Clinical Psychology Commons^™

Students Of Indian Heritage And United States Citizen Students' Adaptation Of College, Opinions About Mental Illness And Attitudes Toward Seeking Professional Counseling Help, Margaret Omotola Ajayi-Nabors

Dissertations

The present study replicated Baysden's (2002) multi-component model and tested its generalizability on a homogeneous demographic group. This study compared international college students from India (n 0 244) and U.S. student participants (n 0 393) on their adaptation to college, their opinions about mental illness, and their attitudes regarding their professional psychological help-seeking behavior. A structural regression model was utilized to examine if student origin influenced opinions about mental illness, student adaptation to college, and attitudes towards seeking professional psychological help. /// The findings of this project supported Baysden's (2002) multi-component model to understanding international students' use of counseling. More …

The Impact Of Treating Major Depression During Pregnancy On The Postpartum Phase, Jamie Kent

Dissertations

Major depression during pregnancy is a risk factor for postpartum depression (PPD). Medically acceptable treatments for depression during pregnancy and postpartum are limited and many women are turning to complementary and alternative treatments. The current project examined whether treatment of major depression during pregnancy reduced the risk for PPD and explored predictors of PPD in this high-risk sample. One hundred twenty women were clinically assessed using the Hamilton Rating Scale for Depression (HRSD17), the Beck Depression Inventory (BDI-II), and the Structured Clinical Interview for DSM-IV (SCID) at ten weeks, six months, and nine months postpartum following random assignment to one …

Professional And Personal Lives Of Psychologists: Spillover, Family Functioning, And Life Satsiafction, Pedja Stevanovic

Dissertations

Two-wave, longitudinal data from a national, web-based survey of doctoral psychologists was used to examine work life, spillover, family, and personal lives. A measure of spillover, Stressors and Enhancers for Psychologists, was also evaluated. Confirmatory factor analysis indicated two negatively correlated dimensions of work spillover: positive spillover termed family enhancers and negative spillover termed family stressors. This measure was significantly related to a widely used, more general measure of positive and negative spillover and demonstrated high temporal stability. Respondents reported a significantly higher incidence of family enhancers than family stressors at both data collection points. Consistent with previous research, the …

The Influence Of A Personal Practice Of Meditation On One’S Therapeutic Practice, William W. Fitzgerald

Dissertations

The focus of this study was to examine counseling professionals’ personal experience with meditation and how it influences their clinical work, including the formation of a therapeutic relationship. Using phenomenological methods, data were gathered from 10 psychotherapists and then analyzed.

There has been a great deal of effort devoted to investigating what contributes to positive counseling outcome for clients. One constant in the therapeutic process is the person of the therapist. While the person of the therapist is frequently mentioned in the literature, much less attention has been given to the examination of personal development paths of the therapist. Little …

A Developmental Model Predicting Adjustment In Youth With Autism Spectrum Disorders: The Role Of Executive Functions, Social Impairment, And Friendship Quality, Rebecca Wasserman Lieb

Dissertations

Autism Spectrum Disorders (ASD) are pervasive developmental disorders characterized by several core deficits including social skills impairments and difficulty processing social information. Little is known about the role of contributing factors adjustment in this population. The first aim of this study was to evaluate two meditational models of youth with ASD in which social impairment and friendship quality mediated the relation between various domains of executive functions (EF) and adjustment, as well as a full developmental model in which EF contributed to compromised social skills which influenced friendship quality leading to increased adjustment difficulties in this population. The second aim …

Using Environmental Sounds To Initiate Receptive Language Training For Children With Autism, Woan Tian Chow

Dissertations

A pre-test showed that three pre-school children with autism had difficulty learning to match spoken words to objects (receptive identification). Therefore, they were first taught to match environmental sounds to objects (e.g., to touch a tambourine, when they heard the sound of the tambourine) and then to match spoken words to other objects while continuing to match the mastered environmental sounds to the original objects.

For all three children, simply learning the environmental-sound/object matching did not facilitate learning spoken-word/object matching; however intermixing the training of spoken-word/object matching with the previously mastered environmentalsound/ object matching did result in the mastery of …

Evaluating The Effects Of Camera Perspective In Video Modelingfor Children With Autism: Point Of View Versus Scene Modeling, Courtney Cotter

Dissertations

Video modeling has been used effectively to teach a variety of skills to children with autism. This body of literature is characterized by a variety of procedural variations including the characteristics of the video model (e.g., self vs. other, adult vs. peer). Traditionally, most video models have been filmed using third person perspective (i.e., scene models), where the viewer is watching the actor perform in a scene. Recently, studies have successfully incorporated the use of first person perspective into video models (i.e., point of view models), where the view is directly from the actor's point of view. Currently, no studies …

Testing The Effectiveness Of An Interactive Multimedia System To Train Clinicians In Behavioral Activation, Suzanne E. Decker

Dissertations

Although many treatments for mental health disorders have been found to be effective in research, community clinicians may not receive training in such empirically supported treatments, and therefore, individuals suffering from disorders may not have access to empirically supported treatment in the community. This study examined the use of an interactive multi-media computerized therapy program, Building a Meaningful Life through Behavioral Activation, as a training tool for mental health clinicians (N=21) using a pre-post study design. Participating clinicians were invited to complete this computer program over the course of several weeks, and to complete knowledge quizzes and written responses …

Psychometric Properties Of Diagnostic Assessment Instrumentsfor Autism Spectrum Disorders In A Community Sample Aged 2 Through 17 Years, Sheryl Lozowski-Sullivan

Dissertations

Recent estimates of the incidence and prevalence of autism spectrum disorders (ASDs) indicate substantial increases over the past 20 years (Centers for Disease Control and Prevention, 2009; Fombonne, 2009; Matson & Kozlowski, 2011; Schreibman & Koegel, 2005; Wing & Porter, 2002), in part because of the availability of significantly improved diagnostic assessment instruments (Lord & Corsello, 2005; Schreibman, 2005). In highly structured research settings, some of these diagnostic instruments correlate well with each other; however, few studies have examined the relation between these diagnostic tools in traditional clinical practice (Mazefsky & Oswald, 2006; South et al, 2002). This study examined …

African American Experiences Of Race Relations In The Supervision Dyad, Brandi L. Pritchett-Johnson

Dissertations

Everything we do is embedded within multiple contexts of collective and individual historical events that culminate in present day encounters. As an increasing number of racial minorities have entered the ranks as mental health practitioners, the configuration of the treatment and the supervision dyad has changed (Owens-Patterson, 2002). The fundamental aim of this study explored, captured, and described the supervision experience from the nuanced perspective of African American supervisors. A qualitative approach was employed using in-depth interviews to capture the complexity of race relations within the supervision dyad through an African Centered framework, aiding in our understanding of supervised training …

Dosed Versus Prolonged Exposures: A Direct Comparison Of One-Session Treatments For Animal Phobias, Richard William Seim

Dissertations

It is widely accepted that for exposure-based therapies to be effective feareliciting stimuli must be presented continuously until there is a marked decrease in the client's anxiety (e.g., Eysenck, 1979; Foa & Kozak, 1986). However, an emerging body of research (cf. Seim, Waller, & Spates, 2010) suggests that a massed series of very brief exposures (< 150 sec) may be effective in the extinction of fear responses. The present study was designed to compare the efficacy and acceptability of two one-session treatments for animal phobias: one that utilized continuous, uninterrupted periods of exposure to a feared animal (Prolonged Exposures) and the other that utilized a massed series of brief (5-120 sec) exposure trials (Dosed Exposures). 24 adults (7 males, 17 females) between the ages of 18 and 57 years (M = 23.6) participated in this study. Each individual met DSM-IV criteria for a diagnosis of snake phobia or spider phobia. Participants were randomly assigned to one of two the two interventions. Both treatments required participants to gradually enter a room, approach, and eventually hold a live ball python or tarantula. Results from mixed model (between x within subjects) analyses of variance showed that the Dosed Exposure treatment performed equally well to Prolonged Exposures at decreasing behavioral avoidance, feelings of anxiety, perceptions of threat, and phobiaspecific cognitions from pre-treatment to post-treatment, and these gains were maintained at one-week follow-up. Although participants receiving Prolonged Exposures reported lower ratings of within-session anxiety, participants in the Dosed Exposure group had lower rates of treatment dropout, better compliance with procedures, and fewer safety-seeking behaviors during the treatment. These findings suggest that, contrary to popular belief, brief exposure trials can be effective in the extinction of phobic responses under certain conditions.

Soviet Holocaust Survivors: An Ethnographic Study, Marina Shafran

Dissertations

The purpose of the current study was to help understand the lives, worldview, and meaning making of Soviet Holocaust survivors currently residing in the United States. Ethnographic interviews were conducted to explore survivor's childhood, family life, religion, political views, work, and social life. These areas were examined during the following time periods: pre-WWII, during WWII, and post-WWII.

From the collected and analyzed data I was able to offer an insight into the experiences of five Soviet Holocaust survivors under the Soviet regime. I described the struggles that the survivors experienced during the Holocaust, the losses they had suffered, and the …

Effectiveness Of A Motivational Enhancement Group Treatment In A Community Treatment Program With A Substance Abusing Population, Matthew S. Willerick

Dissertations

Motivational interviewing (MI) is a directive, client-centered intervention to elicit behavior change by assisting clients in the exploration and resolution of ambivalence toward change. MI-inspired approaches have been used in an attempt to facilitate change in a wide variety of domains including alcohol and drug abuse, safe water handling practices, dual diagnoses, gambling, spousal abuse, health related areas, mood and anxiety disorders, and parental engagement. MI seeks to resolve ambivalence in the direction of change by increasing the client's self-efficacy. This is accomplished by combining clientcentered (e.g., reflective listening) and directive strategies (e.g., attending selectively to change statements). The origins …

A Psychometric Investigation Of The Young Adult Social Behavior Scale (Yasb), Michelle Rene Augustin

Dissertations

Aggressive behavior is a serious public health concern that has resulted in several problems in contemporary society. Despite a considerable body of literature on human aggression, both popular and scientific, a focus on overt physical aggression has obscured other forms of aggression. As a result, considerably less is known about other, more subtle forms of aggression, such as relational aggression. Moreover, research on relational aggression, particularly among older adolescents and adults, has been hindered by the lack of psychometrically sound measures. Research in this area would be enhanced by the availability of such a measure, facilitating comparison of data across …

Examining The Effectiveness And Efficiency Of Two Delivery Models To Teach Children Abduction Prevention Skills, Kimberly E. Seckinger-Bancroft

Dissertations

Nearly all children receive abduction prevention training. Most traditional education programs increase the learner's knowledge, but often fail to produce concomitant behavior change. Behavioral Skills Training (BST) is a multicomponent, behavior-based training strategy with empirical support demonstrating its effectiveness in teaching children safety skills, behavioral generalization and maintenance over time. BST, however, is restricted by financial, human and time costs and limited resources to implement the training protocol. These factors likely limit widespread adoption of the training model. This study examined the use of computer-based instruction that emphasized active responding and mastery level performance requirements to teach school-aged children abduction …

The Predictive Power Of Therapeutic Alliance On Treatment Retention, James B. Anderson

Dissertations

Therapeutic alliance has long been recognized as an important contributor to successful psychotherapy, and research has demonstrated that it has a moderate and reliable impact on treatment outcome across studies employing a variety of treatment strategies. The current study seeks to build on the alliance literature by examining the degree to which therapeutic alliance is predictive of treatment retention. Two trained raters assessed the alliance between therapists and their patients by watching and rating therapeutic alliance in videotaped psychotherapy sessions. They watched tapes of therapists using two different types of treatment: cognitive modification and supportive therapy. Alliance was assessed via …

Testing The Efficacy Of A Computerized Behavioral Activation Treatment Of Depressive Disorders, Alyssa H. Kalata

Dissertations

The present study sought to examine the feasibility and preliminary efficacy of a computerized behavioral activation treatment for depressive disorders (IMMBA), while also investigating potential mechanisms of action involved in the treatment of depression through the use of behavioral activation. Nine adults who met criteria for either Major Depressive Disorder or Dysthymic Disorder were recruited from Kalamazoo, Portage, and surrounding areas in Southwestern Michigan. All participants received ten sessions of IMM-BA treatment. Symptoms of depression and related information were assessed at pretreatment and one-week, onemonth, three-month, and six-month follow-up through the use of the Beck Depression Inventory - II (BDI-II), …

Towards A New Measure Of Playfulness: The Capacity To Fully And Freely Engage In Play, Rebecca Cornelli Sanderson

Dissertations

The current study involved the development and validation of a new measure of playfulness, the Project Joy Playfulness Scale (PJPS). The PJPS was designed specifically as a brief teacher-report measure for use in the preschool classroom. Playfulness was hypothesized to include four dimensions: Active Engagement, Internal Control, Joyfulness, and Social Connection. Blending academic knowledge with on-the-ground clinical experience, the measure was collaboratively developed and then tested in two separate phases of data collection.

In the first phase of the study, two hundred and twenty-two preschool students aged three to five were rated by two classroom teachers on the alpha version …

Trauma, Dissociation, And Traumatic Stress At A Trauma Center Serving Low-Income Children And Adolescents, Krista Kohl

Dissertations

Exposure to trauma continues to be a pervasive and detrimental experience in the lives of children and adolescents in impoverished, urban communities. This study explored the relationships among trauma, dissociation, and posttraumatic stress in a clinic-referred sample of children and adolescents living in urban poverty. Trauma was investigated broadly, including a range of traumatic experiences, with particular attention given to different types, chronicity, multiple exposures, and severity of trauma. Dissociation was investigated as a mediator, or mechanism of the relationships among trauma and posttraumatic stress symptoms, internalizing and externalizing behaviors. Moderators included gender, age, and adverse experiences. Results confirmed that …

Psychosocial Development, Well-Being, And Internalizing Symptoms During Emerging Adulthood: An Examination Of Mediating And Moderating Factors, Jennifer Paley Edidin

Dissertations

The current study was the second part of a longitudinal study, which sought to explore psychosocial development in an older population of emerging adults. Specifically, it examined cross-sectional and longitudinal relations between psychosocial development and internalizing symptoms, as well as between psychosocial development and well-being. Possible mediating and moderating factors were also considered. Two hundred and twelve eligible individuals from one private Midwestern University and one small private college on the East Coast, who completed measures as college seniors, were invited to participate in the second wave of the study, approximately 1½ years after graduation. Participants were asked to complete …

In Whose Best Interest? Using An Experimental Vignette To Assess Factors Influencing Placement Decisions In Child Welfare, Jeff Sieracki

Dissertations

Building on prior research that utilizes clinical vignettes to analyze child welfare placement decisions (Briar, 1963; Britner & Mossler, 2002; Donnelly, 1980; Drury-Hudson, 1999; Gold, et al., 2001; Taylor, 2006), the present study employs an experimental format to assess the relative importance that social workers place on variables related to placement decisions, and to study any differences regarding decision making that may emerge amongst the child welfare professionals themselves. The study consists of a single hypothetical vignette that will be sent to social workers in the state of Illinois. Prior to administration of the questionnaire, multiple experts in the field …

Neuropsychological Assessment Of Executive Functioning And Its Association With Depressive Symptomology, Erica Jean Kalkut

Dissertations

The current study explored the construct of executive functioning and neuropsychological measurement techniques used to assess executive functioning (EF). Two current comprehensive measures of executive functioning include the Behavior Rating Inventory of Executive Functioning-Adult Version (BRIEF-A) and the Delis-Kaplan Executive Functioning System (D-KEFS). The BRIEF-A is a self-report questionnaire that reportedly assesses behaviors associated with EF, and the D-KEFS is a battery of tests that are objectively administered by a trained examiner to directly measure different manifestations of EF ability. This study examined the relationship between gender and general intellectual ability on EF and investigated each measure's construct validity in …

A Molecular Analysis Of Training Multiple Versus Single Manipulations To Establish A Generalized Manipulative Imitation Repertoire, Breanne K. Hartley

Dissertations

This study evaluates the necessity of training multiple versus single manipulativeimitations per object in order to establish generalized manipulative-imitation. Training took place in Croyden Avenue School's Early Childhood Developmental Delay preschool classroom in Kalamazoo, MI. Two groups of 3 children each were trained to imitate in order to determine the most appropriate number of manipulations required (per object) to establish a generalized manipulative-imitation repertoire. Three children received single-manipulations training, and 3 children received multiple-manipulations training. It was anticipated that the multiple-manipulations training group would acquire a greater amount of generalized manipulative-imitation because the training required that the children discriminate between …

Validating The Attitudes Toward Sex Offenders Scale, Charmeka. Whitehead

Dissertations

This study investigated the reliability and validity of the Attitudes Toward Sex Offenders Scale (ATS) measurement by assessing attitudes of counselors in training towards juvenile sex offenders. The specific aims of this study were to determine (a) internal consistency of the ATS, (b) construct validity of the ATS based on exploratory factor analysis, and (c) the degree to which this instrument has convergent and discriminate validity. The intellectual merit of this study was to provide appropriate scale validation of the ATS so that it might be used to assess attitudes of mental health professionals who work with juvenile sex offenders. …

A Psychometric Evaluation Of The Revised Optimism-Pessimism Scale Of The Mmpi-2, Ginger Burge Debrule

Dissertations

The present study tested the psychometric properties of the Revised Optimism-Pessimism Scale (PSM-R) of the MMPI-2. This scale purportedly measures the respondent's explanatory style on a dimension of optimism and pessimism. Participants included 92 college undergraduates and 2,729 participants from archived outpatient data. The PSM-R is a reliable measure, based on test-retest reliability and internal consistency. However, the construct validity of the measure is questionable. Evaluation of the PSM-R items suggests that the items are not all related to the optimism-pessimism construct. In addition, convergent validity of the PSM-R was assessed using measures of attributional style, dispositional optimism, hope, depression, …

A Longitudinal Examination Of Outcomes Related To Emotional Abuse In Children, Lauren Seale Fryer

Dissertations

Emotional abuse has been linked to both intemalizing and extemalizing outcomes in adults and children, even after controlling for the presence of physical and/or sexual abuse in childhood (Braver, Bumberry, Green, & Rawson, 1992; Gibb et al., 2001; Kaufman & Cicchetti, 1989; Kim & Cicchetti, 2006). The developmental/organizational perspective, as well as attachment theory, suggests that emotional abuse occurring in childhood will result in disrupted views of subsequent relationships, leading to maladaptive outcomes such as aggression, depression, and low self-esteem (Cicchetti & Toth, 1995). The current study examined these relations in an archival sample of lowincome urban children ages 5 …

Attachment Anxiety And Avoidance: Relationship To Body Image And Exercise Behavior, Kathryn Louise Brown

Dissertations

This study was designed to investigate the role of attachment anxiety and avoidance in predicting persons' body image, body appreciation, and obligatory exercise behavior. Two hundred and twenty eight participants (100 men and 128 women) completed the Relationship Scales Questionnaire (RSQ; Griffin & Bartholomew, 1994), Multidimensional Body-Self Relations Questionnaire (MBSRQ; Cash, 2000), Body Appreciation Scale (BAS; Avalos et al., 2005), and Obligatory Exercise Questionnaire (OEQ; Pasman & Thompson, 1988). Results provided at least partial support for many of the hypotheses. The current study replicated results from previous research pertaining to the relationship between attachment and body image. However, the results …

The Effect Of Holland's Person-Environment Fit On Trait Anger, Interpersonal Conflict At Work, And Workplace Aggression, Aimee Chantelle Pseekos

Dissertations

This study examined the effect of Person-Environment fit, as defined by Holland's (1997) theory, on trait anger, interpersonal conflict at work, and workplace aggression in a sample of employees in the United States. Job satisfaction was also examined with regard to concurrent and discriminant validity information for this sample. Results indicated that there was not a statistically significant effect of Person- Environment fit on trait anger, interpersonal conflict at work, or workplace aggression. The concurrent and discriminant validity of findings was supported through relationships between job satisfaction, Person-Environment fit, and workplace aggression. Limitations and implications for further research related to …

Phenomenological Study Of Resilience In The Lives Of White, Midlife Lesbian Psychologists In Clinical Practice, Melissa A. Lidderdale

Dissertations

The unique experiences and adversities encountered by midlife lesbian therapists have not been directly investigated. How the midlife lesbian women in this study were influenced by their individual experiences and cultural changes, both in general society and within the mental health profession, are paramount to more fully understanding the adversities, support, and resilience that they experienced while becoming psychologists. Due to the scarcity of empirical literature pertaining to the therapist's experience of resilience and the paucity of empirical literature related to resilience in lesbians, phenomenological research methods were chosen for this study. The goal of this study was to provide …

Informed Consent As A Predictor Of Working Alliance And Perception Of Counselor/Psychotherapist, Scott E. Kerby

Dissertations

Client informed consent is an important component and ethical dimension of counseling and psychotherapy required by each of the mental health professions. The purpose of this study was to examine the extent to which informed consent in counseling/psychotherapy may relate to client perceptions of the working alliance, measured by the Working Alliance Inventory - Short Version (WAI-S) (Tracey and Kokotovic, 1989), and clients' general opinion of the counselor/psychotherapist, measured by the short form of Counselor Rating Form (CRF-S) (Corrigan and Schmidt, 1983). In particular, the study investigated: (1) how discussion and understanding of informed consent related to client perceptions of …