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Articles 1 - 30 of 120
Full-Text Articles in Clinical Psychology
Empowering Providers To Empower Their Patients: One Model To Expand Knowledge, Competency, And Awareness For The Perinatal Substance Use Workforce, Jacqueline Jacobs
Empowering Providers To Empower Their Patients: One Model To Expand Knowledge, Competency, And Awareness For The Perinatal Substance Use Workforce, Jacqueline Jacobs
Graduate School of Professional Psychology: Doctoral Papers and Masters Projects
Perinatal substance use (PSU) is a serious and growing public health concern. It is associated with a variety of adverse health outcomes for both mother and child and has been shown to negatively impact the parent-child relationship. Despite the growing prevalence of PSU, there are notable deficits in provider knowledge regarding, and comfortability with, PSU. Moreover, providers report feelings of judgment, resentment, fear, and hesitancy related to their work with women with PSU. Subsequently, women with PSU struggle to find appropriate, compassionate, and effective treatment for their substance misuse. Widespread and accessible training is needed to bolster provider knowledge base, …
Suicidality Among Black Women: Considering Resiliency Within The Historic And Societal Context Of Risk, Samantha J. North
Suicidality Among Black Women: Considering Resiliency Within The Historic And Societal Context Of Risk, Samantha J. North
Graduate School of Professional Psychology: Doctoral Papers and Masters Projects
Suicide is a global health challenge that has been historically understudied among Black women. The interpersonal-psychological theory of suicidality (IPTS) is a primary theory examined in suicidality; however, the three factors within the theory (lack of belongingness, perceived burdensomeness, and capability to die) focus on the individual. The purpose of the current study was to examine these factors in an expanded context of the historical and societal impact of oppression. A mixed methods Qualtrics study was administered to Black women who voluntarily completed the survey anonymously. Quantitatively, the study found significant differences between the impact of the IPTS factors on …
An Intersubjective Approach To The Role Of Anger In Differentiation And The Development Of A Cohesive Self: A Case Study, Hannah Schriber
An Intersubjective Approach To The Role Of Anger In Differentiation And The Development Of A Cohesive Self: A Case Study, Hannah Schriber
Graduate School of Professional Psychology: Doctoral Papers and Masters Projects
The anger-turned-inward theory of depression has been extensively explored in psychodynamic literature. Still, little has been written about how modern relational approaches work with anger to aid patients in developing a healthy self-concept. This paper will first focus on a literature review of anger in Self Psychology and Intersubjective Systems Theory. These theories view anger as the manifestation of asserting one’s self after narcissistic injury. This paper will explore the relationship between anger and depression with an intersubjective lens utilizing the case study of Martha. Here I conceptualize depression as an introjective defense against misattuned early relational experiences. I explore …
The Misattuned Music Industry: An Intersubjective Perspective On The Music Industry's Mental Health Crisis, Jonathan Fricke
The Misattuned Music Industry: An Intersubjective Perspective On The Music Industry's Mental Health Crisis, Jonathan Fricke
Graduate School of Professional Psychology: Doctoral Papers and Masters Projects
Research shows that professional musicians tend to experience higher rates of mental health challenges compared to the general population. While there are a number of underlying factors and historical experiences that may help us to better understand these psychological struggles, I will be examining the relational system between musician and the music industry beginning at the time in which an amateur musician transitions to the professional realm. With this transition comes incredible demand and pressure from the industry. Professional musicians are at the mercy of grueling tour schedules where they spend months away from loved ones, must be "on" at …
Perinatal Through 5-Years-Old Referral List, And Full Referral Flow Process For The Professional Psychology Clinic And Associated Clinics, Lauren V. Cruz
Perinatal Through 5-Years-Old Referral List, And Full Referral Flow Process For The Professional Psychology Clinic And Associated Clinics, Lauren V. Cruz
Graduate School of Professional Psychology: Doctoral Papers and Masters Projects
Referrals are an important and underacknowledged component of ethical clinical practice. While clinical care is understandably the core focus for most organizations, effective and efficient referrals can aide in improving client outcomes through successful connections to services, effective use of conjunctive services, and increased trust in mental health and healthcare systems/providers. In addition, improvements in the referral process can serve to decrease undue burden on providers and organizations. This document aims to review the literature on the need for and use of referrals, as well as elements of successful referrals, to inform the development of a referral self-assessment and flow …
Paternal Perinatal Psychopathology And Stigma Related To Nicu Admission, Hudson Holland Jones
Paternal Perinatal Psychopathology And Stigma Related To Nicu Admission, Hudson Holland Jones
Graduate School of Professional Psychology: Doctoral Papers and Masters Projects
Stigma or the belief that mental health difficulties stem from a personal weakness, moral failing, or poor choices and will subject one to shame, embarrassment, scrutiny, victimization, oppression, and ostracization is a reason people choose to avoid, not to obtain or fully engage in mental health treatments despite their demonstrated effectiveness (Corrigan, 2004;Vogel et al., 2006). Gender differences have been found in experiences of stigma; for example, men were found to self-stigmatize to justify avoiding counseling to a greater degree than women (Judd et al., 2008). As such, stigma has been identified as a gender-salient variable that serves as a …
Psychedelic Assisted Psychotherapy: Equity Through Contextual Frameworks, Emanuel Hermosillo
Psychedelic Assisted Psychotherapy: Equity Through Contextual Frameworks, Emanuel Hermosillo
Graduate School of Professional Psychology: Doctoral Papers and Masters Projects
Psychedelic assisted psychotherapy (PAP) is a psychotherapeutic modality in which the non-ordinary states of consciousness that result from the consumption of psychedelic medicines are utilized to facilitate therapeutic healing. A wide range of cultures have used a variety of these psychotropic substances as medicines since ancient times, and there has been a resurgence of interest in their beneficial properties across many disciplines including psychology. Given that there are extra dimensions of vulnerability in using these medicines therapeutically, increased attention needs to be given to diversity, equity, and inclusion across psychedelic research and clinical practices. This paper focuses on how internal …
Parental Misattunement And The Production Of Shame Of Existing: How To Address The Shame Of Existing Through An Intersubjective Systems Approach, Tal Ginsburg
Graduate School of Professional Psychology: Doctoral Papers and Masters Projects
Shame is at the root of many commonly encountered psychopathologies. Its development has often been attributed to early childhood emotional misattunement. In severe cases, individuals can develop an extreme form of shame called the “shame-of-existing”. This paper primarily intends to contribute to the limited research about the shame-of-existing, which includes psychoanalytic perspectives from 1950-1990s, and theoretical analysis in 2014. The concept of shame of existence will be explored through an in-depth case study analysis of a 31-year-old, heterosexual, cisgender, white male who presented to psychotherapy with low-self-worth, and shame in acknowledging his own emotions and needs. This client was treated …
Adapting Grief And Bereavement-Focused Cognitive Behavioral Therapy For Chinese-Identifying Individuals In America: A Cultural Analysis, Ian Tsang
Graduate School of Professional Psychology: Doctoral Papers and Masters Projects
Anti-Asian hate as well as shifting circumstances brought on by current events all around the world highlight the increased need for mental health support and services in an ever-growing Chinese population in the United States, particularly in regard to grief work. Additionally, Chinese Americans demonstrate a disproportionate and lower utilization of mental health services, especially in comparison to the general population in the country. This paper discusses the various factors contributing to this phenomenon before presenting recommendations for culturally adapting evidence-based approaches to grieving individuals in the target population. More specifically, a cultural analysis consisting of topics such as Chinese …
Weplay Denver: The Why And How: Background And Implementation Manual, Lauren Gross
Weplay Denver: The Why And How: Background And Implementation Manual, Lauren Gross
Graduate School of Professional Psychology: Doctoral Papers and Masters Projects
WePlay Denver (WePlay and Nosotros Jugamos; see glossary) is a program providing caregiver-infant playgroups designed to teach families with young children the value of play as well as provide information and resources on topics related to child development, family wellbeing, and mental health. WePlay and Nosotros Jugamos are a collaboration between the University of Denver’s Graduate School of Professional Psychology (GSPP) and the Children’s Museum of Denver, Marsico Campus, and are based on a similar program from the Chicago Children’s Museum. WePlay offered its first playgroup in 2019, while Nosotros Jugamos began in 2020.
A Qualitative Analysis Of Treatment Providers’ Understanding And Assessment Of Trauma And Autism, Leah Hanson
A Qualitative Analysis Of Treatment Providers’ Understanding And Assessment Of Trauma And Autism, Leah Hanson
Graduate School of Professional Psychology: Doctoral Papers and Masters Projects
Patients with autism spectrum disorder (ASD) are particularly vulnerable to traumatic experiences and further development of posttraumatic stress disorder (PTSD). Underlying traumatic stress is commonly missed and remained untreated in the autism population. In a previous pilot study, Hanson and Richards (2021) gathered providers’ understandings on trauma and autism The current study is a further, systemic content analysis on archival data from Hanson and Richard’s pilot study. Results from the current content analysis of the responses to Question 1 (How do you assess for trauma in your patients?) revealed that providers assess patients’ trauma primarily by interviewing caregiver and patients, …
Cognitive Assessment Of Latinx/E Bilinguals In The United States: A Fictitious Case Study, Vanessa Magro
Cognitive Assessment Of Latinx/E Bilinguals In The United States: A Fictitious Case Study, Vanessa Magro
Graduate School of Professional Psychology: Doctoral Papers and Masters Projects
Despite a growing body of literature and best-practice guidelines and considerations, assessment providers working with Latinx/e populations are left with numerous questions about how to translate these ideas into practice. This paper is meant to begin to answer some of these questions for Spanish-speaking providers administering cognitive tests to bilingual Latinx/e clients in the United States. The basis for these answers is a comprehensive literature review and my experience providing culturally-responsive assessment services to a bilingual Latinx/e population in the United States. A fictitious case study is included so that providers can get a concrete idea of how to bring …
The Necessity Of Trauma-Focused Curricula In Mental Health Graduate Programs: Advocating For Comprehensive Trauma Etiology And Treatment Education With Proposed Course Outline, Aaron S. Gillespie
The Necessity Of Trauma-Focused Curricula In Mental Health Graduate Programs: Advocating For Comprehensive Trauma Etiology And Treatment Education With Proposed Course Outline, Aaron S. Gillespie
Graduate School of Professional Psychology: Doctoral Papers and Masters Projects
During the past four decades, it has become increasingly clear how prevalent trauma, polytrauma and co-morbid trauma-related disorders are within our shared, global communities. A growing body of research continues to uncover the mind-boggling impact these overwhelming experiences have on individuals, their families, and the communities that support them, including mental health professionals. It behooves us as allied mental healthcare providers to learn what trauma is, how it may affect the individual across the lifespan, as well as how to effectively identify and treat the trauma-related symptoms our clients present with. However, despite a proliferation of research demonstrating the growing …
Providing Effective Assessment Feedback To Patients: Lessons Learned From Feedback After A Severe Injury, Kelsie Mcquinn
Providing Effective Assessment Feedback To Patients: Lessons Learned From Feedback After A Severe Injury, Kelsie Mcquinn
Graduate School of Professional Psychology: Doctoral Papers and Masters Projects
This paper seeks to articulate lessons learned from feedback received after a severe injury in order to help guide neuropsychologists provide effective feedback to patients. Given that there is no agreed upon conceptual framework for providing neuropsychological assessment feedback, parallels are drawn from what works in clinical psychology – the working alliance. I use personal examples to highlight how the working alliance, as well as other psychological principles, can help inform neuropsychologists provide the most effective feedback to patients.
An Assessment Of Adhd/Ld Support In Psyd Programs From The Perspective Of Faculty Advisors, Mac Zimdars
An Assessment Of Adhd/Ld Support In Psyd Programs From The Perspective Of Faculty Advisors, Mac Zimdars
Graduate School of Professional Psychology: Doctoral Papers and Masters Projects
Among psychologists and doctoral psychology students, 14.3% and 10.7% reported having Attention Deficit Hyperactivity Disorder (ADHD) or learning disabilities (LD), respectively; 67.3% of those with any disability experienced disability-related impediments and discrimination during graduate school or the application process (Lund et al., 2014). This paper is focused on assessing current PsyD program supports for students with ADHD/LD from a faculty advisor perspective. Specifically, this research assesses the faculty advisor-advisee relationship, as well as available support services and resources. Data was collected from an anonymous survey and utilized an empirical mixed-methods approach. Three themes emerged from the study: (1) Advisors lack …
Are You My Nurse? The Effects Of Patient-Delivered Gender Microaggressions On Women Trainees’ Clinical Work In Integrated Primary Care, Julia Ratchford Kauffmann
Are You My Nurse? The Effects Of Patient-Delivered Gender Microaggressions On Women Trainees’ Clinical Work In Integrated Primary Care, Julia Ratchford Kauffmann
Electronic Theses and Dissertations
Gender microaggressions are a form of sexist discrimination that have detrimental effects on women’s psychological well-being. Unfortunately, these sexist occurrences are commonplace in the United States and can be experienced in a variety of ways. As such, there is a need to understand behavioral health providers’ experiences with patient-delivered gender microaggressions. In doing so, we may be able to better support women behavioral health trainees’ during their clinical development by potentially understanding the ways in which women trainees are affected by sexist patient encounters. Therefore, the present study sought to apply the Social Cognitive Model of Counselor Training and the …
Inviting The Perspectives Of Refugee Mental Health Interpreters: A Critical Narrative Analysis, Emme Y. Paik
Inviting The Perspectives Of Refugee Mental Health Interpreters: A Critical Narrative Analysis, Emme Y. Paik
Electronic Theses and Dissertations
The research literature lacks examination into several areas concerning mental health interpretation for refugee clients. This includes the management of interpreters’ vicarious trauma and retraumatization, interpreter’s perspectives on the appropriateness of hiring refugees as mental health interpreters, how interpreters define their trauma as well as their clients’ trauma, and support that interpreters seek for their traumatic responses from their work. The literature is also missing an analysis of how oppressive power differentials are repeated in workplace institutions, specifically for refugee mental health interpreters. Thus, this study aimed to invite the perspectives of refugee mental health interpreters on several issues pertaining …
Exploring The Intersections Of Stigma And Masculinity In The Illness Perceptions Of Men Living With Fibromyalgia: An Interpretative Phenomenological Analysis, Christine L. Motzny
Exploring The Intersections Of Stigma And Masculinity In The Illness Perceptions Of Men Living With Fibromyalgia: An Interpretative Phenomenological Analysis, Christine L. Motzny
Electronic Theses and Dissertations
Fibromyalgia is a musculoskeletal condition characterized by widespread pain, fatigue and cognitive problems. While it affects between 2-7% percent of the population in the United States, the biopsychosocial impacts of the disease on the lives of those affected are so substantial that it is considered to have one of the highest cost burdens comparative to other chronic pain conditions. Fibromyalgia has historically been deemed a contested illness due to the complexity of its presentation and lack of clear etiology. As a result, people with fibromyalgia often feel misunderstood and stigmatized. Like other pain conditions, fibromyalgia is more commonly diagnosed in …
Bipolar Disorder & Substance Use Treatment In Adults: A Tool For Recovery, Kaitlin Vieweg Parker
Bipolar Disorder & Substance Use Treatment In Adults: A Tool For Recovery, Kaitlin Vieweg Parker
Graduate School of Professional Psychology: Doctoral Papers and Masters Projects
Bipolar Disorder is an affective disorder characterized by moderate to extreme lability in emotional states where individuals experience symptoms of mania, hypomania, mixed mood and/or depression. Individuals may be diagnosed with bipolar I disorder, which is hallmarked by extreme mood lability between mood states of mania and depression. Alternatively, bipolar II disorder is distinguished by fluctuating hypomanic and depressive episodes (DSM-V, 2014). Cyclothymia is defined by shifting mood states that are less severe than bipolar I or II. According to the National Alliance on Mental Illness (NAMI, 2017), 2.8% of adults in the United States are diagnosed with a type …
Psychologists On Interdisciplinary Teams: Barriers To Interdisciplinary Work For Psychologists At The Pre-Doctoral Level And Beyond, Alison C. Swisher
Psychologists On Interdisciplinary Teams: Barriers To Interdisciplinary Work For Psychologists At The Pre-Doctoral Level And Beyond, Alison C. Swisher
Graduate School of Professional Psychology: Doctoral Papers and Masters Projects
With the shift of psychologists into practice in interdisciplinary medical settings, where might these providers receive adequate training for effective entry into these roles? The field of health psychology struggles to adequately keep up with the need for specialized psychologists within medical settings. Training programs have historically failed to provide training opportunities within interdisciplinary medical settings. This project examined the interviews of three psychologists with experience working and training pre-doctoral level students in interdisciplinary, health-focused, medical settings. Based on the information gathered herein, it appears that the barriers to training pre-doctoral psychology students within medical establishments stem from the following …
It Takes A Village: Tribalism As A Premise To Understand Societal Responsibility And Impact Of Mass Violence, Paige D. Schultz
It Takes A Village: Tribalism As A Premise To Understand Societal Responsibility And Impact Of Mass Violence, Paige D. Schultz
Graduate School of Professional Psychology: Doctoral Papers and Masters Projects
What is a mass shooter? This is difficult to answer as there is no single definition. The definition of a mass shooter depends on contextual factors including victim count, setting, and motivation (Gramlich, 2019). The Federal Bureau of Investigation (FBI) defines active shooters as “one or more individuals actively engaged in killing or attempting to kill people in a populated area” (Federal Bureau of Investigation, 2021, page 1). While other definitions are used to identify a mass shooter, given the breadth of study in this area by the FBI, this paper will use the FBI definition.
The Devil’S Advocate: The Relational Therapist As Jung’S Fourth In The Treatment Of Queer Christian Clients, Whitney Wilson
The Devil’S Advocate: The Relational Therapist As Jung’S Fourth In The Treatment Of Queer Christian Clients, Whitney Wilson
Graduate School of Professional Psychology: Doctoral Papers and Masters Projects
This paper is an exploration of C.G. Jung’s essay, A Psychological Approach to the Dogma of the Trinity, and how he inadvertently provides a relational psychodynamic lens for working with queer Christian clients who are differentiating from their harmful, embedded theologies. Jung hypothesizes that the Christian Trinity archetype – the Father, Son, and Holy Ghost, cannot exist without a fourth member, the Devil, who holds an essential role in the successful differentiation of the Trinity. The relational therapist is called to act as the Devil when working with queer Christian clients - inviting in seemingly mischievous and dangerous thoughts that …
The Intersubjective Perspective: An Effective Treatment Model For Incarcerated Clients, Zachary Grant Weiss
The Intersubjective Perspective: An Effective Treatment Model For Incarcerated Clients, Zachary Grant Weiss
Graduate School of Professional Psychology: Doctoral Papers and Masters Projects
Although there is already a large body of theoretical literature on the utility of Intersubjective Systems Theory in working with more challenging clinical presentations, little has been written about the use of this approach in working with incarcerated clients. In this paper, I will be making the case for the utility and need for the Intersubjective Perspective in working within the forensic system. This paper will first focus on building a general framework for Intersubjective Systems Theory, and its theoretical understanding of clients’ striving towards health, love and connection. Next, this paper will take time to focus on a brief …
Athletic Injury And Resources For Student-Athletes: A Proposal For An Athlete Injury Playbook, Jessica J. Pauley
Athletic Injury And Resources For Student-Athletes: A Proposal For An Athlete Injury Playbook, Jessica J. Pauley
Graduate School of Professional Psychology: Doctoral Papers and Masters Projects
Athletic injury happens frequently and is rarely predictable. While injury is common in sport involvement at all levels, this proposal focused on National Collegiate Athletic Association (NCAA) student-athletes and expanding the resources they have available to them. The vast literature on athletic injury and rehabilitation in sport has served researchers and academic consumers, and unfortunately, has lacked an easily accessible resource for student-athletes and sports medicine professionals to utilize. Therefore, the purpose of this doctoral paper was to propose a resource focused on post-athletic injury and written for collegiate student-athletes to understand called, The Secret Playbook. This playbook included information …
Attachment Theory To Inform Intervention In Correctional Populations With Adverse Childhood Experiences And Substance Use Disorders, Samantha Mendoza
Attachment Theory To Inform Intervention In Correctional Populations With Adverse Childhood Experiences And Substance Use Disorders, Samantha Mendoza
Graduate School of Professional Psychology: Doctoral Papers and Masters Projects
Research shows a correlation exists between Adverse Childhood Experiences (ACEs) and poor mental health such as psychiatric and substance use disorders (Adshead, 2018). Research further suggests a correlation between ACEs and insecure attachment in adults (Adshead, 2018). The National Institute on Drug Abuse (2020) estimates 85% of the correctional population either has a substance use disorder or was incarcerated for a drug-related offense. This paper theorizes that those involved in the correctional system with a history of high ACE scores and substance use also experience insecure attachment, which is not currently addressed in correctional SUD programs. Attachment theory moderates the …
Older Adults And Suicide As Examined Through The Lens Of Joiner's Interpersonal Theory Of Suicide, Pamela Holmes
Older Adults And Suicide As Examined Through The Lens Of Joiner's Interpersonal Theory Of Suicide, Pamela Holmes
Graduate School of Professional Psychology: Doctoral Papers and Masters Projects
Older adults face the highest rates of suicide of all age groups. The older adult population is not a homogenous group, and each age range—young old, middle old, and oldest old—has specific risk factors. Although Joiner’s interpersonal theory of suicide (IPTS) has been deemed valid among these age groups, it has not been specifically researched in older adults in each older age range. Due to lack of research and low reporting rates, not enough is known to develop specific detection and prevention measures targeting this population. This paper addresses the application of Joiner’s IPTS to both genders in each of …
Can Brazilian Jiu Jitsu Be A Viable Treatment Option For Law Enforcement Officers With Ptsd?, Megan Rinderer
Can Brazilian Jiu Jitsu Be A Viable Treatment Option For Law Enforcement Officers With Ptsd?, Megan Rinderer
Graduate School of Professional Psychology: Doctoral Papers and Masters Projects
Law enforcement officers (LEO) are more likely to experience symptoms of PTSD when compared to the general population yet are less likely to seek mental health treatment (Jetelina et al., 2020). Given that LEO face unique occupational stressors and repeated exposure to traumatic events, treatment for PTSD among law enforcement populations poses unique challenges for clinicians. The combination of these variables precludes officers from seeking and receiving mental health services. Research regarding the efficacy of Brazilian Jiu Jitsu (BJJ) as a psychotherapeutic intervention is limited. To date, no studies have examined the use of BJJ to mitigate symptoms of PTSD …
Asexuality And Demisexuality: Clinical Implications Of Sexual Identity, Michael Scott Fiorini
Asexuality And Demisexuality: Clinical Implications Of Sexual Identity, Michael Scott Fiorini
Graduate School of Professional Psychology: Doctoral Papers and Masters Projects
This paper considers demisexuality as an identity and sexual orientation for use by psychologists using historical, sociological, and psychological perspectives. It discusses the clinical implications of demisexuality as an identity and orientation distinct from asexuality. The paper discusses applications and limitations of defining and identifying demisexuality in a clinical population and it's social, scientific, and contextual significance. The paper compares what can be observed with existing diagnostic guidelines present in the DSM-5 for the identification of Female Sexual Interest/Arousal Disorder (FSIAD) and Male Hypoactive Sexual Desire Disorder (MHSDD). The paper proposes guidelines for the diagnosis and the ethical clinical treatment …
Working With Families With Refugee Experiences In The United States: The Impact Of Forced Displacement On Parent-Child Relationships After Resettlement, Sakshi Kapur
Graduate School of Professional Psychology: Doctoral Papers and Masters Projects
Refugees resettled in high-income countries like the United States have a unique set of challenges ranging from great psychological disturbance to acculturation challenges. With recent changes to policies related to immigration and refugee resettlement in the United States after the 2016 presidential elections, the refugee diaspora was left with resettlement services focused more on ensuring national security and economic independence rather than services that catered to re-integration beyond economics like acculturation stress, family functioning, and cultural adjustment. This systemic literature review explores the impact of forced displacement and migration on individuals, with an emphasis on family systems and parent-child relationships. …
"Stay Strong": Internalized Stigma, Religiosity And Black Mental Health In Colorado, Breigh Jones-Coplin
"Stay Strong": Internalized Stigma, Religiosity And Black Mental Health In Colorado, Breigh Jones-Coplin
Graduate School of Professional Psychology: Doctoral Papers and Masters Projects
While the societal stigma on mental illness deters people from seeking mental health services, there is limited research on how Black personality and cultural practices may impact stigma and Black mental health (NAMI, 2020). In an attempt to identify protective and risk factors for internalized stigma and Black mental health, the present study examined 416 Black adults in Colorado and identified significant relationships between African Self-Consciousness, internalized stigma of mental illness, religiosity, and mental health functioning. Results showed that having a strong African-centered identity and religious grounding are associated with less internalized stigma and difficulty in functioning and mental health …