Clinical Psychology Commons^™

The Grindr Complex: The Behavioral Health Impact Of Sexual Racism On Latinx Men Who Have Sex With Men, Luisalfredo Plascencia

Doctoral Dissertations

Given the social history surrounding the issue of HIV/AIDS in the LGBTQ+ community and the unique and intersectional experiences that Latinx Men who have Sex Men (MSM) have in their community, this dissertation’s research will contribute to the growing work on sexual racism and how it correlates with various elements of behavioral health. The study investigated the moderation impact of Latinx cultural values of caballerismo and familismo on the relationship between experiences sexual racism to mental health symptoms. The study also examined the moderation of caballerismo and familismo and psychological flexibility on the relationship between experiences of sexual racism to …

Understanding Filipino Wellness: Investigating The Effects Of Colonial Mentality And Enculturation, Juliene Grace P. Fresnedi

Doctoral Dissertations

Filipino Americans are the third largest Asian American group within the United States and report significantly worse mental health when compared to other population groups. As a result of colonization by both Spain and the United States, Filipino culture has been perceived as a unique blend of cultural influences. Despite there being over 4.1 million Filipinos residing in the US there is a significant lack of research that directly investigates the well-being of this population and to what extent factors such as colonial mentality, enculturation, and generational status have an impact. The present study seeks to address this gap in …

The Association Between Psychotic Symptoms And Romantic Relationship Quality Among Young Adult Ethnic Minorites, Tashagaye T. Mckenzie

Doctoral Dissertations

This study aimed to examine the association between psychotic symptoms and the quality of romantic relationships amongst ethnic minority young adults. Approximately 10.4 million people, which represents 4.2% of the adult population in the U.S, are currently diagnosed with severe mental illnesses, including psychotic disorders. Prior research found that ethnic minorities, in general, have an increased risk of developing psychotic disorders such as schizophrenia. People with SMI generally have issues being and maintaining romantic relationships. However, being in positive romantic relationships is associated with better physical and mental well-being. The final sample size for the study consisted of 411 young …

African American Female Identified Therapists' Experiences Working Culturally Similar And Dissimilar Populations, Kimiko J. May

Doctoral Dissertations

African-American female-identified individuals continue to be one of the smallest subgroups of licensed therapists. However, this group continues to grow steadily and offer services to a broad array of clientele. While the aims of literature have grown to include populations that have been historically marginalized, the research surrounding African-American female-identified therapists is scarce. Deep understanding of their lived experiences while navigating the multifaceted nature of clinical work has been grossly overlooked. This study aimed to qualitatively analyze the lived experiences of African-American female-identified therapists who work with diverse populations using interpretative phenomenological analysis. Since the nature of clinical work is …

Developing Queer Faith: Exploring Experiences Of Cognitive Dissonance And Identity Integration For Lgbq Catholics Individuals, Kendal M. Vaarwerk

Doctoral Dissertations

While religion may be meeting existential needs, it may, at the same time, be asking the LGBQ youth to be someone different than who they are (Longo et al., 2018). LGBQ individuals experience severe cognitive and emotional consequences because of oppressive religious doctrine, including guilt, shame, self-loathing, and suicidal ideation (Schuck & Liddle, 2001). When LGBQ individuals are involved with religious belief systems that cast rejecting or disapproving messages about LGBQ individuals, these individuals often experience more internalized negative self-messages, as well as more significant challenges in developing and accepting one’s sexual identity (Page et al., 2013). Therefore, this very …

The Impact Of #Metoo On Reasons For Sexual Assault Disclosure, Cheryl H. Tien

Doctoral Dissertations

Sexual assault is a long-standing widespread problem. Yet, despite the high prevalence of sexual assault, it is the most underreported crime of all crimes reported to the police (Bureau of Justice, 2018). The #MeToo movement has had a significant impact on the way in which sexual assault survivors disclose their experiences and the reasons they disclose. Disclosure appears to be an important factor in survivors’ healing from their assault, with increasing coping, greater attachment to others, and positive growth cited as effects of disclosure provided that the response to the disclosure is positive to the survivor (Ahrens & Aldana, 2012; …

A Minority Within A Minority: Exploring Identity Development In Relation To Mental Health Outcomes Within The Black Deaf Community, Nekolas Milton

Doctoral Dissertations

Black Deaf people are a double minority group that faces discrimination on multiple fronts. There is little literature on the relationship of cultural identity development and mental health concerns of this marginalized group. This study employs a mixed method approach to examine this relationship and explore the extant culturally tailored interventions targeted towards Black Deaf adults in a clinical setting. There were two phases of this project. Phase 1 included qualitative interviews with service providers of black deaf people to ascertain the type of culturally tailored interventions that are in place for this population. 5 themes emerged: systemic issues, mental …

Majority To Minority Shift: Experiences For American Born Chinese College Students From Predominant Chinese American Communities To Predominantly White Institutions, Joseph C. Chung

Doctoral Dissertations

This research aimed to fill the gap in literature by focusing on the experiences of American born Chinese college students that moved from ethnically dense Majority Minority Chinese American Communities (MMCAC) to attend Predominantly White Institution (PWI) college/universities. The study utilized a Grounded Theory qualitative approach, which led to the development of 6 categories or themes from 17 concepts and 48 codes. These were based on data from 10 participants across two phases with two interviews each (initial and follow-up). The 6 themes “Previous MMCAC Environment,” “Identity,” “New PWI Environment,” “Values,” “Transition Experience,” and “Mental Health'' provided the descriptive experience …

Stigma And Social-Emotional Health In Youth With Learning Differences, Kelsey Maki

Doctoral Dissertations

Youth diagnosed with specific learning disorder (SLD) and/or attention deficit hyperactivity disorder (ADHD), defined collectively for the purposes of this study as youth with learning differences, experience poorer social-emotional health outcomes in comparison to their typically developing peers. These youth additionally experience stigma from their peers, teachers, and broader community, which may impact social-emotional health. As a secondary data analysis of a larger study, the present study investigated the role of stigma consciousness alongside demographic variables, self-esteem, and peer relationships in social-emotional health outcomes. Due to the possible differences between youth diagnosed with SLD, ADHD, and comorbid SLD/ADHD, group differences …

Experiences Of Uc Santa Barbara Female Alumni Exposed To A Gender-Based Mass Shooting, Erin G. Carpenter

Doctoral Dissertations

Over the past five decades, mass shootings have emerged as a highly politicized, social problem that generates considerable public sentiment and media attention (Elsass et al., 2014; Rocque & Duwe, 2018; Shultz et al., 2014). Moreover, the increase in mass shootings carried out on or near college campuses have led researchers to focus more intently on the predictors and consequences that characterize these types of attacks (Boykin & Orcutt, 2018; Elsass et al., 2014; Fox & Savage, 2009). One college mass shooting that has received limited empirical attention is the 2014 mass shooting that occurred in Isla Vista, a town …

Patient Reported Outcomes In Sickle Cell Disease Examined Within A Conceptual Model, Swapandeep Mushiana, Marsha Treadwell Phd, Sherif M. Badawy Md, Ms, Liliana Preiss Phd, Allison King Md Mph Phd, Barbara Kroner Phd, Yumie Chen Bs, Jeffrey Glassberg, Victor Gordeuk Md, Nirmish Shah Md, Angie Snyder Phd Mph, Theodore Wun Md

Doctoral Dissertations

Objective: To examine the relations between patient reported outcomes (PROs) within a conceptual model for adults with sickle cell disease (SCD) ages 18 – 45 years enrolled in the Sickle Cell Disease Implementation Consortium (SCDIC) registry. We hypothesized that patient and SCD related factors and barriers to care would independently contribute to functioning as measured using the PRO domains. Additionally, pain and other SCD related complications are expected to impact the relation between the variables. Methods: Participants completed a 48-item survey that included socio-demographics and PRO measures, such as social functioning, pain impact emotional distress, and cognitive functioning. …

Impact Of Moral Injury For Ethnic/Racial Minority Male Veterans, Kristopher Kern

Doctoral Dissertations

Trends in demographics of post-9/11 veterans (deployments to the Middle East after 2001) describe this group as having higher survival rates, increased service-connected disabilities, and more racially diverse (NCVAS, 2018; Schnurr et al., 2009; Tanelian & Jaycox, 2008). Additionally, their deployment experiences include combat-related experiences that contradict personal moral beliefs, later named “moral injury” (MI) (Litz et al., 2009). Currier, Holland, and Mallot (2015) describe MI as intense emotions of shame, guilt, and anger alongside maladaptive behaviors emerging after “witnessing and/or participating in warzone events that challenge one’s basic sense of humanity” (p. 231).

The research on MI continues to …

Understanding The Healthcare Experiences Of Lgbtq+ People: An Adaptation Of The Daily Heterosexist Experiences Questionnaire, Conor Smith

Doctoral Dissertations

LGBTQ+ people's experiences of heterosexism, which are common in the healthcare system, are linked to poor health outcomes. There are no measures of LGBTQ+ people’s experiences in healthcare settings which could be used by healthcare systems and providers to improve the quality of their care for this vulnerable population. The Daily Heterosexist Experiences Questionnaire (DHEQ), developed using the minority stress model, measures the general stressful life experiences of LGBTQ+ people. This project aimed to adapt the DHEQ for use in healthcare settings.

A mixed-methods study was conducted to create the Daily Heterosexist Experiences Questionnaire-Healthcare (DHEQ-H). Semi-structured interviews focused on the …

The Effectiveness Of A Transaffirmative Cognitive Behavioral Therapy Group-Based Intervention To Help Transgender Individuals Suffering From Depression, Joy Riach

Doctoral Dissertations

Transgender individuals report higher levels of elevated symptoms of depression and anxiety due to psychological distress caused by pervasive transphobic discrimination and prejudice that persist in pathologizing and stigmatizing their lived experiences. An important first step would be to develop, implement, and assess transaffirmative interventions that address the mental health issues that this population is particularly susceptible to, such as depression. This current study was designed to assess the effectiveness of one such culturally adapted intervention, which was a 5-week-long, group-based therapy developed for treating depression in transgender individuals using cognitive behavioral therapy (CBT). This was then followed with one …

"Made Of Queer Magic": Understanding The Experiences Of Pregnancy For Queer Women, Lindsey Rogers

Doctoral Dissertations

Queer families are deciding to use donor insemination or medically assisted reproductive treatments to become pregnant and start their families. Previous research indicates that the process of using medically assisted reproductive treatments may be a stressful experience for queer families due to cisheteronormativity within the system. In addition, research has also revealed that stress during the process of conceiving can impact mental health experiences during pregnancy. However, there is a lack of research on the specific mental health experiences of pregnancy for queer women. The present study used a qualitative research design guided by constructivist grounded theory to examine the …

Self-Efficacy In The Transition To Parenthood, Nicole Marsden

Doctoral Dissertations

The transition to parenthood is considered both an exciting and inherently stressful time. The related changes and challenges may be associated with increased levels of anxiety and depression. Parental self-efficacy (PSE), or parents’ perceived ability to succeed at parenting-related tasks and challenges, may be both a product and predictor of mental health during this time. There is little research on the relationship between general self-efficacy (GSE) and PSE, although theory suggests that GSE may influence PSE. This quantitative study utilizes a longitudinal and dyadic design to examine the relationship between GSE, PSE, and mental health across the transition to parenthood …

Experiences Of Latinx's Adult Transition To The U.S. And The Clinical Implications That Arise In Acclimating Into The Dominant Culture: An Interpretive Phenomenological Analysis, Gabriela Olavarrieta

Doctoral Dissertations

There has been a significant gap in the literature regarding the lived experience of the Latinx adult transition to the United States and the clinical implications that arise in acclimating to the dominant culture, particularly under the Trump Administration. The approach for the current research examined Latinxs’ adulthood transitions to the United States, experiences of acculturative stress, including instances of discrimination as well as their experiences acclimating or assimilating into the dominant culture. This study also examined what seeking, or being unable to seek, mental health services looked like in the current sociopolitical climate. Interpretive phenomenological analysis was utilized to …

An Exploration Of Social Networking Use And Mental Health In Transgender, Gender Non-Conforming, Gender Non-Binary, And Gender Fluid Persons, Jennifer Trimpey

Doctoral Dissertations

Social networking sites (SNS) allow for rapid information sharing in online spaces. Research in the general public suggests that extended SNS use corresponds with poor mental health outcomes such as depression and anxiety. Research regarding SNS use in LGBT populations seems to promote interpersonal connectedness. While such studies tend to include gender non-conforming persons (GNC), this group often represents a minimal proportion of participants. This study sought to explore SNS and mental health in persons identifying as GNC. A grounded theory approach was used to analyze the data to develop a substantive theory regarding SNS and mental health in this …

Clinical Work With Adult Male Incest Survivors: Therapeutic Themes And Perspectives, Kathryn B. Rosenberg

Doctoral Dissertations

For psychotherapists, encountering clients who have experienced sexual trauma or abuse is inevitable, whether or not the abuse is disclosed to the therapist; however, mental health professionals receive extremely limited (if any) training on how to identify or effectively support adult clients who are survivors of childhood sexual abuse (CSA). Many people who experienced CSA, especially those who identify as male, remain isolated and invisible in their suffering as adults even within therapeutic spaces, facing what feel like insurmountable barriers – both internal and external – to getting help. When sexual abuse is intrafamilial, these barriers are both amplified and …

Choices: An Evaluation Of A Program Aimed At Reducing Criminogenic Thinking Among Incarcerated Women, Alexa Carbajal

Doctoral Dissertations

It is widely understood that incarceration rates in the United States is staggering and that little is understood about the effectiveness of treatment modalities used in jails to curb rates of recidivism. It was the goal of this program evaluation to utilize qualitative and quantitative research methods to determine what the strengths and weaknesses are of the Women's Choices Program (a substance use treatment program in a Bay Area jail). The results obtained from the study informed suggestions for program development.

Examining The Experiences Of Chinese Multilingual Therapists In Training, Stephanie Li-Wei Lin

Doctoral Dissertations

According to the 2015 Census, 44% of people ages five and older in California speak a language other than English in their household, indicating the growth of multilingual persons in California. Among the top three languages spoken at home in California, Chinese takes third following English and Spanish. The demand for multilingual mental health services may continue to grow with the increase of multilingual individuals. Although there is an increase in need for multilingual mental health services, there remains a lack of formal training and clinical supervision for multilingual trainees. This study adopted a qualitative approach and utilized semi-structured interviews …

Exploring Clinical Psychology Doctoral Students’ Knowledge And Attitudes About Older Adult Sexuality, Lindsey Horta

Doctoral Dissertations

The current study surveyed clinical psychology doctoral students’ (N=291) knowledge and attitudes about older adult sexuality. Knowledge and attitudes were measured using the Facts of Aging Quiz, the Aging Sexuality Knowledge and Attitudes Scale, Attitudes Towards Sexuality Scale, and measures to explore students’ exposure to and interests in the older adult population, as well as academic and clinical exposure (coursework, practicum opportunities and clinical contacts with older adults) to the older adult population and older adult sexuality. Generally, students’ knowledge about aging was associated with their attitudes about older adult sexuality; the more knowledge a student has about older adult …

A Thematic Approach To Understanding Compassion Fatigue, Burnout, And Barriers To Self-Care In Pediatric Healthcare Providers Of Medically-Ill Children, Courtney Hurd

Doctoral Dissertations

Due to the nature of their work, healthcare providers working in pediatric settings may be especially vulnerable to experiencing negative consequences of compassion fatigue and burnout. Pediatric healthcare providers often work long hours in the hospital to manage children with acute and chronic medical concerns. Within this setting, unpredictable outcomes and potential for death when caring for this fragile population may contribute to short-and long-term effects on not only caregivers but also healthcare providers. Healthcare providers typically work on an interdisciplinary team within the pediatric hospital setting which can include medical doctors, nurses, social workers, psychologists, psychiatrists, and child life …

Evaluating The Effectiveness Of Peer Engagement And Knowledge (Peak): A Community-Based Group Intervention For Youth In Hawai‘I, Jennifer T. T. Ho

Doctoral Dissertations

This study is a program evaluation with a mixed methods design that evaluated the effectiveness of Peer Engagement and Knowledge (PEAK), a six-week community-based group intervention that incorporates mindfulness-based interventions (MBIs) to address multiple health behaviors for multiracial youth in Hilo, Hawai‘i. A total of 51 youth, ages 12-23 years old, participated in this study which included pre-/posttest analyses of health risk factors such as substance use and depression and health promoting factors such as resilience, self-esteem, and mindfulness. Responses from two subsets of participants, who engaged in a focus group (n = 11) and composed gratitude letters ( …

Efficacy Of Integrated Mental Health Care With Dual Diagnosis Patients And Their Utilization Of Psychiatric Emergency Services, Denton Scott

Doctoral Dissertations

Historically, patients with dual diagnosis have been subjected to ineffective treatment and negative attitudes from healthcare providers. Further, these patients are plagued with myriad afflictions that exist beyond substance abuse and mental illness. The treatments and collateral damage associated with the diagnosis impose excessive healthcare costs and can be of significant detriment to society. Largely, patients suffering from dual diagnosis do not receive adequate treatment. As such, psychiatric emergency services are frequently utilized as an alternate treatment, wherein the main focus of care is on the substance abuse alone. This study argues that solely treating the substance abuse is not …

Entropy As A Method For Identifying Treatment Resistant Autism Spectrum Disorder, Nathan Wright

Doctoral Dissertations

Background: Individuals diagnosed with Autism Spectrum Disorder (ASD) experience lifelong challenges which can impact peer relationships, adaptive functioning, and independent living. Verbal intelligence has proven to be the strongest indicator of outcomes and responsiveness to behavioral intervention, but this property only stabilizes in children between 6 and 8 years of age. Behavioral treatment is the primary intervention for individuals diagnosed with ASD, but it is most effective when delivered as an early intervention strategy for toddlers and very young children. A biomarker which could distinguish treatment resistant subgroups of ASD from would allow for the development and implementation of alternative …

An Attachment-Based Group Intervention, Shannon Dillon

Doctoral Dissertations

This mixed method study aimed to understand and describe the effectiveness of an intervention and the experiences of mothers raising their children in a transitional living home. This was achieved through interviewing four mothers in Gilead House. Initially, participants completed the Depression, Anxiety and Stress scale (DASS-21), the Trauma History Screening (THS), the Adolescent Adult Parenting Inventory-2 (AAPI-2) and a demographics form. The first interview was also completed. Interview questions were based on the Working Model of the Child Interview (WCMI). Following this time 1 meeting an attachment-based group intervention was utilized for eight weeks. This intervention was based on …

Impact Of A School-Based Mindfulness Intervention On Children’S Self Regulation, Elizabeth Chaney

Doctoral Dissertations

When schools recognize the importance of social-emotional learning and support young children’s self-regulation skills, students are also likely to see improvements in their academic potential. Youth who encounter the stressors of toxic stress and thus, who may have more challenges developing self-regulation competencies, may particularly benefit from classroom environments where self-regulation and coping skills are emphasized. The current study examined the impact of a school-based mindfulness program on self-regulation and mindfulness skills of 42 children in two fourth grade classrooms that were assigned to either a Mindfulness Group (n = 30) or to a Control Group (n = 12). The …

A Program Evaluation Of A Drug And Alcohol Family Treatment Program, Katrina Ramirez

Doctoral Dissertations

The current study is a program evaluation at John Muir Behavioral Health, Center for Recovery. The research determined the effectiveness of the program at Center for Recovery that is offered to patients that struggle with substance use disorder and their families. The purpose of this study is to assess patients’ behavioral, cognitive and social/environmental factors as it relates to their commitment to sobriety and examine how the involvement of family members influences the patient’s recovery process. I utilized a mixed methodology of quantitative and qualitative interviews of patients and family members. The findings suggest depressive symptoms were negatively correlated with …

Athletic Identity And Mental Health: The Experiences Of Black Male Former Student-Athletes, Miguel Frank

Doctoral Dissertations

On college campus across the nation, student-athletes represents a unique group among the student population. Black male student-athletes are an overrepresented group among the student-athlete population, representing more than a quarter of all student-athletes. Previous research has explored the impact of athletic identity on student-athletes, as well as the academic success of Black male student-athletes. Due to the high number of Black males participating in intercollegiate athletics and the lack of research related to their mental health experiences, the goal of this study was to examine the impact of athletic identity on the experiences of Black male student-athletes and the …