Clinical Psychology Commons^™

The Development Of A Computerized Text Analysis Measure Of Differentiation Relatedness: A Pilot Study, Liang Yi Wong

Dissertations and Theses

Self-definition and relatedness are considered two important processes for psychological development. Self-definition refers to an individual’s ability to maintain a stable, agentic, integrated sense of self that is differentiated from others. Relatedness refers to one’s ability to establish and maintain mutually reciprocal, stable, interpersonal relationships. Research shows that impairments in self-definition and relatedness are connected with various forms of personality and psychiatric disorders. Assessing for these impairments may allow clinicians and researchers to identity relevant factors that lead to therapeutic change. One way to assess for self-definition and relatedness is by understanding an individual’s description of self and others, which …

Policing With A Double-Edged Sword: The Associations Between Neighborhood Deprivation, Coping & Substance Use Among Black & Latiné Families, Neil M. Allicock

Dissertations and Theses

The COVID-19 pandemic has exacerbated systemic racial inequities among Black and Latiné communities, increasing daily stressors such as exposure to violence, racial discrimination, and negative perceptions of the police. Social constraints from quarantining and social distancing have weakened community relationships that previously provided relief from these stressors. Persistent poverty and racial discrimination further strain community ties and challenge the well-being of marginalized communities. Negative experiences with the police are unique stressors for Black and Latiné youth, potentially increasing their risk for substance use. The erosion of community ties may heighten psychological stress and lead to less adaptive coping methods, such …

Mentalized Affectivity Among Adolescents In Wilderness Therapy: An Initial Exploration, William Holland

Dissertations and Theses

Mentalized affectivity (MA) blends emotion regulation and mentalization in a single construct that underlies psychopathology and is a target of psychotherapeutic intervention as a mechanism of change. Little research has investigated MA’s role in psychopathology and treatment for adolescents. Change in MA has yet to be investigated. Wilderness therapy is a non-traditional treatment model for “hard-to-reach” adolescents; its mechanisms of change have not been robustly researched. This study aims to investigate change in adolescents’ MA capacities over the course of wilderness therapy, in order to explore the role of MA components (Identifying, Processing, Expressing) in adolescent psychopathology; the relation between …

Making Sense Of The Space Between: A Qualitative Study Of Therapist’S Experience And Use Of Therapeutic Enactments, Paul Ballantyne Lafreniere

Dissertations and Theses

This study sought to examine a particular category of technical challenge in therapy: enactments. Enactments, broadly defined, are moments or stretches of time in therapy where both the patient and therapist cannot put their conflicts into words, and instead act them out within the therapeutic milieu. These phenomena frequently elicit shame and guilt on the part of the therapist, and can prove detrimental to treatment. Equally, however, investigation of these moments within treatment can be of considerable clinical utility. In this qualitative phenomenological study, 6 therapists were interviewed about their experiences working with enactments in clinical practice. The strategies which …

Adult Play And Its Relations To The Working Alliance And Psychosocial Dysfunction In Short-Term Psychotherapy, Charlotte B. Gendron

Dissertations and Theses

The importance of play in child development is well-documented: the capacity to play is associated with psychological health, and the cognitive and affective processes involved in play, such as fantasy, symbolism, narrative organization, divergent thinking, and affective expression, relate to areas of adaptive functioning. Research also illustrates that the inability to play is associated with adverse experiences in children, and that play therapy can facilitate the development of play and subsequent psychological health. In addition to its relation to psychological health, the capacity to play in childhood is inextricably linked to the infant-caregiver relationship. There is less literature on what …

Belonging In The Psychic Nowhere: Racial Trauma, Racial Melancholia And Related Mental Health Outcomes Amongst South Asian Immigrants In The Us, Anusha M. Kumar

Dissertations and Theses

South Asian immigrants have experienced a nuanced immigration history in the US while straddling the Black-White racial binary. Despite their growing presence, research on South Asian mental health is relatively limited and often subsumed under the broader category of "Asian Americans," which obscures unique experiences due to the model minority myth and leads to a paucity of targeted studies, particularly in the U.S. Mental health outcomes, specifically depression, self-harm and disordered eating behaviors are prevalent within this community, and are exacerbated after large-scale sociopolitical events due to increased discrimination. Limited studies examine the intersection of racism and mental health outcomes …

A Qualitative Exploration Of Psychodynamic Therapist's Experiences When Working With Parents In Child And Adolescent Psychotherapy, Marie-Clair Siegman

Dissertations and Theses

A Qualitative Exploration of Psychodynamic Therapist's Experiences of Working with Parents in Child and Adolescent Psychotherapy.

By

Clair Siegman, MA

Advisor: Steve Tuber, PhD

The aim of this study was to identify how therapists incorporate parent-work into their practices and explore the experiences related to this. The literature on engaging parents during child treatment suggests that it is a central to improving outcomes. Research about the treatment alliance that develops between the therapist and parent is limited, especially when considering the therapist perspective. Literature within the psychodynamic and psychoanalytic fields, suggests therapists have a hesitance to working with parents either …

Mentalized Affectivity And Its Role In Acculturative Adjustment And Well-Being, Bassem Barada

Dissertations and Theses

Immigration is a phenomenon that occurs on a global scale and continues to grow in prevalence to our present day. Therefore, acculturation remains an essential area of interest for the mental health field. Specifically, assessment of identification with either one’s ethnic culture or the dominant culture remains a robust way to capture acculturative adjustment (Chance, 2015). More recently, emotion regulation has emerged as an important construct in understanding wellbeing. Mentalized affectivity (MA) is an insight-based regulatory process that highlights the importance of understanding current emotional distress in the context of one’s past history (Jurist, 2005). The three dimensions of emotion …

Divorce As A Growth Process: Marital Separation And Separation-Individuation In Adulthood, Anna Egleson

Dissertations and Theses

Research has focused on the negative effects that divorce has on divorcees, on children of divorced parents, and on society. Research has also shown however that many individuals who go through a divorce emerge happier, more content and satisfied with their choice, even though the process was a painful one. Despite this evidence, there is a gap in the research looking at positive, and growth-related experiences of those who have recently gone through a divorce. Theoretical arguments and clinical observations provide a foundation to support the idea that there is a relationship between separation-individuation in adulthood and the internal shifts …

Veterans, Providers, Moral Injury, And The Integration Of Spirituality In Clinical Care, Claire Muldrew

Theses and Dissertations

Moral Injury (MI) is known to be prevalent among military populations, however, the integration of spirituality into the treatment of veterans with trauma/posttraumatic stress disorder (PTSD) is an understudied topic. This systematic review sought to explore how mental health clinicians and chaplains view the integration of spirituality in the course of clinical care with traumatized veterans who experience MI. Utilizing qualitative methodology, the existing knowledge base was studied to shed light on this topic and to also identify the similarities and differences between these types of providers. The meta-aggregation approach was applied to analysis of the available data and a …

Using Natural Language Processing To Understand The Lived Experiences Of People Identifying With Adhd: What Themes Emerge In Social Media Posts?, Gabby C. Scalzo

Theses and Dissertations

Compared to the amount of research conducted on how to identify and understand children with Attention-Deficit Hyperactivity Disorder (ADHD), there has been relatively little work done to understand the lived experiences of adults with ADHD. Increased understanding of how adults with ADHD conceptualize themselves in the context of their diagnosis would help clinical experts tailor research and treatments to better serve these communities. However, there are several barriers towards conducting high-quality qualitative research, including time- and labor-intensity. This study, informed by qualitative research traditions, used innovative data sources (i.e., social media) and analytic techniques (i.e., machine learning) to reduce these …

On The Rebound: Resilience And Subjective Cognitive Symptoms In Cancer, Giuliana V. Zarrella

Theses and Dissertations

Recent studies have shown a strong connection between resilience and subjective cognitive symptoms in clinical populations. However, there is limited understanding of this relationship in cancer survivors, and no studies examine whether resilience training could alleviate subjective cognitive symptoms in these patients. This study examined the relationship between subjective cognitive function and resilience in non-CNS cancer survivors who participated in a resiliency training intervention, at baseline and from pre- to post-intervention, as well as investigated potential influences of change in subjective cognition. Adult cancer survivors (N=275) participated in the Stress Management and Resilience Training-Relaxation Response Resilience Program (SMART-3RP) …

Fitbit Engagement In An Health Physical Activity Intervention For Young Adult Cancer Survivors: A Secondary Analysis Of The Impact Randomized Controlled Trial, Jessica Gomez Smith

Theses and Dissertations

Wearable devices allow for objective remote and real-time data collection and have been increasingly popular among the general public and in mHealth activity (PA) interventions. Despite this, our knowledge of feasibility and efficacy for using wearable devices to increase PA among a particularly vulnerable population—young adult cancer survivors age 18-39 (YACS)—is limited. Engaging in physical activity while undergoing cancer treatment contributes to reduced risk for recurrence and secondary cancers, and can also help to manage treatment side effects. However, there are a multitude of barriers to PA engagement among cancer survivors, with YACS in particular demonstrating low rates of PA. …

Development Of A Validity Scale For The Icd-11 Personality Disorder Measure (Psi-11), Rae Lutz

Theses and Dissertations

Invalid responding is a significant issue in the utilization of self-report information. Invalid responding can be assessed by stand-alone validity measures or embedded validity scales. The International Classification of Diseases (ICD) is one of two major diagnostic systems which provide guidance on diagnosing personality disorder, with the most recent version (ICD-11) providing a fully dimensional model for personality disorders. No existing measures aimed at assessing dimensional personality pathology have addressed the combination of PD severity and trait qualifiers that were based upon ICD-11 guidelines. To address this gap, Clark et al. (2021) developed the ICD-11 Personality Disorder Measure (PSI-11). However, …

Community Informant And Mental Health Provider Perspectives On Access To Mental Healthcare For Lgbtqia+ Communities In Virginia, Chariz Seijo

Theses and Dissertations

The existing literature on mental health disparities for lesbian, gay, bisexual, transgender, queer, intersex, and asexual (LGBTQIA+) populations suggests members of LGBTQIA+ populations are at greater risk of mental health disorders than cisgender and heterosexual individuals. The COVID-19 pandemic has also exacerbated mental health disparities for many, including LGBTQIA+ populations. Combined with mental health provider shortages and anti- LGBTQIA+ bills across the country, inequities in mental healthcare are a significant concern. This qualitative study was designed to gather unique perspectives of key community informants and mental health providers on their experiences with mental healthcare provision to LGBTQIA+ communities in Virginia. …

Effect Of Social Anxiety On Trial-By-Trial Changes In Attentional Biases To Emotional Faces, Nina Plotnikov

Theses and Dissertations

Cognitive research suggests that many anxiety disorders, including social anxiety disorder, are associated with an increased attentional bias toward potentially threat-related stimuli. However, inconsistent findings suggest the effect of anxiety on attentional bias to threat is not direct and that other factors, including emotion, perceptual load, and time on-task, impact the relationship between social anxiety and attentional biases to facial stimuli. In the present study, 157 undergraduate students completed a computerized letter search task identifying one of two target letters (N or X) from a circular arrangement of different letters (high load) or dots (low load). In 20% of trials, …

The Many Impacts Of The Covid-19 Pandemic On Latinx College Students’ Mental Health: Exploring The Role Of Sleep, Social Support, And Familismo, Mayra S. Ramos

Theses and Dissertations

College students experienced a multitude of disruptions to their daily life, and changes to their physical (i.e., sleep quality) and mental health (e.g., anxiety and depressive symptoms) because of the COVID-19 pandemic. Though the field has identified the factors that have contributed to negative physical and mental health changes, there remains much to be known about social and cultural protective factors that could buffer the negative role of the COVID-19 pandemic on Latinx college students. The current study contributed to the literature on the mental health outcomes of Latinx college students by identifying a possible mediator and moderators between the …

Life After Discharge: Predicting Longitudinal Trajectories Of Community Integration And Global Functioning In Black Individual With Traumatic Brain Injury, Chimdindu Ohayagha

Theses and Dissertations

The onset of traumatic brain injury (TBI) begins a chronic health pathway that contributes to various impairments and comorbidities across the lifespan. Common consequences of TBI include mental health issues, cognitive impairments, and reduced functional independence, all of which impact how an individual integrates into their community. Community integration is a primary goal for rehabilitation after TBI. Studies show that racially/ethnically minoritized individuals have a higher incidence of TBI, higher rates of mortality, and report poorer functional and community integration outcomes. Limited studies have explored longitudinal outcomes of community integration in a Black-only sample of individuals with TBI. Additionally, no …

Polyvictimization In Context: Identifying Patterns Of Peer, Dating, And Community Violence Among Black Early Adolescents, Carine Leslie

Theses and Dissertations

Early adolescents exposed to multiple forms of victimization (“polyvictimization”) may experience a number of detrimental psychosocial outcomes. Some person-centered research has identified victimization subgroups among adolescents but have not examined the overlap of peer, dating, and community victimization among Black early adolescents living in economically disadvantaged urban communities. Thus, this study empirically identifies victimization profiles in a sample of Black early adolescents to ascertain the patterns and correlates of polyvictimization. The present study aimed to (a) identify subgroups of Black early adolescents based on their frequency of peer, dating, and community victimization using latent profile analyses, and (b) evaluate the …

Repeated-Measures Latent Profile Analyses Of Intervention Fidelity To A Teacher-Delivered Intervention Program For Children At Elevated Risk For Emotional And Behavioral Disorders, Katrina A. Markowicz

Theses and Dissertations

Teachers have difficulty delivering Tier-2 intervention programs for preschoolers at elevated risk for socioemotional and behavioral disorders with high intervention fidelity (Durlak, 2010; Sutherland et al., 2018). Several proximal factors that impact program fidelity have been identified, which may undermine program effects (Domitrovich et al., 2008; McLeod et al., 2022; Sutherland et al., 2018). Therefore, researchers have identified strategies, such as practice-based coaching, to improve intervention fidelity and support teachers (Hemmeter et al., 2015; Synder et al., 2015). Most of the field's knowledge of these topics is limited to variable-centered approaches (Fettig et al., 2022; Low et al., 2016). However, …

The Relationship Of Intolerance Of Uncertainty And Inferential Confusion To Obsessive-Compulsive Symptoms In A Nonclinical Sample, Fiona Christina Ball

Graduate Research Theses & Dissertations

Intolerance of uncertainty (IU) is a transdiagnostic cognitive vulnerability that has been linked to obsessive-compulsive (OC) and generalized anxiety (GA) symptoms. Inferential confusion (IC) refers to dysfunctional reasoning which overvalues imagined possibilities and devalues sensory information. The inference-based approach (IBA) proposes that IC generates obsessional doubt which leads to OC symptoms. Conceptually, IU and IC both involve the existence of multiple possibilities, and the limits of knowledge. No prior research has studied these constructs together. The current study sought to examine the relationships among IU, IC, and OC symptoms in a nonclinical sample. IC was explored as a potential condition …

Maternal Cumulative Trauma And Child Externalizing Behavior: Indirect Pathways Through Posttraumatic Stress Symptoms And Parenting Behaviors, Chynna Michelle Dubuclet

Graduate Research Theses & Dissertations

The present study aimed to add to the literature by analyzing the relationships present within the connection between maternal cumulative trauma and child externalizing behaviors. Specifically, this study examined the indirect effects that posttraumatic stress symptoms and parenting behaviors exert on the relationship between maternal cumulative trauma and externalizing behaviors. This study used structural equation modeling to assess the relationship between maternal cumulative trauma and child externalizing behaviors (i.e., conduct and behaviors, hyperactivity/impulsivity, opposition/defiance) through maternal PTSS and parenting behaviors (i.e., acceptance, lax discipline, overreactive discipline). Data was collected from 308 mothers (Mage = 20.59, 70.0% White/Caucasian) between April 2020 …

A Comparison Of Academic Achievement And Psychological Symptoms In Homeschooled And Traditionally Schooled Children: Accounting For Demographic And Family Characteristics, Lauren Elizabeth Hauck

Graduate Research Theses & Dissertations

The prevalence of homeschooling is increasing, especially in the aftermath of the COVID-19 pandemic. However, methodologically strong research examining how children's well-being may differ based on their schooling type (i.e., homeschooled vs. traditionally schooled) is rare. This study is a response to a call for advancing the methodological rigor and expanding our understanding of family contributions to differences between homeschooled and traditionally schooled children’s adjustment. Thus, the study aims to determine if differences between homeschooled and traditionally schooled (i.e., attending public school) children’s academic and emotional adjustment are present after accounting for both family demographic characteristics and parenting and home …

Expressive Writing Rooted In Self-Determination Theory: An Intervention For Racial Trauma, Diana A. Robinson

Graduate Research Theses & Dissertations

Understanding the impact of racial discrimination is not a new endeavor in the field of psychology. However, research utilizing a trauma-focused lens to evaluate the negative mental health outcomes in the aftermath of racial discrimination is only in its infancy. In addition to depression, anxiety, and substance use, recent research has linked racial discrimination to negative mental health outcomes that mirror that of posttraumatic stress disorder (PTSD). Although many researchers have identified the negative effects of racial discrimination, few studies have examined intervention approaches designed to reduce the negative impact of racial discrimination. Self-Determination Theory (SDT) is a comprehensive theory …

Building From The Family Stress Model: Examining The Role Of Maternal Impulsivity And Neighborhood Collective Efficacy On Adolescent Psychological Symptoms, Lauren Therese Mcneela

Graduate Research Theses & Dissertations

The Family Stress Model (FSM) offers an understanding of the complex relationship between economic hardship and child outcomes through a number of parent factors (e.g., psychological functioning) and parenting practices; however, additional variables of influence were considered within this framework, as a way to fully encapsulate the processes within the family and neighborhood contexts that influence child psychological functioning. Using the Future of Families and Child Wellbeing Study, formerly called Fragile Families and Child Wellbeing Study (FFCWS), a sample of primarily low-income, single-parent households, the present study examined the FSM in relation to adolescent externalizing and internalizing psychological outcomes. Additionally, …

Self-Compassion Intervention For Shame In Trauma-Exposed Gender And Sexual Minorities, Kyla A. Leonard

Graduate Research Theses & Dissertations

Individuals who identify as gender or sexual minorities (e.g., lesbian, gay, bisexual, pansexual, asexual, queer, transgender, nonbinary, intersex, gender nonconforming, etc.) have a high prevalence of interpersonal trauma. These individuals also experience a higher likelihood of experiencing posttraumatic stress disorder (PTSD) symptoms after exposure to potentially traumatic events. It has also been shown that those who identify as gender or sexual minorities experience high rates of shame due to minority stress and psychological factors such as internalized heterosexism. Experiences of shame are a central component in the development and maintenance of PTSD symptoms, particularly within this population. Self-compassion is an …

Explicit And Implicit: Traumatized Cognitions And Identities, Brandon Michael Davis

Graduate Research Theses & Dissertations

Negative cognitions following exposure to traumatic events, such as viewing the self or the world negatively, are a crucial factor in the development and maintenance of posttraumatic stress disorder (PTSD). Furthermore, evidence points to traumatic exposure impacting identity and perception of the self. Effective measurement of these negative self-cognitions is important for understanding the consequences of traumatic events. Self-report measures are the most common approach to studying cognitions, but other methods such as cognitive tasks that require automatic responses may give further insight into negative posttraumatic cognitions. This study sought to investigate self-report and automatic evaluations of trauma cognitions in …

The Effect Of Inverse Reasoning On Scrupulosity Symptoms, Anna M. White

Graduate Research Theses & Dissertations

The inference-based approach (IBA) is a cognitive model which proposes that obsessive-compulsive disorder (OCD) primarily develops and is maintained by unhealthy reasoning processes. One such unhealthy reasoning process identified by the IBA is inverse reasoning, in which conclusions about reality are drawn based on what could be true despite evidence indicating that a conclusion is not true. Research indicates that the IBA may be particularly relevant for OCD presentations involving lower levels of insight, including scrupulosity—obsessions and compulsions with religious or moral themes. Although the IBA is a model developed for OCD generally, no research has examined whether the IBA …

Race-Based Stressors And Racial Trauma: The Moderating Role Of Parental Racial Socialization, Jessica S. Philip

Graduate Research Theses & Dissertations

Experiences of race-based stressors are linked with worse psychological outcomes for racial/ethnic minority individuals (e.g., Ferdinand et al., 2015). The way in which parents talk to their children about race (i.e., racial/ethnic socialization; RES) may exacerbate or buffer against the strength of this link (e.g., Keum & Ahn, 2021). Therefore, the present study examined the links between race-based stressors, RES, and psychological outcomes (i.e., depression, anxiety, stress, racial trauma) across multiple racial/ethnic minority groups. The present study also explored the different RES messages as potential moderators for the link between race-based stressors and outcomes, as well as differences in these …

An Examination Of The Relation Between Memory Self-Efficacy And Working Memory Within The Cognitive Reserve Framework, Genna Marie Mashinchi Ma

Graduate Student Theses, Dissertations, & Professional Papers

Dementia has been found to negatively affect multiple aspects of cognitive functioning. Despite an increasing prevalence of cognitive decline, many aging adults do not experience reduced cognitive functioning. The reason as to why some experience cognitive decline and others do not is still unclear. One leading theory thought to explain this phenomenon is the cognitive reserve theory (CR), which proposes that certain lifestyle factors (e.g., educational attainment, occupational attainment, and leisure activity participation) prolong one’s cognitive functioning and reduce the risk of cognitive decline. Memory self-efficacy (MSE), defined as one’s beliefs in their memory ability, was found to be positively …