Clinical Psychology Commons^™

Ethically Managing Theories Of Agency In Counseling And Psychotherapy, Jeffrey S. Reber, Jacob D. Tubbs, Jacob A. Larson

Issues in Religion and Psychotherapy

Informed by personal and professional cultures, clients and therapists inevitably hold various assumptions and attributions about the possibility of free will. Given that these “theories of agency” may not always align, and in light of the ethics codes for psychotherapists and counselors, it is imperative, as a matter of cultural competence and responsivity, that therapists seek training in understanding different cultures of agency. To that end, and to help therapists navigate cultural differences and mitigate the risk of personal and professional values imposition, this article provides a conceptual framework for organizing the common formal and informal theories of agency that …

Trauma-Informed Supervision: The Supervisory Needs Of Mental Health Therapists Engaged In Trauma-Related Work, Erynne H. Shatto, James Stefurak Ph.D., Amy E. Rinner, Lacy M. Kantra

Journal of Counselor Preparation and Supervision

We present the need for therapists who engage in trauma-specific work to receive trauma-informed supervision or consultation. This is based on the findings that the emotional labor required of trauma-specific work is high and increases a therapist’s risk for experiencing negative impacts from their work such as vicarious trauma, compassion fatigue, unhelpful transference/countertransference, reminders of their own trauma, and burnout. Further, clients incur risks of receiving iatrogenic care when therapists engaged in trauma-related work are not given appropriate job related resources and/or receive ineffective supervision. We discuss a model for trauma-informed supervision, including supporting theory and initial guidelines for supervisors’ …

College Students’ Loneliness, Feelings About Social Media, And Depressive Symptoms During Covid-19: Between And Within-Person Temporal Associations, Karen Kochel, Catherine L. Bagwell, Samara Rosen

Interdisciplinary Journal of Leadership Studies

During COVID-19, many institutions of higher education implemented health protocols that reduced college students’ in-person interactions and prompted an uptick in their social media use. Although social media has often been implicated in the development of psychosocial difficulties, we tested an alternate hypothesis – that, during the pandemic, students’ feelings about social media for interpersonal connection (i.e., FSMIC), would contribute to reductions in loneliness and depressive symptoms. To investigate temporal associations between loneliness, FSMIC, and depression, we estimated random-intercept cross-lagged panel models (RI-CLPM), permitting the disaggregation of between- and within-person effects. Participants (N = 517 undergraduates, M_age = …

Self-Compassion As Moderator Of Istiqomah Learning And Perfectionism In High School Students, Adhitia Wardani Fauzyyah, Lydia Freyani Hawadi, Mulawarman Hannase

Journal Of Middle East and Islamic Studies

Abstract

The stages of adolescent development are generally at the age of high school students who are equipped with developmental tasks to have a good self-identity. Previous research mentioned that there was a public opinion that one form of achieving successful students' self-identity is that they succeed in becoming students at the State Higher Education Universities (PTN). In order to meet these perfect expectations, some students try to be istiqomah in learning by following tutoring program outside of school. By using quantitative research and data collection using purposive random sampling, this research tries to see how the relationship between …

Daily Stress And Negative Affect As Predictors Of Orthorexia Nervosa Symptoms Among College Students: Testing Direct And Moderated Associations Using Daily Diary Methodology, Sharyl Wee

Psychology Theses and Dissertations

Orthorexia Nervosa (ON) is a condition involving a pathological obsession with healthy or “clean” eating (Bratman, 1997). Prevalence estimates of ON range from 35.4% to 83% in the U.S. population (Niedzielski & Kaźmierczak-Wojtás, 2021). Starting out innocuously as a habit of eating healthier foods, ON becomes socially and physically impairing when individuals spend a large amount of time and effort planning and preparing healthy meals, eventually turning into an obsession that interferes with other domains of life (Oberle et al., 2017). Although ON is not in the DSM-5, preliminary investigation has shown that it may fall on the eating disorder …

Functional Cynicism, Michelle Fried

Electronic Theses and Dissertations

Trait cynicism, or “cynical hostility” as measured by the Minnesota Multiphasic Personality Inventory’s Cook-Medley Scale, is defined and studied as characteristics associated with psychopathology, interpersonal conflict, and negative health outcomes including heart disease and cognitive decline. Likewise, “organizational cynicism” is operationalized in industrial/organizational psychology for the purpose of describing and identifying an undesirable employee type in the workplace. This research proposes an alternative assessment. It reconnects cynicism with its roots in ancient philosophy by asking if cynical attitudes, despite their negative valence ascribed in the modern literature and conventional opinion, may serve a practical purpose. This study of Functional Cynicism …

Early Diagnosis Methods For Autism Spectrum Disorder: A Systematic Review, Megan Denise Mccarthy

Doctoral Dissertations

Objective: This systematic review aimed to comprehensively synthesize existing literature on early detection methods for Autism Spectrum Disorder (ASD) in children birth to 3 years, that lead to an effective and reliable early diagnosis in children 2 to 3 years of age.

Methods: A systematic search was conducted across multiple electronic databases, including PubMed, Scopus, and PsycINFO following PRISMA guidelines. Studies reporting on early detection methods for ASD in infants and toddlers within ages 0 to 3 years that lead to early diagnosis of children ages 2 to 3 years were eligible for inclusion. Data extraction and quality assessment were …

Understanding The Psychological Significance Of Astrology In Millennial Women's Lives, Rachel June Floyd

Electronic Theses and Dissertations

In North America, astrology has been experiencing a resurgence in popularity. This is immediately remarkable given that the United States and Canada are industrialized, modern societies where astrology is widely lamented as a pseudoscience. This dissertation presents a phenomenological exploration of the underlying reasons for this cultural trend, particularly among the demographic that uses it most: millennial women. Existing psychological literature on astrology is primarily dominated by correlational studies or historical analyses and lacks the depth and richness of direct experiences of individuals engaging with this phenomenon. This study sought to address this gap within psychological literature specifically, by conducting …

Understanding The Lived Experiences Of Ethnic-Racial Minority Former Foster Youth Who Identify As Queer, Cristian A. Lemus

Doctoral Dissertations

This qualitative study used Interpretative Phenomenological Analysis to explore the lived experiences and meaning making of former foster youth of color who identify as both ethnic-racial minorities and as either gender or sexual minorities. A total of three participants took part in this study. All participants identified as a former foster youth with at least one foster care placement in the United States, as an ethnic-racial minority, and as a gender or sexual minority. In the lived experiences of the participants three themes, and several subthemes, emerged: identity, cultural prejudice, and power dynamics. The findings supported the hypothesis former foster …

Why Autistic Sociality Is Different: Reduced Interest In Competing For Social Status, Catherine L. Caldwell-Harris, Anna M. Schwartz

Ought: The Journal of Autistic Culture

The complexity of human organizations poses the challenge of understanding and navigating social hierarchies. If 'social impairment' is a defining feature of autism, then these challenges may be heightened for autistic persons. We reject the premise of social deficits but follow recommendations to investigate how autistic social behavior diverges from neurotypical norms. We review autistic writings and also scholarship on reputation management, non-conformity and moral reasoning to argue that autistic people dislike social hierarchies, find status-seeking illogical, prefer egalitarian relationships, and often seek to report wrong-doing by authorities. We outline three possible causes: (1) reduced social motivation; (2) emergent property …

Assessing The Association Between Experiential Avoidance, Resilience, And Post-Traumatic Stress Symptoms, Victoria G. Latayan

Honors Capstones

Resilience is a specific skill that can be fostered over time which, when mastered in greater amounts, allows individuals to more readily cope with interpersonal conflict and stress. The purpose of this study was to examine the extent to which experiential avoidance of distressing stimuli and trait resilience predict Post-Traumatic Stress Disorder (PTSD) symptoms. To test this, participants were instructed to complete self-report questionnaires that assessed experiential avoidance and resilience. Each participant also completed the PTSD checklist for DSM-5. The results of the study showed that while trait resilience did not significantly predict Post-Traumatic Stress Symptoms (PTSS), experiential avoidance and …

Constructing And Validating Of The Covid-19 Fear Scale: Psychometric Evidence And Optimal Cut-Off Score From Palestine, Fakher Khalili

An-Najah University Journal for Research - B (Humanities)

Background: Various corona-phobia scales have been constructed to measure the levels of fear related to COVID-19. However, probably these scales were established based on the individualistic perspective, without pay attention to fear for others’ destiny. Objective: The current study is addressing the fear of COVID-19 in light of collectivistic values. Method: The present study constructed and validated a new scale measuring fear of COVID-19 among Palestinians (C-19FSP) based on a sample size of (885) respondents. Further, this study was designed to provide an optimal cut-off score for diagnosing corona-phobia. The study was carried out through two phases using a convenient …

An Exploration Of Symptom Severity And Suicidal Ideation Within A Sex Addiction Sample, Emily A. Cordova

Master's Theses

Currently sex addiction is not recognized as a mental disorder in the DSM-5-TR, yet it continues to negatively affect a significant number of people annually. The following study aimed to explore the relationships between sex addiction, attachment styles, and suicide-related behavior, and other psychopathology related symptoms as measured by the MMPI-3. Using data from the MMPI-3, the Sexual Dependency Inventory-4^th Edition, the Sexual Addiction Screening Test-Revised, and the Experiences in Close Relationships Scale-Revised, this study explored the relationship between attachment style and sex addiction symptoms, suicidality, and sex addiction severity in a sample of 222 men seeking treatment for …

Nonmedical Stimulant Use In An Undergraduate College Student Sample: Demographics, Academics, Stress, And Other Substance Use, Ashley Skye Vanover, Meredith K. Ginley, Shelby Whalan

Undergraduate Honors Theses

Nonmedical use of prescription stimuluants (NMUS) can cause adverse outcomes for college students including academic impediments, such as a lowered GPA, and polyuse of illicit substances (Garcia et al., 2021; Holt & McCarthy, 2019; Norman & Ford, 2018). The current study investigated the demographics, academics, stress, and polysubstance use between students who endorsed NMUS and those who did not in an undergraduate college population sample at a large public university in the Southeast. The sample consisted of 429 undergraduate students who completed online measures of demographics, perceived stress, stressful life events, and substance use. Overall, 3.4% of the sample reported …

Knowledge, Attitudes, And Readiness For Integrated Behavioral Health Services Among Primary Care Providers In East Tennessee, Baylee Rose

Undergraduate Honors Theses

Introduction: Individuals in rural areas tend to face unique barriers to accessing mental health care. One possible solution to make mental health services more accessible could be to integrate behavioral healthcare providers into primary care practices. However, the successful integration of behavioral health services into rural primary care is likely reliant on the knowledge, attitudes, and readiness of the primary care practice to initiate the process of integration. The current study aims to describe knowledge, attitudes, and readiness to adopt integrated behavioral health services among primary care providers in rural South-Central Appalachia and to examine how providers’ knowledge and attitudes …

How Self-Criticism Predicts Momentary Suicidal Ideation Differently For Overcontrolled And Undercontrolled Personality Styles, Ethan Dennis

Psychological Science Undergraduate Honors Theses

Suicide is one of the leading causes of death in the United States, and nearly everyone who attempts suicide engages in ideation. Suicidal ideation varies over time and across contexts, indicating the need to untangle the interaction of momentary processes associated with ideation. We predict that people will experience increased ideation in moments of emotional pain when they engage in self-criticism. Moreover, people with differing interpersonal motives, such as that of agency (i.e., valuing competence at tasks deemed important to one’s self-worth) and communion (i.e., valuing the degree of closeness in one’s relationships) may be prompted to self-criticize in moments …

Anxiety Severity And Prescription Medication Utilization In First-Time Medical Marijuana Users, Karen L. Dugosh, Megan M. Short, Paulina Syracuse, Thomas R. Mccalmont, Michelle R. Lent

PCOM Scholarly Works

Background

Anxiety and post-traumatic stress disorder (PTSD) are qualifying psychiatric conditions for medical marijuana (MM) treatment in Pennsylvania. This study examined baseline prevalence and changes in prescription anxiety medication use three months following MM treatment initiation among individuals with these qualifying conditions.

Methods

The study sample was comprised of 108 adults with anxiety or PTSD as a referring condition; they were enrolled in a longitudinal study evaluating biopsychosocial outcomes in new MM patients. Consenting participants completed an assessment battery at baseline and Month 3 (n = 94, 87 % follow-up rate) that included a measure of anxiety severity and …

The Effect Of Autonomic Nervous System Functioning And Childhood Maltreatment On Empathy In Early Adulthood, Edward Charles Merritt

Legacy Theses & Dissertations (2009 - 2024)

Childhood maltreatment has a well-established link to both physical and psychological detriments later in life. Specifically, maltreatment has been found to be associated with changes in physiological functioning and increased aggressive behavior. Despite the well understood link with aggressive behavior, few studies have focused on the effects childhood maltreatment has on empathetic and prosocial behavior. Experienced adversity is theorized to increase one’s tendencies to adopt perspective and to feel a sense of responsibility for another’s welfare (Lim & DeSento, 2016). This study aims to examine how baseline autonomic functioning of the sympathetic and parasympathetic nervous system moderate the relationship between …

Immigration Stress & Maternal Sensitivity In Mexican American Mothers: The Role Of Parasympathetic Activity & Cultural Resiliency Factors, Annabelle Armah

Legacy Theses & Dissertations (2009 - 2024)

The immigration process is associated with a host of cultural stressors that may impact family and parental wellbeing. The present study examined whether immigration stress was related to reduced maternal sensitivity, and whether lower PNS activity would account for their associations. A secondary aim was to test the buffering effect of cultural resiliency factors (i.e., familism values, cultural orientation) on maternal PNS activity. Data were drawn from a longitudinal study of Mexican American mothers (N = 322; M age = 27 years). Contrary to hypotheses, higher immigration stress was significantly associated with higher maternal resting RSA (B = 0.15, SE …

Camouflaging And Identity Development Among Autistic Female And Gender Diverse Youth: A Qualitative Exploration, Krista Nicole Drapalik

Legacy Theses & Dissertations (2009 - 2024)

Adolescence is a vulnerable developmental period for autistic female and gender diverse youth. Many autistic youths use camouflaging to combat social challenges, perceived differences, and stigmatization. Although adolescence is an integral time for identity development, integration of these topics remains understudied among autistic female and gender diverse youth. The present study seeks to qualitatively explore first-person, youth-perspectives on the topics of camouflaging and identity formation. Ten autistic female and gender diverse youth aged 11 to 16 years (M = 13.1, SD = 1.52) and their caregivers were enrolled in the present study. Youths completed semi-structured interviews and focus group discussions. …

Adverse Family Experiences And Ethnicity As Risk And Resiliency Factors In The Link Between Psychological Distress And Perception Of Academic Stress In Undergraduate Students, Teresa Mejia

Legacy Theses & Dissertations (2009 - 2024)

Mental health problems have been associated with lower academic performance amongundergraduate students. In addition to individual well-being, environmental and cultural factors may contribute to greater academic stress. Specifically, early adverse family experiences (e.g., abuse, neglect, and family conflict) can have deleterious impacts on an individual’s emotional adjustment and perception of academic stress. However, the influence of ethnicity on the link between early family adversity and later academic stress has been largely understudied. Objective: This study examined whether adverse family experiences and ethnicity moderate the link between psychological distress and academic stress. Methods: Participants (N = 284, 38.4% male, 59.5% female, …

Can Affective Symptomology Predict Somatic Complaints In Symptom Checklists?, Catherine E. Scales

Psychological Science Undergraduate Honors Theses

Introduction: Persistent and medically unexplained somatic symptoms are widespread and pose significant burden to the healthcare system as patients often overuse consultation services when seeking a diagnosis for their symptoms. In turn, this can lead to misdiagnosis and unnecessary treatment. Since somatic symptoms are commonly associated with affective disorders but are not always associated with any specific medical diagnoses, identifying accessible methods of better guiding diagnostic tendencies for clinicians should be a priority.

Methods: Participants (N = 114, Mean age = 18.9) were undergraduate students recruited from the University of Arkansas with no prescreening requirements. Linear regression analyses were utilized …

Does What Doesn’T Kill You Make You Stronger? Examining The Effects Of Resilience And Functional Outcomes On Post-Traumatic Growth In Adults With Acquired Disability, Dominique Renee Ghirardi M.S.

Theses and Dissertations

Disabilities acquired in adulthood are often unexpected and disruptive because a loss of functioning can affect one’s ability to maintain employment, pursue their interests, and participate in social activity without assistance or accommodation. This is especially true for those who experience a life-altering injury or develop a chronic health condition between the ages of 18 and 64, as they likely have not planned for the financial and social adjustments that life with a disability involves. However, factors such as post-traumatic growth can reveal the extent to which someone experiences personal growth and improvement in the wake of a traumatic and …

Bisexuality, Biphobia, And Its Effects On Sexual Identity, Religious Identity And Mental Health: Examining Clinical Implications, Diana Ramirez

Dissertations

Bisexuality is a sexual orientation, sometimes known as “bi,” that includes sexuality in which certain people are attracted to more than one sex and gender. Bisexuality differs from other sexual- and gender-nonconforming experiences (McInnis et al., 2022). According to Ross et al. (2018), bisexuality is frequently described as an invisible sexual orientation, and only in the last 20 years has research on biphobia and bisexuality increased (McInnis et al., 2022). Experiences unique to bisexuality include bisexual invisibility from a societal level (Dyar et al., 2015), bisexuals are more prone to experience sexual orientation instability (Bostwick et al., 2014), and bisexual …

The Effect Of Parent-Child Relationships On Healthcare Utilization Among Children With Chronic Medical Health Concerns, Karina Guerra-Guzman

Theses and Dissertations

Parents of children with chronic health complaints are more likely to utilize healthcare services for their child, and are prone to experiencing increased stress and anxiety related to their child’s compromised health status. As these parents navigate managing their child’s health and integrating parenting behaviors, they are dealt with unique stressors that are likely to impact their parenting styles, anxiety, and use of healthcare services. However, most studies that have examined HCU in the context of parent-child relationships have neglected children with chronic health concerns (CHCs). This study examined the relationship between parenting styles across parents of children with a …

A Mixed-Methods Exploration Of Emergency Service Use In Autistic Youth And Young Adults, Rebecca S. Bradley

Graduate Theses and Dissertations

Autistic youth are at an increased risk for needing emergency services as compared to neurotypical peers. In fact, approximately 20% of autistic youth will interact with police by the age of 21, and rates of emergency department visits are 30 – 70% higher among autistic individuals than neurotypical peers. While research has begun to explore the nature of emergency service use in this group, researchers have not yet assessed important individual-, family-, and community-level factors that may be associated with these encounters. This study aimed to address this gap in the field by 1) characterizing families of autistic children who …

Cerebrospinal Fluid Biomarkers Not Associated With Neurologic Compromise Among Mild Cognitively Impaired Reverters With Parkinson's Disease, Cameron Ryczek

Electronic Theses, Projects, and Dissertations

Parkinson's Disease (PD) is a neurodegenerative disease characterized by motor (e.g. tremors) and non-motor symptoms (e.g. cognitive impairment). PD patients' change in cognitive functioning can be observed using the following classifications: cognitively intact, mild cognitive impairment (MCI), or dementia (PDD). MCI has many subtypes, one of which is MCI reversion which is defined as those with MCI at one time point reverting to cognitively intact later. While there is limited research into the utility of MCI reversion and its relationship with cerebrospinal fluid (CSF) biomarkers in PD, this study will begin to elucidate this relationship. To this end, data from …

Obstetric Violence And Postpartum Adjustment: Exploration Of Risk And Resilience Factors, Hope O'Neill

Electronic Theses and Dissertations

Obstetric violence includes acts of abuse, coercion, or disrespect that occur during the labor process. The present study explores how obstetric violence impacts a person’s postpartum psychosocial adjustment. This study used a subset of data (N = 339) from a larger online study, which attempted to explore multiple facets of a person’s postpartum health. The psychological constructs examined are postpartum depression and postpartum anxiety. Additional constructs assessed were protective and risk factors: self-compassion and medical mistrust. Self-compassion and medical mistrust were examined by using moderation models. Additional analyses were completed using simple regression models to explore whether obstetric violence predicts …

Examining Nonadherence To Family Values And Anxiety In College Latinas, Veronica Paola Ramirez

Theses and Dissertations

Due to the rapidly growing rate of the Latinx population, mental health professionals must concentrate on finding the best treatments for this population. The group of interest for this study is young Latinas in college with anxiety symptoms. There is some research on how anxiety levels are influenced by one important factor: non-adherence to family values, however, it is important to understand what may direct this relationship. What makes this research study different is that we attempted to use family conflict as a mediator in the relationship. Furthermore, we attempted to see if levels of autonomy and emotion dysregulation …

Connections Between Polyvictimization, Daily Stress, Emotion Regulation, And Mental Health Symptoms: An Ecological Momentary Assessment Study., Zoe L. Bridges-Curry

Electronic Theses and Dissertations

Background and Objectives: Individuals who experience polyvictimization, or victimization across multiple life contexts, evidence particularly severe outcomes across a range of mental health diagnoses. Preliminary evidence suggests that emotion regulation difficulties and stress sensitization effects may help explain observed links between trauma exposure and mental health symptoms. However, the use of between-subjects designs to address within-subjects processes – a common approach across this literature – can result in erroneous interpretation of findings. Moreover, widespread reliance on retrospective trait measures of emotion regulation, daily stressors, and mental health symptoms have limited insight into the ways that these processes unfold in daily …