Clinical Psychology Commons^™

Exploring What Parents And Their Twice-Exceptional Children Need From The Mental Health System, Mehrnaz Mirhosseini M.S.

Selected Full Text Dissertations, 2011-

Twice-exceptional (2e) students, defined broadly as those with both high cognitive abilities and disabilities, have unique psychological needs. Many 2e students struggle in school and at home, and their abilities and disabilities tend to mask each other, making it more difficult to diagnose twice-exceptionality (Foley-Nipcon et al., 2013). Additionally, no gold-standard interventions have been identified (Foley-Nicpon & Candler, 2018). These factors and the relative obscurity of twice-exceptionalism can leave parents feeling helpless, confused, and isolated when seeking care for their 2e child. There is no research on which mental health interventions parents believe their 2e children need, as well as …

Doctoral Trainees’ Experiences Of Vicarious Trauma Within Inpatient Settings: An Exploratory Study, Melissa Neitlich

Antioch University Dissertations & Theses

Vicarious trauma (VT), first coined by Irene Lisa McCann and Anne Pearlman, is described as a pervasive and cumulative impact of working with survivors of trauma, resulting in changes to the therapist’s identity, worldview, psychological needs, beliefs, and memory. In spite of the unique vulnerabilities of doctoral trainees for experiencing VT, there is limited research on the impact of VT among doctoral trainee populations, as most of the extant literature focuses on the impact of VT in middle- to late-career psychological practice. In this primarily qualitative dissertation, I examined trainees’ experiences of vicarious trauma within various inpatient settings using the …

The Use Of Mindfulness In Empirically Supported Treatments In Psychology, Timothy Stewart

Antioch University Dissertations & Theses

After gaining popularity in the United States of America (USA) in the 1960s and 1970s, Buddhist mindfulness was introduced to clinical psychology and investigated for its potential psychological healing effects. In the years since, mindfulness has been widely used in empirically supported treatments (ESTs) in clinical psychology in the USA to treat a wide variety of psychological conditions and disorders. This dissertation examines and compares conceptualizations and implicit understandings of mindfulness in early (Theravāda) Buddhism and in ESTs in clinical psychology in the USA. Through textual narrative analysis of two Buddhist sutta and 10 clinical psychology journal articles, this study …

“I May Flourish In Spite Of The Obstacles": A Deaf Queer Minority Stress Model, Maya E. Weaver

Antioch University Dissertations & Theses

The current study explores the intersectional experiences of individuals who identify as both d/Deaf and Lesbian, Gay, Bisexual, and Queer/Questioning, among other marginalized sexual identities. Historically, both Deaf and queer communities have faced significant oppression and discrimination; yet little research has examined the unique challenges encountered by those living at the intersection of these two identities, with most of the existing deaf literature focusing on heterosexual individuals and most of the queer literature centering around non-Deaf individuals. This study sought to address that gap by, within an exploration of their unique form of minority stress, investigating how identifying with both …

Beyond The Rabbit Hole: Dmt, Death, And The Hereafter, Abby Molina

Antioch University Dissertations & Theses

This dissertation explores a proposed relationship between death and N,N-dimethyltryptamine (DMT) within the context of contemporary clinical psychology and the current psychedelic renaissance. Building on Rick Strassman’s hypothesis that DMT may be released at the moment of death and Imants Barušs’ conceptualization of death as an altered state of consciousness, this project examines the phenomenological similarities between DMT-induced experiences (psychedelic “trips”) and near-death experiences (NDEs). Through review of neurobiological research, psychedelic-assisted therapy literature, religious and cultural ceremonial practices, and documented DMT trip and NDE reports, this work evaluates the plausibility that endogenous DMT contributes to altered states of consciousness observed …

Dancing With The Void: A Cultural Exploration Of Nihilistic Musical Identities And Their Experience In Psychotherapy, Zachary Marciano

Antioch University Dissertations & Theses

This dissertation examines the profound existential paradox faced by individuals who have identified with nihilistic beliefs and ideas while attempting to seek meaning through therapy. Nihilism, characterized by the belief in the inherent meaninglessness of existence, poses a significant challenge to the traditional therapeutic framework, which often centers on the pursuit of meaning and purpose. This dichotomy poses a unique conundrum for individuals who embrace nihilistic perspectives shaped by identification with nihilistic lyrics and themes in alternative music genres such as metal, goth, grunge, and punk. Alternative music culture often serves as a vehicle for expressing and internalizing nihilistic beliefs, …

Improving Parental Self-Efficacy In An Integrated Primary Care Setting, Leo Parini

Antioch University Dissertations & Theses

A pediatric mental health crisis in the United States has strained integrated primary care, leaving providers with high volumes of requests for psychotherapy. Low parental self-efficacy (PSE)—reduced caregiver confidence in supporting children's emotional and behavioral needs—may contribute to this demand. This study examined whether a brief, 4-week parent training curriculum informed by Supportive Parenting for Anxious Childhood Emotions (SPACE), targeting child anxiety and obsessive-compulsive disorder (OCD) and delivered by a clinical psychologist within an integrated primary care setting, would increase PSE. Using secondary, de-identified data, PSE was measured before and after the course with the Brief Parental Self-Efficacy Scale; 19 …

Barriers To Healthcare For Traditionally-Aged Lgbq+ College Students, Parker Long

Honors Undergraduate Theses

Seeking and receiving high-quality healthcare are key components of healthy living. Greater access to high-quality healthcare is associated with higher quality of life (Bunker, 2001). Despite the many benefits of quality healthcare, many people face barriers to accessing quality healthcare, resulting in poorer physical and mental health outcomes (Jatrana & Crampton, 2021). Individuals who identify as LGBQ+ face serious health disparities as a marginalized group. The current research was designed to examine and address these specific barriers to accessing high-quality healthcare among LGBQ+ traditionally-aged college students in order to inform ways to improve access to care. Specifically, this study investigated …

Dispositional Correlates Of Mobile Dating Application Users’ Self-Presentation Behaviors, Danielle Rafal

PCOM Psychology Dissertations

Introduction: Mobile dating applications (MDAs) have moved from niche to norm, making connecting with others easier. A problem with MDAs is the accuracy of user self-presentation. Dispositional characteristics such as personality traits, psychological distress, and age may be factors that drive MDA users’ self-presentation behaviors. This study explored whether the extent of discrepancy between deceptive and real self-presentation predicts psychological distress, whether Big Five traits enhance this prediction, and whether age group influenced self-presentation among MDA users.

Method: Using a cross-sectional quantitative survey-based design, 160 MDA users ages 18 and older residing in the United States completed the following measures: …

Examining The Psychosocial Impact Of Having An Adolescent Sibling With A Leukemia Diagnosis, Jordan A. Barczak

PCOM Psychology Dissertations

The current research regarding the impact of having a sibling undergoing cancer treatment is inconsistent and limited in scope. The current study explored the psychosocial effects, including peer relationships, academic outcomes, and overall mood in siblings of children with a cancer diagnosis. This study also explored the interaction patterns between children, their siblings with a leukemia diagnosis, and other members of the family. The participants of this study consisted of five youth from different families with a child or adolescent sibling with a leukemia diagnosis. The participants were recruited via social media and other community outreach avenues. Participants were between …

Increasing The Efficiency Of Screening For Severity Level Of Neurocognitive Impairment In The Corrections Sample: An Exploratory Study, Kelly Denton

PCOM Psychology Dissertations

Acquired brain injury (ABI) is a serious and potentially devastating health condition that can cause several lasting deleterious consequences affecting many domains of life. Difficulties are commonly reported in cognition, emotional, and social functioning, in addition to physical impairment. ABI disproportionally affects different groups, including the corrections population, which is five times more likely than the general population to have an ABI. However, there is limited research on the severity of neurocognitive impairment after an ABI for inmates in a correctional setting. It was hoped that the current study would help clarify the characteristics of ABI that result in different …

Improving Clinical Decision-Making: Reducing The Affect Heuristic In Substance Use Treatment, Corey M. Monley

Electronic Theses & Dissertations (2024 - present)

Therapists are at risk for engaging in the affect heuristic, which occurs when automatic emotional reactions influence clinical decision-making more than objective data about clients. Emotional reactions are common when treating clients using substances (CUS), but the influence of the affect heuristic on therapists’ clinical decision-making with CUS has yet to be quantified. This study investigated (1) the extent to which therapist trainees engage in the affect heuristic with CUS and (2) whether it can be reduced through brief cognitive science training. Graduate-level therapists (n = 130) were randomized to one of two conditions: brief online training involving …

Family Routines And Cognitive Emotion Regulation: The Role Of Harsh Parenting And Family Activities, Vidhi Jain

Electronic Theses & Dissertations (2024 - present)

Cognitive emotion regulation (CER), consisting of adaptive and maladaptive strategies, is a critical developmental process linked to various well-being outcomes across the lifespan. Family contexts such as daily routines, parenting, and engagement shape the development of emotion regulation. Existing literature generally links family routines to better CER outcomes (Selman & Dilworth-Bart, 2023), but has not yet investigated the impact of routines in adverse family environments. The present study examined whether harsh parenting and the frequency of shared family activities jointly moderate the relationship between family routines and adaptive and maladaptive CER. A sample of emerging adults (N = 210; …

Weighing The Costs: Understanding How Eating Disorder History And Motivation For Use Impacts Experience On A Glucagon-Like Peptide-1 Receptor Agonist And Interest In Future Use, Kimberly M. Gauert

Electronic Theses & Dissertations (2024 - present)

Glucagon-Like Peptide-1 receptor agonist (GLP-1 RA) medications have become popular tools due to their effectiveness regarding weight loss and chronic disease management. The drastic increase in demand for these medications has led to widespread availability and an increase in “off-label” use for cosmetic purposes. Although GLP-1 RA medications have the potential to positively impact overall health and wellbeing, there is also concern regarding potential misuse of these medications by those with a history of eating disorder behaviors. However, few studies to date have examined the relationship between a history of eating disorder pathology, reason for GLP-1 RA use, and current …

Understanding The Intergenerational Transmission Of Risk And Resilience In Black Birthing Parent-Infant Dyads: Physiological Coregulation & Cultural-Contextual Factors, Annabelle Armah

Electronic Theses & Dissertations (2024 - present)

Symptoms of postpartum depression (PPD) are common, particularly for Black birthing parents who may face increased psychosocial risk during the perinatal period. Previous work has demonstrated that PPD can have significant ramifications not only for maternal wellbeing but for infants’ regulatory development. PPD may influence the concordance or mutual influence of biological states between parents and children (i.e., physiological synchrony). Physiological synchrony is thought to be implicated in the development of self-regulation and may be a mechanism through which PPD undermines infants’ emerging regulatory capacities. In Black families, cultural-contextual factors, like racism or cultural practices, may additionally shape birthing parent …

Investigating The Effects Of Values Clarification And Self-Compassion On Mental Health Self-Stigma And Willingness To Seek Psychological Help, Sara V. White

Electronic Theses & Dissertations (2024 - present)

Mental health self-stigma, or the harmful beliefs that one holds about his or her mental illness, is associated with psychological distress and acts as a significant barrier to help-seeking. Yet, self-stigma is notoriously resistant to change when targeted directly. To address such concerns, the present study examined the effects of two brief writing interventions, self-compassion and values clarification relative to a control condition, in reducing self-stigma and improving willingness and intentionality to seek psychological help. Additionally, the present study also explored the contributions of two theoretically relevant mechanisms—state self-compassion and psychological (in)flexibility—on self-stigma, and whether resistance to self-compassion negatively impacted …

Academic Satisfaction Of Graduate Students In Mental Health Professions: Mediating Roles Of Burnout And Engagement, Yu Ying Li

Electronic Theses & Dissertations (2024 - present)

Academic satisfaction for students is as critical to their retention and well-being as job satisfaction for working adults; however, it has received limited empirical attention particularly among graduate students in mental health-related programs. One of the barriers to mental health trainees’ satisfaction with their academic training is burnout. The current study evaluated the applicability of Study Demands-Resources (SD-R) framework (Lesener et al., 2020) to trainees. Specifically, this study examined the relations between study demands (i.e., perceived stress), study resources (i.e., supervisory alliance and social support), student burnout, student engagement, and academic satisfaction. It also tested if student burnout and engagement …

Well-Being Despite Adversity: A Portfolio Approach To Understanding Resilience Among Autistic Adults, Krista Rose

Electronic Theses & Dissertations (2024 - present)

Autistic individuals, across the lifespan, face increased exposure to stressful, adverse, and potentially traumatic experiences. These experiences pose a negative impact on well-being and quality of life. Prevailing risk-based models are anchored in deficit-focused conceptualizations and provide limited insight into autistic individuals’ experiences afteradversity, highlighting the important shift towards strength-based models within resilience. Although resilience is a crucial topic to promote positive outcomes and well-being among autistic individuals, existing research is limited, lacks an integrated framework, and has not yet been investigated in the context of stressful, adverse, or potentially traumatic experiences, despite the deleterious effect these experiences pose …

Perceptions Of Psilocybin-Assisted Psychotherapy And Standard Interventions For Nicotine Cessation, Philip Kamilar-Britt

Electronic Theses & Dissertations (2024 - present)

Clinical trials suggest potential therapeutic utility of psilocybin-assisted psychotherapy (PAP) for nicotine cessation. In response to promising outcomes, research into PAP for nicotine dependence is growing. However, attitudes towards PAP among the general public, especially daily nicotine users, remains understudied. To address this knowledge gap, we recruited daily nicotine users (N=534) to complete an anonymous online survey with questions on demographics, nicotine use, prior history with psychedelics, and attitudes towards PAP and standard interventions for nicotine cessation. As hypothesized, daily nicotine users were more familiar with standard interventions and rated them more favorably than PAP. Despite differences in treatment attitudes, …

The Relationship Between Interoceptive Awareness And Eating Disorder Symptomatology, Madelyn G. Johnson

Electronic Theses & Dissertations (2024 - present)

Interoceptive awareness (IA; e.g., the ability to perceive and interpret internal bodily sensations) is increasingly recognized as central to eating disorder (ED) psychopathology, yet findings remain mixed regarding whether heightened IA is protective or maladaptive. Across two studies using a sample of 654 college students (Mage = 18.74, SD = 1.56; 46% White; 58% female) from a large northeastern U.S. university, we examined (1) how specific IA facets relate to ED symptom severity, and (2) whether anxiety sensitivity (AS) helps explain these associations. In Study 1, linear regressions predicting Eating Disorder Examination Questionnaire–7 (EDE-Q7) scores showed that nearly all MAIA-2 …

Internalized Shame, Self-Focused Attention, And Post-Event Processing In Everyday Social Anxiety, Wooje Lee

Graduate Studies Theses and Dissertations 2026

The purpose of this study was to investigate how emotional processes, represented by internalized shame and daily shame (from the emotion-focused therapy model), and cognitive processes, represented by self-focused attention and post-event processing (from cognitive-behavioral models), operate on a daily basis to contribute to social anxiety. Data collected from a sample of 39 individuals with high social anxiety via an online survey and daily diaries was analyzed using multilevel path analysis. The results showed that, at the within-person level, daily shame experienced during an important social interaction influenced self-focused attention during that same interaction and subsequent post-event processing, which in …

Development Of The Simultaneous Alcohol And Cannabis Use Expectancy Questionnaire (Sac-Eq), Shane D. Marohnic

Graduate Studies Theses and Dissertations 2026

Background: Simultaneous alcohol and cannabis use (SAC/SAM), defined as using alcohol and cannabis at the same time so that their effects overlap, has been identified as a hazardous form of polysubstance use. Expectancies are a causal mechanism and can be changed with predictable reductions in substance use and associated consequences, yet only one measure has been developed to assess expectancies related to SAC. Due to limitations of the existing measure, this study sought to create a more comprehensive SAC expectancy scale. Method: Three phases of participants (Phase 1, N = 493; Phase 2, n = 4; Phase 3, n …

The Role Of Alcohol Expectancies In The Relationship Between Social Anxiety And Protective Behavioral Strategies Among College Students, Jordan Ortman

Graduate Studies Theses and Dissertations 2026

College students with elevated social anxiety are at heightened risk for alcohol-related consequences despite not consistently reporting greater alcohol use. One potential explanation for this pattern is lower engagement in protective behavioral strategies (PBS). Social alcohol expectancies are relevant to PBS use because students with elevated social anxiety often expect alcohol to reduce social discomfort or facilitate social interaction, and these beliefs may correspond with lower use of strategies that constrain the pace or amount of drinking. The present study examined whether positive and negative social alcohol expectancies were intermediate variables in associations between social anxiety and three PBS domains: …

Social Support, Trauma And Neurophysiological Stress, Devon S. Glicken

UNF Graduate Theses and Dissertations

Traumatic life experiences and the prolonged effects of stress can negatively impact an individual’s mental and physical health. Hyperreactivity to acute stressors can often be seen in individuals with anxiety, depression, and suicidal ideations, conditions commonly observed with endocrine dysfunction. How do traumatic experiences, particularly experiences related to military affiliation, influence stress responses and feelings of burdensomeness and thwarted belongingness? This study predicted (1) that military-affiliated individuals (and those with PTSD symptomology and high perceived life stress) will have heightened neurophysiological responses to minor levels of acute stress compared to individuals without military-affiliations (and those without PTSD symptomology or high …

Intersectionality In Discrimination, Posttraumatic Stress Symptoms, And Suicide Ideation: Black Americans In Appalachian Contexts, Jailyn May Wilson

Graduate Theses, Dissertations, and Problem Reports (ETD)

Racial discrimination is recognized as a race-based traumatic stressor that has been associated with posttraumatic stress symptoms (PTSS) and suicide ideation (SI). However, there remains a paucity of research investigating the impact of racial and other forms of discrimination on understudied populations, including Black Americans residing in Appalachian regions. The current study used an online self-report survey to examine PTSS as a mediator in the association between perceived discrimination and SI and to examine the moderating effect of the number of identity factors with which one experienced discrimination (i.e., race, gender, region) on the relationship between perceived discrimination and PTSS. …

Dispositional Mindfulness And Autonomic Reactivity, Thomas Dylan Boyer

Graduate Theses, Dissertations, and Problem Reports (ETD)

To explain how different facets of mindfulness were associated with task performance in distinctive ways, Lindsay and Creswell (2017) proposed the Monitor and Acceptance Theory (MAT). According to this model, the mindfulness facet of monitoring present state awareness was thought to influence task performance differently than the nonjudgmental acceptance facet of mindfulness, but no studies to date have examined this model with respect to an individual's physiological response to stressful tasks. Because dispositional mindfulness has been associated with both increased and decreased physiological and affective reactions to stress in previous studies, the present study tested whether the Monitoring facet of …

Be A Man: Hypermasculinity And Hostile Attribution Bias As Predictors Of Violence, Kaley Nicole Potter

Graduate Theses, Dissertations, and Problem Reports (ETD)

In recent years, violence has risen to record-high numbers in communities and correctional facilities, with men perpetrating the vast majority of violent crimes. Hypermasculine values (e.g., power, aggression, and domination) have been linked to aggressive and violent behavior. Hostile attribution bias, which leads individuals to attribute hostile intent to neutral or ambiguous stimuli, has also been linked to aggression.

The current study used structural equation modeling (SEM) to examine hypermasculinity and hostile attribution bias as predictors of proclivity for violence, comprised of aggression and historical violence. The model was iteratively modified to assess changes in model fit and constructs. Male …