Clinical Psychology Commons^™

Perceptions, Attitudes, And Experiences Of Persons Who Work In Forensic Mental Health Systems, Abigail Wiser

Electronic Theses and Dissertations

The forensic mental health system serves clients with dual needs —serious mental health concerns like psychosis and suicidality, and management of risk. Experiences and perceptions of professional and direct care staff may impact daily and therapeutic interactions and client success. These experiences may be marked by stigma, such as beliefs about what led to hospitalization, treatability of mental health concerns, and intentionality of behavior. Understanding this stigma, as well as the role of vicarious trauma, workplace burnout, and other relevant individual factors, may help us understand staff experiences and guide training, thus improving client care. 146 staff members across three …

Role Of Stigma On Engagement In Mental Health Services For Latinxs With First-Episode Psychosis (Fep), Livia J. Padron Briceno

Electronic Theses, Projects, and Dissertations

Psychotic patients often endure stigma in their daily lives (Corrigan, 2018). Psychotic patients are understood as individuals who are experiencing psychotic symptoms such as hallucinations, delusions and disorganized speech (Arciniegas, 2015; Breitborde et al., 2017; Moskowitz et al., 2019) and have been diagnosed according to the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) criteria with a psychotic disorder (e.g. Schizophrenia, Schizoaffective Disorder). Stigma refers to negative perceptions held about an individual experiencing mental illness. While public stigma refers to the negative views adhered to by members of communities (e.g., sociocultural group, family units) about people with mental illness, self-stigma …

Exploring The Link Between Substance Use Severity And Self-Stigma: The Moderating Role Of Enacted Stigma, Alaya Shelton

McNair Culminating Research Projects

Self-stigma has been shown to negatively impact treatment engagement, recovery, and reintegration outcomes among individuals with substance use and criminal histories (Moore et al., 2023). Further, prior research has shown that markers of an individual’s substance use treatment history (e.g., number of prior treatment episodes and perceived substance use severity; Hammarlund et al., 2018; Luoma et al., 2012; Silveira et al., 2016) and negative experiences with medical professionals (Hoover et al., 2022; Muncan et al. 2020) are closely linked to self-stigma. While these factors independently contribute to one’s level of self-stigma, to our knowledge, no prior work has examined how …

Attitudes Toward Harm Reduction Among Criminal Legal Staff, Diamond Meadows

Electronic Theses and Dissertations

Substance use disorders (SUDs) are prevalent among individuals interacting with the criminal legal system (Moore et al., 2019). Despite the high rates of individuals with SUDs interacting with the criminal legal system, there continue to be barriers to integrating harm reduction approaches within the system. Harm reduction approaches (i.e., medication assisted treatment) are effective in reducing the negative consequences associated with substance use and the pathway to recovery for many. The purposes of this study are to: 1. examine the psychometric properties of the Harm Reduction Acceptability Scale (HRAS) among criminal legal staff, 2. explore individual differences in staff attitudes …

An Investigation Of The Impact Of Gender And Race On The Stigmatization Of Borderline Personality Disorder, Joshua Samet

Honors Undergraduate Theses

Stigma surrounding mental health reduces treatment-seeking behaviors and can worsen symptoms. Research on stigma surrounding borderline personality disorder (BPD) has shown that race and gender can impact the nature of the stigma associated with the disorder; however, less is known about the interaction between the two. This study investigated if stigma varies when considering both the race and gender of the stigmatized individual simultaneously. 218 undergraduate students read one of four vignettes describing either a Black male, White male, Black female, or White female, then completed the Attribution Questionnaire-20 (AQ-20) stigma scale. The results indicate that there is a statistically …

A Hispanic Generational View On Mental Health, Daniela Martinez

Honors Undergraduate Theses

This study aims to investigate the relationship between generation status and acculturation on mental health literacy and stigma, specifically with Binge Eating Disorder in Hispanic populations. The current literature focuses on mental health literacy levels in Hispanic populations in relation to depression and anxiety, but not binge eating disorder. Additionally, there is very little on how generation status and acculturation interact and can affect mental health literacy all together. To study their relationship, a survey and a short narrative piece about a character who is experiencing Binge Eating Disorder while in college were created alongside questions about the behaviors displayed …

Ethnoracial Disparities In Treatment-Seeking Among Suicidal Adults: Stigma As A Mediator, Yiming Huang M.S.

Selected Full Text Dissertations, 2011-

Despite the disproportionate increase in their suicide risk in recent years, ethnoracially minoritized individuals utilize mental health treatment less frequently than their non-Hispanic, White counterparts. Understanding the underlying mechanisms is crucial to identify strategies to mitigate such disparities. While mental health-related stigma has received attention as a potential mechanism, select types of stigma have been examined in isolation, leaving it unclear which forms of stigma are most relevant to the observed ethnoracial disparities in treatment-seeking among suicidal individuals. The current study assessed and examined a range of stigma constructs as potential mediators of ethnoracial differences in treatment-seeking outcomes among suicidal …

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, …

Understanding Mental Health Crisis Response Through The Lens Of First Responders, Ella Gibson

Student Theses

Responses to mental health crises are becoming an increasingly contentious topic as cases of extreme police violence or fatality during a crisis are publicized in the media. Although first responders’ experiences with mental health crisis response have been explored in prior literature, there remains a lack of research that gathers data from multiple first responder roles and compares their experiences across groups. There is also a significant gap in research examining the perspectives of co-response teams. This study sought to gather qualitative data on the experiences of police officers, EMTs/paramedics, and co-response team members, and to explore their perceptions of …

Factors Affecting Public Knowledge About Ocd Mental Health Literacy, Lauren Angell, Aleena Babu, Jimmy Dumont, Lauren Masapollo, Kaitlyn Silva

The Graduate Review

This research project aimed to examine how varying portrayals of obsessive-compulsive disorder (OCD) influence public mental health literacy (MHL). Our research questions focused on the impact of multidimensional vs single portrayals of OCD on OCD MHL, as well as the influence of certain sociodemographic factors on OCD MHL. Additional exploratory questions were investigated and aimed to explain the relationship between OCD MHL and media, as well as OCD MHL and education levels. To investigate these questions, the study employed a combination of experimental and survey-based methods. By fostering greater awareness of misinformation about OCD, the study not only aimed to …

The Impact Of Mental Health Courts On Public Attitudes Held Toward Justice-Involved Individuals With Mental Illness, Maeve Porter

Student Theses

Prior research has established that mental health court programs play an important role in reducing recidivism and mental health symptoms of defendants. However, there is a lack of understanding of the stigma that justice-involved individuals may encounter upon release from mental health court into the community, and the extent to which the general public is aware of mental health court programs. The present study sought to address public perceptions regarding mental health courts, their efficacy, and their participants based on the awareness and availability of these specialized courts in two similar states (New York and New Jersey), one in which …

Stigma, Shame, And Narcissism: A Literature Review, Alex Gaither

University Honors Theses

This thesis is a literature review of 12 peer reviewed journal articles accessible through the Portland State University library database on the relationship between stigma, shame, and Narcissistic Personality Disorder (NPD). This thesis discusses ideas brought up in these articles regarding the classification and conceptualization of NPD as a disorder, the role that shame plays in the pathology of NPD, the ways that shame is addressed through treatment, and public and practitioner held bias resulting from the stigmatization of the disorder. New and upcoming ways of conceptualizing the disorder are also briefly discussed as there has been a push to …

Experiences Of Group Support For Partners Of Sex Offenders, Monika Szabo

Walden Dissertations and Doctoral Studies

Intimate relationships with individuals who have committed sex offenses significantly stigmatize and traumatize partners. Partners also face barriers to effective treatment, negatively impacting both themselves and their children affected by these offenses. The purpose of this generic qualitative study was to gain an understanding of partners’ experiences with support groups in coping with trauma symptoms and stigma, thus addressing a gap in the literature. Grounded in theoretical concepts of trauma, mutual aid, and stigma, how social support dynamics facilitate healing by investigating coping strategies and support group stages to understand participants’ healing journeys were examined. Data were collected from 10 …

Fearing The Other: The Underlying Mechanisms Of Mental Illness Stigma, Theresa Maria Power

Selected Full-Text Dissertations 2020-

This study sought to clarify the underlying mechanisms behind mental illness stigma. Using a sample of 303 adults from the general population, participants completed a series of online self-reports in response to a vignette about “Harry,” an individual who was described as either Black or White, with schizophrenia or depression. Respondents answered questions regarding perceptions of dangerousness, causal attributions of mental illness, and endorsement of stigmatizing beliefs, and also provided narratives for Thematic Apperception Test (TAT) cards that were coded using the Social Cognition and Object Relations Scale (SCORS). Results of structural equation modeling indicated that there was no direct …

Cultural Barriers To Mental Health Support: Exploring Stigma In Childhood Trauma Survivors In Aruba, Ralitsa I.C. Hart

Honors Undergraduate Theses

This study explored whether negative attitudes towards seeking professional psychological help among people in Aruba who reported experiencing childhood trauma were predicted by perceived social stigma and the intensity of the trauma. An online survey measuring childhood trauma, attitudes towards seeking professional psychological help, and perceived stigma was administered to 162 participants using a cross-sectional correlational design. To determine the predictive relationship among these variables, a multiple regression analysis was performed. Results showed that perceived stigma significantly predicted more negative attitudes towards seeking professional psychological help, while the severity of childhood trauma did not. Among the trauma subscales, emotional abuse …

Nondisclosure Of Trans Group Status Among Transgender Individuals, Alexander Williams

Masters Theses & Specialist Projects

The purpose of the study was to investigate motivations for concealment of transgender group status beyond a qualitative scale. Additionally, the study aimed to identify the role one’s identity centrality, salience, and valence played in concealment behavior and attitudes. It was hypothesized that factors found in the extant literature (i.e., gender dysphoria, lack of connection, safety, stigma, and discrimination concerns) would apply presently. It was hypothesized that those individuals with low identity centrality, salience, and valence would be less likely to disclose their trans status. Results indicated that the previously named factors for concealment were present among participants with particularly …

Measuring Intersectional Strength And Stigma Among Racially Minoritized Gender Diverse Young Adults, Joseph Carter

Dissertations, Theses, and Capstone Projects

Background: Racially minoritized transgender and gender expansive young adults (RMTGEYA; aged 18-26) experience mental health inequities due to intersectional, multilevel stigma. RMTGEYA communities embody intersectional strength and resilience that can mitigate the impact of stigma. Understanding and capturing strength and stigma factors to address these inequities has significant implications for clinical science research and practice. There is, however, a complete absence of instruments that are validated to do so. Objective: The goal of this study is to conduct a three-phase, mixed methods study that centers intersectional and community engaged methods of psychometric development for a measure that captures daily experiences …

Help Seeking Experiences Of Asian American Parents Of Children With Autism Spectrum Disorder, Mellanie Kristelle Roxas De Guzman

Doctoral Dissertations

Autism Spectrum Disorder (ASD) has become more widely understood and accepted by the general and professional populations. However, self and social stigma related to ASD persist and continue to negatively impact help-seeking behaviors. This qualitative study used semi-structured interviews guided by an ecological systems model, to explore the lived experiences of 11 Asian American (AsAm) parents residing in the greater San Francisco Bay Area with a child with ASD. A thematic analysis framework was utilized. A total of six themes and six subthemes emerged from this study and included: (1) comparisons, (2) stigma, (3) resilience, (4) support for services, (5) …

Intense, Repeated, And Ever-Present: An Initial Investigation Of Traumatic Invalidation Among Sexual Minorities, Zane Browning Ballard

Dissertations (1934 -)

Lesbian, gay, bisexual, and queer individuals have been shown to experience significantly more negative health outcomes than do heterosexuals, commonly attributed to sexual minority stress. Research to date has insufficiently explained the processes by which stigma exposure becomes felt, internalized stigma and has not accounted for resemblance between presentation of mental health effects of sexual minority stress and of post-traumatic responses. Researchers have posited traumatic invalidation may partially explain the development and manifestations of reactions to sexual minority stress. The current study proposed and tested a measure of traumatic invalidation, conceptualized as instances of interpersonal, identity-based invalidation among sexual minorities. …

An Experimental Test Of Mental Health Help-Seeking Intentions As A Function Of Demographics And Disorder Type, Alyssa Hartley

Psychological Science Undergraduate Honors Theses

The current study sought to understand help-seeking behaviors for diverse psychological disorders across different demographic groups. Previous literature finds that help-seeking behaviors are greater in non-minority women in higher socioeconomic statuses, and greater for neurocognitive disorders. This study focuses specifically on university students (N= 276). Participants took diagnostic measures and then were told their scores were clinically elevated for either anxiety or ADHD. Participants were then asked qualitative questions regarding their help-seeking intentions. Findings that were consistent with previous literature are that women were more likely to help-seek than men, and participants in the ADHD condition were more likely to …

The Prevalence And Perceptions Of Self-Relevant Research (“Me-Search”) In Psychological Science, Andrew R. Devendorf

USF Tampa Graduate Theses and Dissertations

Self-relevant research (i.e., me-search; SRR) is research that is informed by lived experience or having close connections to a topic. The disclosure of SRR may impact how a researcher is viewed in professional contexts, like an application to graduate school, and thus can impact who is recruited and retained in psychology. Although SRR appears to be common in psychology, little systematic research exists on its prevalence by subfield of psychology or how SRR is perceived. This study examined SRR across psychology disciplines. An online survey was administered to faculty and graduate students (N = 1313) affiliated with accredited doctoral programs …

Resisting Internalized Stigma (Ris): Acceptability And Feasibility Of A Cognitive Behavioral Stigma Intervention For Early Psychosis, Francesca Maria Crump

Theses and Dissertations

The clinical high-risk state for psychosis (CHR-P) was created to help identify individuals experiencing early signs of psychosis to help forestall worsening symptoms. CHR-P individuals may experience stigma that may stem from internal or external processes, including from receiving specialized care. Research has demonstrated associations between internalized stigma and psychosocial and functional outcomes, which underscores the need for interventions to help mitigate the impact of stigma while balancing the need for treatment. To date, there is only one stigma intervention specifically designed for individuals designated as CHR-P, which is psychoeducational in nature. Based on the recent call to action that …

Examining Stigma In Rural Mental Health Care Settings: A Mixed Methods Approach, Lainie Krumenacker

Murray State Theses and Dissertations

More than half of Americans will be diagnosed with a mental illness in their lifetime (CDC, 2021), yet stigma towards mental health affects both patients and providers. Although programs exist to address stigma, improve cultural competency among providers, and educate families on the importance of support, facilities are often limited on programs they provide due to allocation of resources and funds. Without a shift in treatment and programing, stigma will continue to impact patient care and outcome.

This study explored stigma among mental health providers in rural communities, while exploring potential differences in treatment among patients due to race. Mental …

Feasibility Of Influencing Clinician Perceived Knowledge And Competence Of Human Trafficking Via A Continuing Education Workshop, Rachel Wakefield

College of Graduate Studies: Theses & Dissertations

Previous research has examined the complex mental and social health deficits of those who were trafficked that clinicians have to treat therapeutically (Litam, 2017; Pascual-Leone et al., 2017). Other research has explored how continuing education workshops often change the knowledge, competence, and attitudes of attendees to use more effective and evidenced techniques and skills (Neimeyer et al., 2009; Raghavan et al., 2008). However, there is a lack of understanding about how a complex topic, specifically treatment considerations of those who were trafficked, changes the knowledge and competence of continuing education workshop attendees. The purpose of the current study is to …

Differences In Mental Health Attitudes, Symptoms, And Help-Seeking Behaviors Between College Student-Athletes And Non-Athletes, Cristian Miralles

Honors College Theses

This study examined differences in mental health stigma, attitudes, and help-seeking behaviors between student-athletes and non-athletes. 8 student-athletes and 231 non-athletes from a rural college in southeastern USA took an online survey, and independent samples t-tests were conducted to examine group differences. There were no statistically significant differences in any measure between student-athletes and nonathletes. However, exploratory sex analyses found females had lower stigma and used services more frequently compared to males. Participants then explained any mental health resources they utilize, with most using ‘Personal Relationships’ when needed. ‘No need’, or participants who's mental health concerns were not significant enough …

Breaking Down Bias: A Comparative Analysis Of General Public And Police Officer Attitudes Toward Mental Illness And Officer Decision-Making In Mental Health Crises, Therese L. Todd

Dissertations, Theses, and Capstone Projects

Police responses to persons with mental illness (PMIs) compared to those without appear to be more likely to result in negative outcomes, underscoring the importance of understanding these interactions and the factors that may influence them. Relatively little research has examined officer attitudes toward mental illness, and no study has examined implicit bias toward mental illness among police officers or how police culture may impact outcomes in mental health crises. The present study sought to: 1) measure explicit and implicit bias toward PMIs among the general public and police officers to understand how these constructs may vary among these populations; …

Stigma As A Treatment Barrier In Trauma Exposed College Students, Lydia Sigurdson

Dissertations

Exposure to a traumatic event puts an individual at risk for subsequent psychological distress. Though trauma exposure is common in undergraduate students, college mental health services remain severely underutilized. One reason may be stigma associated with mental illness. The current study investigated the role of stigma on treatment seeking behaviors in trauma-exposed college students. Qualifying participants were randomly assigned to one of two stigma conditions. One week following measure completion, participants received an email offering a free, brief, self-guided intervention described with a stigmatizing label (“trauma symptoms”) in one condition, and as a broad problem (“stress”) in the other. It …

Impact Of Covid-19 On Latinx And Black Communities, Carolina Zuluaga

Dissertations

This critical literature review project explored the impact of COVID-19 on Latinx and Black communities. According to the Centers for Disease Control and Prevention, as of September 28, 2022, around 16% of COVID-19 cases in the United States were among Latinx people, and 14% of cases were among Black people (Centers for Disease Control and Prevention, 2022). Since COVID-19 began, clinicians have become more conscious of the effects of health disparities within racial and ethnic minorities, which has warranted increased advocacy by educating health and mental health providers and creating and providing resources to these communities and clinicians. The review …

Attitudes Towards Mental Health, Spiritual Seeking, And Well-Being, David Mitchell

Electronic Theses and Dissertations

Religion plays a crucial role in many peoples’ lives, shaping the way they interact with the world and react to stressors. The Relational Spirituality Model (Sandage & Shults, 2007) posits that individuals’ relationship with God resembles humans’ relationships with one another. That is, relationships consist of intimacy and closeness as well as independence and time away from each other, otherwise known as dwelling and seeking. Previous literature has analyzed the relationship between spiritual coping and well-being, yet none have analyzed the relationship between spiritual seeking and overall well-being using attitudes towards mental health as a moderator. Participants were 84 undergraduate …

Exploring The Moderating Role Of Psychological Flexibility On The Relationship Between Structural Barriers, Attitudinal Barriers, And Stigma On Mental Health Treatment-Seeking, Hannah Elyse Hays

Murray State Theses and Dissertations

College students face a multitude of stressors that have been found to significantly impact mental health, including symptoms of depression, anxiety, and substance use problems (Hubbard et al., 2018; American College Health Association 2022a; American College Health Association 2022b). Despite a rising concern regarding mental health, over 70% of college students denied seeking mental health treatment in the past year (American College Health Association, 2022b). Psychological flexibility could be an area of intervention because it has been found to be negatively associated with psychological distress and positively associated with mental health service seeking (Christodoulou et al., 2021; Komiya et al., …