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Articles 271 - 300 of 429
Full-Text Articles in Clinical Psychology
A Review Of Factors Contributing To The Shortage Of Palliative Care Service For Adolescent And Young Adult Oncology Patients, Erin K. Harper
A Review Of Factors Contributing To The Shortage Of Palliative Care Service For Adolescent And Young Adult Oncology Patients, Erin K. Harper
Antioch University Dissertations & Theses
Adolescent and young adult oncology (patients aged 15–39 years old) is an emerging group of patients that are recognized to have distinctive qualities concerning their cancer treatment, including intensified psychosocial needs compared to their adult and child counterparts (Bleyer, 2012). The quality of life for adolescent and young adults during and after cancer treatment is disproportionally worse than what is reported by adults and children and the incidence of cancer in this population is steadily growing (Bleyer, 2011, 2012; Pritchard, Cuvelier, Harlos, & Barr, 2011; Rosenberg & Wolfe, 2013; Siegel, Naishadham, & Jemal, 2013; Wein, Pery, & Zer, 2011). Palliative …
Pebbles Under The Tongue: A Qualitative Investigation Of Parents Who Stutter, Craig Matthew Kramer
Pebbles Under The Tongue: A Qualitative Investigation Of Parents Who Stutter, Craig Matthew Kramer
Antioch University Dissertations & Theses
To date, few studies have explored the lived experiences of parents who stutter. Thus, this qualitative study utilized a 15-question, in-depth semi-structured interview to explore how stuttering impacts various parenting roles, functions, activities, and states. Furthermore, this study elucidates how parents who stutter describe and attach meaning to parenting, as well as how they view parental stuttering in terms of disability status. Participants were 10 parents (6 men and 4 women) who self-identified as having a stuttering disorder. All participants were over 18 years of age and had a child between the ages of 5-18. Data was analyzed using an …
Distress Among Psychologists: Prevalence, Barriers, And Remedies For Accessing Mental Health Care, Kimberly Patterson-Hyatt
Distress Among Psychologists: Prevalence, Barriers, And Remedies For Accessing Mental Health Care, Kimberly Patterson-Hyatt
Antioch University Dissertations & Theses
This study completed a critical review of psychologists’ mental health by developing a conceptual analysis based on the current empirical literature of the mental health needs of clinical psychologists. Distress among psychologists was explored by examining the following domains: (a) examining the prevalence of mental illness and psychological distress that exist among them, (b) examining the barriers they encounter to seeking treatment when experiencing this distress, and (c) reviewing current interventions and integrating remedies for access to mental health care that best meets psychologists’ needs. Results included several themes within each domain shaping a contextual picture of some of the …
The Remembered Experience Of Adoption: Factors Supporting Healthy Adjustment, Crystal R. Gonsalves
The Remembered Experience Of Adoption: Factors Supporting Healthy Adjustment, Crystal R. Gonsalves
Antioch University Dissertations & Theses
This qualitative research study is designed to explore ideas, customs, and practices related to adoption from the perspective of adult adoptees. While many studies seek to explain the negative impact of adoption, minimal literature exists with regard to a phenomenological exploration of adoption practices that successfully promote healthy adjustment and a sense of resilience and well-being in adopted children. Existing research on adoption has largely been conducted quantitatively, which can fail to capture the personal, lived experience of a positive adoption experience that leads to healthy adjustment. Specifically, little is known about which factors of the adoption experience adoptees perceive …
Factors Influencing Father Involvement With Children Diagnosed With Autism Spectrum Disorder, Kayleigh E. Hay
Factors Influencing Father Involvement With Children Diagnosed With Autism Spectrum Disorder, Kayleigh E. Hay
Antioch University Dissertations & Theses
Children in America are being diagnosed with Autism Spectrum Disorder (ASD) at rates that are much greater than in previous decades. There is an abundance of research that is being conducted to try and discover the cause of this neurodevelopmental disorder and the interventions that are useful in treating it. It is classified as a spectrum disorder because there is such a large range of severity levels. Similarly, there is a large range of involvement levels by fathers of children with autism. Much research has been done on maternal experiences, leaving a lack of knowledge regarding fathers and how and …
Experiences Of Neurotypical Siblings Of Children With An Autism Spectrum Disorder: A Qualitative Exploration, Stacie R. Keirsey
Experiences Of Neurotypical Siblings Of Children With An Autism Spectrum Disorder: A Qualitative Exploration, Stacie R. Keirsey
Antioch University Dissertations & Theses
In recent years, the diagnosis of autism spectrum disorder (ASD) has been on the rise, prompting a simultaneous increase in scientific study regarding cause, impact, and intervention (Hughes, 2009; Ravindran & Myers, 2012). Research has proposed advances in the treatment of the individuals diagnosed and focused efforts on scholastic, parental, and professional intervention and supports. However, the siblings of ASD children have largely been neglected in this scientific investigation. The purpose of this hermeneutic phenomenological study was to explore neurotypical siblings’ experiences in living with a child diagnosed with ASD. Seven adolescents were selected using criterion, convenience, and snowball sampling. …
Rural Clinicians’ Perceived Ethical Dilemmas: Relationships With Clinician Well-Being And Burnout, Amithea M. Love
Rural Clinicians’ Perceived Ethical Dilemmas: Relationships With Clinician Well-Being And Burnout, Amithea M. Love
Antioch University Dissertations & Theses
Mental health clinicians are bound by professional ethics codes that are intended to ensure beneficence toward clients. When clinicians reside in rural areas, ethical dilemmas result from the distinct nature of rural life and clinical practice. Despite extant literature on the ethical dilemmas of rural practice, little research has examined the effect of ethical dilemmas on the social-emotional functioning of clinicians. In response to this need, the study investigated the relationships of frequency of and discomfort from ethical dilemmas on clinician social-emotional functioning. Participants were rural and small town clinicians (N = 60) between ages 24-65 and primarily Caucasian (83.3%), …
Child-Centered Play Therapy For Children With Autism: A Case Study, Ashley H. Morgenthal
Child-Centered Play Therapy For Children With Autism: A Case Study, Ashley H. Morgenthal
Antioch University Dissertations & Theses
This dissertation evaluated archival data from the implementation of a child-centered approach to play therapy with a young girl diagnosed with autism. Goals of treatment included promoting spontaneous symbolic play and increasing verbal communication skills. Young children with autism who engage in early intervention often receive behavioral interventions, such as applied behavior analysis (ABA), on a regular basis. However, the use of child-centered play therapy as an intervention is not as common, as play is frequently viewed as being a deficiency for children with autism. In psychological theory, play is often regarded as a child’s work, and his or her …
Effects Of Presenting Normative Alcohol Data On Perceptions Of College Drinking Behavior, Cullen Patrick Hardy
Effects Of Presenting Normative Alcohol Data On Perceptions Of College Drinking Behavior, Cullen Patrick Hardy
Antioch University Dissertations & Theses
Alcohol abuse, often in the form of binge drinking, is a problem that every college campus faces. Many researchers suggest that students believe that their peers drink more alcohol than is actually true, and use such a perception as a justification to drink more alcohol than should be consumed (Perkins, Haines, & Rice, 2005). The purpose of this study is to understand whether presenting normative information on drinking behavior among college students in two different ways (focus on heavy drinking or focus on abstinence) has an effect on the perceptions of drinking behavior.
When The Heroes Become Less Super: Coping With Problems Of Professional Competence, Gregory Betz
When The Heroes Become Less Super: Coping With Problems Of Professional Competence, Gregory Betz
Antioch University Dissertations & Theses
This dissertation addresses the subject of problems of professional competency within clinical psychology. A review of the current literature on the subject begins with topics including recent changes in terminology, conceptualization, and prevalence of competency problems. Contributing factors, differences between practicing psychologists and trainees, and ethical issues are addressed. The review concludes with current perspectives for assessing and intervening for problems of professional competence. The second section provides the methodology for the study which was a mixed-methods design consisting of a quantitative and qualitative component. The primary procedure consisted of an educational intervention provided to first-year students of a clinical …
Worlds Of Connection: A Hermeneutic Formulation Of The Interdisciplinary Relational Model Of Care, Susana Lauraine Mccune
Worlds Of Connection: A Hermeneutic Formulation Of The Interdisciplinary Relational Model Of Care, Susana Lauraine Mccune
Antioch University Dissertations & Theses
Despite a general agreement across health care disciplines that Advanced Care Planning (ACP) and Advanced Directives (ADs) add important elements to a patient's end-of-life care desires, and can inform their loved ones and advocates, help create ease of mind, and enhance quality of care, they continue to remain significantly underused. More than half of Americans transition to chronic and terminal illness without having completed them. The aim of this study was to increase the frequency and enhance the quality of communication about Advance Directives and Advance Care Planning within the clinical relationship. The resulting Interdisciplinary Relational Model of Care (IRMOC) …
The Moderating Effect Of Resilience Factors On Bully Victimization And Subsequent Psychological Adjustment Problems Among Adolescent Girls, Alexandra Hayley Quinn
The Moderating Effect Of Resilience Factors On Bully Victimization And Subsequent Psychological Adjustment Problems Among Adolescent Girls, Alexandra Hayley Quinn
Antioch University Dissertations & Theses
Bully victimization is linked to poor psychological adjustment, low self-esteem, and social withdrawal in children and teens. However, little research to date has examined the unique experiences of adolescent girls, the specific contributions of various subtypes of bullying, and the utilization of comprehensive instruments to examine the constructs of psychological adjustment and bully victimization. Further, researchers studying these issues have called for more studies to examine buffering factors that may protect teen girls from the psychological insults associated with peer victimization. This study advances research in the field by utilizing standardized self-report measures to examine the relationship between bully victimization …
A Model For A Haitian Comprehensive Community Mental Health Center: An Accounting, Corey Gifford
A Model For A Haitian Comprehensive Community Mental Health Center: An Accounting, Corey Gifford
Antioch University Dissertations & Theses
Haiti is the poorest country in the Western hemisphere. Mental health resources are minimal and in need of further development. The goal of this dissertation project was to develop a model for a comprehensive outpatient Community Mental Health Center (CMHC) in Port-au-Prince, Haiti. It was both critical and essential that the development of a CMHC be considered within the sociopolitical and economic context of Haiti. As such, this project first examined relevant information regarding Haitian geography, poverty, government, and culture. Within this context, the impact of the 2010 earthquake was considered. This context was then used to consider relevant literature, …
The Experience Of Sibling Death In Childhood: A Qualitative Analysis Of Memoirs, Katrin Neubacher
The Experience Of Sibling Death In Childhood: A Qualitative Analysis Of Memoirs, Katrin Neubacher
Antioch University Dissertations & Theses
This qualitative study explored the experience of the death of a sibling in childhood. Seven memoirs written by individuals who lost a sibling in childhood were analyzed using Interpretive Phenomenological Analysis. Themes focused on the child’s lived experience of sibling loss, parental and familial function, and factors identified as supporting the child’s grieving and functioning. Where relevant, an in-depth review of the existing literature of relevant psychological research and theories supported and expanded on the themes identified in the narratives. As the purpose of this research was to inform a model for understanding the life and grief of a bereaved …
Asperger's Syndrome/Autism Spectrum Disorder And Marital Satisfaction: A Quantitative Study, Kim L. Bolling
Asperger's Syndrome/Autism Spectrum Disorder And Marital Satisfaction: A Quantitative Study, Kim L. Bolling
Antioch University Dissertations & Theses
Few empirical studies exist that examine adult Asperger-affected relationships. The purpose of this study was to determine whether the marital satisfaction of individuals in relationships in which at least one partner has Asperger’s Syndrome (AS) or Autism Spectrum Disorder (ASD), differs in some significant way from the marital satisfaction of individuals in relationships in which neither partner has AS/ASD. Participants were 126 adults in relationships in which at least one partner had a diagnosis of AS or ASD, recruited from Asperger- and autism-related websites, social media, and organizations from English-speaking countries. Couples consisted of heterosexual and same-sex couples, couples with …
Women Between The Ages Of 65 And 75: What Is Their Subjective Experience Of How Their Sexuality Is Portrayed In American Society?, Rebecca E. Gilda
Women Between The Ages Of 65 And 75: What Is Their Subjective Experience Of How Their Sexuality Is Portrayed In American Society?, Rebecca E. Gilda
Antioch University Dissertations & Theses
This dissertation focused on capturing and describing the experience of sexuality for women between the ages of 65 and 75 as they live in American society. The main research question asks how these women gain awareness, perceive, and react to the stereotypes, assumptions, expectations, and negative images associated with their sexuality. The participants completed a questionnaire and a semi-structured interview with the principal researcher. Information was gathered about age, relationships, family history, employment, and sexuality. In the interview general and specific questions were asked relating to sexuality in order to answer the research questions. The data from these was analyzed …
A Narrative Study Of Emotions Associated With Negative Childhood Experiences Reported In The Adult Attachment Interview, Lynne Hartman
A Narrative Study Of Emotions Associated With Negative Childhood Experiences Reported In The Adult Attachment Interview, Lynne Hartman
Antioch University Dissertations & Theses
Attachment patterns, which tend to be stable over time, are passed from one generation to the next. Secure attachment has been linked to adaptive social functioning and has been identified as a protective factor against mental illness. The parents’ state of mind with regard to attachment—as measured with the Adult Attachment Interview (AAI) (Main, Goldwyn, & Hesse, 2002)—predicts the attachment classification for the infant in Ainsworth’s Strange Situation Procedure (Ainsworth, Blehar, Waters, & Wall, 1978). Earned-secure individuals have overcome negative childhood experiences to achieve a secure state of mind in adulthood. Earned security, like continuous security, strongly predicts infant security …
Finding Childcare For The Disabled Child: The Process And Decisions Through The Primary Caregiver’S Lens, Misty Dawn Torres
Finding Childcare For The Disabled Child: The Process And Decisions Through The Primary Caregiver’S Lens, Misty Dawn Torres
Antioch University Dissertations & Theses
In this qualitative, Grounded Theory study, the researcher examined the process that primary caregivers go through when selecting a childcare placement for children who have special needs. Data were collected through participant interviews with primary caregivers (n=10) who responded to recruitment notices posted on (1) listservs by organizations directly affiliated with early intervention and child care services; (2) local Internet classified sites; and (3) through word of mouth. The research demonstrated that caregivers who learned of their child’s disability in a prenatal diagnosis or prior to an adoption identified with having a greater sense of choice and control over their …
Africentric Resilience Training: A Prevention Program For African American Soldiers, Melissa Boudreau
Africentric Resilience Training: A Prevention Program For African American Soldiers, Melissa Boudreau
Antioch University Dissertations & Theses
The study develops a mental health prevention program for African American soldiers called, Africentric Resilience Training (ART). The goal of ART is to train soldiers to be psychologically fit, just as they train to be physically fit in the military. The ART curriculum aims to increase soldiers’ resilience and capacity to flourish, while educating them on the occurrence and prevention of Posttraumatic Stress Disorder. This program is founded on the principles and structure of the current Comprehensive Soldier and Family Fitness (CSF2) program in the Army (CSF2, 2012). ART is unique in its utilization of a culturally and racially modified …
The Lived Experience Of Adolescents Who Engage In Nonsuicidal Self-Injury, Erin Elizabeth Holley
The Lived Experience Of Adolescents Who Engage In Nonsuicidal Self-Injury, Erin Elizabeth Holley
Antioch University Dissertations & Theses
The purpose of the current study was to explore the lived experience of adolescents who engage in nonsuicidal self-injury (NSSI). Phenomenological interviews inquired about emotionality, conflict styles, and parental relationships among a clinical population of six adolescents. All participants met criteria for the proposed diagnosis of NSSI found in the Diagnostic and Statistical Manual for Mental Disorders, Fifth Edition (American Psychiatric Association, 2013). Nine central themes emerged as significant: identification with an alternative to the dominant culture, inhibition of affect, difficulty managing conflict, suicidality, negative emotionality, feeling numb, negative internal monologue, self-harm as a temporary coping skill, and maternal conflict. …
Personhood & Parenthood: An Experiential Account Of Balance & Well-Being, Venice Bruno
Personhood & Parenthood: An Experiential Account Of Balance & Well-Being, Venice Bruno
Antioch University Dissertations & Theses
Parents are constantly engaging in a balancing act, weighing their own needs with those of their children and family. Helping parents navigate the role of parenthood can promote optimal development in the child, parent, couple and family. Parents engage in various roles and responsibilities essential for family and individual well-being that require balance in order to be effective. Past research on balance has indicated that people are more satisfied with life when they are active in multiple life domains rather than in a single one. This study is interested in two specific life domains: personhood and parenthood, and how parents …
The Utilization Of Evidence-Based Treatments In Trauma Treatment Of Active Military Personnel And Their Families, Matt Brickell
The Utilization Of Evidence-Based Treatments In Trauma Treatment Of Active Military Personnel And Their Families, Matt Brickell
Antioch University Dissertations & Theses
This study reviewed the literature regarding the effectiveness of evidence-based treatments in addressing traumatic stress injuries such as post-traumatic stress disorder in active military personnel and their families. Top tier treatments recommended by the Department of Defense and Department of Veteran Affairs Clinical Practice Guidelines for the treatment of traumatic stress disorders are discussed, and the literature is critically examined with a focus on exploring the reported evidence of effectiveness. In addition, this study contributed unpublished archival clinical outcome data from evidence-based treatment of active military personnel and their families in real-world clinical settings. The effectiveness of an evidence-based treatment …
Common Psychosocial And Spiritual Factors Among Individuals Who Have Healed From Chronic Lyme Disease, Frederick Green
Common Psychosocial And Spiritual Factors Among Individuals Who Have Healed From Chronic Lyme Disease, Frederick Green
Antioch University Dissertations & Theses
This dissertation examined the subjective experience of individuals who have healed from Chronic Lyme Disease (CLD). Despite significant attention paid to the controversy over CLD diagnosis and treatment, scholarly research has neglected the psychosocial and/or spiritual factors that facilitate healing from the perspective of CLD sufferers. This study addressed this research gap by using Interpretive Phenomenological Analysis (IPA) to explore the barriers and facilitators of healing among those who have healed from CLD. Six participants who had suffered from CLD and considered themselves healed from the disease were recruited and interviewed. The qualitative data was reduced to meaning units, which …
Servicewomen’S Experiences Of Recovery In The Aftermath Of War: A Qualitative Analysis, Courtney P.R. Glover
Servicewomen’S Experiences Of Recovery In The Aftermath Of War: A Qualitative Analysis, Courtney P.R. Glover
Antioch University Dissertations & Theses
Military women’s involvement and contributions to the Global War on Terror (GWOT) are unprecedented and, as such, servicewomen are returning home in numbers that far exceed prior conflicts (Street, Vogt, & Dutra, 2009). Addressing and supporting servicewomen’s postdeployment recovery needs—as similar or distinct from their male counterparts—requires a richer understanding of their lives. Using Interpretative Phenomenological Analysis (IPA) methodology, this study addressed the paucity of in-depth qualitative research devoted to exploring the recovery experiences of servicewomen in the aftermath of combat deployment. Nine servicewomen with GWOT combat deployments were interviewed on this topic using a semi-structured protocol designed to elicit …
Loneliness And Perceived Stigmatization Among Older Adults Enrolled In Opiate Substitution Treatment Programs And The Utilization Of Mental Health Services, Jennifer B. Armstrong
Loneliness And Perceived Stigmatization Among Older Adults Enrolled In Opiate Substitution Treatment Programs And The Utilization Of Mental Health Services, Jennifer B. Armstrong
Antioch University Dissertations & Theses
Little research has examined the role that loneliness and perceived stigmatization play in the decision to seek mental health services among older adults enrolled in opiate substitution treatment. Researchers studying this at-risk population have called for more studies to examine services that can be implemented within current opiate substitution treatment settings. This study advances research in the field by utilizing standardized self-report measures to examine the relationship between loneliness, perceived stigmatization, and the impact of said variables on the utilization of available mental health services among older adults enrolled in opiate substitution treatment programs. Ninety-four 50-71-year-old adults from an opiate …
Solutions For Recruitment And Retention Of Rural Psychologists By Rural Psychologists, Beth Briggs
Solutions For Recruitment And Retention Of Rural Psychologists By Rural Psychologists, Beth Briggs
Antioch University Dissertations & Theses
There are too few mental health providers to meet the needs of residents of rural communities. Rural inhabitants often present for treatment with severe symptoms, high risk for suicide, comorbid chronic health conditions, and socioeconomic stressors. It is difficult to recruit psychologists to rural communities due to limited training in rural psychology, financial barriers to sustaining a practice, frequent ethical dilemmas posed by small towns, and limited cultural amenities. While there is a significant amount of scholarly literature describing the needs of this population and the challenges of maintaining a practice in such geographic regions, there is scarce literature on …
The Understanding And Promotion Of Resilience In College Students, Jorie Pollak Himmel
The Understanding And Promotion Of Resilience In College Students, Jorie Pollak Himmel
Antioch University Dissertations & Theses
Transitioning to college can be hard for many adolescents and emerging adults. The field of psychology has long asked the question, “What helps a person cope with transition and with stress in general?” Research has shown that resilience plays a key role. In recent years there has been a growing interest among psychologists in the concept of resilience, and most importantly in the cultivation of it as both a trait and a learnable skill. Despite this interest in the development and cultivation of resilience, resilience research to date has neglected to explore the ways in which emerging adults understand resilience …
Haitian Children's House-Tree-Person Drawings: Global Similarities And Cultural Differences, Abimbola Afolayan
Haitian Children's House-Tree-Person Drawings: Global Similarities And Cultural Differences, Abimbola Afolayan
Antioch University Dissertations & Theses
The issues of rising terrorism, violence, and scarcity of basic needs will increase in the coming decades, and children that need psychological services in disaster areas around the world will also increase (Alim, 2008). The study utilized the House-Tree-Person (HTP) projective test to examine the adaptation and maladaptation of Haitian children who lived in extreme urban poverty, broken infrastructure, and relocation camps in the aftermath of the 2010 earthquake. The 43 participants of the original archived data set provided 129 protocols of house, tree, and person drawings (Roysircar & Colvin, 2015). Out of that dataset, the present study used 39 …
Therapeutic Horseback Riding With Military Veterans: Perspectives Of Riders, Instructors, And Volunteers, Leslie Lafleur
Therapeutic Horseback Riding With Military Veterans: Perspectives Of Riders, Instructors, And Volunteers, Leslie Lafleur
Antioch University Dissertations & Theses
Statistics reveal that over 353,000 military members have been diagnosed with PTSD and/or TBI resulting from war-related activities. With the rising number of war stress injuries, there have not been enough psychotherapeutic services to meet the current demand for the care of returning veterans from Iraq and Afghanistan. Although some intervention strategies have been deemed successful, the current standards of care (e.g., exposure therapy, cognitive therapy) are limited by training inadequacies, accessibility, and outcomes (e.g., retention, early drop out, resistance, non-responsiveness). Furthermore, it is unclear whether these treatments are efficacious in addressing the unique symptom presentations of this population. The …
Assessing Suicide Risk Scores As A Predictor Of Suicidal Behaviors In A Correctional Psychiatric Facility, Janice Rice
Assessing Suicide Risk Scores As A Predictor Of Suicidal Behaviors In A Correctional Psychiatric Facility, Janice Rice
Antioch University Dissertations & Theses
This study evaluated suicide risk assessments in a correctional psychiatric setting. It considered whether clinicians’ judgment of suicide risk predicted future suicidal behaviors in seriously mentally ill prisoners. Data analysis did not show that higher suicide risk scores predicted more suicidal behaviors, nor did it show that suicide risk scores differentiated multiple attempters, or those who went on to attempt suicide or self-harm two or more times in the three years following the assessment. Study data did, however show that suicide risk scores significantly differentiated those who went on to attempt suicide or self-harm at least once in the three …