Clinical Psychology Commons^™

The Comparative Efficacy Of Dosed, Enhanced Dosed, Prolonged Exposure, And Mindfulness In The Reduction Of Anxiety, Sophie Rubin

Dissertations

Exposure-based treatments have proven effective in treating a range of fears and phobias and can be accounted for by mechanisms described in behavioral theory. Enhanced dosed and dosed-only exposure are promising new behavioral approaches for treating fears and phobias. Fifty participants with speech anxiety were randomly assigned to a prolonged exposure condition (PE), a dosed-only exposure condition (DE), a positively enhanced dosed exposure condition (PDE), a negatively-supplemented dosed exposure condition (NDE), or a mindfulness enhanced dosed exposure condition (MDE). End of session results for all of the enhanced groups resulted in significantly lower subjective ratings of discomfort than the non-enhanced …

Acceptability Of Interventions To Staff In Long-Term Care Settings For Older Adults: Comparing Ratings And Hierarchical Selection, Jonathan C. Baker

Dissertations

Older adults and their caregivers generally prefer behavioral interventions over medications in treatment acceptability studies (Osterkamp, Mathews, Burgio, & Hardin, 1997). However, previous acceptability studies have primarily examined ratings, which did not force the responder to select between treatment options. Additionally, recent advances in behavioral treatment technologies (Carr & LeBlanc, 2003) and pharmacotherapy (Schneider, 1999) warrant revisiting treatment acceptability for older adults. The present investigation examined treatment acceptability of behavioral, pharmacological, and sensory interventions using a treatment acceptability rating scale, treatment selections, and direct report of treatments used in a six-month window. Fifty-six staff from nursing homes in the Mid-West …

Investigating The Effects Of Observer Presence And Feedback On Individuals' Work-Related Behavior, Angela R. Lebbon

Dissertations

Direct observation procedures have been widely used by applied behavior analysts to examine the effects of various interventions, however, recent research examining the effects of the observer's presence on behavior has found that participants behave in ways that are not representative of their behavior in the absence of an observer. Furthermore, recent research has demonstrated that both reactivity and habituation are idiosyncratic and it remains unclear which variables mediate reactive effects with individuals. Researchers have discussed the necessity of identifying and measuring reactive effects in order to discover variables (e.g., discriminative stimulus properties) that may mediate reactive effects. Previous research …

Training The Execution Of Single-Case Research Methodology Skills In An Early And Intensive Behavioral Intervention Setting, Jessa R. Love

Dissertations

Early and intensive behavioral intervention (EIBI) for children with autism is a fruitful area for conducting research on clinically relevant problems in an attempt to investigate some of the unanswered questions about which procedures are most effective and efficient. Unfortunately, it is unlikely that therapists providing these services have received adequate training in conducting relevant single-case design research in this area. Providing such therapists with the skills needed to implement single-case design research protocols could improve the use of the scientist-practitioner model in these settings and greatly expand the base of scientific knowledge in the area.

Behavioral Skills Training (BST; …

Gender Differences In Antecedents To Academic And Personal Well-Being In Urban Youth: What Is The Role Of Social Support?, Erin Caskey

Dissertations

Urban youth are an important, yet understudied population. Moreover, the vast majority of existing research has focused on negative outcomes. Recently, there has been a trend in the field of adolescent research toward creating models that attempt to understand and explain why some members of at-risk populations are able to overcome adversities and to achieve successful adaptation. The present study investigated the relationships between perceived social support, gender, academic outcomes, and personal well-being in urban youth. Overall, perceived social support was found to be related to many outcome variables for males and females. Gender differences were found in the relationships …

The Relations Among Parental Monitoring And Warmth, And Adolescent Externalizing And Internalizing Distress: The Effects Of Parent And Adolescent Perception Of Neighborhood Danger, Jonathan Goldner

Dissertations

Parental monitoring and warmth have traditionally been studied in the context of white, middle-class families. This paper adds to recent research that has begun to explore what levels of these parenting behaviors are optimal for the prevention of adolescent psychopathology in impoverished, urban high crime areas. It also takes into account parent and child perceptions of neighborhood danger. This study employs a longitudinal design, with data collected at two times points one year apart, among a sample of 240 African American young adolescents and their parents in urban, high crime neighborhoods. It aims to study parental monitoring, parental warmth, parent …

Increasing Narrative Coherence In The Bereaved: The Effect Of Narrative Review On Grief Reaction, Stefanie Suzon Boswell

Dissertations

In order to investigate the utility of an experimental expressive writing intervention designed to increase narrative coherence (write about loss combined with review of previous narratives) as a potential bereavement intervention, it was compared to a standard expressive writing intervention (write about loss with no opportunity for review), and two trivial writing conditions (one with and one without opportunity for review). Although all writing groups experienced beneficial effects across time, participants in the experimental and standard conditions reported significantly greater personal growth as a function of time when compared to control participants.

The Effect Of Writing As Exposure Therapy On Ptsd Symptoms, Daniel Scott Debrule

Dissertations

The majority of empirically supported treatments for Posttraumatic Stress Disorder involve some form of exposure, which desensitizes an individual to traumarelated information. Theoretical work has suggested that the mechanism of exposure may explain the tendency for writing to lessen symptoms, and empirical evidence of writing and PTSD symptoms suggests that modifying the writing paradigm may result in better symptom relief. The present investigation aimed to compare the efficacy of an exposurebased writing intervention to the standard writing paradigm. A total of 68 undergraduates that were screened for PTSD symptoms were randomly assigned to write about their most severe trauma for …

Combined Cognitive Behavioral Treatment Plus Caregiver Sessions For Childhood Depression, Dikla Eckshtain

Dissertations

Childhood depression is intimately related to the family context and caregiver-child relations, but only a limited number of treatment outcome studies for depressed youth have formally included members of the family in the intervention. To address this discrepancy the present study evaluated the efficacy of adding caregiver sessions to individual cognitive behavioral therapy (CBT) for the treatment of depressed youth. The treatment included 16 individual sessions and 7 caregiver sessions administered in the child's school to promote accessibility. Fifteen children (10 females and 5 males ranging in age from 8-13), who met inclusion criteria based on self-report and interview measures …

Emotion Recognition And The Propensity To Engage In Sexually Coercive Behaviors: A Study With College Males, Beth J. Dietzel

Dissertations

Several variables have been investigated over the past years as risk factors for sexual aggression. Among them, substance use/abuse, family environment, attitudes towards women, and lack of empathy. Although researchers have identified several risk factors, predicting aggressive behaviors continues to be a difficult task. One variable that has received less attention in the literature is men's emotion recognition skills. Do men's emotion recognition skills affect their propensity to aggress?

The purpose of this study was to investigate emotion recognition skills/deficits and how such skills predict propensity to engage in sexually coercive behavior. There were two main goals of this study. …

Using Virtual Reality Enhanced Behavioral Skills Training To Teach Street-Crossing Skills To Children And Adolescents With Autism Spectrum Disorders, Tina R. Goldsmith

Dissertations

Children with Autism Spectrum Disorders (ASDs) often have poor safety skills due to their insensitivity to subtle environmental cues and poor problem solving in the face of stressful tasks. These skill deficits threaten their physical well-being and limit their personal independence. An effective intervention model for teaching safety skills is behavioral skills training (BST). The effects of this 4-part intervention, which includes Instructions, Modeling, Rehearsal, and Feedback, improve with the addition of in situ training. However, creating realistic, safe, and logistically feasible contexts for rehearsal of skills may prove difficult, if not impossible. Virtual reality (VR) may present a solution. …

A Comparison Of Maintenance-Training Methods For Children Diagnosed With Autism, Nicholas L. Weatherly

Dissertations

The current study evaluated the effects of two different maintenance-training methods and one control condition on skill maintenance within a public-school classroom for children diagnosed with autism. The two training methods involved the use of either a continuous-reinforcement schedule or a thinned partial-reinforcement schedule during 20 overlearning training sessions following skill acquisition. The control condition did not involve any overlearning following skill acquisition. Three children were each taught two curricular programs, with each program involving the two training methods and the control condition using a multielement design. Overlearning using a thinned partial-reinforcement schedule reliably produced greater maintenance across all participants, …

Mindfulness In Childbirth: An Investigation Of The Effects Of Mindfulness Training On Maternal Satisfaction With Childbirth And Obstetric Outcomes, Brenda L. Bratton

Dissertations

This study investigated the effects of mindfulness training on obstetric outcomes and maternal satisfaction with childbirth. We were interested in whether mindfulness training was more effective than a control group receiving psychoeducation on stress reduction. The goal of the intervention group was to increase participants' moment-to-moment awareness of thoughts, feelings, and body sensations during childbirth so that they would respond to these experiences rather than react to them in an automatic manner. These strategies were hypothesized to help a laboring woman minimize fear or anxiety associated with pain and complications and be more adaptive to whatever circumstances arose. Repeated measures …

Disruptive Effects Of Aβ Oligomers To The Radial-Arm Maze Performance Of Rats, Kineta Lynn Morgan-Paisley

Dissertations

Converging lines of research have implicated a causal relationship between oligomers of amyloid-β and the cognitive impairments associated with Alzheimer's disease (AD); however, very few studies have provided direct experimental evidence of this relationship and none of those studies have used an established model of working memory. The present study used an established model of working memory, the radial-arm maze, to examine the effects of amyloid-β oligomers on the memory of two groups of rats. The experimental group received ICV injections of the culture media (CM) of Chinese Hamster Ovary (CHO) cells transfected with a human mutation of APP containing …

Treatment Of Co-Morbid Methamphetamine Substance Abuse And Borderline Personality Disorder Features Using Modified Dialectical Behavior Therapy, Jessica R. Schultz Fischer

Dissertations

The study investigated the effectiveness of a time-limited, skills-based treatment in a population of female substance abusers. This project implemented a pilot clinical trial to evaluate the effectiveness of a 12-session modified Dialectical Behavior Therapy (DBT) protocol among a small sample of women, with co-morbid borderline personality disorder features, receiving concurrent outpatient treatment for methamphetamine abuse. A non-concurrent multiple baseline design was used. In addition to on-going assessment conducted during baseline and weekly over the course of treatment, a comprehensive assessment battery was administered pre-, and post-treatment as well as at 1 and 3 months following treatment. Findings suggest that …

Therapists' Handling Of Secrets Between Partners In Couple Therapy, Michael Alan Jansen

Dissertations

This study examines couple therapists' policies, procedures, and perspectives regarding secrets between partners in couple therapy. Handling secrets appropriately is necessary to avoid legal, ethical and therapeutic problems, especially when the secret involves contentious or potentially dangerous material such as infidelity, divorce, paternity, and HIV/AIDS infection. One hundred sixty randomly selected Clinical Members of the AAMFT participated in a 38-question researcher-generated mail survey. Data provided descriptive statistics and allowed for between-groups comparisons to explore for differences between therapists with regard to experience and several specific practices related to handling secrets. The study also examined whether courses in HIV/AIDS confidentiality law …

A Study Of Intake And Assessment In Solution-Focused Brief Therapy, Christopher J. Richmond

Dissertations

The purpose of this study was to compare clients' assessment of two different counseling intake procedures used by clinicians. This study compared a Solution-Focused Brief Therapy (SFBT) intake intervention with an intake intervention constructed from the Structured Clinical Interview for the DSM-IV Axis I Disorders (SCID-I). The SCID-I is one of the most widely used diagnostic interviews and reflects a "gold standard" in formulating accurate diagnoses. The SFBTintake intervention developed for this study stands in stark contrast to the SCID-I and its primary objective, evaluation of the problem. SFBT is a strength-based model that maintains a positive and future-oriented focus. …

A Qualitative Exploration Of First-Generation Asian Indian Women In Cross-Cultural Marriages, Monica Thiagarajan

Dissertations

The literature on Asian Indian women has not adequately addressed the experiences that first generation Asian Indian women face while going through the process of making the decision to marry cross-culturally. The purpose of this exploratory study was to identify, describe, and understand the struggles, challenges, and conflict experienced by Asian Indian women who decide to marry cross-culturally and to understand the consequences of the decision on the lives of these women and their interpersonal relationships.

Initial and follow-up phone interviews were conducted with eight Asian Indian women who had experienced cultural and familial challenges regarding their decision to marry …

Evaluating The Immediate Impact And Short-Term Therapeutic Effects Of The “Internalized-Other” Interviewing With Couples, Shai M. Brosh

Dissertations

The present study examined empirically the immediate and short-term therapeutic effects of the internalized-other interview (Tomm, 1996) with couples during a single session and compared it with the standard method of interviewing couples (i.e., treatment as usual). Thirty-two married couples (N = 64 participants) were randomly assigned into one of two conditions (internalized-other versus standard interviewing). Couples attended an initial interview session and two follow-ups (one and four-weeks respectively). Self-reported measures of session impact were taken immediately after the session, while self-reported measures of marital satisfaction, intimacy, closeness and empathy were taken at baseline (before the session) and during …

Behavioral Tolerance Under Variable Ratio Schedules Of Reinforcement, Barry Eshkol Adelman

Dissertations

Previous studies (e.g., Hoffman, Branch, & Sizemore, 1987) have demonstrated that greater drug tolerance develops in responding under fixed-ratio (FR) schedules of reinforcement when the schedule parameter is small than when it is large; little research has been done on related schedules such as variable-ratio (VR). In Experiment 1, three pigeons responded under a multiple FR 5 FR 125 VR 5 VR 125. A range of prechronic doses of cocaine produced dose-dependent reductions in response rates under the component schedules. Following chronic dosing with daily administrations of 5.6 mg/kg, similar dose-response curves were derived by substitutions of the usual dose. …

The Role Of Automatic Reinforcement In Early Speech Acquisition, Barbara E. Esch

Dissertations

No abstract provided.

Predicting Repeated Sexual Behavior Problems Among Youth: A Hierarchically Optimal Classification Tree Analysis, David J. Morgan

Dissertations

This study examined characteristics of youth with sexual behavior problems (N = 251) followed over approximately two years and applied Classification Tree Analysis (CTA) via Optimal Data Analysis (ODA) to produce a hierarchically optimal classification model to predict recurrence of SBP over time. This study was designed to address problems with clinical judgment leading to inaccurate diagnosis and in some cases, incorrect treatment or placement of the youth by ascertaining if an actuarial model designed to optimize classification accuracy might be more helpful in directing diagnosis and treatment for these youth. Results suggest initial event severity influences the potential for …

Examination Of The Impact Of Age, Family Conflict, And Perceived Parental Involvement On Treatment Adherence For Children And Adolescents With Cystic Fibrosis And Diabetes, Blake M. Lancaster

Dissertations

The success of medical interventions for patients with diseases that require consistent adherence to a medical regimen is largely contingent upon the patient’s ability to consistently follow medical recommendations. Medical regimen adherence significantly influences the patient’s health and impacts the health care providers’ ability to treat any disease or medical problem. Adherence levels are particularly low in the pediatric population among young patients with diabetes and cystic fibrosis. Researchers and clinicians hypothesize that levels of adherence are particularly low during adolescence (ages 11-15) because this may be the period in which primary responsibility for daily adherence is transferred from the …

A Delphi Survey Of Experts’ Opinions Regarding Prevention Of Impairment In Professional Psychology Training, Kin-Ming Chan

Dissertations

This study sought to identify the most important measures that may be implemented in professional psychology training to prevent the future impairment of professionals. An adjunctive research question of this study addressed how these important measures can be successfully implemented. A 2-round Delphi method was conducted. Twenty-eight experts in impairment prevention participated in the first round study, and 20 of them continued to participate in the second round. In the first round, the experts rated the importance of an original list of 38 preventive measures, suggested additional important preventive measures, and provided considerations for successful implementation of their most important …

An Evaluation Of Intraverbal Training And Listener Training For Teaching Categorization Skills, Anna Ingeborg Petursdottir

Dissertations

Behavioral language interventions, such as those employed in early and intensive behavioral intervention (EIBI) programs, target both expressive and receptive language skills. Skinner's (1957) analysis of verbal behavior provides a framework for analyzing expressive and receptive language in terms of stimulus control and reinforcement history. From this perspective, different expressive language programs target different verbal operants, such as tacts, intraverbals, and echoics , whereas most receptive language programs target a type of listener behavior that may be referred to as manded stimulus selection (Michael, 1995). Although EIBI curricula (e.g., Maurice, Green, & Luce, 1996; Leaf & McEachin, 1999) have frequently …

Effects Of Anxiety Induction On Facial Recognition Skills Within A Sample Of Adult Victims Of Childhood Abuse, Kathryn M. Bell

Dissertations

Although it is well established that interpersonal victimization can lead to affect regulation problems, less is known about the extent to which childhood victimization impairs facial recognition skills. Most studies exploring this relationship have focused on emotion recognition (ER) in physically abused and neglected children. The degree to which these ER problems apply to sexual victimization and extend into adulthood is yet unknown. The current study examined the impact of physical and sexual childhood abuse on adult ER skills under a heightened arousal condition in 104 women with varying childhood victimization experiences. The relationship between childhood victimization and ER skills …

Effects Of Single Versus Multiple Verbal Operant Arrangements On The Acquisition Of Mands And Tacts In Preschool Children, Tina M. Sidener

Dissertations

Verbal Behavior programs for children diagnosed with autism typically teach novel language in the context of multiple verbal operant arrangements. Commonly called "mixed verbal behavior", this involves the interspersal of various exemplars across verbal operant categories. Despite the current recommended use of this teaching procedure, only 2 studies to date have empirically evaluated its effectiveness (i.e., Arntzen & Almas, 2001; Carroll & Hesse, 1987). In both of these studies, mixed mand-tact training resulted in faster mean acquisition of tacts than tact-only training. In Experiment 1 of the current investigation, a systematic replication of previous studies was conducted with 3 typically-developing …

Assessing The Validity And Reliability Of The Spanish Translation Of Two Help-Seeking Instruments, Salvador Lopez-Arias

Dissertations

The purpose of this dissertation was twofold: (1) to translate two help-seeking scales (Attitudes Toward Seeking Professional Psychological Help Scale (ATSPHHS) and Attitudes Toward Seeking Professional Psychological Help Short Scale (ATSPPHS-S) into Spanish (S-ATSPPHS, S-ATSPPHS-S); and, (2) to examine indices of reliability and relationships to external correlates of the Spanish translations (acculturation, education, geographic background, socioeconomic status (SES), previous help-seeking, and, gender) to see whether the translated instruments measured the same help-seeking construct asthe English versions of the instruments.

In general, hypotheses on education, SES, and gender were not supported; hypotheses on acculturation and geographic background, while statistically significant, contradicted …

Sexual Victimization: An Examination Of Variables Predicting Psychological Adjustment, Janine M. Schroeder

Dissertations

A survey was conducted with a community sample of 208 women. Participants completed a battery of self-report measures that assessed childhood sexual abuse (CSA), adult sexual victimization (ASV), characteristics of the abuse, coping methods, PTSD symptomatology, and psychological distress. One-way analysis of variance (ANOVA) procedures revealed that victims were significantly more distressed than nonvictims; revictimized women and multiple victims were significantly more distressed than nonvictims; revictimized women were significantly more distressed than single victims; differences between multiple and single victims and single victims and nonvictims were not significant. Multivariate analysis of variance (MANOVA) analyses indicated victims reported significantly more frequent …

Analysis Of Group Differences And Predictors Of Hooper Visual Organization Test Scores, Michael R. Devries

Dissertations

The Hooper Visual Organization Test (VOT) is described in the manual as a screening instrument that measures the ability to organize visual stimuli (Hooper, 1983). The VOT is identified as being particularly sensitive to neurological impairment. Studies to determine the criterion and construct validity of the VOT have examined its usefulness in distinguishing between individuals with neurological impairment from those with other disorders. Few studies have included samples from normal, psychiatrically impaired, and neurologically impaired populations in determining the VOT's usefulness in identifying neurologically impaired individuals. Furthermore, as neuropsychology has moved away from the understanding of neurological impairment as a …