Clinical Psychology Commons^™

The Devil’S Advocate: The Relational Therapist As Jung’S Fourth In The Treatment Of Queer Christian Clients, Whitney Wilson

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

This paper is an exploration of C.G. Jung’s essay, A Psychological Approach to the Dogma of the Trinity, and how he inadvertently provides a relational psychodynamic lens for working with queer Christian clients who are differentiating from their harmful, embedded theologies. Jung hypothesizes that the Christian Trinity archetype – the Father, Son, and Holy Ghost, cannot exist without a fourth member, the Devil, who holds an essential role in the successful differentiation of the Trinity. The relational therapist is called to act as the Devil when working with queer Christian clients - inviting in seemingly mischievous and dangerous thoughts that …

The Intersubjective Perspective: An Effective Treatment Model For Incarcerated Clients, Zachary Grant Weiss

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Although there is already a large body of theoretical literature on the utility of Intersubjective Systems Theory in working with more challenging clinical presentations, little has been written about the use of this approach in working with incarcerated clients. In this paper, I will be making the case for the utility and need for the Intersubjective Perspective in working within the forensic system. This paper will first focus on building a general framework for Intersubjective Systems Theory, and its theoretical understanding of clients’ striving towards health, love and connection. Next, this paper will take time to focus on a brief …

Unreality And Loss Of Self: Dissociative Experiences In Buddhist Practitioners, Jill Loving

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

On the surface, the Buddhist idea of emptiness and experiences of depersonalization and derealization seem to have significant overlap. Meditations on emptiness in the Buddhist tradition seek to lead meditators to observe the ego as illusory and empty of inherent content as one step in the journey to liberate oneself from suffering. Conversely, dissociation is generally an involuntary, automatic response to severe trauma that can become more common or chronic in an individual over time. Topographically, these experiences may look similar; both include a sense of unreality of the self and often of the broader world. However, differences in stimulus …

An Assessment Of Adhd/Ld Support In Psyd Programs From The Perspective Of Faculty Advisors, Mac Zimdars

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Among psychologists and doctoral psychology students, 14.3% and 10.7% reported having Attention Deficit Hyperactivity Disorder (ADHD) or learning disabilities (LD), respectively; 67.3% of those with any disability experienced disability-related impediments and discrimination during graduate school or the application process (Lund et al., 2014). This paper is focused on assessing current PsyD program supports for students with ADHD/LD from a faculty advisor perspective. Specifically, this research assesses the faculty advisor-advisee relationship, as well as available support services and resources. Data was collected from an anonymous survey and utilized an empirical mixed-methods approach. Three themes emerged from the study: (1) Advisors lack …

A Proposed Grief Support Group Intervention For College Students At A University Counseling Center, Kyle Cacoyannis

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

The current paper draws upon previous literature, along with the author's experience facilitating grief support groups to introduce a proposed grief support group intervention that could be implemented with college students at university counseling centers in the United States and potentially abroad. The author discusses literature on grief, grief support groups at university counseling centers and in other settings, and presenting problems related to grief among college students and young adults which help inform the design of the proposed intervention. The group intervention design is outlined in detail in the Appendix section, however the Method section gives a brief synopsis …

Older Adults And Suicide As Examined Through The Lens Of Joiner's Interpersonal Theory Of Suicide, Pamela Holmes

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Older adults face the highest rates of suicide of all age groups. The older adult population is not a homogenous group, and each age range—young old, middle old, and oldest old—has specific risk factors. Although Joiner’s interpersonal theory of suicide (IPTS) has been deemed valid among these age groups, it has not been specifically researched in older adults in each older age range. Due to lack of research and low reporting rates, not enough is known to develop specific detection and prevention measures targeting this population. This paper addresses the application of Joiner’s IPTS to both genders in each of …

Cancer Related Cognitive Impairment In Breast Cancer Patients: Guidelines For Neuropsychological Evaluation And Management, Ali Al-Humadi

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Current literature indicates there is still some debate regarding the scope and severity of cancer treatment related cognitive impairment (CRCI), with a wide variety of complex factors contributing to cognitive decline and discrepancies between objective findings and patient self-report. This paper aims to provide guidelines for neuropsychological evaluation, management, and rehabilitation of CRCI in breast cancer patients based on current research. This paper also aims to discuss current research on proposed mechanisms of action for CRCI, the cognitive domains affected in CRCI, and significant bio-psycho-social risk factors impacting CRCI.

Attachment Theory To Inform Intervention In Correctional Populations With Adverse Childhood Experiences And Substance Use Disorders, Samantha Mendoza

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Research shows a correlation exists between Adverse Childhood Experiences (ACEs) and poor mental health such as psychiatric and substance use disorders (Adshead, 2018). Research further suggests a correlation between ACEs and insecure attachment in adults (Adshead, 2018). The National Institute on Drug Abuse (2020) estimates 85% of the correctional population either has a substance use disorder or was incarcerated for a drug-related offense. This paper theorizes that those involved in the correctional system with a history of high ACE scores and substance use also experience insecure attachment, which is not currently addressed in correctional SUD programs. Attachment theory moderates the …

Asexuality And Demisexuality: Clinical Implications Of Sexual Identity, Michael Scott Fiorini

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

This paper considers demisexuality as an identity and sexual orientation for use by psychologists using historical, sociological, and psychological perspectives. It discusses the clinical implications of demisexuality as an identity and orientation distinct from asexuality. The paper discusses applications and limitations of defining and identifying demisexuality in a clinical population and it's social, scientific, and contextual significance. The paper compares what can be observed with existing diagnostic guidelines present in the DSM-5 for the identification of Female Sexual Interest/Arousal Disorder (FSIAD) and Male Hypoactive Sexual Desire Disorder (MHSDD). The paper proposes guidelines for the diagnosis and the ethical clinical treatment …

Working With Families With Refugee Experiences In The United States: The Impact Of Forced Displacement On Parent-Child Relationships After Resettlement, Sakshi Kapur

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Refugees resettled in high-income countries like the United States have a unique set of challenges ranging from great psychological disturbance to acculturation challenges. With recent changes to policies related to immigration and refugee resettlement in the United States after the 2016 presidential elections, the refugee diaspora was left with resettlement services focused more on ensuring national security and economic independence rather than services that catered to re-integration beyond economics like acculturation stress, family functioning, and cultural adjustment. This systemic literature review explores the impact of forced displacement and migration on individuals, with an emphasis on family systems and parent-child relationships. …

Therapist Self-Disclosure With Mandated College Students: A Case Study, Zachary Lattanzio

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Facing the stark reality of a disturbing mental health crisis present in the college populations of the United States, college counseling centers (CCC) must figure out ways in which they can utilize all of their available limited resources, especially regarding potential high-risk students who are unlikely to seek treatment and those that pose a danger to self or others. In certain cases, mandated treatment can potentially mitigate or eliminate crises, and may serve as an effective intervention to students whose risky behavior may be normalized within the culture of colleges across the United States. However, while this course of treatment …

"Stay Strong": Internalized Stigma, Religiosity And Black Mental Health In Colorado, Breigh Jones-Coplin

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

While the societal stigma on mental illness deters people from seeking mental health services, there is limited research on how Black personality and cultural practices may impact stigma and Black mental health (NAMI, 2020). In an attempt to identify protective and risk factors for internalized stigma and Black mental health, the present study examined 416 Black adults in Colorado and identified significant relationships between African Self-Consciousness, internalized stigma of mental illness, religiosity, and mental health functioning. Results showed that having a strong African-centered identity and religious grounding are associated with less internalized stigma and difficulty in functioning and mental health …

Psilocybin And The Psychologist: A Proposed Methodology For Exploring The Effects Of Clinicians’ Psychedelic Experiences On Their Clinical Practice, Brian N. Iliescu

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

This paper proposes a phenomenological exploration of the perceived influence of psychedelic experiences on clinical psychologists’ practice of psychotherapy. The goal of the proposed study is to open-endingly explore the psychedelic experiences of psychologists to identify common themes, underlying phenomena, and the impact that those experiences may have on their individual practice of psychotherapy. At present, no published studies have explored or identified how the perceived long-term effects of psychedelics influence professional mindsets and practices. This paper aims to synthesize the current literature, identify a gap, provide rationale for future queries into the non-clinical uses and effects of psychedelic medicines, …

Psychologists’ Graduate Training Experience And Attitudes In Religion And Spirituality, Kristi Santiago

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

In a nationwide poll, 76% of the population of the United States identifies with a formal religion of some kind (Gallup Organization, 2021). Despite the prevalence of religion and spirituality (R/S) throughout the country, graduate programs appear to neglect training on this multicultural issue. The purpose of this paper is to better understand psychologists’ attitudes toward the quality and depth of their graduate training in R/S, determine how competent psychologists feel at managing discussions of R/S within psychotherapy, and recommend necessary improvements to graduate training in R/S. Data was collected using a 24-item, online survey, which was circulated throughout college …

Mindfulness And The Relationship Between Connectedness To Nature And Affect, Mathew Stewart

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Exposure to in-vivo and virtual nature has been shown to increase a person’s positive affect from a variety of mechanisms. Natural settings and green-spaces allow for the recovery of attentional resources whereas urban environments elicit opposite effects. Individuals who practice mindfulness in general exhibit greater attentional resources and potentially could see added benefit to their well-being through exposure to natural environments. This research investigated whether those who are more mindful receive greater benefits from exposure to virtual restorative natural environments compared to individuals who do not practice or engage with mindfulness regularly. Subjects viewed an urban, urban/nature, or nature representative …

Filling The Gaaapps: Generating Affirming Asian American Perinatal Psychological Services, Jennifer Yuen

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Women in the perinatal period face a unique set of mental health challenges, as they must navigate both physical changes and transitions in their life. Perinatal mental health has been linked to child outcomes, such as social emotional development, cognitive development, and physical growth. In addition, women of racial and ethnic minority groups are confronted with barriers to accessing services and are therefore less likely to utilize mental health services. While international attention has recently focused on the experiences of women of color in the perinatal period, Asian American women have been largely overlooked. This systemic literature review explores the …

La Luz: Illuminating The Effects Of Language And Considering The Role Of Culture In A Postpartum Depression Prevention Program For Spanish- And English-Speaking Mothers, Erin Flanagan

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Postpartum depression (PPD) is a common and concerning mental health condition. Many prevention programs and interventions have been researched to prevent or alleviate symptoms of postpartum depression. The current study aimed to examine the effects of a psychoeducational PPD prevention program (ROSE), administered in the early postpartum period, on reported PPD symptoms and parenting self-efficacy beliefs in both English and Spanish speaking women. The study investigated the hypotheses that: a PPD prevention program which has been validated in the prenatal period would be efficacious in reducing depressive symptoms when administered postpartum; the PPD prevention program would improve parenting self-efficacy; and …

Athletic Injury And Resources For Student-Athletes: A Proposal For An Athlete Injury Playbook, Jessica J. Pauley

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Athletic injury happens frequently and is rarely predictable. While injury is common in sport involvement at all levels, this proposal focused on National Collegiate Athletic Association (NCAA) student-athletes and expanding the resources they have available to them. The vast literature on athletic injury and rehabilitation in sport has served researchers and academic consumers, and unfortunately, has lacked an easily accessible resource for student-athletes and sports medicine professionals to utilize. Therefore, the purpose of this doctoral paper was to propose a resource focused on post-athletic injury and written for collegiate student-athletes to understand called, The Secret Playbook. This playbook included information …

Psychologists On Interdisciplinary Teams: Barriers To Interdisciplinary Work For Psychologists At The Pre-Doctoral Level And Beyond, Alison C. Swisher

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

With the shift of psychologists into practice in interdisciplinary medical settings, where might these providers receive adequate training for effective entry into these roles? The field of health psychology struggles to adequately keep up with the need for specialized psychologists within medical settings. Training programs have historically failed to provide training opportunities within interdisciplinary medical settings. This project examined the interviews of three psychologists with experience working and training pre-doctoral level students in interdisciplinary, health-focused, medical settings. Based on the information gathered herein, it appears that the barriers to training pre-doctoral psychology students within medical establishments stem from the following …

A Missing Narrative: The Creation Of A Trauma-Informed Children’S Book For Children In The Foster Care System, Elizabeth Hoff Saunderson

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

This article includes a review of literature relevant to the experiences of children in the foster care system including demographics, trauma and stressful experiences, attachment challenges, and useful interventions. Limited research has been conducted to inform resource tools for children in foster care. The aim of the present study was to create a trauma-informed resource tool for children in the foster care system in the form of a children’s book. A review of children’s books related to foster care yielded four major themes including the importance of mindful language, the need for a resource tool, a focus on safety, and …

Our Thoughts Matter: The Mental Health Of College Students During The Covid-19 Pandemic, Caitlin Zarzeczny

UNF Graduate Theses and Dissertations

This study aimed to explore the mental health of undergraduate college students within the context of COVID-19 pandemic, as well as cognitions about health threat and engagement in protective health behaviors during the COVID-19 pandemic. Participants were (N = 276) undergraduate students attending the University of North Florida. Students completed a SONA systems survey between March 2021 and December 2021. Participants received course credit for completing the survey. Survey questions were taken from the Perceived Effectiveness of COVID-19 Prevention Effectiveness Protocols scale (Prasetyo et al., 2020). Three types of variables were assessed: demographics, perceived threat, and planned action. Correlational …

Self-Reported And Behavioral Perseverance Associated With The Maintenance Of Health Behaviors, Alivia Kay Frazier

Graduate Theses, Dissertations, and Problem Reports (ETD)

Research has shown that positive psychological traits, such as perseverance, may be associated with the maintenance of health behaviors aimed to prevent commonly fatal diseases (e.g., cardiovascular disease, stroke). Although there is limited research in this area, the current study examined whether there was an association between self-reported perseverance, behavioral perseverance, and distress tolerance with various health behaviors (e.g., sleep, physical activity, nutrition, vaping, alcohol use, general health status, and COVID-19 behaviors). A novel methodology was implemented for this study that employed using the online mirror tracing task as a measure of behavioral perseverance.

A sample of young adult participants …

Association Of Early Life Stressors With Deficits In Child And Adolescent Cognitive Functioning, Emily M. Deming

Graduate Theses, Dissertations, and Problem Reports (ETD)

The purpose of this study was to determine whether the ACEs questionnaire could be a viable screener tool for identifying children in need of neuropsychological testing. This study consisted of a sample of child participants aged 8-17 years (N=53) who were divided into a no ACEs group or the ACEs group (1 or more ACEs) depending on parental responses to the ACEs questionnaire. Participants completed a series of virtual neuropsychological tests that assessed overall neurocognitive functioning, memory, and attention. No significant differences between the no ACEs group and the ACEs group in performance of the overall Neurocognitive Index, …

Effects Of Depression And Stress On Oral Self-Care Among Perinatal Women In Appalachia: A Longitudinal Study, Jeongwi An

Graduate Theses, Dissertations, and Problem Reports (ETD)

Oral health during the perinatal period has an impact on the health of women and their offspring. Oral self-care behaviors are preventive methods that can be employed to maintain or improve oral health but may be compromised during the perinatal period. Identifying factors affecting oral self-care behaviors might provide direction on how to intervene in oral health during and after pregnancy. The purpose of this study was to investigate independent and interactive effects of depression and stress on oral self-care behaviors of perinatal women in Appalachia, given the burden of oral disease in this region. A total of 1,172 women …

A Multi-Method Evaluation Of Parent And Child Factors Associated With Child Abuse Potential, Lindsay R. Druskin

Graduate Theses, Dissertations, and Problem Reports (ETD)

Child abuse is a pervasive, global problem impacting millions of children (Stoltenborgh et al., 2015). Researchers have largely relied on the use of parent-report questionnaires to examine a variety of risk factors for child abuse (see Azar, 2002; Stith et al., 2009), leaving a gap in the research regarding the link between observed parent and child behaviors and child abuse potential. Utilizing a sample of families clinically referred for child behavioral problems, the proposed study pursued a multi-method approach to explore relations between parent factors (parent attachment, emotion regulation, harsh behaviors, and stress), child factors (child disruptive behaviors), and the …

Zonulin As A Mediator Of Psychological Stress And Periodontal Disease, Casey D. Wright

Graduate Theses, Dissertations, and Problem Reports (ETD)

The prevalence of chronic inflammatory diseases is on the rise. Some have posited the permeability of tight junctions in gastrointestinal epithelium tissues as a potential mechanism for precipitating inflammatory processes throughout the body. Zonulin is the only known modulator of tight junction permeability and has been implicated in numerous chronic inflammatory processes (e.g., proinflammatory cytokine production) and diseases, more generally. The role of zonulin in oral inflammation, however, has yet to be explored. Periodontal disease is the most common oral inflammatory condition and primary perpetrator of tooth loss. Periodontal disease also is associated with a number of other health problems …

Relation Of Child Feeding Behaviors & Caregiver Qualities To Adherence To Nutritional Therapy In Type 1 Diabetes Management, Corrine N. Ahrabi-Nejad

Graduate Theses, Dissertations, and Problem Reports (ETD)

Type 1 diabetes (T1D) is a chronic illness, typically diagnosed within childhood, that affects the ability of the pancreas to produce insulin. Significant daily self-management behaviors are required to maintain metabolic control for patients with T1D. Nutritional therapy, including adequate intake of macronutrients, is one self-management behavior necessary to optimize health. Adherence to such nutritional guidelines is associated with improved glycemic control, decreased instances of acute health complications (e.g., hyperglycemia, hypoglycemia), and can also prevent insulin resistance. Despite the critical importance of nutritional therapy, adherence to these guidelines remains low within pediatric populations. Therefore, it is important and necessary to …

Covid-19: Examining Adherence Through The Health Belief Model, Leah Ashton Brown

Graduate Theses, Dissertations, and Problem Reports (ETD)

Over 6.4 million individuals have died due to COVID-19. Although the vaccine has been distributed and made more accessible, it is important for individuals to continue adhering to guidelines that prevent the spread of this deadly virus. The current study explored adherence to COVID-19-related health behaviors (wearing a mask, social distancing, properly washing hands, and receiving the COVID-19 vaccine) in a U.S. sample (recruited through Amazon MTurk) and examined the role of interactions among various identities. The study was informed by the Health Belief Model (HBM) and participants completed questionnaires that assessed COVID-19 health behaviors, constructs comprising the HBM (perceived …

Validity Evidence For The Male Depression Risk Scale-22 (Mdrs-22) In Younger And Older Adult Males, Montgomery T. Owsiany

Graduate Theses, Dissertations, and Problem Reports (ETD)

Men are two times less likely to be diagnosed with major depressive disorder than women. However, suicide rates are nearly four times higher in men than women, increasing to six times when comparing older men to older women. Given that affective disorders are present in most individuals who die by suicide, investigators have begun researching the possibility that depression presents differently in individuals who adhere to traditional masculine norms, leading to the conceptualization of masculine depression. Presently, one assessment for masculine depression shows strong reliability and validity evidence: the Male Depression Risk Scale-22 (MDRS-22). Despite burgeoning validity evidence for the …

Freeze! The Impact Of A Guided Imagery Intervention On Looming Vulnerability And Subclinical Contamination-Ocd Symptoms, Amber Lynn Billingsley

Graduate Theses, Dissertations, and Problem Reports (ETD)

Looming vulnerability (LV) refers to the tendency to appraise and perceive potential threats as dynamic and increasing in risk. Research suggests that contamination-fearful individuals may have an increased tendency to interpret contamination as growing or spreading (i.e., “looming”), which may hinder habituation to contamination and play a role in the maintenance of contamination-OCD symptoms. Studies have shown that engaging in imagery in which one mentally freezes contamination in place decreases state levels of fear, though little is known about its longer-term effects (e.g., after one week). The present study aimed to experimentally manipulate LV using freeze imagery in a subclinical …