Clinical Psychology Commons^™

Belonging In The Psychic Nowhere: Racial Trauma, Racial Melancholia And Related Mental Health Outcomes Amongst South Asian Immigrants In The Us, Anusha M. Kumar

Dissertations and Theses

South Asian immigrants have experienced a nuanced immigration history in the US while straddling the Black-White racial binary. Despite their growing presence, research on South Asian mental health is relatively limited and often subsumed under the broader category of "Asian Americans," which obscures unique experiences due to the model minority myth and leads to a paucity of targeted studies, particularly in the U.S. Mental health outcomes, specifically depression, self-harm and disordered eating behaviors are prevalent within this community, and are exacerbated after large-scale sociopolitical events due to increased discrimination. Limited studies examine the intersection of racism and mental health outcomes …

A Qualitative Exploration Of Psychodynamic Therapist's Experiences When Working With Parents In Child And Adolescent Psychotherapy, Marie-Clair Siegman

Dissertations and Theses

A Qualitative Exploration of Psychodynamic Therapist's Experiences of Working with Parents in Child and Adolescent Psychotherapy.

By

Clair Siegman, MA

Advisor: Steve Tuber, PhD

The aim of this study was to identify how therapists incorporate parent-work into their practices and explore the experiences related to this. The literature on engaging parents during child treatment suggests that it is a central to improving outcomes. Research about the treatment alliance that develops between the therapist and parent is limited, especially when considering the therapist perspective. Literature within the psychodynamic and psychoanalytic fields, suggests therapists have a hesitance to working with parents either …

Mentalized Affectivity And Its Role In Acculturative Adjustment And Well-Being, Bassem Barada

Dissertations and Theses

Immigration is a phenomenon that occurs on a global scale and continues to grow in prevalence to our present day. Therefore, acculturation remains an essential area of interest for the mental health field. Specifically, assessment of identification with either one’s ethnic culture or the dominant culture remains a robust way to capture acculturative adjustment (Chance, 2015). More recently, emotion regulation has emerged as an important construct in understanding wellbeing. Mentalized affectivity (MA) is an insight-based regulatory process that highlights the importance of understanding current emotional distress in the context of one’s past history (Jurist, 2005). The three dimensions of emotion …

Divorce As A Growth Process: Marital Separation And Separation-Individuation In Adulthood, Anna Egleson

Dissertations and Theses

Research has focused on the negative effects that divorce has on divorcees, on children of divorced parents, and on society. Research has also shown however that many individuals who go through a divorce emerge happier, more content and satisfied with their choice, even though the process was a painful one. Despite this evidence, there is a gap in the research looking at positive, and growth-related experiences of those who have recently gone through a divorce. Theoretical arguments and clinical observations provide a foundation to support the idea that there is a relationship between separation-individuation in adulthood and the internal shifts …

A Multidimensional Look Into Covid-19’S Reverberating Psychological Consequences, Talia Schulder

Dissertations and Theses

Introduction: The COVID-19 pandemic has exacerbated preexisting inequities in depression and anxiety symptoms, particularly for marginalized populations. Post-disaster mental health has often been investigated in both public health and clinical psychological literature, and the present dissertation integrates both disciplinary frameworks to understand the reverberating psychological consequences of the pandemic. Methods: Data were collected Winter 2022-2023, and the present analyses used descriptive statistics, correlations, and structural equation models to measure associations between variables of interest. Two separate SEMs were conducted with variables often used in public health literature. Specifically, these models assessed the indirect relationship between COVID-19-related financial and social stress …

Pain Anxiety And Pain Interference As Mediating Factors In The Relation Of Childhood Trauma And Fear Of Cancer Recurrence, Jennifer Kuo

Dissertations and Theses

Fear of cancer recurrence (FCR), which is broadly defined as “the fear that cancer could return or progress in the same place or in another part of the body” (Vickberg, 2003), is often identified as an unmet need among cancer survivors, with rates ranging from 20-79% (Simard et al., 2013). Pain, another symptom commonly endorsed in cancer survivorship, is positively associated with fear of cancer recurrence (Janz et al., 2011; van den Beuken-van Everdingen et al., 2008). The Cancer Threat Interpretation Model suggests that cognitive biases exist in interpreting threat appraisal and pain coping by increasing the saliency of pain …

Online Perceived Social Support And Its Association With Psychopathology In Rural And Urban Youth, Ellen Alexandra Knowles

Dissertations and Theses

Social support is a fundamental aspect of development throughout adolescence. It has been found to buffer against the negative impacts of stress and provide general benefits to one’s well-being. Youth today are exposed to a range of opportunities for socialization with peers, both in-person and online, including interacting with others through texting, social media, video games, and other digital means. These online interactions have begun to be investigated as accessible methods through which adolescents can connect with others and maintain healthy relationships. Furthermore, digital social networks may be most critical for youth from isolated communities, including those from rural areas. …

Childhood Maltreatment And Suicidal Ideation: The Role Of Insecure Attachment, Alexithymia, And Negative Urgency., Surabhi Swaminath

Dissertations and Theses

Suicide is a significant cause of preventable death, especially among young adults. Survivors of childhood maltreatment are at heightened risk of experiencing suicidal ideation and following through on suicide-related thoughts. Insecure attachment, alexithymia, and impulsivity (negative urgency) are known risk factors for suicidal ideation. However, the combined role of these variables in association with suicidal ideation is not fully understood. The current study tested the role of insecure attachment, alexithymia, and negative urgency in the relationship between child maltreatment and ideation via a path model in young adults between 18 and 29 (N = 441). We hypothesized that maltreatment would …

A Phenomenological Study: Examining Resilience In Native American Women Who Witnessed Domestic Violence In Childhood And Experienced Domestic Violence In Adulthood, Arial Swallow

Dissertations and Theses

Domestic violence has significant acute and long-lasting harmful effects on the well-being of women from all backgrounds with higher rates of psychological effects in ethnic minority populations. Native American women experience domestic violence at disproportionate rates and face unique barriers in overcoming challenges of healing from domestic violence. Even though the impact of domestic violence in children and adults is well-studied, research in rural and Native American populations is scarce. Women who have witnessed or experienced domestic violence in childhood have identified challenges and strengths and developed coping strategies to help them endure and adapt to surviving domestic violence in …

Culturally Responsive Mental Health: Providing For Midwestern Hispanic/Latinx Communities, Sara Leila Zare

Dissertations and Theses

Hispanic/Latinx communities face a troubling number of barriers in accessing mental health services. Many difficulties associated with access have been studied within urban communities across the southern and western regions of the United States. However, over the past two decades, the Midwest has become a geographical location where this ethnic group has and will continue to see exponential growth. Unfortunately, adequate mental health services for the growing population within this geographic region are scarce. Additionally, more rural areas of the Midwest are heavily impacted by a lack of adequate mental health care services. The barriers that exist to access mental …

Utilizing The Alternative Model Of Personality Disorders (Ampd) To Identify Sexual Aggression In Men, Ryan Van Fossen

Dissertations and Theses

The current study examined the validity of the Alternative Model of Personality Disorders (AMPD) in predicting sexually aggressive cognitions in men. Specifically, this study examined the role of maladaptive personality traits and personality functioning’s relationship with sexually aggressive beliefs in comparison to the Five-Factor Model (FFM). This study recruited 300 male participants, aged 18 and older, who identified as male for both sex and gender, and identified as heterosexual. Participants completed measures of personality functioning, several personality traits, views about sexual entitlement, gender roles, rape myths, and token resistance to sex. Multiple regression and semipartial correlation analyses were used to …

A Phenomenological Study: Examining Resilience In Native American Women Who Witnessed Domestic Violence In Childhood And Experienced Domestic Violence In Adulthood, Arial T Swallow

Dissertations and Theses

Domestic violence has significant acute and long-lasting harmful effects on the well-being of women from all backgrounds with higher rates of psychological effects in ethnic minority populations. Native American women experience domestic violence at disproportionate rates and face unique barriers in overcoming challenges of healing from domestic violence. Even though the impact of domestic violence in children and adults is well-studied, research in rural and Native American populations is scarce. Women who have witnessed or experienced domestic violence in childhood have identified challenges and strengths and developed coping strategies to help them endure and adapt to surviving domestic violence in …

Utilizing The Alternative Model Of Personality Disorders (Ampd) To Identify Sexual Aggression In Men, Ryan Patrick Van Fossen

Dissertations and Theses

The current study examined the validity of the Alternative Model of Personality Disorders (AMPD) in predicting sexually aggressive cognitions in men. Specifically, this study examined the role of maladaptive personality traits and personality functioning’s relationship with sexually aggressive beliefs in comparison to the Five-Factor Model (FFM). This study recruited 300 male participants, aged 18 and older, who identified as male for both sex and gender, and identified as heterosexual. Participants completed measures of personality functioning, several personality traits, views about sexual entitlement, gender roles, rape myths, and token resistance to sex. Multiple regression and semipartial correlation analyses were used to …

The Impact Of Perceived Social Support On Complex Posttraumatic Stress Disorder, Elizabeth Eng

Dissertations and Theses

Individuals who have experienced repeated and interpersonal trauma often develop symptoms of Posttraumatic Stress Disorder (PTSD), along with additional features relating to disturbances in self-organization (DSO), which is now known as Complex Posttraumatic Stress Disorder (CPTSD). CPTSD has been seen to be associated with adverse outcomes such as somatic symptoms, attachment insecurity, and overall lower life satisfaction (Karatzias et al., 2018; Kuhar & Zager Kocjan 2022; Maercker et al, 2022). Due to these additional features relating to DSO, CPTSD has been identified as distinct from PTSD, and so it has been important to investigate these unique symptoms. One such symptom …

Internalized Gender Role Stereotypes Within Young Women And The Presentation Of Somatic Symptomatology Of Major Depressive Disorder, Michelle Miselevich

Dissertations and Theses

Evidence suggests that two distinct disorders are currently being diagnosed as depression. One, somatic depression, involves depression plus several somatic symptoms while the other, pure depression, involves depression without as much somatic symptomatology. Somatic depression has been hypothesized to afflict women who view themselves non traditionally and thus do not agree with traditional stereotypes of women. Measures of agreement with negative stereotypes of members of their own group have been found in several groups to be positively related to depression. This may apply among women to pure depression. Thus, women who exhibit pure depression are hypothesized to exhibit agreement with …

Immigrant Therapists’ Perceptions Of Transference, Countertransference, And Racial Experiences In The United States, Lian Malki-Schubert

Dissertations and Theses

There has been a steady increase in the percentage of immigrant therapists in the US. In psychology doctoral programs, the number of foreign-born students has doubled between 1997 and 2016. The present study aimed to examine the perceived impact of therapists’ immigrant identity when working with US-born and foreign-born clients, as little research has been dedicated to this topic. Another central theme this study sought to explore was immigrant therapists’ perspective shifts on racial identity upon arriving in the US. Given that race is a social construct that is culturally bound, the study investigated immigrant therapists’ perceptions of racial identity …

Compassion-Based Resilience Training (Cbrt) For Frontline Healthcare Workers In Contact With Covid-19 Patients, Michael Perez Sosa

Dissertations and Theses

Objectives: The COVID-19 pandemic has had deleterious consequences for the mental health of frontline healthcare workers worldwide. One systemic review of the literature found high prevalence rates of anxiety (67.55%), depression (58.89%), and stress (62.99%) reported by this population (Vizheh et al., 2020). Additionally, high rates of burnout and symptoms associated with trauma have also been ubiquitous during the pandemic for frontline healthcare workers. The purpose of this study is to investigate Compassion-Based Resilience Training (CBRT) as a remotely delivered intervention for frontline healthcare workers in contact with COVID-19 patients to reduce symptoms associated with stress, depression, anxiety, burnout, and …

The Moderating Roles Of Racial Discrimination And Covid-19 Stress On The Association Between College Students’ Cannabis Use And Psychosocial Functioning, Shannique Richards

Dissertations and Theses

Abstract

The Moderating Roles of Racial Discrimination and COVID-19 Stress on the Association between College Students’ Cannabis Use and Psychosocial Functioning

By

Shannique Richards, MA

Advisor: Sarah O’Neill, PhD

Greater use of cannabis is linked to poorer psychosocial outcomes. Rates of cannabis use are particularly high in racial/ethnic minoritized (REM) and socioeconomically disadvantaged college students. Cannabis use has been correlated with exposure to trauma. REM and socioeconomically disadvantaged college students report higher rates of trauma exposure, including discrimination and health and social disparities than their White peers. This study examined exposure to two types of potentially traumatic events (racial discrimination …

An Exploration Of The Relation Between Psychological Functioning And Reactions To Global Climate Change For Late Adolescents In New York City, Emma Routhier

Dissertations and Theses

Climate change poses a potentially unique generational crisis, as it threatens the viability of the very world that the current adolescent generation stands to inherit. While some studies have begun to appreciate the specific experience of adolescents as it pertains to climate change, they attend to young people’s behavior or self-reported feelings. The present study aims to employ psychoanalytic constructs, with attention to the unconscious determinants of psychic life and behavior, in an empirical examination of this topic, and to introduce a level of sensitivity to the vicissitudes of the adolescent period that have not previously been addressed in the …

Early Adversity, Emotion Regulation, Object Relational Functioning, And The Moderating Effect Of Gender Identity: A Community Sample Study, Victoria Schilder

Dissertations and Theses

Introduction: Clinical and social psychological literature have long demonstrated group status, culture, and social support as equally integral and influential factors which contribute directly both to the quality of one’s lived experience, and to the development and experience of one’s sense of identity or selfness. For example, acceptable norms regarding behavior, dress, and emotional experience – particularly when an individual does not live up to societal standards – have been demonstrated to contribute to deleterious internalizations surrounding self-confidence, self-worth, and self-esteem. More specifically, the social and cultural implications of being identified as “female” versus “male” have been found to be …

Immigrant Risk, Self-Discontinuity, And The Role Of Nostalgia, Leila Talhouk

Dissertations and Theses

Background: There are conflicting theories and data about immigrants’ health in the host country (e.g., immigrant risk vs. paradox), which have encouraged researchers to examine more nuanced factors related to immigration to clarify these inconsistencies. This two-part study aimed to shed light on these discrepancies by investigating psychoanalytic concepts that have not yet been empirically tested. The study focuses on immigrant self-discontinuity, a migration- induced disruption in one’s sense of self-sameness and unconscious sense of going-on-being, manifesting in moments of disorientation, disorganization, or dissociative-like experiences. There is no adequate instrument to measure this construct; as such, Part 1 of the …

Interventions That Move: Characterizing The Language Of Therapist Responses To High Patient Arousal, Karen Tocatly

Dissertations and Theses

The Referential Process (RP) is defined as a set of functions (Arousal, Symbolizing, and Reflecting/Reorganizing) that describe the rendering of subsymbolic experience into verbal, symbolized form (Bucci, 2021). Movement through the RP — beginning with the subsymbolically-dominated Arousal function — has been tied to multiple theoretical and clinical understandings of therapeutic progress and personality change (Bucci, 2013; Mariani et al., 2013). The present exploratory study seeks to identify whether certain therapist language features are linked to the facilitation of patients’ movement from Arousal to Symbolizing. Using treatment transcripts from the RP Group Data Base, cases of high patient Arousal were …

Risk Factors For Traumatic Bonding And Associations With Ptsd Symptoms, Emma Virginia Shaughnessy

Dissertations and Theses

What could lead individuals to become attached to people who cause them harm? Traumatic bonding, a construct similar to, yet distinct from, Stockholm syndrome, offers one possible psychological explanation as to why many people with abusive romantic partners do not break off these relationships. But the question remains: when comparing individuals with abusive romantic partners, what individual-level factors make some of these people more likely than others to develop traumatic bonding toward their current partners? A path model tested the associations among childhood maltreatment, attachment insecurity, traumatic bonding, and PTSD symptoms in a sample of 354 participants in abusive relationships. …

A Job-Demand Resource Theory And Psychological Flexibility Integrated Model Of Police Officer Burnout, Lucas David Baker

Dissertations and Theses

Police officers encounter stressors as a result of job responsibilities that contribute to high rates of occupational burnout. Defined by three primary components (emotional exhaustion, depersonalization, and professional inefficacy), burnout is associated with health- and work-related problems among officers. In addition, police agencies incur significant costs associated with burnout due to performance decline and turnover. Officer burnout is also a matter of public interest given that burnout is associated with low prosocial behavior and high use of force. As such, research that aims to explore the formation and maintenance of officer burnout may be consequential for the profession and society …

Psychological Functioning And Community Support In Adolescents Exposed To A School Shooting, Jessica Taylor Kelly

Dissertations and Theses

This study evaluated the impact of community support, specifically the impact of a trauma-related community-led campaign, on high school youth following a school shooting. Adolescents are at risk for the adverse impacts of trauma exposure (Katsiyannis et al., 2018; Rajan et al., 2019; Heleniak et al., 2016; McDermott & Cobham, 2012; McLean et al., 2013; Schonfeld & Demaria, 2020). However, social support from one’s community has been found to protect against the psychological and functional consequences of exposure to trauma (Bal et al., 2003; Cheng et al., 2014; Derivois et al., 2014. The purpose of this study was to assess …

A Narrative Study Describing The Transition From Residential Treatment As A Child: An Adult Perspective, Alison Marie Vogelsang

Dissertations and Theses

To date, the literature sorely lacks empirical research exploring treatment outcomes among children in residential treatment centers (RTCs). Consequentially, there is an increasing demand for more studies examining such outcomes, particularly as they pertain to an individual’s experience leaving an RTC. There is even less research exploring the perspectives of individuals who resided in an RTC as a child due to the vulnerable nature of this population and difficulty in accessibility. The transitional period is believed to be a salient component impacting treatment outcomes, yet little is known about how this component of residential treatment is experienced and whether it …

Understanding How Different Personality Models Can Predict Non-Suicidal Self-Injurious Behaviors, Rachel Chavin

Dissertations and Theses

The current study seeks to examine the role of maladaptive personality traits and personality functioning’s relationship with non-suicidal self-injury (NSSI) engagement and suicidal behavior. Specifically, this study examined the validity of the Alternative Model of Personality Disorders (AMPD) in predicting historical and prospective self-harm behavior in comparison to the Five Factor Model. This study recruited 400 female participants, ages 18-24, who completed a battery of measures about personality functioning, traits, self-harm, and suicidal history. Two weeks after the initial assessment, participants completed a follow-up survey to assess their NSSI behavior over the past two weeks. Through point-biserial correlations, this study …

Externalizing Psychopathology In Individuals Who Have Criminally Offended: Factor Structure And Differential Outcome Associations, Robert Doss

Dissertations and Theses

In light of recent grievances with categorical conceptualizations of psychopathology, researchers recommend shifting away from categorical toward dimensional conceptualizations. However, research on dimensional conceptualizations and existing measurement tools’ ability to capture these dimensions is still in its early stages. Specifically, special attention has been paid to the externalizing dimension’s structure as a general dimension or two specific dimensions with shared characteristics (i.e., disinhibited externalizing and antagonistic externalizing). The current study aims to validate the PAI’s dimensional structure, focusing on the externalizing dimensions as depicted by the Hierarchical Taxonomy of Psychopathology (HiTOP) model, an emerging dimensional model of psychopathology. Participants were …

A Model Of Childhood Maltreatment, Ptsd Symptoms, Reinforcement Sensitivity, And Alcohol Outcomes In Young Adults, Logan E. Welker

Dissertations and Theses

Alcohol use poses a significant public health concern, particularly among young adults, 35% of whom report binge drinking (SAMHSA, 2019). Childhood maltreatment is reported by over 50% of young adults (Maples et al., 2014) which places individuals at a greater risk of problematic drinking (Goldstein et al., 2010). Developmental traumatology theory posits that 1) maltreatment-related psychobiological changes are responsible for the increased risk of dysfunctional alcohol use in maltreated individuals and 2) PTSD may be a good indicator of this psychobiological change (De Bellis, 2002). PTSD symptoms have mediated the relationship between childhood maltreatment and alcohol outcomes in previous studies …

Experiences Of Cultural Disconnectedness Among Bosnian American Diaspora: A Phenomenological Perspective, Azra Osmancevic

Dissertations and Theses

ABSTRACT Diaspora, including immigrants and refugees, undergo various experiences in their new host countries related to cultural identity formation. One of the factors related to cultural identity development within the United States is feeling caught in between two identities, resulting in never truly feeling “here or there” (Suárez-Orozco & Suárez-Orozco, 2001). Experiences of cultural disconnectedness have been highlighted among the Bosnian American diaspora in numerous studies over the last two decades. Previous studies briefly described the challenges associated with diaspora balancing their native Bosnian cultures and host American cultures. The current study focused on the gap in the literature by …