Clinical Psychology Commons^™

The Experience Of African American Gay Fathers Raising A Child With Autism, Andrew Davis

Walden Dissertations and Doctoral Studies

Research found on the experience of parenting children with autism spectrum disorder (ASD) focused on the experiences of mothers, with much of the research about fathering centering around the experiences of White fathers, mostly heterosexual, with some attention to the experiences of gay White fathers. This study filled the gap by exploring the experiences of African American (AA) gay fathers raising a child diagnosed with ASD. The purpose of this descriptive qualitative study was to explore the lived experiences and understand how these fathers access resources for their child and the barriers they deal with. Bowen’s family system theory guided …

The Effect Of Face Interpretation Training On Social Anxiety Symptoms, Grace L. Wheeler

Graduate Theses, Dissertations, and Problem Reports (ETD)

According to cognitive models of social anxiety disorder (SAD), individuals place excessive importance on gauging others’ reactions (e.g., facial expressions) to their social performance. Facial interpretation bias modification (FIBM) was developed to shift interpretations of ambiguous faces. The current study uses FIBM to test whether face interpretation is causally related to SAD symptoms in an unselected adult sample. Participants (N=139) were randomized to 1 of 3 conditions (positive, negative, accurate) in a single-session, online study. Pre- and post- intervention measures of face interpretation and SAD were completed. In line with hypotheses, individuals in the positive condition interpreted faces more positively …

Utility Of An Emotion Coding System For Parent-Child Interaction Therapy With Toddlers, Christopher Kyle Owen

Graduate Theses, Dissertations, and Problem Reports (ETD)

Numerous efficacious early interventions target and alter caregiver-child interactions to promote optimal social-emotional outcomes for young children (Bagner et al., 2014). However, research has primarily relied on the use of caregiver report to assess caregiver-child emotion-focused practices, revealing the need for a behavioral observation assessment (Zinsser et al., 2021). Preliminary evidence suggests that Parent-Child Interaction Therapy with Toddlers (PCIT-T) is a well-received and efficacious intervention for reducing disruptive behaviors, improving child internalizing and externalizing behavior, reducing parental stress, and increasing parental sensitivity (Kohlhoff et al., 2021; Kohlhoff, Cibralic, & Morgan, 2020). PCIT-T strives to train caregivers to interact with their …

Understanding And Evaluating Stereotypes Towards Obsessive Compulsive Disorder Symptom Subtypes, Gabriella T. Ponzini

Graduate Theses, Dissertations, and Problem Reports (ETD)

Public stigma has detrimental impacts on those with obsessive compulsive disorder (OCD). Yet, stereotypes associated with OCD are poorly understood. Given the heterogeneity of OCD symptom presentations, a conceptualization of stereotypes associated with symptom subtypes is warranted to inform stigma reduction efforts.

In Study 1 (N = 60), participants read one of five vignettes on OCD subtypes (Symmetry/Just Right, Contamination, Sexual, Harm/Aggression, or Scrupulous) prior to responding to Internet-delivered open-ended questions. Study 1 methods followed the qualitative description framework, such that data were derived from participant responses and findings were presented using participant language. Prior to final coding and …

Scrolling Through The Years: Social Media's Effects Of Self-Esteem In Younger And Older Adults, Ryan Brown

Williams Honors College, Honors Research Projects

The detrimental impact social media has had on self-esteem in younger adults is well documented. However, this same approach to studying social media’s impact has not been applied to older generations, who were already well into adulthood as social media as we know it today began to emerge. Due to this, my project proposes to examine an interaction between the variables of three different social media categories (interactive, image/video, and informational) across younger and older adults. The results of this study could provide further insight into the effects social media has on self-esteem, specifically, the effect of different types of …

The Relationship Between Loneliness And Experiential Avoidance After Implementation Of A Self-Compassion Intervention, Alyssa Mielock

Graduate Research Theses & Dissertations

An individual’s perception of a social relationship is distinct from an individual’s difficulty forming and maintaining social relationships. Loneliness is defined as an individual’s distress resulting from the discrepancy between perceived and desired social relationship quality. In the short term, loneliness may act as a motivator for an individual to seek social support to minimize distress. However, long-term loneliness is associated with physical and psychological impairments. There have been several risk factors identified that contribute to chronic loneliness, such as social isolation, psychopathology, and ineffective coping strategies. Ineffective coping may be one mechanism by which loneliness is associated with psychopathology …

Identification And Removal Of Barriers To Va Mental Health Treatment For Black Female Veterans, Thea Jenune Williams

DSW Capstone Projects

The Department of Veteran Affairs (VA) operates the largest integrated health care system in the country. The VA dates back to 1865, when President Lincoln signed legislature establishing a network for caring for the nation’s wounded after the Civil War. Many see this system as a safety net for the nation’s military veterans. Research shows veterans have reported several factors that interfere with them receiving needed mental health treatment from the VA. The majority of veterans are males however the number of females is quickly growing. Currently, females make up 11% of the veteran population and are projected to reach …

The Impact Of Perceived Social Support On Complex Posttraumatic Stress Disorder, Elizabeth Eng

Dissertations and Theses

Individuals who have experienced repeated and interpersonal trauma often develop symptoms of Posttraumatic Stress Disorder (PTSD), along with additional features relating to disturbances in self-organization (DSO), which is now known as Complex Posttraumatic Stress Disorder (CPTSD). CPTSD has been seen to be associated with adverse outcomes such as somatic symptoms, attachment insecurity, and overall lower life satisfaction (Karatzias et al., 2018; Kuhar & Zager Kocjan 2022; Maercker et al, 2022). Due to these additional features relating to DSO, CPTSD has been identified as distinct from PTSD, and so it has been important to investigate these unique symptoms. One such symptom …

Internalized Gender Role Stereotypes Within Young Women And The Presentation Of Somatic Symptomatology Of Major Depressive Disorder, Michelle Miselevich

Dissertations and Theses

Evidence suggests that two distinct disorders are currently being diagnosed as depression. One, somatic depression, involves depression plus several somatic symptoms while the other, pure depression, involves depression without as much somatic symptomatology. Somatic depression has been hypothesized to afflict women who view themselves non traditionally and thus do not agree with traditional stereotypes of women. Measures of agreement with negative stereotypes of members of their own group have been found in several groups to be positively related to depression. This may apply among women to pure depression. Thus, women who exhibit pure depression are hypothesized to exhibit agreement with …

Immigrant Therapists’ Perceptions Of Transference, Countertransference, And Racial Experiences In The United States, Lian Malki-Schubert

Dissertations and Theses

There has been a steady increase in the percentage of immigrant therapists in the US. In psychology doctoral programs, the number of foreign-born students has doubled between 1997 and 2016. The present study aimed to examine the perceived impact of therapists’ immigrant identity when working with US-born and foreign-born clients, as little research has been dedicated to this topic. Another central theme this study sought to explore was immigrant therapists’ perspective shifts on racial identity upon arriving in the US. Given that race is a social construct that is culturally bound, the study investigated immigrant therapists’ perceptions of racial identity …

Compassion-Based Resilience Training (Cbrt) For Frontline Healthcare Workers In Contact With Covid-19 Patients, Michael Perez Sosa

Dissertations and Theses

Objectives: The COVID-19 pandemic has had deleterious consequences for the mental health of frontline healthcare workers worldwide. One systemic review of the literature found high prevalence rates of anxiety (67.55%), depression (58.89%), and stress (62.99%) reported by this population (Vizheh et al., 2020). Additionally, high rates of burnout and symptoms associated with trauma have also been ubiquitous during the pandemic for frontline healthcare workers. The purpose of this study is to investigate Compassion-Based Resilience Training (CBRT) as a remotely delivered intervention for frontline healthcare workers in contact with COVID-19 patients to reduce symptoms associated with stress, depression, anxiety, burnout, and …

The Moderating Roles Of Racial Discrimination And Covid-19 Stress On The Association Between College Students’ Cannabis Use And Psychosocial Functioning, Shannique Richards

Dissertations and Theses

Abstract

The Moderating Roles of Racial Discrimination and COVID-19 Stress on the Association between College Students’ Cannabis Use and Psychosocial Functioning

By

Shannique Richards, MA

Advisor: Sarah O’Neill, PhD

Greater use of cannabis is linked to poorer psychosocial outcomes. Rates of cannabis use are particularly high in racial/ethnic minoritized (REM) and socioeconomically disadvantaged college students. Cannabis use has been correlated with exposure to trauma. REM and socioeconomically disadvantaged college students report higher rates of trauma exposure, including discrimination and health and social disparities than their White peers. This study examined exposure to two types of potentially traumatic events (racial discrimination …

An Exploration Of The Relation Between Psychological Functioning And Reactions To Global Climate Change For Late Adolescents In New York City, Emma Routhier

Dissertations and Theses

Climate change poses a potentially unique generational crisis, as it threatens the viability of the very world that the current adolescent generation stands to inherit. While some studies have begun to appreciate the specific experience of adolescents as it pertains to climate change, they attend to young people’s behavior or self-reported feelings. The present study aims to employ psychoanalytic constructs, with attention to the unconscious determinants of psychic life and behavior, in an empirical examination of this topic, and to introduce a level of sensitivity to the vicissitudes of the adolescent period that have not previously been addressed in the …

Early Adversity, Emotion Regulation, Object Relational Functioning, And The Moderating Effect Of Gender Identity: A Community Sample Study, Victoria Schilder

Dissertations and Theses

Introduction: Clinical and social psychological literature have long demonstrated group status, culture, and social support as equally integral and influential factors which contribute directly both to the quality of one’s lived experience, and to the development and experience of one’s sense of identity or selfness. For example, acceptable norms regarding behavior, dress, and emotional experience – particularly when an individual does not live up to societal standards – have been demonstrated to contribute to deleterious internalizations surrounding self-confidence, self-worth, and self-esteem. More specifically, the social and cultural implications of being identified as “female” versus “male” have been found to be …

Immigrant Risk, Self-Discontinuity, And The Role Of Nostalgia, Leila Talhouk

Dissertations and Theses

Background: There are conflicting theories and data about immigrants’ health in the host country (e.g., immigrant risk vs. paradox), which have encouraged researchers to examine more nuanced factors related to immigration to clarify these inconsistencies. This two-part study aimed to shed light on these discrepancies by investigating psychoanalytic concepts that have not yet been empirically tested. The study focuses on immigrant self-discontinuity, a migration- induced disruption in one’s sense of self-sameness and unconscious sense of going-on-being, manifesting in moments of disorientation, disorganization, or dissociative-like experiences. There is no adequate instrument to measure this construct; as such, Part 1 of the …

Interventions That Move: Characterizing The Language Of Therapist Responses To High Patient Arousal, Karen Tocatly

Dissertations and Theses

The Referential Process (RP) is defined as a set of functions (Arousal, Symbolizing, and Reflecting/Reorganizing) that describe the rendering of subsymbolic experience into verbal, symbolized form (Bucci, 2021). Movement through the RP — beginning with the subsymbolically-dominated Arousal function — has been tied to multiple theoretical and clinical understandings of therapeutic progress and personality change (Bucci, 2013; Mariani et al., 2013). The present exploratory study seeks to identify whether certain therapist language features are linked to the facilitation of patients’ movement from Arousal to Symbolizing. Using treatment transcripts from the RP Group Data Base, cases of high patient Arousal were …

Using A Single Measure To Assess Adherence And Differentiation In Family Therapy For Adolescent Externalizing Problems, Stephanie Violante

Theses and Dissertations

Family therapy is considered a well-established treatment approach for adolescent externalizing problems; however, research examining its effectiveness when delivered in routine practice settings has produced mixed results. The accurate interpretation of these inconsistent results requires an understanding of what therapeutic techniques were delivered, including those that were prescribed (i.e., adherence) and those that were non-prescribed (i.e., differentiation), suggesting the need for a measure that can concurrently assess treatment adherence and differentiation. The current study examined the extent to which an observational measure of an array of therapeutic techniques for youth emotional and behavioral problems (the Therapy Process Observational Coding System …

Addressing Death Distress In Caregivers Of Patients With Malignant Glioma, Kelcie D. Willis

Theses and Dissertations

The field of psychosocial oncology seeks to improve the quality of life of patients and families affected by cancer. This task becomes increasingly important when there are limited, non-curative treatment options, a high probability of recurrence, and rapid functional decline, such as in the case of a malignant glioma (MG). Indeed, the diagnosis of a MG is associated with negative sequalae that often translates to higher caregiver burden. Caregivers—who must manage the functional decline of the patient, changes within the family, and a complicated medical system—often feel overwhelmed, isolated, and ill-equipped to handle these myriad responsibilities. While they also report …

Profiles Of Family Functioning In Pediatric Hematology-Oncology Patients: Longitudinal Associations With Child Well-Being, Sydney Sumrall

Theses and Dissertations

This study aims to assess 1) patterns of family functioning and 2) longitudinal associations between family functioning patterns and well-being in a vulnerable cohort of children with chronic illness. Caregivers of hematology (16.4%) and oncology (83.6%) patients ages 7-20 (N=55; M_age = 13.3 [SD = 2.7]; 52.7% female; 45.5% non-Latinx White, 38.2% Black or African American, 12.7% Latinx, 1.8% Asian, and 1.8% multi-racial,) reported on family functioning via the Family Assessment Device. Cluster analyses identified three mutually exclusive clusters: one high adaptive group, one moderate adaptive group, and one maladaptive group. Group membership was not significantly …

Physical Activity In Adolescents With And Without Adhd: Longitudinal Associations With Sleep, Adhd, And Internalizing Symptoms, Caroline N. Cusick Lowman

Theses and Dissertations

Adolescents with Attention-Deficit/Hyperactivity Disorder (ADHD) are at risk for developing clinically significant sleep problems and comorbid internalizing symptoms. Physical activity (PA) has significant positive associations with a variety of health outcomes, including sleep and aspects of mental health. As such, the US Department of Health and Human Services recommends adolescents receive at least 60 minutes of moderate-to-vigorous PA (MVPA) per day. However, it is unknown whether adolescents with ADHD have different patterns of physical activity compared to their peers. Importantly, it may be that PA can serve as a buffer between ADHD symptoms and development of comorbid difficulties with sleep …

Sustaining Breaths For Restorative Rest: A Preliminary Evaluation Of Sleep, Mental Health, And Cognitive Function Following Hypoglossal Nerve Stimulation For Obstructive Sleep Apnea, Elliottnell Perez

Theses and Dissertations

Introduction: Obstructive sleep apnea (OSA) is a sleep-related breathing disorder that produces repetitive obstruction or collapse of the upper airway. Positive airway pressure (PAP) therapy is the gold standard treatment for OSA. Hypoglossal nerve stimulation (HNS) is considered an alternative treatment for patients who are unable to tolerate PAP therapy. The purpose of the study was to examine sleep, mental health, and cognitive health outcomes before and after HNS to determine its viability as an alternative treatment.

Methods: The study utilized a single-group, pretest-posttest design. Objective and subjective sleep was measured using actigraphy, sleep diary, and questionnaires. Objective and subjective …

Moderators Of Response To Intervention For College Students With Adhd: Integrating Personal And Contextual Factors, Cathrin D. Green

Theses and Dissertations

College students with attention deficit/hyperactivity disorder (ADHD) are at increased risk for educational, interpersonal, and comorbid mental health difficulties. Although growing evidence suggests that psychosocial interventions can effectively improve ADHD symptoms and functioning in college students with ADHD, there is almost no research investigating individual differences in intervention response. Numerous factors ranging from participant characteristics, as well as social and contextual factors could lead some people to respond more positively than others. Understanding individual differences in intervention response may help to better target intervention efforts and to determine where intervention refinement is needed. This study evaluates whether personal and contextual …

Witnessing Community Violence And Its Consequences: Changes Across Middle School, Sarah Pittman

Theses and Dissertations

Community violence exposure is prevalent among youth residing in economically marginalized communities that have high rates of violence. Witnessing community violence has been concurrently associated with persistent adverse consequences. However, few studies have applied a developmental psychopathology framework and examined dynamic developmental processes between witnessing community violence and outcomes over time. Moreover, most prior studies have used analyses that assume that associations between witnessing violence and outcomes are the same for all adolescents, which is inconsistent with both developmental theories and theories specific to community violence exposure. The goal of this study was to apply a developmental psychopathological framework to …

Examining The Home Interventionist Model Of Care In Pediatric Asthma, Katherine D. Lohr

Theses and Dissertations

Pediatric asthma disproportionately affects children living in urban areas and within families reporting an income below the poverty threshold. Home interventionist models of care, utilizing interventionists from the communities they serve, have been found to improve pediatric asthma symptoms and reduce Medicaid costs. Home interventionists, such as community health workers (CHWs) and Healthy Homes assessors (HHAs), focus on connecting care among schools, providers, and homes, and empowering families in accessing resources to overcome barriers to care. However, research is just beginning to understand how home interventionists create positive change among families within low-income, urban communities. This dissertation study used a …

Initial Psychometric Evaluation Of An Observer-Rated Measure Of Shared Decision Making Practices In Youth Psychotherapy, Jennifer Lc Herbst

Theses and Dissertations

SDM is a process by which clinicians and clients collaboratively make treatment decisions; this process may improve the alliance and clinical outcomes. SDM in youth psychotherapy is understudied, and a critical gap in the field is the paucity of established measures designed to assess SDM practices in youth psychotherapy. This project aimed to fill this gap by examining the score reliability and validity of a novel observer-rated measure of SDM designed for youth psychotherapy—the Shared Decision Making Practices in Youth Mental Health scale (SDM-YMH)—and using the measure to investigate linkages between SDM practices, the alliance, and clinical outcomes. Therapy tapes …

Psychiatric Diagnostic Decision-Making: Investigating The Theory Of The Dual-Process Model, Christopher S. Kleva

Theses and Dissertations

Diagnostic decision-making is an important component of clinical practice; however, there is substantial diagnostic unreliability within mental health diagnoses. The lack of reliability emphasizes the importance of investigating diagnostic decision-making; however, the research to date is limited, primarily relying on a vague definition of decision-making based on the dual-process model. The present study is an exploratory attempt to apply the dual-process model to explain how mental health clinicians (n = 30, 73.3% cisgender female, 96.7% psychologists) arrive at making diagnostic decisions through the use of an interactive interview mechanism. For each participant, we are able to create a figure …

Examining Genetically-Informed Etiologic Models Of Co-Occurring Posttraumatic Stress Disorder And Recreational Cannabis Use Among College Students, Terrell A. Hicks

Theses and Dissertations

The college years encompass a period of increased risk recreational cannabis use (RCU), as well as a time of increased risk for trauma exposure and developing posttraumatic stress disorder (PTSD). Given the high co-occurrence between RCU and PTSD, and the potentially negative consequences of the two (e.g., worse academic outcomes), there is a need to understand the etiologic mechanisms of these commonly co-occurring conditions. Two primary phenotypic models exist: self-medication model (i.e., PTSD to RCU) and the high-risk model (i.e., RCU to PTSD). To date, there are two existing studies longitudinally examining the etiologic models proposed to explain co-occurring RCU …

Correlates Of Current Tobacco Use Among Cancer Survivors: Examining The Role Of Posttraumatic Growth And Family Conflict, Kendall Fugate-Laus

Theses and Dissertations

Cancer survivors who use tobacco are at a greater risk of death and poor health outcomes. Although tobacco use during cancer survivorship is associated with poor psychosocial functioning, it is relatively unknown how tobacco use is associated with other variables important to cancer survivorship, such as family functioning and posttraumatic growth. Thus, the current study aims to contribute to this gap within the literature by investigating the association between family conflict, posttraumatic growth, and current tobacco use status among cancer survivors. Participants were recruited from Virginia Commonwealth University’s Massey Comprehensive Cancer Center and eligible to participate if they received any …

Predictors Of Attitudes About Autism Spectrum Disorder (Asd), Claire Sullivan

Masters Theses

Students with Autism Spectrum Disorder (ASD) are far less likely to enroll in secondary education than neurotypical students and students with disabilities (White et al., 2016). There is little research on the factors contributing to the reluctance of young adults on the autism spectrum to seek higher education. This study aims to answer two research questions. The first research question aims to determine if there is a predominance of negative attitudes towards ASD amongst present undergraduate college students. The second research question explores whether this could be a determining factor in a college determination for students with ASD. This current …

Efficacy Of A Brief Mindfulness Intervention For Not-Just-Right Experiences, Samuel Richard Cares

Graduate Research Theses & Dissertations

The obsessions and compulsions that define the diagnosis of Obsessive-Compulsive Disorder (OCD) traditionally have been characterized by harm avoidance. However, harm avoidance is neither specific to OCD nor does it comprehensively explain all symptoms with which individuals with OCD present. Emerging research has focused on incompleteness—and its manifestation through the phenomenon of not just right experiences (NJREs)—as a potential motivating factor for OCD symptoms. Whereas Exposure and Response Prevention (ERP) is conceptually relevant to—and empirically supported for treating—symptoms characterized by harm avoidance, there is an unclear connection between ERP and symptoms characterized by incompleteness. Research has begun to explore ways …