Clinical Psychology Commons^™

An Interpretive Phenomenological Analysis Of Psychotherapists' Experiences Of Vulnerability, Kay Yu Yuan Chai

Electronic Theses and Dissertations

In the service of forging a deep authentic connection that has the power to heal and transform, psychotherapists create and hold space for their patients to show themselves in a deeply vulnerable manner so that they can be known and accepted as they are. At the same time, psychotherapists are also flawed and wounded mortal beings who cannot help but bring their own woundedness, personalities, and limitations into the space, and must negotiate the delicate balance between restraint and expressiveness of their vulnerability. This study is a phenomenological inquiry into how psychotherapists experience their vulnerability given the demands of their …

How College Men Describe Their Understanding Of Sexual Assault, Sarah Anolik

Dissertations, 2020-current

Despite the proliferation of many vital bystander intervention programs across the country, approximately one in four college women will experience sexual violence. Though it was once believed that a small minority of men were responsible for the vast majority of sexual violence, an estimated 12%-25% of college men report having used sexual violence as an undergraduate student. Research across disciplines suggests several factors associated with the perpetration of sexual violence. While numerous studies have explored these constructs quantitatively on and off college campuses, there have been far fewer qualitative studies that provide insight into how men who have perpetrated violence …

Investigating The Effects Of Endurance Of Marriage On The Relationship Between Attachment And Love Style, Melissa Caris

Clinical Psychology Dissertations

Married individuals, like all other adults use the attachment styles they developed in childhood as part of their framework for how they experience loving relationships. Love can be experienced as commitment, passion, or intimacy or any combination of those styles. The degree of attachment related anxiety or avoidance a married person has can influence how they perceive the experience of different love styles in their close relationships. The present study aimed to evaluate how attachment style influences love style in a sample of married adults (N= 248). Participants ranged in age from 23 to 69 (M=38.6) …

Profiling A Unique Female Serial Killer: Aileen Wuornos's Life Of Violence, Phyllis Chesler

Dignity: A Journal of Analysis of Exploitation and Violence

No abstract provided.

Electrophysiological Measures Of Context Updating Along The Schizophrenia Spectrum, Rachel J. Mcclure

Loma Linda University Electronic Theses, Dissertations & Projects

Objective: Schizotypy is conceptualized on the spectrum of schizophrenia spectrum, but is seldom studied with schizophrenia. We investigated whether individuals endorsing schizotypy traits exhibit P300 amplitude and power more similar to deficits in those with schizophrenia or more similar to healthy controls. Method: Participants consisted of 109 individuals, 63 females, ages 18 to 64, (M = 30.98 years, SD = 9.9 years). P300 was elicited with an auditory oddball task, and peak amplitude & latency as well as power within the peak window within the delta, theta, alpha, beta & gamma frequencies were calculated. Schizophrenia symptom severity was measured using …

Using A Dual-Factor Model To Understand The Mental Health Of Students With School Refusal Behavior, Zachary D. Maupin

Education (PhD) Dissertations

Students with school refusal behavior (SRB) often present complex cases that include variations of internalizing (anxiety and depression) and externalizing (opposition and defiance) mental health struggles. Historically, incongruent classification methods and terminology have hindered the progress of effectively or consistently assessing SRB. Consequently, practitioners face several obstacles in the process of identifying and understanding these students. Despite guidance from past literature, several questions about how SRB interacts with students' mental health are left unanswered. The present study used data from over 100,000 student responses on the California Healthy Kids Survey-Secondary Core Module. A review of attendance questions from this survey …

The Aftermath Of Sexual Assault: Creating The "I Am More Than My Experience" Workbook, Isabella Chung

Calvert Undergraduate Research Awards

The following thesis includes a literature review of the immediate and long-term effects of sexual assault on victims in regards to their physical, mental, and emotional health and romantic relationships, followed by a proposed workbook for sexual assault victims/survivors. Being that typical responses immediately after an assault are fear, disbelief, and activation of the sympathetic nervous system, it is to no surprise that long term issues of depression, anxiety, and Posttraumatic Stress Disorder (PTSD) often arise as well. Thus, a workbook was created with the intention of educating readers about sexual assault and helping victims/survivors to heal from the trauma …

A Network Investigation Of Eating Disorder Symptoms And Risk Factors Before And After A Prevention Program In Adolescent Girls., Jordan E. Drake

College of Arts & Sciences Senior Theses

Eating disorders (EDs) are psychological disorders characterized by disturbances in eating that commonly develop during adolescence and may be influenced by risk factors, both ED-specific (i.e., factors linked to future ED symptoms) and transdiagnostic (i.e., factors underlying multiple psychological disorders). Network analysis allows for the study of the connections between ED symptoms and risk factors by identifying central symptoms (i.e., the most interconnected symptoms) and bridge symptoms (i.e., symptoms which strongly connect across the symptom and risk factor clusters). Examining networks of ED symptoms and risk factors in adolescence can inform how risk factors influence ED development, as well as …

Distress Tolerance As A Potential Target For Change: The Relationship Between Distress Tolerance, Craving, And Alcohol Consumption In A Lab-Based Experiment, Isabel F. Augur

Graduate Theses and Dissertations

Distress tolerance (DT) has recently been studied as a potential catalyst for the development ofalcohol use disorder (AUD). Research exploring the relationship between DT and craving is limited and has primarily focused on nicotine craving. Furthermore, there are no current studies examining the relationship between DT and alcohol consumption. This study was designed to fill this gap in the literature, which may shed light on a potentially important target for alcohol use treatment. Additionally, the role of mindfulness was explored in the context of the relationship between DT and alcohol craving and consumption, with the intention of expanding on the …

Developmental Profiles Of 57,966 Children In Early Intervention: A Confirmatory Latent Profile Analysis, Mary E. Troxel

Graduate Masters Theses

Part C Early Intervention, which is a state and federally funded nationwide program, seeks to support children ages zero to three years old who demonstrate delays in developmental functioning or who are at-risk for developmental delays. The Battelle Developmental Inventory, Second Edition (BDI-2) is frequently used in Early Intervention (EI) to assess the developmental functioning of children across five domains—Communicative, Cognitive, Motor, Adaptive and Personal/Social—yet relatively little is known about child developmental profiles based on these domain scores. This study aimed to replicate and extend findings from the only known study (Elbaum & Celimli-Aksoy, 2017) that has conducted a latent …

Remote Neuropsychological Assessment: Does Mode Of Administration Matter?, Renee Dematteis

Dissertations

Neuropsychology relies heavily on standardization of administration to increase the validity, reliability, sensitivity, and specificity of an assessment instrument. The COVID-19 pandemic has rapidly increased the need to be able to provide neuropsychological assessments remotely. Teleneuropsychology can be conducted through various avenues, including telephone, computerized, and televideo modalities. Given neuropsychology's reliance on standardization for proper use of normative data that accompanies individual assessments, the question arises how mode of administration impacts the validity, reliability, sensitivity, and specificity of an assessment instrument. The literature review summarizes the research conducted regarding the validity, reliability, sensitivity, and specificity of telephone neuropsychological assessments, computerized …

Metacognitive Function In Moderate To Severe Traumatic Brain Injury, Grace Amadon

Honors Program: Senior Projects (Public)

Traumatic brain injury (TBI) is an injury to the brain caused by a bump, blow, jolt to the head. Individuals with TBI demonstrate decreased awareness of their own potential deficits and functional abilities. These deficits have critical implications for recovery as self-awareness is important for those recovering from TBI in the implementation and engagement of rehabilitative processes after TBI. The following study analyzed 18 individuals with TBI approximately 11 years post injury to document metacognitive functioning after injury. Participants completed a metacognitive working-memory paradigm where they made judgements of their future and past performance on identifying a target shape and …

Picky Eating In Children: Associations With Iq And Executive Functioning, Ara Nazmiyal

Senior Honors Papers / Undergraduate Theses

Picky eating is an under-researched behavior in children. The current study aims to assess what behaviors correlate with picky eating to better understand potential risk factors for Anorexia Nervosa. 111 children were evaluated at 5 and 6 years old, and a subset was evaluated again at 7 and 8 years old (n=36). Executive function and IQ were evaluated using parent reports and behavioral measures at baseline. Picky eating was reported by a parent questionnaire. Results showed deficits in shifting to be a predictor of higher picky eating behaviors at ages 5-6 years. Additionally, children who were reported extremely picky eaters …

Treatment Access For Dual Diagnosis Substance Use And Mental Health Disorders, Pedro Banuelos

Electronic Theses, Projects, and Dissertations

In 2018, of 1.3 million Latinx adults in the United States facing concurrent issues with substance use disorders (SUD) and mental health disorders (MHD) 93% remained untreated for either diagnosis. This is concerning since Substance Abuse and Mental Health Services Administration (SAMHSA) data reveals that this population is at greater risk for suicidal thoughts, plans, and attempts. They also face structural barriers such as employment, housing, legal involvement, and insurability that further impede access to treatment.

This study’s purpose was to examine barriers to accessing treatment for Latinx populations confronting co-occurring SUDs and MHDs. This study used a qualitative design …

Negative Urgency Predicts Maladaptive Coping Strategies, Alec Martin

Psychological Science Undergraduate Honors Theses

Negative urgency is defined as the disposition to act rashly when under distress. This personality subtype is strongly tied to problematic alcohol and substance use, self-harming behaviors, and binge eating following a distressful period (Cyders et al., 2013; Fischer et al., 2004). The current study hypothesized that participants (62.07% Female, M = 19.81, SD = 4.16, 73.28% White, 6.90% Hispanic, 6.90% African American, 3.45% Native American/Alaskan Native, 3.45% Asian American, 3.45% Middle Eastern, 1.72% Other) who scored high in negative urgency would endorse more maladaptive coping strategies after a negative mood induction (n = 57), compared to a neutral …

The Relationship Between Parental Personality, Attachment, And Subjective Well-Being, Mia Nguyen

Psychology | Senior Theses

Parents play a critical role in helping children develop into happy and well-adjusted adults. Factors such as secure attachment, parental rearing behaviors, and parental personality all interact to create a developmental context that impacts a child’s experience. Attachment between parent and child, for instance, is the foundation of later relationships in life. However, a variety of other parent factors including parental rearing behaviors and parenting style can influence attachment (Roelofs et al., 2006). Parenting styles that are nurturing, authoritative, and emotionally involved have not only demonstrated more secure attachments in children but have also been reflective of parents who score …

Psychological Distress And Susceptibility To Disease In The Infant And Early Childhood Mental Health (Iecmh) Workforce In The Time Of The Covid-19 Pandemic, Ashley Sexton

Undergraduate Honors Theses

Chronic stress, anxiety, and depression can have many adverse effects on physical health, including immunosuppression and increased susceptibility to disease. For the last year, the world has endured sustained stress caused by the COVID-19 pandemic which has had its own impact on mental health. Stress from COVID-19 will likely have an even greater impact on the Infant and Early Childhood Mental Health (IECMH) workforce due to the stressful nature of their work. Self-care has been shown to improve overall wellbeing and act as a buffer for stress. Therefore, the current study aims to investigate if IECMH workers with clinically significant …

Consistent Bedtime Routines Are Linked To Better Sleep Outcomes: Why?, Kristy Larsen

Dissertations

Results from nationwide studies estimate that between 81 and 95% of parents in the United States with young children use bedtime routines. This is auspicious given that the use of a consistent bedtime routine is linked with better sleep quality. Indeed, the use of bedtime routines has been determined to have “strong” empirical support for addressing bedtime behavior problems (e.g., bedtime resistance) and for improving children’s sleep. However, it is unclear how, or through what mechanism(s), that a consistent bedtime routine is associated with positive sleep outcomes. We evaluated compliance near bedtime and anxious distress at bedtime as possible mechanisms …

Examining The Effects Of State Anger On Self-Reported Psychopathic Trait Inventories, Olivia C. Preston

Dissertations

Research indicates that experiencing anger is linked to social undesirability and temporarily induces a host of significant changes within an individual, such as hostile attribution bias, lower trust, increased impulsivity, poorer decision-making, and preferential recall. Such changes theoretically may inflate psychopathy scores due to a greater ability or willingness to endorse attitudes, behaviors, cognitions, and emotions that are regarded as reflective of psychopathic traits and may potentially introduce random error variance into measurement. Such distortion due to mood may bear important implications for applied settings where one individual’s scores are measured at a single time point, rather than research where …

The Effect Of Social Comparison And Fear Of Missing Out On Anxiety Symptoms In Late Adolescents, Olivia Adams

Honors Scholar Theses

Social comparisons between peers are generally adaptive in that they facilitate social learning. However, certain forms of social comparison, especially upward comparison in the form of fear of missing out (FoMO), are posited to relate to both depression and anxiety. Empirical evidence supports that increased FoMO is associated with increased depression in adolescents, both in terms of trait-like aspects as well as in daily fluctuations. However, scant evidence exists for ties to anxiety. This study examined social comparison in the form of FoMO and anxiety in late adolescents to examine potential daily relationships between the two constructs across time. Ninety …

Electronic Device Use: How It Affects The Well-Being Of Children And Adolescents, Sabrina Rodriguez, Amandalee Merryman

Electronic Theses, Projects, and Dissertations

Electronic device use among children and adolescents is omnipresent. Literature suggests an inverse correlation between electronic device use and the overall well-being of children and adolescents. The current study employed an explanatory research design to explore the association between excessive device use and the well-being of children and adolescents. Researchers collected and analyzed quantitative data in the form of archival data from a local school district’s mental health department. A total of 50 participants, ranging from ages 5 to 17, were randomly selected from the 2018-2019 archived case files. The results of the study suggest that electronic device use has …

Proposed Subtypes Of Anger Rumination: Brooding And Reflection And Their Associations With Aggression, Fayth Walbridge

Master's Theses

Rumination maintains, exacerbates, and is related to several maladaptive outcomes including negative affect (e.g., sadness, anger), symptoms of depression, and aggression in samples of nonclinical and clinical populations across developmental periods (e.g., McLaughlin & Nolen-Hoeksema, 2011; Nolen-Hoeksema, 1991; Nolen-Hoeksema, 1996; Thomsen, 2006; Peled & Moretti, 2007; Yang, et. al., 2014). Recently, the construct of sadness rumination has been conceptualized as two distinct subtypes, reflection and brooding (Treynor, Gonzalez, & Nolen-Hoeksema, 2003). Brooding is considered maladaptive because feelings and situations are viewed through a negativistic lens and reflection is viewed as adaptive and uses a problem-solving approach (Lopez, 2010; Burwell & …

Investigating The Role Of Expectations Of Disclosure In The Relationship Between Trauma-Related Shame And Seeking Mental Health Services, Holly Rachelle Timblin

Electronic Theses, Projects, and Dissertations

Sexual assault (SA) is a prevalent health concern. Previous research indicates that the quality of social reactions received upon disclosure of SA greatly impacts the psychological adjustment of survivors (Ullman, 2000). Negative social reactions upon disclosure (e.g., victim-blaming) has been associated with greater self-blame and shame and may deter survivors from seeking mental health services. Presently, little research on survivors’ expectations of disclosure exists. The current study investigated whether expectations of disclosure mediate the relationship between shame and seeking mental health services. Participants completed the Trauma-Related Shame Inventory, Expectations of Disclosure Questionnaire, and the Disclosure Questionnaire. Results revealed shame predicted …

Profiling Child Molesters: Thematic Differentiation Of Crime Scene Indicators And Correlations To Psychopathology, John P. Santora

Student Theses

Offender profiling has become an increasingly important tool in criminal investigations. The current research took an expansive, multifaceted empirical approach to the profiling of child molesters through investigative psychological methodologies with additional perspectives investigating concomitant clinical implications. In doing this, offenders were thematically differentiated based on their behaviors at the offense. The quality of the differentiation was tested, and the distribution of offenders across the derived themes was developed. Associations between the Massachusetts Treatment Center Child Molester Three, Axis One (MTC:CM3 A1) were assessed. This process was repeated for offender characteristic variables which were also thematically differentiated. Finally, behavioral themes …

Examining Race And Anxiety Sensitivity As Predictors Of Electronic Cigarette Use And Dependence, Carson Schmitz

Honors Theses

Electronic Cigarettes (e-cigarettes) have gained popularity among U.S. adults with rates of use significantly increasing over the past decade. As such, the current literature has begun to explore factors associated with e-cigarette use in significantly affected populations. Anxiety sensitivity (AS), the fear of the sensations associated with the experience of anxiety, is a known transdiagnostic risk factor for tobacco use. Additionally, higher AS has been shown to be associated with higher levels of e-cigarette use, greater perceived benefits of use, greater positive outcome expectancies, greater perceived risks of use, more quit attempts, and more difficulty quitting. Further, preliminary research focusing …

The Association Between Appearance Related Safety Behaviors And Anxiety Symptoms In Adolescents, Emily Olson

Honors Theses

The goal of the current study is to examine the associations between appearance related safety behaviors (i.e., behaviors aimed at preventing humiliation or embarrassment associated with appearance, such as mirror checking or skin picking) and anxiety symptoms during adolescence. Adolescence is considered a core risk period for the onset of many psychological disorders (e.g., social anxiety disorder). Critically, adults with these psychological conditions report engaging in higher levels of appearance related safety behaviors than adults without these disorders. Further, initial, promising evidence, suggests that reducing engagement in appearance related safety behaviors is associated with reduced symptoms of anxiety. To date, …

The Association Of Allostasis With Alcohol Use Disorders: A Case-Control Study, Carlos Portillo, Jr.

Open Access Theses & Dissertations

Background. Allostatic load (AL) is defined as the wear and tear on the body and the brain that can predispose one to disease due to the effects of the prolonged and/or constant activation of biological systems over time. The primary aim of the current study was to determine the relationship between an index of AL with having been diagnosed with an alcohol use disorder.Methods. The current study is a secondary data analysis of case control data obtained from a sample of men with alcohol use disorder (AUD; n = 48) who were abstinent for a period of two to four …

“In This Industry, You're No Longer Human”: An Exploratory Study Of Women’S Experiences In Pornography Production In Sweden, Meghan Donevan

Dignity: A Journal of Analysis of Exploitation and Violence

Despite being a global, billion-dollar industry, very little is known about the conditions women face within the pornography industry. The aim of this study was to explore women’s experiences in pornography production, with a particular focus on structural antecedents to entrance, coercion, and violence within the industry, as well as current needs and any barriers to exiting the industry. Semi-structured, in-depth interviews were conducted with nine women with experiences in pornography production in Sweden. Participants identified young age, financial insecurity, earlier exposure to sexualized violence, and poor mental health as typical antecedents to entering the pornography industry. Once in the …

Controlled Evaluation Of A Family-Based Optimization Intervention Implemented Through Video-Conferencing To Address Adhd And Oppositional Defiant Disorder In An Adolescent Athlete, Dereck Davy Phrathep

UNLV Theses, Dissertations, Professional Papers, and Capstones

Adolescent athletes with Attention Deficit Hyperactivity Disorder (ADHD) and Oppositional Defiant Disorder (ODD) experience unique challenges that impact their sport performance, such as making errors due to poor concentration and adverse relationships with referees due to poor anger management. Pharmacological treatments have shown to be successful in treating ADHD comorbid with ODD. However, there are negative consequences for pharmacological treatments for adolescent athletes (e.g., banned by sports organizations). Well-established behavioral interventions for ADHD and ODD in non-athlete populations have included family-based, cognitive-behavioral approaches. However, none of these interventions have been evaluated in competitive adolescent athletes. The current case trial involved …

Creating Appropriate Clinical Guidelines For The Bilingual Population With Acquired Brain Injuries, Sophia L. Pena

Dissertations

While there is a growing bilingual demographic in the United States, relatively little is known about treating this population should they experience a brain injury. This is a growing area of interest, as research has demonstrated that the acquisition of a second language promotes neuroplastic changes that then impact brain functioning pre- and post-brain-injury. Given bilingualism’s cognitive complexity, clinicians are left with challenges on how best to tailor treatment for brain-injured bilingual populations. Therefore, the focus of this review was to provide clinical recommendations to clinicians performing assessments with bilingual individuals with acquired brain injuries. The goal was for the …