Clinical Psychology Commons^™

The Development Of An Advanced Filial Therapy Model, Amy Cathleen Wickstrom

Loma Linda University Electronic Theses, Dissertations & Projects

This study sought to develop an advanced filial therapy model by examining the experiences of seven parents who participated in a preliminary advanced filial therapy intervention. These parents had previously completed a 10-week basic filial therapy model called Child Parent Relationship Therapy. A phenomenological qualitative design was employed, wherein data was obtained from parent playtime notes, researcher field notes, group process transcriptions, and focus groups. Parent experiences of the intervention were examined from a systems-relational lens, and four categories emerged, which include relational epiphanies, enhanced understanding of the playtimes, model format, and skill development. Additionally, a variety of themes were …

Body Self-Esteem And Sexual Risk-Taking In Caribbean Adolescents, Stephanie Anne Devore

Loma Linda University Electronic Theses, Dissertations & Projects

One of the primary tasks of adolescence is the development of body self-esteem as they transition from children to young adults. This is also a time when many adolescents make decisions about risk behaviors that may affect their developing bodies such as drug use, smoking, and engaging in sexual activity. The current study examined the link between body self-esteem and sexual activity with the aim of predicting if high body self-esteem individuals differ from low body self-esteem individuals with regards to sexual risk-taking. This study was part of a larger study whose survey was based on two widely used and …

Validating The Attitudes Toward Sex Offenders Scale, Charmeka. Whitehead

Dissertations

This study investigated the reliability and validity of the Attitudes Toward Sex Offenders Scale (ATS) measurement by assessing attitudes of counselors in training towards juvenile sex offenders. The specific aims of this study were to determine (a) internal consistency of the ATS, (b) construct validity of the ATS based on exploratory factor analysis, and (c) the degree to which this instrument has convergent and discriminate validity. The intellectual merit of this study was to provide appropriate scale validation of the ATS so that it might be used to assess attitudes of mental health professionals who work with juvenile sex offenders. …

A Molecular Analysis Of Training Multiple Versus Single Manipulations To Establish A Generalized Manipulative Imitation Repertoire, Breanne K. Hartley

Dissertations

This study evaluates the necessity of training multiple versus single manipulativeimitations per object in order to establish generalized manipulative-imitation. Training took place in Croyden Avenue School's Early Childhood Developmental Delay preschool classroom in Kalamazoo, MI. Two groups of 3 children each were trained to imitate in order to determine the most appropriate number of manipulations required (per object) to establish a generalized manipulative-imitation repertoire. Three children received single-manipulations training, and 3 children received multiple-manipulations training. It was anticipated that the multiple-manipulations training group would acquire a greater amount of generalized manipulative-imitation because the training required that the children discriminate between …

Factors Associated With Physical Activity Behaviors Among Rural Adolescents, Kenli A. Urruty

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

The "obesity epidemic" in the United States is a current health concern that has sparked research interest in physical activity as a means of weight management. However, little research has examined the physical activity behaviors of rural adolescents. The goal of the current study was to use a biopsychosocial framework to examine the physical activity behaviors of a sample of rural adolescents, and explore factors associated with physical activity participation.

A sample of 162 ninth- and tenth-grade students in a rural, western community were recruited for this study. Generally, the sample reported levels of physical activity for both genders that …

An Examination Of Love And Marital Satisfaction In Long-Term Marriages, Rebeca Isabel Estrada

Electronic Theses and Dissertations

There has been little marital research that focuses on contributing factors to successful long-term marriage and even less focus on the role that love plays in long-term marriage. As a means of furthering this research, the purpose of the current study was to examine levels of satisfaction in couples in long-term marriages and to identify contributing factors to an enduring marriage. This study also examined the significance of love and changes in love after 35+ years of marriage. Through the use of qualitative methodology five couples who were self-identified as "happy" in their marriage and who had been married at …

The Impact Of Pre-Treatment Identification Of Personality Style And Personality Disorder Symptoms On Psychotherapy Outcomes In A Training Clinic, Shauncie Marie Skidmore

Master's Theses and Doctoral Dissertations

To investigate the clinical and fiscal feasibility of administering a pre-treatment, dimensional personality assessment to clients seeking treatment at university-based counseling centers, a multi-phase study was conducted. This study sought to replicate the results of a recent study conducted by Ryder, Costa Jr., and Bagby (2007) regarding the validity of the DSM-IV-TR PD symptoms and their relationship to normal personality traits. This study also investigated the clinical utility of providing pre-treatment personality information to therapists, as assessed by a dimensional measure of normal personality the NEO-PI-R. Impact on treatment outcome was evaluated. After completing a pre-treatment assessment battery, university-affiliated clinic …

Extra, Extra, Read All About It!, Irvin Sam Schonfeld

Publications and Research

No abstract provided.

Identifying Publication Outlets In Occupational Health Psychology: An Opinion Survey, Maria Karanika-Murray, Irvin Sam Schonfeld, Leigh Schmitt

Publications and Research

No abstract provided.

Attachment: The Antidote To Trauma, Joshua Straub

Faculty Publications and Presentations

Trauma and loss in life are inevitable. And all too often the traumatic experience itself can be enough to paralyze the mental, emotional, and spiritual state of any given person. Unable to interpret the traumatic experience, many instead are left defined by it. Helping clients discern the objective experience and their subjective reactions to it will help free them from the emotions and beliefs that subsequently control their lives. Based on the most relevant attachment theory research and clinical techniques, this workshop teaches the attentional strategies necessary to helping clients overcome trauma.

Neurodevelopmental Outcome & Mr Spectroscopy Of Therapeutic Hypothermia After Pediatric Drowning, Sharon Mieras Perugini

Loma Linda University Electronic Theses, Dissertations & Projects

Despite advances in medical treatment and technology, outcome following pediatric drowning can vary widely from mild to severe impairments and death. Prognosis is often difficult to predict given a number of contributing factors. As such, this study examined the relationship between clinical indicators including submersion duration, initial GCS and PRISM scores, and waking time with outcome as well as metabolite ratios based on magnetic resonance spectroscopy. Research stemming from the area of cardiac arrest as well as anecdotal case study reports of cold water drownings suggests that lowering the body temperature may be helpful and protective. As such, the use …

Comparison Of Rationally-Derived And Empirically-Derived Methods For Predicting Failure In Residential Treatment, Jennifer Pester Grattan

Loma Linda University Electronic Theses, Dissertations & Projects

Patient-focused research methods have been used in adult mental health treatment to improve outcomes by tracking individual treatment response and comparing it with expected recovery patterns. One such approach has used rationally- and empirically-derived methods to analyze data from the OQ-45 and identify patients who are not responding as expected to treatment. Treatment is then adjusted, improving outcomes and lowering overall costs.

Similar but less extensive research has shown analogous methods can be used with children and adolescents. This would be particularly useful in residential treatment, which is an expensive and inadequately researched approach. This study used archival data gathered …

Child Sexual Trauma And Traumagenic Dynamics: The Mediating Role Of Family Environment On Adulthood Functioning Among Hispanic And Caucasian Females, Jose Mauricio Ramirez

Loma Linda University Electronic Theses, Dissertations & Projects

Child Sexual Abuse has received great attention in the last three decades and a major societal issue today. Several studies have suggested that the prevalence of CSA in women is in the range of 6% to 62% depending on how the data was collected (e.g., interviews, surveys) and the nature of the population sampled (e.g., general population, clinical population). Because of CSA, victims are impacted by the experience and encounter a change in the way they perceive the world on both the way they act and react upon it. Some research on the characteristics of CSA and effects in adult …

Study Of The Four Factor Theory Of Women’S Sexual Function, Julie M. Merrell

Loma Linda University Electronic Theses, Dissertations & Projects

Tiefer, Hall, and Tavris (2002) described factors comprising four categories of female sexual function. They suggested that unique factors need to be examined to understand sexual function in women. Socio-cultural, political, or economic factors, partner and relationship factors, psychological factors, and medical factors were described as aspects of women’s lives that can be the source of sexual dysfunction. In a previous study, Merrell (2007) utilized Tiefer et al’s (2002) four factor model of sexual functioning to examine female sexual functioning looking specifically at body shame, relationship satisfaction, positive and negative affect, sexual self-schema, and overall health. Based on the results …

Sexual Risk Recognition Deficits: The Role Of Prior Victimization And Emotion Dysregulation, Kate L. Walsh

Department of Psychology: Dissertations, Theses, and Student Research

Recent theoretical writings suggest that the ineffective regulation of negative emotional states may reduce the ability of women to detect and respond effectively to situational and interpersonal factors that increase risk for sexual assault. However, little empirical research has explored this hypothesis. In the present study, it was hypothesized that prior sexual victimization and negative mood state would each independently predict poor risk recognition and less effective defensive actions in response to an analogue sexual assault vignette. Further, these variables were expected to interact to produce particularly impaired risk responses. Finally, that the in vivo emotion regulation strategy of suppression …

Profiles Of Drug Endangered Children: Investigation In A Clinical Sample, Imanie Samanmali Wijayaratne

Loma Linda University Electronic Theses, Dissertations & Projects

Despite the increase in children born prenatally exposed to methamphetamine, little is known about the cognitive and neuropsychological outcomes of these children. Research specific to prenatal-methamphetamine exposure is extremely limited and has been primarily restricted to rat studies. This research combined with the few studies examining children prenatally exposed to methamphetamine suggests that methamphetamine-exposure is associated with various cognitive and neuropsychological delays and is impacted by both biological and environmental factors. Given the scarcity of research in this area, the current study used archival data from a psychological assessment clinic to (1) describe the frequency of prenatal methamphetamine-exposure cases, (2) …

The Relationship Of Infant Feeding And Self-Regulation In Pediatric Obesity, Amy Rebecca Beck

Loma Linda University Electronic Theses, Dissertations & Projects

Pediatric overweight and obesity is a growing national epidemic with 15 percent of children ages 6-19 considered obese and at least 22 percent considered overweight. Although there are many suggested causes, treatments, and preventions for this epidemic, a construct that is showing promise in the current literature as a preventive factor against obesity is breastfeeding in infancy. However, the mechanisms by which breastfeeding may impact later childhood weight are unknown. Some of the literature posits the possibility of self-regulation as a key mechanism in the role of breastfeeding in pediatric overweight/obesity. The purpose of this study was to examine the …

Religious Affiliation, Religious And Spiritual Practices, And Burnout Among Adolescent Residential Staff Members, Tara Sanderson, Rodger K. Bufford, Mary K. Peterson, Victoria Ravensberg

Faculty Publications - Doctor of Psychology (PsyD) Program

Adolescent residential treatment staff members have jobs that are emotionally exhausting, physically taxing and spiritually draining. Good coping skills, including religious/spiritual practices, may reduce burnout. Results from a small rural adolescent residential treatment center indicated a high degree of burnout. Burnout was negatively correlated with existential and religious well-being, stress, income, social support and personal mental health treatment

Social Support Domains For Parents Of Children With Autism Spectrum Disorder: Assessing Perceived Needs And Stress Levels, Rachel N. Wolf

Masters Theses & Specialist Projects

The current study investigated types of social support needs through a number of domains reported by parents of children with autism spectrum disorder (ASD) along with the relationship of these needs to reported parental stress. Female participants (N = 35) in the South Central Kentucky region responded to a number of measures regarding perceptions of their current stress levels on the Parenting Stress Index - Short Form (PSI-SF) and their perceptions on social support needs through a modified version of the Family Needs Questionnaire (FNQ). The results indicated that there was a moderately strong correlation between social support needs and …

Trajectory Of Quality Of Life In Advanced Parkinson's Patients Receiving Bilateral Subthalamic Nucleus Deep Brain Stimulation, Karl S. Chiang

Electronic Theses and Dissertations

Quality of Life (QOL) in Parkinson's disease (PD) patients after Deep Brain Stimulation (DBS) neurosurgery generally improves between 3 to 24 months post-operatively. However, QOL beyond 2 year follow-up is generally unknown. This study examined the QOL in 16 advanced PD patients who received DBS at an average of 7.5 year follow-up with the Parkinson's Disease Questionnaire (PDQ-39). Participants had an average Disease Duration of 20.57 years (SD 5.7) and a mean Age of 63.50 (SD 8.05). Linear regression analyses suggested a constellation of changes involving Time, Age, and Disease Duration. As Time progressed since DBS intervention, the PDQ-39 Cognitions …

Informed Consent As A Predictor Of Working Alliance And Perception Of Counselor/Psychotherapist, Scott E. Kerby

Dissertations

Client informed consent is an important component and ethical dimension of counseling and psychotherapy required by each of the mental health professions. The purpose of this study was to examine the extent to which informed consent in counseling/psychotherapy may relate to client perceptions of the working alliance, measured by the Working Alliance Inventory - Short Version (WAI-S) (Tracey and Kokotovic, 1989), and clients' general opinion of the counselor/psychotherapist, measured by the short form of Counselor Rating Form (CRF-S) (Corrigan and Schmidt, 1983). In particular, the study investigated: (1) how discussion and understanding of informed consent related to client perceptions of …

Phenomenological Study Of Resilience In The Lives Of White, Midlife Lesbian Psychologists In Clinical Practice, Melissa A. Lidderdale

Dissertations

The unique experiences and adversities encountered by midlife lesbian therapists have not been directly investigated. How the midlife lesbian women in this study were influenced by their individual experiences and cultural changes, both in general society and within the mental health profession, are paramount to more fully understanding the adversities, support, and resilience that they experienced while becoming psychologists. Due to the scarcity of empirical literature pertaining to the therapist's experience of resilience and the paucity of empirical literature related to resilience in lesbians, phenomenological research methods were chosen for this study. The goal of this study was to provide …

The Role Of The Peer Group In Adolescence: Effects On Internalizing And Externalizing Symptoms, Glen J. Veed

Department of Psychology: Dissertations, Theses, and Student Research

An adolescent’s peer group has been theorized to influence the development of psychopathology. However, little research has examined the adolescent peer group using information obtained directly from peers in a longitudinal framework. Research has also been limited on peer group influence on the development of internalizing disorders. The study used Social Network Analysis to examine self-reported anxiety, depression, aggression, and delinquency in the fall and spring of one school year for students in a rural high school. In addition to examining the effect of the peer group on individual reports of psychopathology, the strength of this relation was compared to …

A Psychometric Evaluation Of The Revised Optimism-Pessimism Scale Of The Mmpi-2, Ginger Burge Debrule

Dissertations

The present study tested the psychometric properties of the Revised Optimism-Pessimism Scale (PSM-R) of the MMPI-2. This scale purportedly measures the respondent's explanatory style on a dimension of optimism and pessimism. Participants included 92 college undergraduates and 2,729 participants from archived outpatient data. The PSM-R is a reliable measure, based on test-retest reliability and internal consistency. However, the construct validity of the measure is questionable. Evaluation of the PSM-R items suggests that the items are not all related to the optimism-pessimism construct. In addition, convergent validity of the PSM-R was assessed using measures of attributional style, dispositional optimism, hope, depression, …

A Longitudinal Examination Of Outcomes Related To Emotional Abuse In Children, Lauren Seale Fryer

Dissertations

Emotional abuse has been linked to both intemalizing and extemalizing outcomes in adults and children, even after controlling for the presence of physical and/or sexual abuse in childhood (Braver, Bumberry, Green, & Rawson, 1992; Gibb et al., 2001; Kaufman & Cicchetti, 1989; Kim & Cicchetti, 2006). The developmental/organizational perspective, as well as attachment theory, suggests that emotional abuse occurring in childhood will result in disrupted views of subsequent relationships, leading to maladaptive outcomes such as aggression, depression, and low self-esteem (Cicchetti & Toth, 1995). The current study examined these relations in an archival sample of lowincome urban children ages 5 …

Attachment Anxiety And Avoidance: Relationship To Body Image And Exercise Behavior, Kathryn Louise Brown

Dissertations

This study was designed to investigate the role of attachment anxiety and avoidance in predicting persons' body image, body appreciation, and obligatory exercise behavior. Two hundred and twenty eight participants (100 men and 128 women) completed the Relationship Scales Questionnaire (RSQ; Griffin & Bartholomew, 1994), Multidimensional Body-Self Relations Questionnaire (MBSRQ; Cash, 2000), Body Appreciation Scale (BAS; Avalos et al., 2005), and Obligatory Exercise Questionnaire (OEQ; Pasman & Thompson, 1988). Results provided at least partial support for many of the hypotheses. The current study replicated results from previous research pertaining to the relationship between attachment and body image. However, the results …

The Effect Of Holland's Person-Environment Fit On Trait Anger, Interpersonal Conflict At Work, And Workplace Aggression, Aimee Chantelle Pseekos

Dissertations

This study examined the effect of Person-Environment fit, as defined by Holland's (1997) theory, on trait anger, interpersonal conflict at work, and workplace aggression in a sample of employees in the United States. Job satisfaction was also examined with regard to concurrent and discriminant validity information for this sample. Results indicated that there was not a statistically significant effect of Person- Environment fit on trait anger, interpersonal conflict at work, or workplace aggression. The concurrent and discriminant validity of findings was supported through relationships between job satisfaction, Person-Environment fit, and workplace aggression. Limitations and implications for further research related to …

Adhd Differences On The Stanford Binet Intelligence Scale, Fifth Edition, Meridee Runge, Rodger K. Bufford, Elizabeth Hamilton, Gale Roid

Faculty Publications - Doctor of Psychology (PsyD) Program

Attention-deficit/hyperactivity disorder (ADHD) is a common psychiatric diagnosis in childhood that requires a level of attention or hyperactivity that falls short of the expected developmental level. Past research shows cognitive discrepancies in ADHD populations with verbal deficiencies observed primarily in tasks that require a combined auditory and verbal component. Working memory has been a long acknowledged deficit in persons with ADHD. This research examines cognitive differences among children with ADHD on working memory and other components of the Stanford Binet, 5th edition (SB5). Stanford Binet verbal and nonverbal working memory was hypothesized to be different for the ADHD sample compared …

A Pilot Study Of Bibliotherapy To Reduce Alcohol Problems Among Patients In A Hospital Trauma Center, Paul Amrhein, Timothy Apodaca, William R. Miller, Carol R. Schermer

Department of Psychology Faculty Scholarship and Creative Works

Because alcohol use plays a major role in many injuries that require hospital care, there is increasing interest in developing interventions to address alcohol problems among emergency department and trauma center patients. The aim of the current study was to extend past research on brief interventions by investigating the use of a self-help manual to treat problem drinkers in a hospital trauma center. Forty injured patients who were either intoxicated at the time of injury or screened positive for harmful drinking were randomly assigned to receive either a brief assessment and a self-help booklet with no more than 5 minutes …

Detection Of Malingering Via Cognitive Cues, Birgit M. Smart

Doctoral Dissertations

Malingering is a frequently encountered problem of faking psychological or physiological symptoms or exaggerating existing conditions for external gain. Malingerers typically are seen in clinical and forensic settings and create a burden to our society due to loss of economic resources or professional time. The impact of malingering is difficult to calculate due to problems with identifying actual cases of malingering. Psychological tests traditionally have been used in the assessment of malingering. Despite major improvements in instruments and clinical interviewing techniques, however, no failsafe assessment tool has been identified for the accurate detection of malingering. Cognitive studies of lie detection …