Clinical Psychology Commons^™

Development Of A Management Practicum In A Clinical Psychology Program, Clark D. Campbell, William C. Buhrow, Brandy Liebscher

Faculty Publications - Doctor of Psychology (PsyD) Program

Some clinical psychology programs are developing training in management in response to both the recognition that management is a major professional role for many psychologists (Clements, Rickard, & Kleinot, 1986) and the National Council of Schools of Professional Psychology’s (NCSPP) inclusion of “supervision and management” as one of six competency areas for the core curriculum in professional psychology (Peterson, R. L., McHolland, J. D., Bent, R. J., Davis-Russell, E., Edwall, G. E., Polite, K., Singer, D. L., & Stricker, G., 1991). At the Graduate School of Clinical Psychology at George Fox University (Newberg, OR), we developed a management practicum to …

Narrative Cohesiveness And The Resolution Of Trauma, Susan G. Middleton

All-Inclusive List of Electronic Theses and Dissertations

This review examines the literature on narrative and trauma in order to summarize and integrate findings on the role of narrative in adaptation to trauma. First, an introduction to the trauma literature, narrative theory, and how narratives have been studied in the context of psychotherapy is presented. Then, studies examining the characteristics of trauma narratives and their relationship to the resolution of trauma are presented and critiqued. Then, important methodological issues and the various measures used to study narratives in therapy and trauma and its sequelae are discussed. Factors that have been identified as affecting the construction of narratives in …

Family And Child Psychosocial Functioning Of Infant Heart Transplant Recipients, Kimberly R. Freeman

Loma Linda University Electronic Theses, Dissertations & Projects

With the advancement of medical procedures, heart transplantation has become a viable alternative for infants born with congenital or acquired heart disease. Although these children are thought to experience much improvement in their overall physical functioning post-transplantation, the long-term psychological functioning of these children and their families is currently unknown. This study examines the long-term family functioning and psychosocial development of infant heart transplant recipients in comparison to children with congenital heart disease (CHD) and non-clinical control children. Results indicate that infant heart transplant recipients and their families experience fewer overall problems as compared to the CHD group, and more …

Distinctive Components And Perceived Sources Of Gain In Christian Counseling, Rodger K. Bufford, Barbara M. Houston, W Brad Johnson

Faculty Publications - Doctor of Psychology (PsyD) Program

This article describes the results of two survey studies designed to assess Christian practitioners’ perspectives regarding both the distinctive components and undergirding sources of gain in Christian counseling. Both studies utilized mem- bers of the Christian Association for Psychological Studies (CAPS). Study 1 employed a convenience sample of 17 CAPS members, while Study 2 obtained a sample of 161 CAPS psychologists. Results of the studies were congruent and offered support for a multi-dimensional model of Christian counseling. Respon- dents were most likely to endorse God’s active involvement in counseling and the counselor’s faith as the most distinctive components of Christian …

Psychopathology Of Incarcerated Males And Severity Of Nicotine Withdrawal Symptoms, Karen L. Cropsey

All-Inclusive List of Electronic Theses and Dissertations

Previous research has demonstrated the link between depression and severity of nicotine withdrawal symptoms. This study investigated depression and other psychopathology as predictors of severity of nicotine withdrawal symptoms among incarcerated males forced to quit smoking due to prison policy. Four hundred and ninety current Smokers, Ex-Smokers, and Non-Smokers completed a baseline questionnaire one week prior to smoking cessation. Three hundred and sixty-nine participants completed the second follow-up questionnaire four days after cessation, an attrition rate of 24. 7%. Two hundred and fifty-six participants completed the final follow-up assessment one month after implementation of the smoking ban, an overall attrition …

An Analysis Of Two Forms Of Self-Defense Training And Their Impact On Women's Sense Of Personal Safety Self-Efficacy, Darcy Shannon Cox

Psychology Theses & Dissertations

It is estimated that a quarter to a third of women will be sexually assaulted in some way over the course of their lifetimes. Ozer and Bandura (1990) sought to study the ability of a mastery model self defense program for women to increase women's self efficacy about their ability to prevent assault. They found significant changes for all dependent variables used in their study at posttest and at a six month follow-up. The current study sought to compare their findings to those found using a mastery model self defense program for both genders and a vicarious model self defense …

The Effects Of Group Counseling On The Self-Esteem, Anxiety, And Behavior Of Children With Deployed Parents, Nancy Taylor Mitchum

Psychology Theses & Dissertations

The purpose of this study was to examine the effectiveness of a six-session group counseling intervention for children who had a parent experiencing military-induced deployment. Participants were 65 children (30 boys, 35 girls) of enlisted military personnel attending elementary schools near the Norfolk Naval Base. Elementary school counselors facilitated the counseling groups.

An experimental/control group pretest-posttest design was employed. Independent variables were the child's participation in the Children of Deployed Parents-Group/control group, child gender and age. Dependent variables were self-esteem, anxiety, and behavior as measured by the Coopersmith Self-Esteem Inventory (SEI), the State-Trait Anxiety Inventory for Children (STAIC), the Child …

African American Community Mental Health Center Service Utilization: A Test Of The Cultural Compatibility Hypothesis, Alicia Michelle Marsh

Psychology Theses & Dissertations

This exploratory study examined whether community mental health centers (CMHCs) in Virginia that had services evaluated as being more compatible with the cultural needs of African Americans attracted a higher percentage of adult African American service users from their catchment areas than CMHCs which were evaluated as being less culturally compatible. The cultural compatibility of 36 CMHCs was assessed via a telephone interview with their clinical directors using a modified version of the Cultural Competence Self-Assessment Questionnaire: Administrative Version (Mason, J., 1995). This study did not find a correlation between CMHCs' cultural compatibility and their success at attracting African American …

Perceptions Of Childhood Relation With Parents Related To Current Functioning, Peter O. Lielbriedis

Psychology Theses & Dissertations

This study investigated the relationships between perceptions of childhood relationships with parents, certain current self-conscious emotions, current religious orientation, and current risk-taking behaviors. The study also sought to develop models that would predict risk-taking behavior based on the other variables.

At an eastern university, 174 students (79 males) completed the Test of Self-Conscious Affect, Religious Life Inventory, Clark-Parent Child Relations Questionnaire, and the Past Frequency scale of the Cognitive Appraisal of Risky Events Questionnaire. Of these, 30 students were solicited from on-campus, religious organizations.

The data did not show an inverse relationship between “positive parenting” and shame proneness or risk-taking …

Marital Decision Making Scale: Psychometric Properties, Kathy Szynklewski Babel

Psychology Theses & Dissertations

The psychometric properties of a revised version of the Marital Decision Making Scale (MDMS) were evaluated in this investigation. Sixty-eight couples served as participants. Distressed couples (n=34) were recruited from a community-based outpatient mental health clinic where they were seeking conjoint therapy for relationship problems; demographically matched nondistressed couples (n=34) were recruited from the community through a local survey research firm. The MDMS showed high internal consistency, test-retest reliability, interjudge agreement, and convergent and discriminant validity. A second independent sample of 60 couples (30 distressed couples and 30 nondistressed couples) was also recruited to cross-validate the results found with the …

Use Of Selected Mmpi-A Factors In The Prediction Of Clinical Outcomes In A Community-Based Treatment Program For Juvenile Sexual Offenders, Linda Marks Hunter

Psychology Theses & Dissertations

This study was designed to evaluate the use of MMPI-A factors to make predictions about clinical outcomes within a community-based treatment program for juvenile sexual offenders. Specifically, selected MMPI-A factors were used to predict client acceptance into the program and client compliance with program expectations over a 12-month period. Results showed that program acceptance was best predicted by the MMPI-A factor, “Immaturity.” No MMPI-A factors were found to be statistically significant in the prediction of program compliance. A high degree of collinearity was found between MMPI-A factors, raising questions about their discriminative utility. Results are discussed with regard to the …

Mentor Relationships In Clinical Psychology Doctoral Training: Experiences Of Midlife Female Students, Kelley Dickson Carmichael

Doctor of Psychology (PsyD)

The literature is clear that mentoring can be an important element in the professional development of clinical psychology trainees. In this qualitative study of female graduate students between the ages of 40 and 55, it was discovered !hat mentoring was a rare occurrence. Eleven advanced psychology students and graduates offered perspectives on graduate training through the lens of their life experiences. This study informs us that although women in midlife value education and enjoy relationships, they are unlikely to engage with faculty in traditional mentor relationships. Many women noted that faculty did not appear available or invested in mentoring. This …

Mentoring Across Stages Of Psychology Graduate Student Development: A Theoretical Model, Laura L. Zorich

Doctor of Psychology (PsyD)

Developmental stage theories have often been used to explain human behavior during the last century They became especially popular following Erikson's ( 1968) theory of psychosocial development, which was viewed as a comprehensive model of psychosocial development Throughout the last thirty years, developmental theories have become increasingly specific as researchers have focused more narrowly on limited and focused dimensions of human development. The focus of this dissertation will be on graduate student development and the impact of the mentoring relationship on this development. Specifically, the question of how mentors impact and promote the development of graduate students is addressed. A …

Mentoring As A Manifestation Of Generativity Among University Faculty, Jeffery L. Lucas

Doctor of Psychology (PsyD)

This study examined the relationship between both generative concern and behaviors and satisfaction with life among university professors who mentor and those who do not_ Generative concern is an attitude or personality tendency to want to help others. Generative behavior are helping acts that generative individuals provide to others. A total of 75 university faculty completed surveys which consisted of demographic questionnaire, the Loyola Generativity Scale (LGS). Generative Behavior Checklist-Revised (GBC-R). and the Satisfaction With Life Scale (SWLS). Pearson correlations were conducted between generativity and satisfaction with life_ Mentors consistently scored higher on measures of generativity. As predicted, significant positive …

Clients' Internal Representations Of Their Therapists, Sarah Knox, Julie L. Goldberg, Susan S. Woodhouse, Clara E. Hill

College of Education Faculty Research and Publications

Thirteen adults in long-term individual psychotherapy were interviewed regarding their internal representations (defined as bringing to awareness the internalized "image") of their therapists. Results indicated that in the context of a good therapeutic relationship, clients' internal representations combined auditory, visual, and kinesthetic (i.e., felt presence) modalities; were triggered when clients thought about past or future sessions, or when distressed; occurred in diverse locations; and varied in frequency, duration, and intensity. Clients felt positively about their representations and used them to introspect or influence therapy within sessions, beyond sessions, or both. The frequency of, comfort with, and use of clients' internal …

Comparing Aggression Between Young-Adult And General Admission Patients In A State-Inpatient Psychiatric Hospital, Jill Kridle

Theses, Dissertations and Capstones

Because of the inherent danger surrounding violence, aggression studies are particularly important for those working in a health care setting. A constant variable in aggression studies that poses many risk factors is age. This study examined characteristics of aggressors contained on state psychiatric hospital, located in West Virginia. Included on the unit was the neo-adult program and some general admission patients. The study evaluated all aggressors on the unit between September 1997 and August 1998. Comparisons were made to distinguish any possible differences or similarities between the two groups. The results indicated some differences relating to age of aggressor. Young-adult …

The Effects Of Music Therapy On Reducing Depression Among The Hospitalized Elderly Diagnosed With Dementia, Alan J. Blosser

Theses, Dissertations and Capstones

Music therapy was implemented as an affordable and accesible intervention for the hospitalized elderly diagnosed with dementia to reduce depression. Thirty hospitalized, elderly individuals diagnosed with dementia were randomly assigned to experimental and control conditions. The experimental group were involved in six one-half hour music therapy sessions over a three week period. Music was selected according to group preference. No intervention was provided to the control group. The Geriatric Depression Scale (GDS) was used to measure depression. The instrument was administered orally to both groups one week prior to treatment, within two days after treatment had been completed, and two …

Applications Of Group Career Counseling Techniques In Asian Cultures, Mark Pope

Education Sciences and Professional Programs Faculty Works

In this article, applications of group career counseling techniques to Asian cultures are discussed. The article first identifies how group‐oriented cultures differ from individually oriented cultures, reasons that group career counseling is especially appropriate for group‐oriented cultures, and relevant issues in group career counseling with Asian populations. Interventions that illustrate the use of group career counseling with Asian clients are prescribed.

The Relative Importance Of Barriers To Cervical Cancer Screening In Older Women : A Review Of 140 Women And Their Pap Smear Providers, Nerida Beaumont

Theses: Doctorates and Masters

Cervical cancer remains a significant cause of death in women. There is a notable age related decrease in levels of screening and women aged over 50 years with later, more invasive disease. One hundred and forty women aged between 50 and 69 years (M "'58.21 years) and 23 Pap smear providers completed a Cervical Cancer Screening Questionnaire designed to identify the relative importance of barriers to attendance for cervical screening, as well as providers own barriers and issues. Responsibility for health, familiarity with, and ratings of the usefulness of Pap smears were the major dimensions along which regular and non-regular …

Self-Efficacy And Depression In Older Adults: Differences Between Volunteers And Non-Volunteers, Anita Govindan

Theses: Doctorates and Masters

Volunteering has been found to play an important role in the lives of older adults. The general beneficial effects of volunteering have been widely established. However an investigation on the specific effect volunteering can have on older adults' perceptions of their abilities has yet to be established. It is important to investigate whether volunteering in later life is positively associated with one's perception of oneself or one's self-efficacy. Individuals with high levels of self-efficacy tend to believe they are more capable of handling stressful situations and are less likely to feel helpless and dependent and thus feel more confident of …

Needle Localization For Breast Biopsy: The Patient's Experience, Marian De Walt Morgan

Psychology Theses & Dissertations

The needle localization procedure for breast biopsy (NLP) can be painful and distressing for some women. This study was carried out to learn what factors might increase or decrease NLP pain and distress, and to gain insight into possible interventions to make the procedure more comfortable for all patients. One hundred and thirty-eight women were surveyed following breast needle localization at two central Virginia hospitals. The influence of eight variables (lidocaine, self-regulation, anxiety, worry about breast cancer, breast tenderness, finding mammography painful, difficulty with surgery, and distress of blood drawing) on four outcome variables (pain incidence, pain intensity, pain unpleasantness, …

Attachment Styles And Childhood Trauma In Batterer Subtypes, Eric S. Davidson

Masters Theses

Eighty-three men seeking treatment for domestic violence and 28 non-violent control subjects completed self-report questionnaires on conflict resolution, attachment styles, and childhood trauma. Those seeking treatment were divided into three batterer subtypes in order to determine if there were differences between the three groups and the control group in attachment styles, and childhood trauma (overall trauma, sexual assault, punishment, and neglect). There were no significant relationships found between batterer subtype or subject status (batterer vs. non-batterer) concerning attachment style. Significant results were found concerning trauma and batterer status, as well as some significant differences between batterer subtype and trauma. Limitations …

Differential Diagnosis Of Late Onset Psychosis Using Neuropsychological Assessment And Neuroimaging Techniques, Susan Fralick Ball

PCOM Psychology Dissertations

Few references in the literature have been made with respect to the diagnosis of late onset psychosis by the use of behavioral observations coupled with neuropsychological and neuroimaging techniques. This is a report of the case of a 68-year-old woman who experienced a sudden onset of psychotic illness characterized by delusions and confabulation. As part of her neurobehavioral evaluation, a SPECT scan revealed right frontal and left anterior temporal lobe hypoperfusion. Serial neuropsychological evaluations demonstrated decline on tests of executive control (monitoring, allocation of attention, perseveration) and visuospatial abilities, whereas performance in other areas of cognitive functioning remained close to …

The Relationship Between Family Environment And Proneness To Shame And Guilt, Ericka N. Hamilton

Masters Theses

This study examines shame- and guilt-proneness and family environment factors that predict these two affective experiences. One-hundred and ninety undergraduates completed the Test of Self-Conscious Affect and the Family Environment Scale. The results indicated that a family emphasis on moral and religious issues and values was most predictive of shame. An emphasis on moral and religious issues and values as well as an interest in social and political activities was most predictive of guilt. The findings in this study differ from the theoretical literature which has suggested that the relationship between family environment and an individual's proneness to guilt and …

Disruptive Behaviour In Nursing Home Residents: A Study Of Some Predisposing Factors, Ian F. Johnston

Theses: Doctorates and Masters

Behaviour disorders are common among nursing home residents and the management of these problems is difficult and emotionally taxing for caregivers. Although widespread acknowledgment of the problem exists amongst those caring for the elderly, there has, until recently, been little formal investigation of these disorders in any systematic degree. This study investigated 63 nursing home residents (22 males and 41 females) in two primary diagnostic categories; those with vascular dementia and those with dementia due to other causes, primarily Alzheimer's disease. A review of the literature suggested that the nature and frequency of disruptive behaviour differed across these two prevalent …

Affect Intensity And Affect Regulation In Prisoners With A History Of Self-Harm, Christina J. Kozar

Theses: Doctorates and Masters

Prisoners with a history of self-harm have reported experiencing more anger (e.g., Hilbrand, Krystal, Sharpe, & Foster, 1994 ), and despair (e.g., Shea, 1993 ), and less ability to cope (e.g., Shea, 1993; Liebling, 1992) than prisoners with no history of self-harm. This suggests that intense negative affective experiences and less control over these states might be pervasive characteristics in individuals vulnerable to self-harm. The present study tested the hypotheses that high affect intensity, the tendency to experience both positive and negative emotional states intensely (Larsen & Diener, 1987), and deficits in negative affect regulation would be associated with self-harm …

The Effect Of Employment And Workers' Compensation Litigation On The Pain, Psychological State And Disability Of Chronic Back Pain Sufferers, P. B. Suter

Theses: Doctorates and Masters

Previous research exploring the relationship between litigation status and the symptoms of the plaintiff has been inconsistent and limited by methodological dlfficulties. While Mendelson (1984, 1986, 1988) argued there was no difference In symptoms and rates of work return between litigating chronic pain patients and those not involved in the compensation system, others argued that work related injuries were maintained either by the plaintiffs' wish for monetary compensation (compensation neurosis), or by their involvement in the medico-legal process with the stress of the litigation slowing down the recuperative process (nomogenic influences). Dworkin and colleagues (1985) highlighted the importance of including …

The Psychological Impact Of Long-Term Unemployment In Mature-Aged Men : Volunteer Work As A Moderating Variable, Ming Yeu

Theses: Doctorates and Masters

Previous research has recognised the negative psychological distress associated with unemployment for older workers aged over 40 years, as they are considered to be more at risk of being unemployed for a longer duration than other age groups. Several moderating variables of the negative effects of unemployment such as age, length of unemployment and leisure participation have also been identified. In examining the experiences of unemployment with an Australian mature-aged group of men, this study also investigated the potential moderating effect of volunteer work participation that had been noted previously but had never been explored. One-hundred and eighteen men aged …

What Sexuality? : An Exploratory Study Examining Sexual Activity And Affectionate Sexual Expression In A Western Australian Sample Of Older Adults, Christina M. Petz

Theses: Doctorates and Masters

Sexuality later in life has been receiving increased research interest, however, a large majority of research investigates a narrow range of sexual behaviours, primarily frequency of sexual intercourse. There is limited information regarding other forms of sexual expression, specifically affectionate sexual expression that are relevant to older adults. The present day study explores what affectionate sexual behaviours constitute affectionate sexual expression and compares sexual intercourse with affectionate expression. The sample consisted of 77 married men (n=35) and women (n=42) aged 60-89 years who came from various senior groups and organisations in the Perth metropolitan area. A survey was developed that …

Specific Domains Of Self-Esteem In Adolescents : Differences Between Suicide Ideated, Depressed And Non-Depressed Samples, Wendy J. Nicholls

Theses: Doctorates and Masters

A 1997 West Australian Child Health Survey (Zubrick et al., 1997) highlighted the need to explore issues regarding problems leading to emotional distress in adolescents. Adolescent self-esteem and suicidal ideation emerged as issues that required further research. The need to understand adolescent issues from a developmental perspective was also evident, due to the difficulties teenagers typically face during their adolescent years. This study builds on previous research by S. Harter and her colleagues, which identified different domains of self-esteem in young adolescents from a general population. Domains of self-esteem according to Harter's Self perception Profile for Adolescents (1988) and Social …