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Articles 3391 - 3420 of 8711

Full-Text Articles in Clinical Psychology

Vicarious Trauma As Experienced By Male Therapists, Michael Felt Jan 2021

Vicarious Trauma As Experienced By Male Therapists, Michael Felt

Walden Dissertations and Doctoral Studies

Vicarious trauma (VT) is a recently focused on phenomenon that describes the negative effects of treating trauma victims. VT causes pervasive and permanent changes to the self-image and worldview of the therapist. Research is sparse regarding the ways male therapists experience VT. The purpose of this study was to explore the male therapist’s experience with VT and is crucial for developing a greater understanding of VT in order to enhance awareness, resilience, and prevention. The study was based on the constructivist self-development theory because VT was developed through the lens of this theory and is primarily defined as the intrapsychic …

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Conflict In Human Relationships And Seeking Out Pets As A Safe Haven, Jennifer Rachael Bakal Jan 2021

Conflict In Human Relationships And Seeking Out Pets As A Safe Haven, Jennifer Rachael Bakal

Walden Dissertations and Doctoral Studies

Research has revealed the positive physical and the psychological aspects of pet ownership, suggesting that an individual’s attachment style can impact the kind of relationship they have with their pet. Two theories guided this qualitative study; the first was Bowlby’s attachment theory, which suggests that if a child feels that the attachment figure is attentive and accessible, the child will feel loved and secure. Another theory was Ainsworth’s attachment theory in which attachment figures are described as possessing four features: proximity maintenance, separation distress, secure base, and safe haven. This study consisted of 212 participants at least 18 years old …

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Potential For Burnout, Coping Styles, And Help Seeking Attitudes Of Human Service Providers In A State Psychiatric Hospital, Alison Aulsbrook Jan 2021

Potential For Burnout, Coping Styles, And Help Seeking Attitudes Of Human Service Providers In A State Psychiatric Hospital, Alison Aulsbrook

Walden Dissertations and Doctoral Studies

AbstractAlthough there is an abundance of literature on the relationship between burnout and coping styles among providers, this study explored the gap in research about the relationship of these factors to help seeking attitudes. The purpose of this study was to examine the relationship between burnout, coping styles and attitudes toward seeking professional psychological help among a sample of 76 human service providers, guided by cognitive appraisal theory. Burnout in participants who work at a state psychiatric hospital in Texas was measured using the Maslach Burnout Inventory. Coping styles were measured using the Coping Inventory for Stressful Situations which measures …

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Stressors Of Single Fatherhood In California, Dr. Kenneth Jones, Jr. Jan 2021

Stressors Of Single Fatherhood In California, Dr. Kenneth Jones, Jr.

Walden Dissertations and Doctoral Studies

This grounded theory study aimed to address the lack of awareness and resources available for single custodial fathers to address stressors in caring for their children. The findings of this qualitative study were derived from electronic correspondence and semi-structured individual interviews with 16 single primary custodial fathers residing in the state of California. The data were analyzed inductively following Percy et al.’s step-by-step process, which generated the following overarching themes: (a) societal stressors, (b) the aftermath of separation from child’s mother, (c) the reason for separation from child’s mother, (d) hands-on work in raising a child and accomplishing chores, (e) …

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East African Immigrants’ Perceptions Of Mental Illness In The United States, Marion R. Kwoba Jan 2021

East African Immigrants’ Perceptions Of Mental Illness In The United States, Marion R. Kwoba

Walden Dissertations and Doctoral Studies

AbstractMental illness is considered a silent killer in East Africa as it affects 1 in 4 people. Differences exist in how individuals from Western countries perceive mental illness compared to East Africans’ perceptions. The purpose of this qualitative study was to understand the lived experiences of East African immigrants to the United States and the impact of these experiences on their perceptions of mental illness. Social learning theory and Berry’s acculturation model provided the framework for the study. Data were collected from 12 semistructured individual interviews with participants 20 years and older. The three themes that emerged from coding analysis …

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The Effect Of Social Media Use On Physical Isolation In Individuals With Borderline Personality Disorder, Davena Limitless Longshore Jan 2021

The Effect Of Social Media Use On Physical Isolation In Individuals With Borderline Personality Disorder, Davena Limitless Longshore

Walden Dissertations and Doctoral Studies

Individuals with borderline personality disorder (BPD) experience extreme interpersonal conflict, crippling their ability to sustain successful relationships. Consequently, clinicians within the psychological field face difficulty in devising treatments plans which can assist these individuals with suffering minimal relationship loss. The purpose of this study was to understand how current technological methods of social interaction affect individuals who suffer from BPD to improve treatment outcomes. This research was guided by the principles of attachment theory and social baseline theory. A quantitative correlational design using social network analysis and multiple regression analysis was used to examine data from surveys. Participants were solicited …

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Phenomenological Study Of Fathers’ Parental Alienation Experiences, Jerry Dean Gibson Jan 2021

Phenomenological Study Of Fathers’ Parental Alienation Experiences, Jerry Dean Gibson

Walden Dissertations and Doctoral Studies

AbstractHigh-conflict divorce and resulting parental alienation (PA) impact both the children and the parent who has been the target of PA. This situation has been found to cause mental health issues and unhealthy coping skills in children. The purpose of this phenomenological study was to explore the lived experiences of nonresidential fathers who were alienated from their children in the context of a high-conflict separation or divorce. This study was rooted in Bowlby’s attachment theory. Data were collected from interviews with 10 adult participants. The software program Quirkos was used to review the data and discern thematic patterns and correlate …

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A One-Session, Brief Acceptance And Commitment Therapy Workshop For Chronic Pain Patients: A One-Sample Pretest-Posttest Prospective Exploratory Study, Kelly Anne Thomas Ms Jan 2021

A One-Session, Brief Acceptance And Commitment Therapy Workshop For Chronic Pain Patients: A One-Sample Pretest-Posttest Prospective Exploratory Study, Kelly Anne Thomas Ms

Graduate Theses, Dissertations, and Problem Reports (ETD)

Chronic pain affects one in every four persons (NIH, 2010). For individuals residing in rural communities where chronic pain treatment is often not accessible (Artnak et al., 2011), a one-session brief mental health intervention is a critical healthcare need. More specifically, acceptance and commitment therapy (ACT) for chronic pain is a novel treatment approach in need of more research (Society of Clinical Psychology, 2016). This current study contributes to the gap in the literature by implementing an ACT workshop in a rural healthcare setting for individuals with chronic pain. It was hypothesized that the workshop would increase adaptive coping mechanisms …

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The Effects Of Dementia Knowledge On Dementia Worry, Attitudes, Social Comfort, Empathic Concern, And Personal Distress, Alexandria Rose Ebert Jan 2021

The Effects Of Dementia Knowledge On Dementia Worry, Attitudes, Social Comfort, Empathic Concern, And Personal Distress, Alexandria Rose Ebert

Graduate Theses, Dissertations, and Problem Reports (ETD)

The present study examined the effects of different types of dementia knowledge on attitudes and affective reactions towards persons with dementia. Work has demonstrated that individuals with higher levels of personhood-based knowledge have lower levels of personal dementia fear and higher levels of social comfort. However, to our knowledge, work has not examined dementia attitudes more broadly or differentiated causal relations among different forms of dementia knowledge and attitude outcomes. Participants (N = 334) aged 19-78 (M = 44.53, SD = 16.57) were randomized into one of five experimental conditions: (1) biomedical-knowledge (BK; read biological and medical facts about …

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The Connection Between Body Modification And Personality, Taylor Ann Shoemaker Jan 2021

The Connection Between Body Modification And Personality, Taylor Ann Shoemaker

Murray State Theses and Dissertations

Previous research has been inconsistent in its findings regarding the associations between body modifications (e.g., piercings, tattoos, augmentation, scarification, split tongue) and the Big Five personality traits (i.e., openness to experience, conscientiousness, extraversion, agreeableness, neuroticism). All traits have been found to be significantly correlated with body modification in at least one study, but their significance differed from study to study. The purpose of the current study was to examine the associations between body modification and each domain of personality concurrently to add to the literature surrounding differences between modified and unmodified individuals. To participate in this study, participants were asked …

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There Is Nothing Certain But Uncertainty: Manipulation Of Uncertainty And Its Association With Worry And Intolerance Of Uncertainty, Casey E. Brugh Jan 2021

There Is Nothing Certain But Uncertainty: Manipulation Of Uncertainty And Its Association With Worry And Intolerance Of Uncertainty, Casey E. Brugh

Murray State Theses and Dissertations

Intolerance of uncertainty is related to a variety of clinical and nonclinical concepts including clinical and nonclinical levels of worry (Buhr & Dugas, 2002) as well as several disorders, including general anxiety disorder (GAD), obsessive-compulsive disorder (OCD), and social anxiety disorder (Einstein et al., 2014). Since it has been found to be a transdiagnostic concept, research has suggested that it could be a target of intervention (Dugas & Ladouceur, 2000). However, little research about the manipulation of uncertainty exists. This study sought to examine how manipulation of uncertainty in a vignette-based intervention alters individuals’ levels of global worry, as well …

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Mental Health Service Utilization, Knowledge, Stigma, And Protective Factors In A College Student Sample: The Influence Of Racial Categories And Student-Athlete Status, Jasmine M. Morigney Jan 2021

Mental Health Service Utilization, Knowledge, Stigma, And Protective Factors In A College Student Sample: The Influence Of Racial Categories And Student-Athlete Status, Jasmine M. Morigney

Master's Theses and Doctoral Dissertations

Students of color and student-athletes undergo unique stressors in college, such as discrimination and time constraints, that impact their mental health needs. They have shown more mental health stigma and less service utilization. This study explored these variables and groups using secondary data analyses from the 2019-2020 Healthy Minds Study (HMS). The current study hypothesized that utilization would be associated with stigma, knowledge, and resilience. Additionally, student-athletes and students of color would report less utilization and more stigma and resilience. Results indicated that students of color reported no difference in utilization and less stigma and resilience than White students. Student-athletes …

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The Role Of Infant Sleep In The Relationship Between Cumulative Risk And Infant Social-Emotional Development, Michelle Lobermeier Jan 2021

The Role Of Infant Sleep In The Relationship Between Cumulative Risk And Infant Social-Emotional Development, Michelle Lobermeier

Master's Theses and Doctoral Dissertations

The current study aimed to understand the effect of cumulative risk on the social-emotional functioning of infants. Additionally, this study examined sleep as a potential protective factor, which may promote healthier social-emotional outcomes despite risk. A sample of 325 caregiver-infant dyads completed established developmental, behavioral, and caregiver questionnaires as well as PediaTracTM, an experimental tool to track infant and toddler development. More cumulative risk exposure was not associated with typical social-emotional development but was associated with more problem behaviors at 12 months and lower sleep efficiency at 9 and 12 months. Higher sleep efficiency was also associated with …

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Examining Psychological Distress In Parents Of Children With Food Allergies And Asthma During The Covid-19 Pandemic, Kelsey L. Hill Jan 2021

Examining Psychological Distress In Parents Of Children With Food Allergies And Asthma During The Covid-19 Pandemic, Kelsey L. Hill

Master's Theses and Doctoral Dissertations

The COVID-19 pandemic in the United States (U.S.) was anticipated to have a tremendous impact on mental health, leading to heightened anxiety, depression, and post-traumatic stress disorder. The current study examined the psychological impact of the COVID-19 pandemic in parents of children with food allergies and asthma compared to parents of healthy children, examined associations between disease-specific measures and broad measures of anxiety, and explored moderating variables impacting the relationship between COVID-19-related stressors and psychological outcomes. A national sample of 265 parents completed an online survey between April and June 2020. Parents of children with food allergies and asthma experienced …

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The Role Of Premorbid Factors And Adverse Childhood Experiences In The Persistence Of Symptoms Post Mild Traumatic Brain Injury (Persistent Postconcussive Symptoms), Tiffany Andersen Jan 2021

The Role Of Premorbid Factors And Adverse Childhood Experiences In The Persistence Of Symptoms Post Mild Traumatic Brain Injury (Persistent Postconcussive Symptoms), Tiffany Andersen

Master's Theses and Doctoral Dissertations

Every year, more than 2.8 million individuals sustain a traumatic brain injury (TBI) in the U.S. At least 75% of these are designated as mild TBI (mTBI). While most are expected to spontaneously recover within days to weeks, a substantial minority continue to experience various somatic, cognitive, and affective symptoms for months/years postinjury. Several biopsychosocial factors (e.g., cognitive reserve, psychiatric illness) may influence the persistence of postconcussive symptoms (PPCS). Adverse childhood experiences (ACE) may be another psychosocial factor that influences PPCS, but few studies have assessed the relationship between ACEs and TBI. This study aimed to replicate previous findings and …

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Mindfulness Of What? Impact Of Awareness- And Acceptance-Focused Mindful Eating Techniques On Eating Outcomes, Jennifer Battles Jan 2021

Mindfulness Of What? Impact Of Awareness- And Acceptance-Focused Mindful Eating Techniques On Eating Outcomes, Jennifer Battles

Master's Theses and Doctoral Dissertations

Introduction: Significant debate exists over the conceptualization of mindfulness even though mindfulness-based interventions are widely utilized to treat obesity and problematic eating behaviors. Little research has directly compared these theorized components of mindfulness in the context of eating. The purpose of the current study was to understand the relative importance of two components of mindfulness (i.e., awareness and acceptance) on laboratory eating outcomes. Methods: An experiment was conducted with 103 obese participants (Mage = 22.38, SD = 6.82; 64.1% female, 44.6% White, MBMI = 35.42, SD = 7.68) comparing two mindful eating inductions (i.e., awareness only and …

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Examining The Relationship Between Inclusivity And Well-Being In The Gender, Sexual, And Romantic Minority Community, Sarah E. Weekes Jan 2021

Examining The Relationship Between Inclusivity And Well-Being In The Gender, Sexual, And Romantic Minority Community, Sarah E. Weekes

Murray State Theses and Dissertations

Research has established that higher levels of inclusivity promote increased levels of well-being in GSRM populations (Yoder & Mattheis, 2016); however, there is a lack of research exploring a moderating effect of psychological flexibility on this relationship. Previous research has also demonstrated that psychological flexibility is related to increased quality of life (Walloch & Hill, 2016); however, the relationship between psychological flexibility and inclusivity remains largely unexplored in GSRM populations. The purpose of this study was to explore how inclusivity, psychological distress, and psychological flexibility correlate with well-being among a sample of 198 individuals who identify as GSRM. This study …

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Integrated Primary Care Is Associated With Greater Job Satisfaction And Less Burnout Among Montana’S Medical And Behavioral Health Care Providers, C. Ivie English Jan 2021

Integrated Primary Care Is Associated With Greater Job Satisfaction And Less Burnout Among Montana’S Medical And Behavioral Health Care Providers, C. Ivie English

Graduate Student Theses, Dissertations, & Professional Papers

Most research to date on integrated behavioral health (IBH) or integrated primary care (IPC) practices has examined primary care settings nested within academic medical centers or clinics within the U.S. Department of Veterans Affairs. This leaves clinics in rural and/or underserved communities without much representation in the literature. Likewise, provider job satisfaction and burnout have rarely been linked to the IPC model. Through an online cross-sectional survey of medical and behavioral health care providers in various primary care-based health care settings throughout Montana, this cross-sectional study demonstrates that degree of behavioral health integration significantly predicts greater job satisfaction and lower …

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The Influence Of Autism Spectrum Disorder Disclosure On Peer Social Distancing In Higher Education, Hope Marie Sparks Jan 2021

The Influence Of Autism Spectrum Disorder Disclosure On Peer Social Distancing In Higher Education, Hope Marie Sparks

UNF Graduate Theses and Dissertations

Students diagnosed with Autism Spectrum Disorder are almost twenty percent less likely than their non-autistic peers to graduate college (White et al., 2017). The diagnosis of Autism Spectrum Disorder, or ASD, can be a significant facet of personal identity for many individuals on the spectrum. Due to this, disclosure of diagnoses can be a deeply personal decision and can be situational. Because college-age students on the spectrum are forming an identity concerning their diagnosis (Bent et al, 2016; Cox et al., 2017), peer social distancing behaviors are an important factor in student confidence and academic success. Researchers completed this study …

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For Better Or For Worse? Cross Sectional Comparison Of University Student Stress, Coping, And Somatic Complaints Before And During The Covid-19 Pandemic, Sarah Cline Jan 2021

For Better Or For Worse? Cross Sectional Comparison Of University Student Stress, Coping, And Somatic Complaints Before And During The Covid-19 Pandemic, Sarah Cline

UNF Graduate Theses and Dissertations

The current study investigated influences of the COVID-19 pandemic on university student stress, coping, and somatic health through exploratory analyses as cross sectionally compared to university student samples collected prior to and during the pandemic. 483 emerging adult participants were collected total, 262 surveyed via Health Psychology and Physiology courses prior to the pandemic and 221 were surveyed via UNF’s SONA system. Consenting participants completed the Perceived Stress Scale -14 (PSS-14), Ways of Coping Scale, and Physical Symptoms Checklist Questionnaire. Referencing literature based on student stress, coping, and somatic health as outcomes of non-normative events, it was predicted that pandemic …

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Do You Copy? Post-Traumatic Stress Disorder, Auditory Processing, And Heart Rate Variability, Lyndsey Johnson Jan 2021

Do You Copy? Post-Traumatic Stress Disorder, Auditory Processing, And Heart Rate Variability, Lyndsey Johnson

UNF Graduate Theses and Dissertations

Self -report measures used in PTSD research have the potential to limit the degree of symptom severity in military veterans, especially as there is often underreporting in this population (Kline, Falca-Dodson, Susner et al., 2010). Polyvagal Theory provides a framework assessing if physiological measures can tap into PTSD Symptomology (Porges, 1995). It is therefore hypothesized that lower scores on auditory processing tests will be positively correlated with higher scores on Stress and PTSD measures. Additionally, it is thought that lower scores on auditory processing tedts as well as higher scores on PTSD and Stress Measures will be positively correlated with …

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Investigating Body Dissatisfaction, Obesity, & Eating Pathology: African American Adolescent Girls & Mothers, Samantha Ronderos Jan 2021

Investigating Body Dissatisfaction, Obesity, & Eating Pathology: African American Adolescent Girls & Mothers, Samantha Ronderos

UNF Graduate Theses and Dissertations

Body dissatisfaction is a globally prevalent issue among adolescents, particularly for those living in industrialized societies (Griffith et al., 2017). Body dissatisfaction is considered a central component of obesity intervention (Huh et at., 2011; Mitola et al., 2007) and eating disorder etiology (Kelly et al., 2005; Saunders & Frazier, 2016). It predominantly effects females and is commonly found among those with eating disorders and those who struggle with obesity or have higher BMI (Kelly et al., 2005; Saunders & Frazier, 2016). However this is contradicted in African American females, the majority of research has found low levels of body dissatisfaction, …

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Disentangling The Role Of Self-Esteem On Eating Disorders In African American Youth, Carly Alexandria Wagner Jan 2021

Disentangling The Role Of Self-Esteem On Eating Disorders In African American Youth, Carly Alexandria Wagner

UNF Graduate Theses and Dissertations

Self- esteem (SE) has been identified to have a significant impact on eating disorders (ED). Although previous studies have found a relationship between SE and EDs, further investigation in needed because SE and EDs affect gender, age, weight status, and ethnicity heterogeneously. In particular, there is limited research and inconsistent findings on the impact of SE on EDs in youth, males, and African Americans (AAs). This study had six aims: 1) Observe gender and age differences in SE, 2) Examine the impact of weight status on SE, 3) Observe gender and age effects on EDs, 4) Examine the impact of …

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Examining Trauma, Aggression, And Anxiety In African American Girls, Katelyne Griffin-Todd Jan 2021

Examining Trauma, Aggression, And Anxiety In African American Girls, Katelyne Griffin-Todd

UNF Graduate Theses and Dissertations

The study of trauma through bully victimization, rates of aggression, and anxiety in African Americans (AA) and other minorities, as well as the influence that their weight has on these items is severely understudied. This study had four aims: 1) Evaluate the relationship of anxiety, victimization, and aggression in early adolescent AA females, 2) Observe whether the individuals who are victimized also report being aggressive in early adolescent AA females, 3) Investigate the relationship between weight, victimization, anxiety and aggression, 4) Test mediation effects of poverty ratio, and moderation of poverty level and caregivers education. This study contains 77 AA …

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Co-Constructing Stigma: Treating Trauma In Adolescence, Isabelle Sanderson Jan 2021

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 …

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Stagnation In Psychotherapy: A Transtheoretical Approach, Kristine Mccormick Jan 2021

Stagnation In Psychotherapy: A Transtheoretical Approach, Kristine Mccormick

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Doctoral training in clinical psychology emphasizes the importance of utilizing empirically supported psychotherapy methods in pursuit of effective psychotherapy. When treatment is stagnant or ineffective, the focus of training and supervision is often geared toward searching the evidence-base for alternative psychotherapy approaches, or referring to a provider with expertise in a specific method. Using a case example, this paper offers guidance on possible roadblocks to effective psychotherapy treatment, and clear areas to explore before concluding whether psychotherapy is the most helpful intervention for a patient.

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The Risks For Eating Disorders/Disordered Eating In Refugee & Immigrant Experiences And The Imperative Of Culturally Alert Screening, Chantal A. Bushelle Jan 2021

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 …

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Mothers Know Best: Guidance For Healthcare Providers On Early Identification Of Perinatal Mental Health Disorders, Klarissa I. Garcia Orellana Jan 2021

Mothers Know Best: Guidance For Healthcare Providers On Early Identification Of Perinatal Mental Health Disorders, Klarissa I. Garcia Orellana

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Introduction: The perinatal period has been associated with an increased risk of developing psychiatric disorders among women. Perinatal mental health disorders (PMHD) are highly prevalent, yet highly underrecognized and untreated. The involvement of medical providers, especially obstetrics/gynecology and pediatric providers, in the early identification of PMHD is critical to ensure women with PMHD receive appropriate supports. However, providers lack the education, training, and ability to identify and screen for PMHD as well as the knowledge of appropriate referrals. Objective: This study explores the existing issues with healthcare providers’ early identification practices of PMHD from the perspective of ten mothers and …

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Encountering Death: A Training Proposal For Psychologists Addressing Death Anxiety And End-Of-Life Care, Bridget Kromrey Jan 2021

Encountering Death: A Training Proposal For Psychologists Addressing Death Anxiety And End-Of-Life Care, Bridget Kromrey

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Inward reflection and knowing the self are an essential element to becoming a psychologist and is crucial when encountering themes of death and dying in psychotherapy. There are significant gaps in curriculum and training regarding death anxiety and end-of-life care for psychology trainees and psychologists despite psychologists’ growing presence in this type of work. The following paper will explore historical and current day theories of death anxiety and death education. It will also demonstrate the gaps in training for psychologists in the areas of death anxiety and end-of-life care and describe the need for this type of training to be …

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Clinical Considerations For Treating Adult Survivors Of Child Sexual Abuse: A Proposal For Integrating Intersubjective Systems Theory And Feminist Perspectives, Kristen Schrijver Jan 2021

Clinical Considerations For Treating Adult Survivors Of Child Sexual Abuse: A Proposal For Integrating Intersubjective Systems Theory And Feminist Perspectives, Kristen Schrijver

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

The goal of this paper is to offer clinical considerations for clinicians working with adult survivors of extrafamilial child sexual abuse (CSA) by 1) defining the stages of sexual abuse grooming of the child and their entire family system, 2) defining and integrating intersubjective and feminist approaches to treatment, and 3) providing methods for depathologizing CSA survivors’ experience of shame. These three objectives aim to increase awareness and knowledge of sexual abuse grooming, as well as offer an integrative theoretical framework for individual therapy with adult survivors of CSA.

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