Clinical Psychology Commons^™

Stage 2 Outpatient Adolescent Recovery (Soar) Program Family Therapy Manual, Sarah Yelim Nam An

Loma Linda University Electronic Theses, Dissertations & Projects

Rising suicide rates among adolescents is a serious public health concern. The frequency of self-injurious thoughts and behaviors drastically increases in the transition from childhood to adolescence (Nock et al., 2008; Nock et al., 2013). Suicide was the third highest cause of death between 1999-2006 for adolescents between the ages of 12 and 19, following unintentional deaths and homicide (Miniño, 2010). Despite the growing problem of adolescent suicide, treatments that meet Level One criteria, the highest level of research support for therapy as defined by the American Psychological Association (APA, 2006), are lacking. Dialectical Behavioral Therapy for Adolescents (DBT-A), a …

Memory Bias Toward Emotional Information In Burnout And Depression, Renzo Bianchi, Eric Laurent, Irvin Sam Schonfeld, Lucas M. Bietti, Eric Mayor

Publications and Research

A sample of 1015 educational staff members, exhibiting various levels of burnout and depressive symptoms, underwent a memory test involving incident encoding of positive and negative words and a free recall task. Burnout and depression were each found to be associated with increased recall of negative items and decreased recall of positive items. Results remained statistically significant when controlling for history of depressive disorders. Burnout and depression were not related to mistakes in the reported words, or to the overall number of recalled words. This study suggests that burnout and depression overlap in terms of memory biases toward emotional information.

The Effects Of A Polyphenol-Rich Diet In A Fruit-Fly Model Of Traumatic Brain Injury, Alexandra D. Trofimova

Loma Linda University Electronic Theses, Dissertations & Projects

Traumatic brain injury (TBI) is a leading cause of death in the United States. Inflammation and oxidative stress activated by the TBI can lead to systemic inflammation. Gastrointestinal complications are common secondary injuries to TBI and are associated with elevated levels of common pro-inflammatory cytokines and oxidative stress found across the body. Intestinal permeability after TBI has also been established in the fruit fly, Drosophila melanogaster. Pomegranate polyphenols have strong anti-inflammatory properties that may reduce brain and intestinal inflammation and improve functioning after TBI. This study examined the protective effects of pomegranate polyphenol supplementation in a Drosophila model of TBI. …

Soar (Stage 2 Outpatient Adolescent Recovery) Clinical Interview Manual, Aniel Ponce

Loma Linda University Electronic Theses, Dissertations & Projects

The SOAR (Stage 2 Outpatient Adolescent Recovery) initial interview treatment manual was developed at Loma Linda Behavioral Health Institute (BHI) to assess adolescent participants enrolled in a Dialectical Behavioral Therapy for Adolescents (DBT-A) Program and appropriately place them in a treatment group that would meet their mental health needs effectively. The interview manual was developed to address concerns regarding readiness of individuals enrolled in a Stage 1 DBT-A program in progressing into Stage 2 of treatment. In this interview manual, a clinical intake interview and four assessment measures are used to inform group placement in either the Refine and Improve …

Attachment, Exploration, And Internalized Homonegativity, Gregory J. Gagnon

Dissertations, Theses, and Capstone Projects

Background: Internalized homonegativity (IH; a.k.a. internalized homophobia), has been implicated in health disparities between lesbian, gay, and bisexual persons (LGBs) and their heterosexual peers. Yet, little available research has explored factors that may increase or decrease IH.

Objective: This dissertation investigates relations between child and adult attachment and IH. It further examines the mediating and moderating roles of exploration and mentalization, respectively, in the attachment–IH relation.

Method: One hundred fifty cisgender LGB adults participated in two waves of an online survey. The first assessed recalled child–maternal and child–paternal attachment and current attachment to the romantic partner. The second, conducted two …

The Role Of Mentalized Affectivity In Romantic Love And Relationship Satisfaction, Camilla P. Hegsted

Dissertations, Theses, and Capstone Projects

Introduction: The role that mentalized affectivity plays in the relationship between romance love and relationship satisfaction was investigated. Methods: 504 participants completed three measures: Mentalized Affectivity Scale, Adapted Triangular Love Scale, and the Relationship Assessment Scale. Results: A number of relationships among the variables was found. However, the processing variable of mentalized affectivity did not moderate the relationship between the intimacy and relationship satisfaction variables. Conclusion: Possible reasons for this finding are discussed. Results show the importance of modulating ability on romantic relationships: being better skilled at modulating one’s affects and emotions predicts greater intimacy levels in relationships as well …

Stalking And Attachment Theory: Causes And Management, Zoe Turner

Dissertations, Theses, and Capstone Projects

Stalking is an issue that has drawn increasing attention over the past four decades. Approximately 6 million Americans report being the victims of stalking each year. The psychological and physical effects of stalking can be severe, ranging from anxiety and depression to physical harm and even death. With the rise of technology and social media, cyberstalking has become an additional problem in recent years. It is vital to understand the root causes of stalking behavior from a psychological perspective in order to create appropriate management and treatment plans. The current research investigates the role of attachment theory in stalking. Within …

Do Criminal And Successful (Non-Institutionalized) Psychopaths Differ On Internal, Environmental, And Contextual Characteristics?, Ahmed E. Enaitalla

Dissertations, Theses, and Capstone Projects

Psychopathy is a personality disorder characterized by shallow emotions, particularly social emotions such as guilt, remorse, and empathy, as well as an arrogant and impulsive interpersonal style that involves the manipulation and domination of others. Despite the long history of theory and research on psychopathy, there continues to be a disagreement as to whether antisocial tendencies and criminal behaviors are an inherent part of the construct or are one possible byproduct of the aforementioned traits. In an attempt to resolve this disagreement, some researchers have shifted their efforts towards the study of psychopaths who reside beyond the walls of prisons …

Affect, Behavior And (Dys)Regulation: Integrating Youth's Projective Tests And Self-Reports, Laurel Wright

Dissertations, Theses, and Capstone Projects

Past and current research indicates that unconscious processes (e.g., outside the realm of conscious awareness) contribute to aspects of adaptation and development, such as emotion regulation, adaptability, interpersonal flexibility and overall identity formation. Further, unconscious processes including: Defense Mechanisms (DMs), Affect Maturity (AM) and Object Relations (OR), can be operationalized and scored using valid and reliable psychodynamic instruments (e.g., Rorschach Inkblot Method), with theoretical and empirical links to underlying emotion regulation processes. Currently however, emotional dysregulation and its sequelae (e.g.,depression and ADHD symptoms) are most often assessed based on one’s conscious awareness, using standardized self-report measures or structured clinical interviews. …

Intra-Familial Microaggressions, Object Relations, And Racial Identity Formation In Multiracial Individuals, Ashley Danies

Dissertations, Theses, and Capstone Projects

The concept of the self in relation to others is referred to in psychoanalytic theory as one’s ‘object-relations’ (Kernberg, 1984). One of the earliest object-relationships is between baby and caretaker(s), through which the baby develops a sense of their own identity (Mahler, 1967; Sandler & Sandler, 1978). Multiracial individuals, or those whose families fall in two or more different racial/ethnic groups, report racial microaggressions from within their own families (Nadal, Sriken, Davidoff, Wong, & McLean, 2013). Notably, Multiracial individuals who have one White parent and one non-White parent face a greater possibility of rejection from one or both sides of …

Taking It To Heart: Trauma And Cardiovascular Risk In Court-Involved People Of Color, Tanya Erazo

Dissertations, Theses, and Capstone Projects

Research supports that racial disparities in health persist in the United States, with cardiovascular risk and cardiovascular disease remaining particularly high in low-income, communities of color (U.S. Department of Health and Human Services: Centers for Disease Control and Prevention, 2013; Winkleby, Jatulis, Frank, & Fortmann, 1992). Public health literature often focuses on sociodemographic variables when assessing for health disparities without considering trauma or forensic populations. This dissertation provides an overview of literature that examines cardiovascular disease and its relationship to trauma, particularly in low-income, communities of color, and forensic populations. Although the dissertation culminates in providing results for an investigation …

Developmental Predictors Of Adolescent Mental Health Stigma And A Cluster Randomized Controlled Trial Of "Ending The Silence" In New York City, Joseph S. Deluca

Dissertations, Theses, and Capstone Projects

This study explored predictors of mental health stigma among adolescents and the effectiveness of a school-based mental health stigma reduction and health promotion program, “Ending the Silence” (ETS), developed by the National Alliance on Mental Illness. Youth mental health service use is impacted by many factors, but concern about stigma and low mental health knowledge have been consistently identified as leading barriers to help-seeking. Beyond education and contact program components, existing research on how to design a successful adolescent stigma reduction intervention has been inconclusive. A diverse sample of 206 high school students in New York City participated in the …

Sex/Gender Differences In Serial Position Profiles In Patients With Mild Cognitive Impairment And Healthy Controls, Emnet Z. Gammada

Dissertations, Theses, and Capstone Projects

Introduction: Alzheimer’s disease disproportionately affects more women, but paradoxically, men have a higher incidence of Mild Cognitive Impairment (MCI). Researchers have suggested that women’s verbal memory advantage across the lifespan reflects better premorbid skills, which then require more neurodegeneration to manifest early clinical impairment. To date, measurement of sex differences in verbal memory have used total list scores. We proposed that a granular examination of serial position effects (SPE) in list-learning can refine the source of sex/gender differences.

Methods: A cross-sectional analysis of participants with Mild Cognitive Impairment (MCI) and Healthy Controls (HC) was examined from the Alzheimer’s Disease Neuroimaging …

Intrapersonal And Interpersonal Factors Predicting Distress And End-Of-Life Planning Among Individuals With Advanced Cancers, Aliza A. Panjwani

Dissertations, Theses, and Capstone Projects

The social-cognitive processing model of adaption to cancer posits that both intrapersonal and interpersonal factors influence psychological adjustment (Lepore, 2001). In this dissertation, two intrapersonal factors, intolerance of uncertainty (IU) and experiential avoidance (EA), were examined in relation to emotional distress (psychological outcome) and advanced care planning (behavioral outcome) among patients living with advanced cancer. EA (efforts intended to avoid negative emotions, thoughts, images or memories) was hypothesized to mediate the relationship between IU (the ability to tolerate uncertainty or the unknown) and emotional distress. In line with the social-cognitive model, two interpersonal factors, social support from family and friends …

Object Relations, Identity Formation, And Transitional Space In Religious Conversion, Arielle Rubenstein

Dissertations, Theses, and Capstone Projects

Conversion between broad religious groups is a life transformation undertaken by 15% of Americans, yet it has seldom been studied closely from a psychodynamic perspective. The psychological study of conversion began with a Protestant paradigm of sudden and total transformation of the self, and over time came to characterize different manifestations of conversion to more diverse religious groups. Research on conversion has primarily sought to understand whether conversion is essentially a psychopathological phenomenon, and has led to a multiplicity of both positive and negative, at times contradictory, findings. Research has shown that conversion is associated with insecure attachment, neurotic personality …

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

Dissertations, Theses, and Capstone Projects

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

"Made Of Queer Magic": Understanding The Experiences Of Pregnancy For Queer Women, Lindsey Rogers

Doctoral Dissertations

Queer families are deciding to use donor insemination or medically assisted reproductive treatments to become pregnant and start their families. Previous research indicates that the process of using medically assisted reproductive treatments may be a stressful experience for queer families due to cisheteronormativity within the system. In addition, research has also revealed that stress during the process of conceiving can impact mental health experiences during pregnancy. However, there is a lack of research on the specific mental health experiences of pregnancy for queer women. The present study used a qualitative research design guided by constructivist grounded theory to examine the …

First Responder Mental Health, Kira Swensen, Timothy Keady, Maren Wright Voss

All Current Publications

Communities spend thousands of dollars on first responders to protect them physically: body armor for law enforcement officers, heat resistant gear for firefighters, gloves and reflective clothing for Emergency Medical Services (EMS) personnel. Supporting and investing in programs related to first responders’ mental health is equally important in keeping their minds safe. First responders train long hours each year to stay prepared for almost any situation. In the past, training has centered around physical safety and job efficiency. In recent years, efforts have been made to include mental health training and reduce the stigma associated with mental health for first …

Social Functioning In Subclinical Poor-Me And Bad-Me Paranoia, Thomas Bart

Psychology and Counseling Theses

Trower and Chadwick (1995) proposed paranoia as two distinct subtypes: poor-me – defined by strong beliefs of undeserved persecution, and bad-me – defined by strong beliefs of deserved punishment. Social functioning deficits are common in paranoia but have not been assessed within the poor-me and bad-me construct. Fourteen individuals with high levels of subclinical paranoia and 14 individuals with low levels of paranoia completed measures of depression, self-esteem, social functioning, and the emotional Stroop Task. Although there were no significant differences between the two paranoia subtypes on social functioning, a trend showed individuals with bad-me paranoia having more impaired social …

Factors Associated With Binge Drinking During The Transition Into Adulthood: Exploring Associations Within Two Distinct Young Adult Age Ranges, Tamara Leech, Sarah Jacobs, Denis Watson

Department of Public Health Scholarship and Creative Works

Background:

Binge drinking among young adults aged 18-21 years has declined over the past decade, but binge drinking rates among people 22-25 years old have remained largely the same. This steady trend in later years represents a departure from the traditional course of maturing out of risky alcohol use, perhaps because young adults are delaying the transition into adulthood.

Aims:

This paper explores the relationship between binge drinking and aspects of the transition into adulthood that could inform interventions targeting these two distinct groups of young adults.

Methods:

We use survey data on 1,081 young adults aged 18-25 living in …

Traumatic Shame Memories And Development Of Paranoid Ideations, Anwesha Maitra

Psychology and Counseling Theses

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

Recent studies have focused on the associations between these emotional …

Book Review: Reconnecting To The Source By Ervin Laszlo, Elizabeth W. Szatmari Krasnoff

Journal of Conscious Evolution

Quantum philosopher Ervin Laszlo has taken one step further outside of the contemporary mainstream scientific view, which believes in a reductive “scientific” method primarily of highly controlled experiments to determine truth. In this visionary work, Laszlo proposes that the true laws of nature can also be accessed and felt experientially. Here he argues that the new quantum science can support this view, and even assist us as we heal the rift between mind and spirit and reconnect to our source. Laszlo proposes a new paradigm, a holotropic worldview with love as the core attracting force of wholeness. Indeed, as the …

Book Review: The Intelligence Of The Cosmos: Why Are We Here? By Ervin Laszlo, Elizabeth W. Szatmari Krasnoff

Journal of Conscious Evolution

Ervin Laszlo breaks down his theory of everything into a credo of 8 statements. This review looks in some detail at Laszlo’s theories and also touches on the other writers who have been invited to participate. It is noteworthy that Laszlo breaks with the current scientific belief that we are without purpose, and that evolution has no purpose. He believes that compassion, love, and expansion are our purposes for being here.

Moderators Of Academic Performance And Symptom Severity In Adolescents With Attention-Deficit/Hyperactivity Disorder, Ryan Nicole Cummins

LSU Doctoral Dissertations

Research has documented the relationship between attention-deficit/hyperactivity disorder (ADHD) symptom severity and poor academic outcomes. However, few studies have focused on identifying moderating variables of academic performance specific to adolescents, especially those with ADHD. The current study seeks to address these limitations, further exploring moderators of academic outcomes in a clinical sample of adolescents with ADHD. Specifically, the present study examined adolescent ratings of routines, parent-adolescent conflict, perceptions of parental involvement, and school engagement, on the relationship between ADHD symptom severity and academic performance (GPA). The sample consisted of a total of 140 caregiver-adolescent dyads ranging from ages 11- to …

Living With Multiple Sclerosis: A Phenomenological Study Of Worries, Concern And Psychological Problems In Iranian Patients With Ms, Zahra Abdekhodaie, Shahriar Shahidi, Mohammad Ali Mazaheri, Laily Panaghi, Vahid Nejati

The Qualitative Report

Multiple sclerosis (MS), as a progressive and degenerative illness, has an impact on different aspects of individual lives and may lead to difficulties, concerns, and worries in patients. The aim of the present study was to investigate concerns, worries and problems in patients with MS. We used a descriptive phenomenological qualitative approach. Participants were volunteers purposively selected based on their availability. We carried out deep interviews with 15 MS patients and analyzed the detailed information obtained from these interviews by using Colaizzi’s method. We extracted six essential themes and thirty-four sub-themes associated with MS from the content of the interviews. …

Self-Efficacy In The Transition To Parenthood, Nicole Marsden

Doctoral Dissertations

The transition to parenthood is considered both an exciting and inherently stressful time. The related changes and challenges may be associated with increased levels of anxiety and depression. Parental self-efficacy (PSE), or parents’ perceived ability to succeed at parenting-related tasks and challenges, may be both a product and predictor of mental health during this time. There is little research on the relationship between general self-efficacy (GSE) and PSE, although theory suggests that GSE may influence PSE. This quantitative study utilizes a longitudinal and dyadic design to examine the relationship between GSE, PSE, and mental health across the transition to parenthood …

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

Doctoral Dissertations

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

Moderation Of Effects Of Anxiety On Verbal And Visuospatial Short-Term Memory In Young Children With Autism Spectrum Disorder, Rachael Arowolo

Clinical Psychology Dissertations

Children with autism spectrum disorder (ASD) exhibit developmental differences in a number of domains, including memory. Short-term memory (STM) has been studied in children with ASD but the findings have been mixed. Children with ASD are also at increased risk of developing an anxiety disorder. Anxiety has been found to impact short-term (STM) and other cognitive functions in typically developing children. Limited research suggests that trait anxiety is associated with poorer STM in school-aged children with ASD. Given that STM develops throughout early childhood, understanding the impact of anxiety in younger children with ASD may be beneficial in providing the …

The Moderating Effect Of Physical Health On The Relationship Between Coping Style And Engagement In Non-Suicidal Self-Injury, Alexander Jaffe

Theses and Dissertations

Coping skills can be used in a myriad of situations, as these alleviate unwanted feelings. While negative coping skills might be effective in the short term, their long term effects are not beneficial. Non-suicidal self-injury (NSSI), a type of negative coping mechanism, has been shown to be reported by college students most when compared to adults and young adults. The independent relationships between coping strategy, physical health, and NSSI have been previously established. There is a paucity of literature assessing NSSI while considering the pre-existing relationship between physical and mental health. As such, this study examines the moderating function of …

Parent Emotion Coaching And Affect Recognition In Theory Of Mind In Autism Spectrum Disorder, Audrey L. O'Connor

Clinical Psychology Dissertations

Children with autism spectrum disorder (ASD) present with deficits in social communication and social interaction, as well as restricted and repetitive behaviors, interests, and activities. Theory of Mind (ToM) has been identified as a key factor in social development in both typically developing (TD) children and children with ASD. One proposed explanation for the deficits in social development characteristic in ASD is that deficits in ToM, particularly the ability to infer the mental states of self and others, results in impairments in social development. Researchers have found that affect recognition is a precursor in the development of ToM which occurs …