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Articles 241 - 270 of 429
Full-Text Articles in Clinical Psychology
Understanding The Experience Of Immigration Among Adult Mexican-Born Males Living In The United States: An Exploration Of Grief, Loss, And Coping, Mauricio B. Ortiz
Understanding The Experience Of Immigration Among Adult Mexican-Born Males Living In The United States: An Exploration Of Grief, Loss, And Coping, Mauricio B. Ortiz
Antioch University Dissertations & Theses
This study uses psychoanalytic object relations theory to understand and analyze the lived experiences of adult Mexican males which will include the psychological meaning of loss and grief resulting from immigrating into the United States. The literature review illustrates and serves as a guide to broaden the understanding of the complex psychological and emotional processes that adult Mexican immigrants experience when faced with the reality of adapting to a host-culture. Participants were interviewed through a descriptive phenomenological approach seeking a complete description of their lived immigration experiences of grief, loss, and coping. After analysis of the transcriptions, several notable themes …
The Patient-Physician Relationship From The Perspective Of Economically Disadvantaged Patients, Myah Caruso
The Patient-Physician Relationship From The Perspective Of Economically Disadvantaged Patients, Myah Caruso
Antioch University Dissertations & Theses
This qualitative study utilized interpretive phenomenological analysis (IPA) to explore the patient-physician relational experience from the perspective of patients of lower socioeconomic status (SES). Research shows that physicians engage in collaborative care less frequently with patients of lower SES than with their more advantaged counterparts and that lower SES patients participate less during office visits. Information on the patient-physician relational mechanisms that inhibit collaborative care from the perspective of low SES patients is a key gap in this literature. Five adult patients from the lower socioeconomic strata, who were established patients of a primary care physician were recruited from a …
The Development Of Intrinsic Motivation In Children With Attention-Deficit/Hyperactivity Disorder, Carissa Jean Krapf
The Development Of Intrinsic Motivation In Children With Attention-Deficit/Hyperactivity Disorder, Carissa Jean Krapf
Antioch University Dissertations & Theses
Attention-Deficit/Hyperactivity Disorder (ADHD) has become a common diagnosis among children today. The numbers have grown exponentially in the last several decades and, despite extensive research and various treatment modalities, many children continue to struggle with its disruptive symptoms. Current research reports a poor prognosis for this population with difficulties continuing into adulthood. One of the difficulties noted is in their ability to develop intrinsic motivation when their behaviors have been managed by extrinsic rewards. Self Determination Theory (SDT) was used to conceptualize the difficulties around developing intrinsic motivation when an individual experiences symptoms of ADHD which impact several areas of …
Iraqi Refugees And Cultural Humility: A Mental Health Professional Training Program, Megan Brunmier Marsh
Iraqi Refugees And Cultural Humility: A Mental Health Professional Training Program, Megan Brunmier Marsh
Antioch University Dissertations & Theses
This paper describes the development of a thorough nine-hour professional training program targeting the cultural humility of mental health clinicians who are treating new Iraqi refugee communities. I used the 15-step evidence-based Comprehensive Program Development Model created by Calley (2009) for the design of the structure, curriculum, and materials for this proposed program (Calley, 2011). The training program is informed by conceptual frameworks of cultural competence and humility, ecological systems theory, and social justice with goals of (a) exploring clinicians’ cultural attitudes in order to improve self-awareness at multiple levels (e.g., physiological, psychological, interpersonal), (b) increasing clinicians’ knowledge about Iraqi …
First Mothers/Birth Mothers: Social Support And Long-Term Psychological Stress And Growth, Megan L. Lyons
First Mothers/Birth Mothers: Social Support And Long-Term Psychological Stress And Growth, Megan L. Lyons
Antioch University Dissertations & Theses
Adoption has become a growing area of research. While much of the existing research focuses on the adoptees and their adoptive parents, this study aimed to focus on the first mothers/birth mothers and their life experiences related to placing an infant, or infants, for adoption. The aim of this study was to determine areas for future clinical focus and support program development throughout the adoption process. The study worked toward this goal by considering the availability and impact of perceptions of social support on the psychological stress and growth of first mothers/birth mothers post-adoption and sought to: (a) determine the …
Unforgiving Pain: A Qualitative Exploration Of Chronic Pain And Self-Forgiveness, Ellette K. Dipietro
Unforgiving Pain: A Qualitative Exploration Of Chronic Pain And Self-Forgiveness, Ellette K. Dipietro
Antioch University Dissertations & Theses
This dissertation describes a qualitative study exploring associations between self-forgiveness and pain perception in the narratives of women with chronic pain. Quantitative research has demonstrated strong relationships among chronic pain, affect, and health, and among forgiveness, affect, and health. The largely unexplored overlap between these areas suggests the possibility of an inverse relationship between self-forgiveness and pain perception. A single preliminary study was found in the research literature supporting this relationship (Carson et al., 2005). A literature review explores the construct of forgiveness, differentiates religious and psychological conceptualizations, distinguishes other from self-forgiveness, and touches on the connections among forgiveness, health, …
Disclosure Of Gender And Sexual Minority Identities In Military Cultures Post-Dadt, Katherine E. Evarts
Disclosure Of Gender And Sexual Minority Identities In Military Cultures Post-Dadt, Katherine E. Evarts
Antioch University Dissertations & Theses
The repeal of Don’t Ask Don’t Tell (DADT) banned legally-supported discrimination against United States (US) military personnel who identify with sexual minority identities, but has the repeal also had an impact on gender and sexual minority veteran and military personnel comfort with disclosing such identities to Veterans Affairs (VA) mental health providers? The current research illuminates veteran and military personnel perspectives about this possible shift in VA mental health care culture, as well as about ways that such disclosure could be further facilitated in order to improve the care provided. US veterans who identify with sexual minority identities have multiple, …
The Experience Of Qigong Among Women Cancer Survivors, Jennifer Sveund
The Experience Of Qigong Among Women Cancer Survivors, Jennifer Sveund
Antioch University Dissertations & Theses
Research has shown that qigong can be beneficial for a variety of health related conditions; However, evidence suggests that in the United States, a lack of well designed clinical trials limits the efficacy of qigong in the context of cancer treatment. Research has indicated that careful consideration should be given to the design of randomized control trials using qigong due to the conflicting philosophical methodologies. In the United States, qigong has been under investigated, particularly lacking are qualitative inquiries into qigong use and cancer survivorship. This study is an interpretative phenomenological inquiry that sought to understand women’s experience of qigong …
Provider Perspectives On Self-Injurious Behavior: Past, Present, And Future Directions, Laura A. Hilton
Provider Perspectives On Self-Injurious Behavior: Past, Present, And Future Directions, Laura A. Hilton
Antioch University Dissertations & Theses
Self-Injurious behavior (SIB) has received a great deal of attention in recent years. Although concern about the prevalence of this behavior has increased, some therapists feel that they cannot adequately treat those who engage in self-injurious behavior (Miller, 2005). In this study, mental health providers were asked to complete a brief survey about their experiences providing treatment to those who engage in self-injurious behavior. The goal was to gather information with respect to their experiences treating self-injurious behavior. The study explored provider perspectives with regard to attitude, prognosis, best treatment practices, clinical preparedness, and comfort level in treating individuals who …
The Effects Of Session And Outcome Rating Scales Used In A Wraparound Setting, Alexandra Giatrelis
The Effects Of Session And Outcome Rating Scales Used In A Wraparound Setting, Alexandra Giatrelis
Antioch University Dissertations & Theses
This study investigated the usefulness of session and outcome rating scales within a wraparound program in New England. The extensive needs of youth with serious emotional disturbance (SED) categorizations and their families require highly coordinated systems of care that not only deliver adequate services, but contend with the momentum of often contentious and unsuccessful relationships these families have typically experienced with social service systems. Outcome and session rating scales, along with measures of fidelity, hold the potential to provide rapid feedback on both outcome (outside of sessions) and working alliance (within sessions), as well as the consumers’ perspective on the …
Behavioral Interventions That Treat Aggression: Employees Implementation Experiences Within Adult Psychiatric Settings, Alyse Catherine Donovan
Behavioral Interventions That Treat Aggression: Employees Implementation Experiences Within Adult Psychiatric Settings, Alyse Catherine Donovan
Antioch University Dissertations & Theses
When adults hospitalized within inpatient psychiatric settings engage in aggressive behavior, it can have detrimental psychological and physical effects on not only other patients, but on hospital employees. Several adult psychiatric inpatient facilities have successfully reduced rates of patient aggression through the implementation of behavioral interventions. While there is much research on factors that lead to successful implementation of evidence based interventions, the literature had not yet explored the subjective experience of employees who are asked to implement behavioral plans in adult psychiatric settings. This study utilized Interpretive Phenomenological Analysis to gain an understanding of employees’ perceptions of barriers and …
Transracial Adoptees’ Thoughts On Culturally Competent Parenting, Molly Conley
Transracial Adoptees’ Thoughts On Culturally Competent Parenting, Molly Conley
Antioch University Dissertations & Theses
Transracial adoption, the adoption of a child of a different race than those of the adoptive parents, occurs in approximately 40% of all adoptions. While transracial adoption alone is not sufficient to cause mental health concerns, it does pose a series of unique challenges that can impact self-esteem, racial identity, and sense of belonging in adoptees. Much of the research on adoption focuses on adoptive parents, collecting quantitative data from adoptees, and mental health professionals’ views of adoptees’ experiences. This study elicited feedback from adult transracial adoptees on Vonk’s 2001 model of culturally competent parenting. Data were interpreted using Interpretive …
A Model For Implementing Residential Mental Health Treatment In Nys Correctional Settings, Lauren K. Gillis
A Model For Implementing Residential Mental Health Treatment In Nys Correctional Settings, Lauren K. Gillis
Antioch University Dissertations & Theses
Like the community, correctional institutions have been ill-prepared in providing care to persons with serious mental illnesses (SMIs) who engage in combative behaviors, in what generally seems to amount to innocuous social interactions. These persons have been increasingly incarcerated over the past several decades because of violent behaviors, severely complicating the effort to provide effective mental health treatment for this population. Even though correctional residential mental health units have been instituted, successfully implementing what works has shown to be, at best, transient in these settings. Through the emergence of implementation science principles, though, there is now a pathway to implement …
How Eye Movement Desensitization And Reprocessing (Emdr) Trained Therapists Stabilize Clients Prior To Reprocessing With Emdr Therapy, Edward H. Brendler
How Eye Movement Desensitization And Reprocessing (Emdr) Trained Therapists Stabilize Clients Prior To Reprocessing With Emdr Therapy, Edward H. Brendler
Antioch University Dissertations & Theses
Helping clients develop resources and stability required to tolerate reprocessing memories can be a considerable part of psychotherapy, particularly with clients who are suffering symptoms related to complex developmental trauma or cumulative multiple-event trauma. There is a paucity of research regarding how experienced EMDR Therapy practitioners experience helping their clients to develop resources required to tolerate reprocessing of trauma memories. This dissertation is an in-depth study of five participants, each a licensed mental health practitioner in the State of Washington, who are trained in EMDR and experienced working with clients who are suffering symptoms of trauma. Each participant was interviewed …
Service Members’ Perspectives On Treatment: Bridging The Military-Civilian Divide, Kevin R. O'Leary
Service Members’ Perspectives On Treatment: Bridging The Military-Civilian Divide, Kevin R. O'Leary
Antioch University Dissertations & Theses
The difficulties some service members have reintegrating into and reconnecting with civilian society are well established across the literature. Despite the veteran’s voices describing these struggles to connect with civilians and the current zeitgeist in psychotherapy on the therapeutic relationship and multicultural competence, little attention has been given to the implications of the civilian military divide in therapy. This study used a mixed method approach to conduct an exploratory study of 70 service members’ perceptions of working with a civilian and active duty or veteran therapist and what factors contribute to therapeutic alliance. Of interest are service members’ beliefs about …
Effects Of A Mindfulness-Based Mobile Application On Empathy And Mindfulness With Psychotherapists, Sarah M. Kopencey
Effects Of A Mindfulness-Based Mobile Application On Empathy And Mindfulness With Psychotherapists, Sarah M. Kopencey
Antioch University Dissertations & Theses
This study explores the feasibility of using a mindfulness-based mobile application (MBMA) with psychotherapists, and investigates whether the use of the MBMA has an impact on psychotherapists’ levels of empathy and mindfulness. The study employs a within-subjects, pretest-posttest design in which participants (n=16) completed questionnaires 30 days apart. Between these questionnaires, the participants utilized the smartphone application Insight Timer (Insight Network, Inc., 2016) on a daily basis. Professionally qualified therapists and doctoral psychology trainees currently practicing psychotherapy who have no or minimal experience with mindfulness practice were considered for inclusion in this study. The study generated paired samples t-tests using …
Psychologists' Hope For Recovery At First Diagnosis Schizophrenia: A Training Model, Marissa Sicley-Rogers
Psychologists' Hope For Recovery At First Diagnosis Schizophrenia: A Training Model, Marissa Sicley-Rogers
Antioch University Dissertations & Theses
Recovery from schizophrenia is a widely disputed topic among mental health professionals. In spite of scholarly research supporting improved prognosis in schizophrenia, some mental health professionals maintain the belief that recovery from schizophrenia is impossible. A constructionist paradigm frames an understanding of recovery, and describes how different recovery models of schizophrenia may be integrated. From a qualitative approach, this study explores diagnosed individuals’ personal accounts of recovery from schizophrenia. Narrative research provides a framework for analyzing first person, written accounts of recovery from schizophrenia from a criterion-based sample of 18 participants. The results of the study provide insight into dynamic …
The Lived Experience Of Facilitating The Violet Oaklander Model Of Psychotherapy For Children And Adolescents, Blake Brisbois
The Lived Experience Of Facilitating The Violet Oaklander Model Of Psychotherapy For Children And Adolescents, Blake Brisbois
Antioch University Dissertations & Theses
The purpose of this phenomenological study was to describe the experience of facilitating the Oaklander Model of Gestalt Play Therapy when treating children or adolescents in psychotherapy. Interviews were conducted with clinicians who have received training and use the Oaklander method in their practice of psychotherapy. Transcriptions of the interviews were coded and analyzed, revealing a consistent experience along various themes. Participants reported that this Gestalt method allows a non-linear method of helping clients to unfold according to the needs and challenges of each session. Participants also reported that the end goal of the Oaklander Gestalt model helped young clients …
A Phenomenological Study Of East African Refugee Mothers' Experiences Of Trauma And How It Affects Parenting, Binh Hoa Pham
A Phenomenological Study Of East African Refugee Mothers' Experiences Of Trauma And How It Affects Parenting, Binh Hoa Pham
Antioch University Dissertations & Theses
There is a growing population of refugees around the world. Refugees experience a multitude of stressors—war trauma, chaotic and unsettling displacement(s), and resettlement stressors. African and Middle Eastern refugees are the fastest growing refugee population. The Office of the United Nations High Commissioner of Refugees (2014) report estimates that by the end of 2014, there will be 59.5 million displaced people around the world. Refugee women and children are disproportionately victims of war and civil conflict. Research on the experience of refugee women and children is minimal in refugee studies, specifically how refugee mothers’ experiences of war affect parenting. The …
Clinician Perspectives On Community Reentry For Mentally Ill Offenders In New York, Lauren C. Meath
Clinician Perspectives On Community Reentry For Mentally Ill Offenders In New York, Lauren C. Meath
Antioch University Dissertations & Theses
The prevalence of individuals with serious mental illness (SMI) in prisons has risen in recent years. While incarcerated, individuals with SMI face many challenges, such as difficulties with peers and staff, and potential exacerbation of mental health symptoms. These difficulties do not subside when reentering their communities upon release. These individuals encounter unique challenges upon release, such as facing the difficult task of finding mental health services and other resources, housing, and health insurance. This study aimed to gather the perspectives of clinicians who worked for the Office of Mental Health in New York State regarding community reentry for inmates …
The Stress-Buffering Model Of Social Support In Post-Acute Brain Injury Rehabilitation, Emily Anna Pearce
The Stress-Buffering Model Of Social Support In Post-Acute Brain Injury Rehabilitation, Emily Anna Pearce
Antioch University Dissertations & Theses
Currently, 3.2-5.3 million Americans (1.1-1.7%) live with long-term disability resulting from acquired brain injury (ABI). Despite two to three million more being treated yearly for milder injuries and released without further services, those with enduring problems often require ongoing rehabilitation and support. The immediate and long-term costs of ABI are substantial, as are the burdens associated with lifelong sequelae. A clear understanding of prognostic indicators—only some of which have been identified—could assist in reducing these costs and burdens. Social support, which has been linked with physical health and function in populations across the world, is one likely indicator. Family stress, …
African American Women In Leadership Positions: A Qualitative Study, Carl Harrison Jr.
African American Women In Leadership Positions: A Qualitative Study, Carl Harrison Jr.
Antioch University Dissertations & Theses
In today’s society, an accurate representation of female minority leadership is needed. This study explored the (a) leadership development of African American women, (b) means and hindrances that African American women leaders met on their pathway to success, and (c) role of resilience among African American women. The current research was guided by the Smith (2010) study; Smith completed research on this subject matter using African American males. The current research used women rather than men but maintained the same methodology. The Consensual Qualitative Research Method (CQR; Hill, Thompson, & Williams, 1997; Hill et al., 2005) was used to analyze …
Narratives Of Aging And Patient Activation, T. A. Hulslander
Narratives Of Aging And Patient Activation, T. A. Hulslander
Antioch University Dissertations & Theses
I highlight the generally negative social discourse on aging in the United States, which is often characterized by themes of marginalization and stagnation, and I advocate for a more developmental view. I propose a conceptual framework of social constructionism to consider how the intersection between social discourse and personal narrative regarding aging might influence older adults’ patient activation; Interpretative Phenomenological Analysis (IPA) is an appropriate qualitative methodology through which to understand these relational dynamics. Key constructs are defined and evidentiary, social justice, and pragmatic rationales are provided. In a discussion of the application to clinical psychology I suggests that how …
Peer-Mediated Sandplay And Symbolic Play In Children With Autism Spectrum Disorder, Meagan Adley
Peer-Mediated Sandplay And Symbolic Play In Children With Autism Spectrum Disorder, Meagan Adley
Antioch University Dissertations & Theses
This manuscript describes an exploratory study that assessed whether play with typically developing peers increased the use of symbolic play in children with Autism Spectrum Disorder (ASD). A version of a sandplay intervention previously investigated by Lu, Petersen, Lacroix, and Rousseau (2010), and modified to include peer-mediated play was used. The intervention explored the effects of sandplay with typically developing peers on engagement in symbolic play by children with ASD. A multiple-case intervention design was used with three children with ASD with varying degrees of severity in functioning. While use of symbolic play by two of the children did increase …
Vicarious Battering: The Experience Of Intervening At A Domestic Violence-Focused Supervised Visitation Center, Tracee Parker
Vicarious Battering: The Experience Of Intervening At A Domestic Violence-Focused Supervised Visitation Center, Tracee Parker
Antioch University Dissertations & Theses
This descriptive phenomenological research illustrated the experience of women who worked in a supervised visitation program (SVP) specifically developed to address safety concerns related to allegations of domestic violence. The SVP policies and procedures were designed not only to prevent physical assault and abduction but also to intervene in vicarious battering—a term introduced to describe the attempts by men who battered to exert control over, undermine, and/or intimidate the mothers of their children via interactions with their children and the visitation staff. The results of this research demonstrated the challenges of intervening in the context of court-ordered supervised visitation. Data …
Does Teaching Parents Emotion-Coaching Strategies Change Parental Perception Of Children's Negative Emotions?, Eric Labass
Does Teaching Parents Emotion-Coaching Strategies Change Parental Perception Of Children's Negative Emotions?, Eric Labass
Antioch University Dissertations & Theses
The purpose of this study was to explore if parental perception of children's negative emotions changes after participating in the parenting program How to Talk to Kids So Kids Will Listen-Video Series (HTK) (Faber & Mazlish, 2002). The HTK workshop comprises six sessions designed to teach parents to identify and empathize with children's feelings and learn emotional communication skills that facilitate a respectful relationship between parent and child. The Coping with Children's Negative Emotions Scale (CCNES) (Fabes, Eisenberg, & Bernzweig, 1990) was given to parents before and after participation in the HTK workshop. The CCNES revealed that a total of …
The Drive To Write: Inside The Writing Lives Of Five Fiction Authors, Emily S. Fine
The Drive To Write: Inside The Writing Lives Of Five Fiction Authors, Emily S. Fine
Antioch University Dissertations & Theses
Authors of fiction often describe writing as a psychologically meaningful and emotionally charged process. While ample research has provided evidence for the mental and physical health benefits of writing (e.g., Pennebaker & Seagal, 1999), few studies have methodically examined the inner life of the fiction writer. This study explored two primary questions: (a) Why do authors write? and (b) How does the act of writing affect them in turn? This study employed Interpretative Phenomenological Analysis (IPA) as a guiding methodology. Semi-structured interviews were conducted with five authors of fiction, then transcribed and analyzed to generate a rich interpretative account. The …
Demographic Characteristics And Trauma Symptomology In Juvenile Justice Residents At Echo Glen Children's Center, Britta L. Bergan
Demographic Characteristics And Trauma Symptomology In Juvenile Justice Residents At Echo Glen Children's Center, Britta L. Bergan
Antioch University Dissertations & Theses
Exposure to traumatic and stressful events has become increasingly commonplace and the impact of such experiences has been well documented. Trauma events in childhood have been associated with a number of factors, including maladaptive emotional and behavioral responses, increased vulnerability for exposure to additional traumatic events, and adverse experiences later in life. Juvenile justice youth have been found to have higher rates of trauma exposure, when compared to community samples of same-aged peers. The population of youth residing at Echo Glen Children’s Center, in Snoqualmie, Washington, exhibit unique characteristics for a juvenile justice population, including age (the youngest juvenile offenders …
Utopia: An Integrated Stepped-Care Program For Stress Reduction, Antoinette Cornute Booth
Utopia: An Integrated Stepped-Care Program For Stress Reduction, Antoinette Cornute Booth
Antioch University Dissertations & Theses
This research culminates in a design for an integrative psychological program aimed at reducing the stress of indicated patients at an Upstate New York obstetric and gynecologist (ob/gyn) practice.The program is named Utopia.This dissertation focuses solely on program development, not program implementation.The Utopia program is based on evidence-based practices and empirically supported research regarding Mindfulness, Mindfulness Based Stress Reduction (MBSR), Interpersonal Theory (IPT), the Psycho-Oncology Consultant Model (POCM) of care, and stepped-care treatment models.The target population is patients who experience various aspects of stress due to medical and/or psychological symptomology.Patients are referred based on their scores on a program-modified stress …
Can The Complex Care And Intervention (Cci) Program Be Culturally Adapted As A Model For Use With Aboriginal Families Affected By Complex (Intergenerational) Trauma?, Chipo Mcnichols
Antioch University Dissertations & Theses
Despite living in a country with a world renowned healthcare system, Canadian Aboriginal children, youth and their families, consistently have poorer access to healthcare as well as higher mortality and morbidity rates, in comparison to non-Aboriginal Canadians (Tang & Browne, 2008). Among factors including their history of residential school and intergenerational trauma, the lack of a culturally specific treatment intervention for complex trauma, is identified as a key factor in maintaining this health disparity. This study used participatory action research within an identified Aboriginal community, to develop a culturally adapted complex trauma intervention model. This was based on an existing …