Clinical Psychology Commons^™

Act And Posttraumatic Growth In Military Veterans: Growth Through Flexibility After Adversity, Andrew J. Moller

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Military veterans are disproportionately exposed to potentially traumatic events across service eras. While much of the clinical and research literature has focused on posttraumatic stress disorder (PTSD) and symptom reduction, a growing body of work highlights the possibility of posttraumatic growth (PTG) following adversity. PTG refers to positive psychological changes that may emerge through engagement with traumatic experiences, including enhanced appreciation for life, renewed purpose, personal strength, deepened relationships, and reintegration into community roles. Importantly, PTG does not imply the absence of distress but may coexist alongside ongoing trauma-related symptoms. Understanding processes that facilitate growth alongside suffering may support more …

Self-State Shifts During Nonsuicidal Self-Injury: Associations With Trauma History And The Functions Of Self-Harm, Katie E. Callahan

Dissertations, 2020-current

Nonsuicidal self-injury (NSSI) is a clinically significant behavior associated with substantial psychological distress and elevated suicide risk. Despite considerable research on the emotional triggers and functional implications of NSSI, the internal relational states activated during self-harm remain poorly understood. This study examined shifts in self-directed relational patterns during NSSI episodes using the Structural Analysis of Social Behavior (SASB) model and Interpersonal Reconstructive Therapy (IRT) theory. A cross-sectional secondary data analysis was conducted with 125 participants who reported current or past NSSI. Residualized change scores were computed to index shifts in self-state between general and NSSI conditions. Measures included the SASB-based …

The Legacy Of Trauma: Exploring The Effect Of Generational Stress On Gut Health And Mental Well-Being In Black Women, Jocelynn Jones

Dissertations

This dissertation examines how generational trauma and chronic stress may relate to gut health and mood outcomes among Black women. Using a literature review design, this work brings together research on intergenerational trauma, gendered racism, Superwoman Schema, weathering, allostatic load, mood disorders, reproductive health disparities, and the microbiota-gut-brain axis. The central argument is that depression, anxiety, gastrointestinal symptoms, fatigue, reproductive vulnerability, and healthcare mistrust should not be understood as fully separate concerns when they may be shaped by shared stress conditions. The proposed integrated model does not claim that trauma directly causes gut dysbiosis or mood disorders. Instead, it suggests …

The Use Of Breathing Meditation With Bipoc Trauma Survivors, Keerthi Sundaramurthy

Doctoral Dissertations

There is a growing body of evidence supporting the use of mindfulness-based practices to reduce psychological distress. Although interest in mindfulness-based care is growing, studies investigating virtual interventions for BIPOC trauma survivors remain limited. The goal of this study was to evaluate the effects of a breathing meditation intervention on mental health outcomes in a sample of trauma-exposed BIPOC adults, using a randomized post-test only design. Participants in the intervention group were asked to complete a 10-minute box breathing meditation daily for four weeks. Quantitative analyses revealed that those in the intervention group reported significantly lower symptoms of anxiety and …

The Nature Of Physical Bravery: A Principal Component Analysis Of Bravery Using Personality Attributes, Trauma History, And Resilience In A Mixed Military And Civilian Sample, Colin Simsarian, Daniel Baldini, Brenda E. Hammond, Julianna Christofi, Sana F. Usmani, Holly M. Mcgrath, Carolina Rader, Erik Wendel Rice, James Moses, Bruce Bongar

Heroism Science

Heroism is a complex phenomenon shaped by psychological constructs such as bravery and courage, yet empirical research on physical bravery remains limited. This study examined the relationships among physical bravery, personality traits, trauma history, and resilience in a sample of military servicemembers and civilians (N = 197; M age = 27.69). Participants completed the Physical Bravery Survey, and data were analyzed using principal component analysis. Results identified four components explaining 70.52% of the variance in responses. Findings suggest that physically brave individuals tend to be adventurous, cognitively flexible, self-confident, humorous, resilient, and more likely to report a history of trauma. …

Clinician Perspectives On Fistula Mental Health, Victoria K. Leonard

Doctoral Dissertations

Background – Obstetric fistula is a childbirth injury caused by prolonged labor that leads to stillbirth and incontinence, spurring social exclusion and isolation. These layers of trauma put women with fistula at great risk for psychological suffering, which has profound negative socioeconomic impacts on them, their families, and communities. This study captured treatment as usual at Comprehensive Community Based Rehabilitation in Tanzania (CCBRT), the country’s largest provider of fistula care.

Method – Improving holistic fistula treatment requires engaging the clinicians who care for women with fistula. This study aimed to investigate the training, beliefs, and treatment approaches of nurses and …

Underlying Mechanisms In The Relationship Between Ptsd And Irritable Bowel Syndrome, Jillian B. Heymann

Dissertations

Current bodies of knowledge support the relationships between posttraumatic stress disorder (PTSD) and irritable bowel syndrome (IBS), pain catastrophizing and PTSD, and pain catastrophizing and IBS. However, much less is known regarding how pain catastrophizing influences the relationship between PTSD and IBS. Additionally, while correlations between some demographic and trauma-related symptomatology have been elucidated in the relationship between PTSD and IBS, their impact as potential moderators on the relationship between PTSD and IBS has yet to be fully examined. Examining a student sample from a large midwestern university, the present study aimed to investigate the potential mediating and moderating roles …

Moderating Effects Of Defense Mechanisms On The Link Between Dark Triad Traits And Stress: A Replication With Addition Of Early Trauma, Ngayin Cheng

Student Theses

Literature suggested Dark Triad traits, comprised of narcissism, Machiavellianism, and psychopathy, are linked to adverse childhood environment and maladaptive coping that contribute to negative mental health outcomes, but Richardson and Boag's study (Richardson & Boag, 2016) was one of the few studies that first found Dark Triad traits are associated with immature defenses and higher perceived stress simultaneously. This replicated study aims to verify the original findings of their research by examining how defense mechanisms moderate the relationship between Dark Triad traits and perceived stress. A sample of 199 participants completed self-report measures assessing the Dark Triad traits, defense styles, …

Closing Remarks: Eyes Wide Shut, Sex Trafficking Of Women And Girls In The Black Community, Stephany Powell

Dignity: A Journal of Analysis of Exploitation and Violence

No abstract provided.

Ptsd Symptoms And Cannabis Use Among College Students: Examining The Role Of Trauma-Related Cannabis Use To Cope, Christopher T. Latourrette

Psychology Theses & Dissertations

Individuals with posttraumatic stress disorder (PTSD) are more than four times as likely to develop cannabis use disorder (CUD) as those without PTSD. This common co-occurrence is often interpreted through a self-medication framework in which cannabis is used to manage PTSD symptoms. Prior work has relied heavily on veteran samples, includes measures of cannabis coping that are not specific to PTSD, and has most commonly examined total PTSD symptom severity, limiting precision in understanding how discrete symptom clusters relate to cannabis outcomes. The present study sought to examine associations between individual PTSD symptom clusters and cannabis use severity and to …

Adaptations Of Collaborative/Therapeutic Assessment With Survivors Of Torture: Clinical Insights From Shareback Conversations, Samantha Correa

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Survivors of Torture (SoT) experience disproportionately high rates of PTSD, depression, and anxiety (Steel et al., 2009). Many SoT treatment programs use brief assessments to monitor symptoms (McFarlane & Kaplan, 2012). However, research on integrating feedback into treatment had been limited until Colpas et al.'s 2024 study on Sharebacks, a novel approach where clients review their progress with their clinician in structured feedback sessions. Given the therapeutic potential of assessment feedback (Tarocchi et al., 2013; Smith & George, 2012; Poston & Hanson, 2010) and Colpas et al.'s findings on Sharebacks' importance, this study explores how practitioners can most effectively incorporate …

Victims Of Bravery (1): Impacts Of Acts Of Bravery On Australian Civilian Bravery Award Recipients, Tom Voigt, Angela Dew, Susan Balandin

Heroism Science

We admire those who perform acts of bravery involving physical risk and life-threatening trauma, yet little attention is given to civilians who experience negative consequences following such acts. This study examined unintended consequences through qualitative interviews with 24 Australian civilian bravery award recipients using constructivist grounded theory and thematic analysis. Three major themes emerged: (1) Direct impacts, including high psychological distress, physical and health impacts, financial and employment consequences, and lack of formal counseling support; (2) Changes within, including hypervigilance, avoidance behaviours, anger, alcohol misuse, and social isolation; (3) Then and now, encompassing relationship difficulties, changed life approaches, and regret. …

Emotional Intelligence In Blended Vs. Non-Blended Families With Childhood Trauma, Rose Johnson Rodriguez M.S.

Selected Full Text Dissertations, 2011-

This study examined whether family structure (blended vs. non-blended) influenced changes in emotional intelligence (EI) among adults, while controlling for baseline EI and childhood trauma. Participants were 420 adults (292 from non-blended families and 128 from blended families) who completed pre- and post-treatment assessments of emotional intelligence using the Assessing Emotions Scale and completed the Childhood Trauma Questionnaire (CTQ) at baseline. Multicollinearity diagnostics revealed some overlap between emotional and physical abuse on the CTQ, but no severe violations. The overall model was significant, F (7, 412) = 16.95, p < .001, R2 = .224, explaining 22% of the variance in EI change. Baseline EI significantly predicted change (p < .001), while CTQ subscales were non-significant. Family structure had a small but statistically significant effect on EI change, F (1, 412) = 4.79, p = .029, partial η2 = .011, with adults from blended families showing slightly greater increases in EI than those from non-blended families. Findings suggest that while family context may shape emotional growth, baseline emotional functioning remains the strongest predictor of change. Future studies should recruit larger samples to enhance power and explore the mechanisms underlying these associations.

The Use Of Virtual Reality In Ptsd Research And Practice, Kenneth B. Abrams, Lindsay Okindo, Marta E. Bacon, Yiking Skylar Yu, Sofia Santamaria Germani, Malvika Malhotra, Nancy A. Cullen

Psychology Faculty Work

In the aftermath of traumatic events such as combat, sexual violence, or a natural disaster, individuals may develop posttraumatic stress disorder (PTSD). Technological advancements in virtual reality (VR) over the past few decades have opened new avenues for improving the assessment, treatment, and understanding of PTSD. VR allows users to be immersed in interactive, computer-generated environments that simulate real-world scenarios, such as a warzone or assault location, that would be difficult or unsafe to reproduce using traditional methods. The present paper offers an overview of how VR technology has been employed in both clinical and research settings related to PTSD. …

Victimization Trauma And Eating Pathology; A Global Perspective, Madisyn E. Feliciano, Cate Morales, Kelsey Hagan

Undergraduate Research Posters

Introduction: Exposure to traumatic events is a well-established risk factor for eating pathology, including binge eating, purging, restricting, and excessive exercise. This association has been primarily explored in higher-income countries, like the United States. The goal of this study was to elucidate the associations among victimization trauma (physical assault, sexual assault, and other unwanted sexual experience assessed) exposure and (binge eating, purging, restriction and excessive exercise) in a global sample of women.

Methods: Participants were 2,458 women attending universities across seven countries (US, UK, Canada, Germany, Iran, Turkey, Colombia) who were recruited through their undergraduate participant pool. Students who completed …

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 …

Stressful Life Events And Ocd Treatment: A Thematic Analysis Of Patient Perspectives, Emily E. Fenlon

Theses and Dissertations--Psychology

Trauma exposure, including interpersonal violence (IPV), is associated with increased risk and severity of obsessive-compulsive disorder (OCD). Exposure and response prevention (ERP) is the treatment of choice for OCD, yet research suggests a history of trauma and comorbid PTSD may adversely impact treatment outcomes. No studies have yet evaluated patient perspectives on the relationship between trauma, IPV and related sequelae and OCD treatment. The present study applies reflexive thematic analysis to interviews from individuals with a history of IPV who received exposure-based therapy for OCD. Interviews explored the influence of posttraumatic distress, impairment, and psychopathology on the treatment of OCD, …

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 …

The Emotional Landscape Of Cult Involvement From Recruitment To Disaffiliation: A Grounded Theory Study Of Survivor Experiences To Inform Trauma Counseling, Yaroslaba Garcia, Suzanne M. Dugger, Jackie Greene

Trauma Counseling and Resilience

This study used a constructivist grounded theory design to explore survivors’ unwanted emotions across the recruitment, retention, and disaffiliation phases of cult involvement. Through inductive analysis, the researchers developed a theoretical model grounded in participants’ experiences to explain the persistence and impact of these emotions. The researchers conducted in-depth interviews with 15 U.S.-based cult survivors of diverse types of cults and with varying lengths of membership. Participants completed three onehour interviews, each focused on unwanted emotions during a specific phase of cult involvement. Data analysis included iterative coding, bracketing meetings, and memo-writing. Analysis revealed 16 categories of unwanted emotions, with …

Evaluating A Self-Guided Cognitive Behavioral Coping Skills Workbook For Sexual Violence-Exposed College Students Using A Nonconcurrent, Multiple Baseline Design, Marley F. Fradley

Graduate Theses and Dissertations

College students endorse high rates of sexual violence victimization and posttraumatic stress disorder (PTSD). Help-seeking behaviors in college students are low and may be impacted by limited financial resources, competing obligations, treatment-related stigma, and features of PTSD such as avoidance, fear, and shame. Novel opportunities for sexually victimized college students to engage with trauma-focused interventions are necessary to mitigate the biopsychosocial consequences of PTSD. In a nonconcurrent, multiple baseline trial of a self-guided cognitive behavioral workbook for PTSD, sexual violence-exposed college students (N = 6) completed a 3-, 4-, or 5-week baseline period and then utilized the study workbook for …

Associations Between Occupation Of World Trade Center Responders And Ptsd Prevalence And Symptom Expression, Jonah K. Luby

Master's Theses or Doctor of Nursing Practice

The World Trade Center attacks on September 11th, 2001, had a drastic impact on American culture across many different mediums. Among those impacted, first responders experienced intense responsibilities beyond the bounds of typical expectation and training, putting them particularly at risk for Post Traumatic Stress Disorder. PTSD in first responders is often examined on a wide scale, where all types of responder roles are compared to the general population or within their individual groups. This study examined the association between occupation of responders at the time of the 9/11 terrorist attacks and PTSD prevalence and symptom expression. Patterns of symptoms …

Contributions Of Adverse Childhood Experiences, Racism, Therapy And Health Habits To Cardiovascular Health In African American Adults, Tahra Chaunice Nobles

Doctoral Dissertations

This dissertation explores the impact of Adverse Childhood Experiences (ACEs), racism, health habits, and therapy engagement on cardiovascular disease (CVD) among Black adults. This study builds on the Biopsychosocial Model and Allostatic Load Theory to examine how trauma, racism, and health habits influence cardiovascular health outcomes in the African American population. Through a quantitative analysis, this study investigates whether ACEs, experiences of racism, engagement in health habits, and participation in therapy contribute to the development or mitigation of CVD in Black adults. A total of 83 participants were included in the study, with data collected on ACEs, the frequency of …

Identifying Appropriate Clinical Cutoffs For Traumatic Dissociation In Maltreated Youth, Amanda L. Mraz

UNLV Theses, Dissertations, Professional Papers, and Capstones

Maltreated youth who experience traumatic dissociation are at an increased risk for various severe psychopathological outcomes. Much is still unknown about the risk factors for traumatic dissociation in maltreated youth. The present study aimed to identify dissociation (e.g., dissociative amnesia, absorption and imaginative involvement, passive influence, and depersonalization and derealization) risk factors, via parametric statistical methods, in association with the appropriate clinical cutoff for the total and subscale scores from the Adolescent Dissociative Experiences Scale (A-DES). Investigatory variables included demographic (e.g., age, race, and gender), cognitive (e.g., resiliency and posttraumatic cognitions), and psychological (e.g., posttraumatic stress disorder, anxiety, and depression …

The Experience Of Posttraumatic Growth For Atheists, Savannah Miller

Doctoral Dissertations

Background - This study aimed to understand how atheists manage to make meaning and find growth after experiencing trauma. Posttraumatic Growth is a well documented point of research across qualitative and quantitative domains, and this project aimed to add meaningful findings to that research body. Atheists, however, are an understudied population, especially as it relates to their subjective experience of trauma and posttraumatic growth.

Methods - This study aimed to investigate the experience of posttraumatic growth for atheistindividuals. Semi-structured interviews adhering to the tenets of interpretive phenomenological analysis were conducted then transcribed, coded, and analyzed. Themes and subthemes emerged and …

The Role Of Gender And Sexual Identity In Mental Health Outcomes For Asylum-Seeking Survivors Of Sexual Torture, Samantha A. M. Doerr

Clinical Psychology Dissertations

Millions of people worldwide flee violent persecution each year, with more than 6.8 million estimated to have sought asylum in 2023 alone (United Nations High Commission on Refugees, 2025). Up to 40% of refugees and asylum-seekers are reported to be survivors of torture, with sexual torture one of the most commonly-reported means of torture, particularly among women and LGBTQ+ populations (Abu Suhaiban, 2019; Hopkinson et al., 2017; United Nations High Commission on Refugees, 2017). Sexual torture has been associated with severe impacts on mental health, including posttraumatic and depressive symptoms. Despite marked differences in sexual torture risk across gender and …

A Qualitative Meta-Analysis Of The Experiences Of Clients In Psychotherapy For Posttraumatic Stress Disorder: An Empirically Based Process-Oriented Staged Model, Nicholas A. Pierorazio

Graduate Masters Theses

Posttraumatic stress disorder (PTSD) is prevalent and can be highly complex. Guidance for the treatment of PTSD has typically been based on quantitative meta-analyses of randomized controlled trial findings and has focused on the comparative efficacy of specific treatments, rather than how to deliver treatment. There is a need for clinical guidance that highlights moment-to-moment, in-session psychotherapy processes for psychotherapists working with clients with PTSD. In the current study, I conducted a qualitative meta-analysis, focusing on the qualitative literature investigating clients’ perspectives in order to develop an understanding of the preferences, values, and experiences of clients in individual psychotherapy for …

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 …

"La Vida Es Un Carnaval": An Exploration Of Cuban Identity And Nostalgia Through Dance/Movement Therapy - A Community Engagement Project, Maria Fernanda Mendez Mendoza

Expressive Therapies Theses

“La Vida Es Un Carnaval” is a community engagement project and thesis that explores how identity and nostalgic resilience show up through dance/movement therapy with Cuban immigrants living in the United States, specifically Massachusetts. This project brought together six Cuban-born participants, ages 26 to 67, each with their own unique migration stories; from the Rafter Balsero Crisis of 1994, to the “Wet-Foot/Dry-Foot” policy, and family reunification. Through a mix of in-person and online sessions, participants explored their experiences using intermodal activities including dance/movement therapy techniques, conversation, journaling, artwork, and music. Themes of cultural pride, “Cubanía” – Cuban-ness, culture shock, and …

Cultural Self-Harm Differences, Erin E. Simmons

Student Scholar Symposium Abstracts and Posters

This study is based on the evident cultural differences in self-harm behaviors and what those behaviors look like specifically for individuals that identify as Black or African American. Previous literature suggests that cultural differences in self-harm exist but very little research centers Black experiences and their connection to self-harm. Self-harm is considered a broad term, and it encompasses a variety of behaviors, some more common than others, but these common behaviors are typically exclusively explored within only a few demographics with a low Black participant pool. This contributes to the assumed lack of self-harm among the Black community but through …

The Teaam: The Development Of A Trauma Assessment Measure For Late Adolescents And Emerging Adults, Jessica Wimmer

Theses, Dissertations and Culminating Projects

Exposure to potentially traumatic events is common among adolescents and emerging adults. While outcomes to trauma exposure may vary, development of maladaptive symptoms and disorders, such as Post-Traumatic Stress Disorder, is of great concern to clinicians, researchers, and advocates for youth. However, recent research has identified that existing trauma measures and the Diagnostic Statistical Manual, Fifth Edition Text Revision criterion for event exposure for PTSD, Criterion A, fail to address specific types of events and experiences that may elicit post-traumatic stress responses. Subsequently, this dissertation aimed to review the existing literature regarding trauma and how it is measured in adolescents …