Clinical Psychology Commons^™

The Predictive Power Of Therapeutic Alliance On Treatment Retention, James B. Anderson

Dissertations

Therapeutic alliance has long been recognized as an important contributor to successful psychotherapy, and research has demonstrated that it has a moderate and reliable impact on treatment outcome across studies employing a variety of treatment strategies. The current study seeks to build on the alliance literature by examining the degree to which therapeutic alliance is predictive of treatment retention. Two trained raters assessed the alliance between therapists and their patients by watching and rating therapeutic alliance in videotaped psychotherapy sessions. They watched tapes of therapists using two different types of treatment: cognitive modification and supportive therapy. Alliance was assessed via …

Testing The Efficacy Of A Computerized Behavioral Activation Treatment Of Depressive Disorders, Alyssa H. Kalata

Dissertations

The present study sought to examine the feasibility and preliminary efficacy of a computerized behavioral activation treatment for depressive disorders (IMMBA), while also investigating potential mechanisms of action involved in the treatment of depression through the use of behavioral activation. Nine adults who met criteria for either Major Depressive Disorder or Dysthymic Disorder were recruited from Kalamazoo, Portage, and surrounding areas in Southwestern Michigan. All participants received ten sessions of IMM-BA treatment. Symptoms of depression and related information were assessed at pretreatment and one-week, onemonth, three-month, and six-month follow-up through the use of the Beck Depression Inventory - II (BDI-II), …

A Molecular Analysis Of Training Multiple Versus Single Manipulations To Establish A Generalized Manipulative Imitation Repertoire, Breanne K. Hartley

Dissertations

This study evaluates the necessity of training multiple versus single manipulativeimitations per object in order to establish generalized manipulative-imitation. Training took place in Croyden Avenue School's Early Childhood Developmental Delay preschool classroom in Kalamazoo, MI. Two groups of 3 children each were trained to imitate in order to determine the most appropriate number of manipulations required (per object) to establish a generalized manipulative-imitation repertoire. Three children received single-manipulations training, and 3 children received multiple-manipulations training. It was anticipated that the multiple-manipulations training group would acquire a greater amount of generalized manipulative-imitation because the training required that the children discriminate between …

Validating The Attitudes Toward Sex Offenders Scale, Charmeka. Whitehead

Dissertations

This study investigated the reliability and validity of the Attitudes Toward Sex Offenders Scale (ATS) measurement by assessing attitudes of counselors in training towards juvenile sex offenders. The specific aims of this study were to determine (a) internal consistency of the ATS, (b) construct validity of the ATS based on exploratory factor analysis, and (c) the degree to which this instrument has convergent and discriminate validity. The intellectual merit of this study was to provide appropriate scale validation of the ATS so that it might be used to assess attitudes of mental health professionals who work with juvenile sex offenders. …

Informed Consent As A Predictor Of Working Alliance And Perception Of Counselor/Psychotherapist, Scott E. Kerby

Dissertations

Client informed consent is an important component and ethical dimension of counseling and psychotherapy required by each of the mental health professions. The purpose of this study was to examine the extent to which informed consent in counseling/psychotherapy may relate to client perceptions of the working alliance, measured by the Working Alliance Inventory - Short Version (WAI-S) (Tracey and Kokotovic, 1989), and clients' general opinion of the counselor/psychotherapist, measured by the short form of Counselor Rating Form (CRF-S) (Corrigan and Schmidt, 1983). In particular, the study investigated: (1) how discussion and understanding of informed consent related to client perceptions of …

Phenomenological Study Of Resilience In The Lives Of White, Midlife Lesbian Psychologists In Clinical Practice, Melissa A. Lidderdale

Dissertations

The unique experiences and adversities encountered by midlife lesbian therapists have not been directly investigated. How the midlife lesbian women in this study were influenced by their individual experiences and cultural changes, both in general society and within the mental health profession, are paramount to more fully understanding the adversities, support, and resilience that they experienced while becoming psychologists. Due to the scarcity of empirical literature pertaining to the therapist's experience of resilience and the paucity of empirical literature related to resilience in lesbians, phenomenological research methods were chosen for this study. The goal of this study was to provide …

The Comparative Efficacy Of Dosed, Enhanced Dosed, Prolonged Exposure, And Mindfulness In The Reduction Of Anxiety, Sophie Rubin

Dissertations

Exposure-based treatments have proven effective in treating a range of fears and phobias and can be accounted for by mechanisms described in behavioral theory. Enhanced dosed and dosed-only exposure are promising new behavioral approaches for treating fears and phobias. Fifty participants with speech anxiety were randomly assigned to a prolonged exposure condition (PE), a dosed-only exposure condition (DE), a positively enhanced dosed exposure condition (PDE), a negatively-supplemented dosed exposure condition (NDE), or a mindfulness enhanced dosed exposure condition (MDE). End of session results for all of the enhanced groups resulted in significantly lower subjective ratings of discomfort than the non-enhanced …

Acceptability Of Interventions To Staff In Long-Term Care Settings For Older Adults: Comparing Ratings And Hierarchical Selection, Jonathan C. Baker

Dissertations

Older adults and their caregivers generally prefer behavioral interventions over medications in treatment acceptability studies (Osterkamp, Mathews, Burgio, & Hardin, 1997). However, previous acceptability studies have primarily examined ratings, which did not force the responder to select between treatment options. Additionally, recent advances in behavioral treatment technologies (Carr & LeBlanc, 2003) and pharmacotherapy (Schneider, 1999) warrant revisiting treatment acceptability for older adults. The present investigation examined treatment acceptability of behavioral, pharmacological, and sensory interventions using a treatment acceptability rating scale, treatment selections, and direct report of treatments used in a six-month window. Fifty-six staff from nursing homes in the Mid-West …

Investigating The Effects Of Observer Presence And Feedback On Individuals' Work-Related Behavior, Angela R. Lebbon

Dissertations

Direct observation procedures have been widely used by applied behavior analysts to examine the effects of various interventions, however, recent research examining the effects of the observer's presence on behavior has found that participants behave in ways that are not representative of their behavior in the absence of an observer. Furthermore, recent research has demonstrated that both reactivity and habituation are idiosyncratic and it remains unclear which variables mediate reactive effects with individuals. Researchers have discussed the necessity of identifying and measuring reactive effects in order to discover variables (e.g., discriminative stimulus properties) that may mediate reactive effects. Previous research …

Training The Execution Of Single-Case Research Methodology Skills In An Early And Intensive Behavioral Intervention Setting, Jessa R. Love

Dissertations

Early and intensive behavioral intervention (EIBI) for children with autism is a fruitful area for conducting research on clinically relevant problems in an attempt to investigate some of the unanswered questions about which procedures are most effective and efficient. Unfortunately, it is unlikely that therapists providing these services have received adequate training in conducting relevant single-case design research in this area. Providing such therapists with the skills needed to implement single-case design research protocols could improve the use of the scientist-practitioner model in these settings and greatly expand the base of scientific knowledge in the area.

Behavioral Skills Training (BST; …

Using Virtual Reality Enhanced Behavioral Skills Training To Teach Street-Crossing Skills To Children And Adolescents With Autism Spectrum Disorders, Tina R. Goldsmith

Dissertations

Children with Autism Spectrum Disorders (ASDs) often have poor safety skills due to their insensitivity to subtle environmental cues and poor problem solving in the face of stressful tasks. These skill deficits threaten their physical well-being and limit their personal independence. An effective intervention model for teaching safety skills is behavioral skills training (BST). The effects of this 4-part intervention, which includes Instructions, Modeling, Rehearsal, and Feedback, improve with the addition of in situ training. However, creating realistic, safe, and logistically feasible contexts for rehearsal of skills may prove difficult, if not impossible. Virtual reality (VR) may present a solution. …

Emotion Recognition And The Propensity To Engage In Sexually Coercive Behaviors: A Study With College Males, Beth J. Dietzel

Dissertations

Several variables have been investigated over the past years as risk factors for sexual aggression. Among them, substance use/abuse, family environment, attitudes towards women, and lack of empathy. Although researchers have identified several risk factors, predicting aggressive behaviors continues to be a difficult task. One variable that has received less attention in the literature is men's emotion recognition skills. Do men's emotion recognition skills affect their propensity to aggress?

The purpose of this study was to investigate emotion recognition skills/deficits and how such skills predict propensity to engage in sexually coercive behavior. There were two main goals of this study. …

Combined Cognitive Behavioral Treatment Plus Caregiver Sessions For Childhood Depression, Dikla Eckshtain

Dissertations

Childhood depression is intimately related to the family context and caregiver-child relations, but only a limited number of treatment outcome studies for depressed youth have formally included members of the family in the intervention. To address this discrepancy the present study evaluated the efficacy of adding caregiver sessions to individual cognitive behavioral therapy (CBT) for the treatment of depressed youth. The treatment included 16 individual sessions and 7 caregiver sessions administered in the child's school to promote accessibility. Fifteen children (10 females and 5 males ranging in age from 8-13), who met inclusion criteria based on self-report and interview measures …

A Comparison Of Maintenance-Training Methods For Children Diagnosed With Autism, Nicholas L. Weatherly

Dissertations

The current study evaluated the effects of two different maintenance-training methods and one control condition on skill maintenance within a public-school classroom for children diagnosed with autism. The two training methods involved the use of either a continuous-reinforcement schedule or a thinned partial-reinforcement schedule during 20 overlearning training sessions following skill acquisition. The control condition did not involve any overlearning following skill acquisition. Three children were each taught two curricular programs, with each program involving the two training methods and the control condition using a multielement design. Overlearning using a thinned partial-reinforcement schedule reliably produced greater maintenance across all participants, …

Disruptive Effects Of Aβ Oligomers To The Radial-Arm Maze Performance Of Rats, Kineta Lynn Morgan-Paisley

Dissertations

Converging lines of research have implicated a causal relationship between oligomers of amyloid-β and the cognitive impairments associated with Alzheimer's disease (AD); however, very few studies have provided direct experimental evidence of this relationship and none of those studies have used an established model of working memory. The present study used an established model of working memory, the radial-arm maze, to examine the effects of amyloid-β oligomers on the memory of two groups of rats. The experimental group received ICV injections of the culture media (CM) of Chinese Hamster Ovary (CHO) cells transfected with a human mutation of APP containing …

Mindfulness In Childbirth: An Investigation Of The Effects Of Mindfulness Training On Maternal Satisfaction With Childbirth And Obstetric Outcomes, Brenda L. Bratton

Dissertations

This study investigated the effects of mindfulness training on obstetric outcomes and maternal satisfaction with childbirth. We were interested in whether mindfulness training was more effective than a control group receiving psychoeducation on stress reduction. The goal of the intervention group was to increase participants' moment-to-moment awareness of thoughts, feelings, and body sensations during childbirth so that they would respond to these experiences rather than react to them in an automatic manner. These strategies were hypothesized to help a laboring woman minimize fear or anxiety associated with pain and complications and be more adaptive to whatever circumstances arose. Repeated measures …

Testing The Effectiveness Of Cognitive-Behavior And Medication Therapy In The Acute Treatment On Unipolar Mood Disorders: Processes And Case Histories, Alyssa H. Kalata

Masters Theses

The present study sought to investigate two areas of interest: (1) the process issues involved in conducting a randomized controlled trial with low-income individuals being seen at community mental health agencies and (2) patterns in case histories of individuals who participated in depression treatment outcome research at community mental health agencies. This study gives a detailed analysis of conducting a randomized controlled trial for unipolar mood disorders in two community mental health agencies in the Southwestern Michigan region. Process issues at the levels of identification and recruitment of participants, attendance and retention of participants, project implementation, and broader systemic issues …

Schedule Thinning Following Mand Training: Attempts To Enhance Signaled Delay To Reinforcement, Jamie M. Severtson

Masters Theses

Mand training, a common component of language training programs for children with autism, is associated with several clinical benefits (Sundberg & Michael, 2001), yet mand training sometimes results in high-rate responding that is difficult to maintain. One method of reducing high-rate mands to manageable rates is known as graduated signaled delay to reinforcement. The current investigation involved a series of three studies to evaluate the ability of three independent variables (a) highly preferred toys, (b) signal duration, and (c) schedule thinning methods to enhance signaled delay to reinforcement. The results of the three studies indicate that 7 of the 8 …

Treatment Of Co-Morbid Methamphetamine Substance Abuse And Borderline Personality Disorder Features Using Modified Dialectical Behavior Therapy, Jessica R. Schultz Fischer

Dissertations

The study investigated the effectiveness of a time-limited, skills-based treatment in a population of female substance abusers. This project implemented a pilot clinical trial to evaluate the effectiveness of a 12-session modified Dialectical Behavior Therapy (DBT) protocol among a small sample of women, with co-morbid borderline personality disorder features, receiving concurrent outpatient treatment for methamphetamine abuse. A non-concurrent multiple baseline design was used. In addition to on-going assessment conducted during baseline and weekly over the course of treatment, a comprehensive assessment battery was administered pre-, and post-treatment as well as at 1 and 3 months following treatment. Findings suggest that …

Therapists' Handling Of Secrets Between Partners In Couple Therapy, Michael Alan Jansen

Dissertations

This study examines couple therapists' policies, procedures, and perspectives regarding secrets between partners in couple therapy. Handling secrets appropriately is necessary to avoid legal, ethical and therapeutic problems, especially when the secret involves contentious or potentially dangerous material such as infidelity, divorce, paternity, and HIV/AIDS infection. One hundred sixty randomly selected Clinical Members of the AAMFT participated in a 38-question researcher-generated mail survey. Data provided descriptive statistics and allowed for between-groups comparisons to explore for differences between therapists with regard to experience and several specific practices related to handling secrets. The study also examined whether courses in HIV/AIDS confidentiality law …

A Study Of Intake And Assessment In Solution-Focused Brief Therapy, Christopher J. Richmond

Dissertations

The purpose of this study was to compare clients' assessment of two different counseling intake procedures used by clinicians. This study compared a Solution-Focused Brief Therapy (SFBT) intake intervention with an intake intervention constructed from the Structured Clinical Interview for the DSM-IV Axis I Disorders (SCID-I). The SCID-I is one of the most widely used diagnostic interviews and reflects a "gold standard" in formulating accurate diagnoses. The SFBTintake intervention developed for this study stands in stark contrast to the SCID-I and its primary objective, evaluation of the problem. SFBT is a strength-based model that maintains a positive and future-oriented focus. …

A Qualitative Exploration Of First-Generation Asian Indian Women In Cross-Cultural Marriages, Monica Thiagarajan

Dissertations

The literature on Asian Indian women has not adequately addressed the experiences that first generation Asian Indian women face while going through the process of making the decision to marry cross-culturally. The purpose of this exploratory study was to identify, describe, and understand the struggles, challenges, and conflict experienced by Asian Indian women who decide to marry cross-culturally and to understand the consequences of the decision on the lives of these women and their interpersonal relationships.

Initial and follow-up phone interviews were conducted with eight Asian Indian women who had experienced cultural and familial challenges regarding their decision to marry …

Evaluating The Immediate Impact And Short-Term Therapeutic Effects Of The “Internalized-Other” Interviewing With Couples, Shai M. Brosh

Dissertations

The present study examined empirically the immediate and short-term therapeutic effects of the internalized-other interview (Tomm, 1996) with couples during a single session and compared it with the standard method of interviewing couples (i.e., treatment as usual). Thirty-two married couples (N = 64 participants) were randomly assigned into one of two conditions (internalized-other versus standard interviewing). Couples attended an initial interview session and two follow-ups (one and four-weeks respectively). Self-reported measures of session impact were taken immediately after the session, while self-reported measures of marital satisfaction, intimacy, closeness and empathy were taken at baseline (before the session) and during …

Teaching Children With Autism To Mand For Information Using Video Modeling, Courtney Dillon

Masters Theses

Skinner's taxonomy of verbal operants defines language in functional terms specifying the relevant controlling variables in terms of antecedent and consequent influences. A mand for information is a request for a specific verbal response that has momentarily high reinforcing value due to the presence of an establishing operation. Contrived establishing operations have been used for teaching mands for information, however, researchers have not yet investigated the effects of using video modeling to teach mands for information to children with autism. This study investigated the effects of video modeling with a contrived establishing operation for teaching two children with autism to …

Behavioral Tolerance Under Variable Ratio Schedules Of Reinforcement, Barry Eshkol Adelman

Dissertations

Previous studies (e.g., Hoffman, Branch, & Sizemore, 1987) have demonstrated that greater drug tolerance develops in responding under fixed-ratio (FR) schedules of reinforcement when the schedule parameter is small than when it is large; little research has been done on related schedules such as variable-ratio (VR). In Experiment 1, three pigeons responded under a multiple FR 5 FR 125 VR 5 VR 125. A range of prechronic doses of cocaine produced dose-dependent reductions in response rates under the component schedules. Following chronic dosing with daily administrations of 5.6 mg/kg, similar dose-response curves were derived by substitutions of the usual dose. …

The Role Of Automatic Reinforcement In Early Speech Acquisition, Barbara E. Esch

Dissertations

No abstract provided.

A Delphi Survey Of Experts’ Opinions Regarding Prevention Of Impairment In Professional Psychology Training, Kin-Ming Chan

Dissertations

This study sought to identify the most important measures that may be implemented in professional psychology training to prevent the future impairment of professionals. An adjunctive research question of this study addressed how these important measures can be successfully implemented. A 2-round Delphi method was conducted. Twenty-eight experts in impairment prevention participated in the first round study, and 20 of them continued to participate in the second round. In the first round, the experts rated the importance of an original list of 38 preventive measures, suggested additional important preventive measures, and provided considerations for successful implementation of their most important …

Examination Of The Impact Of Age, Family Conflict, And Perceived Parental Involvement On Treatment Adherence For Children And Adolescents With Cystic Fibrosis And Diabetes, Blake M. Lancaster

Dissertations

The success of medical interventions for patients with diseases that require consistent adherence to a medical regimen is largely contingent upon the patient’s ability to consistently follow medical recommendations. Medical regimen adherence significantly influences the patient’s health and impacts the health care providers’ ability to treat any disease or medical problem. Adherence levels are particularly low in the pediatric population among young patients with diabetes and cystic fibrosis. Researchers and clinicians hypothesize that levels of adherence are particularly low during adolescence (ages 11-15) because this may be the period in which primary responsibility for daily adherence is transferred from the …

Effects Of Anxiety Induction On Facial Recognition Skills Within A Sample Of Adult Victims Of Childhood Abuse, Kathryn M. Bell

Dissertations

Although it is well established that interpersonal victimization can lead to affect regulation problems, less is known about the extent to which childhood victimization impairs facial recognition skills. Most studies exploring this relationship have focused on emotion recognition (ER) in physically abused and neglected children. The degree to which these ER problems apply to sexual victimization and extend into adulthood is yet unknown. The current study examined the impact of physical and sexual childhood abuse on adult ER skills under a heightened arousal condition in 104 women with varying childhood victimization experiences. The relationship between childhood victimization and ER skills …

An Evaluation Of Intraverbal Training And Listener Training For Teaching Categorization Skills, Anna Ingeborg Petursdottir

Dissertations

Behavioral language interventions, such as those employed in early and intensive behavioral intervention (EIBI) programs, target both expressive and receptive language skills. Skinner's (1957) analysis of verbal behavior provides a framework for analyzing expressive and receptive language in terms of stimulus control and reinforcement history. From this perspective, different expressive language programs target different verbal operants, such as tacts, intraverbals, and echoics , whereas most receptive language programs target a type of listener behavior that may be referred to as manded stimulus selection (Michael, 1995). Although EIBI curricula (e.g., Maurice, Green, & Luce, 1996; Leaf & McEachin, 1999) have frequently …