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Articles 181 - 210 of 429
Full-Text Articles in Clinical Psychology
Computer Multitasking In The Classroom: Training To Attend Or Wander?, Elizabeth A. Rogers
Computer Multitasking In The Classroom: Training To Attend Or Wander?, Elizabeth A. Rogers
Antioch University Dissertations & Theses
This study aimed to examine the phenomenon of Psy.D. students’ multitasking on the computer while in the classroom. Using an online survey of 45 questions, the study invited Psy.D. students from across the US to answer questions pertaining to their non-class-related use of computers in the classroom, including an exploration of their relationship with computers and the internet, feelings and judgments regarding multitasking in the classroom, and opinions on the behavior and its potential impact on their profession. A total of 166 people visited the survey with 145 respondents who answered it to completion. Of the 145 participants, 86% (125) …
Sexual Dysfunction: Providers’ Willingness To Ask Lgbq Veterans About Their Sexual Functioning, Melanie A. Brayman
Sexual Dysfunction: Providers’ Willingness To Ask Lgbq Veterans About Their Sexual Functioning, Melanie A. Brayman
Antioch University Dissertations & Theses
The prevalence of sexual dysfunction (SD) in veterans is high when compared to the general population because of its relationship to physical and mental health issues endured while serving their country (Hosain, Latini, Kauth, Goltz, & Helmer, 2013). Research has mainly concentrated on male, heterosexual veterans with SD and very little research has explored lesbian, gay, bisexual, and queer (LGBQ) veterans’ experiences. This is concerning considering research indicates that LGBQ veterans’ sexual minority status adds unique stressors such as fear of disclosing identity, fear of stigma, and internalized homophobia in addition to the stresses that occur from being in the …
Therapist Attachment And Meaning-Making In Adolescent Residential Treatment, Lisa J. Milone
Therapist Attachment And Meaning-Making In Adolescent Residential Treatment, Lisa J. Milone
Antioch University Dissertations & Theses
This qualitative study explores therapist views of the therapeutic relationship in adolescent residential treatment from an attachment perspective. The therapeutic relationship is a strong predictor of outcomes in adult psychotherapy and a significant body of research has relied on the attachment literature to understand its importance. Research yields comparable results when examining the significance of the therapeutic relationship with children and adolescents; however, there is virtually no literature exploring it from the attachment lens. This is particularly notable for children and adolescents in residential treatment. As treatment intensity increases from outpatient to inpatient to residential, challenges and opportunities within the …
Linguistic Issues In Culturally Sensitive Assessment: A Rorschach Case Study, Lauren M. Weisberg
Linguistic Issues In Culturally Sensitive Assessment: A Rorschach Case Study, Lauren M. Weisberg
Antioch University Dissertations & Theses
The Rorschach Inkblot Test (“Rorschach”) has historically been viewed as a culturally sensitive assessment instrument because it utilizes nonverbal stimulus cards (Meyer, Viglione, Mihura, Erard, & Erdberg, 2011). As a result, it has been considered a more appropriate assessment tool for bilingual and multilingual patients than assessments which rely heavily on verbal language. However, there are no evidence-based practice recommendations for Rorschach assessment of bi- and multilingual patients, despite the incredible linguistic diversity in the United States and the widespread use of the Rorschach. This dissertation includes a case study of a multilingual French–Israeli immigrant who was admitted to an …
The Experience Of Relapse After Long-Term Sobriety And Subsequent Return To Sobriety, Bahram Edward Kaikhosrow Shahrokh
The Experience Of Relapse After Long-Term Sobriety And Subsequent Return To Sobriety, Bahram Edward Kaikhosrow Shahrokh
Antioch University Dissertations & Theses
While psychiatric medications have been categorized as the same as substances of abuse in Alcoholics Anonymous (AA), medications for common medical disorders were not affected by this disapproval of medication. It may be time for a new dialogue (Woody, 2015). According to Gjersing and Bretteville (2018), there has been a concerning increase in overdose deaths in the last decade. This includes a threefold increase in overdose deaths from prescription narcotics and six-fold increase in overdose deaths from heroin in the United States. When prescription opioid users find difficulty in obtaining pills, they may move on to heroin, which is much …
Forgotten Victims: Understanding Latino/A Non-Offending Parents Of Sexually Abused Children, Alba Rocio Andrade
Forgotten Victims: Understanding Latino/A Non-Offending Parents Of Sexually Abused Children, Alba Rocio Andrade
Antioch University Dissertations & Theses
Childhood sexual abuse is widely condemned by society and religion (Roesler & Wind, 1994; McCallum, 2001). Nevertheless, it is estimated that approximately one in three girls and one in six boys are sexually abused by the time they turn 18 years old (Stauffer and Deblinger, 1996). This trauma affects the victim as well as other members of the family including the non-offending parent(s). However, services are often provided only to the victimized child, which overlooks the needs of the non-offending parents. The existing body of research into the stressors experienced by non-offending parents typically is focused on non-offending parents of …
The Lived Experience Of Low-Income Single Mothers In The U.S. And The Effects Of Nature As A Psychotherapeutic Tool In Their Treatment, Suzanne L. Frost
The Lived Experience Of Low-Income Single Mothers In The U.S. And The Effects Of Nature As A Psychotherapeutic Tool In Their Treatment, Suzanne L. Frost
Antioch University Dissertations & Theses
This dissertation describes current research on the lived experience of low-income single mothers and explores the potential validity of utilizing exposure to natural settings as a psychotherapeutic intervention for this population. In 2014, 4,764,000 single mothers in the U.S. were living in poverty. A large percentage of this population suffers from poverty, hunger, social stigma, as well as mental illnesses associated with these conditions, such as anxiety, stress, and depression. A qualitative influential research study was performed that included interviews with eight low income White single mothers and one Biracial Turkish and Chaktau Native American low-income single mother in predominantly …
Mothers’ Religious Influence On Children Experiencing Trauma: Haiti Community Clinic Focus Groups, Ashland C. Thompson
Mothers’ Religious Influence On Children Experiencing Trauma: Haiti Community Clinic Focus Groups, Ashland C. Thompson
Antioch University Dissertations & Theses
An earthquake measuring 7.0 on the Richter scale hit Haiti on January 10th, 2010. The earthquake, an urgent crisis, occurred in the context of persistent social dysfunctions, amplifying both the chronic poor living conditions and adversities for children and families. The purpose of the study was to enquire into the possible ways children in Haiti are socialized by the religiousness and other coping ways of their mothers and caretakers in the childhood contexts of societal and continuous trauma. Participants were Haitian mothers (N = 27) who participated in three focus groups that were conducted in their location of residence: Canaan-Damien …
Emerging Adults’ Experiences Of Agency In Higher Education Decisions, Leah B. Benjamin
Emerging Adults’ Experiences Of Agency In Higher Education Decisions, Leah B. Benjamin
Antioch University Dissertations & Theses
Over the past several decades, there has been a cultural shift impacting the experience of individuals in their late-teens to mid-20s in the United States. These individuals undergo a time of “cultural limbo,” during which the lines between adolescence and adulthood are blurred. The term emerging adulthood describes this distinct developmental period, which fits within the context of Erikson’s preexisting stages of psychosocial development (Arnett, 2014). A challenge for emerging adults is coming to terms with some of their more adult-like responsibilities in life. This requires making complex decisions that will impact their lives for many years to come, such …
Introducing Shame Resilience To Women Who Struggle With Complex Trauma And Substance Abuse, Kirsten R. Robertson
Introducing Shame Resilience To Women Who Struggle With Complex Trauma And Substance Abuse, Kirsten R. Robertson
Antioch University Dissertations & Theses
The relationship between shame and trauma has been documented in research beginning as early as the 19th century. Not until the second half of the 20th century did extensive research clearly define both trauma and shame, with the addition of Posttraumatic Stress Disorder (PTSD) as an official diagnosis in the field of mental health. Many researchers and clinicians believe an additional diagnosis should be added to the list of trauma-related mental health diagnoses—one that includes repeated traumatic experiences during childhood. Despite the known relationship between shame and various traumatic experiences, direct shame interventions have yet to find a place in …
The Cost Of Comforting: Phenomenological Study On Burnout Among Marriage And Family Therapists In Community Settings, Steven Razo
The Cost Of Comforting: Phenomenological Study On Burnout Among Marriage And Family Therapists In Community Settings, Steven Razo
Antioch University Dissertations & Theses
Burnout is best defined as a condition consisting of symptoms of emotional exhaustion, depersonalization, and reduced personal accomplishment (Maslach, 1982). It has been characterized as a process that develops through a variety of work and individual factors. Furthermore, it has been shown to impact one’s career, physical health, and mental well-being. Much of the literature on burnout has been studied on psychologists, psychiatrists, and social workers, with a paucity of studies focused on marriage and family therapist (MFTs). The lack of burnout literature on MFTs is in spite of their employment in many diverse clinical settings. The purpose of this …
Attitudes Of Clinical Psychologists Towards The Reporting Of Nonhuman Animal Abuse, Laetitia Geoffroy-Dallery
Attitudes Of Clinical Psychologists Towards The Reporting Of Nonhuman Animal Abuse, Laetitia Geoffroy-Dallery
Antioch University Dissertations & Theses
Research consistently demonstrates that nonhuman animals are capable of cognition and complex emotions, but their legal status in the United States remains similar to that of property. As such, they are not protected under laws mandating psychologists to report suspicions of abuse of populations that are judged to be vulnerable and unable to protect themselves, such as children, the elderly and people with disabilities (American Psychological Association [APA], 2010). Findings from previous research suggest that animal abuse is a relatively common topic encountered in therapy and the majority of clinicians are in favor of allowing voluntary reporting of nonhuman animal …
Delirium Predicts Three-Month Mortality In Critically Ill Patients: A New Model, Katharine E. Hartnack
Delirium Predicts Three-Month Mortality In Critically Ill Patients: A New Model, Katharine E. Hartnack
Antioch University Dissertations & Theses
Delirium is a neurocognitive disorder defined as an acute disturbance in attention, awareness, and cognition with a fluctuating course not better explained by a preexisting condition (American Psychiatric Association, 2013). It is prevalent in up to 70% of hospital patients and 82% of patients in the intensive care unit (ICU; Ely, Speroff, Gordon, & Bernard, 2004; Kavanagh & Gottfried, 2007; Mcnicoll, Pisani, Ely, Gifford, & Inouye, 2005). The impact of delirium on mortality is inconsistent in the literature. Many studies have concluded that delirium prevalence is associated with increased risk of mortality (Cole, 2004; Kavanagh & Gottfried, 2007; Moskowitz et …
Equine-Facilitated Therapy: An Adjunct Treatment For Pre-Adolescent Girls With Adhd, Maya E. Michel
Equine-Facilitated Therapy: An Adjunct Treatment For Pre-Adolescent Girls With Adhd, Maya E. Michel
Antioch University Dissertations & Theses
This study examined the potential impact of equine-facilitated therapy (EFT) as an adjunct treatment for pre-adolescent girls with attention deficit hyperactivity disorder (ADHD). Research on EFT has shown some promise in helping children develop a sense of self and greater awareness of their behavior and body language. It has also shown potential for increasing externalizing and internalizing behaviors. The rationale behind the use of EFT with children with ADHD is that by taking part in an EFT program, they will receive immediate feedback on their behavior and will therefore experience an increase in attentional control and a decrease in impulsivity. …
Proactive Stress Management For Firefighters, Amanda M. Mead
Proactive Stress Management For Firefighters, Amanda M. Mead
Antioch University Dissertations & Theses
Firefighters in the United States face significant risks as they serve their communities. Despite research that has thus far demonstrated the benefits of proactive coping strategies, and a previously suggested need for a proactive stress management program for firefighters, no such program has yet been implemented or evaluated specifically for firefighters. The purpose of this dissertation was to research stress and stress management using qualitative interviews with New Hampshire and Arizona firefighters to inform the development of a future primary prevention program (proactive stress management) to this at-risk population. Results yielded themes of sleep deprivation, stigma, protectiveness, mental health, lack …
Sibling Survivors Of Suicide: A Retrospective Exploration Of Familial Attachment During Bereavement, Mark Macor
Sibling Survivors Of Suicide: A Retrospective Exploration Of Familial Attachment During Bereavement, Mark Macor
Antioch University Dissertations & Theses
The following qualitative study retrospectively explored the adolescent experiences and reactions of adult survivors to their loss of a sibling to suicide. The study employed Interpretative Phenomenological Analysis (IPA) to inform subsequent interpretation of interview data collected from a sample of five adult sibling survivors of suicide. Criteria for an individual’s participation included being of at least 25 years old at the time of the interview and that they experienced the loss of a sibling to suicide while they themselves were between the ages of 12 and 21 years old. Participant responses to an attachment self-report measure—Attachment Style Questionnaire (Feeney, …
The Experience Of “Cool”: A Qualitative Exploration, Kristen Lauer
The Experience Of “Cool”: A Qualitative Exploration, Kristen Lauer
Antioch University Dissertations & Theses
This qualitative study explored the phenomenological experience of cool as retrospectively reported. I proposed cool as a phenomenological concept and advocate for the consideration of cool as relevant to clinical psychology through first, a literature review of related academic research and second, by identifying the information gap around cool as it intersects with clinical psychology. I utilized Interpretative Phenomenological Analysis (IPA) to inform analysis and exploration of participant narrative responses collected through an online survey. Participants consisted of 25 individuals between the ages of 18 and 25 who endorsed having experienced cool at some point in their life. In sharing …
Emotional Self-Regulation And Management Of Disruptive Behaviors In Schools, Erin Hopkins
Emotional Self-Regulation And Management Of Disruptive Behaviors In Schools, Erin Hopkins
Antioch University Dissertations & Theses
This study investigated the relationship between teachers’ emotional regulation skills and their management of students’ disruptive behaviors. Teaching is an emotionally demanding job made significantly more stressful by the time and resources required to handle dysregulated and non-compliant students in the classroom. Unfortunately, the current disciplinary practices in many schools fail to support teachers in more effectively managing problematic behaviors. While some teachers appear to be skilled at diffusing an escalating classroom conflict, little is known about what distinguishes them from their more overwhelmed peers. This study sought to determine if there was a relationship between the teacher’s own capacity …
Latent Structure Of The Wisconsin Card Sorting Test In Psychiatrically Hospitalized Youth, Jane S. Studeny
Latent Structure Of The Wisconsin Card Sorting Test In Psychiatrically Hospitalized Youth, Jane S. Studeny
Antioch University Dissertations & Theses
The aims of this study were to explore the latent factor structure of WCST performance in psychiatrically hospitalized youth, and to investigate associations between latent factors and various psychiatric, psychological, and neuropsychological variables. The results revealed a three-factor solution that is broadly attributed to executive abilities of problem solving, cognitive flexibility, and inhibitory control. The resulting three-factor solution accounted for 96% of the variance in the present study’s sample, and was comparable to results from similar studies in adult populations. Latent factors were associated with performance on a brief test of intelligence as well as to several measures of executive …
Minority Stress, Same-Sex Couples, And Marriage Equality: A Qualitative Interview Study, Angela Lee-Attardo
Minority Stress, Same-Sex Couples, And Marriage Equality: A Qualitative Interview Study, Angela Lee-Attardo
Antioch University Dissertations & Theses
In June 2015, the marriage equality movement in the United States succeeded at the federal level. This study documents individuals’ perceptions of how the fight for marriage equality affected their thoughts, feelings, and behaviors within their own marriages to same-sex spouses. I conducted interviews with eight married individuals (five men and three women) who were married prior to the Supreme Court decision legalizing same-sex marriage nationwide. Areas of inquiry included (a) motivation to get married, (b) factors affecting commitment, (c) willingness to utilize couple therapy, and (d) factors affecting thoughts about divorce. I hypothesized that, for some individuals or couples, …
Monitoring Psychiatric Patients’ Preparedness For Hospital Discharge, Carrie Olsen Hennessy
Monitoring Psychiatric Patients’ Preparedness For Hospital Discharge, Carrie Olsen Hennessy
Antioch University Dissertations & Theses
This mixed method study piloted a newly developed tool for monitoring preparedness among youth discharged from New Hampshire Hospital (NHH) and explored its influence on hospital discharge planning and follow-up care. This study spotlighted psychosocial variables in readmission risk for a psychiatric population and introduced a conceptualization of preparedness that included patient understanding of their discharge plan, as well as hope for change and supportive relationships. Quantitative methods were used to examine the relationship between aftercare and hospital readmission and further to explore the relationship between patient preparedness and readmission, as well as adverse events experienced post-discharge. Qualitative methods were …
Can Podcast Listening Influence Attitudes About Mental Illness?: An Exploratory Study, Samuel B. Nathan
Can Podcast Listening Influence Attitudes About Mental Illness?: An Exploratory Study, Samuel B. Nathan
Antioch University Dissertations & Theses
Mental illness (MI) is a major problem in the United States, with significant economic, emotional, and physical impacts on individuals with MI, their loved ones, and their employers. Many of those who could benefit from treatment do not seek it out, despite the researched benefits of mental health care. The self-stigma (SS) associated with MI is a well-documented obstacle to help-seeking behavior. Mental health professionals have tried, with mixed results, to combat SS and encourage help-seeking. Individuals with MI have found and supported one another, forming a community and successfully advocating for reforms to the mental health system. Contemporary peer …
Nonmonogamous Clients’ Experiences Of Identity Disclosure In Therapy, Viktoriya Fuzaylova
Nonmonogamous Clients’ Experiences Of Identity Disclosure In Therapy, Viktoriya Fuzaylova
Antioch University Dissertations & Theses
Presented is a qualitative phenomenological investigation of the experiences and perspectives of individuals who self-identify as consensually nonmonogamous regarding disclosure of that identity in psychotherapy. Members of this rarely-studied group (n=10) shared their accounts through an anonymous open-ended online questionnaire. Their prompted autobiographical accounts were analyzed for recurring themes and unique concepts which were drawn together into a model of disclosure of a nonmonogamous identity in a therapeutic setting. This model suggests that while nonmonogamous clients expect prejudice from their therapists, their desire for personal integrity and their culturally informed conviction that openness is necessary for best results, often leads …
Case Study Of The Four-Year Neuropsychological Changes In An Elderly Male With Possible Chronic Traumatic Encephalopathy, Patrick Martin
Case Study Of The Four-Year Neuropsychological Changes In An Elderly Male With Possible Chronic Traumatic Encephalopathy, Patrick Martin
Antioch University Dissertations & Theses
Research demonstrates that the brain's response to Traumatic Brain Injury (TBI) is variable with age and the effects of TBI on the elderly are a critical and global public health concern, from both a medical and a neuropsychological perspective. Currently, there is scant research on the effects of TBI, including Chronic Traumatic Encephalopathy (CTE), on the elderly. Specifically, there is a paucity of literature regarding longitudinal neuropsychological changes in elderly post- TBI individuals. This dissertation will present a Single Case Research Design (SCRD) analysis of an elderly individual with possible Chronic Traumatic Encephalopathy and the associated neuropsychological changes over 49-months. …
Student Voices: New Experiences, Empowerment, & Moral Development In Physical Education, Sarah Hoague
Student Voices: New Experiences, Empowerment, & Moral Development In Physical Education, Sarah Hoague
Antioch University Dissertations & Theses
This dissertation documents an effort to spark an explicit conceptualization of the Adventure Curriculum for Physical Education (ACPE) as a universally delivered Social Emotional Learning (SEL) program. The ACPE program is a K-12 program that integrates adventure activities into a physical education curriculum for the purpose of fostering student social and emotional skills (Panicucci, Hunt, Constable, Kohut, & Rheingold, 2003). The ACPE program was first implemented in 1971. Initially inspired by the philosophy of Outward Bound, ACPE developers at Project Adventure sought to bring a sense of adventure to the school setting in order to support student self-empowerment. Although ACPE …
Return To Play Decision Making With Concussed Athletes: Sports Medicine Practitioners’ Responses, Courtney N. Condiracci
Return To Play Decision Making With Concussed Athletes: Sports Medicine Practitioners’ Responses, Courtney N. Condiracci
Antioch University Dissertations & Theses
Sports-related concussions continue to be a serious health concern as the prevalence and incidence of concussion continue to increase annually (Center for Disease Control [CDC], 2016). Decisions regarding return to play (RTP) following concussion represent one of the biggest challenges for sports medicine professionals. The literature recommends implementing an individualized, collaborative, multi-dimensional approach to increase accuracy when assessing concussion recovery and making RTP decisions (McCrory et al., 2013). The current study examined the self-reported practices of sports medicine professionals surrounding RTP decisions. The study utilized an author-developed questionnaire, Sports Medicine Practice Questionnaire (SMPQ), administered as an online survey to assess …
Indicators Of Client Engagement In A University Psychotherapy Training Clinic, Katie L. Randall-Sungar
Indicators Of Client Engagement In A University Psychotherapy Training Clinic, Katie L. Randall-Sungar
Antioch University Dissertations & Theses
A retrospective research study evaluated archival data on client engagement from a program evaluation project implemented at the Psychological Services Center at Antioch University New England. Student researchers from the Center for Behavioral Health Innovation (formerly Center for Research of Psychological Practices) partnered with the Antioch University Psychological Services Center (PSC) to investigate the impact of client early engagement on drop-out rates and therapy outcomes of mental health clients. Potential participants were administered a brief questionnaire, prior to the first session via phone call, to assess their readiness, expectations of therapy, potential barriers to seeking treatment, and their initial impression …
Self-Care And Self-Compassion Of Disaster Responders: Predictors Of Resilience, Marie F. Macedonia
Self-Care And Self-Compassion Of Disaster Responders: Predictors Of Resilience, Marie F. Macedonia
Antioch University Dissertations & Theses
Every year, natural and human-made disasters occur around the world bringing chaos and destruction to unsuspecting populations. Disaster responders, both trained professionals and volunteers, rally from around the world to provide care, help, and support to survivors of these catastrophes. Responders operate often in tragic circumstances and are exposed to various stressors. Despite a large body of literature on self-care and growing research on self-compassion and their respective effects on resilience (Friborg et al., 2006; Germer & Neff, 2013; Leary, Tate, Adams, Allen, & Hancock, 2007; Roysircar, 2008) there exists no measure that assesses first responders’ self-care, self-compassion, resilience, and …
Addressing Mental Health Stigma In Korean Americans: Culturally Adapted Anti-Stigma Psychoeducation, Alice Lim
Addressing Mental Health Stigma In Korean Americans: Culturally Adapted Anti-Stigma Psychoeducation, Alice Lim
Antioch University Dissertations & Theses
Stigma is a major barrier to mental health service utilization and treatment adherence. Effective anti-stigma interventions have been identified using predominantly Caucasian research subjects. Participation in research studies by other racial and ethnic groups has been limited. This pilot study examined the external reliability of Wood and Wahl’s (2006) study, which examined the effectiveness of an anti-stigma program, In Our Own Voice (IOOV), by the National Alliance on Mental Illness (NAMI) among predominantly Caucasian undergraduate students. An older Korean ESOL group in a Korean community center in New York City (N = 20) served as the participants in this study …
School Stress In Young Children With Learning Disorders: Implications For Psychological Well-Being, Caitlin Herring
School Stress In Young Children With Learning Disorders: Implications For Psychological Well-Being, Caitlin Herring
Antioch University Dissertations & Theses
Children with learning disorders (LDs) are a vulnerable population likely to encounter a myriad of challenges throughout their lives. Research, literature, and interventions focus overwhelmingly on addressing the academic ramifications of LDs while ignoring the psychological impact of school stress. Chronic stressors have far-reaching implications for behavior, emotional development, social skills, academic performance, and development of psychopathology. In this study, five children with LDs and five children without LDs were interviewed using the Pictorial Measure of School Stress and Wellbeing (PMSSW). Interpretative Phenomenological Analysis (IPA) was used to review the interview transcripts. Results suggested that young children with LDs are …