Clinical Psychology Commons^™

Exploring Communication Between Staff And Clinicians On An Inpatient Adolescent Psychiatric Unit, Olivia Ray Friedman

Antioch University Dissertations & Theses

This dissertation explored interdisciplinary team functioning on a long-term adolescent inpatient psychiatric unit. It compared staff perceptions (MHCs, clinicians, and nurses) of interdisciplinary coherence and unit effectiveness. This study was particularly focused on understanding MHCs perceptions of team functioning and how satisfied team members are with their level of input and involvement in team decision-making. Additionally, this study explored possible barriers to effective team functioning in this setting. Eighty-four participants in this study completed the Interdisciplinary Team Process and Performance Survey (ITPPS) to assess perceptions of team functioning. Participants answered additional questions assessing barriers to communication and collaboration and levels …

Understanding The Parent Experience Of Receiving An Early Childhood Autism Diagnosis, Elizabeth Fuss

Antioch University Dissertations & Theses

The current qualitative study addresses parents’ experience when their child receives an autism spectrum disorder (ASD) diagnosis in early childhood. Specifically, the study explores the parent–child relationship, the participants’ perception of autism, and parents’ overall mood before and after their child was diagnosed with ASD. The study used a semistructured interview to collect data from five mothers recruited from the Rhode Island Consortium of Autism Research and Treatment (RICART). The data were analyzed using interpretive phenomenological analysis, which divided the data into superordinate and emergent themes. The discussion section includes discussion of the data in the context of previous literature, …

"The Candy Problem, Solved!": White Children And White Parents Grappling With Dysconscious Whiteness, Lindsay E. Olson

Antioch University Dissertations & Theses

During an amplification of the Black Lives Matter (BLM) movement, white children and parents have faced multiple interruptions to their protective territory of dysconscious whiteness—an uncritical approach to a structural status quo that favors white lives. Through semi-structured activities and interviews with ten children ages 3 to 9 and nine of their parents who observed these activities, I discovered a parent–child subsystem of dysconscious whiteness. White children and parents revealed aspects of this subsystem by grappling with dysconscious whiteness (grappling) as they struggled to avoid implicating skin color in resource inequality. Through grounded theory analysis of the process of grappling, …

Adult Attachment Interview Classification: Comparing Two Coding Systems, Patricia M. Hastings

Antioch University Dissertations & Theses

Research on the Adult Attachment Interview (AAI) provides an opportunity to study the ways in which early childhood relational experiences might influence an individual over a lifetime. It is not yet clear, however, whether results from different coding systems for the AAI are equally useful. The first purpose of this study was to compare attachment classification distributions obtained from coding AAIs with the Berkeley and Dynamic-Maturational Model (DMM) coding systems. The second purpose was to explore whether AAI classifications derived from the Berkeley or DMM system were more strongly associated with mother and mother-child dyad outcome variables. Participants were a …

Mothers Know Best: Guidance For Healthcare Providers On Early Identification Of Perinatal Mental Health Disorders, Klarissa I. Garcia Orellana

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Introduction: The perinatal period has been associated with an increased risk of developing psychiatric disorders among women. Perinatal mental health disorders (PMHD) are highly prevalent, yet highly underrecognized and untreated. The involvement of medical providers, especially obstetrics/gynecology and pediatric providers, in the early identification of PMHD is critical to ensure women with PMHD receive appropriate supports. However, providers lack the education, training, and ability to identify and screen for PMHD as well as the knowledge of appropriate referrals. Objective: This study explores the existing issues with healthcare providers’ early identification practices of PMHD from the perspective of ten mothers and …

Resilience In Cancer Patients, Lori A. Gardner

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

The phenomenon of resilience has long been identified as a key talking point within the realm of overall mental health, but the concept’s specific meaning, qualities, and sources remain somewhat elusive. For those with chronic health conditions, resilience is often identified as essential to coping effectively with significant disruptions to daily activities. The purpose of this study was to better understand the concept of resilience and to determine themes that underlie resilience, specifically within a cancer patient population. This goal was addressed by using a qualitative approach to elicit commonalities among the experiences of cancer patients representing varying types and …

Lived Experience: The Training Of Therapists, Actors & Human Beings, Richard Williams

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

There is much in common between theater and therapy. Both happen live. Both are explorations of human experience. Both require participants to be emotionally and mentally present. Both are hard to do well (and easy to do poorly). Training to be a clinical psychologist requires hours of coursework, administrative work, supervision, and on the job clinical experience. Training to be a professional theater maker or actor requires hours of rehearsal. The elements of acting are deconstructed during training so that rehearsal consists of voice-work, physical theater, scene study, etcetera. Training to be an actor entails much more practice of the …

Co-Constructing Stigma: Treating Trauma In Adolescence, Isabelle Sanderson

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Public stigma and self-stigma are major factors that impede the seeking of mental health treatment as well as the development of an effective therapeutic alliance. This paper explores the co-creation of stigma dynamics from an intersubjective systems theory lens suggesting these dynamics may play a role for adolescent clients who have experienced significant trauma. Specifically, the potential overlooking and/or misdiagnosis of trauma-related experiences and symptoms often occurring with adolescents diagnosed with ADHD may be contributing to a co-constructed dynamic between the therapist and client to avoid an exploration of trauma that would be experienced as more stigmatizing, more threatening, and …

Encountering Death: A Training Proposal For Psychologists Addressing Death Anxiety And End-Of-Life Care, Bridget Kromrey

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Inward reflection and knowing the self are an essential element to becoming a psychologist and is crucial when encountering themes of death and dying in psychotherapy. There are significant gaps in curriculum and training regarding death anxiety and end-of-life care for psychology trainees and psychologists despite psychologists’ growing presence in this type of work. The following paper will explore historical and current day theories of death anxiety and death education. It will also demonstrate the gaps in training for psychologists in the areas of death anxiety and end-of-life care and describe the need for this type of training to be …

Clinical Considerations For Treating Adult Survivors Of Child Sexual Abuse: A Proposal For Integrating Intersubjective Systems Theory And Feminist Perspectives, Kristen Schrijver

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

The goal of this paper is to offer clinical considerations for clinicians working with adult survivors of extrafamilial child sexual abuse (CSA) by 1) defining the stages of sexual abuse grooming of the child and their entire family system, 2) defining and integrating intersubjective and feminist approaches to treatment, and 3) providing methods for depathologizing CSA survivors’ experience of shame. These three objectives aim to increase awareness and knowledge of sexual abuse grooming, as well as offer an integrative theoretical framework for individual therapy with adult survivors of CSA.

Urban School Violence Prevention: A Suggested Intervention Utilizing Liberation Psychology, Meghan K. Hogan

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

In the past decades, numerous programs have been developed in attempts to reduce the rates of violence facing students in American schools. The spotlight on these programs have increased since horrific mass shooting events have taken place throughout the country. Many of these programs have utilized varied methods in their attempt to reduce school-based violence, from the implementation of hardline policies meant to act as violence deterrents to the development of risk assessment teams aimed at identifying and intervening against potential threats; however, few of the existing programs have shown substantial efficacy rates. Additionally, several of the violence prevention programs …

From Military Service To Diakonia: A Training Program For Clergy Ministering To Veterans, Danielle Xanthos

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Many veterans opt to seek the support of clergy before mental health professionals. Most clergy, however, are unfamiliar with the nuances of the veteran culture and experience. Mental health professionals who specialize in working with the veteran population can collaborate with clergy to bridge this gap of care to mutually develop a better understanding of veteran culture and symptoms of mental health conditions common among the veteran population, and by equipping clergy with basic tools that promote psychological and spiritual wellbeing. Special consideration is given to the concept of moral injury and the application of Acceptance and Commitment Therapy, illustrating …

Canine-Assisted Exposure Therapy, Stephanie B. Bono

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Fear and anxiety are natural reactions to actual threat conditions but can become “pathological” when over-generalized avoidance interferes with long-term wellbeing and valued living. Pervasive experiential avoidance hinders natural extinction processes as it reduces repeated contact with feared stimuli, a condition necessary for extinction to occur. Exposure therapy (ET) is a clinical analogue of extinction, and one of the best evidence-based treatments for fear and anxiety. However, ET’s usefulness suffers in real-world clinical conditions. The current conceptual paper proposes that ET’s limitations may be overcome through a tailored approach that integrates animal-assisted therapy (AAT), specifically the use of dogs, to …

Protective And Risk Factors Associated With Posttraumatic Growth And Psychopathological Symptoms Following Trauma, Jessica Henninger

PCOM Psychology Dissertations

Most people experience at least one traumatic event in their lifetimes, yet only a small proportion of individuals develop posttraumatic stress disorder. Many studies have examined risk factors associated with psychopathological symptoms in individuals with trauma, but few have examined protective factors associated with posttraumatic growth, and even fewer have examined risk and protective factors concurrently. Factors that contribute to discrepancies between individuals who experience pathology and those who experience growth are unclear Recent studies suggest that mild stressful life events in childhood may impact the way in which an individual experiences later stress via a strengthening or “steeling” effect. …

Diabetes Training Camp: A Brief Intervention To Improve Self-Management And Physical Activity In Adults With Type 1 Diabetes, David Charny

PCOM Psychology Dissertations

Type 1 Diabetes (T1D) is less common than Type 2 Diabetes (T2D); however, its growing incidence, chronic prognosis, and increased self-management burden, produce unique psychosocial challenges for this population. Specifically, these individuals are atrisk for poor diabetes self-efficacy, and poor glycemic control, which can contribute to diabetes-specific mood alterations, or diabetes distress (DD), and an overall reduction in diabetes-specific health-related quality of life. This study evaluated the effectiveness of the Diabetes Training Camp (DTC) 1-week intervention in mitigating psychosocial distress utilizing a repeated measures design to evaluate the impact of participation on measures of DD, diabetes quality of life (DQOL) …

Predictors Of Utilization Of Care In A Community Outpatient Mental Health Sample, Matthew F. Bloom

PCOM Psychology Dissertations

The term superutilizer is used to classify individuals who frequent emergency departments and inpatient medical settings for preventable reasons. The exact criteria for this term are unclear, and there is dearth of literature on how it applies to the outpatient medical setting and to mental health utilization. The purpose of this study was to identify potential client demographic and clinical variables predictive of the utilization of mental health services/resources, as measured by number of sessions attended over the course of treatment in an outpatient mental health setting. It was hypothesized there would be a predictive relationship between being female, younger, …

Pediatric Health Care Providers’ Perceptions And Knowledge Of Caregiving Youth, Brianna Bliss

PCOM Psychology Dissertations

Many young people younger than the age of 18 years are involved in providing care to family members who are unable to manage their own medical, physical, or mental illnesses. Youth caregivers are an understudied population in the United States. The small yet growing research base has illustrated the relationship between the caregiving role, academic performance, and an individual’s social and psychological well-being. Medical settings are uniquely positioned to identify caregiving youth and provide supportive resources. A survey was created and administered to pediatric health care providers who offered medical and psychosocial support to children and adolescents. Providers were recruited …

Exploring Spiritually Integrated Psychotherapy In Clinical Practice, Tim Rieck

Theses and Dissertations (Comprehensive)

ABSTRACT

Key Words: religion, spirituality, sacred, intervention, spiritual intervention, soul

Over the past twenty years, spirituality and religion have gained increased attention in the field of psychotherapy. In the research of psychotherapy, psychology, and social work, there is recognition that spirituality and religion can contribute to positive outcomes when people are faced with various challenges and distresses in life.

The main challenges are tied into determining how to move the research beyond the fact that spirituality has importance in psychotherapy to exploring how spirituality is integrated in psychotherapy. There are numerous questions to explore regarding the application of spirituality into …

How Do You Talk To Yourself? – The Effects Of Pronoun Usage And Interpersonal Qualities Of Self-Talk, Sonya M. Bisol

Theses and Dissertations (Comprehensive)

Abstract

Self-talk is defined as an inner voice that addresses the self, usually silently but sometimes aloud, with content that is self-relevant. In two studies, this work investigates the pronouns people use within their self-talk, classified by a newly developed pronoun coding scheme, and the interpersonal qualities of self-talk, characterized by an interpersonal framework. For each study we also explore how pronoun usage and interpersonal self-talk styles relate to each other, and to other important variables that pertain to the possible causes and effects of self-talk. In our first study, 131 participants completed a structured interview in which they provided …

The Risks For Eating Disorders/Disordered Eating In Refugee & Immigrant Experiences And The Imperative Of Culturally Alert Screening, Chantal A. Bushelle

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Eating Disorders (ED)/Disordered Eating (DE) largely remain outside of global mental health agendas. There are limited data on the epidemiology EDs/DE in refugee and immigrant populations, and there is a paucity of research on refugee and immigrant experiences of EDs/DE. Study of acculturation issues in refugee and immigrant populations have historically missed investigating what role and impact experiences of stress and trauma (e.g., historical, chronic) along with cultural change and transition may have on their food attitudes and eating behaviors. While there has been some study of eating habits within refugee and immigrant populations, the focus is typically on food …

A Culturally And Structurally Sensitive Approach To Working With Suicidal Latinx Individuals: Recommendations For Clinicians, Jessa Navidé

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Latinx individuals are the fastest growing racial/ethnic group in the U.S. and confront numerous challenges living in the U.S. that can impact their mental health. While their overall suicide rates are relatively low compared to non-Hispanic Whites, it is concerning to note suicide rates of Latinx individuals living in the U.S. are significantly higher compared to most countries in Latin America. The predominant approaches to treating suicidal individuals often fail to consider the sociopolitical climate and systemic challenges that exacerbate mental health concerns for Latinx individuals. This paper examines cultural considerations, racial and ethnic identity models, and unique protective and …

For Better Or For Worse? Cross Sectional Comparison Of University Student Stress, Coping, And Somatic Complaints Before And During The Covid-19 Pandemic, Sarah Cline

UNF Graduate Theses and Dissertations

The current study investigated influences of the COVID-19 pandemic on university student stress, coping, and somatic health through exploratory analyses as cross sectionally compared to university student samples collected prior to and during the pandemic. 483 emerging adult participants were collected total, 262 surveyed via Health Psychology and Physiology courses prior to the pandemic and 221 were surveyed via UNF’s SONA system. Consenting participants completed the Perceived Stress Scale -14 (PSS-14), Ways of Coping Scale, and Physical Symptoms Checklist Questionnaire. Referencing literature based on student stress, coping, and somatic health as outcomes of non-normative events, it was predicted that pandemic …

Do You Copy? Post-Traumatic Stress Disorder, Auditory Processing, And Heart Rate Variability, Lyndsey Johnson

UNF Graduate Theses and Dissertations

Self -report measures used in PTSD research have the potential to limit the degree of symptom severity in military veterans, especially as there is often underreporting in this population (Kline, Falca-Dodson, Susner et al., 2010). Polyvagal Theory provides a framework assessing if physiological measures can tap into PTSD Symptomology (Porges, 1995). It is therefore hypothesized that lower scores on auditory processing tests will be positively correlated with higher scores on Stress and PTSD measures. Additionally, it is thought that lower scores on auditory processing tedts as well as higher scores on PTSD and Stress Measures will be positively correlated with …

Investigating Body Dissatisfaction, Obesity, & Eating Pathology: African American Adolescent Girls & Mothers, Samantha Ronderos

UNF Graduate Theses and Dissertations

Body dissatisfaction is a globally prevalent issue among adolescents, particularly for those living in industrialized societies (Griffith et al., 2017). Body dissatisfaction is considered a central component of obesity intervention (Huh et at., 2011; Mitola et al., 2007) and eating disorder etiology (Kelly et al., 2005; Saunders & Frazier, 2016). It predominantly effects females and is commonly found among those with eating disorders and those who struggle with obesity or have higher BMI (Kelly et al., 2005; Saunders & Frazier, 2016). However this is contradicted in African American females, the majority of research has found low levels of body dissatisfaction, …

Disentangling The Role Of Self-Esteem On Eating Disorders In African American Youth, Carly Alexandria Wagner

UNF Graduate Theses and Dissertations

Self- esteem (SE) has been identified to have a significant impact on eating disorders (ED). Although previous studies have found a relationship between SE and EDs, further investigation in needed because SE and EDs affect gender, age, weight status, and ethnicity heterogeneously. In particular, there is limited research and inconsistent findings on the impact of SE on EDs in youth, males, and African Americans (AAs). This study had six aims: 1) Observe gender and age differences in SE, 2) Examine the impact of weight status on SE, 3) Observe gender and age effects on EDs, 4) Examine the impact of …

Jurors' Perceptions Of False Confessions, Madison G. Gallimore

Graduate Theses, Dissertations, and Problem Reports (ETD)

This study examined the effect of mock jurors’ perceptions of a defendant’s false confession vs. no confession (false confession presence), coercive interrogation techniques vs. panic-escape (false confession reason), and expert witness testimony vs. defendant explanation vs. expert witness testimony plus defendant explanation for his false confession (source). The four hypotheses and one research question pertained to main effects and interaction effects of false confession presence, false confession reason, and source (separately) and expert witness conditions combined on five outcome variables. Outcome variables were defendant’s guilt, trustworthiness, suggestibility, susceptibility to external influences, and juror’s likelihood of changing their verdict. Using Amazon …