Clinical Psychology Commons^™

The Association Between Mental Health Diagnoses And Trial Competency Assessments In Defendants: A Meta-Analysis, Danielle C. Severe

Student Theses

In the realm of trial competency evaluations, there are a variety of methods used to evaluate whether an individual is fit to stand trial. Presently, forensic psychologists conduct trial competency evaluations in order to assess one’s ability to stand trial, but for persons with a mental health diagnosis, the generic competency measures are not the most effective means to assess one’s ability to stand trial, as mental health diagnoses impair cognitive functions that are required in judicial proceedings. Forensic psychologists have opted to utilize other assessment methods such as the MacArthur Competence Assessment Tool – Criminal Adjudication [MacCAT-CA] and Fitness …

Validation Of The Occupational Depression Inventory In Brazil: A Study Of 1,612 Civil Servants, Renzo Bianchi, Danísio Calixto Cavalcante, Cristina Queirós, Blezi Daiana Menezes Santos, Jay Verkuilen, Irvin Sam Schonfeld

Publications and Research

Objective: The Occupational Depression Inventory (ODI) assesses work-attributed depressive symptoms. The ODI has demonstrated robust psychometric and structural properties. To date, the instrument has been validated in English, French, and Spanish. This study examined the psychometric and structural properties of the ODI's Brazilian-Portuguese version.

Methods: The study involved 1612 civil servants employed in Brazil (MAGE = 44, SDAGE = 9; 60% female). The study was conducted online across all Brazilian states.

Results: Exploratory structural equation modeling (ESEM) bifactor analysis indicated that the ODI meets the requirements for essential unidimensionality. The general factor accounted for 91% of the common variance extracted. …

The Pandemic Anxiety Inventory: A Validation Study, Irvin Sam Schonfeld, Tasmyn Prytherch, Mark Cropley, Renzo Bianchi

Publications and Research

The Pandemic Anxiety Inventory (PAI) assesses anxiety symptoms individuals attribute to the presence of a pandemic. We conducted this study of 379 British adults during the COVID-19 pandemic and found that the PAI exhibited excellent reliability and solid criterion validity. Pandemic anxiety was associated with reduced social support, anticipated life changes, financial strain, job loss, economic insecurity, and the hospitalization or death of a close friend or relative. Using correlational and bifactor analyses, we found that the PAI demonstrated solid convergent and discriminant validity. The findings suggest that the PAI can be used in research and clinical practice.

The Pandemic Anxiety Inventory: A Validation Study, Irvin Sam Schonfeld, Tasmyn Prytherch, Mark Cropley, Renzo Bianchi

Publications and Research

The Pandemic Anxiety Inventory (PAI) assesses anxiety symptoms individuals attribute to the presence of a pandemic. We conducted this study of 379 British adults during the COVID-19 pandemic and found that the PAI exhibited excellent reliability and solid criterion validity. Pandemic anxiety was associated with reduced social support, anticipated life changes, financial strain, job loss, economic insecurity, and the hospitalization or death of a close friend or relative. Using correlational and bifactor analyses, we found that the PAI demonstrated solid convergent and discriminant validity. The findings suggest that the PAI can be used in research and clinical practice.

Validation Of The Occupational Depression Inventory In Sweden, Markus Jansson-Fröjmark, Farzaneh Badinlou, Tobias Lundgren, Renzo Bianchi, Irvin Sam Schonfeld

Publications and Research

Background The Occupational Depression Inventory (ODI) was recently devised to assess depressive symptoms that individuals specifically attribute to their work. One purpose of the ODI is to overcome limitations in current assessments of job-related distress. This study aimed to validate the Swedish version of the ODI.

Methods The study involved 365 individuals employed in Sweden. In addition to the ODI, the study included the Satisfaction with Life Scale, the Effort-Reward Imbalance Questionnaire, the Demand-Control-Support Questionnaire, the GAD-2, and the PHQ-9. We inquired into the factorial validity, dimensionality, scalability, test-score reliability, criterion validity, convergent validity, discriminant validity, and measurement invariance of …

Toward A New Approach To Job-Related Distress: A Three-Sample Study Of The Occupational Depression Inventory, Renzo Bianchi, James Sowden, Jay Verkuilen, 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. One purpose of the ODI is to respond to limitations of current assessments of job-related distress, most notably, assessments relying on the burnout construct. In this study, we conducted a thorough examination of the psychometric and structural properties of the ODI using exploratory structural equation modelling bifactor analysis and Mokken scale analysis. The study involved three samples of employed individuals, recruited in France (N = 3454), Switzerland (N = 1971), and Australia (N = 1485). Results were consistent across the three …

The Impact Of Perceived Social Support On Complex Posttraumatic Stress Disorder, Elizabeth Eng

Dissertations and Theses

Individuals who have experienced repeated and interpersonal trauma often develop symptoms of Posttraumatic Stress Disorder (PTSD), along with additional features relating to disturbances in self-organization (DSO), which is now known as Complex Posttraumatic Stress Disorder (CPTSD). CPTSD has been seen to be associated with adverse outcomes such as somatic symptoms, attachment insecurity, and overall lower life satisfaction (Karatzias et al., 2018; Kuhar & Zager Kocjan 2022; Maercker et al, 2022). Due to these additional features relating to DSO, CPTSD has been identified as distinct from PTSD, and so it has been important to investigate these unique symptoms. One such symptom …

Internalized Gender Role Stereotypes Within Young Women And The Presentation Of Somatic Symptomatology Of Major Depressive Disorder, Michelle Miselevich

Dissertations and Theses

Evidence suggests that two distinct disorders are currently being diagnosed as depression. One, somatic depression, involves depression plus several somatic symptoms while the other, pure depression, involves depression without as much somatic symptomatology. Somatic depression has been hypothesized to afflict women who view themselves non traditionally and thus do not agree with traditional stereotypes of women. Measures of agreement with negative stereotypes of members of their own group have been found in several groups to be positively related to depression. This may apply among women to pure depression. Thus, women who exhibit pure depression are hypothesized to exhibit agreement with …

Immigrant Therapists’ Perceptions Of Transference, Countertransference, And Racial Experiences In The United States, Lian Malki-Schubert

Dissertations and Theses

There has been a steady increase in the percentage of immigrant therapists in the US. In psychology doctoral programs, the number of foreign-born students has doubled between 1997 and 2016. The present study aimed to examine the perceived impact of therapists’ immigrant identity when working with US-born and foreign-born clients, as little research has been dedicated to this topic. Another central theme this study sought to explore was immigrant therapists’ perspective shifts on racial identity upon arriving in the US. Given that race is a social construct that is culturally bound, the study investigated immigrant therapists’ perceptions of racial identity …

Compassion-Based Resilience Training (Cbrt) For Frontline Healthcare Workers In Contact With Covid-19 Patients, Michael Perez Sosa

Dissertations and Theses

Objectives: The COVID-19 pandemic has had deleterious consequences for the mental health of frontline healthcare workers worldwide. One systemic review of the literature found high prevalence rates of anxiety (67.55%), depression (58.89%), and stress (62.99%) reported by this population (Vizheh et al., 2020). Additionally, high rates of burnout and symptoms associated with trauma have also been ubiquitous during the pandemic for frontline healthcare workers. The purpose of this study is to investigate Compassion-Based Resilience Training (CBRT) as a remotely delivered intervention for frontline healthcare workers in contact with COVID-19 patients to reduce symptoms associated with stress, depression, anxiety, burnout, and …

The Moderating Roles Of Racial Discrimination And Covid-19 Stress On The Association Between College Students’ Cannabis Use And Psychosocial Functioning, Shannique Richards

Dissertations and Theses

Abstract

The Moderating Roles of Racial Discrimination and COVID-19 Stress on the Association between College Students’ Cannabis Use and Psychosocial Functioning

By

Shannique Richards, MA

Advisor: Sarah O’Neill, PhD

Greater use of cannabis is linked to poorer psychosocial outcomes. Rates of cannabis use are particularly high in racial/ethnic minoritized (REM) and socioeconomically disadvantaged college students. Cannabis use has been correlated with exposure to trauma. REM and socioeconomically disadvantaged college students report higher rates of trauma exposure, including discrimination and health and social disparities than their White peers. This study examined exposure to two types of potentially traumatic events (racial discrimination …

An Exploration Of The Relation Between Psychological Functioning And Reactions To Global Climate Change For Late Adolescents In New York City, Emma Routhier

Dissertations and Theses

Climate change poses a potentially unique generational crisis, as it threatens the viability of the very world that the current adolescent generation stands to inherit. While some studies have begun to appreciate the specific experience of adolescents as it pertains to climate change, they attend to young people’s behavior or self-reported feelings. The present study aims to employ psychoanalytic constructs, with attention to the unconscious determinants of psychic life and behavior, in an empirical examination of this topic, and to introduce a level of sensitivity to the vicissitudes of the adolescent period that have not previously been addressed in the …

Early Adversity, Emotion Regulation, Object Relational Functioning, And The Moderating Effect Of Gender Identity: A Community Sample Study, Victoria Schilder

Dissertations and Theses

Introduction: Clinical and social psychological literature have long demonstrated group status, culture, and social support as equally integral and influential factors which contribute directly both to the quality of one’s lived experience, and to the development and experience of one’s sense of identity or selfness. For example, acceptable norms regarding behavior, dress, and emotional experience – particularly when an individual does not live up to societal standards – have been demonstrated to contribute to deleterious internalizations surrounding self-confidence, self-worth, and self-esteem. More specifically, the social and cultural implications of being identified as “female” versus “male” have been found to be …

Immigrant Risk, Self-Discontinuity, And The Role Of Nostalgia, Leila Talhouk

Dissertations and Theses

Background: There are conflicting theories and data about immigrants’ health in the host country (e.g., immigrant risk vs. paradox), which have encouraged researchers to examine more nuanced factors related to immigration to clarify these inconsistencies. This two-part study aimed to shed light on these discrepancies by investigating psychoanalytic concepts that have not yet been empirically tested. The study focuses on immigrant self-discontinuity, a migration- induced disruption in one’s sense of self-sameness and unconscious sense of going-on-being, manifesting in moments of disorientation, disorganization, or dissociative-like experiences. There is no adequate instrument to measure this construct; as such, Part 1 of the …

Interventions That Move: Characterizing The Language Of Therapist Responses To High Patient Arousal, Karen Tocatly

Dissertations and Theses

The Referential Process (RP) is defined as a set of functions (Arousal, Symbolizing, and Reflecting/Reorganizing) that describe the rendering of subsymbolic experience into verbal, symbolized form (Bucci, 2021). Movement through the RP — beginning with the subsymbolically-dominated Arousal function — has been tied to multiple theoretical and clinical understandings of therapeutic progress and personality change (Bucci, 2013; Mariani et al., 2013). The present exploratory study seeks to identify whether certain therapist language features are linked to the facilitation of patients’ movement from Arousal to Symbolizing. Using treatment transcripts from the RP Group Data Base, cases of high patient Arousal were …

Occupational Depression In Italy: Associations With Health, Economic, And Work-Life Characteristics, Renzo Bianchi, Caterina Fiorilli, Giacomo Angelini, Nicoletta Dozio, Carlo Palazzi, Gloria Palazzi, Benedetto Vitiello, Irvin Sam Schonfeld

Publications and Research

Background: The Occupational Depression Inventory (ODI) reflects a new approach to job-related distress centered on work-attributed depressive symptoms. The instrument was developed with reference to the characterization of major depression found in the DSM-5. The ODI has been validated in English, French, and Spanish. This study (a) investigated the psychometric and structural properties of the ODI’s Italian version and (b) inquired into the nomological network of occupational depression. Methods: A convenience sample of 963 employed individuals was recruited in Italy (69.9% female; mean age = 40.433). We notably relied on exploratory structural equation modeling bifactor analysis, common-practice …

The Intersection Of Religion And Mental Health Help-Seeking: Themes Within Youth Experiencing Early Psychosis, Breanna Nichols

Student Theses

Little research has examined the intersection of religion and mental health among predominantly conservative communities – where religion tends to weigh heavily. It is known from the literature that religion and spirituality play a role in influencing treatment pathways and views towards mental health. The primary aim of the present study was to explore via secondary thematic analysis, the intersection of religion and mental health within a conservative Midwestern community of youth who are receiving treatment for early psychosis, with a secondary look at family dynamics. Seven participant transcripts were analyzed from the Narrative Enhancement and Cognitive Therapy-Young Adult (NECT-YA) …

Distress In The Workplace: Characterizing The Relationship Of Burnout Measures To The Occupational Depression Inventory, Irvin Sam Schonfeld, Renzo Bianchi

Publications and Research

Burnout has been found to problematically overlap with depression. However, the generalizability of this finding remains disputed. This study examined burnout–depression overlap using the recently developed Occupational Depression Inventory (ODI) and two burnout measures, the Maslach Burnout Inventory (MBI) and the Copenhagen Burnout Inventory (CBI). The study involved two teacher samples employed in France (N = 1,450) and New Zealand (N = 492). We found the correlations of the ODI with (a) the MBI’s emotional exhaustion (EE) subscale and (b) the CBI to reach .80. An explanation of these high correlations based on content overlap in fatigue-related items was ruled …

Burned-Out With Burnout? Insights From Historical Analysis, Renzo Bianchi, Katarzyna Wac, James Francis Sowden, Irvin Sam Schonfeld

Publications and Research

Fierce debates surround the conceptualization and measurement of job-related distress in occupational health science. The use of burnout as an index of job-related distress, though commonplace, has increasingly been called into question. In this paper, we first highlight foundational problems that undermine the burnout construct and its legacy measure, the Maslach Burnout Inventory (MBI). Next, we report on advances in research on job-related distress that depart from the use of the burnout construct. Tracing the genesis of the burnout construct, we observe that (a) burnout’s definition was preestablished rather than derived from a rigorous research process and (b) the MBI …

The Impact Of Cannabis Use On Neuropsychological And Neural Biomarkers Of Treatment Response In Schizophrenia Spectrum Disorders, Melanie B. Thies

Dissertations, Theses, and Capstone Projects

Cannabis use among patients with schizophrenia-spectrum disorders (SSD) is at significantly greater levels than in healthy populations but the impact of cannabis on neural mechanisms of clinical improvement is poorly understood. Cognitive functioning and neural connectivity are disrupted as a result of both SSD and cannabis use, and research indicates that neuropsychological capacity and connectivity of the striatum, a region involved in salience and reward processing, may be integral to effective antipsychotic drug (AP) treatment response. Despite this overlap, no previous research has investigated the effect of cannabis on the brain functions implicated in AP treatment response. The present study …

Countertransference And The Patient's Experience: Exploring How Engagement With Affect Is Related To Short-Term Psychotherapy Outcomes, Ariel R. Westerman

Dissertations, Theses, and Capstone Projects

Background: Therapist focus on affect in the here-and-now can facilitate a patient’s emotional experience as well as expression of affect, both of which are associated with better outcome over the course of treatment (Diener et al., 2007). A therapist’s use of her own experience of the patient can serve as a signal to intervene in the here-and-now. While “countertransference” was historically seen as an obstacle to a therapist’s neutrality and therefore efficacy (Freud, 1910), shifts in the field toward a two-person psychology model led some to reconsider it as a potential source of clinical data (Winnicott, 1947; Heimann, 1950; Racker, …

Coercive Control And Trauma-Coerced Attachment In Commercial Sexual Exploitation: A Mixed-Method Examination, Kendra Doychak

Dissertations, Theses, and Capstone Projects

Commercial sexual exploitation (i.e., sex trafficking) can lead to myriad negative consequences for its victims, including exposure to coercive control and the development of trauma-coerced attachments. Scholars have offered theoretical conceptualizations of the relation between coercive environments and traumatic attachments, but this relationship is rarely empirically examined. The current study used data from 68 semi-structured interviews with former victims of sex trafficking to first, formally identify coercive control and second, empirically classify trauma-coerced attachment in this population. Mixed-method analysis were used to identify associations between coercive control and TCA in order to better explain how this abuse dynamic leads to …

A Pilot Feasibility Trial Of Mindfulness And Modification Therapy For Males Who Use Aggression, Jenny Mitchell

Dissertations, Theses, and Capstone Projects

Physical aggression incurs substantial harm to victims and witnesses, particularly when it occurs within close relationships such as family, friendships, or intimate partnerships. Men who use aggression against partners and other adults frequently experience high levels of psychopathology, including depression, posttraumatic stress symptoms, anxious/insecure attachment, paranoia, bipolar disorder, intermittent explosive disorder, personality disorders, and substance abuse, which contribute to use of aggressive behaviors. However, existing treatments for aggression often do not address these symptoms. It is important that treatments for aggression are grounded in theoretical literature and backed by empirical support in order to increase treatment engagement and effectiveness. Treatments …

Investigating Young Adult Cancer Survivors' Perspectives On Their Future And Interpersonal Relationships, Zeba N. Ahmad

Dissertations, Theses, and Capstone Projects

For many young adults (YA, aged 18-39) who have recently survived cancer, planning and working towards goals for the future is a fraught process. Prior research consistently identifies the challenges of survivorship, including: rebuilding personal identity, accepting the impact of cancer-related interruptions on personal goals, navigating new roles in significant close relationships, and initiating new relationships as a survivor. However, there is limited research describing the mechanisms underlying these persistent challenges, which poses difficulties when tailoring evidence-based psychological intervention. The present study consolidates both established and newly hypothesized survivorship challenges into a novel conceptual model, hypothesizing that they are interrelated, …

Anomalous Self-Experiences And Aberrant Salience In Schizotypy, Victoria Martin

Dissertations, Theses, and Capstone Projects

Within this investigation, the self-disorder hypothesis of schizophrenia was assessed via an illusory perceptual paradigm. It has been proposed that alteration of basic (minimal) selfhood may underlie cognitive and perceptual disturbances in psychosis (Sass, 2014). Disturbed corporeality (i.e., anomalous experience of one’s body) is an identified component of basic self-disturbance. As it is difficult to empirically capture the spontaneous occurrence of anomalous bodily experiences as they arise, the Pinocchio Illusion (PI) has been employed to capture variations in the plasticity of bodily self-experience (specifically, body boundary plasticity) (Michael & Park, 2016). The PI paradigm provides for the sensations of arm …

Exploring Social And Emotional Functioning In Emerging Adult Survivors Of Adverse Childhood Experiences, Sara Babad

Dissertations, Theses, and Capstone Projects

As many as two thirds of adults in the United States have experienced adverse childhood experiences (ACEs) and 60% of these individuals have experienced multiple, or cumulative ACEs. ACEs are associated with a range of outcomes, including social, emotional, and cognitive changes, health risk behaviors, psychopathology, worse physical health, and early death. Although some ACEs effects have been well-researched, social and emotional changes have received minimal attention in the literature in general. Research on ACEs effects in emerging adults (ages 18 to 25), an already vulnerable population, is also limited. Furthermore, there is debate in the field as to which …

The Social Construction Of Premenstrual Dysphoric Disorder (Pmdd), Raya Balabanova

Dissertations, Theses, and Capstone Projects

The creation of psychiatric diagnoses, otherwise known as psychiatric nosology, is a complex endeavor, one involving a great deal of social construction. One diagnosis in particular, premenstrual dysphoric disorder (PMDD), exemplifies the different factors that go into the creation of psychiatric labels. After decades of research, activism, and debates, PMDD was included in the diagnostic and statistical manual (DSM-5), which is widely used by clinicians in the U.S. This thesis aims to describe how the symptoms described by PMDD caught the attention of the medical profession and how PMDD was shaped into the diagnosis it is today. The introduction of …

Virtual Reality Supplement To The Peers Social Skills Intervention For Adolescents With Asd, Kevin Ambrose

Dissertations, Theses, and Capstone Projects

The purpose of this study was to replicate findings of the Program for the Education and Enrichment of Relation Skills (PEERS) parent-assisted social skills training program for a diverse group of adolescents with historical autism spectrum disorder (ASD) diagnoses in an urban locality. Additionally, this study sought to pilot a 3D multi-user virtual environment for adolescent participants and an online learning community for parent coaches; both hypothesized to reinforce the social skills curriculum. A randomized controlled trial of PEERS was completed with 12 adolescents diagnosed with ASD with some participation from their caregivers. Results show that participants who received the …

The Impossible Situation? Impasse As Psychotherapeutic Paralysis, Possibility, And Progress, Leo Cancelmo

Dissertations, Theses, and Capstone Projects

Psychotherapeutic impasse has long been understood in the clinical literature as treatment stagnation and even failure, both from one-person and two-person psychodynamic perspectives. However, there is a dearth of empirical research that delves deeper to understand this complex and rich phenomenon. Using semi-structured interviews with nine psychodynamic therapists speaking about individual adult patients, this study examined experiences of impasse to better understand treatments that become embroiled in a kind of paralysis. Qualitative analyses revealed dyads where patients were conceptualized as struggling chronically with negative feelings about themselves and others, and who experienced traumatic personal histories. Impasse in and of itself …

Ssri-Induced Emotional Blunting: A Study Of Cognitive Changes In Pharmaceutically Treated Depression, Carly Tocco

Dissertations, Theses, and Capstone Projects

Objective: In recent years, approximately 12.7% of the American population are on a prescribed antidepressant medication. Selective Serotonin Reuptake Inhibitors (SSRIs) are a widely used pharmacological treatment for depressive and anxiety disorders, primarily due to their tolerance levels, mild side effects in comparison to other antidepressants, and broad range of clinical indications. However, there are still numerous concerns about SSRIs’ ability to improve depressive symptoms without adding side effects such as sexual dysfunction, gastrointestinal upset, and a restricted range of emotions. Although patients typically claim that they have less emotional pain while on SSRIs than they do during a depressive …