Clinical Psychology Commons^™

Examining The Inner Experience Of Individuals With Bipolar Disorder, Johanah Yoosun Kang

UNLV Theses, Dissertations, Professional Papers, and Capstones

Bipolar disorder (BD) is a serious, chronic mood disorder. The diagnostic criteria for BD provide a description of expected experiences of individuals with BD (e.g., sadness, expansive mood, inflated self-esteem, anhedonia). Despite these criteria, the details of inner experience of individuals with BD are generally unknown. Understanding the inner experience of individuals with BD may provide greater understanding of the lived experience of BD and may provide insights into treating BD. The present study examined the inner experience of six individuals with BD using Descriptive Experience Sampling (DES), a method aimed at apprehending high- fidelity accounts of momentary inner experience. …

Objectification Theory And Eating Pathology In Latina College Students: Testing A Culture-Specific Model, Kimberly Claudat

UNLV Theses, Dissertations, Professional Papers, and Capstones

To date, sociocultural risk factors for eating disorder development in Latina women are poorly understood. Objectification theory provides a useful framework for understanding how sociocultural and intrapsychic variables influence eating pathology in women. However, few studies apply an objectification theory framework to the study of disordered eating in Latina women and even fewer studies examine the influence of culture-specific variables, such as acculturative stress and marianismo beliefs. Consequently, to address limitations in extant research, the present study applied the tenets of objectification theory to the study of eating pathology in Latina women using a culture-specific model. Specifically, this study investigated …

Ethnic And American Identity As Correlates Of Eating Pathology In College Women, Liya Markovna Rakhkovskaya

UNLV Theses, Dissertations, Professional Papers, and Capstones

According to popular racial and cultural formation theories, ethnic identity is defined as the process of identifying with the culture and practices one's ethnic group while American identity is the process of identifying with the mainstream/majority culture and practices of the United States. A small body of research suggests that ethnic identity and American identity are positively associated with mental health in ethnic minority and European American individuals, respectively. Furthermore, a growing body of research suggests that ethnic identity is associated with diminished eating pathology in minority women. However, the protective effects of ethnic identity against eating pathology are unexplored …

Objective Circumstances Of The Death And Complicated Grief: Examining Indirect Associations Through Meaning Made Of Loss, Vincent Rozalski

UNLV Theses, Dissertations, Professional Papers, and Capstones

It has been proposed that losses by violent means and loss of primary attachment figures may increase the likelihood of developing a chronic and severe grief response (often referred to as complicated grief). Specifically, these losses may be more likely to violate cherished beliefs about the safety, security, and predictability of the world, and as a result, make it more difficult to find some benign (or even positive) meaning in the event. This study aims to test this hypothesis using path analysis. Participants include 741 bereaved young adults who lost someone within the past two years. Participants were recruited from …

The Attitudes And Beliefs Of Special And General Educational Professionals Concerning Alcohol And Drug Problems, Troy Wayne Kieser

UNLV Theses, Dissertations, Professional Papers, and Capstones

Drug and alcohol abuse is one of the greatest challenges of public education. Substance abuse affects student academic performance. Teacher attitudes concerning substance use are linked to drug and alcohol use by students. The purpose of this study was to assertion teacher attitudes and beliefs about drug and alcohol use. The data were collected using a questionnaire. The questionnaire was a modified version of the Addiction Belief Inventory (ABI) based on the five constructs (e.g., coping, efficacy, disease, lack of efficacy, moral weakness) of substance abuse (Broadus, Hartje, Roget, & Cahoon, 2010; Luke, Ribisi, Walton, & Davidson, 2002). The participants …

Who Is This About? An Exploratory Study Of Erotic Self-Focus, Evan Fertel

UNLV Theses, Dissertations, Professional Papers, and Capstones

While the literature highlights the significance of relationship factors in the subjective sexual arousal/desire of women, other research indicates that individual factors may be just as, if not more, important to women's sexual desire and arousal. Research on the influence of intrapersonal factors in sexuality, sexual fantasy, erotica consumption and paraphilic tendencies in a subset of MtoF transsexuals suggests that self-directed attention may play a key role in women's sexual arousal/desire. Some theorists have gone so far as to suggest that women are, to some extent, their own erotic objects. The present study explored the extent to which sexual arousal/desire …

Oppositional And Anxiety Behavior Profiles In A Clinical Sample Of Youth With Selective Mutism, Rachele Diliberto

UNLV Theses, Dissertations, Professional Papers, and Capstones

Children with selective mutism often present as a very heterogeneous population, with both anxious (APA, 2000; 2013; Kristensen 2000; Manassis et al., 2007; Steinhausen & Juzi, 1996; Yeganeh et al., 2003) and oppositional symptoms (APA, 2013; Andersson & Thomsen, 1998; Kolvin & Fundudis, 1981; Krohn, Weckstein, & Wright, 1992). This study sought to identify anxiety and oppositional behavior profiles in a clinical sample of children with selective mutism. Also, this study sought to determine both discriminant and concurrent validity for these profiles and examine their association with family expressiveness, conflict and control. Participants (n=57) included youth receiving treatment at the …

Exploring The Inner Experience Of Veterans With Posttraumatic Stress Disorder, Stacy Reger

UNLV Theses, Dissertations, Professional Papers, and Capstones

Military veterans have returned from combat changed by exposure to trauma for as long as history has been recorded. The field of psychology contains a vast literature describing and attempting to understand Posttraumatic Stress Disorder (PTSD) and its detrimental effects on the lives of individuals with the disorder. Despite the volume of study dedicated to PTSD in the literature, in-depth accounts of the lived experience of individuals with PTSD are rare. The current study utilized Descriptive Experience Sampling (DES), a method based on apprehending high-fidelity accounts of momentary inner experience, to explore the inner experience of eight Operation Iraqi Freedom …

Unfinished Business In Bereavement: A Mixed Methods Study, Kara Lee Klingspon

UNLV Theses, Dissertations, Professional Papers, and Capstones

Unfinished business(incomplete, unexpressed or unresolved relationship issues with the deceased) is frequently discussed as a risk factor for chronic and severe grief reactions. However, few empirical studies have examined this construct. The present study aimed to address this gap in the literature by examining the presence and severity of unfinished business as well as common themes of unfinished business reported in open-ended qualitative narratives among a sample of 256 bereaved individuals. In bivariate analyses, self-reported presence of unfinished business and the severity of distress due to unfinished business were both found to be associated with higher levels of distress and …

Impaired Theory Of Mind In Psychotic And Affective Disorders, Erik Nelson Ringdahl

UNLV Theses, Dissertations, Professional Papers, and Capstones

Psychotic symptoms in bipolar I disorder during mood episodes has been associated with several negative outcomes raising the question as to whether psychosis is a risk factor for a more severe form of this chronic and debilitating condition. However, relatively little research has been directed at understanding the relationships among social cognitive functioning in bipolar I disorder with and without a history of psychosis. Impaired social cognition has been identified as a putative endophenotypic markers in schizophrenia and the evidence is mounting as to whether similar impairments also exist in bipolar I disorder. Given the plethora of research supporting the …

Identifying Maltreated Youths At Heightened Risk For Posttraumatic Symptoms, Emma H. Ross

UNLV Theses, Dissertations, Professional Papers, and Capstones

Childhood maltreatment is associated with increased risk for lifetime and current PTSD (Davis & Siegel, 2000; Widom, 1999). This study examined a model of PTSD in which dissociation, depression, and posttraumatic cognitions related to heightened PTSD symptoms for maltreated youths. This study then evaluated the model's fit across variations in intelligence, gender, age, ethnicity, and maltreatment type. Participants (n=360) included youths from Department of Family Services-related sites in Las Vegas. The first hypothesis was that the model would display goodness-of-fit across various indices. The second hypothesis was that the model would better fit youths with below average intelligence (FSIQ = …

Weight-Based Microaggressions Experienced By Obese Women In Psychotherapy, Kerri Jo Schafer

UNLV Theses, Dissertations, Professional Papers, and Capstones

A large body of research demonstrates the existence of weight bias in healthcare professionals, including physicians, nurses, and dietitians (Budd, Mariotti, Graff, & Falkenstein, 2011). Very few published studies examine mental health providers' attitudes toward obese clients, but a small body of existing data suggests that mental health providers attribute more negative personal attributes to fictional obese clients and rate them as having more severe symptoms than their average weight counterparts (Agell & Rothblum, 1991; Hassel, Amici, Thurston, & Gorsuch, 2001; Young & Powell, 1985). Given these findings, it is important to understand whether obese clients experience mental health professionals …

Auditory Processing Deficits In Bipolar Disorder With And Without A History Of Psychotic Features, Ryanna Verbiest

UNLV Theses, Dissertations, Professional Papers, and Capstones

Auditory perception deficits have been identified in schizophrenia and linked to dysfunction in primary auditory cortex. There is also evidence that primary auditory cortex abnormalities are associated with positive symptoms, particularly auditory hallucinations. Given the evidence that individuals with bipolar disorder frequently experience auditory hallucinations, it may be that individuals with bipolar disorder who also exhibit psychotic symptoms demonstrate similar impairment in auditory perception tasks. Additionally, these deficits may contribute to impaired social interactions, as they are likely to interfere with accurate perception of emotion from spoken words. The current study examined this matter by comparing performance of 50 individuals …

Development And Testing Of The Home Safety And Beautification Checklist With Mothers Referred For Child Neglect And Substance Abuse, Michelle Pitts

UNLV Theses, Dissertations, Professional Papers, and Capstones

Unintentional injury is the leading cause of death among children in the United States accounting for nearly 40 percent of deaths in this age group. Approximately 50 percent of nonfatal injuries, and 40 percent of fatalities, occur in and around the home. Elevated rates of child injury in the home environment are associated with parental substance abuse and neglectful behaviors. Childhood injuries are preventable, yet practical and cost-effective measures to identify child home safety risks are limited. This study involved a retrospective preliminary examination of the Home Safety and Beautification Checklist (HSBC) in a sample of drug-abusing mothers referred by …

An Efficient Standardized Method Of Maintaining Quality Assurance In Therapeutic Treatment Record Keeping, Kelsey Michael Bradshaw

UNLV Theses, Dissertations, Professional Papers, and Capstones

Quality assurance (QA) within the field of mental health is the practice of monitoring and reviewing services to ensure adherence to specified standards of care. Agents within State governments and various organizations influence record keeping procedures through ethical guidelines and law. For instance, client records must be maintained for all clients receiving mental health services, including informed consent, releases of information, treatment plans, and progress notes. Accurate and timely record keeping procedures assure quality mental health services. However, professionals sometimes err in the maintenance of client records, which can have a negative impact on services, clients, and practitioners. To assist …

Examining The Inner Experience Of Four Individuals With Bipolar Disorder Using Descriptive Experience Sampling, Johanah Kang

UNLV Theses, Dissertations, Professional Papers, and Capstones

Bipolar disorder is a lifelong mood disorder with diagnostic criteria that provide a description of expected experiences of individuals diagnosed with BD (e.g., elevated mood, sadness, difficulty concentrating). Despite these criteria, the inner experience of these individuals is largely unknown. Understanding the inner experience of individuals diagnosed with BD may prove essential in understanding and treating BD. The present study examined the inner experience of four individuals diagnosed with BD using the Descriptive Experience Sampling (DES) method (Hurlburt 1990, 1993, 2011). Results revealed all our participants had clear and prevalent experiences of sensory awareness. They also had difficulties apprehending and …

Eating Pathology, Supplement Use, And Nutrition Knowledge In Collegiate Athletes, Holly Beth Lapota

UNLV Theses, Dissertations, Professional Papers, and Capstones

Eating pathology (e.g., body dissatisfaction, binge eating, purging, restrictive eating) and substance use (e.g., dietary supplements, legal and illegal drugs) proliferate university settings in the United States. Within university settings, athletes appear to be at particularly high risk for eating pathology and supplement use due to the external pressures to be attractive, the need to perform at optimal levels, and the specific characteristics of sports in which they participate. Furthermore, the degree to which athletes understand what constitutes healthy eating and exercise habits is understudied and may relate to eating pathology and supplement use. To build on existing research, the …

An Empirically-Supported Model Of Posttraumatic Stress Disorder In Maltreated Youth, Adrianna Wechsler

UNLV Theses, Dissertations, Professional Papers, and Capstones

Posttraumatic stress disorder in maltreated youth is a young and burgeoning field. Lemos-Miller and Kearney (2006) were among the first to propose and test a theoretically and empirically-based model of PTSD in maltreated youth. The present study replicated and evaluated the Lemos-Miller and Kearney model within a larger and more diverse sample of maltreated adolescents. First, the Lemos-Miller and Kearney model was tested via structural equation modeling (SEM). Second, the model was evaluated across age, gender, and ethnicity. Third, trauma history, family environment (i.e., cohesion and conflict), dissociation, and trauma-related cognitions were evaluated as potential mediating variables within the model. …

Relationship Competence: Can Trainee Interpersonal Skills Be Measured Reliably And Do They Predict Clinical Effectiveness?, Jacqueline Camp

UNLV Theses, Dissertations, Professional Papers, and Capstones

Traditional evaluation and assessment procedures in professional psychology programs have long been criticized for inadequately attending to the set of interpersonal skills that are important to professional functioning in the field of psychology. The present study was exploratory and focused on examining the reliability and validity of an evaluation tool designed to capture a set of interpersonal skills that are clinically relevant and grounded in the empirical literature on psychotherapy outcome. Toward this end, the Facilitative Interpersonal Skills (FIS) task (Anderson, Patterson, & Weiss, 2006) was administered to a sample of trainees (n = 19) enrolled in a clinical psychology …

Construct And Criterion Validity Of The Rey Auditory Verbal Learning Test-Spanish Version In Adults With Traumatic Brain Injury, Cristobal Neblina

UNLV Theses, Dissertations, Professional Papers, and Capstones

The Rey Auditory Verbal Learning Test (RAVLT) is among the most commonly used English-language neuropsychological tests of verbal learning and memory. Previous research supports the validity and clinical utility of adaptations of the RAVLT into many diverse languages. In the United States, Hispanics represent the largest and fastest-growing ethnic minority group. As the Hispanic populace continues to grow, so does the need for empirically validated Spanish-language neuropsychological measures. In 2002, a Spanish adaptation of the RAVLT was developed in Puerto Rico (Acevedo-Vargas, 2002). However, validation studies have not been undertaken with clinical samples, and little is known regarding its psychometric …

The Influence Of Parent Factors On Child Perfectionism: A Cross-Sectional Study, Lisa Caitlin Cook

UNLV Theses, Dissertations, Professional Papers, and Capstones

Perfectionism is a multidimensional construct that affects adults and children and is associated with psychological problems such as depression, anxiety, and obsessive compulsiveness. Studies regarding risk factors for perfectionism are scarce but extant research and theories suggest parents may be involved in the development of perfectionism in children. The present study included 160 children aged 8-17 years (67 males, 93 females) and their parents. The study examined child perfectionism across five age groups (8-9 years, 10-11 years, 12-13 years, 14-15 years, 16-17 years) as well as relationships between parent and child perfectionism and between parent psychopathology and child perfectionism. Self-oriented …

Descriptive Experience Sampling Interactive Multi-Media Training Tool For Subjunctification And Illustrative Interviews, Stacy Lynne Reger

UNLV Theses, Dissertations, Professional Papers, and Capstones

Modern experience sampling methods attempt to understand the phenomenology of inner experience through a variety of methods, including questionnaires, diaries, and verbalization of ongoing cognitive processes. The goal of such studies is to minimize potential roadblocks to accessing inner experience, such as retrospective recall, memory failures, and bias. The current project focuses on one such method, Descriptive Experience Sampling (DES). DES is an idiographic, exploratory, and ecologically valid method of studying inner experience. In this method, participants wear a beeper with an earphone that emits a random beep. When the beep sounds, the participant is to write down notes about …

The Relationship Of Ethnicity And Familial Factors In The Expression Of School Refusal Behavior In Clinical And Community Samples, Courtney Marie Haight

UNLV Theses, Dissertations, Professional Papers, and Capstones

Failure to attend school can have a devastating impact on a child’s social, emotional, academic, and later career development. Psychologists, educators, and researchers from other disciplines have produced large bodies of literature regarding problematic absenteeism. This has led to varying terminology, divergent approaches, assessment, and treatment of nonattendance. Additional research on contextual, proximal, and distal variables, such as culture and family, has been encouraged. The present study involved contextual variables related to school refusal behavior and contained a more representative sample of youth with attendance difficulties than previous studies. Contextual variables included youth and parent ethnic identity, family environment, school …

Examining The Experience Of Recent War Veterans Who Report Posttraumatic Stress Disorder, Neda C. Raymond

UNLV Theses, Dissertations, Professional Papers, and Capstones

Posttraumatic stress disorder (PTSD), an anxiety disorder that develops following exposure to a traumatic event, has long been associated with military combat. Despite the well-documented negative effects of PTSD, careful, in-depth accounts of the experience of those suffering from PTSD are rare. The present study employed Descriptive Experience Sampling (DES) to explore the inner experience of seven Operation Iraqi Freedom (OIF) or Operation Enduring Freedom (OEF) veterans with combat-related PTSD. Potential participants completed the PTSD Checklist - Military Version to determine the presence and severity of PTSD symptomatology. Participants who reported significant symptoms of combat-related PTSD participated in DES. A …

Enhancing Therapists' Clinical Judgments Of Client Progress Subsequent To Objective Feedback, Michael M. Haderlie

UNLV Theses, Dissertations, Professional Papers, and Capstones

Although it is intuitive that the judgments made by mental-health clinicians become increasingly accurate as they gain clinical experience, research has demonstrated only minimal effects of experience on clinical judgment. Feedback regarding the accuracy of judgments is widely considered to be an essential component in developing clinical judgment. However, very little research has systematically examined whether the provision of feedback following judgments leads to increased judgment accuracy. The current research explored the effects of providing feedback to therapists regarding client progress on the accuracy of therapists' judgments of change. The effect of feedback on therapists' confidence ratings regarding such judgments …

School Refusal Behavior: The Relationship Between Functions And Symptom Sets, Marisa Charlene Hendron

UNLV Theses, Dissertations, Professional Papers, and Capstones

The current study examined the relationship between functions of school refusal behavior and internalizing and externalizing symptom sets in a community sample of 200 youth and parents recruited from two truancy settings. The first hypothesis was that youth who endorsed refusing school primarily to avoid stimuli that provoke negative affectivity (function 1) would report more symptoms of generalized anxiety and depression. The second hypothesis was that youth who endorsed refusing school primarily to escape from aversive social or evaluative situations (function 2) would report more symptoms of social anxiety. The third hypothesis was that youth who endorsed refusing school primarily …

An Examination Of The Grieving Processes Of Suicide Survivors, Sarah Van Der Pol

UNLV Theses, Dissertations, Professional Papers, and Capstones

The scope of this research serves to aid in the understanding and counseling of survivors of loved ones who have committed suicide. This study will examine the phenomenon of survivors; specifically, what occurs as survivors move through the experience of grief and loss, as well as their individual grieving processes. The grieving process of those who deal with suicidal deaths of loved ones will be examined. Themes that emerge within the experiences of the participants will be identified and examined. Further, recommendations for the clinical practice of current and future counselors for work with suicide survivors will be suggested. Recommendations …

Initial Development Of A Healthy Living Curriculum Within Family Behavior Therapy For Substance Abuse, Holly B. Lapota

UNLV Theses, Dissertations, Professional Papers, and Capstones

A mother referred for child maltreatment and substance abuse treatment after her son tested positive for methamphetamines at birth participated in an in-home Family Behavior Therapy-Healthy Lifestyle intervention to eliminate substance use, improve parenting behaviors, lose weight, and develop better exercise habits. Twenty sessions were completed in 6 months that targeted familial communication, self-control, goal setting with contingency management, job getting skills, and stimulus control techniques. Upon termination from treatment, the participant’s self-report and urine testing was consistent with substance cessation, and she evidenced substantial improvements in her level of stress, family communication and relationships, and child maltreatment potential. She …

The Experience Of Feelings In Depression, Noelle L. Lefforge

UNLV Theses, Dissertations, Professional Papers, and Capstones

Emotions, such as sadness, guilt, and irritability, are at the core of depressive symptoms and suggest a need for an in-depth understanding of feelings, the experiential component of emotion, during depression. Therefore, the purpose of this study was to describe the experience of emotion in depressed participants and find out if these experiences are similar to those of nondepressed participants. Descriptive Experience Sampling (DES) was used to sample five depressed and four nondepressed participants for four days and then in a controlled setting while watching positive, negative, and neutral film clips. Due to the limited sample size, this study was …

The Advisor-Advisee Relationship: A Qualitative Study Of Advisee Perspectives, Paula M. Emke-Francis

UNLV Theses, Dissertations, Professional Papers, and Capstones

Attempts to understand the nature and course of advising relationships in clinical psychology doctoral training have been limited in number and scope. Furthermore, they have almost universally applied theoretical models derived for the explanation of different types of relationships, with very little empirical inquiry aimed at examining the advising relationship as it actually exists. The present study sought to better understand advisory relationships in clinical psychology doctoral training and propose a theoretical model related to the dimensions of the relationship that emerged.

This was accomplished via semi-structured interviews with 18 clinical psychology Ph.D. candidates from training programs across the United …