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Articles 331 - 360 of 429
Full-Text Articles in Clinical Psychology
Mental Health Care In Mcallen Texas: Utilization, Expenditure, And Continuum Of Care, Josefina Irigoyen
Mental Health Care In Mcallen Texas: Utilization, Expenditure, And Continuum Of Care, Josefina Irigoyen
Antioch University Dissertations & Theses
In 2009, Gawande published an article in The New Yorker that put the unknown mid-sized South Texas city of McAllen on the map. The article stated that McAllen was one of the most expensive health care markets in the country; it caused such media-frenzy that in a few days President Barack Obama (2009) began citing McAllen in his speeches for health care reform. Gawande concluded that overspending in the area was due to overutilization of medical services. The present study examined whether mental health services are overutilized based on archival data on McAllen's mental health services collected from Medicaid, Tropical …
Psychotherapy And The Embodiment Of The Neuronal Identity: A Hermeneutic Study Of Louis Cozolino's (2010) The Neuroscience Of Psychotherapy: Healing The Social Brain , Ari Simon Natinsky
Psychotherapy And The Embodiment Of The Neuronal Identity: A Hermeneutic Study Of Louis Cozolino's (2010) The Neuroscience Of Psychotherapy: Healing The Social Brain , Ari Simon Natinsky
Antioch University Dissertations & Theses
In recent years, there have been several ways in which researchers have attempted to integrate psychotherapy and neuroscience research. Neuroscience has been proposed as a method of addressing lingering questions about how best to integrate psychotherapy theories and explain their efficacy. For example, some psychotherapy outcome studies have included neuroimaging of participants in order to propose neurobiological bases of effective psychological interventions (e.g., Paquette et al., 2003). Other theorists have used cognitive neuroscience research to suggest neurobiological correlates of various psychotherapy theories and concepts (e.g., Schore, 2012). These efforts seem to embody broader historical trends, including the hope that neuroscience …
Childhood Sexual Behavior: An Integrated Developmental Ecological Assessment Approach, Kelley Simmons Jones
Childhood Sexual Behavior: An Integrated Developmental Ecological Assessment Approach, Kelley Simmons Jones
Antioch University Dissertations & Theses
This qualitative, theoretical review and analysis of extant literature explored the sociocultural influences effecting conceptualization of childhood sexual behavior problems. Themes emerged from analysis of peer-reviewed journals that illustrated the complex, multidimensional, and ecological factors influencing child sexual development and problematic sexual behavior. These included major themes of Child Sexuality: Ecological Context, Developmental Context, Complex Trauma, and Ecological Interventions. Specific factors associated with childhood sexual behavior problems included trauma, domestic violence, sexual and physical abuse, psychological and emotional distress, impaired attachment, and the effects of diverse ecological systems such as the family, parents, and sociocultural influences of the greater community. …
Supporting Families With Congenital Adrenal Hyperplasia: Encouraging Whole Family Health, Kathryn A. Kraft
Supporting Families With Congenital Adrenal Hyperplasia: Encouraging Whole Family Health, Kathryn A. Kraft
Antioch University Dissertations & Theses
In this dissertation, I discuss the medical and psychological needs of families with children with Congenital Adrenal Hyperplasia (CAH). Due to these needs, I have designed and described a program of social support and psychoeducation to be offered to parents and families. Specifically, I discuss the difficulty that parents have when finding out that their child has CAH, the emotional toll this takes on a parent, on their relationship, and on their family. Using a Family Systems Illness Model, I designed a program that takes into account family functioning, organization, structure, and communication when determining what would be most helpful …
Anorexia Nervosa: Benefits Of Recovery-Oriented Websites, Sarah L. Hersey
Anorexia Nervosa: Benefits Of Recovery-Oriented Websites, Sarah L. Hersey
Antioch University Dissertations & Theses
Anorexia Nervosa (AN) is a mental illness with serious physical, psychological, interpersonal, social, and economic consequences. AN is difficult to treat, with affected individuals experiencing symptoms after treatment completion. Recovery-oriented AN discussion boards are online forums on which individuals with AN can communicate with the goal of promoting their recovery. Using inclusion criteria, the author selected Mirasol, Something Fishy, Anorexia Nervosa and Associated Disorders (ANAD), and PsychForums. The research questions asked were: (a) What are the themes of recovery-oriented AN Internet discussion boards? (b) What types of support can be found on the boards? (c) How frequently are potentially 'triggering' …
The Predoctoral Psychology Internship Imbalance: The Impact On Unmatched Applicants, Chastity Chartier
The Predoctoral Psychology Internship Imbalance: The Impact On Unmatched Applicants, Chastity Chartier
Antioch University Dissertations & Theses
The predoctoral internship is a required component of training to complete a doctoral degree in the field of psychology. Most psychology students participate in the Association of Psychology Postdoctoral and Internship Centers (APPIC) Match in hopes of securing an internship that meets their training needs and complements their developing professional identities. However, there are more applicants than there are positions available, and the imbalance rate is considered to have reached crisis proportions, with approximately a quarter of psychology students remaining unplaced following the Match. The implications of not matching to an internship are devastating to the applicants. The impacts of …
Therapists’ Experiences Of Incidental Encounters With Their Clients, Beth Ketaineck
Therapists’ Experiences Of Incidental Encounters With Their Clients, Beth Ketaineck
Antioch University Dissertations & Theses
Incidental encounters with clients occur frequently and have been found to elicit feelings of surprise, uncertainty, and discomfort for the therapist (Sharkin & Birky, 1992). This qualitative study examined therapists' experiences of such incidental encounters to better understand factors that may contribute to those feelings. I conducted semi-structured interviews, in line with Interpretive Phenomenological Analysis (IPA), with six licensed clinical psychologists who have experienced an incidental encounter within the last five years. Participants were asked to imagine the encounter, discuss factors that contributed to their feelings about the encounter (during and after), consider long-term consequences, and describe their level of …
Treating Bipolar Disorder: Investigation Into The Integration Of Quality Of Life (Qol) In The Treatment Plan, Carolynn B. Shor
Treating Bipolar Disorder: Investigation Into The Integration Of Quality Of Life (Qol) In The Treatment Plan, Carolynn B. Shor
Antioch University Dissertations & Theses
This qualitative bounded case study focuses on how the therapist integrates the quality of life into his or her treatment plan when treating a bipolar patient. Quality of life may be defined as an individual's perception of his or her position in life in relation to psychological and physical health, social relationships, goals, expectations, and environment (WHO, 1995). This study specifically explored how therapists treat their bipolar patients and how they integrate QoL into therapy. Two men and seven women were interviewed in Santa Barbara, California. The criterion for participants included licensed psychologists who have treated at least one bipolar …
Wounded Healers In Practice: A Phenomenological Study Of Jungian Analysts' Countertransference Experiences, Jeffrey M. Burda
Wounded Healers In Practice: A Phenomenological Study Of Jungian Analysts' Countertransference Experiences, Jeffrey M. Burda
Antioch University Dissertations & Theses
This study explored Jungian analysts' experiences of countertransference (CT) using the qualitative method interpretive phenomenological analysis (IPA). The purpose of this study was to better understand how Jungian analysts experience, understand, make use of, and manage CT in daily practice. Six certified Jungian analysts were interviewed about their CT experiences from their analytic work with a past client. The study's main findings were that CT originated primarily from analysts' personal wounds and tended to manifest as analysts' disengagement or withdrawal from the client. Furthermore, analysts often used awareness and understanding of their CT to better manage CT. The nature of …
Wisc-Iv And Intellectual Disability: A Pilot Study On Hidden Floor Effects, Allyssa M. Lanza
Wisc-Iv And Intellectual Disability: A Pilot Study On Hidden Floor Effects, Allyssa M. Lanza
Antioch University Dissertations & Theses
This study is a pilot re-creation of research in the United Kingdom (UK) by Whitaker and Gordon (2012) that assesses for possible floor effects in the Wechsler Intelligence Scale for Children, Fourth Edition (WISC-IV). Their study suggested that the Index and Full Scale IQ (FSIQ) scores of low IQ adolescents taking the WISC-IV (UK version) were significantly inflated because low raw scores were converted to scaled scores of 1. Whitaker and Gordon assessed for score inflation and resulting floor effects by creating an alternative scoring system based on the relationship between the lowest raw scores that convert to each WISC-IV …
Seasoned Psychotherapists' Experience Of Difficult Clinical Moments, Kirk J. Honda
Seasoned Psychotherapists' Experience Of Difficult Clinical Moments, Kirk J. Honda
Antioch University Dissertations & Theses
Purpose: This phenomenological study was concerned with the clarification of the experience of the difficult clinical moment which is defined as a discrete moment in which the psychotherapist experiences distress as a result of his or her work with a client. Method: Retrospective descriptions of experience of difficult clinical moments were obtained from a diverse sample of ten seasoned psychotherapists in the Seattle area. The interviews were transcribed, analyzed, and summarized, and these summaries were confirmed by each participant as being an accurate representation of their experience. Results: Thematic analysis revealed six themes of experience during a difficult clinical moment: …
How Young Adults Make Meaning Of Their Family Intergenerational Solidarity Through The Use Of Music, Keri B. Petrone
How Young Adults Make Meaning Of Their Family Intergenerational Solidarity Through The Use Of Music, Keri B. Petrone
Antioch University Dissertations & Theses
This qualitative research project explores how young adults make meaning of their family intergenerational solidarity through the use of music. The project employed a type of Interpretative Phenomenological Analysis (IPA) to unlock meaning-making themes among young adults. Data collection consisted of interviewing ten young adults whose family had unintentionally or intentionally used music to increase their family intergenerational solidarity. The interviews were semi-structured. This study attempted to capture the depth of each young adult’s meaning-making. Seven general themes emerged: (a) I have experienced bonding with my family members through the use of music; (b) I have experienced emotional and/or psychological …
Enhancing Coping Skills In Adolescents: A Program Evaluation Of The Middletip Program, Melody Bongiorno Frank
Enhancing Coping Skills In Adolescents: A Program Evaluation Of The Middletip Program, Melody Bongiorno Frank
Antioch University Dissertations & Theses
In the last decade of the 20th century, several large-scale studies suggested that the developmental trajectory for students diagnosed with emotional disturbance is bleak. Middletip School (MTS) is an alternative day treatment program that serves emotionally disturbed (ED) students (ages 12-19) through a daily offering of academic classes, and counseling and treatment groups. Using individually tailored, strength-based programming, MTS is designed to help ED youth in the areas of emotion regulation and behavior management, with a focus on building coping, relational, social, and communication skills. This dissertation project was a program evaluation in a natural setting examining the processes of …
Coping Responses And Mental Health Symptoms In Incarcerated Juvenile Males, Jennifer Renae Newhard
Coping Responses And Mental Health Symptoms In Incarcerated Juvenile Males, Jennifer Renae Newhard
Antioch University Dissertations & Theses
Coping responses develop throughout the lifespan of an individual. Unfortunately for some, difficult life circumstances may lead to the use of maladaptive forms of coping. This study investigated coping responses amongst male incarcerated juvenile offenders and examined which specific mental health symptoms may occur with specific coping responses. The goal of this study was to determine whether male incarcerated juvenile offenders utilize avoidant coping responses over approach coping responses. Also, this study investigated whether specific mental health symptoms, such as depression, anxiety, anger, and disruptive behaviors, were more prevalent amongst those who utilize avoidant coping responses. De-identified, archival data for …
Extension And Validation Of An Adult Gaming Addiction Scale, Scott A. Macgregor
Extension And Validation Of An Adult Gaming Addiction Scale, Scott A. Macgregor
Antioch University Dissertations & Theses
Video game addiction among adults is a serious mental health issue. Unfortunately, research on video game addiction is in its infancy and impeded by the lack of a valid and reliable measure for use with adults. Lemmens, Valkenburg, and Peter (2009) developed an adolescent video game addiction measure, the Gaming Addiction Scale (GAS); however, it has not been validated for use with an adult population. The primary aim of this study was to evaluate the appropriateness of the GAS for use with adults and evaluate whether the measure is a valid and reliable measure of adult video game addiction. The …
Asian Indian College Students: Relationship Between Parent–Child Communication Difficulties And Internalization, Sheeba P. Thomas
Asian Indian College Students: Relationship Between Parent–Child Communication Difficulties And Internalization, Sheeba P. Thomas
Antioch University Dissertations & Theses
Children of Asian Indian immigrants in the United States vary in their acculturation from their parents to American culture and society. The U.S.-born second-generation and those who immigrate at an early age may be at risk for emotional and behavioral difficulties. The present study investigated whether certain sociocultural factors related to the negative adjustment of second-generation Asian Indian college students. A survey method measured acculturation, acculturative family distancing, perceived prejudice, and internalization difficulties (i.e., depression, trait anxiety, somatic symptoms, and self-critical perfectionism) of second-generation Asian Indian college students (N = 60), ages 19–25. The sample was primarily Keralite (64.5%) with …
Elementary-Aged Cyber Bully-Victims: Incidence, Risks, And Parental Involvement, Valerie A. Mulkey
Elementary-Aged Cyber Bully-Victims: Incidence, Risks, And Parental Involvement, Valerie A. Mulkey
Antioch University Dissertations & Theses
The frequency of cyber bullying involvement is systematically increasing, as is the access to electronic communication tools. Many youth are both victimized by and perpetrate cyber bullying. In fact, youth who are victimized are more likely than non-victims to perpetrate cyber bullying. Youth who engaged in both forms of cyber bullying are referred to as cyber bully-victims. The purpose of this research was to determine whether self-concept, parental involvement with electronic communication tools, parent-imposed consequences, and parental support differ depending on cyber bullying status. Participants consisted of 60 4th and 5th graders at elementary schools in southwestern NH. Data was …
Mothering And The Functional Self: A Hermeneutic Exploration Of Texts On Perinatal Mood And Anxiety Disorders, Kathleen M. Pape
Mothering And The Functional Self: A Hermeneutic Exploration Of Texts On Perinatal Mood And Anxiety Disorders, Kathleen M. Pape
Antioch University Dissertations & Theses
Mothering is a rich and complex experience involving challenging tasks, a developing relationship with one's child, and socially defined roles. How mothering is viewed varies depending on the cultural norms and historical era under consideration. This study is a textual interpretation of three books written about perinatal mental health, especially how those texts describe the challenges and struggles of birthing and mothering. I develop understandings about how clinicians respond to those issues and in the process understand themselves, their practices, and their sociocultural roles. I consider the shape of the current social terrain that brings to light the experiences of …
To Bend But Not Break: Adult Views On Resilience, Ann Korn
To Bend But Not Break: Adult Views On Resilience, Ann Korn
Antioch University Dissertations & Theses
A universal definition of resilience does not exist amongst researchers in the social sciences, making comparisons between studies nearly impossible. Added to this dilemma is that researchers hold divergent theories regarding the origin of resilience, whether it is a static trait across the span of a lifetime or more fluid phenomenon in response to life experience. Furthermore, the importance of resilience and the question of its commonality among individuals continue to be debated. A common thread, however, weaves through research: participants in the studies have not been asked for their views. A gap of understanding about the meaning and importance …
Factors In Optimal Collaboration Between Psychologists And Primary Healthcare Physicians, Margaret A. Drewlo
Factors In Optimal Collaboration Between Psychologists And Primary Healthcare Physicians, Margaret A. Drewlo
Antioch University Dissertations & Theses
This survey study explored factors in optimal collaboration between registered psychologists and primary healthcare physicians (PHCP). With rising costs of healthcare, healthcare funding cuts, and changes in the way healthcare delivery is perceived, interprofessional collaboration is timely to explore. In particular, the attitudes of registered psychologists about salient factors noted in the collaboration literature, such as education and training, accessibility, and communication factors are important to the practice of psychology. As part of the exploratory nature of the study, questions about gender and hierarchy were also presented. While most data were quantitative, qualitative data were gathered on 6 of the …
Social Networking Dilemmas For Psychologists: Privacy, Professionalism, Boundary Issues, And Policies, Afshan Afsahi
Social Networking Dilemmas For Psychologists: Privacy, Professionalism, Boundary Issues, And Policies, Afshan Afsahi
Antioch University Dissertations & Theses
Technological advancements have had positive and negative effects on the clinical practice of psychology. Increasing use of social networking websites has created new ethical issues concerning privacy and confidentiality, professionalism, and therapeutic boundaries. Due to the ever-changing nature of social media, there are no clear practice rules or guidelines set by the American Psychological Association (APA) for psychologists’ use of the Internet and social networks. This research took a closer look at psychology graduate students and psychologists’ use of privacy settings; their awareness, beliefs, and practices as they relate to their own and others’ online behaviors; their preparedness to have …
Ways Of Being In Trauma-Based Society: Discovering The Politics And Moral Culture Of The Trauma Industry Through Hermeneutic Interpretation Of Evidence-Supported Ptsd Treatment Manuals, Sarah Peregrine Lord
Ways Of Being In Trauma-Based Society: Discovering The Politics And Moral Culture Of The Trauma Industry Through Hermeneutic Interpretation Of Evidence-Supported Ptsd Treatment Manuals, Sarah Peregrine Lord
Antioch University Dissertations & Theses
One hundred percent of evidence-supported psychotherapy treatments for trauma related disorders involve the therapist learning from and retaining fidelity to a treatment manual. Through a hermeneutic qualitative textual interpretation of three widely utilized evidence-supported trauma treatment manuals, I identified themes that suggested a particular constitution of the contemporary way of being—a traumatized self—and how this traumatized self comes to light through psychotherapeutic practice as described by the manuals. The manuals included: 1) a trauma focused cognitive-behavioral therapy for children; 2) an eye-movement desensitization and reprocessing therapy for adults; and, 3) an early intervention and debriefing therapy series for post-traumatic stress …
The Self Of The Field And The Work Of Donnel Stern, Daniel Masler
The Self Of The Field And The Work Of Donnel Stern, Daniel Masler
Antioch University Dissertations & Theses
No study has taken an updated and comprehensive review of Donnel Stern’s writings. An investigation of his philosophical assumptions, locating Stern’s work socioculturally and historically, along with an elucidation of Stern’s background in traditional psychoanalytic literature and clinical practice, brings out the meanings and enigmas present in his theories of dissociation, enactment, unformulated experience, multiple self-states, and reflection. Stern has offered one of the best-integrated theoretical models in relational psychoanalytic theory. An examination of his theories within the theoretical traditions to which he makes claim (psychoanalytic, interpersonal, hermeneutic, postmodern, and democratic) helps elucidate the challenge posed by relational psychoanalysis to …
Feasibility And Perceived Efficacy Of The Neurosequential Model Of Therapeutics, Catherine F. Caplis
Feasibility And Perceived Efficacy Of The Neurosequential Model Of Therapeutics, Catherine F. Caplis
Antioch University Dissertations & Theses
Child abuse and neglect can have serious negative physiological and psychological effects on the developing brain. Children who suffer from early and ongoing abuse and neglect often develop further problems as they mature, even if they are subsequently in safe environments. Many trauma-based therapies have been created in order to help these children develop increased emotional and social regulation, and decrease their behavioral problems. The Neurosequential Model of Therapeutics (NMT) is a newer approach to working with traumatized children that has garnered great enthusiasm despite very limited outcome data. In this dissertation, I explore the promise of NMT and describe …
Narratives Of Women Who Suffered Social Exclusion In Elementary School, Sarah Sunrise Allen
Narratives Of Women Who Suffered Social Exclusion In Elementary School, Sarah Sunrise Allen
Antioch University Dissertations & Theses
Social aggression among children in schools is an old problem that has received some attention in recent years. The long-term influence of early experiences of social exclusion for women is underrepresented in the literature. In this qualitative study, a narrative, autobiographical approach is used to explore the life narratives of five adult women who experienced peer rejection, social exclusion, and/or harassment during elementary school. Literature related to social exclusion and narrative identity is reviewed. Autobiographical narratives were collected using life history interviews with a narrative methodology. The women interviewed
self-identified as having experienced social exclusion in childhood and provided accounts …
Understanding The Changing Landscape Of Client Perspectives Of Recovery From Anorexia Nervosa, Jennifer Leslie
Understanding The Changing Landscape Of Client Perspectives Of Recovery From Anorexia Nervosa, Jennifer Leslie
Antioch University Dissertations & Theses
Current research exposes the lack of a universal definition of recovery from Anorexia Nervosa (AN). Discrepancies in how the term is defined and used have created problems for clients, clinicians, and families; particularly around how insurance providers allot financial coverage for treatment. Additionally, there is a gap in the literature regarding the length of time clients consider appropriate for symptom abatement prior to being considered recovered. This dissertation utilized a mixed-methods approach to investigate how the term recovery had different meanings over the course of treatment for women previously treated for AN. Seventy-nine adult women participated in the web-based survey. …
Sibling Closeness And Similarity And The Presence Of Perfectionism, Jennifer L. Crowe
Sibling Closeness And Similarity And The Presence Of Perfectionism, Jennifer L. Crowe
Antioch University Dissertations & Theses
This study explored whether characteristics of the sibling relationship are related to the level of perfectionistic tendencies that an individual reports. The framework of this study was based on Tesser's Self-Evaluation Maintenance Model, which says that the effects of comparisons with a close other, such as a sibling, can be mediated in one of three ways: (a) by reducing the closeness of the relationship, (b) by improving one's performance/impeding on the other's performance, or (c) by decreasing the relevance of the performance to one's self-concept (pursuing different areas and interests). Several hypotheses were offered which were based on the presumption …
Parents' Perceptions And Awareness Of Cyberbullying Of Children And Adolescents, Bryan David Clarke
Parents' Perceptions And Awareness Of Cyberbullying Of Children And Adolescents, Bryan David Clarke
Antioch University Dissertations & Theses
New communication technology, including Facebook, Twitter, cell phones, and instant messaging, has connected people in ways that were unknown. The benefits for people contacting each other at a moment's notice are profound; however, these benefits bring new risks, such as, "cyberbullying," which is a development from traditional bullying. Cyberbullying is the use of the internet to perpetrate deliberate, repeated, and hostile behavior by an individual or group that is intended to harm another person or others. Cyberbullying affects large numbers of children and adolescents, but its psychological impact is not clearly understood, apart from people hearing anecdotes on the suicides …
Addressing Lesbian, Gay, And Bisexual Bullying: A Mindfulness-Based Intervention Manual, Melanie L. Ernould
Addressing Lesbian, Gay, And Bisexual Bullying: A Mindfulness-Based Intervention Manual, Melanie L. Ernould
Antioch University Dissertations & Theses
The following dissertation offers an intervention to combat the negative effects that bullying has
on lesbian, gay, and bisexual (LGB) youth in high school. The literature review demonstrates the need for such an intervention through examples of the damaging effects that such bullying has on LGB youth. These incidents of bullying are far too common in American schools, and the effects far reaching, as the media has been saturated with stories of “gay teen suicides” in recent years. While affirmative interventions are currently the status quo for work with LGB populations, it can be argued that these are limited. In …
Early Effects Of The Tomatis Listening Method In Children With Attention Deficit, Liliana Sacarin
Early Effects Of The Tomatis Listening Method In Children With Attention Deficit, Liliana Sacarin
Antioch University Dissertations & Theses
This study investigated the early effects of the Tomatis Method, hypothesizing improvement in processing speed, phonological awareness, reading efficiency, attention, behavior and brain physiology by the end of Phase 1 of the Tomatis Method. This study documented the effects of the first phase of the Tomatis Method on children with ADD ages 7-13. Of the 25 participants, 15 received solely the Tomatis treatment while 10 served as controls and were stabilized on ADD medication three months prior to and throughout the study. Therefore, this research study compared Tomatis versus non-Tomatis intervention, not ADD medication treatment with Tomatis intervention. The Tomatis …