Clinical Psychology Commons^™

Burnout: Absence Of Binding Diagnostic Criteria Hampers Prevalence Estimates, Renzo Bianchi, Irvin Sam Schonfeld, Eric Laurent

Publications and Research

Comments on an article by Jef Adriaenssens et al. (see record 2015-00662-015). In a recent review paper, Adriaenssens et al. concluded that about 26% of emergency nurses (EN) suffer from burnout and described their results as alarming. While commentators applaud Adriaenssens et al. efforts to provide a clearer picture of ill-health in EN, they thought that these authors' conclusions were weakened by a fundamental fact, namely, the absence of consensual, clinically valid diagnostic criteria for burnout. Trying to determine the prevalence of a condition that has no binding diagnostic criteria is problematic. Indeed, depending on how researchers decide to …

The Role Of Heart Rate Variability In The Treatment Of Migraines, Thomas M. Ledoux

Antioch University Dissertations & Theses

This dissertation assessed the role of heart rate variability (HRV) in the treatment of migraine headaches. The extent of this relationship was measured through a 12-session HRV biofeedback protocol to increase HRV and decrease migraine frequency through resonance frequency breathing (RFB) training. This project used a single-case design methodology to analyze phase changes in physiological variables with a specific focus on changes in HRV and migraine symptoms from baseline to completion of the biofeedback protocol. The prevalence of migraine headaches is discussed, the history of biofeedback as an intervention for migraine is reviewed, and the rationale for the relationship between …

Solutions For Recruitment And Retention Of Rural Psychologists By Rural Psychologists, Beth Briggs

Antioch University Dissertations & Theses

There are too few mental health providers to meet the needs of residents of rural communities. Rural inhabitants often present for treatment with severe symptoms, high risk for suicide, comorbid chronic health conditions, and socioeconomic stressors. It is difficult to recruit psychologists to rural communities due to limited training in rural psychology, financial barriers to sustaining a practice, frequent ethical dilemmas posed by small towns, and limited cultural amenities. While there is a significant amount of scholarly literature describing the needs of this population and the challenges of maintaining a practice in such geographic regions, there is scarce literature on …

Servicewomen’S Experiences Of Recovery In The Aftermath Of War: A Qualitative Analysis, Courtney P.R. Glover

Antioch University Dissertations & Theses

Military women’s involvement and contributions to the Global War on Terror (GWOT) are unprecedented and, as such, servicewomen are returning home in numbers that far exceed prior conflicts (Street, Vogt, & Dutra, 2009). Addressing and supporting servicewomen’s postdeployment recovery needs—as similar or distinct from their male counterparts—requires a richer understanding of their lives. Using Interpretative Phenomenological Analysis (IPA) methodology, this study addressed the paucity of in-depth qualitative research devoted to exploring the recovery experiences of servicewomen in the aftermath of combat deployment. Nine servicewomen with GWOT combat deployments were interviewed on this topic using a semi-structured protocol designed to elicit …

Assessing Suicide Risk Scores As A Predictor Of Suicidal Behaviors In A Correctional Psychiatric Facility, Janice Rice

Antioch University Dissertations & Theses

This study evaluated suicide risk assessments in a correctional psychiatric setting. It considered whether clinicians’ judgment of suicide risk predicted future suicidal behaviors in seriously mentally ill prisoners. Data analysis did not show that higher suicide risk scores predicted more suicidal behaviors, nor did it show that suicide risk scores differentiated multiple attempters, or those who went on to attempt suicide or self-harm two or more times in the three years following the assessment. Study data did, however show that suicide risk scores significantly differentiated those who went on to attempt suicide or self-harm at least once in the three …

The Moderating Effect Of Resilience Factors On Bully Victimization And Subsequent Psychological Adjustment Problems Among Adolescent Girls, Alexandra Hayley Quinn

Antioch University Dissertations & Theses

Bully victimization is linked to poor psychological adjustment, low self-esteem, and social withdrawal in children and teens. However, little research to date has examined the unique experiences of adolescent girls, the specific contributions of various subtypes of bullying, and the utilization of comprehensive instruments to examine the constructs of psychological adjustment and bully victimization. Further, researchers studying these issues have called for more studies to examine buffering factors that may protect teen girls from the psychological insults associated with peer victimization. This study advances research in the field by utilizing standardized self-report measures to examine the relationship between bully victimization …

Haitian Children's House-Tree-Person Drawings: Global Similarities And Cultural Differences, Abimbola Afolayan

Antioch University Dissertations & Theses

The issues of rising terrorism, violence, and scarcity of basic needs will increase in the coming decades, and children that need psychological services in disaster areas around the world will also increase (Alim, 2008). The study utilized the House-Tree-Person (HTP) projective test to examine the adaptation and maladaptation of Haitian children who lived in extreme urban poverty, broken infrastructure, and relocation camps in the aftermath of the 2010 earthquake. The 43 participants of the original archived data set provided 129 protocols of house, tree, and person drawings (Roysircar & Colvin, 2015). Out of that dataset, the present study used 39 …

Moral Injury: Repair Through Self-Forgiveness, Joel J. Snider

Doctor of Psychology (PsyD)

Prolonged and numerous deployments have caused military personnel to encounter a variety of stressors associated with combat. As a result, returning soldiers are commonly being identified as having posttraumatic stress disorder, which does not seem to fully account for the shame, guilt, negative self-cognitions, feelings of worthlessness, and sense of being unforgivable that veterans experience. The complexity of these issues is forcing health professionals to investigate alternative explanations. One explanation that has gained significant interest is the shame that is associated with the concept of moral injury. This study sought to investigate if a self-forgiveness intervention could moderate shame and …

Impact Of A Cognitive Behavioral Pain Management Group On Depression, Anxiety, Pain Severity, And Opioid Use In An Inpatient Population, Breanna Bocciolatt

Doctor of Psychology (PsyD)

Chronic pain has significant, multifaceted effects on both the health care system and the individual. The total cost of pain to the U.S. healthcare system is estimated to be over $600 billion annually (Skinner, Wilson, & Turk, 2012). People with chronic pain may frequent multiple providers, often dominating the time and resources of healthcare professionals (Skinner et al., 2012). The approximately 100 million people with chronic pain miss work, experience financial distress, and strained relationships, which leads to comorbid psychological diagnoses (Birnie, McGrath, & Chambers, 2012). Pain treatment strategies have largely followed a biomedical framework, seeking to identify the source …

Challenges Of Child Trauma On Adoptive Families' Social And Emotional System, Jacqueline Yvonne Ford

Walden Dissertations and Doctoral Studies

Adoption-focused psychoeducation is deemed essential in maintaining the permanency of traumatized children within a new family unit. However, adoptive parents of traumatized children struggle to find training to address their unique concerns. Guided by the lens of psychodynamic theory, the purpose of this study was to investigate the challenges faced by adoptive families of traumatized children. Special focus was placed on the social and emotional relationships of the adoptive parents of traumatized children, to identify the realistic expectations towards attachment from the families' perspectives. Fifteen families were randomly selected to participate in this study from a group of 30 parents …

Borderline Personality Disorder: The Frequency Of Disclosure And The Choice To Disclose, Laci Marie Rumpza

Walden Dissertations and Doctoral Studies

The goals of this study were threefold: (1) to identify what percentage of psychologists and clinical social workers disclose the diagnostic label BPD to their patients, (2) to identify factors that influence disclosure, and (3) to gather data about the choice to disclose or not to disclose. The MUM effect was used as the theoretical framework. A sequential explanatory mixed methods design including an online survey was used during the first phase. A total of 125 psychologists and 45 social workers participated in the Phase 1 of the study. The majority of participants stated that they either always or usually …

Utilizing The Rorschach In Analyzing Characteristics Of Women Who Have Experienced Domestic Violence, Mary Aleksandra Iwanski

Walden Dissertations and Doctoral Studies

Intimate partner violence (IPV) affects millions of women, men, and families throughout the world each year, with more than a million incidents of domestic partner abuse reported to law enforcement officials each year in the United States. Being able to accurately assess and help a woman who is experiencing this type of violence can be difficult for even a seasoned mental health or medical professional. The purpose of this study was to determine whether clinicians can gain insight into the personality structure of women who have experienced IPV by clinical interview and administration of the Rorschach alone. This study analyzed …

Maternal Depression: The Impact Of Perceived Social Support And Behavioral Health Rehabilitation Provider 50 Services, Tammy Lynn Gregorowicz

Walden Dissertations and Doctoral Studies

The purpose of this study was to identify if the rate of behavioral health rehabilitation services (BHRS) impacts depressive symptoms of mothers with children receiving these services and if the perception of social support moderates the severity of depression. The stress-buffering hypothesis and Bowen's family systems theory were used for the theoretical framework. A quantitative, cross-sectional survey design was used to collect data from mothers of children receiving BHRS Provider 50 services in northeast Pennsylvania. The Beck Depression Inventory, Second Edition and Multidimensional Scale of Perceived Social Support were used to assess depression and perceived social support. A self-made demographic …

Psychopathy And Attachment: The Effect Of Security Priming On Psychopathy In A College Student Sample, Blake D. Herd

College of Graduate Studies: Theses & Dissertations

Psychopathy has been defined as a pattern of negative behaviors, social interactions, and affective features, including impoverishment of emotion, unethical and manipulative actions, and impulsivity (Neumann & Hare, 2008). It is estimated that between 15 to 30 percent of incarcerated adults meet the criteria for psychopathy (Hare, 1991, 1996; Salekin, Rogers, Ustad, & Sewell, 1998). Because psychopathy is linked with deviant behaviors and a significant portion of incarcerated adults are high in psychopathy, methods of reducing psychopathy are needed. The current longitudinal study sought to reduce state psychopathy levels through secure attachment priming. It was first hypothesized that the mean …

Visual Attention To Emotional Stimuli In Individuals High On Psychopathic Traits: Evidence From Eye Tracking, Donna M. Crossman

Graduate Dissertations and Theses

Researchers have described psychopaths as callous, cold-hearted individuals who show reduced empathic response to their victims. It is suggested that the inability to identify negative emotions, specifically fear, in individuals is what allows psychopaths to offend/take advantage of other people as they do not recognize the fear in victims that may otherwise deter victimization. This is the first study to examine how non-incarcerated individuals high on psychopathic personality traits process emotions. Additionally, eye-tracking technology was used to provide a more fine-grained assessment of attention. In contrast to hypotheses, the high psychopathic group did not differ from the low psychopathic or …

Testing An Ecological Model Of Parent Involvement In Head Start: A Replication Study, Rebecca C. Horwitz

Theses and Dissertations

Parent involvement has been understood to elicit positive outcomes for school-age children, especially minority children and children from low socioeconomic families. Understanding the process by which parents engage in their child’s education may provide school staff with tools to develop interventions to increase parent involvement.

This investigation replicates a study that tested an ecological model of parent involvement in two Head Start programs (Waanders, 2002). Participants in the current study were 213 parents and/or caregivers of children who attended three Head Start programs in South Carolina. Two of the programs were located in a medium-sized city, while the third was …

The Relationship Between Religiousness And Intimate Partner Violence Risk And Protective Factors, Peter Warren

Theses and Dissertations

This paper proposes an integrated model illustrating the mechanisms by which religiousness may serve to influence individual beliefs regarding intimate partner violence (IPV) and the potential for subsequent abusive behavior. Intimate partner violence is a serious public health issue in the US, affecting over 25% of women at some point in their lives (CDC, 2010; Tjaden & Thoennes, 2000). Religion is a near ubiquitous aspect of American culture, with over 80% of Americans reporting some kind of belief in a higher power (Gallup, 2008. Overall, the literature shows that religiousness typically serves as a protective factor against IPV, but digging …

Rural Clinicians’ Perceived Ethical Dilemmas: Relationships With Clinician Well-Being And Burnout, Amithea M. Love

Antioch University Dissertations & Theses

Mental health clinicians are bound by professional ethics codes that are intended to ensure beneficence toward clients. When clinicians reside in rural areas, ethical dilemmas result from the distinct nature of rural life and clinical practice. Despite extant literature on the ethical dilemmas of rural practice, little research has examined the effect of ethical dilemmas on the social-emotional functioning of clinicians. In response to this need, the study investigated the relationships of frequency of and discomfort from ethical dilemmas on clinician social-emotional functioning. Participants were rural and small town clinicians (N = 60) between ages 24-65 and primarily Caucasian (83.3%), …

Resilience To Trauma Throughout The Lifespan: Overcoming Child Sexual Abuse, Kaylee L. Curilla

Antioch University Dissertations & Theses

This qualitative dissertation project explored how young-old adults have healed from the traumatic experience of being sexually abused in childhood. This project utilized an Interpretative Phenomenological Analysis (IPA) to analyze themes across the young-old adults’ responses. Data collection consisted of interviewing six participants (age 51-58) who have had a history of child sexual abuse (CSA) from a loved one or other trusted individual and have felt that they have healed and demonstrated resiliency from the experience. Ten general themes emerged: (a) Getting older has helped me develop a better understanding and helped me to become less emotionally reactive; (b) After …

Worlds Of Connection: A Hermeneutic Formulation Of The Interdisciplinary Relational Model Of Care, Susana Lauraine Mccune

Antioch University Dissertations & Theses

Despite a general agreement across health care disciplines that Advanced Care Planning (ACP) and Advanced Directives (ADs) add important elements to a patient's end-of-life care desires, and can inform their loved ones and advocates, help create ease of mind, and enhance quality of care, they continue to remain significantly underused. More than half of Americans transition to chronic and terminal illness without having completed them. The aim of this study was to increase the frequency and enhance the quality of communication about Advance Directives and Advance Care Planning within the clinical relationship. The resulting Interdisciplinary Relational Model of Care (IRMOC) …

The Lived Experience Of Adolescents Who Engage In Nonsuicidal Self-Injury, Erin Elizabeth Holley

Antioch University Dissertations & Theses

The purpose of the current study was to explore the lived experience of adolescents who engage in nonsuicidal self-injury (NSSI). Phenomenological interviews inquired about emotionality, conflict styles, and parental relationships among a clinical population of six adolescents. All participants met criteria for the proposed diagnosis of NSSI found in the Diagnostic and Statistical Manual for Mental Disorders, Fifth Edition (American Psychiatric Association, 2013). Nine central themes emerged as significant: identification with an alternative to the dominant culture, inhibition of affect, difficulty managing conflict, suicidality, negative emotionality, feeling numb, negative internal monologue, self-harm as a temporary coping skill, and maternal conflict. …

A Narrative Study Of Emotions Associated With Negative Childhood Experiences Reported In The Adult Attachment Interview, Lynne Hartman

Antioch University Dissertations & Theses

Attachment patterns, which tend to be stable over time, are passed from one generation to the next. Secure attachment has been linked to adaptive social functioning and has been identified as a protective factor against mental illness. The parents’ state of mind with regard to attachment—as measured with the Adult Attachment Interview (AAI) (Main, Goldwyn, & Hesse, 2002)—predicts the attachment classification for the infant in Ainsworth’s Strange Situation Procedure (Ainsworth, Blehar, Waters, & Wall, 1978). Earned-secure individuals have overcome negative childhood experiences to achieve a secure state of mind in adulthood. Earned security, like continuous security, strongly predicts infant security …

Finding Childcare For The Disabled Child: The Process And Decisions Through The Primary Caregiver’S Lens, Misty Dawn Torres

Antioch University Dissertations & Theses

In this qualitative, Grounded Theory study, the researcher examined the process that primary caregivers go through when selecting a childcare placement for children who have special needs. Data were collected through participant interviews with primary caregivers (n=10) who responded to recruitment notices posted on (1) listservs by organizations directly affiliated with early intervention and child care services; (2) local Internet classified sites; and (3) through word of mouth. The research demonstrated that caregivers who learned of their child’s disability in a prenatal diagnosis or prior to an adoption identified with having a greater sense of choice and control over their …

A Phenomenological Exploration Of The Experience Of Parenting Half-Siblings Within A Blended Family, Nicole Josephsen

Antioch University Dissertations & Theses

Blended families are a growing population and encompass a diversity of characteristics and family types. Among the different types of blended families are those with both stepchildren and mutual children. Research on the complex experience of parenting a mutual genetic child and a stepchild within a blended family is minimal. To better understand the unknown experience of such parents, this phenomenological study was conducted to provide an in depth description of the experience of simultaneously parenting mutual children and stepchildren within a blended family. In this phenomenological study the researcher conducted interviews with six participants who varied by gender, socioeconomic …

Character Strengths Of Students At Risk Of Dropping Out Of High School, Sarah Baker

Antioch University Dissertations & Theses

The goal of this study was to determine the participants' perceptions about what strengths at-risk students who follow through and graduate from high school have, using the conceptual framework of positive psychology, and its classification system of virtues and character strengths. To reveal the strengths of these students, this study used a qualitative methodology, interpretive phenomenological analysis (IPA). In addition, the participants were asked to fill out a Likert scale survey to rate how frequently at-risk students who graduated employed each of the 24 VIA characteristics. The purpose of this study was to add to the under-researched area of identifying …

Designing A Data-Tracking System For A Private Therapeutic Day School, Olin J. Bittner

Antioch University Dissertations & Theses

The Children's Institute on Mercer Island (CHILD) is a private therapeutic day school in the Seattle area serving students in elementary and secondary education. Their stated mission is to "provide innovative school programs and therapies that promote social, emotional and academic development for children with special needs." In the fall of 2012 they engaged in a program evaluation that in many respects resembles a needs assessment in order to explore and improve aspects of their functioning. Through preliminary evaluation processes, including dialogue with CHILD's Leadership Team and a survey of internal stakeholders, an area of interest in student mental health …

Health Behaviors, Hardiness, And Burnout In Mental Health Workers, Jeremiah Brian Schimp

Walden Dissertations and Doctoral Studies

Burnout has emerged as a significant and costly issue in the modern workforce. Researchers have not fully explored the role of individual health behaviors and personality in burnout among mental health workers. The knowledge gap addressed in this study was the connection between health behaviors, what mental health workers do to take care of themselves, and hardiness, the characteristic way they perceive and interpret environmental challenges. The purpose of this study was to examine the influence of health behaviors and hardiness among mental health workers on the 3 dimensions of burnout as measured by the MBI-HSS: emotional exhaustion, depersonalization, and …

Trauma In Patients With Serious Mental Illness: The Acceptability And Impact Of A Brief Psychoeducational Intervention For Trauma In The General Acute Inpatient Psychiatric Setting, Kevin E. A. Giangrasso

PCOM Psychology Dissertations

Prevalence rates of posttraumatic stress disorder (PTSD) for individuals with serious mental illnesses (SMIs) are high, with an estimated 49% to 100% being exposed to potentially traumatic events. The consequences of these disorders are serious and lasting, with PTSD being the costliest of mental health disorders. At the same time, established evidence-based treatments for PTSD are often not feasible in treatment settings utilized by individuals with SMIs, namely the general acute inpatient psychiatric hospital. Psychoeducational approaches have been incorporated as a component of evidence-based interventions for trauma and have been feasibly implemented in the general acute inpatient psychiatric hospital. The …

Inventory Of Cognitive Distortions: Validation Of A Measure Of Cognitive Distortions Using A Community Sample, Michael B. Roberts

PCOM Psychology Dissertations

The purpose of this study was to examine and evaluate further the psychometric properties of a self-report inventory of cognitive distortions using a nonclinical, community sample. A group of 474 individuals were contacted via the social networking site, Facebook, and through a college list-serve and were asked to complete multiple measures and also to send the link to other individuals, thus utilizing a snowball sample. The measures used included the Inventory of Cognitive Distortions (ICD), Dysfunctional Attitude Scale (DAS), Perceived Stress Scale (PSS), and a brief questionnaire to collect demographic information on each participant. Results revealed positive psychometric properties for …

The Impact Of Disturbed Sleep On Attention, Working Memory, And Reaction Time Tasks In Children With Adhd, Kathryn Robb M.A., M. S.

PCOM Psychology Dissertations

Attention deficit/hyperactivity disorder is the most commonly diagnosed neurodevelopmental/psychiatric condition in childhood (CDC; Gruber, 2009). Disturbances in sleep can create a variety of impairments, both cognitive and behavioral, and may negatively affect attention, memory, visuo-spatial abilities, sustained attention and divergent intelligence (creativity) (Stores, 1999). The aim of the present study was to examine the role that sleep disturbances had on the cognitive performance of children with ADHD. Specifically, the possible relationship between poor sleep and children’s performance on working memory, attention and reaction time tasks and poor sleep were examined. Overall, in the current sample of 54 children who underwent …