Clinical Psychology Commons^™

The Influence Of Intersectionality On Identity And Resilience, Stephanie Washburn

Honors Undergraduate Theses

Co-occurring multiple minority group membership (e.g., ethnic/racial minority and sexual/gender minority) has come to be referred as intersectionality. The purpose of this study was to explore if intersectionality is related to identity and resilience in undergraduate adults. The participant pool consisted of college students from a large metropolitan university in the Southeastern United States, (N = 340), who took an anonymous online self-report survey battery in exchange for course credit. Higher levels of resilience were associated with lower levels of identity distress. Further, identity commitment, but not identity exploration, predicted resiliency. Sexual/Gender Minority (SGM) individuals had lower resiliency than …

Individual And Organizational Challenges To Implementing Prolonged Exposure Therapy In The Military Health System: A Systematic Review Of Client And Provider Perspectives, Paris R. Cloutier

Honors Undergraduate Theses

Military veterans and active-duty service members face high rates of posttraumatic stress disorder (PTSD), a chronic and debilitating condition that is comorbid with other negative psychological and social outcomes. PTSD symptomology in military careers is attributed to unique organizational factors and risks both during and post-deployment. Delivering modern, effective PTSD treatments derived from evidence-based research to the military population is a multi-faceted effort. Among these interventions, prolonged exposure therapy (PE) is a safe and effective trauma-focused treatment for veterans. To yield higher rates of PE success, common challenges faced by both military clients and their clinicians that may be impairing …

Need For Cognition, Empathy, And Self-Esteem As Predictive Factors Of Modern Media Selectivity, Alfredo J. Hurtado Jr.

Honors Undergraduate Theses

Personality traits often drive media selectivity, as individuals seek out specific types of media and media genres for gratification. To further understand selectivity in a modern context, this study examined the personality factors of need for cognition, self-esteem, and empathy in relation to engagement with social media, literature, music, podcasts, video games, and tabletop games, with their associated genres. Analyses of 328 participants revealed that personality traits provided minimal to mild influence in media and genre selection, suggesting that the mechanisms behind media selection are comprised of other psychological and sociological factors.

Coping With Creativity - The Relationship Between Depression/Anxiety And Creative Coping In College-Aged Students, Nelly M. Dragu

Honors Undergraduate Theses

The relationship between creativity and mental illness has been established in the literature. There are multiple possible explanations for how mental illness and creativity are connected, and creativity has shown to be an effective treatment for different mental illnesses (for example, through art therapy). Despite this, there is limited research on which creative activities those with mental illnesses naturally use to cope. Information on the type of creative coping that the mentally ill naturally gravitate to and find most effective can further inform possible treatment plans and suggestions. This study aims to address gaps in the literature concerning how college-aged …

The Role Of Parental Attachment In The Relationship Between Adverse Childhood Experiences And Depression In Emerging Adult Males, Kerstin Gracia

Honors Undergraduate Theses

Experiencing adversity during childhood can impact mental health throughout adolescence and into adulthood. Adverse childhood experiences (ACEs) are comprised of different types of abuse, neglect, and household dysfunction. Children who experience ACEs are more likely to display internalizing (e.g., depression) and externalizing (e.g., acting out) behavior problems in adolescence. Those with insecure attachment styles are more likely to have grown up in a disorganized, inconsistent environment and have an increased chance of experiencing ACEs. The current study examined the relationships among ACEs, depression, and parental attachment in emerging adult men, with parental attachment tested as the mediating factor. It was …

Co-Occurrence Of Autism Spectrum Disorder And Attention-Deficit/Hyperactivity Disorder With Idiopathic Hypersomnia: Data From The Hypersomnia Foundation Registry, Sophie Sevan Mikkelsen

Honors Undergraduate Theses

In recent years, hypersomnia patients and researchers alike have increasingly discussed the possibility of heightened comorbidities, or co-occurrences, of autism spectrum disorder (ASD) and attention-deficit/hyperactivity disorder (ADHD) with the central disorders of hypersomnolence: idiopathic hypersomnia (IH) and narcolepsy (N). While a few scarce studies have investigated a link between ADHD and N, there has been no research on the co-occurrence of these conditions with IH. This study, using data from the Hypersomnia Foundation’s CoRDS Patient Registry, is the first to identify self-reported rates of ASD and ADHD diagnoses by people with idiopathic hypersomnia. Four chi-square tests were conducted to determine …

The Comparative Efficacy Of Ketamine And Esketamine In Treating Anhedonia And Suicidal Ideation: A Meta-Analysis, Yanyi Wu

Honors Undergraduate Theses

This meta-analysis examines the efficacy and effectiveness of racemic ketamine (RS-ketamine) and esketamine in reducing depressive symptoms such as suicidal ideation and anhedonia in patients suffering from treatment-resistant depression and bipolar disorder. This review comprehensively looks at six studies: three clinical studies focusing on suicidal ideation and three looking at anhedonia. Across the studies, RS-ketamine and esketamine were associated with a higher resolution of suicidal ideation, risk, and anhedonia. Significant improvements were noted in the suicidal desire and ideation subscale of the Beck Scale for Suicidal Ideation. The pooled effect size for suicidal ideation (d = 0.533) and pooled …

An Exploration Of The Lived Experiences And Psychological States Of Migrants And Refugees, Zainab Akef, Senel Poyrazli, Isabel Quintero

The Qualitative Report

UNHCR reports that about 82.4 million individuals were forcibly displaced as they attempted to avoid persecution, conflict, or human rights violations in their home countries. In addition to traumatic experiences, refugees encounter stressors such as low income, reduced social support, and language barriers. This qualitative study aimed to explore the impact of pre-migration trauma and political detainment on mental health outcomes and living conditions. A total of eight interviewees participated in video conferencing interviews. A non-probability convenience sampling using the snowballing technique was utilized to identify participants. Data were analyzed using an inductive approach for thematic analysis. The software Dedoose …

Therapist Engagement With Patient Nonverbal Behavior: Exploring These Interactions As A Mechanism Of Change In Virtual And In-Person Short-Term Psychotherapy, Elliana Sheriwn

Dissertations and Theses

The individual (intrapsychic) and dyadic (interpersonal) implications of nonverbal behavior have kindled interest among psychologists for decades. Many researchers and clinicians have studied nonverbal communication in the context of attachment and moment-to-moment interactions between parent and infant (Stern, 1977; Beebe et al., 2000). Theorists have also explored nonverbal behavior in the clinical setting as a dynamic relational dimension co-created by patient and therapist (Freedman and Lavendar, 1995). Although the extant literature highlights how nonverbal communication can inform psychotherapy outcome (e.g., by fostering empathy and building rapport), the topic of therapist engagement with patient nonverbal behavior—specifically, how these interactions serve as …

Social Determinants Of Psychosis: An Examination Of Loneliness, Stress, Discrimination, And Neighborhood Cohesion In Psychotic Disorders, Alexandria Selloni

Dissertations and Theses

This study examined social determinants in individuals diagnosed with psychotic disorders in a large, diverse, sample from the NIH-sponsored All of Us Research Program. Participants completed self-report measures of loneliness, perceived stress, everyday discrimination, and neighborhood social cohesion. Analyses showed that individuals with a diagnosis of a psychotic disorder experience significantly more feelings of loneliness, stress, everyday discrimination, and poorer neighborhood social cohesion compared to individuals without any diagnosis of a mental disorder as well as compared to individuals who may have other mental disorders other than psychosis. We further examined racial difference among individuals with psychotic disorders and found …

The Menstrual Cycle In Psychotherapy: Interventions, Therapist Engagement, And Blind Spots, Rozita Alaluf

Dissertations and Theses

There is a dearth of literature on psychotherapy and menstruation, except for the treatment and diagnosis of issues associated with premenstrual distress. This study aimed to bridge this gap by investigating the frequency and context of discussions about the menstrual cycle, the factors influencing therapists’ engagement with this topic, and the therapeutic approaches utilized to address the menstrual cycle within psychotherapy.

In phase 1, 118 psychotherapists from various theoretical backgrounds completed a survey on menstruation in clinical practice. The data was analyzed using descriptive statistics. In phase 2, semi-structured interviews were conducted with 7 psychotherapists, primarily identifying their theoretical orientation …

Motherhood In Crisis: A Qualitative Study Of First-Time Mothers Diagnosed With Breast Cancer, Tamzin M. Baker

Dissertations and Theses

The aim of this study is to explore the psychological impact of pregnancy-associated breast cancer (PABC) on a first-time mother’s identity. What effects does life-threatening illness have on the development of maternal identity and connection? This question was explored with a sample of six mothers via semi-structured interview and self-report measure with the aim to shed light on a scarcely studied phenomenon that is predicted to affect a greater number of mothers in the future. These research questions were explored through Interpretive Phenomenological Analysis (IPA) (Smith et al., 2009) resulting in group experiential themes and three theoretical constructs: (1) a …

Teach Them How To Say Goodbye: Student Therapist Termination At A Psychodynamic Training Clinic, Michael Ferrara

Dissertations and Theses

Termination is arguably one of the most important aspects of psychotherapy, however, the research into training for termination is sparse. Further, student therapists report that their training for termination provided little guidance, instruction, or acknowledgment of clinical realities around treatment endings. Using a semi-structured interview with a sample of 11 student therapists at a psychodynamic training clinic, this study explored experiences of termination and the preparation for those endings. Qualitative thematic analysis indicated that this group of student therapists did not experience shared and structured termination training but did not feel they were unprepared for the endings with their patients. …

Identity-Focused Therapist Self-Disclosure In Matched Sexual/Gender Minority Dyads: A Longitudinal Therapy Process-Outcome Study, Brian Thomas Neff

Dissertations and Theses

Therapist self-disclosure (TSD) is a controversial clinical intervention whose benefits and drawbacks remain contested. Notably, no prior research has differentiated explicitly between self-disclosures related to the therapist’s core identities and those peripheral to identity, and qualitative studies suggest that identity-focused therapist self-disclosure (TSD-I) may be beneficial when therapist and patient share at least one marginalized identity. LGBTQ+ people, who experience significant health disparities and utilize psychotherapy more than their heterosexual and cisgender counterparts, could benefit particularly from TSD-I. The mental and physical health challenges facing LGBTQ+ individuals are predominantly explained through minority stress theory, which suggests that societal prejudice and …

The Development Of A Computerized Text Analysis Measure Of Differentiation Relatedness: A Pilot Study, Liang Yi Wong

Dissertations and Theses

Self-definition and relatedness are considered two important processes for psychological development. Self-definition refers to an individual’s ability to maintain a stable, agentic, integrated sense of self that is differentiated from others. Relatedness refers to one’s ability to establish and maintain mutually reciprocal, stable, interpersonal relationships. Research shows that impairments in self-definition and relatedness are connected with various forms of personality and psychiatric disorders. Assessing for these impairments may allow clinicians and researchers to identity relevant factors that lead to therapeutic change. One way to assess for self-definition and relatedness is by understanding an individual’s description of self and others, which …

Policing With A Double-Edged Sword: The Associations Between Neighborhood Deprivation, Coping & Substance Use Among Black & Latiné Families, Neil M. Allicock

Dissertations and Theses

The COVID-19 pandemic has exacerbated systemic racial inequities among Black and Latiné communities, increasing daily stressors such as exposure to violence, racial discrimination, and negative perceptions of the police. Social constraints from quarantining and social distancing have weakened community relationships that previously provided relief from these stressors. Persistent poverty and racial discrimination further strain community ties and challenge the well-being of marginalized communities. Negative experiences with the police are unique stressors for Black and Latiné youth, potentially increasing their risk for substance use. The erosion of community ties may heighten psychological stress and lead to less adaptive coping methods, such …

Mentalized Affectivity Among Adolescents In Wilderness Therapy: An Initial Exploration, William Holland

Dissertations and Theses

Mentalized affectivity (MA) blends emotion regulation and mentalization in a single construct that underlies psychopathology and is a target of psychotherapeutic intervention as a mechanism of change. Little research has investigated MA’s role in psychopathology and treatment for adolescents. Change in MA has yet to be investigated. Wilderness therapy is a non-traditional treatment model for “hard-to-reach” adolescents; its mechanisms of change have not been robustly researched. This study aims to investigate change in adolescents’ MA capacities over the course of wilderness therapy, in order to explore the role of MA components (Identifying, Processing, Expressing) in adolescent psychopathology; the relation between …

Making Sense Of The Space Between: A Qualitative Study Of Therapist’S Experience And Use Of Therapeutic Enactments, Paul Ballantyne Lafreniere

Dissertations and Theses

This study sought to examine a particular category of technical challenge in therapy: enactments. Enactments, broadly defined, are moments or stretches of time in therapy where both the patient and therapist cannot put their conflicts into words, and instead act them out within the therapeutic milieu. These phenomena frequently elicit shame and guilt on the part of the therapist, and can prove detrimental to treatment. Equally, however, investigation of these moments within treatment can be of considerable clinical utility. In this qualitative phenomenological study, 6 therapists were interviewed about their experiences working with enactments in clinical practice. The strategies which …

Adult Play And Its Relations To The Working Alliance And Psychosocial Dysfunction In Short-Term Psychotherapy, Charlotte B. Gendron

Dissertations and Theses

The importance of play in child development is well-documented: the capacity to play is associated with psychological health, and the cognitive and affective processes involved in play, such as fantasy, symbolism, narrative organization, divergent thinking, and affective expression, relate to areas of adaptive functioning. Research also illustrates that the inability to play is associated with adverse experiences in children, and that play therapy can facilitate the development of play and subsequent psychological health. In addition to its relation to psychological health, the capacity to play in childhood is inextricably linked to the infant-caregiver relationship. There is less literature on what …

Belonging In The Psychic Nowhere: Racial Trauma, Racial Melancholia And Related Mental Health Outcomes Amongst South Asian Immigrants In The Us, Anusha M. Kumar

Dissertations and Theses

South Asian immigrants have experienced a nuanced immigration history in the US while straddling the Black-White racial binary. Despite their growing presence, research on South Asian mental health is relatively limited and often subsumed under the broader category of "Asian Americans," which obscures unique experiences due to the model minority myth and leads to a paucity of targeted studies, particularly in the U.S. Mental health outcomes, specifically depression, self-harm and disordered eating behaviors are prevalent within this community, and are exacerbated after large-scale sociopolitical events due to increased discrimination. Limited studies examine the intersection of racism and mental health outcomes …

A Qualitative Exploration Of Psychodynamic Therapist's Experiences When Working With Parents In Child And Adolescent Psychotherapy, Marie-Clair Siegman

Dissertations and Theses

A Qualitative Exploration of Psychodynamic Therapist's Experiences of Working with Parents in Child and Adolescent Psychotherapy.

By

Clair Siegman, MA

Advisor: Steve Tuber, PhD

The aim of this study was to identify how therapists incorporate parent-work into their practices and explore the experiences related to this. The literature on engaging parents during child treatment suggests that it is a central to improving outcomes. Research about the treatment alliance that develops between the therapist and parent is limited, especially when considering the therapist perspective. Literature within the psychodynamic and psychoanalytic fields, suggests therapists have a hesitance to working with parents either …

Investigating The Novel Effects Of First-Time Wim Hof Breathing: An Experimental Study, Yuhan Kong

CMC Senior Theses

Breathwork, or voluntary controlled breathing exercise, is central around the world for spiritual and well-being purposes. Most extant research has focused on slow breathing techniques and has found a range of benefitsin physiological (e.g., increase in parasympathetic tone) and psychological (e.g., reduction in depression, anxiety, stress) outcomes. Less explored is fast-paced breathwork, which may also be beneficial for mental and physical health. Wim Hof Breathing (WHB), a novel breathing technique that gained popularity in recent years, has been claimed to have a range of health benefits, including improving mental health, autonomic regulation and cardiovascular functioning. However, very limited scientific studies …

Adolescent Bereavement And Resilient Outcomes: A Comprehensive Analysis, Jenna Holmes

CMC Senior Theses

This thesis explores the complexities of adolescent bereavement and factors that improve resilience. Bereavement in adolescence is particularly difficult and complicated because it occurs during a crucial developmental period, and maladaptive coping during this time has been linked to many negative outcomes. This review covers three different theoretical models (i.e., Model of Adolescent Grieving, Multidimensional Grief Theory, and the Contextual Resilience Model for Bereaved Adolescents) of adolescent bereavement and compares their strengths and weaknesses. The importance of promoting resilience and healthy bereavement is underscored, followed by a discussion of how the type of loss (e.g., parent, sibling, and friend), different …

The Transdiagnostic Role And Measurement Of Cognitive Inflexibility Across Understudied Eating Disorder Groups: A Multi-Method Investigation, Mckenzie Miller

Electronic Theses & Dissertations (2024 - present)

Cognitive inflexibility is an established transdiagnostic executive function deficit that maintains a wide array of psychiatric conditions. Eating disorders (ED) are serious, life-threatening conditions that remain underdiagnosed and understudied across diverse demographic groups. There is growing evidence for a role of cognitive inflexibility in driving hallmark ED symptoms, particularly in anorexia nervosa. Treatments targeting cognitive inflexibility may improve the currently poor outcomes of these conditions. To date, the role of cognitive inflexibility remains to be examined across demographically and diagnostically diverse ED groups. The first two studies presented here examine associations between cognitive inflexibility and symptom presentation in two relatively …

Validation Of The Intolerance Of Uncertainty Scale-12 In A Sample Of Pregnant People, Kayla Costello

Electronic Theses & Dissertations (2024 - present)

Background: Intolerance of uncertainty (IU) has been proposed as a transdiagnostic mechanism driving anxiety, depression, and eating disorder symptoms. Pregnancy is a time of significant uncertainty, yet few studies have examined the measurement of IU and its impacts on pregnant people. The current study aimed to examine the psychometric performance of two versions of the Intolerance of Uncertainty Scale (IUS-27 and IUS-12) and its associations with psychopathologies common in pregnancy.

Methods: This study is a secondary analysis of participants (n = 254) recruited for a larger study of a single-session intervention targeting disordered eating in pregnancy. We examined fit …

Mentalized Affectivity And Its Role In Acculturative Adjustment And Well-Being, Bassem Barada

Dissertations and Theses

Immigration is a phenomenon that occurs on a global scale and continues to grow in prevalence to our present day. Therefore, acculturation remains an essential area of interest for the mental health field. Specifically, assessment of identification with either one’s ethnic culture or the dominant culture remains a robust way to capture acculturative adjustment (Chance, 2015). More recently, emotion regulation has emerged as an important construct in understanding wellbeing. Mentalized affectivity (MA) is an insight-based regulatory process that highlights the importance of understanding current emotional distress in the context of one’s past history (Jurist, 2005). The three dimensions of emotion …

Divorce As A Growth Process: Marital Separation And Separation-Individuation In Adulthood, Anna Egleson

Dissertations and Theses

Research has focused on the negative effects that divorce has on divorcees, on children of divorced parents, and on society. Research has also shown however that many individuals who go through a divorce emerge happier, more content and satisfied with their choice, even though the process was a painful one. Despite this evidence, there is a gap in the research looking at positive, and growth-related experiences of those who have recently gone through a divorce. Theoretical arguments and clinical observations provide a foundation to support the idea that there is a relationship between separation-individuation in adulthood and the internal shifts …

The Effect Of First-Person Testimonial Versus Didactic Video Interventions On Attitudes And Behavioral Intentions Toward Buprenorphine, Tristan S. Fletcher

College of Graduate Studies: Theses & Dissertations

Emerging adults exhibit disproportionately elevated levels of substance use disorders (Substance Abuse and Mental Health Services Administration [SAMHSA], 2021), opioid misuse (SAMHSA, 2021), and opioid use (Hu et al., 2017; Jones et al., 2015) compared to other age cohorts. If left untreated, opioid misuse and opioid use disorder can lead to various negative consequences, including premature death (Strang et al., 2020). Prior research indicates emerging adults have higher opioid-related mortality rates compared to other age groups in the United States (Gomes et al., 2018). Buprenorphine, an opioid partial agonist medication, is an effective intervention for opioid use disorder (Mattick et …

Social Problem-Solving, Stress, Social Support As Predictors Of Distress Among First-Generation Students, Marisa Leib

PCOM Psychology Dissertations

First-generation students are steadily increasing in the United States, and currently comprise one third of today’s college undergraduate population (Stebleton & Jehangir, 2020). First-generation students are more likely to face various academic, social, economic, and cultural challenges when transitioning to higher education. The culmination of these stressors put first-generation students at risk for developing mental health conditions. Social problem-solving (SPS) is one variable that has been shown to buffer against the negative effects of stress among the general college student population. The purpose of the current study was to examine how specific variables contribute to psychological distress among the population …

At-Risk Children: Adult Perception And Recognition Of Mental Health Concerns, Abby D. Lucas

College of Graduate Studies: Theses & Dissertations

Approximately 20% of children ages nine to 17 in the United States struggle with mental health concerns each year (Gamm et al., 2010). Early identification of child and adolescent mental health concerns is crucial for initiating treatment to prevent recurrence or persistence of pathology into adulthood (Logan & King, 2001). Children are primarily dependent upon adults in their lives (e.g., parents/caregivers, education professionals, healthcare providers) to recognize mental health concerns and seek services (Sayal et al., 2010). Providing these adults with guidance on how to appropriately identify and recognize these mental health needs in children is critical (Crouch et al., …