Clinical Psychology Commons^™

I’M A Sucker For You: The Role Of Parasocial Relationships And Celebrity Worship In Predicting Loneliness Among Fans Of The Jonas Brothers, Samantha Lynn D'Anna

Antioch University Dissertations & Theses

The current study sought to better understand the dynamics between parasocial relationships and celebrity worship in predicting loneliness among the Jonas Brothers fan community. A comprehensive review of existing literature positioned this dissertation within the context of current research. A quantitative, survey-based methodology was used to examine associations between variables through correlational analyses, and a qualitative component invited participants to share written narratives about the impact the Jonas Brothers have had on their lives. Quantitative findings showed that although parasocial relationships did not directly relate to loneliness, they were strongly linked to celebrity worship, which then mediated the connection between …

Hiding In Plain Sight, Gayle M. Perreault

Antioch University Dissertations & Theses

Some autistic individuals reach adulthood without receiving a diagnosis, and the processes contributing to delayed recognition are not yet fully understood. This study explored how contextual conditions across development related to the emergence and use of camouflaging behaviors in late-diagnosed autistic adults from groups historically underrepresented in autism research. Using an inductive collective case study design, narrative interviews were conducted with seven autistic adults diagnosed after age 15. The analysis examined how participants described learning, maintaining, and interpreting camouflaging behaviors across childhood through early adulthood within social, environmental, and institutional contexts, with attention to how participants experienced environmental expectations and …

Predicting The Effectiveness Of Transcranial Magnetic Stimulation Using Personality Assessmente, Seth Sizemore

Psychology Doctoral Specialization Projects

Depression, a pervasive and historically stigmatized disorder, has been treated through various paradigms over centuries, from spiritual to medical frameworks. Despite advances, Treatment-Resistant Depression (TRD) remains a significant clinical challenge, affecting a substantial proportion of patients. Transcranial Magnetic Stimulation (TMS) offers a promising approach for those unresponsive to conventional treatments. This study aims to assess the efficacy of TMS in treating TRD and its broader psychological effects using the Minnesota Multiphasic Personality Inventory-3 (MMPI-3). Participants undergoing TMS at Lexington Forensic Psychiatry were invited to partake in the study. The treatment regimen consisted of 36 TMS sessions over nine weeks. Psychological …

Maladaptive Shame Coping: The Effects Of Parental Emotion Socialization And Mentalization In The Context Of Maltreatment, Ayelet Raya Malinsky

Selected Full-Text Dissertations 2020-

Among the self-conscious emotions—such as guilt, shame, and embarrassment—shame has increasingly received attention in the clinical literature for its established link to a range of psychopathological outcomes (Paulo et al., 2020). It is a prominent experience for individuals with histories of childhood maltreatment (Herman, 2012) and plays a central role in the development and maintenance of symptoms related to trauma and personality disorders (Lee et al., 2001). Further, maladaptive coping strategies used to manage shame often exacerbate psychological distress (Martin et al., 2021), highlighting a need to identify factors that contribute to the development of chronic shame and related coping …

Development And Validation Of The Liebelt Attitudes, Knowledge, And Engagement Scale (Lakes) Among Rural Adults, Anna Morrison

PCOM Psychology Dissertations

Adults living in rural regions experience mental illness at rates comparable to those in urban areas yet utilize mental health services significantly less. Underutilization of psychotherapy in rural populations has been attributed to structural barriers (e.g., geographic inaccessibility, limited provider availability, reduced anonymity) and sociocultural factors such as stigma. However, rural adults may remain reluctant to initiate treatment due to attitudes toward psychotherapy, limited help-seeking engagement, or inaccurate knowledge about psychotherapy. The present study developed and examined the psychometric properties of the Liebelt Attitudes, Knowledge, and Engagement Scale (LAKES), a self-report measure designed to assess psychotherapy-related attitudes, knowledge, and engagement …

Music To Move You: Comparing Effects Of Music Genre On Subjective Performance Of Football Players In A Practice Setting, Devin Deturk

PCOM Psychology Dissertations

Optimizing athletic performance has increasingly extended beyond conditioning to include psychological, health-related, and environmental interventions aimed at enhancing peak mental and physical fitness. However, advanced training mechanisms targeting these factors may not be readily available to all programs, necessitating cost-effective, accessible, and ethically sound adjuncts. Thus, music emerges as a potential solution that remains underutilized in applied sport settings but may be leveraged to address pervasive challenges such as fear of failure, burnout, and over-professionalization. The present dissertation investigated the effects of music in a practice setting, with particular emphasis on its capacity to enhance subjective performance, motivation, and positive …

Camouflaging And Autism: An Examination Of Camouflaging’S Potential Association With The Clinical Assessment Of Autism And Subject Demographic Characteristics, James George Modico

PCOM Psychology Dissertations

Autism spectrum disorder (ASD) is a neurodevelopmental disorder characterized by social communication deficits and restrictive/repetitive behavior (American Psychiatric Association, 2022). The clinical assessment of ASD requires behavioral observation of the participant. Within the context of ASD, camouflaging refers to cognitive and behavioral strategies that a person with ASD can utilize to adapt to a non-autistic world (Cook et al., 2021). Camouflaging may influence an autistic person’s behavioral presentation to a more “neurotypical” state. Behaving in a less atypical manner may contribute to not being referred for testing, having a clinician assign lower ratings on diagnostic measures, and preventing issuance of …

Body Dissatisfaction Among Sexual Minority Men: Examining Associations With Health Behaviors, Gay Identity Centrality, Physical Appearance Comparison, And Conformity To Masculinity Norms, Ithan Sokol

PCOM Psychology Dissertations

Introduction: Body image disturbance (BID), or poor body image encompasses dissatisfaction with one’s physical appearance, and is linked closely with disordered eating, depression, low self-esteem, and a compromised health-related quality of life. Although most research on BID has focused on women, this study examined its impact on men, specifically sexual minority men (SMM; cisgender men who identify as non-heterosexual). This subgroup notably exhibits heightened rates of BID compared to heterosexual men, shaped by sociocultural pressures and internalized appearance ideals.

Objectives: This study intends to examine potential determinants of BID in SMM as well as build upon existing insights that connect …

Navigating Motherhood: A Qualitative Study Of The Experiences And Challenges Of Non-Birthing Mothers In Queer Cisgender-Relationships, Anna Caravaggio

PCOM Psychology Dissertations

The present study explored the psychological experiences of non-birthing mothers in queer cisgender female relationships, a population that remains underrepresented in the parenting literature. Existing research has focused primarily on birthing mothers or same-sex couples as a unit, leaving the unique perspectives of non-birthing mothers insufficiently examined. Using a qualitative phenomenological design, eight non-birthing mothers participated in semi-structured interviews examining their transition to parenthood, maternal identity development, and experiences within relational, social, and systemic contexts. Data were analyzed using thematic analysis, resulting in five primary themes: pathways to parenthood and conception decision making; constructing maternal identity; bonding and attachment processes; …

The Hidden Cost: Vicarious Trauma And Burnout In Professional Sex Offender Treatment Providers, Diazia Hughes

PCOM Psychology Dissertations

Professionals who provide treatment to individuals who have commuted sexual offenses are routine exposed to traumatic material, placing them at increased risk for both vicarious trauma (VT) and burnout. Despite growing recognition of these occupational hazards, limited research has examined the relationship between VT and burnout within this specialized population. The present study investigated the association between VT and the three dimensions of burnout (i.e. Emotional Exhaustion (EE), Depersonalization (DP), and personal Accomplishment (PA)) among licensed treatment providers working directly with individuals who have commuted sexual offenses. A cross-sectional correlational design was employed with a sample of 107 licensed providers …

Predicting Burnout Among Graduate Healthcare Students In Clinical Placements, Meghan E. Visek

PCOM Psychology Dissertations

Healthcare systems increasingly recognized provider burnout as an essential target for improving population health. Burnout, characterized by emotional exhaustion, depersonalization, and diminished personal accomplishment, has been linked to impaired clinical practice and poorer patient outcomes. Although burnout among healthcare professionals is well-studied, far less attention has been given to understand how burnout develops earlier in training among graduate healthcare students in clinical placements. Research has identified year of graduate study, self-care practice, social problem-solving ability, team resilience, and attitudes toward interprofessional collaborative practice as potential burnout predictors. This study examined these factors among graduate healthcare students in clinical placements. Findings …

Neuropsychological Prediction Of Alzheimer’S Disease And Functional Abilities Using Brief Screeners, Ashley Bennett

PCOM Psychology Dissertations

Alzheimer’s disease (AD) is a neurodegenerative disease that is primarily characterized by memory impairment and decline in function. Patients often undergo lengthy neuropsychological evaluations that create testing fatigue and, ultimately, affect their validity. There are brief assessment options to assess probable AD that are not commonly explored in research and clinical settings. This study investigated the predictive ability of the Mini-Mental State Examination (MMSE) with the addition of a semantic fluency measure compared to the Montreal Cognitive Assessment (MoCA) and the Alzheimer’s Disease Assessment Scale-13-Item Cognitive Subscale (ADAS-Cog-13) in diagnosing AD. Additionally, this study examined the potential use of the …

Examining Obsessive-Compulsive Symptomatology And Maternal Functioning During The Postpartum Period: Implications For Disclosure And Assessment, Meghan Collins

PCOM Psychology Dissertations

Maternal mental health is a significant global health concern, with nearly one in five new mothers experiencing a mental health disorder during the perinatal period. Timely screening, assessment, and treatment are critical for the well-being of both mother and infant, given the potential adverse effects of unaddressed mental health concerns. While much of the existing literature has focused on perinatal depression and anxiety, research specifically examining obsessive-compulsive symptoms and unwanted or intrusive thoughts remains limited. The present study investigated the relationship between obsessive-compulsive symptoms and maternal functioning, as well as experiences related to the assessment and disclosure of intrusive thoughts. …

The Impact Of Long Covid On Mental Health, Marzena Podkalicka

PCOM Psychology Dissertations

Since the emergence of the novel coronavirus, a significant portion of the global population has transitioned from acute infection to Long COVID, a multisystemic condition characterized by persistent symptoms lasting 4 weeks or longer. This study investigated the psychological impact of Long COVID, to explore rates of anxiety, depression, post-traumatic stress disorder (PTSD), and quality of life in people with Long COVID compared to those without it. A quantitative survey-based design was employed with a sample of 310 adults (Aged 18 to 90; M = 48.2). Participants completed validated instruments, including the Long COVID Questionnaire, Short Form Health Survey, General …

Impact Of Borderline Personality Features On Menstrual Phases And Pain Perception, Morgan Maples

Dissertations and Theses

Pain is a pervasive global health concern that affects approximately one in five adults worldwide and carries substantial psychological and economic costs. Chronic and persistent pain often co-occurs with emotional dysregulation and maladaptive coping behavior, suggesting the involvement of complex biopsychosocial mechanisms including personality pathology. Specifically, borderline personality disorder (BPD) features, have been associated with altered pain perception, increased emotional reactivity, and higher engagement in non-suicidal self-injury (NSSI). Further, hormonal fluctuations across menstrual cycle phases have been linked to variability in pain sensitivity, though findings remain inconsistent. Despite the growing body of literature on pain and personality, little is known …

Mild Cognitive Impairment (Mci) And Exceptional Parental Longevity: A Retrospective, Longitudinal Approach, Deepak Seshadri M.S.

Selected Full Text Dissertations, 2011-

The specific determinants and mechanisms of genetic longevity are an intriguing area of research. There is evidence to show that longevity and associated phenotypes of successful aging are partially determined by genetic factors (Adams et al. 2008; Barzilai et al. 2006; Barzilai et al. 2003; Murabito et al. 2013; Newman et al. 2011). Further research shows that offspring of parents with exceptional longevity (OPEL) may age more successfully and be protected from age related decline than the offspring of parents with usual survival (OPUS) (Ayers et al. 2014; Barzilai et al. 2006; Barzilai et al. 2003). Studies demonstrated an inverse …

Associations Between Cognitive Scripts Of Insecure And Anomalous Attachment And Psychopathology Symptoms In A Normative-Risk Community Sample, Andrea “Andie” Youniss M.S.

Selected Full Text Dissertations, 2011-

Adult insecure and disorganized attachment representations have been shown to be consistently associated with internalizing and externalizing symptoms in adulthood. A recently validated coding system (Groh & Haydon, 2024) was developed to assess insecure (i.e., deactivating and hyperactivating) and disorganized (i.e., anomalous) scripted attachment representations via the Attachment Script Assessment (ASA; Waters & Waters, 2006) – a word prompt task traditionally designed to assess secure base script knowledge. Deactivating scripts reflect minimized or ignored attachment-relevant problems; hyperactivating scripts entail exacerbated attachment-relevant issues; and scripts with anomalous content contain disorganized or contradictory attachment-relevant concerns that shape how caregiving interactions are expected …

Culturally Responsive Dialectical Behavior Therapy With Chinese Sexual And Gender Minority Individuals: A Qualitative Study, Weiyi Liao M.S.

Selected Full Text Dissertations, 2011-

Professional guidelines emphasize the importance of adapting evidence-based treatments to the cultural and contextual needs of minoritized populations. Although substantial research has examined lesbian, gay, bisexual, transgender, and queer (LGBTQ+) mental health, comparatively little is known about the psychotherapy experiences of Chinese sexual and gender minority individuals or how dialectical behavior therapy (DBT) may be delivered responsively with this population. DBT is an evidence-based treatment for emotion dysregulation, self-harm, and suicidal behavior that explicitly addresses the effects of invalidating environments. Because Chinese cultural contexts and LGBTQ-related minority stress may both shape emotional expression, help-seeking, and treatment experiences, this qualitative study …

To Use Silence Or Not Use Silence? A Qualitative Study Of Psychoanalysts’ Experience With Silence In Psychotherapy, Topaz Baumvoll M.S.

Selected Full Text Dissertations, 2011-

Silence plays a multifaceted role within psychoanalytic theory and practice, yet remains understudied in therapeutic communication. While existing literature acknowledges silence as a significant aspect of therapeutic interaction, empirical studies specifically focusing on how psychoanalysts employ silence are scarce. This qualitative study addressed this gap by exploring how psychoanalysts understood and utilized silence in psychodynamic psychotherapy, identifying factors that influenced their perceptions of its use, and examining whether silence was experienced as conducive or obstructive to therapeutic interaction. Thirteen psychoanalysts (10 women, 3 men), aged 43 to 70, with diverse ethnic and cultural backgrounds and representing heterosexual and gay/queer orientations, …

The Utility And Application Of Exposure And Response Prevention For Religious Scrupulosity In Orthodox Jews: A Critical Literature Review, Michael (Avi) Gurell M.S.

Selected Full Text Dissertations, 2011-

Religious scrupulosity is a subset of obsessive-compulsive disorder (OCD) characterized by obsessions and compulsions related to religious beliefs and observances (Abramowitz et al., 2002; Miller & Hedges, 2008). Exposure and response prevention (E/RP) is the most effective psychological intervention for OCD and is also the recommended treatment for religious scrupulosity (Abramowitz, 2006; Abramowitz & Buchholtz, 2020). Orthodox Judaism has a set of beliefs and observances, some of which may challenge the appropriateness of using E/RP in this population (Huppert et al., 2007; Huppert & Siev, 2010). Although studies (e.g., Bonchek & Greenberg, 2009; Greenberg & Shefler, 2008) have examined aspects …

The Impacts Of Outside Friendships On Marital Satisfaction In The Orthodox Jewish Population, Rebecca Elberger

Selected Full Text Dissertations, 2011-

There is robust literature that supports the idea that maintaining a strong network of friends and social ties can help reduce the pressure on marriage and contribute to a more balanced and fulfilling life. Additionally, George et al. (2023) found that friendships significantly impact relational satisfaction, across individual, family, and mutual friend groups. A regression analysis in their study revealed that family support for the relationship and liking the partner were the greatest predictors of satisfaction. There are approximately 2 million Jewish people in the Greater New York area and there has been a steady increase in the Jewish population …

Mothers' Perspectives Of Behavioral Parent Training: A Qualitative Study, Ryan Schare M.S.

Selected Full Text Dissertations, 2011-

Externalizing disorders such as oppositional defiant disorder, conduct disorder, and attention deficit hyperactivity disorder are the most common difficulties children face, with only half of children with these diagnoses receiving mental health treatment (Ghandour et al., 2019). Behavioral parent training (BPT) has been shown to be effective for treating externalizing disorders, yet parents exhibit low attendance and high dropout rates (Chacko et al., 2016). Researchers have examined parental acceptability of specific BPT skills (e.g., Calzada et al., 2013); however, no studies have focused on parents’ perceptions of BPT as an overall treatment package prior to participating in BPT. The present …

Experiences Of Jewish Women In Continuous Identity Cognitive Therapy And The Conceptual Alignment Of Treatment Goals Of Dialectical Behavior Therapy Stages 3 And 4, Elisabeth Zigelstein

Selected Full Text Dissertations, 2011-

Stages 1 and 2 of Dialectical Behavior Therapy (DBT), which emphasize behavioral control and emotional experiencing, have received considerable operational and empirical attention, unlike the latter two stages of DBT which are meant to help individuals develop meaningful and fulfilling lives. CI-CT is a novel 12-week manualized group-psychotherapy intervention designed to enhance individuals’ connection to their life stories, future selves, and positive identities, while supporting the development of meaning-making and goal-directed behavior following suicidal crises and/or in the context of severe mental illness. This qualitative study explored 13 Jewish women’s experiences participating in a 10-session adaptation of CI-CT, following completion …

Visual Aids And Numeracy In Healthcare: Leveraging The Drawing Effect, Zephyr J. Markley

Capstone Showcase

Healthcare decisions often require patients to interpret numerical risk information under stress, yet many struggle with low numeracy, which can distort comprehension and undermine informed consent. Well-designed visual aids can improve diagnostic inference, calibrate confidence, and support better choices, especially for patients with limited numeracy, but their impact depends on whether users can actually interpret the format accurately. Drawing may further enhance these tools by adding a tactile, generative layer that engages visual, semantic, and motoric processing while helping patients organize information into concrete models.

Passive visual aids appear useful but limited because they often position patients as observers rather …

Bilingual Beginnings: Expressive Language And Socio-Emotional Development In Early Childhood, Molly C. Mccormick

Scripps Senior Theses

Although research on bilingualism has expanded rapidly in recent years, the majority focuses on cognitive advantages or receptive vocabulary, or the words children understand. Far less attention has been given to how expressive language, the words children produce, and its potential role as the mechanism linking bilingual exposure to socio-emotional development. Although dual-language learners sometimes appear to have relatively limited expressive vocabularies in one language, these differences tend to reflect patterns of language use and input quality rather than true developmental delays. Even so, temporary differences in expressive skills can be especially meaningful during children’s formative years, when they rely …

Assessing Diagnostic Overshadowing For Co-Occurring Autism Spectrum Disorder (Asd) And Eating Disorders (Ed), Eden Sweet

Scripps Senior Theses

Significant behavioral overlaps in feeding patterns are observed among individuals with eating disorders (EDs) and autism spectrum disorder (ASD). These behavioral similarities can blur diagnostic boundaries, contribute to diagnostic overshadowing, and consequently increase the risk of misdiagnosis and the implementation of ineffective treatment approaches. The proposed study addresses the risk of diagnostic overshadowing as it relates to the ambiguous distinction between autism-driven feeding behaviors and clinically significant eating disorders (ED) within the autistic population. Although the literature has acknowledged behavioral similarities between ASD and EDs, limited research has systematically examined how they impact diagnostic practices and influence the likelihood of …

Campus Sexual Assault: Cybersex At Bucknell, Rebecca Bonomo

Master’s Theses

Campus sexual assault continues to be a prevalent problem, particularly at Bucknell. The present study is the first study out of Bucknell Campus Sexual Assault Research team to explore the new module of the Sexual Experiences Survey - Victimization (SESV) Cybersex (Koss et al., 2024). This is a mixed methods approach to exploring cybersex at Bucknell. The study explored prevalence rates, differences between gender binary, sexual orientation, and post-traumatic stress symptoms. The first hypothesis was that cybersex victimization will be prevalent at Bucknell. The next hypothesis was that women and sexual minorities would have higher rates of cybersex scores than …

Breaking The Cycle: Substance Use Disorders, Recidivism, And The Role Of Reentry Programs, Sophia R. Veloz

Williams Honors College, Honors Research Projects

This Honors Research Paper examines the relationship between substance use treatment and recidivism among justice-involved individuals, gathering from my academic background as a dual major in psychology and national security and my internship at Oriana House in Akron, Ohio. Oriana House is a private nonprofit organization that provides inpatient and outpatient services for adults with substance use disorders, including detoxification, motivational interviewing (MI), Substance Use Disorder (SUD) counseling, telehealth, and 12-step facilitation. Their mission emphasizes reducing recidivism by addressing substance use and supporting long-term recovery. The main research question in this study is whether taking part in structured, community-based treatment …

The Implementation Of A Token Economy On The Behaviors Of Children With Adhd, Dominic M. Hritsko

Williams Honors College, Honors Research Projects

The Saturday Treatment Program (SatTP) is a ten-day treatment program that was designed through the Cleveland Clinic and takes place at a middle school on Saturdays during the school year. The program design follows that of the Summer Treatment Program, where counselors utilize a comprehensive point system that is part of a token economy to evaluate children’s behaviors (ADHD summer treatment program). I will be working with other counselors led by Dr. Hallie Fetterman Ph.D., a pediatric psychologist, to deliver the program and evaluate the behaviors of sixteen children. The program is split into three age groups: six through …

Moving Positively: A Review Of Positive Psychology Interventions In Counseling, Spencer M. Fleming, Ingrid Weigold Ph. D

Williams Honors College, Honors Research Projects

Positive psychology is a relatively new and developing subfield of psychology which examines the machinations and roles of various character strengths and traits such as growth, well-being, meaning, life satisfaction, character strengths, and more. Positive psychology holds various implications for counseling, therapy, individual growth, and self-determination. However, current literature on positive psychology interventions (PPIs) are scattered, nuanced, and lack overall consensus. Thus, encompassing research is necessary to identify common trends, areas for improvement, and a clear direction moving forward. The present review analyzes positive psychology interventions (PPIs) within psychology and counseling. This review examined forty-eight articles, including fifteen meta-analyses, on …