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Antioch University Dissertations & Theses

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Full-Text Articles in Clinical Psychology

Nonsuicidal Self-Injury And Real-Life Self-Disclosure Among Internet Users, Matthew Tanner Jan 2023

Nonsuicidal Self-Injury And Real-Life Self-Disclosure Among Internet Users, Matthew Tanner

Antioch University Dissertations & Theses

The purpose of this study was to explore several unknown issues regarding disclosure of nonsuicidal self-injury (NSSI) among users of social media. NSSI is a category of behaviors that cause intentional harm to the body without the intent to commit suicide. However, individuals who self-injure may unintentionally risk serious and even life-threatening harm. Moreover, the stigma and resultant shame associated with NSSI discourage reporting and thus complicate research into the behavior. This study examined the factors involved in individuals’ decisions to disclose NSSI. The current study uses primarily descriptive statistics from an internet-based survey to explore the following questions: (a) …


Growing Therapeutic Horticulture In The Field Of Clinical Psychology, Kelli Woodson Jan 2023

Growing Therapeutic Horticulture In The Field Of Clinical Psychology, Kelli Woodson

Antioch University Dissertations & Theses

The connection between nature and well-being has been recognized across cultures for centuries. One way in which people have facilitated this connection over the years has been through their interactions with plants and the practice of horticulture. Research over the years has further substantiated a connection between horticultural practices and overall well-being. However, a significantly disproportionate amount of this research has been conducted within the field of clinical psychology, despite the notable clinical implications. The current dissertation aims to address this gap in the current literature by exploring this connection from the lens of clinical psychology. More specifically, the current …


Finding Body Appreciation Through The Weight-Neutral Framework, Hannah Goehner Jan 2023

Finding Body Appreciation Through The Weight-Neutral Framework, Hannah Goehner

Antioch University Dissertations & Theses

Body dissatisfaction is a critical risk factor for well-being; however, it can be considered normative in women. Body dissatisfaction is exceptionally high for women in larger bodies (Murnen, 2011). Due to body dissatisfaction’s prevalence and risk, mental health providers must assist higher-weight women in developing body appreciation. This qualitative study aims to comprehend how weight-neutral treatments promote body appreciation among higher-weight women. Utilizing a feminist and positive psychology framework, the study explored how higher-weight women developed body appreciation, how weight-neutral treatment promoted this development, and what outside factors assisted their progression. Comparison analysis between the weight-neutral and weight-focused samples was …


Attachment Styles And The Impact Of Extradyadic Behaviors In Polyamorous Relationships, Noah Corey Jan 2023

Attachment Styles And The Impact Of Extradyadic Behaviors In Polyamorous Relationships, Noah Corey

Antioch University Dissertations & Theses

This study examines the emotional experience of extradyadic behavior (EDB) in polyamorous relationships through an attachment lens. Estimated prevalence rates suggest that one in nine people in the United States have engaged in polyamory at some point in their life (Moors et al., 2021). Attachment theory addresses with anxiety and separation in relationships, feelings likely aroused by extradyadic behavior, yet it has been minimally applied to this population (Moors et al., 2015, 2019). The current study utilized a phenomenological approach where eight participants were interviewed, examining the emotional experience of EDB in polyamorous relationships through an attachment lens. The study …


Exploring The Lives Of Animal Activists: A Qualitative Study, Erin K. Mckenney Jan 2023

Exploring The Lives Of Animal Activists: A Qualitative Study, Erin K. Mckenney

Antioch University Dissertations & Theses

The animal rights movement, despite its historical roots, has only recently garnered attention in the realm of social sciences, increasingly being recognized as a facet of social justice. This dissertation delves into the intersection of animal rights activism and gender, primarily focusing on the parallels drawn between the oppression of women and animals/nature. The noticeable dominance of women in the animal rights movement, as suggested by previous studies, formed the basis for adopting an eco-feminist approach to explore this issue, highlighting the shared oppression and exploitation faced by women and animals. In-depth, in-person interviews were used to collect data on …


Would You Offer Your Heart To The Wolf With The Red Roses? The Lived Experience Of Women In Relationships With Violent And Incarcerated Men, Amber R. Silverwood Jan 2023

Would You Offer Your Heart To The Wolf With The Red Roses? The Lived Experience Of Women In Relationships With Violent And Incarcerated Men, Amber R. Silverwood

Antioch University Dissertations & Theses

Relationships with incarcerated individuals can be complex and complicated for the partner outside the prison walls. These relationships are seldom discussed and are poorly studied overall, with minimal information available about the people who start romantic relationships with people in prison. This study aimed to better understand the lived experiences of the women who engage in romantic relationships with men and specifically examined romantic relationships that started after their partner was incarcerated. The participants for this study were located on the website Reddit, in a designated subreddit for women in such relationships. In total, nine women responded and spoke candidly …


Diabetes Distress In U.S. Adults During The Covid-19 Pandemic: A Systematic Review, Joanna Leah Sullivan Jan 2023

Diabetes Distress In U.S. Adults During The Covid-19 Pandemic: A Systematic Review, Joanna Leah Sullivan

Antioch University Dissertations & Theses

Diabetes mellitus (DM) is a common metabolic disease that continues to grow in prevalence, affecting around 11% of the U.S. population in 2019. Although DM has a clear medical cause, a growing body of research points to social determinants of health (SDOH) and psychosocial factors as important mediators of prevalence and severity of DM. Diabetes distress, a mental health phenomenon arising out of the challenges of living with a stigmatized and demanding chronic disease, is one such factor. Given the heightened effect of the COVID-19 pandemic on psychosocial stressors and vulnerability to mental health disorders, it is important to understand …


Exploring The Intersection Of Dementia And Violence Risk Assessment, Jamie S. Klugiewicz Jan 2023

Exploring The Intersection Of Dementia And Violence Risk Assessment, Jamie S. Klugiewicz

Antioch University Dissertations & Theses

This is a mixed-method study exploring Designated Forensic Psychologists’ (DFPs) experiences with the violence risk assessment (VRA) of individuals diagnosed with dementia. DFPs (N = 23, 69.6% female, 87% White) completed an online survey investigating the frequency of VRA and dementia, potential change in VRA method in response to dementia, application of existing VRA instruments, and perceived benefit of tailored guidelines and VRA instruments. Most in this sample (84.2%) endorsed cases involving VRA and dementia that typically comprised 5% or less of lifetime cases. The presence of dementia had a variable impact on the approach to VRA, and thematic analysis …


Examining The Relationship Between Non-Suicidal Self-Injury And Attachment Styles, Larissa Grundmanis Jan 2023

Examining The Relationship Between Non-Suicidal Self-Injury And Attachment Styles, Larissa Grundmanis

Antioch University Dissertations & Theses

Non-suicidal self-injury, or NSSI, can be defined as the “intentional, self-inflicted destruction of body tissue performed without suicidal intent using methods that are not socially sanctioned” (Martin et al., 2017, p. 425). Lifetime prevalence has been found to be between 5.9% and 18% (Cassels et al., 2019; Klonsky, 2011), indicating that there is a need to understand NSSI so that individuals can be helped to reduce the frequency of their harming behaviors. There is reason to believe that one’s attachment style is associated with the engagement of NSSI (e.g., Wrath & Adams, 2019). Research shows mixed results regarding the types …


Autistic Authors' Narratives Of Trauma And Resilience: A Qualitative Analysis, Tessa Smith Jan 2023

Autistic Authors' Narratives Of Trauma And Resilience: A Qualitative Analysis, Tessa Smith

Antioch University Dissertations & Theses

This qualitative dissertation investigates current research gaps regarding autistic individuals’ experience of trauma and resilience in the face of adversity. Specifically, it conceptualizes trauma and resilience through a neurodiverse lens, through identifying themes in memoirs written by five autistic authors related to trauma, potentially traumatic events, resiliency, and posttraumatic growth. Through Interpretive Phenomenological Analysis, I identified individual, interpersonal, and societal factors impacting the memoirists experiences of trauma, through the identification of 11 superordinate themes. Prominent themes at the individual level included self-acceptance and emotion regulation promoting resilience. At the contextual level, sensory processing and uncertainty coincided with experiences of trauma. …


Internalized Transphobia And The Development Of Disordered Eating Behaviors In Gender Diverse Adults, Bonnie Kester Jan 2023

Internalized Transphobia And The Development Of Disordered Eating Behaviors In Gender Diverse Adults, Bonnie Kester

Antioch University Dissertations & Theses

Gender diverse individuals experience a multitude of oppressive interactions within our society and receive incessant messages of invalidation, oppression, and aggression. These chronic stressors have been shown to increase the risk of developing disordered eating behaviors within this population. The current study aims to explore how internalized transphobia may affect the development of disordered eating behavior as viewed through the Minority Stress Framework. This study explored the lived experience of being gender diverse in our society and how this may relate to the development of disordered eating behavior while also investigating protective factors. This study utilized a qualitative phenomenological methodology, …


Does Anyone Else? The Lived Experience Of Writing About Depersonalization On Reddit, Kristina S. Fury Jan 2023

Does Anyone Else? The Lived Experience Of Writing About Depersonalization On Reddit, Kristina S. Fury

Antioch University Dissertations & Theses

As both The International Statistical Classification of Diseases and Related Health Problems 11th Revision (ICD-11) and The Diagnostic and Statistical Manual of Mental Disorders-5-Text Revision (DSM-5-TR) describe, depersonalization (DP) involves unpleasant episodes of detachment from one’s sense of self or of unreality in the environment. Symptoms include people feeling as though they are an outside observer of their thoughts, feelings, sensations, body, or actions. DP can take the form of emotional numbing, in which people may feel they are watching themselves from a distance or as though they are characters in a play. People can also feel physically numb, disconnected …


“Avoid It Like The Plague”: Adults' Lived Experience Of Avoidant Restrictive Food Intake Disorder, Megan Knedgen Jan 2023

“Avoid It Like The Plague”: Adults' Lived Experience Of Avoidant Restrictive Food Intake Disorder, Megan Knedgen

Antioch University Dissertations & Theses

This phenomenological study explored the lived experiences of adults with a DSM-5 diagnosis of avoidant restrictive food intake disorder (ARFID) aiming to describe key features of ARFID as it is understood by treatment-seeking adults. Nine treatment-seeking adults with a full-threshold diagnosis of ARFID (aged 20–42) were recruited. In-depth, semi-structured, qualitative interviews were conducted to explore participants’ experiences and perceptions of avoidant and/or restrictive eating. Transcripts were analyzed using interpretative phenomenological analysis, through which three group experimental themes were generated: (a) “A tradeoff between safety and freedom,” (b) “A broken self,” and (c) “Being seen: A double-edged sword.” This study’s findings …


Psychologist Perspectives On The Treatment And Assessment Of Problematic Sexual Behavior In Neurodivergent Youth, Emily R. Marhan Jan 2023

Psychologist Perspectives On The Treatment And Assessment Of Problematic Sexual Behavior In Neurodivergent Youth, Emily R. Marhan

Antioch University Dissertations & Theses

The following dissertation explored the subjective experience of mental health clinicians regarding their perceptions of providing treatment and assessment to neurodivergent youth (ND) who exhibited problematic sexual behavior (PSB). Prior to this study, scant research has been conducted pertaining to the treatment and assessment of youth who exhibit PSB, and less still on those with comorbid neurodivergence (Jones & Chaplin, 2017; Malovic et al., 2016; Pratt, 2013). This study utilized Interpretative Phenomenological Analysis to inform interpretations of participant responses collected through semi-structured interviews. Participants consisted of five licensed psychologists with experience providing assessment and/or treatment to both neurotypical and ND …


Black Mental Health Clinicians' Experiences And Lessons From The Intersecting Crises Of Black Mental Health, Covid-19, And Racial Trauma: An Interpretive Phenomenological Study, Chanté Meadows Jan 2023

Black Mental Health Clinicians' Experiences And Lessons From The Intersecting Crises Of Black Mental Health, Covid-19, And Racial Trauma: An Interpretive Phenomenological Study, Chanté Meadows

Antioch University Dissertations & Theses

This study explored the experiences of African American mental health clinicians’ during the intersecting crises of the Black mental health crisis, the highly publicized racial tension tied to extrajudicial violence and over-policing of Black Americans, and the COVID-19 pandemic. The pandemic started a global crisis that affected millions of people’s physical and mental health and overall well-being. Shared trauma explores the duality of mental health clinicians’ personal and professional experiences. Grounded in critical race theory and models of trauma, this study explores Black mental health clinicians’ lived experiences and lessons. This is an interpretive phenomenological study with narrative interviews of …


Living With Awareness, Courage, And Love: An Accessible Behavioral Intervention To Improve Well-Being, Emerson J. Hardebeck Jan 2023

Living With Awareness, Courage, And Love: An Accessible Behavioral Intervention To Improve Well-Being, Emerson J. Hardebeck

Antioch University Dissertations & Theses

Accessing mental healthcare is difficult and has become more so as demand escalated during the ongoing COVID-19 pandemic. In an attempt to address this problem, an established behavior therapy, Functional Analytic Psychotherapy (FAP), has recently been adapted into a group-based format called Living with Awareness, Courage, and Love (ACL), which can be disseminated inexpensively and quickly due to its reliance on laypeople, rather than clinicians, as facilitators. This randomized-controlled trial evaluated the effects of a six-week ACL group on participants’ well-being across several domains. Compared to participants in the control group, those in the ACL intervention formed a significantly closer …


A Study On Sexual Shame And Sexual Functioning In Adult Sexual Assault Survivors, Aili Jones Jan 2023

A Study On Sexual Shame And Sexual Functioning In Adult Sexual Assault Survivors, Aili Jones

Antioch University Dissertations & Theses

A large portion of women will experience sexual violence in their lives. As many as one in four women report having experienced sexual assault, and there are some who believe that the true number of sexual assault survivors is much higher. Women who are sexually assaulted experience a wide range of emotional, physical, and sexual symptoms related to the trauma. The psychological impacts of sexual violence, including post-traumatic stress disorder (PTSD), depression, and anxiety have been studied and treatments developed. The sexual functioning of sexual assault survivors, however, has not been as thoroughly studied. One relatively new area of study …


A Mixed-Methods Exploration Of Quality Of Life In Forensic Inpatients With Schizophrenia Spectrum Disorders On The Social Learning Program, Alexa Hutzenbiler Jan 2023

A Mixed-Methods Exploration Of Quality Of Life In Forensic Inpatients With Schizophrenia Spectrum Disorders On The Social Learning Program, Alexa Hutzenbiler

Antioch University Dissertations & Theses

This mixed-methods study explored the quality of life and lived experiences of adult individuals with diagnoses of schizophrenia spectrum disorders residing and receiving treatment on the Social Learning Program (SLP) at Fulton State Hospital, a high-security state forensic facility. Eleven participants completed the WHOQOL-BREF quantitative quality-of-life measure. Ten participants completed in-depth, semi-structured, qualitative interviews. Interviews were transcribed then analysed using Interpretive Phenomenological Analysis. The major themes that emerged included “Working the Program,” “Relationship Dynamics with Self and Others,” “Meaning,” “I’ve Been Having Breakthroughs,” and “Areas for Improvement in the Program.” Combined, the findings of the present investigation demonstrate the utility …


"The Power To Heal And Cure": Adaptations Of Western Therapy By American Indian And Alaska Native Therapists, Calleaghn B. Kinnamon Jan 2023

"The Power To Heal And Cure": Adaptations Of Western Therapy By American Indian And Alaska Native Therapists, Calleaghn B. Kinnamon

Antioch University Dissertations & Theses

The legacy of colonialism has created a modern-day reality where Indigenous populations of the United States (US) experience mental, physical, and emotional distress at disproportionately higher rates than other cultural groups in the country. Increased distress translates to an increased need for supportive services. Because the field of Western Psychology is based in colonialistic EuroWestern worldviews which positions that worldview as superior, Indigenous clients and communities have often experienced further harm in their encounters with mental health services. In recent decades, there has been increasing attention to adapting research, training, academic and clinical work in ways that are culturally appropriate …


The Lived Experiences Of Sports Retirement Among Elite, Action Sports Athletes, Gracie Struthers Jan 2022

The Lived Experiences Of Sports Retirement Among Elite, Action Sports Athletes, Gracie Struthers

Antioch University Dissertations & Theses

This study explored the lived experiences of sports retirement among elite, action sport athletes. This study examined participants’ retirement experiences, their well-being post-retirement, and recommendations participants had for current athletes about retirement. Interviews were conducted remotely with four participants. Participants identified as Caucasian, in the 25–38 age range, had been involved with their sport competitively for 17.75 years, and had been retired for 3.37 years. Data was collected and analyzed utilizing Interpretive Phenomenological Analysis (IPA). Participants’ experiences during retirement illustrated a significant disruption in their lives and the way they lived. This disruption was characterized by significant grief and distress, …


Youth Leadership Through Adventure: Alums' Perspectives On The Experience Of Leadership, Raynalde Schagen Jan 2022

Youth Leadership Through Adventure: Alums' Perspectives On The Experience Of Leadership, Raynalde Schagen

Antioch University Dissertations & Theses

In this study, I examined the perspectives that emerging adult alums of a program called Youth Leadership Through Adventure (YLTA) have of their adolescent experiences of being a leader. Eight YLTA alums engaged in semi-structured interviews focusing on the research questions: What are the lived experiences of leadership in emerging adult alums of YLTA? What factors of their adolescent involvement were most influential in their emerging adult lives? As a youth development program, YLTA is supported by Adapt and the North Country Health Consortium (NCHC), two nonprofit organizations devoted to improving health conditions and habits of individuals residing in the …


A Genuine Artifice, A Specific Vagueness: Psychotherapy, Performance, And The Practitioner, Chris M. Defossez Jan 2022

A Genuine Artifice, A Specific Vagueness: Psychotherapy, Performance, And The Practitioner, Chris M. Defossez

Antioch University Dissertations & Theses

The following is a literature review and research project aimed at examining the performative choices psychologists make when interacting with their patients. The goal for this research is to begin to understand the “essence” of a psychologist‘s experience as they present themselves in their work. Drawing from published literature on the therapeutic alliance, social constructionism, postmodern feminism, art, and aesthetics, the author argues that the therapeutic frame taken by a particular therapist can be understood as a performative act. This author examines the implications of this idea and what can be learned from conceptualizing the therapeutic alliance through a performative …


Caregiver Experience Of Voice And Choice In Wraparound Systems Of Care, Kathryn O'Neil Jan 2022

Caregiver Experience Of Voice And Choice In Wraparound Systems Of Care, Kathryn O'Neil

Antioch University Dissertations & Theses

The following is a qualitative study of the caregiver’s experience of having voice and choice in the New Hampshire wraparound program, conducted through Keene State College’s Behavioral Health Improvement Institute (BHII). Wraparound systems of care emphasize the family’s role in directing the generation of a network of supports for intervening with a youth with Severe Emotional Disturbances (SED). Indeed, caregiver voice and choice are key principles of this service delivery model. There are many established benefits to encouraging family involvement in systems of care, but little research to date on the subjective caregiver experience. A review of literature covers the …


The Caregiver’S Experience Of Post-Treatment Lyme Disease Syndrome, Jordyn Deschene Jan 2022

The Caregiver’S Experience Of Post-Treatment Lyme Disease Syndrome, Jordyn Deschene

Antioch University Dissertations & Theses

As the rate of Lyme disease diagnoses increases in the United States, it can be assumed that the frequency at which post-treatment Lyme disease syndrome (PTLDS) is diagnosed will also increase. While research has been published on the experience of caregivers of other chronic illnesses, no studies have examined the experience of the PTLDS caregiver. This quantitative study sought to discover the most significant burdens, mental health status (levels of anxiety and depression), and level of invalidation experienced by the PTLDS caregiver. Thirty individual participants took part in this study. This study found that mental burden is a significant area …


Web-Based Therapeutic Horticulture Intervention: An Online Program Development Study, Dana Ludmer Jan 2022

Web-Based Therapeutic Horticulture Intervention: An Online Program Development Study, Dana Ludmer

Antioch University Dissertations & Theses

The pandemic has become a nationwide psychological trauma, posing a serious mental health risk in the United States. As the pandemic increases social disconnection and depression, amongst other psychological concerns, the need for accessible therapeutic interventions has become imperative. The purpose of this dissertation was to evaluate the interest and preferences in a web-based therapeutic horticulture intervention for connectedness and well-being. This study utilized a mixed methods approach, including both qualitative and quantitative data collection and analysis. A needs assessment surveyed American Horticulture Therapist Association (AHTA) members as well as gardening hobbyists. Quantitative data was evaluated through descriptive statistics, while …


Love Outside Margins: Mental Health And Marginalization In Intercultural And Monocultural Couples, Tara Masseratagah Jan 2022

Love Outside Margins: Mental Health And Marginalization In Intercultural And Monocultural Couples, Tara Masseratagah

Antioch University Dissertations & Theses

As the number of intercultural couples increases in North America, the impact of perceived marginalization of these relationships on the mental health of individuals is an area that requires continued clinical understanding. This quantitative study sought to explore how anxiety and depression levels in intercultural and monocultural couples are associated with levels of perceived marginalization. Qualitative follow-up questions were used to understand the varying reasons for marginalization and support between couples. One hundred twenty-four individual participants in romantic relationships took part in this study; of this, 64 were in monocultural relationships and 60 were in intercultural relationships. This study found …


Psychological Impact On Probation Officers Supervising Individuals With Mental Illness, Janelle Hickey Jan 2022

Psychological Impact On Probation Officers Supervising Individuals With Mental Illness, Janelle Hickey

Antioch University Dissertations & Theses

Every year, millions of adults in the United States are ordered to participate in supervised community probation and parole (Bureau of Justice Statistics, 2021). Probation and parole supervisees with serious and persistent mental illness (SPMI) are overrepresented in the criminal justice system and, therefore, probation and parole officers (PPOs) can expect to work with supervisees with mental illness. While there is extensive research on the impact of working with individuals with SPMI on community support professionals, there is little research focusing specifically on PPOs (Whitehead, 1985). The limited research that exists suggests PPOs who supervise individuals with SPMI endorse symptoms …


Adverse Religious Experiences And Lgbtq+ Adults, Alex Fox Jan 2022

Adverse Religious Experiences And Lgbtq+ Adults, Alex Fox

Antioch University Dissertations & Theses

The aim of this study is to explore the ways in which LGBTQ+ people are affected by adverse or traumatic experiences related to religion or spirituality. Many LGBTQ+ adults were reared in environments where negative, disaffirming beliefs or teachings about sexual orientation or gender identity were pervasive. This study utilized a mixed-methods approach to data collection and analysis. Participants responded to a brief online survey, the data from which was used for quantitative statistical analysis. Twelve participants were selected at random from a pool of survey volunteers and took part in in-depth interviews regarding adverse religious experiences (AREs). Results of …


Imposter Phenomenon And Ces Doctoral Students, Michael Drane Jan 2022

Imposter Phenomenon And Ces Doctoral Students, Michael Drane

Antioch University Dissertations & Theses

The aim of the study was to explore the lived experience of counselor education and supervision students who reported experiencing symptoms of imposter phenomenon (IP). The population included counselor education and supervision students in their first year of their program, with a sample of convenience (N = 4). The method used in this study was an interoperative phenomenological analysis. Data analysis revealed four major themes: (a) counselor education students express self-doubt, lack of confidence and concern about competence, (b) students rate different levels of competence in counselor education and supervision roles, (c) instructor feedback impacts student perceptions of competence, and …


Examining Face-To-Face And Online Supervisee Disclosure Within The Supervisory Alliance, Letitia D'Aria Unger Johnson Jan 2022

Examining Face-To-Face And Online Supervisee Disclosure Within The Supervisory Alliance, Letitia D'Aria Unger Johnson

Antioch University Dissertations & Theses

The purpose of this research was to examine face-to-face and online supervisee disclosure within the supervisory alliance. Just as client care pivoted to online platforms, as a result of the COVID-19 pandemic, so did clinical supervision, which was uncharted territory for many, including those familiar with online counseling. The methodology used was consensual qualitative research (CSR). Eight participants were recruited as a sample of convenience, and semistructured interviews were conducted via Zoom. Results indicated domains such as important characteristics of the supervisory relationship, importance of communication, supervisor characteristics related to self-disclosure, positive aspects and negative aspects of online supervision, and …