to address these inequities has significant implications for clinical science research and practice. There is, however, a complete absence of instruments that are validated to do so. Objective: The goal of this study is to conduct a three-phase, mixed methods study that centers intersectional and community engaged methods of psychometric development for a measure that captures daily experiences …

Enhancing The Accuracy Of The Mild Cognitive Impairment Diagnosis In Community-Based, Racially/Ethnically Diverse Older Adults, Katherine H. Chang

Dissertations, Theses, and Capstone Projects

Mild cognitive impairment (MCI) is thought to represent an intermediate stage of cognitive impairment that is often, but not always, a transitional phase between normal aging and dementia. Diagnostic criteria for “MCI” and international consensus criteria have been developed and refined over decades beginning in the 1990s, but the definition is still debated. Moreover, the operationalization and measurement of one of the criteria for MCI (i.e., subjective cognitive concerns, SCC), which is included in most classification approaches, is highly variable and there is great inconsistency across the literature. Some research efforts even support the removal of this criterion on the …

Health Behaviors And Physical Health Among Young Adults With Varying Psychometric Schizotypy, Christopher Liong

Dissertations, Theses, and Capstone Projects

Schizophrenia has consistently been associated with increased rates of physical illness and early mortality. One explanation for this association might be poor health behaviors, as people with schizophrenia are more sedentary, less physically active, and more likely to engage in substance use compared to the general population. Schizotypy may be conceptualized as the phenotypic expression of increased risk for schizophrenia spectrum disorders, and dimensional models of schizotypy suggest that it varies on a continuum ranging from non-clinical (i.e. low schizotypy) to clinical (i.e. high schizotypy and dysfunction, as in schizophrenia). Though schizotypy and schizophrenia appear to share similar deficits and …

An Investigation Of Continued Contact Between Victim And Perpetrator After Sexual Violence, Maria Bates

Student Theses

Given the prevalence of sexual violence and child sexual abuse (CSA) it is imperative to accurately conceptualize victim experience following sexual violence. Rape myths do not provide an adequate understanding of victim behavior post-abuse/assault (e.g., Denne et al., 2013; Harsey & Freed, 2023; Romero-Sanchez et al., 2018; Russel & Hand, 2017), such as prescribing that victims of sexual violence would never hold contact with a perpetrator post-abuse/assault (e.g., Maurer, 2015; Shepp et al., 2019; St. George et al., 2022; Smith, 2023). Since research shows that many victims, particularly CSA victims, know the perpetrator, (e.g., Basile, 2020; Gewirtz-Meydan & Finkelhor, 2020; …

Mental Health Stigma Related To Depression And Suicidal Behavior In Korean-Americans, Soo Min Kim

Student Theses

Despite the surge of the Korean population within the United States, the Korean-American population is significantly underrepresented in research when observed separately from other Asian groups. The Republic of Korea has had the highest suicide rate within the OECD nations for well over a decade (Organization of Economic Cooperation and Development), and evidence suggests that the risk of suicidality may extend to Koreans living abroad (Kung, 2018). There is also evidence of high prevalence of depressive symptoms in Korean-Americans (Bernstein et al., 2011). In addition, Koreans are consistently demonstrated to hold stigmatizing beliefs about mental illness, however, very little research …

Family Fragments: Pressure And Proximity In First-Episode Psychosis, Cassandra B. Seltman

Dissertations, Theses, and Capstone Projects

This study explores the value of assuming a position that decenters the identified patient in families with a member with schizophrenia. Instead, a systemic view of the family is taken, as subject to pressures from without and within, and utilizing observable processes for the management and discharge of tension. It attempts the difficult balance of thinking dynamically without sacrificing scientific rigor, considering the social without discounting the biological, and exploring the functionality of the family without collapsing into blame, reductive cause-and-effect thinking, and the search to prioritize one true origin.

When treating family members as discrete units around an identified …

Implementing The Reconsolidation Paradigm In Treating Misophonia, Angel Prats

Theses and Dissertations

Misophonic patients experience extreme sense of disgust when exposed to acoustic and/or visual triggers. In this longitudinal study, the reconsolidation paradigm was applied to treat 25 patients during a month. The findings reveal that reminders in a control setting did not improve maladaptive memories, but counterconditioning update ameliorated symptoms.

Suicidal Ideation Among Survivors Of Childhood Sexual Abuse: The Role Of Shame And Sexual Grooming, Aysegul Yucel

Student Theses

Childhood Sexual Abuse (CSA) is a global public health issue, with 25% of girls and 5% of boys in the U.S. reporting abuse before the age of 18. While CSA is known to increase the risk of suicidal ideation in later life, the additional psychosocial factors involved are understudied. This study investigates the impact of abuse-related shame and sexual grooming on suicidal ideation in adults with CSA histories. Data from 118 undergraduate students were analyzed using binomial logistic regression and the PROCESS macro to explore direct and indirect effects. Results show that abuse-related shame significantly predicts suicidal ideation and mediates …

A Validation Study Of The Occupational Depression Inventory In Poland And Ukraine, Krystyna Golonka, Karine O. Malysheva, Dominika Fortuna, Bożena Gulla, Leon T. De Beer, Irvin Sam Schonfeld, Renzo Bianchi

Publications and Research

This study examined the psychometric and structural properties of the Polish and Ukrainian versions of the Occupational Depression Inventory (ODI). We relied on two samples of Polish employees (NSample1 = 526, 47% female; NSample2 = 164, 64% female) and one sample of Ukrainian employees (NSample3 = 372, 73% female). In all samples, the ODI exhibited essential unidimensionality and high total-score reliability (e.g., McDonald’s omegas > 0.90). The homogeneity of the scale was strong (e.g., 0.59 ≤ scale-level Hs ≤ 0.68). The ODI’s total scores thus accurately ranked individuals on a latent occupational depression continuum. We found evidence of complete measurement invariance …

A Validation Study Of The Occupational Depression Inventory In Poland And Ukraine, Krystyna Golonka, Karine O. Malysheva, Dominika Fortuna, Bożena Gulla, Serhii Lytvyn, Leon T. De Beer, Irvin Sam Schonfeld, Renzo Bianchi

Publications and Research

This study examined the psychometric and structural properties of the Polish and Ukrainian versions of the Occupational Depression Inventory (ODI). We relied on two samples of Polish employees (NSample1 = 526, 47% female; NSample2 = 164, 64% female) and one sample of Ukrainian employees (NSample3 = 372, 73% female). In all samples, the ODI exhibited essential unidimensionality and high total-score reliability (e.g., McDonald’s omegas > 0.90). The homogeneity of the scale was strong (e.g., 0.59 ≤ scale-level Hs ≤ 0.68). The ODI’s total scores thus accurately ranked individuals on a latent occupational depression continuum. We found evidence of complete measurement invariance …

Therapist Engagement With Patient Nonverbal Behavior: Exploring These Interactions As A Mechanism Of Change In Virtual And In-Person Short-Term Psychotherapy, Elliana Sheriwn

Dissertations and Theses

The individual (intrapsychic) and dyadic (interpersonal) implications of nonverbal behavior have kindled interest among psychologists for decades. Many researchers and clinicians have studied nonverbal communication in the context of attachment and moment-to-moment interactions between parent and infant (Stern, 1977; Beebe et al., 2000). Theorists have also explored nonverbal behavior in the clinical setting as a dynamic relational dimension co-created by patient and therapist (Freedman and Lavendar, 1995). Although the extant literature highlights how nonverbal communication can inform psychotherapy outcome (e.g., by fostering empathy and building rapport), the topic of therapist engagement with patient nonverbal behavior—specifically, how these interactions serve as …

Social Determinants Of Psychosis: An Examination Of Loneliness, Stress, Discrimination, And Neighborhood Cohesion In Psychotic Disorders, Alexandria Selloni

Dissertations and Theses

This study examined social determinants in individuals diagnosed with psychotic disorders in a large, diverse, sample from the NIH-sponsored All of Us Research Program. Participants completed self-report measures of loneliness, perceived stress, everyday discrimination, and neighborhood social cohesion. Analyses showed that individuals with a diagnosis of a psychotic disorder experience significantly more feelings of loneliness, stress, everyday discrimination, and poorer neighborhood social cohesion compared to individuals without any diagnosis of a mental disorder as well as compared to individuals who may have other mental disorders other than psychosis. We further examined racial difference among individuals with psychotic disorders and found …