Clinical Psychology Commons^™

The Journey Back To Wholeness That Already Is, Jenna Dishy Wes

Journal of Conscious Evolution

If we are born into this world with in an already heightened state of consciousness, at what point in human development do we begin to disconnect? Is the human experience innately traumatic? Through the exploration of Piaget’s stages of development, and in coherence with the concept of transgenerational trauma, I explore moments and modes of intervention, with the intention of building on what is already whole instead of waiting until it is broken. Rather than spending another generation spending our lives trying to heal, reaching for enlightenment and soul connection, what if our end point was actually our beginning one?

The Effects Of Familial Support, Social Support, And On-Campus Involvement On Posttraumatic Stress Symptoms On Academic Achievement, Kelsey G. Coulthard

LSU Master's Theses

Research demonstrates that students with higher levels of posttraumatic stress symptoms (PTS) exhibit lower grades in college (Pereira, et al., 2018). Further, higher levels of PTS during the first semester of college leads to higher rates of withdrawing from school (Boyraz, Horne, Owens, & Armstrong, 2013). Although there is ample evidence that the association between traumatic experiences are negatively correlated with academic performance, little is known about factors that may moderate or influence the relationship. Research has determined that higher levels of social support may facilitate recovery from trauma exposure and may lessen PTS symptoms in college students (Grasso, 2011). …

Antecedents Of Borderline Personality Disorder And Antisocial Personality Disorder: An Examination Of Gene X Environment Interactions, Amy L. Medina

Dissertations, Theses, and Capstone Projects

Current thinking suggests that genotypes associated with impulse-control disorders and negative emotionality, such as monoamine oxidase-a (MAOA), interact with negative early environmental factors like childhood maltreatment and develop into the disorders know as Borderline Personality Disorder (BPD) and Antisocial Personality Disorder (ASPD). Using existing data from a prospective cohort design study of the consequences of child abuse and neglect, participants (N = 896 represent individuals with documented histories of child abuse and neglect and a matched comparison group that were followed up into adulthood and interviewed. A subsample of 631 participants gave permission for DNA extraction and analyses during …

The Semantic And Acoustic Voice Features Differentiating Neutral And Traumatic Narratives, Yosef Shimon Amrami

Theses and Dissertations

This dissertation is a quantitative and qualitative exploration of how one linguistically communicates emotions through an autobiographical narrative. Psycholinguistic research has affirmed that linguistic features of a narrative, including semantic and acoustic features, indicate a narrator’s emotions and physiological. This study investigated whether these linguistic features could help differentiate between trauma and neutral narratives and if they can predict autobiographical narratives’ subjective trauma ratings (STR). Qualitative analyses of the positive and negative evaluative statements were also conducted, which indicated the narrators’ thought processes during recall. Twenty-two Spanish-English college students participated in this study and narrated both traumatic and neutral narratives. …

The Relationship Between Posttraumatic Growth, Social Support, And Rurality, Chelsea Thweatt

College of Graduate Studies: Theses & Dissertations

The majority of Americans will experience a trauma in their lifetime (Kilpatrick et al., 2013). While some will experience severe negative symptoms as a result of their trauma (U.S. Department of Veteran’s Affairs, 2019), up to 70% of people will report positive outcomes (Calhoun & Tedeschi, 1999). Posttraumatic growth (PTG) refers to positive changes that individuals experience after a traumatic event (Tedeschi & Calhoun, 2004). A key way for PTG to occur is through social support (Shakespeare-Finch & Copping, 2006). Research found that the quality and the quantity of social support matter when predicting PTG (Shang et al., 2020). Specifically, …

Do Aces Moderate Expressive Writing Outcomes? Examining The Relationship Between Exposure To Adverse Childhood Experiences And Expressive Writing Outcomes, Nick Vasquez

Cal Poly Humboldt theses and projects

Repeated exposure to adverse childhood experiences (ACEs) increases risks for various physical and mental health problems during adulthood. While research and policy decisions have focused primarily on early interventions and preventions, less research to date has looked at treatment options for adults with high exposure to ACEs. Cognitive behavioral therapies are viewed as an effective alternative; however, the high costs of therapy and limited efficacy for physical health problems warrant research into alternatives. Expressive writing is a well studied alternative to traditional talk-based therapies with limited demographic moderators. However, no research to date has looked at the role of ACEs …

Incorporating Psychological Trauma Into Adhd Differentials: A Pilot Study Of Primary Care Providers' Perspectives, Amber Nipper

PsyD Program in Clinical Psychology Doctoral Dissertations (Seattle)

According to the American Academy of Pediatrics (AAP, n.d.), 40% to 50% of individuals seeking mental health services terminate prematurely due to lack of access, lack of transportation, financial constraints, child mental health professional shortages, and stigma related to mental health. These barriers contribute to primary care providers assessing and managing mental health concerns at increasing rates, particularly symptoms consistent with attention deficit/hyperactivity disorder (ADHD). ADHD is a neurobiological disorder beginning in childhood that is defined as “a persistent pattern of inattention and/or hyperactivity-impulsivity that interferes with functioning or development” (American Psychiatric Association [APA], 2013, p. 59). Current literature shows …

New York City Police Officers’ Experiences Of 9/11, Christine Fiore

Walden Dissertations and Doctoral Studies

AbstractPolice officers were some of the first responders to the World Trade Center bombings on September 11, 2001. Longitudinal studies have revealed that some New York City (NYC) police officers were better able to cope than others, yet the long-term effects of officers’ coping strategies are unknown. The purpose of this qualitative, phenomenological study was to explore the coping strategies used by NYC police officers during 9/11 and how these police officers continue to cope with their experiences today. Lazarus and Folkman’s transactional model of stress and coping provided the foundation for this study. The participants included nine NYC police …

The Role Of Affect In The Relationship Between Social Stress And Posttraumatic Stress Disorder Symptomology, Alyssa S. Mielock

Graduate Research Theses & Dissertations

Posttraumatic stress disorder (PTSD) is a psychological disorder that may develop following a traumatic event. Many factors have been shown to contribute to maintaining the distressing and impairing symptoms in response to the event. Internal factors, such as increased negative affect (NA), is positively associated with PTSD symptom severity (PTSS). External factors like social support have a negative relationship with PTSS; increased levels of social support are associated with decreased PTSS. Another external factor that may contribute to PTSS is increased stress. There are mixed findings as to how a psychosocial stressor impacts trauma-exposed samples physiologically. The current study addressed …

Co-Constructing Stigma: Treating Trauma In Adolescence, Isabelle Sanderson

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Public stigma and self-stigma are major factors that impede the seeking of mental health treatment as well as the development of an effective therapeutic alliance. This paper explores the co-creation of stigma dynamics from an intersubjective systems theory lens suggesting these dynamics may play a role for adolescent clients who have experienced significant trauma. Specifically, the potential overlooking and/or misdiagnosis of trauma-related experiences and symptoms often occurring with adolescents diagnosed with ADHD may be contributing to a co-constructed dynamic between the therapist and client to avoid an exploration of trauma that would be experienced as more stigmatizing, more threatening, and …

The Risks For Eating Disorders/Disordered Eating In Refugee & Immigrant Experiences And The Imperative Of Culturally Alert Screening, Chantal A. Bushelle

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Eating Disorders (ED)/Disordered Eating (DE) largely remain outside of global mental health agendas. There are limited data on the epidemiology EDs/DE in refugee and immigrant populations, and there is a paucity of research on refugee and immigrant experiences of EDs/DE. Study of acculturation issues in refugee and immigrant populations have historically missed investigating what role and impact experiences of stress and trauma (e.g., historical, chronic) along with cultural change and transition may have on their food attitudes and eating behaviors. While there has been some study of eating habits within refugee and immigrant populations, the focus is typically on food …

The Resilience Of Female Survivors Of Intimate Partner Violence In Southwest Nigeria: An Interdisciplinary Analysis, Tobi F. Oloyede

Electronic Theses and Dissertations

Female survivors of intimate partner violence (IPV) in Nigeria endure harsh and traumatic experiences that affect their rights as women and their well-being. As the phenomenon of IPV persists in Nigeria, it is not only a family problem but a critical social and psychological problem. This study examined Nigerian female survivors’ hidden strength, agency, and resilience, rather than their powerlessness and vulnerability. Analysis of survey questionnaires, interviews, and secondary scholarship reveals that some Nigerian female survivors of IPV are able to cope whilst navigating stressful and traumatic experiences. The results also show that survivors’ ability to thrive and cope under …

Socially Just Trauma-Informed Responses To Covid-19 With Undocumented Communities, Daniela Dominguez

Journal of Interdisciplinary Perspectives and Scholarship

No abstract provided.

Traumatic Experiences And Mental Health In College Students, Samantha Sanchez

2020 McNair Scholar Collection

Because most college students have experienced one or more traumatic experiences before reaching college, they may be at increased risk of experiencing a mental health disorder, such as depression, anxiety or post-traumatic stress disorder (PTSD). The current study examined the relationship between a history of traumatic events and mental health disorders among college students. There were direct correlations between traumatic experiences and symptoms of anxiety, depression, and PTSD. In addition, after dividing respondents into “low,” “middle,” and “high” levels of trauma, the high group scored significantly higher on symptoms of anxiety, depression, and PTSD. Women reported more symptoms of anxiety …

Assessing A Cognitive Model Of Trauma-Related Sleep Disturbance, Rebecca Chesher

Dissertations

Sleep disturbance is a symptom of many mental health disorders that may negatively affect cognition and mood. Trauma-related sleep disturbance is a core reaction of traumatic stress and PTSD, similar to symptoms experienced by individuals with insomnia or other sleep-wake disorders. Although the cause and symptom progression of trauma-related sleep disturbance may be very different, research and clinical practice assess and treat it with measures and interventions designed for general insomnia. Using a cognitive model of insomnia modified for trauma-related sleep disturbance, the current study assessed the relations between select trauma and sleep variables within the proposed constructs of: 1) …

A Comparison Of Strain, Social Learning, Control, And Trauma Theories Of Crime, Nicole Trauffer

Dissertations, Theses, and Capstone Projects

The field of criminology has been dominated by Strain, Control and Social Learning Theories, among others. More recently, research and theory has focused on the role of trauma as a predictor of criminal behavior, especially for women. However, little research has empirically compared these theories to one another. The current study examined these four major theories to determine which best explains non-violent and violent criminal behaviors. Race and sex differences were examined. The data is from a large prospective cohort design study of individuals with documented histories of physical and sexual abuse and neglect and a control group of children …

Traumatic Shame Memories And Development Of Paranoid Ideations, Anwesha Maitra

Psychology and Counseling Theses

Paranoia and persecutory delusions constitute the symptoms of established disorders such as schizophrenia in clinical population. Paranoia is believed to exist as a continuum within the general population. A ‘threat anticipation model’ was established by Freeman and his colleagues suggested that paranoid delusions arise from the interaction of vulnerability, emotional processes, and reasoning basis. Paranoia in the subclinical population can be caused due to high levels of emotional variants such as depression, anxiety, fear and a concept of self-awareness in a psychological individual (Carvalho et al., 2019; Lincoln et al.2009).

Recent studies have focused on the associations between these emotional …

Experiences Of Latinx's Adult Transition To The U.S. And The Clinical Implications That Arise In Acclimating Into The Dominant Culture: An Interpretive Phenomenological Analysis, Gabriela Olavarrieta

Doctoral Dissertations

There has been a significant gap in the literature regarding the lived experience of the Latinx adult transition to the United States and the clinical implications that arise in acclimating to the dominant culture, particularly under the Trump Administration. The approach for the current research examined Latinxs’ adulthood transitions to the United States, experiences of acculturative stress, including instances of discrimination as well as their experiences acclimating or assimilating into the dominant culture. This study also examined what seeking, or being unable to seek, mental health services looked like in the current sociopolitical climate. Interpretive phenomenological analysis was utilized to …

The Influence Of Childhood Trauma And Ptsd Symptoms On Attention And Adhd Symptoms In Adulthood: An Eeg Study, Kylie M. Jupp

USC Aiken Psychology Theses

Objective: The influence of childhood trauma on clinical and cognitive functioning, specifically attention, has a large research base. However, the majority of studies have examined response inhibition to measure attention, and very few studies have evaluated how childhood trauma influences attentional control behavior and brain activity. Additionally, I aimed to integrate the use of the Allostatic Load Theory (ALT) to examine the outcome of negative attentional outcomes through the input of traumatic stressors. I addressed the above limitation and incorporated the ALT by investigating the influence of childhood trauma, community violence, and PTSD symptoms on attention performance and brain activity …

Mindfulness And Technology: Evaluating An Online Mindfulness Intervention For Symptoms Related To Sexual Assault, Erica Catherine Johnson

Dissertations

Sexual assault has been found to increase the risk of distressing psychological symptoms including PTSD, depression, somatization, drug and substance use, lower quality of life and experiential avoidance. As such, interventions for reducing the distress and negative impacts of sexual assault are of importance. Mindfulness is of particular interest as it addresses one of the prominent factors known to maintain psychological distress after trauma, experiential avoidance (Polusny et al., 2004; Merwin et al., 2009). Furthermore, an online mindfulness-based intervention can increase the accessibility and reduce the barriers to treatment. A within subjects repeated measures open clinical trial design was used …

Posttraumatic Growth In The Context Of Grief: Testing The Mindfulness-To-Meaning Theory, Honey Williams

Clinical Psychology Dissertations

The current study utilized a cross-sectional survey design to examine the role of mindfulness and meaning-making in the development of posttraumatic growth following the death of a loved one. Participants were 232 adults (77.2% female, 85% Caucasian), ages 18 to 67 years old (M = 35.7, SD = 12.5) who had experienced the death of a loved one in the last 10 years. Preliminary analysis indicated significant positive bivariate correlations between mindfulness and meaning making (r = .39 ) and mindfulness and posttraumatic growth (r = .20 ), as well significant negative bivariate correlations between mindfulness and …

Critically And Creatively Engaging With Trauma-Informed Mental Health Research And Treatment Of Lgbtqia+ Communities As Expressive Arts Therapists: A Literature Review, Kelli Lavallee

Expressive Therapies Capstone Theses

Expressive Arts Therapists are uniquely situated as both artists and mental health counselors working in psychological pedagogy rooted in systems of oppression. Given the arts-based approaches to the therapeutic relationship, it can be unethical to offer these approaches without acknowledgement of the ways in which the arts intersect with social justice, and justice is only viable if practitioners critically review the clinical mental health education they are consuming from the institutions they learn in, specifically trauma-informed mental health research assimilation and treatment approaches for Expressive Arts Therapists in training, practice, and education. A review of the literature in this paper …

The Role Of Emotional Acceptance And Awareness In The Relationship Between Posttraumatic Stress Disorder Symptoms And Posttraumatic Growth Among Survivors Of Sexual Assault, Cecilia Maria Melendez

Electronic Theses, Projects, and Dissertations

According to the Bureau of Justice Statistics (Morgan & Oudekerk, 2019), sexual assault is defined as an act or attempted act of unwanted sexual violence. The psychological consequences following an assault can lead to a number of negative mental health outcomes, such as Posttraumatic Stress Disorder (PTSD). The National Intimate Partner and Sexual Violence Survey reported that 22.2% of survivors experience symptoms of PTSD following exposure to sexual victimization (Black et al., 2011). However, recent research suggests positive outcomes can also result following trauma, such as enhanced meaning making or clarification of values. Posttraumatic Growth (PTG) refers to a transformation …

Exploring The Experience Of Psychological Distress For Young Adults With Cancer: Implications For A New Diagnosis Of Medical Traumatic Stress, Audrey Ryan

Counseling and Psychology Dissertations

The purpose of this qualitative study was to investigate how a serious medical diagnosis, such as cancer, can act as an acute or prolonged trauma. This was explored through the lived experiences of psychological distress of young cancer survivors. Participants were 12 men and women who had been diagnosed with cancer within the past seven years when they were between the ages of 18 and 39. From these interviews several themes emerged that describe the phenomenon of what I have termed medical traumatic stress.

Trauma from a medical event does not currently meet criteria for PTSD in the DSM-5 …

The Role Of Perceived Heterosexism In Posttraumatic Stress Symptom Severity Among Trauma-Exposed Sexual Minority Individuals, Natalie M. Cereseto

Theses and Dissertations

This thesis employed structured posttraumatic stress disorder (PTSD) assessments, a micro-longitudinal 30-day daily diary assessment, and multilevel modeling to investigate the unique and interactive effects of traumatic stress and daily sexual minority-related discrimination on PTSD symptoms and negative affect in a diverse sample of 38 trauma-exposed SM individuals.

Drawing Out Trauma: Visual Art Therapy For Child Sexual Abuse Victims, Katelynn K. Mckinnon

Intuition: The BYU Undergraduate Journal of Psychology

Child sexual abuse (CSA) is a global problem that can have lasting effects cognitively, physiologically, and emotionally for the victim. If the psychological damage from CSA goes untreated, it can lead to unstable conditions within one’s self, and in relationships. When children are affected by sexual abuse, it can be difficult for them to verbalize the traumatic incident. This inability to express can lead to problems in viewing and experiencing the self, and may lead to dissociation. Many aspects of trauma symptoms are difficult for individuals and especially children to express verbally. Visual arts therapy offers an alternative to verbal-based …

Fostering Trauma-Informed Schools By Considering The Experiences Of Teachers In Working With Trauma-Exposed Students, Allison A. Stiles

Electronic Theses and Dissertations

High rates of trauma exposure among youth in the United States and the detrimental effects of trauma on students’ psychosocial and academic outcomes are well-established. Such findings have engendered the emergence of trauma-informed schools across the nation. While research regarding trauma-informed schools has understandably focused on the needs of students, shockingly little is known about teachers’ experiences in working with trauma-exposed students. In particular, very few studies have examined the relationship between teachers’ indirect exposure to student trauma and related symptoms of secondary traumatic stress (STS), as well as factors that may predict STS levels or explain variation in the …

Dissociation And Metacognition: A Mixed Methods Analysis, Richard E. Nalbandian

Doctor of Psychology (PsyD)

Dissociation commonly occurs as a defense against trauma and can be understood as a breakdown in metacognition. The present research investigated the relationship between trauma, dissociation, and metacognition in subjects with PTSD, a trauma-related disorder. Specifically, we investigated a potential inverse relationship between metacognition and dissociation in participants who have undergone psychoanalytic therapy. Participants were patients admitted to the Austen Riggs Center, who consented to be a part of the Follow Along Study (FAS), a longitudinal investigation spanning 15 years. Quantitative and qualitative analyses examined differences in themes of dissociation across initial and follow-up-clinical interviews. Quantitatively, all subscales for metacognition …

Effects Of Violent And Nonviolent Life Stressors Among Urban Early Adolescents: Testing Competing Models Of Comorbid Distress And Externalizing Symptoms, Erin Thompson

Theses and Dissertations

The strong association between stressful life events and the wide-ranging spectrum of psychopathology has led some to advocate for the reconceptualization of traumatic stress. There has been a longstanding debate on whether these symptoms are best represented by using dimensional versus categorical approaches. Moreover, further understanding of the risk factors associated with various dimensions or patterns of comorbid emotional and behavioral problems could inform future research and intervention efforts. The current study tested competing variable- and person-centered approaches and examined how stressful life events are associated with different patterns of distress and externalizing symptoms among a predominantly African American and …

The Trauma Of Dishonor: Exploring The Ramifications Of Dishonor In Classical And Modern Society, Tamara Wachsman

Scripps Senior Theses

Exploratory in nature, this thesis investigated whether dishonor can be categorized as traumatic. With a foundation of existing research in trauma and honor, primary source analyses were conducted on classical texts, and a psychological study was conducted with participants living in the United States. The main primary source analyses were based on case studies, centering on Achilles, an ancient Greek hero, and Dido, an ancient Roman queen, who both experienced severe dishonor. Specifically, the narratives of Achilles and Queen Dido served as portrayals of dishonor in the form of a male hero who has his honor seized, and a woman …