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Articles 91 - 120 of 429
Full-Text Articles in Clinical Psychology
A Genuine Artifice, A Specific Vagueness: Psychotherapy, Performance, And The Practitioner, Chris M. Defossez
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 …
Therapist Self-Reported Attachment Organization And Countertransference Responses To Psychotherapy Clients, Morgan Janay Pell
Therapist Self-Reported Attachment Organization And Countertransference Responses To Psychotherapy Clients, Morgan Janay Pell
Antioch University Dissertations & Theses
Therapists experience thoughts, feelings, and behaviors in response to their clients, which are sometimes referred to as countertransference. Such responses may be influenced by the therapist’s personal history, including the quality of their attachment experiences. Research has demonstrated that adult attachment organizations influence a person’s cognitive, behavioral, and affective responses toward close others, thus providing a useful framework for understanding some countertransference experiences of therapists. This quantitative study sought to add to the existing literature by examining the relationship between therapist self-reported attachment organization and countertransference responses to clients. Seventy-three therapists participated in this study, including licensed psychologists, doctorate-level psychologists, …
Narrative Enhancement And Cognitive Therapy With Correctional Psychiatric Patients: A Pilot Study, Richelene Cesar
Narrative Enhancement And Cognitive Therapy With Correctional Psychiatric Patients: A Pilot Study, Richelene Cesar
Antioch University Dissertations & Theses
Narrative Enhancement and Cognitive Therapy (NECT) is a manualized, group-based intervention that was originally developed to treat self-stigma among individuals who present with severe and persistent mental illnesses (SPMIs; Roe, Lysaker, & Yanos, 2013). NECT has been shown to effectively reduce these individuals’ experience of self-stigma, and diminish its negative effects on their hope, self-esteem, self-efficacy, and quality of life (Yanos, Roe, & Lysaker, 2011). Supportive literature is scarce regarding NECT’s efficacy with people who have multiple stigmatized identities. For the purposes of this pilot study, NECT was implemented with a correctional psychiatric population. Research supports this population is doubly, …
The Flourishing Trainee: Operationalizing Self-Care Education In Clinical Psychology Training Programs, Bonnie B. Zinn
The Flourishing Trainee: Operationalizing Self-Care Education In Clinical Psychology Training Programs, Bonnie B. Zinn
Antioch University Dissertations & Theses
Evidence suggests that clinical psychology trainees may be vulnerable to stress, vicarious traumatization, secondary traumatic stress, compassion fatigue, and burnout. Research also indicates that engaging in self-care may help to protect clinical psychology trainees against those experiences and enhance their well-being. However, best available research suggests self-care education is not consistently incorporated into clinical psychology training or prioritized by program directors. This study provided a systematic review of existing literature on self-care for clinical psychology trainees, utilizing reflexive thematic analysis to identify the essential skills, knowledge, and attitudes of self-care which should be taught to trainees, and how to operationalize …
Both Sides Of The Coin: Sexual Minority Perspectives On Relationships, Quynh Tran
Both Sides Of The Coin: Sexual Minority Perspectives On Relationships, Quynh Tran
Antioch University Dissertations & Theses
This dissertation aimed to better understand sexual minority individuals’ perceptions of how various minority stressors affect their interpersonal connections. In this study, sexual minority identity was defined as a sexual identity that was not the heterosexual, and was defined to include lesbian, gay, bisexual, asexual, pansexual, and queer. Gender identity was not a criterion for either inclusion or exclusion in this study. This phenomenological study used semistructured interviews to explore the perspective of six participants who identify with sexual minority identities. Interpretative Phenomenological Analysis (IPA) of the data resulted in five main themes: (a) Growth-fostering relationships promote well-being, (b) Perceived …
Caregiver Experience Of Voice And Choice In Wraparound Systems Of Care, Kathryn O'Neil
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 …
Love Outside Margins: Mental Health And Marginalization In Intercultural And Monocultural Couples, Tara Masseratagah
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 …
The Caregiver’S Experience Of Post-Treatment Lyme Disease Syndrome, Jordyn Deschene
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 …
Psychological Impact On Probation Officers Supervising Individuals With Mental Illness, Janelle Hickey
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 …
Examining Face-To-Face And Online Supervisee Disclosure Within The Supervisory Alliance, Letitia D'Aria Unger Johnson
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 …
The Impact Of Creative Arts On Meaning Reconstruction And Loss Adaptation In Widowed Adults, Dani Baker-Cole
The Impact Of Creative Arts On Meaning Reconstruction And Loss Adaptation In Widowed Adults, Dani Baker-Cole
Antioch University Dissertations & Theses
In counseling, helping grieving clients find meaning after significant loss is a unique, multidimensional, and lengthy process. This is particularly true in Western societies, where antithetical linear grief models, supported by hegemonic expectations to move on after loss, add exhausting pressure to speed up an individual’s natural grieving process. For that reason, this study examined how creative arts interventions such as using traditional art media and expressive writing, combined with postmodern, nonlinear, culturally sensitive bereavement models, help individuals explore their loss narrative to make meaning and adapt to loss. Specifically, this study examined the impact of a switch from traditional …
Imposter Phenomenon And Ces Doctoral Students, Michael Drane
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 …
Adverse Religious Experiences And Lgbtq+ Adults, Alex Fox
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 …
The Mechanism Of Reducing Anxiety Through Mindfulness Interventions: Digital Therapeutic Program, Maria Neizvestnaya
The Mechanism Of Reducing Anxiety Through Mindfulness Interventions: Digital Therapeutic Program, Maria Neizvestnaya
Antioch University Dissertations & Theses
The COVID-19 pandemic exacerbated the prevalence of anxiety disorders, making it a population health concern in the United States and worldwide. The growing need for effective prevention and treatment of anxiety coincides with a deficit of mental health providers and physicians. With the healthcare system currently overwhelmed and the slow training pipeline of new providers, the gap between patient demand and treatment providers will not be closed in the next decade. There is a growing need for evidence-based treatments for anxiety disorders that can increase access to care while addressing the underlying mechanisms of anxiety. Digital therapeutics is a fast-developing …
The Lived Experiences Of Sports Retirement Among Elite, Action Sports Athletes, Gracie Struthers
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, …
Motivational Interviewing In Vocational Rehabilitation: Why It Matters For People With Disabilities, Alicia Wein-Senghas
Motivational Interviewing In Vocational Rehabilitation: Why It Matters For People With Disabilities, Alicia Wein-Senghas
Antioch University Dissertations & Theses
Motivational Interviewing (MI) is increasingly being trained within and integrated into public vocational rehabilitation (VR) programs based on its efficacy in related fields and yet research specific to the efficacy of MI in public VR programs is almost nonexistent. This study used a quantitative sequential design to explore relationships between MI training, MI proficiency, and VR customer outcomes within the State of Vermont’s Division of Vocational Rehabilitation (VT DVR) program. The study occurred in two phases. In the first phase, 30 VR counselors were recruited, and their level of MI proficiency was established using the Motivational Interviewing Treatment Integrity Measure …
Circling The Wagons: A Re-Entry Program For Substance Use In Nh, Angela Leigh Walter
Circling The Wagons: A Re-Entry Program For Substance Use In Nh, Angela Leigh Walter
Antioch University Dissertations & Theses
This dissertation aimed to adapt Circles of Support and Accountability (CoSA) to a substance-involved population in New Hampshire (NH). CoSA is a volunteer-based community program that provides accountability and various forms of support to previously incarcerated individuals rejoining the community. Program recommendations were created through qualitative realist thematic analysis of a literature review and interviews. Recommendations were integrated with existing CoSA manuals to create the proposed program. NH CoSA, through the principles of narrative reconstruction, risk-need-responsivity, and the Good Lives Model, aims to help individuals successfully re-integrate into their community over a period of about a year. The program will …
The Student Experience Of Psychoeducational Assessment: A Phenomenological Study, Teresa Hoffman
The Student Experience Of Psychoeducational Assessment: A Phenomenological Study, Teresa Hoffman
Antioch University Dissertations & Theses
Emerging adults with specific learning disabilities (SLD) are interviewed to understand the student experience of the psychoeducational assessment process that is codified by the Individuals with Disabilities Education Act of 2004 (IDEA). The assessment practice is well established to qualify students for special education and related services (SERS) to ensure every child in the United States has the opportunity for free and appropriate education. An overview of the general psychoeducational assessment practice and specific assessment for SLD is supplemented by the literature regarding best-practices for psychological assessment with children/adolescents to set the context for a process that is encountered triennially …
Sickle Cell In A Poor Community In Haiti: Attention, Emotion, And Sleep, Sarajane Rodgers
Sickle Cell In A Poor Community In Haiti: Attention, Emotion, And Sleep, Sarajane Rodgers
Antioch University Dissertations & Theses
Hemoglobin disorders or inherited blood diseases affect about 5% of the world population. One main category of these disorders is sickle-cell disease (SCD). SCD can cause many physical complications, such as kidney problems, leg ulcers, and chronic pain. Less frequently discussed symptoms include complications like attention problems and emotion regulation. The study looked at a small sample of pediatric and adult patients (N=22) with SCD at a primary care clinic in a very poor community in Haiti, researching sleep and emotion regulation, given their shared neurobiological systems. As these symptoms can influence attention, the relationships among attention, emotion, and sleep …
Construction Of A Developmental Social Privilege Integration Scale, Abigail M. Martin
Construction Of A Developmental Social Privilege Integration Scale, Abigail M. Martin
Antioch University Dissertations & Theses
The APA’s 2017 multicultural guidelines task psychologists with the aspirational goal of understanding the nuances of historical and contemporary systems of power, privilege, and oppression. Scholars such as Helms (1984) demonstrated the critical need to readjust psychology’s focus from oppressed groups to privileged groups. In her seminal 1988 article, McIntosh insisted that in order to “redesign social systems,” privileged groups must first acknowledge their “unseen dimensions” (p. 1). Similarly, Black and Stone (2005) and Johnson (2018) asserted the lack of social privilege awareness is part of American culture, which helps to maintain the invisibility of privilege and the status quo …
Adult Attachment Interview Classification: Comparing Two Coding Systems, Patricia M. Hastings
Adult Attachment Interview Classification: Comparing Two Coding Systems, Patricia M. Hastings
Antioch University Dissertations & Theses
Research on the Adult Attachment Interview (AAI) provides an opportunity to study the ways in which early childhood relational experiences might influence an individual over a lifetime. It is not yet clear, however, whether results from different coding systems for the AAI are equally useful. The first purpose of this study was to compare attachment classification distributions obtained from coding AAIs with the Berkeley and Dynamic-Maturational Model (DMM) coding systems. The second purpose was to explore whether AAI classifications derived from the Berkeley or DMM system were more strongly associated with mother and mother-child dyad outcome variables. Participants were a …
Influencing Legislation For Juveniles In The Adult Judicial System: A Phenomenological Examination Of Legal Advocates, Krista F. Franklin
Influencing Legislation For Juveniles In The Adult Judicial System: A Phenomenological Examination Of Legal Advocates, Krista F. Franklin
Antioch University Dissertations & Theses
INFLUENCING LEGISLATION FOR JUVENILES IN THE ADULT JUDICIAL SYSTEM: A PHENOMENOLOGICAL EXAMINATION OF LEGAL ADVOCATES Krista Franklin Antioch University Seattle Seattle, WA This phenomenological study explores the lived experience of Washington State lawmakers and legal activists regarding their involvement in passing Washington State Senate Bill 5064 in February 2014. In response to the 2012 landmark federal Supreme Court decision, Miller v. Alabama, Senate Bill 5064 reduced the number of crimes for which juveniles could be sentenced as adults to life without parole. Six interviewees were selected from those who testified in Olympia, WA. Individual interviews were conducted in an open-ended …
"The Candy Problem, Solved!": White Children And White Parents Grappling With Dysconscious Whiteness, Lindsay E. Olson
"The Candy Problem, Solved!": White Children And White Parents Grappling With Dysconscious Whiteness, Lindsay E. Olson
Antioch University Dissertations & Theses
During an amplification of the Black Lives Matter (BLM) movement, white children and parents have faced multiple interruptions to their protective territory of dysconscious whiteness—an uncritical approach to a structural status quo that favors white lives. Through semi-structured activities and interviews with ten children ages 3 to 9 and nine of their parents who observed these activities, I discovered a parent–child subsystem of dysconscious whiteness. White children and parents revealed aspects of this subsystem by grappling with dysconscious whiteness (grappling) as they struggled to avoid implicating skin color in resource inequality. Through grounded theory analysis of the process of grappling, …
The Strategically Broken System: A Grounded Theory Study Of The Clinical Implications Of Immigration Law, Policy, And Practice, Kelle Agassiz
The Strategically Broken System: A Grounded Theory Study Of The Clinical Implications Of Immigration Law, Policy, And Practice, Kelle Agassiz
Antioch University Dissertations & Theses
The majority of clinicians do not receive education pertaining to the legal aspects of immigration in their curriculum, training, or continuing education. In addition, the process of navigating the immigration system has been exacerbated in recent years due to rapid policy changes under the Trump administration, which has contributed to a hostile political climate, particularly for immigrants from Central America and Mexico. Using a classic grounded theory research approach, this study explored the relationship between the psychological implications of immigration and the legal challenges that immigrants face today, with a specific focus on immigration from Central America and Mexico. Through …
Internet Pornography Addiction In The Treatment Of Heterosexual Dyadic Relationships: A Literature Review, Sarah Ogier-Bloomer
Internet Pornography Addiction In The Treatment Of Heterosexual Dyadic Relationships: A Literature Review, Sarah Ogier-Bloomer
Antioch University Dissertations & Theses
The following dissertation provides a thorough literature review of internet pornography and internet pornography addiction for psychologists treating heterosexual couples in therapy and those training said clinicians. Factors that contribute to the development of compulsive sexual behavior are discussed, as well as how the addiction is maintained through reinforcing cycles. Factors including neuropsychological effects of neurotransmitters on the pleasure-reward system, insecure attachment, and childhood development provide insight into the manifestation of an addiction to pornography. Therefore, a thorough literature review on these aspects is necessary for current clinicians, as well as for those who are training clinicians. In addition, questionnaires …
Homelessness And Adhd: A Hidden Factor?, Elizabeth A. Shepherd
Homelessness And Adhd: A Hidden Factor?, Elizabeth A. Shepherd
Antioch University Dissertations & Theses
Attention deficit/hyperactivity disorder, henceforth known as ADHD, is a common psychiatric problem recognized and diagnosed in children; however, it is not recognized or diagnosed as often in adults. There has been some research illustrating a relationship between ADHD and homelessness. The purpose of this study was to further explore if ADHD could be a hidden factor contributing to homelessness in adults. This descriptive study utilized archival data of patients at a health center in the United States to examine the relationship between homelessness and ADHD. Two analyses were completed using IBM SPSS version 25. Starting from a master dataset including …
Lesbian, Gay, And Bisexual Adults’ Experiences With Supportive Religious Groups, Rachel Grossman
Lesbian, Gay, And Bisexual Adults’ Experiences With Supportive Religious Groups, Rachel Grossman
Antioch University Dissertations & Theses
This qualitative research study was designed to explore lesbian, gay, and bisexual (LGB) young adults’ views about how being a member of supportive and affirming religious places of worship and social groups influenced their self-acceptance, as well as their ability to integrate their religious and sexual minority identities. In this study, six in-person interviews were completed with participants who (a) were 18-24 years old; (b) identified as lesbian, gay, or bisexual; (c) were members of supportive Jewish and Christian religious groups; and (d) identified as cisgender. The data from the interviews were analyzed using thematic analysis to tell cohesive stories …
The Inclusion Of Autism Spectrum Disorder In Mainstream Classrooms: Teachers’ Perspectives, Alyssa Maiuri
The Inclusion Of Autism Spectrum Disorder In Mainstream Classrooms: Teachers’ Perspectives, Alyssa Maiuri
Antioch University Dissertations & Theses
This dissertation explored the unique experiences of general education teachers teaching in an inclusive classroom (which will also be referred to as a “mainstream classroom”) with a combination of students with and without autism (which will also be referred to as “autism spectrum disorder” and “ASD”). This was a qualitative research study that applied the Interpretative Phenomenological Analysis (IPA) research method, as presented by Smith, Flowers, and Larkin (2009). The participants in this study were seven general education teachers, each of whom taught kindergarten or fourth grade. Purposive sampling was used to gain a better understanding of the teachers’ experiences …
Gender Role Beliefs, Household Chores, And Modern Marriages, Jaquoya Carreiro
Gender Role Beliefs, Household Chores, And Modern Marriages, Jaquoya Carreiro
Antioch University Dissertations & Theses
A primary change in modern marriages is the shift from traditional marriages to modern dual-earner marriages. With this change comes significantly higher divorce rates with traditional marriages averaging over forty years and modern marriages averaging seven years. This paper reviews research studies conducted from the 1980s to present day on heterosexual dual-earner couples and marital satisfaction, particularly in regards to gender role beliefs and household chore division. The social construction of gender remains virtually unaltered and resistant to change; therefore, it follows that individual beliefs regarding gender roles remain unchanged. While dual-earner marriages contributed significantly to changing gender roles external …
An Assessment Of Therapist Attitudes Toward Polyamorous People, Chelsea V. Randall
An Assessment Of Therapist Attitudes Toward Polyamorous People, Chelsea V. Randall
Antioch University Dissertations & Theses
Polyamorous people can encounter unique negative experiences in psychotherapy. Western culture perpetuates the ideal of romantic and sexual exclusivity between two people through monogamy as the dominant social norm, to the extent that nonmonogamous relationships are considered abnormal or othered. Polyamorous people have reported experiencing such biases from therapists, resulting in being pathologized, inaccurately labeled as infidelitous, and spending excessive treatment time providing education on polyamory. Research on the therapist’s contribution to polyamorous clients’ negative experiences is lacking, which limits suggestions for affirmative practices and the rationale from which to implement them. The current study sought to directly survey therapists’ …