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Antioch University Dissertations & Theses

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Full-Text Articles in Clinical Psychology

The Relationship Of Teacher, Student, And Content In The Clinical Psychology Classroom, Hannah Lord Jan 2013

The Relationship Of Teacher, Student, And Content In The Clinical Psychology Classroom, Hannah Lord

Antioch University Dissertations & Theses

The field of clinical psychology is in the midst of redefining graduate school education with a push for competency-based approaches and measurable learning outcomes. This dissertation explores the best-practice knowledge regarding the education of professional clinical psychology graduate students and uses cooperative inquiry to richly detail the educational approach of a thus far “silent stakeholder,” Dr. Colborn W. Smith, a long-time teacher and training director. This inquiry is intended to help me [Hannah Lord] understand an important personal educational experience, to explore the tangible art of teaching that made such an experience possible, and to contribute to the evolving discourse …


The Post-Combat Couple Adjustment Questionnaire: A Preliminary Validation, Valerie Maine Jan 2013

The Post-Combat Couple Adjustment Questionnaire: A Preliminary Validation, Valerie Maine

Antioch University Dissertations & Theses

This dissertation presents the results of a psychometric study regarding the preliminary validation of The Post-Combat Couple Adjustment Questionnaire (PCCAQ). This measure was designed to assess post-combat and post-deployment adjustment for male veterans and their female partners. The measure was created using existing literature on veterans, posttraumatic stress disorder (PTSD), and couples. The PCCAQ consists of four domains of couple functioning, including: (a) redefining roles, expectations, and division of household responsibilities; (b) managing strong emotions; (c) abandoning emotional constriction and creating intimacy in relationships; and (d) creating a sense of shared meaning surrounding the deployment experience. The PCCAQ was compared …


Practitioner Countertransference And Evaluation Of Callous And Unemotional Trait Clients, Frances Keleher Braun Jan 2013

Practitioner Countertransference And Evaluation Of Callous And Unemotional Trait Clients, Frances Keleher Braun

Antioch University Dissertations & Theses

This on-line study evaluated whether the presence of callous and unemotional (CU) traits in a written case description affects practitioners’ countertransference (CT), appraisal of both global and specific client traits and other therapy-relevant variables. One hundred and fifty three mental health practitioners were randomly assigned to one of two groups: One group read a hypothetical case description of a client who did not present with CU traits (NCU Group) while the other group read the same case description as the NCU Group, but with the addition of CU traits (CU Group). The results demonstrated that the presence of CU traits …


Meta-For, Vincent Mario Pignatiello Ii Jan 2013

Meta-For, Vincent Mario Pignatiello Ii

Antioch University Dissertations & Theses

A clinician is entrusted with the difficult task of organizing, integrating, and formulating a vast amount of information provided by a patient in order to conduct therapy. Typically, a theoretical paradigm is employed in this endeavor. This paper constructs a theory of theoretical paradigms—a meta-theory—to understand better how clinicians organize and understand patient information. The theory of theory posits that theoretical paradigms function as complex metaphors developed within a culture. The argument presented here utilizes research from various areas of psychology—including those focusing on cognitive research, psycholinguistics, and philosophy of theory—to develop the meta-theory. The central thesis of this research …


Returning The Self To Professional Psychology, Scott Alan Markham Jan 2013

Returning The Self To Professional Psychology, Scott Alan Markham

Antioch University Dissertations & Theses

The following theoretical dissertation used an object relational approach to consider integrating the self and professional psychology training. Professional psychology training once valued the emerging and diverse experiences of the trainee's self. However, the recent shift to competency based education models in professional psychology has emphasized self-competency rather than the processes that foster the integration of trainees' emerging identities. This paper argued that the competency-based education models based on positivistic science frameworks limited further dialogues of self-discovery, the processes of on-going self-reflection, and meaning making processes of self. The purpose of this dissertation was to continue the dialogue of self …


Bringing Hope To Those Forgotten: Is The Provision Of Transitional And Supportive Housing Effective In Reducing Homelessness? A Quantitative Analysis Of Willbridge Of Santa Barbara, Inc., Melissa Cervantes Jan 2013

Bringing Hope To Those Forgotten: Is The Provision Of Transitional And Supportive Housing Effective In Reducing Homelessness? A Quantitative Analysis Of Willbridge Of Santa Barbara, Inc., Melissa Cervantes

Antioch University Dissertations & Theses

No abstract provided.


Children's Constructed Meanings Of Sisterhood When An Older Sibling Has Autism, Jamie L. Carroll Jan 2013

Children's Constructed Meanings Of Sisterhood When An Older Sibling Has Autism, Jamie L. Carroll

Antioch University Dissertations & Theses

Sibling relationships have been recognized as important in facilitating the acquisition of emotional and social understanding and even assisting in cognitive development (Sanders, 2004). Sibling relationships that include one child with a disability are especially significant and worthy of study, as typical siblings tend to take on more responsibility for their siblings' care across their lifespan (Cicirelli, 1995). In attempting to understand these sibling relationships in childhood, past researchers have largely relied on parent report and behavioral observations. In order to advance the field's understanding of sibling relationships when one child autism, this study asked children to voice their perspectives …


Moving Away From Understanding: Personal Therapy In Contemporary Doctoral Education, Michael Paul Tartaglia Jan 2013

Moving Away From Understanding: Personal Therapy In Contemporary Doctoral Education, Michael Paul Tartaglia

Antioch University Dissertations & Theses

Personal therapy has never been a training requirement for clinical psychology in the American Psychological Association (APA). This became more evident when the field of Clinical Psychology at the Boulder Conference over 30 years ago in which personal therapy was omitted as a requirement of doctoral education because there was a lack of sufficient empirical evidence to support such a mandate in the United States. While there has been research in the field of psychodynamic theory on personal therapy, the stance taken during the Boulder Conference (and to some extent the Chicago and Vail Conferences thereafter) continues to be the …


Existential Concerns Of Individuals Living With Chronic Mental Illness In Guam, Christina Maria B. Dela Cruz Jan 2013

Existential Concerns Of Individuals Living With Chronic Mental Illness In Guam, Christina Maria B. Dela Cruz

Antioch University Dissertations & Theses

Individuals living with chronic mental illness experience a host of challenges associated with the symptoms of their illness. In an effort to help restore healthy functioning, mental health treatment for individuals with chronic mental illness thus focuses primarily on symptom reduction and management. Recent research exploring the lived experience of individuals with chronic mental illness suggests that apart from their symptoms, these individuals also encounter existential issues related to the self, relationships with others, temporality, making meaning out of the illness experience, and managing life with the illness. At the same time, however, this research has tended to focus on …


A Preliminary Investigation Of The Validity Of Time-Based Measures Of Sustained Attention For Children, Michael R. Kulfan Jan 2013

A Preliminary Investigation Of The Validity Of Time-Based Measures Of Sustained Attention For Children, Michael R. Kulfan

Antioch University Dissertations & Theses

This study is a preliminary investigation of the validity of using time-based measures to quantify sustained attention in children ages 6-12. Problems with sustained attention negatively affect childhood learning and development. The prevalence of disorders known to impact sustained attention performance continue to rise in the United States. Currently, commercially available, objective measures of sustained attention use normative comparisons that provide limited information about the effect such problems have on child performance in natural settings. We reviewed test data from 290 charts of children ages 6-12 referred for neuropsychological evaluation. The Test of Everyday Attention for Children (TEA-Ch) is an …


The Impact Of Voluntary Aftercare On Recidivism Rates For Adult Male Sex Offenders, Alexandra Schmidt Jan 2013

The Impact Of Voluntary Aftercare On Recidivism Rates For Adult Male Sex Offenders, Alexandra Schmidt

Antioch University Dissertations & Theses

The recidivism rate of eighteen sex offenders participating in Stepping Up, a voluntary aftercare program, was compared to the overall recidivism rate of convicted sexual offenders in California in order to determine the effectiveness of voluntary participation in a post-mandated treatment program. Attendance for a minimum of six months in Stepping Up was required for inclusion in the study, and recidivism rates were calculated by a review of records. Although participants in the Stepping Up aftercare program had a re-offense rate of 0%, results were not statistically significant when compared with California's overall recidivism rates. While a 0% recidivism rate …


Trauma, Deviant Sexual Arousal, And Sexual Aggression In Adolescent Male Sexual Offenders, Kerry Elizabeth Nelligan Jan 2013

Trauma, Deviant Sexual Arousal, And Sexual Aggression In Adolescent Male Sexual Offenders, Kerry Elizabeth Nelligan

Antioch University Dissertations & Theses

Juvenile sexual abusers commit a significant proportion of the sexual offenses perpetrated in the United States each year. Researchers have identified several variables related to the etiology of sexual offending behavior in adolescent males. For example, there is evidence that both trauma and deviant sexual arousal have been independently linked to sexual aggression committed by adolescent sexual abusers. However, an etiological model that accounts for all of the variance with regard to sexual offending behavior or sexual recidivism in Juvenile Sex Offenders (JSOs) has not yet been developed. In the current study, a pre-existing data set of adjudicated JSOs who …


My Journey From Physician To Psychologist: Relational Touch In Psychotherapy, Brita S. Reed Jan 2013

My Journey From Physician To Psychologist: Relational Touch In Psychotherapy, Brita S. Reed

Antioch University Dissertations & Theses

A physician's armamentarium includes the presence of the tool of touch which is used not only to diagnose and to heal, but also to reassure patients that they are safe and well cared for in the hands of the physician. The use of touch in the practice of psychology, however, is relatively proscribed. In this essay, I examine how we, as psychologists, can best "hold" our clients without the use of touch. In the first part of this essay, I explore some theoretical considerations on relational touch in psychotherapy. I define relational touch as touch that occurs between people and …


How Class Background Influences Negative Countertransference In Outreach Therapy, Kathyn Anna Patterson Jan 2013

How Class Background Influences Negative Countertransference In Outreach Therapy, Kathyn Anna Patterson

Antioch University Dissertations & Theses

This dissertation examines how the class background of social workers and doctoral level psychologists influences negative countertransference towards working with the poor in an outreach setting. A literature review explores countertransference from a psychoanalytic stance and showcases the development of the two disciplines, psychology and social work, and how class has directly or implicitly been a factor. Finally, the review discusses outreach therapy, its advantages and limitations, and how doing this work can impact clinicians. Participants for the study were master's level clinicians, current and former predoctoral psychology interns, postdoctoral fellows, and other doctoral level clinicians who were currently or …


A Look Into The Lived Experiences Of College Students With Asperger's Disorder, Joshua Bryan Lafortune Jan 2013

A Look Into The Lived Experiences Of College Students With Asperger's Disorder, Joshua Bryan Lafortune

Antioch University Dissertations & Theses

Currently there is confusion about how to meet the educational needs of students diagnosed with Asperger's Disorder (AD). This is a growing concern for schools where there has been a significant increase in the use of this diagnostic category (Barnhill, 2001). This research project was developed to investigate the lived experiences of college students with a previously identified diagnosis of AD. The aim of this study was to gain a greater understanding of how these students managed the academic and social demands of middle school and high school. Of particular importance were the transitional years during adolescence, where social competence …


Measuring The Effect Of Supported Employment Treatment On Self-Efficacy In Individuals With Severe Mental Illness, Meghan E. Szczebak Jan 2012

Measuring The Effect Of Supported Employment Treatment On Self-Efficacy In Individuals With Severe Mental Illness, Meghan E. Szczebak

Antioch University Dissertations & Theses

Competitive employment is a common goal for those with severe mental illness (SMI), and evidence shows that the majority of those with SMI want to work. However, despite the desire to work competitively, those with SMI have the highest unemployment rate of any disability group (Mueser, Salyers, & Muesar, 2001). The Recovery Model is an approach to Supported Employment that has provided hope for those with mental illness, as well as challenged treatment providers to adopt a more collaborative, optimistic approach to helping clients live fulfilling, self-directed lives. To increase employment for those with SMI, effective vocational rehabilitation methods must …


What's In A Name? The Influence Of An Adhd-Inattentive Type Label On Perceived Social Competence As Viewed By Mental Health Professionals And Teachers, Jason Arkin Jan 2012

What's In A Name? The Influence Of An Adhd-Inattentive Type Label On Perceived Social Competence As Viewed By Mental Health Professionals And Teachers, Jason Arkin

Antioch University Dissertations & Theses

Objective: To determine whether the presence of an ADHD-PI label influenced adult perceptions of a female adolescent’s social competence. Method: Forty four primary and secondary teachers and 54 mental health professionals rated their perceptions based on a vignette that included or did not include the label ADHD-PI. Results: The ADHD-PI labeled vignettes elicited more negative perceptions of the child’s social acceptance and ability to make close friends. Also, mental health professionals rated the girl as more socially accepted, regardless of diagnosis. There were no other significant main effects and there were no significant interaction effects. Conclusion: The presence of an …


Computer-Based Cognitive Training For Age-Related Cognitive Decline And Mild Cognitive Impairment, James Fortman Jan 2012

Computer-Based Cognitive Training For Age-Related Cognitive Decline And Mild Cognitive Impairment, James Fortman

Antioch University Dissertations & Theses

Cognitive Training has been shown to be an effective tool in enhancing cognitive functioning. Research has also shown video game playing can improve certain aspects of visual attention and cognitive processing speed. The purpose of this study was to evaluate the effectiveness of both a specific computer-based cognitive training program and non-specific video game playing in improving cognitive functioning for individuals with age-related cognitive decline and mild cognitive impairment. Twenty-nine older adults were recruited into the study and randomly assigned to either the cognitive training group or video-game playing group. Nineteen participants completed the study, engaging in either cognitive training …


Exploring The Role Of Identity Development In Social Networking Web Pages, Jacqueline F. Stahl Jan 2012

Exploring The Role Of Identity Development In Social Networking Web Pages, Jacqueline F. Stahl

Antioch University Dissertations & Theses

This study investigates young adults’ social networking web pages for aspects related to identity development. The study is primarily based on the theory of identity development presented by Berzonsky (1997). Raters assessed selected web pages for characteristics associated with different styles of identity development. A principal component analysis was used to determine that there are three components that relate to identity development that are manifested in the web pages. It was established that there were three main components that described aspects of identity within the social networking pages. These components were determined to be a “Self Focused Type,” an “Inconsistent …


Capp: A Comprehensive Preventative Program Model Addressing Alcohol Misuse Among College Freshmen, Laura Tsotsis Jan 2012

Capp: A Comprehensive Preventative Program Model Addressing Alcohol Misuse Among College Freshmen, Laura Tsotsis

Antioch University Dissertations & Theses

Alcohol consumption by college students in the United States has increased in quantity and frequency over the past five years. With this increase, there has come evidence of a rise in negative consequences caused by alcohol misuse. To help reduce these problems, colleges and universities nationwide have begun implementing alcohol programs for their undergraduate students. The vast majority of these programs are intervention programs for students who have previously displayed dangerous drinking habits, often seen through campus judicial violations. Research shows that preventative program models, as compared to intervention programs, provide longer lasting changes in individuals and groups. Thus, a …


Passageworks: The Impact Of A Social-Emotional And Spiritual Learning Program Among Adolescents, Randi Hirschberg Jan 2012

Passageworks: The Impact Of A Social-Emotional And Spiritual Learning Program Among Adolescents, Randi Hirschberg

Antioch University Dissertations & Theses

Adolescence is a crucial developmental period in one's life. Unfortunately, our nation's youth are afflicted by high rates of risky behavior and psychiatric disorders that impact their ability for a successful future. Research indicates that school-based preventative social-emotional learning (SEL) programs can play a large role in improving the lives of adolescents. Despite this, few documented SEL program evaluations have examined their applicability to the fast growing Latino population. Latinos have been identified as more vulnerable to the problems among our youth than any other group. Identifying SEL programs that hold potential for decreasing these vulnerabilities is critical. Additionally, SEL …


A Relational Group Intervention For Teen Pregnancy, Megan E. Turchetti Jan 2012

A Relational Group Intervention For Teen Pregnancy, Megan E. Turchetti

Antioch University Dissertations & Theses

This dissertation project involved the program development and evaluation of a group intervention designed for pregnant and mothering teens. Current services for teenage mothers have significant problems with utilization. This is especially true for teen mothers living in rural regions. Research on service utilization demonstrates that many programs for teen mothers lack integrated understanding of this population’s needs as adolescents, and their needs as new mothers. The present group intervention, Mothering: A Beginners’ Group (MBG), integrates conceptual frameworks including empowerment, psychoeducation, and relational therapy in an effort to address the complex needs of teen mothers. A group space was designed …


An Alcohol Intervention Model With College Students: Effectiveness Of The Basics Program, Francisco Gil-Del-Real Jan 2012

An Alcohol Intervention Model With College Students: Effectiveness Of The Basics Program, Francisco Gil-Del-Real

Antioch University Dissertations & Theses

The Brief Alcohol Screening and Intervention for College Students (BASICS) program was designed at the University of Washington to provide treatment for high-risk drinkers in the college population. This program was evaluated in 2002 as a part of the National Institute on Alcohol Abuse and Alcoholism (NIAAA, 2002) report on college drinking. However, this evaluation was based exclusively on a narrative review of the available intervention literature. The purpose of the present study was to conduct meta-analyses on select empirical literature related to the efficacy of the BASICS program in order to serve as a complement to the already extant …


Clinical Implications Of Wearing A Scarlet Letter: Sex Offender Public Policy, Tracy E. Shannon Jan 2012

Clinical Implications Of Wearing A Scarlet Letter: Sex Offender Public Policy, Tracy E. Shannon

Antioch University Dissertations & Theses

This dissertation outlines a mixed methods research approach to evaluate the clinical implications of sex offender public policies. Background information is given regarding current public policy on sex offender civil commitment and community notification and registration, the development of public policy and the current ramifications of the Sex Offender Registration Act (SORNA), the etiology and construction of the definition of sex offenders, and a review of sex offender interventions and their impact on therapeutic outcomes. This study examines the therapeutic and anti-therapeutic effects of SORNA using a therapeutic jurisprudence framework. A discussion of the correlation between mental health symptoms and …


Developmentally Informed Community Treatment For Adolescents With Problem Sexual Behavior, Janet Lyons Walker Jan 2012

Developmentally Informed Community Treatment For Adolescents With Problem Sexual Behavior, Janet Lyons Walker

Antioch University Dissertations & Theses

The sexual abuse of children often results in profound intrapersonal and interpersonal dysfunction or difficulties for the victims. In 2010, sexual assault was perpetrated upon more than 63,000 children in the United States, and in more than 35% of those incidents, adolescents were the perpetrators. Research suggests that adolescents with problem sexual behavior act from their own vulnerabilities. Understanding the developmental seeds and pathways that become etiological factors in the commission of sexual assaults against children is only one important step in a mission to protect them. The treatment that emerges from a comprehensive understanding of adaptive and maladaptive adolescent …


Heart To Heart: A Cardiac Rehabilitation Follow-Up Program, Tamara H. Bisbee Jan 2012

Heart To Heart: A Cardiac Rehabilitation Follow-Up Program, Tamara H. Bisbee

Antioch University Dissertations & Theses

This dissertation describes a tele-health follow-up program designed to attend to the problem of noncompliance in the process of health-behavior change after formal Cardiac Rehabilitation treatment at a southern New Hampshire community hospital. Cardiac Rehabilitation treatment encompassing lifestyle behavior change is associated with a significant reduction in morbidity and mortality in individuals with Coronary Heart Disease. However, evidence that adherence to lifestyle behavior change recommendations diminishes significantly within six months of treatment suggests that noncompliance is a significant barrier to the secondary prevention of a disease with prodigious consequences. Accumulating evidence that Cardiac Rehabilitation treatment encompassing extended duration of contact …


A Phenomenological Investigation Of Physician Job Satisfaction In Rural Integrated Primary Care, Jacob Brendan Austin Jan 2012

A Phenomenological Investigation Of Physician Job Satisfaction In Rural Integrated Primary Care, Jacob Brendan Austin

Antioch University Dissertations & Theses

The job satisfaction of rural primary care physicians is of import given the crucial role these physicians play in rural health care systems and their consistent decline in numbers nationwide. The professional isolation of practicing in rural areas, particularly in accessing specialty care, creates greater burdens for rural physicians than their more urban counterparts, which likely contributes to their low level of job satisfaction. The shortage of mental health providers in rural areas in particular is thought to create a burden for rural primary care physicians, who generally neither have the time, training, nor expertise to adequately deal with complex …


Is Suicide Training Sufficient For Psychology Trainees To Respond Appropriately To Suicidal Clients?, Nicole M. Bromley Jan 2012

Is Suicide Training Sufficient For Psychology Trainees To Respond Appropriately To Suicidal Clients?, Nicole M. Bromley

Antioch University Dissertations & Theses

This study reports the frequency of suicide training for current psychology trainees. Additionally,the research uses the Suicide Intervention Response Inventory - Second Edition (SIRI-2) to assess psychology trainees' ability to respond appropriately to suicidal clients. This study compares scores on the SIRI-2 between participants who are in pre-internship years of training and those currently in internship or having completed internship training. Finally, this study compares SIRI-2 scores between high training, low training, and no-training groups, as well as the scores of no-training versus training groups. Findings indicate no statistically significant difference in SIRI-2 scores between participants early in their programs …


Youth And Community Development Through Rites Of Passage: A Pilot Evaluation Model, Jason R. Emery Jan 2012

Youth And Community Development Through Rites Of Passage: A Pilot Evaluation Model, Jason R. Emery

Antioch University Dissertations & Theses

This project presents a pilot program evaluation model for measuring the effectiveness of rites of passage strategies for youth and community development. It begins by clarifying the key elements and meaning of modern day, community-based rites of passage experiences for youth transitioning into and through adolescence. An effective rite of passage for adolescence is an intentional and transformative process that increases the youth’s community status while supporting and challenging youth to adopt attitudes, behaviors, and skills for a healthy transition through this developmental period and beyond. Next, the project applies a systems-based program evaluation model (Wasserman, 2010) to a rite …


Therapeutic Riding: Effects On Emotional Well-Being In Adults, Jamie L. Lucas Jan 2012

Therapeutic Riding: Effects On Emotional Well-Being In Adults, Jamie L. Lucas

Antioch University Dissertations & Theses

Therapeutic interventions with horses are increasing and utilized to treat a number of ailments, including psychological ones. Despite the growth of these interventions, there has been little research performed, particularly quantitative, to determine efficacy. One proposed benefit of therapeutic riding, a particular type of intervention involving horses, is that it enhances or improves emotional well-being. This construct has been poorly defined and operationalized in the literature. The current study sought to operationalize and measure emotional well-being using a multidimensional model. Three proposed sub-domains of emotional well-being: positive affect, life satisfaction, and self-esteem were measured in adults prior to and after …