Clinical Psychology Commons^™

Exploring Clinical Implications Of Consensual Non-Monogamy: A Proposed Intake Assessment Tool, Rebecca Tuttle

Dissertations

Relationships in the United States are often assumed to adhere to heteronormative and mononormative standards, which is problematic because a significant minority of individuals are neither heterosexual nor monogamous (approximately 4.5% and 4% of the United States population, respectively). As a result of mononormative biases in particular, alternatives to monogamy, such as consensually non-monogamous relationships, are often socially stigmatized and clinically pathologized. The existing research on consensually non-monogamous individuals indicates, despite negative assumptions, those who engage in consensually non-monogamous relationships demonstrate psychological well-being, physical health, and levels of relationship satisfaction comparable to their monogamous counterparts. While engaging in consensually non- …

Using Nudges To Increase Engagement With Suicide Prevention Resources In An Online Sample Of United State Military Veterans, Brian W. Bauer

Dissertations

Suicide rates have continually increased from 1999 to 2019 in the United States, with populations such as military Veterans showing substantially higher suicide death and attempt rates than civilians. Behavioral economics researchers have demonstrated that people regularly make decisions that are not aligned with their own self-interests (i.e., irrational decisions). These irrational decisions often stem from humans having bounded rationality (i.e., limited computational power), which produce reliable cognitive biases that occur outside of people’s awareness and influence the decisions they make. There are many important decisions leading up to a suicide attempt (e.g., whether to engage with suicide prevention resources), …

The Developmental Pathways And Treatment Approaches For Maladaptive Perfectionism In Undergraduate Student Athletes, Kara Hoff

Dissertations

Developmental and contextual factors may largely contribute to how an undergraduate student athlete develops maladaptive perfectionism (MP) within his or her athletic performance. Being able to understand different possible etiologies of MP will provide enriching clinical information to tailor more in-depth treatment approaches for the student-athlete(s) being impacted by the serious and life-threatening side effects of MP. This literature review provides a comprehensive summary on MP and how it may manifest in the athlete, in addition to how it can mature and intensify throughout one’s athletic career. Treatment approaches for MP in undergraduate student athletes will be discussed in how …

The Role Of Traumatic Experiences In Developing Nocturnal Panic Attacks, Nicole S. Smith

Dissertations

Nocturnal panic attacks refer to panic attacks that occur out of a sleeping state with no obvious cause, resulting in awakening at the peak of a panic attack. Nocturnal panic affects roughly half of patients with panic disorder as well as individuals with other psychological disorders such as PTSD. Prior research has suggested that experiencing a traumatic event may lead to the development of nocturnal panic attacks. The current study sought to expand upon the extant literature related to the role of trauma in nocturnal panic by collecting a comprehensive trauma and panic history in order to establish a timeline …

Evaluating Outcome Factors Of Childhood Emotional Neglect: An Exploratory Factor Analysis, Taylor Levitt

Dissertations

Experiencing childhood maltreatment has been shown to have major implications on adult outcomes. Less is known about the outcomes of childhood emotional neglect (CEN). The purpose of this study was to identify factors related to psychological outcomes of CEN within the domains of depression, anxiety, and alexithymia as a precursor to the development of an inventory. One hundred and fifty participant responses on the Patient Health Questionnaire-9 (PHQ-9), Generalized Anxiety Disorder-7 (GAD-7), and Toronto Alexithymia Scale-20 (TAS-20) were collected. Exploratory factor analysis was conducted where nine factors yielded significant results and were titled, “Depressive Symptoms,” “Difficulty Identifying Feelings,” “Usefulness of …

The Language-Dream Relationship In Multilinguals, Brittany Dishaun Burkes

Dissertations

According to the United States Census Bureau, the United States alone is host to around 350 languages. When it comes to investigating languages in dreams by multilinguals, some studies have focused heavily on only two languages—Spanish and English. The purpose of this study was to add to the understanding of how language use relates to the dream content of multilinguals. This study recruited the assistance of nine polylingual individuals. The participants were instructed to record their dreams in the languages in which they occurred for 2 weeks. After 2 weeks, the participants translated their dreams into English in order for …

The Relationship Between Adolescent Exposure To Community Violence, Depression, And Resilience, Nieves A. Esquivel

Dissertations

The present study experimentally investigated the development of depressive symptoms in adolescents who have been exposed to community violence. Participants (N=334) were asked to take a survey of 81 questions addressing one’s exposure to neighborhood violence, resilience, and depressive symptoms. Participants exposed to community violence reported more depressive symptoms in every category except Ineffectiveness. Participants who were exposed to community violence also reported higher resilience levels. Given the results, more research is needed to understand the specific factors of resilience that may prevent adolescents exposed to community violence from developing depressive symptoms.

Uniting African Philosophy With Traditional African Dance Rituals To Help Heal Mental Health Symptoms From The Impact Of The African Diaspora, Brittnea Jones

Dissertations

The mental health challenges of members of the African diaspora have been a worldwide occurrence for centuries, initially beginning with the transatlantic slave trade. Africans were scattered abroad to different countries and subjected to the severe psychological impact of enslavement. Despite the considerable financial systemic pressure of profit in the slave trade, it caused significant harm to the enslaved Africans and their descendants by erasing Africa's memory and their healing traditions from the hearts and minds of the population. Severe mental health symptoms can arise from oppression and the impact of the African diaspora. This dispersion has left many African …

Rethinking Binge Eating Disorder: Is Resource Depletion The Missing Link?, Laura Fewell

Dissertations

Binge eating disorder (BED), the most prevalent of the eating disorders, is associated with significant mental health impairments, high healthcare costs and utilization, and increased mortality. Yet little is known about the mechanisms involved in binge eating, and existing BED theories are incomplete. Scholars have recently suggested that resource depletion, or the state of reduced self-regulation abilities, may apply to BED, but no identified studies have experimentally examined this relationship. The purpose of the current study was to examine the role of resource depletion in binge eating behaviors. Ego anxiety, discomfort anxiety, and dietary restraint were also examined as potential …

Posttraumatic Stress Symptoms, Anger, And Substance Use As Risk Factors For Trauma Revictimization, Hannah E. Walker

Dissertations

Maltreatment survivors are at an increased risk for adult revictimization. Yet, existing work has specifically focused on sexual revictimization, and it is unclear what factors increase one’s risk for revictimization more broadly. Posttraumatic stress symptoms (PTSS), anger, and substance use have been identified as potential risk factors for sexual revictimization. Still, the role of these variables is ambiguous in the broader revictimization framework. There is also a lack of understanding regarding the roles of the DSM-5 posttraumatic stress disorder (PTSD) symptom clusters and revictimization. This study aims to: 1) examine the links between maltreatment and revictimization and three factors (i.e., …

What’S Religion Got To Do With It?: Differing Religiosity Domains’ Association With College Students’ Sexual Consent During First-Time Intercourse, Kaylee Richmond

Dissertations

Within the U.S., 36% of women and 17% of men report experiencing sexual assault (Smith et al., 2017). The absence of sexual consent is often regarded as a defining component of sexual assault (Beres, 2014); thus, a potential area to examine to decrease rates of perpetration and victimization. To date, there has been a lack of research on contextual factors that are likely related to sexual consent, with a general focus on external consent (i.e., verbal/behavioral indicators; Muehlenhard et al., 2016). The present study examined the role of a contextual factor, religiosity, on sexual consent processes during the context of …

The Prevalence Of Mirror Gazing Behaviors In Men, Rutuja Pramod Chinchankar

Dissertations

Muscle Dysmorphia is when the individual is preoccupied with the idea that his or her body build is too small or insufficiently muscular. This study looked at the distinct criteria of MD, which is persistently and obsessively checking one’s appearance in the mirror and being dissatisfied with it. It studied the reasons behind these repetitive mirror-gazing behaviors. This study also attempted to understand the effect of an individual’s age, educational background, religious orientation, sexual orientation, and socio-economic status on his predisposition to MD via mirror-gazing behaviors. This study used a qualitative research design. Part I of the study included participants …

Trauma And Alcohol/Substance Use: The Role Of Self-Regulation Flexibility, Saankari Anusha Challa

Dissertations

Despite a high comorbidity rate between trauma/PTSD and problematic alcohol/substance use, there is only a small body of work investigating moderators and mediators in this relationship. Few studies have examined the role of self-regulation, composed of coping and emotion regulation, in the context of PTSD and problematic substance use. Prior work has generally measured self-regulation categorically, with strategies labeled as maladaptive or adaptive, and therefore failing to account for the adaptiveness of the strategy in particular contexts. The present study is the only one to date to examine self-regulation flexibility in the relationship between posttraumatic symptoms (PTSS) and problematic alcohol/substance …

Heart Rate Variability Following Treatment For Ptsd: Testing The Polyvagal Theory, Brittany F. Goodman

Dissertations

Posttraumatic stress disorder (PTSD) has been linked to lower heart rate variability (HRV), including measures of vagal tone. Treatments targeting the autonomic nervous system (ANS) have demonstrated efficacy in improving vagal tone, but it is less clear whether similar effects can also be achieved with cognitive therapies. The polyvagal theory has suggested that symptoms of social dysfunction are linked to vagal tone through a phylogenetically organized response to stress. HRV was collected during rest, reactivity (exposure to personalized trauma scripts), and recovery using a scripted imagery paradigm in female PTSD positive physical and sexual assault survivors (N = 41) …

Examining The Relationship Between Therapists’ Attachment-Related Characteristics And The Process And Outcome Of Psychotherapy, Char M. Houben

Dissertations

Although psychotherapy researchers have gleaned greater understanding about how client attachment classifications influence the outcome of psychotherapy, relatively few studies have investigated therapists’ effects and have yielded inconclusive results (Steel et al., 2018). In the current study, we investigated how therapist attachment affects changes in the working alliance and client psychological distress over a course of psychotherapy treatment. We evaluated attachment in a sample of 23 therapist trainees from a university-based training clinic in the U.S. with the recently validated, transcript-based Therapist Attunement Scales (TASc; Talia & Muzi, 2017), which measures attunement by moment-to-moment discursive markers from a single psychotherapy …

Testing Barriers To Non-Suicidal Self-Injury With College Students: Narcissistic Traits As Moderators, Philip Stoner

Dissertations

Research on non-suicidal self-injury (NSSI) has produced mixed findings, resulting in a lack of clarity regarding these behaviors (Klonsky & Meuhlenkamp, 2007). To address this, Hooley and Franklin (2018) developed the Benefits and Barriers Model (BBM) to provide a comprehensive understanding of NSSI, in which they identified the barriers that commonly prevent people from engaging in these behaviors (e.g., self-esteem, shame, and peer-bonding motivations/social norms). They also identified adverse childhood experiences (ACEs) as a distal predictor of NSSI, which aids people in overcoming the barriers to engaging in these behaviors. Recent NSSI literature has shown that college women in the …

Mental Construal And Alterations In Emotional Memory, Olivia D. Beers

Dissertations

Psychological distancing refers to a shift from a psychologically immersed perspective that involves thinking about the details of an event (concretely) or stepping back from it and watching the event from an outside point of view (abstractly)––this can help individuals change how they feel about the experience. Investigating how construal levels affect emotional memories may provide more insight into how individuals may potentially alter the recall of their memories. The current study reflects a new examination of the effect of primed high and low construal levels on the recall of positive and negative arousing stimuli. This study included a pilot …

What Does Masculinity Have To Do With It? The Roles Of Fathers In The Socialization Of Children’S Emotions And Emotion Regulation, Kathryn Cherry

Dissertations

Emotion regulation skills are important in a variety of domains throughout the lifespan, including psychological, social, academic, and occupational functioning. Research on children’s emotion regulation skill development often examines the family, exploring caregiver approaches to emotion socialization. However, this research has predominantly been conducted with mothers. Fathering is of particular interest to children’s emotional development for a variety of reasons, including the role of traditional Western masculine norms in gendered differences in emotion expression and regulation techniques. Fathers’ conformity with masculine norms and difficulty with emotion regulation have potential to impact their emotion socialization practices, and therefore relate to their …

The Impact Of Moral Injury And Moral Distress On Spirituality From A Military Perspective, Emily Sproule

Dissertations

The purpose of this study was to gain greater insight and understanding of how moral injury, moral distress, and shame can influence spirituality and to determine ways to effectively improve treatment to support and serve those carrying these unspeakable wounds. The experience of loss, betrayal, uncertainty, and fractured spirits can affect an individual’s beliefs about the self. The primary aim of this study was to explore how veterans now view themselves in the eyes of God or their Higher Power or why they so choose not to partake in their spirituality. Results were based on aggregate analyses and summations of …

Mental Health Treatment In Juvenile Correctional Facilities: Utilizing Assessment To Inform Treatment, Sarah Riccio

Dissertations

Youth in juvenile correctional facilities face a wide range of mental health difficulties. Over the years, the juvenile justice system has prioritized the need for providing appropriate and effective treatment services to youth throughout their detainment. Despite these ongoing efforts, treatment practices in juvenile correctional facilities continue to fall short. This study will first focus on assessment practices within these facilities and the impact current practices have on diagnosis and subsequent treatment. Emphasis will be placed on the importance of comprehensive evaluations for informing diagnosis and determining the individual treatment needs of detained youth. An integrated approach to assessment will …

The Impact Of Social Networking Sites On Online Boundaries And Relationship Satisfaction, Jay Ingram

Dissertations

The purpose of this study is to increase understanding of how the use of social networking and online boundaries affects relationship satisfaction. Because the literature has not yet addressed how social networking intrusion affects couples, this study draws on previous research of face-to-face boundary setting. An instrument was developed specifically for this study to measure the extent of intrusion of social networking use from factors of romantic jealousy, partner surveillance, and relationship conflict. Previous research found these factors to have a negative impact on relationship satisfaction in face-to-face situations.

Three hundred thirty-one participants completed the Relationship Assessment Scale, the Social …

The Utility Of The Test Of Everyday Attention For Children (Tea-Ch) For Attention-Related Referrals, Ewelina Lakomy

Dissertations

The Test of Everyday Attention for Children (TEA-Ch) is a commonly used, UK-normed test to assess diverse attentional capacities in children and adolescents. Currently, there is insufficient evidence for the diagnostic utility of the TEA-Ch with ADHD in a U.S. population. The focus in this study was to investigate the relationship between the TEA-Ch scores test authors found to be most sensitive to ADHD in UK samples as well as the relationship of TEA-Ch scores to other measures typically used in the diagnosis of ADHD, including rating scales. Archival and prospective analyses of 121 subjects with mixed-clinical/ADHD diagnoses (ages 6–16; …

Mothers' Perceptions Of Ability In Children With Intellectual Disability And Mother-Child Connectedness, Nikhita Moolayil

Dissertations

The mother-child relationship is important in the development of children, especially for children with intellectual disabilities who may have specific needs. Understanding the nuances, such as the closeness of the mother-child relationship for children with intellectual disabilities, is often overlooked even though more than 3 million children under 18 were reported to have an intellectual disability in 2019. Still, very few studies have focused on the relationship between mothers with children with an intellectual disability. With the rise in services provided due to developmental disabilities in children, there was a need to examine mothers’ perceptions of the ability level in …

Generations Of Pain: A Transgenerational Examination Of Trauma, Parenting Styles, And Attachment Of Black Women, Latoya Hampton

Dissertations

Historically, Black women have experienced horrendous acts of violence throughout the centuries and generations. The transmission of transgenerational trauma has impacted this community’s mental health, physical well-being, educational performance, and interpersonal interactions. Prior research has focused on general trauma and its effect on Black women; however, this review sought to explore transgenerational trauma and the implications of attachment and parenting styles of Black women. Previous studies have examined the majority population’s attachment, trauma, and parenting styles consecutively, though not simultaneously. With limitations found in the research of diverse populations, it is imperative that clinicians are culturally competent to implement effective …

Use Of Live And Robotic Assistance Animals For Psychological And Cognitive Health In Military Populations, Rachelle M. Cross

Dissertations

This literature review addresses the use of live and robotic animal-assisted therapy for psychological and cognitive health in military populations. More specifically, this literature review aims to address the benefits and limitations of the use of live animal-assisted therapy, complementary and alternative techniques (i.e., Combat and Emotional Stress Control Dogs and social robots) for military personnel, and possible attitudinal barriers regarding active duty and veteran soldiers, while utilizing literature conducted with the civilian population to augment. A systematic review of peer-reviewed quantitative and qualitative publications and book chapters was utilized to accomplish this. Results of the literature review indicated that …

Gender Differences In The Clinical Presentation Of Borderline Personality Disorder: A Review, Kimberly Glover

Dissertations

Borderline personality disorder is diagnosed in women three times more than men and represents a significant gender disparity amid considerable stigmatization compared to other psychological disorders. Empirical studies have investigated the gender prevalence for borderline personality disorder and further determined that findings may be due to differences in how borderline personality disorder clinically manifests in men and women. Common areas of investigation have included developmental features, diagnostic symptomology, psychiatric comorbidities, and the level of functional impairment for individuals with borderline personality disorder. An analysis of existing data was indicative of shortcomings in methods that include small samples of men, a …

Secondary Traumatic Stress In Intimate Partners And Children Of Service Members, Amber Foreman

Dissertations

This literature review addresses secondary traumatic stress (STS) in intimate partners and children of service members. More specifically, this literature review aims to explore if intimate partners and children of military service members are at risk for developing secondary traumatic stress. Secondly, this review aims to explore if there are specific risk factors associated with the development of secondary traumatic stress in intimate partners and children of service members. Finally, this review examines if there are other stressors and outcomes for intimate partners and children of service members. A systematic review of peer-reviewed research was explored to accomplish addressing the …

A Re-Examination Of The Motivations For Using Substances Questionnaire: Motives For Alcohol And Simultaneous Alcohol And Marijuana Use, Taylor Altenberger

Dissertations

The growing body of research examining simultaneous alcohol and marijuana (SAM) use suggests motivations for alcohol-only, marijuana-only, and SAM use, especially among college-aged people, warrant further examination to ultimately tailor interventions to not only specific substances but also the underlying motivations for using those substances. Thus, the purpose of the present study was to test the measurement invariance of a novel broadband motives measure, the Motivations for Using Substances Questionnaire (MUSQ), across alcohol-only, marijuana-only, and SAM users and further test motivations’ relationships to use-related problems. However, due to insufficient sample sizes of marijuana-only users (n = 175), the MUSQ …

Latent Variables Predicting Drug Use In Adolescents With High Versus Low Protective Factors, Jessica Jorgenson

Dissertations

The present study utilized archival data provided from the Minnesota Student Survey (2013). The study consisted of two levels of analysis. The first level involved the development of measurement models for various latent constructs (i.e., disaffiliation, normalized use, internalizing behaviors, and externalizing behaviors). Utilizing Structural Equation Modeling (SEM), the second level applied the observed (i.e., abuse) and measured latent variables to the prediction of the outcomes of interest (i.e., a latent variable estimate of substance use) for middle- and high school-aged youth. Models for adolescent girls and boys were examined separately based on sex and high vs low protective factors. …

Development And Initial Evaluation Of The Assessment Of Teacher Expectations And Practices (Atep), Kimberly Barajas

Dissertations

Teacher practices and expectations are important factors for students’ academic and behavioral functioning (Andersson & Palm, 2016; Oliver, Wehby, & Reschly, 2011; Rimm-Kaufman, Storm, Sawyer, Pianta, & LaParom 2006; Rubie-Davies, 2007; Sandholtz, 2011). The current measures available require a great deal of resources (i.e., time, money, personnel), have poor psychometric properties, or are not comprehensive (e.g., facets assessed; assessment of teacher practices for different grade levels). Given these concerns, the proposed study aimed to develop a psychometrically sound measure that is time and cost efficient and comprehensively assesses the multi-faceted construct of teacher practices. This measure is expected to allow …