Clinical Psychology Commons^™

A Program Evaluation On The Effectiveness Of Chronic Pain Management In A Rural Community, Sylvia D. Ramirez

Doctor of Psychology (PsyD)

Chronic pain is a well-known, significant problem in the United States, affecting approximately 55% of adults in Western countries. Opioid use to manage chronic pain impacts individual’s social, psychological, and physiological health. The shortcomings of monotherapy, such as opioid use, have been led to extensive research to develop and assess the outcome of multi-disciplinary evidence-based programs. Rather than eliminating pain, interventions focus on pain management and improving quality of life, independence, and mobility. This quasiexperimental study examined the effectiveness of the Persistent Pain Program (PPP), an 8-week Cognitive Behavioral Treatment program and movement therapy intervention for patients living in a …

Do Calories Count? Examining The Impact Of Calorie Awareness On Food Selection, April V. Rose

Doctor of Psychology (PsyD)

This study examined whether purchasing behavior of patrons in a college campus cafe changed when calorie information was provided. It compared weekly sales on food items before and after calorie information was posted for a group of target items (n = 6) that had calorie counts posted in fall 2017 and two groups of comparison items. Archival sales data were collected using the existing point-of-sale system. Sales of target items, which had calories displayed next to them, dropped significantly when compared with sales of the same items during the previous year. Sales of target items also dropped significantly when compared …

Evaluation Of Parental Stress And Appointment Satisfaction In A Feeding Disorders Clinic, Erin L. Besser

Doctor of Psychology (PsyD)

More than one-quarter of the pediatric population in the United States struggles with feeding or swallowing challenges, many of which become chronic, lifelong disorders. Diagnosis and treatment of feeding and disorders can be challenging due to the interplay of behavioral and medical factors that create food refusal by the child. Treatment of feeding disorders is difficult, as it requires comprehensive involvement of parents and caregivers, which can be demanding and stressful. Parental stress may include anxiety, fear, and frustration with the child(ren) with feeding or swallowing disorders and can negatively affect health outcomes for children. Specialty clinics designed to address …

Intimate Partner Violence, Perception Of Safety, And Faith Among Female College Students Attending Faith-Based Institutions, Liliya Anatolyevna Rudneva

Doctor of Psychology (PsyD)

Many women experience intimate partner violence (IPV), and research shows this violence significantly impacts their mental health, physical health, and substance abuse. The experience of IPV may also impact other areas of life. This study aims to explore the relationship between the experiences of IPV, perception of safety, and perception of faith, among female college students attending Christian universities. Archival data from the National College Health Assessment (NCHA) was used to explore this relationship among female students who experienced physical, sexual, or psychological IPV in the past twelve months. Results indicate students who experienced IPV endorsed lower perceptions of safety …

Cognitive Functioning During Conflict In Intimate Partner Relationships Between Traumatized And Non-Traumatized Samples, Kylie N. Coleman

Doctor of Psychology (PsyD)

Significant differences have been found in neural connectivity of the brain in frontal, central, temporal, and parietal areas of individuals who experienced childhood trauma compared to those who had not (Cook, Ciorciari, Varker, & Devilly, 2009). This study investigated the relationship between the number of distressing and traumatic life experiences and participants’ neural responses to observing simulated conflict in intimate relationship. Graduate students (n = 11) answered conflict resolution and emotional activation questions while watching a simulated, escalating marital conflict. The participants’ neural responses were recorded via EEG mean power data from frontal and temporal brain regions. Heart rate (bpm) …

Being, Doing, And Play: A Theoretical And Clinical Exploration, Nathan A. Haskell

Doctor of Psychology (PsyD)

This paper explores the metonymy of the following aphorism, delivered by Winnicott in a 1967 lecture: “From being comes doing, but there can be no do before be.” (1970, p. 25, emphasis in original). This aphorism has been little discussed or explored in the literature, but Winnicott articulated similar ideas in his more academic papers (e.g., 1965, 1970). These similar communications about being and doing will be examined alongside more contemporary thinking about the ideas to which Winnicott alludes in this aphorism; works by Benjamin (1988) and Akhtar (2000) in particular will be brought to bear on the subject. Two …

Human Sex Trafficking: How Sex Trafficking Victims And Survivors Experience Hope And Resilience, Adrian Egger

Doctor of Psychology (PsyD)

Few studies have examined the experiences of sexually trafficked victims and survivors in the United States.

As the population increases it is important to understand how sexually trafficked victims and survivors cope with trauma, experience recovery, and respond to therapy. Research indicates that factors of hope and resilience play a vital role in the way individuals cope with trauma and experience recovery (Masten & Narayan, 2012).

This study examined factors of hope and resilience of 12 sexually trafficked victims and survivors, ages 14 to 21. Interviews were conducted and a mixed-methods design was employed to establish common themes related to …

Predicting Modification And Revocation Of Insanity Acquittees On Conditional Release Using The Short-Term Assessment Of Risk And Treatability, Heidi Oliver

Doctor of Psychology (PsyD)

Violence risk assessment has evolved significantly over the past 50 years. The newest generation of risk assessment tools is intended not only to assess risk but also to inform treatment. The Short-Term Assessment of Risk and Treatability, i.e., the START, is an example of a 4thgeneration tool that identifies risk and protective factors, highlighting the dynamic variables that may decrease risk. As treatment for mentally ill offenders shifts from inpatient hospital environments to community-based treatment settings, a focus on dynamic risk factors is crucial for maintaining safety for patients and the community. This study aimed to identify the predictive validity …

The Relationship Between Gratitude And Health Behaviors, Jacob Lowen

Doctor of Psychology (PsyD)

Gratitude interventions lead to significant increases in subjective, psychological, spiritual, and physical well-being. These benefits may be because grateful individuals are better able to form social bonds, better able to utilize coping skills to defer stress, better able to maintain positive affect, and are more creative in problem solving. It remains unclear what mechanism(s) are responsible for the positive benefits associated with gratitude and whether the link between gratitude and health enhancement is bidirectional. The current study seeks to explore the link between gratitude and health behaviors by measuring the increase or maintenance of gratitude over time in response to …

Norming The Young Schema Questionnaire In The U.S., Elizabeth Di Francisco

Doctor of Psychology (PsyD)

Since publication in 2005, the Young Schema Questionnaire Short-­‐version 3rd Edition (YSQ-­‐S3) has increased in popularity over the years among psychologists in Europe and the U.S.; yet to date it has not been normed within a U.S. sample. A sample of 148 participants completed eight demographic questions, the Generalized Anxiety Disorder -­‐7 (GAD-­‐7), Patient Health Questionnaire -­‐9 (PHQ-­‐9), and YSQ-­‐S3 via Survey Monkey. Participants were classified into clinical and non-­‐clinical groups depending on responses to the GAD-­‐7, PHQ-­‐9, and demographic questions. YSQ-­‐S3 results were analyzed via SPSS 23.0 to conduct descriptive statistics, one-­‐way ANOVA, and exploratory analyses to test the …

Bridging The Gap: Pop Media As A Narrative Tool For Working With Millennials, Kristina M. Kays, David Kays, Adrian Egger

Faculty Publications - Psychology Department

This seminar explores the use of popular media as a means to explore emotions issues resulting from trauma and abuse. The movie Inside Out will be explored as a practical and live example for use in integrating narrative therapy interventions with challenging clients resistant to exploring emotional concerns in therapy.

Assessing Adult Attachment Using The Dynamic Maturational Model: Exploring A Novel Measure, Albert Pace

Doctor of Psychology (PsyD)

The Adult Attachment Interview (AAI) is perhaps the most widely used and best-known assessment tool for assessing adult attachment. Several methods for scoring and coding the AAI exist; the Dynamic Maturational Model of Attachment and Adaptation (DMM) offers one theoretical perspective that accounts for the dynamic nature of attachment in high-risk populations, and incorporates contemporary information processing theory (Crittenden, 2015a). Despite the AAI’s empirical and clinical power, its utilization in both clinical and research practice is time consuming and costly. Conversely, most self-report questionnaires are readily accessible, cost effective, and time efficient. Nevertheless, there has been concern regarding the psychometric …

Embedded Performance Measures Within The Delis-Kaplan Executive Function System, Daniel Olsen

Doctor of Psychology (PsyD)

It has become increasingly clear many patients do not manifest sufficient effort over the course of a neuropsychological evaluation (Horner, VanKirk, Dismuke, Turner, & Muzzy, 2014). While tests of memory and learning are considered to be the gold-standard in effort measurement, they are vulnerable to coaching (Bianchini, Greve, & Love, 2003). Fortunately, interest in assessing effort through other cognitive domains has grown over the last few years. In the current study, participants were divided into two groups, simulators and controls. All participants completed the Medical Symptom Validity Test (MSVT, Green, 2004), the Trail Making Test (TMT), the Verbal Fluency Test …

Factors That Affect Recidivism For Psychiatric Patients In Emergency Departments, Meghan Polits

Doctor of Psychology (PsyD)

Hospital recidivism for suicimicidal, and psychiatric patients is a burden on the medical system due to the high cost associated with each visit. Factors affecting psychiatric patients in the Emergency Department (ED) in two rural hospitals in the Pacific Northwest were assessed using data routinely collected at intake in an effort to determine patient risk factors for repeat visits. Additionally, patients identified as repeat visitors were assessed for any significant differences in how quickly they were readmitted. Logistic regression results indicate having a diagnosis of a psychotic disorder or bipolar disorder, being uninsured or on Oregon Health Plan insurance (i.e., …

From Patient To Student Activation: Development Of The Student Activation Measure, Clinton J. Smith

Doctor of Psychology (PsyD)

The Patient Activation Measure (PAM) was constructed to measure a person’s knowledge, skill, and confidence for self-managing one’s healthcare, or “activation” (Hibbard, Stockard, Mahoney, & Tusler, 2004). The Student Activation Measure (SAM) extends this definition to secondary education. The SAM is a short, positively worded measure that is intended to guide intervention planning. Six hundred three students from two disparate high schools located in the Pacific Northwest completed the measure and an accompanying demographic questionnaire. The respective schools provided the students’ GPAs and attendance records. Using Rasch modeling, the SAM evidenced excellent reliability and construct validity. One-way ANOVAs with post …

Life After Bariatric Surgery: A Mixed-Method Analysis On Social Support And Quality Of Life, Caitlin M. Speck

Doctor of Psychology (PsyD)

Obesity is often described as a national epidemic; bariatric surgery is one form of treatment that has become increasingly popular. Bariatric surgery is successful and many patients experience significant weight loss; however, many patients struggle to maintain their new weight. In an attempt to respond to the problem of weight loss maintenance, bariatric surgery programs are incorporating behavioral management-strategies in addition to typical program support. Support groups are often offered by bariatric surgery programs and are commonly focused around psychoeducation, behavioral strategies, and community support. This study provides a mixedmethod quantitative and qualitative analysis on life after bariatric surgery, primarily …

The Ontario Domestic Assault Risk Assessment (Odara): A Validation And Comparison Study For An Oregonian Law Enforcement Agency, Jennifer C. Ulmer

Doctor of Psychology (PsyD)

The predictive validity of intimate partner violence (IPV) risk measures continues to be a newer, but significant, area of research within the domain of violence risk assessment. This study describes local (Oregon) normative data for the ODARA (IPV risk measure) as well as investigate, for a specific law enforcement agency, which tool is a superior predictor for the agency, a general violence risk assessment tool, i.e., the LS-CMI (part one), or an !PY-specific risk tool, i.e., the ODARA. Archival data was obtained through a law enforcement agency's research department. Descriptive and comparative analysis was done for the ODARA and LS/CMI …

Narrative Identity Development For Novice Psychotherapists In Clinical Training, Dana Michelle Satterlee

Doctor of Psychology (PsyD)

Abstract Narrative identity is “the internalized, evolving story of the self that each person crafts to provide his or her life with a sense of purpose and unity” (Adler, 2012, p. 367). This identity is distinct from the broad dispositional traits and the characteristic adaptations for contextualized behaviors. It provides the self with a sense of purpose, meaning, and unity across time and situations (McAdams & Olson, 2010). Researchers have developed ways of measuring innovative moments (IMs), or shifts in narrative identity that occur in psychotherapy. Researchers have also explored narrative identity processing as it seems to occur across the …

Sexual Interdependence Theory (Sit)/Sexual Progression Approach (Spa), Rodger K. Bufford, Albert Pace, Brett Copeland

Faculty Publications - Doctor of Psychology (PsyD) Program

No abstract provided.

Encountering Grace, Rodger K. Bufford

Faculty Publications - Doctor of Psychology (PsyD) Program

No abstract provided.

Dimensions Of Grace, Rodger K. Bufford

Faculty Publications - Doctor of Psychology (PsyD) Program

No abstract provided.

Preliminary Analyses Of Three Measures Of Grace: Can They Be Unified?, Rodger K. Bufford, Amanda M. Blackburn, Timothy A. Sisemore, Rodney L. Bassett

Faculty Publications - Doctor of Psychology (PsyD) Program

Grace is an interesting and potentially significant domain within positive psychology, but remains largely neglected. The present study examined the relationships among three known grace scales to evaluate the potential for creating a stronger single measure. It also explored their relationships to several other religious/spiritual measures to examine whether the three scales are measuring the same construct, to explore the implications for our understanding of grace, and to provide insights for further study. The three measures had moderately strong correlations with each other (r= .55 to .66), had similar relationships to other measures of religion/spirituality, and had distinct relationships to …

Moral Injury: Repair Through Self-Forgiveness, Joel J. Snider

Doctor of Psychology (PsyD)

Prolonged and numerous deployments have caused military personnel to encounter a variety of stressors associated with combat. As a result, returning soldiers are commonly being identified as having posttraumatic stress disorder, which does not seem to fully account for the shame, guilt, negative self-cognitions, feelings of worthlessness, and sense of being unforgivable that veterans experience. The complexity of these issues is forcing health professionals to investigate alternative explanations. One explanation that has gained significant interest is the shame that is associated with the concept of moral injury. This study sought to investigate if a self-forgiveness intervention could moderate shame and …

Impact Of A Cognitive Behavioral Pain Management Group On Depression, Anxiety, Pain Severity, And Opioid Use In An Inpatient Population, Breanna Bocciolatt

Doctor of Psychology (PsyD)

Chronic pain has significant, multifaceted effects on both the health care system and the individual. The total cost of pain to the U.S. healthcare system is estimated to be over $600 billion annually (Skinner, Wilson, & Turk, 2012). People with chronic pain may frequent multiple providers, often dominating the time and resources of healthcare professionals (Skinner et al., 2012). The approximately 100 million people with chronic pain miss work, experience financial distress, and strained relationships, which leads to comorbid psychological diagnoses (Birnie, McGrath, & Chambers, 2012). Pain treatment strategies have largely followed a biomedical framework, seeking to identify the source …

Undiscovered Meanings Of Minority Doctoral Students In Counselor Education Programs, Beronica M. Salazar

Faculty Publications - Graduate School of Counseling

Higher education institutions aim at being more receptive to attract, recruit, and retain diverse students (“Diversity & the Ph.D.,” 2005). The increase of racial/ethnic diverse minority doctoral students in counselor education programs has created a need to understand their individual challenges. The dearth of research related to the in-depth experience of doctoral students in counselor education program affirms the need for exploration of minority doctoral student experience. This research proposal aspires to give voice to minority doctoral students’ stories of their challenging experiences, employing a reflexive process to discover the meanings connected to the experiences and identifying essential themes for …

Measuring Grace, Rodger K. Bufford

Faculty Publications - Doctor of Psychology (PsyD) Program

No abstract provided.

Notes From The Field: Delivering Trauma And Disaster Mental Health Services In Dangerous Places, Rodger K. Bufford, George F. Rhoades

Faculty Publications - Doctor of Psychology (PsyD) Program

The second presentation will describe findings from a series of empirical studies conducted in zones of persistent and cumulative exposure to traumatic stress. The zones under examination include Sri Lanka, India, Sudan, Haiti, Japan, and the West Bank of the Jordan River. The findings are discussed in terms their implications for public health (both “physical” and “mental”), spiritual and emotional wellbeing, and the reciprocal influences of culture and traumatic experiences.

Cultural Competence And Trauma: Applying Ethical Codes In Culturally Sensitive Ways, Rodger K. Bufford, Winston Seegobin

Faculty Publications - Doctor of Psychology (PsyD) Program

No abstract provided.

Worldview Foundations For A Christian Psychology, Rodger K. Bufford, Timothy A. Sisemore

Faculty Publications - Doctor of Psychology (PsyD) Program

No abstract provided.

Effects Of Mindfulness Training On First Year Doctoral Students’ Therapeutic Relationships, Joel Simons

Doctor of Psychology (PsyD)

The quality of the relationship established between client and clinician during psychotherapy has been found to be a robust, common, and curative factor regardless of clinician theoretical orientation. The positive impact of therapeutic relationships remains distinct from technique and accounts for the greatest amount of therapeutic change that is within clinicians’ control. The growth of effective mindfulness-based treatments has led some to postulate that mindfulness may improve clinicians’ ability to establish positive therapeutic relationships. If that is true, then mindfulness practice may be particularly relevant to early clinical training when students are learning basic relational skills. This study examined the …