Counseling Psychology Commons^™

An Overview Of Suicide And The Impact Of Interacting Factors On Current Suicide Trends, Shawna Burrow

Undergraduate Honors Theses

Approximately 44,965 people committed suicide in 2016 in the United States, and the rate has been rising for a decade and a half. Suicide has far-reaching consequences which affect not only the victim, but those close to the person as well. For every suicide, an estimated six people are futher traumatized, bringing the current loss survivor estimate to over 5 million. Additionally, suicide costs tax payers about 70 billion dollars annually. Despite outranking homicide as a leading cause of death, the long-standing stigma associated with suicide creates a barrier for open and effective communication about the issue. This paper investigates …

Detecting Suicide Risk From Wristworn Activity Tracker Data Using Machine Learning Approaches, Pallavi Atluri

Electrical Engineering Theses

Suicide is a prevalent cause of death worldwide and depression is a primary concern of many suicidal acts. It is possible that an individual during depression never has any suicidal thoughts at all. On the other hand, some individuals in stable condition with no apparent symptoms of depression feel urges to commit suicide (suicidal ideation). Many such individuals never let anyone know what they are feeling or planning. Suicidal ideation considered an important precursor to suicidal acts.

Detecting the suicide risk in individuals with mood disorders is a major challenge. The current clinical practice to assess suicide risk in these …

The Predictors Of Juvenile Recidivism: Testimonies Of Adult Students 18 Years And Older Exiting From Alternative Education, La Toshia Palmer

Dissertations

Purpose: The purpose of this descriptive, qualitative study was to identify and describe the importance of the predictors of juvenile recidivism and the effectiveness of efforts to prevent/avoid juvenile recidivism as perceived by previously detained, arrested, convicted, and/or incarcerated adult students 18 years of age and older exiting from alternative education in Northern California. A second purpose was to explore the types of support provided by alternative schools and the perceived importance of the support to avoid recidivism according to adult students 18 years of age and older exiting from alternative education.

Methodology: This qualitative, descriptive research design identified …

Assessing Levels Of Stigma And Accessing Mental Health Services, Kristina Giacobbe, Mike Morrison, Carrie Arnold

Western Research Forum

Assessing Levels of Stigma and Accessing Mental Health Services

Post-secondary students report high levels of anxiety and depression along with a host of other mental health issues (Fink, 2014). The present study focused on predictors of use of counselling services as well as strategies that would make the service easier to use by undergraduate students. Theoretical rationale included Astin’s Input-Environment-Outcome (I-E-O) (Fink, 2014), Theory of Planned Behaviour (Marsh, 2011), and Self-Regulatory Model (Oexle, 2015). The sample included 153 male and female students at a large research intensive university in Ontario. Participants ranged from ages 18-24 who completed the Satisfaction with …

Complicated Grief And Art Therapy, Rachel Brandoff

Expressive Therapies Dissertations

Complicated grief (CG) has come to be a common enough occurrence in mental health treatment to warrant research, literature, and discussion of markers, causes, prevalence, symptoms, measures, and treatment protocols. Art therapy presents one possible mode of treatment for individuals suffering from CG, and yet few art therapists know about CG or have training in this area. A systematic review of art therapy programs and educational requirements showed no current standards or training requirements for grief or CG. Art therapists are master’s trained clinicians who work with people with a variety of mental health challenges, and training in CG may …

Practice-Based Conundrums And Existentialist Quandaries Of A Professional Code Of Ethics, Izaak L. Williams

Journal of Human Services: Training, Research, and Practice

Ethical codes have long been considered indispensable tools in defining the proper conduct of counseling professionals. Revisions reflect the ideals of the industry to accommodate the evolving needs of clients and trends in treatment models, but the essence of the code is to convert principles befitting of the profession into concrete actions or considerations that abet professional decision-making. Acculturation into the profession involves ethics training intended to improve professionals’ ability to apply the code to situations that might arise in their practices, resulting in the most ethically appropriate action. However, such assumptions may be problematic. The idea of ethical competency …

Adult-Child Sexual Contact: Examining Mental Health Trainees’ Perception Of The Impact On Adult Psychological-Emotional Status, Robbie J. Steward Ph.D., Shavonne J. Moore Ph.D., Lisa P. Petersen M.A., L.P.C., Sharea Ayers M.A., Kristin A. Hinze M.A., L.P.C.

Journal of Human Services: Training, Research, and Practice

Thirty-eight graduate students enrolled in mental health-related programs completed the Brief Symptom Inventory (BSI) indicating anticipated impact of adult-child sexual contact on the psychological status of a young adult woman from positive family environment and one from a negative family environment. BSI subscale scores were significantly higher than the BSI general population’s mean scores in both cases. Multiple regression analyses found that: in the healthy family scenario, practitioners’ background variables (parent education, family of origin climate, prior childhood sexual contact with an adult, and education) did not contribute significantly to the variance in their prediction of expectation of client’s overall …

Longitudinal Relationship Between Onset Of Physical Symptoms And Functional Impairment, Lisa M. Mcandrew, Drew A. Helmer, Shou-En Lu, Helena K. Chandler, Sarah Slotkin, Karen S. Quigley

Educational & Counseling Psychology Faculty Scholarship

Patients with chronic physical symptoms (e.g., chronic pain) often have significant functional impairment (i.e., disability). The fear avoidance model is the dominant theoretical model of how the relationship between chronic physical symptoms and functional impairment develops and proposes a cyclical/bidirectional relationship. There has never been a definitive test of the proposed bi-directional relationship. The current study followed 767 Operation Enduring Freedom/Operation Iraqi Freedom soldiers from pre-deployment, when they were relatively healthy, to one year after deployment, when it was anticipated that symptoms would increase or develop. Over the four assessment time points, physical symptom severity consistently predicted worse functional impairment …

Concordance Of Illness Representations: The Key To Improving Care Of Medically Unexplained Symptoms, Lisa M. Mcandrew, Myrna L. Friedlander, L. Alison Phillips, Susan L. Santos, Drew A. Helmer

Educational & Counseling Psychology Faculty Scholarship

How can effective patient-provider relationships be developed when the underlying cause of the health condition is not well understood and becomes a point of controversy between patient and provider? This problem underlies the difficulty in treating medically unexplained symptoms and syndromes (MUS; e.g., fibromyalgia, chronic fatigue syndrome), which primary care providers consider to be among the most difficult conditions to treat.¹ This difficulty extends to the patient-provider relationship which is characterized by discord over MUS.¹ In this article, we argue that the key to improving the patient provider relationship is for the patient and provider to develop congruent …

Log Kya Kahenge: Psychological Well-Being And Perceived Stigma In The South Asian American Community, Khushboo Jain

Pomona Senior Theses

Current research has independently studied depression, stigma, and coping mechanisms in relation to culture, yet the effects of perceived stigma on the relationship between depression and control coping are heavily understudied. Typically, studies have broadly focused on comparing eastern and western cultures, but have not analyzed how populations with mixed cultural influences experience depression and stigma and further engage in control coping mechanisms. This study thus explores how perceived stigma moderates the relationship between depressive symptoms and control coping mechanisms for South Asian Americans. The study hypothesizes that the level of perceived stigma will moderate the relationship between depression and …

Evaluating The Attitudes And Practices Of Exercise Prescription Among Psychotherapists, Igor Vasilj

Theses and Dissertations--Educational, School, and Counseling Psychology

Exercise has been shown to improve mood, anxiety, stress, and promote neuroplasticity (Conn, 2010; Donaghy, 2007; Josefsson, Lindwall, & Archer, 2014; Silveria et al., 2013; Stathopoulou et al., 2006). However, limited research on the topic suggests that many psychologists and mental health providers are not incorporating exercise into psychological treatment, and many lack the confidence to do so (Burton, Pakenham, & Brown, 2010; Weir, 2011). The purpose of this study was to evaluate current exercise prescription trends among practicing psychologists and trainees, including identifying their current beliefs, attitudes, training, and the perceived barriers hindering psychotherapists from recommending and prescribing exercise. …

A Phenomenological, Arts-Based Study Of Art Therapists’ Self-Reflective Practice, Laurie Ponsford-Hill

Theses and Dissertations (Comprehensive)

This phenomenological, arts-based study examined the experiences of 15 art therapists using five-minute, full-bodied self-portraiture with 55 minutes of self-reflective journaling once a week for four weeks at the end of each work week. The therapists determined the location for this practice. Subsequently, the four artworks, as a serial, were explored with each participant in a one-hour telephone or Skype interview to understand their lived experience through art, and its signs, and symbols. This process enabled the therapists to act as witness to their respective self/selves, deepening their insights and connections about self. The transcribed audio-taped interviews were manually coded …

A Stakeholder Examination Of Gestational Weight Gain Guidelines, Melissa Kwitowski

Theses and Dissertations

Obesity is a significant health concern for women of childbearing age. More than 40% of women have a Body Mass Index (BMI) in the overweight or obese ranges at the time they conceive, posing significant health risks for both mother and child. Excessive weight gain during pregnancy is common and associated with numerous deleterious complications. The Institute of Medicine published gestational weight gain (GWG) guidelines based on prepregnancy BMI. However, more than 50% of women gain in excess of these recommendations. Further, many women report receiving minimal guidance from their healthcare providers regarding weight gain, nutrition, and physical activity during …

Preschoolers And Pandas Making Friends: A Journey About Healing From Brain Injury, Barbara Anne Doucette

Museum Studies Projects

Preschoolers that have obtained Non-Accidental Injury (NAI) from familial child abuse are in need of having a unique place for neurorehabilitation in correlation with traditional therapies. My thesis project suggests adding an exhibit annex to an existing giant panda exhibit that will give preschoolers an opportunity to help develop new neuropathways when exposed to mediation and creative activities. Meditation and creative activities are being examined by neuroscientists as an aid in neuroplasticity after brain injury. This thesis reviews the neurotypical preschooler’s milestones and the playful means by which they are achieved. Conjoining the contemporary museums’ and zoological gardens’ outreach to …

At The Pillar Of The Proverbial Golden Calf: Sacrificing The Need For ‘Responsible Knowing’ On The Altar Of A Compliance-Based Ethic, Izaak L. Williams

Journal of Human Services: Training, Research, and Practice

Evidence-based practice (EBP) has been promoted and adopted broadly and has led to advances in health and human services. Notwithstanding the underlying rationale of EBP philosophy to diversify the current body of information concerning evidence-based practices, this paper draws attention to critical thinking fallacies that confound non-evidence-based “treatment as usual” practice with actual EBP philosophy. Flawed belief systems about EBP, in tandem with a compliance-based culture, fail to provide structure to the possibility of evidence-based practice philosophy and proper use of EB treatment modalities. Impediments to EBP implementation are created by lack of “responsible knowing” and this results in practitioner …

Go For A Walk! Monitoring Walking For Depressed Mood, Michael E. Shrake

All NMU Master's Theses

Literature suggests that exercise has benefits for health and mood. For people suffering from depression however, even summoning motivation to go for a walk can seem impossible, no matter the alleged benefits. My study builds on current articles suggesting that wearable technology like activity-tracking bracelets can have significant effects on motivation and physical health goals. The current study followed 11 individuals who met the minimum threshold for depression as measured by the Patient Health Questionnaire-9 (PHQ-9) for a period of 28 days and tracked their walking using a Jawbone UP activity bracelet. The results showed that daily activity differed significantly …

Recommendations For Developing Video Games To Address Depression Among College Students, John Bodycombe

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Depression is a significant problem on college campuses, and the data shows that prevalence is on the rise (The National Survey on Drug Use and Health [NSDUH], 2014; Stewart, Ricci, Chee, Hahn, & Morgenstein, 2003). Depression impacts the well-being of students and puts them at risk for a variety of issues (Leach, 2009; Adams, Wharton, Quilter, & Hirsch, 2008; Serras, Saules, Cranford, & Eisenberg, 2010; Cranford, Eisenberg, & Serras, 2009; Weitzman, 2004). Many students with depression do not receive care (Blanco, Okuda, Wright, Hasin, Grant, Liu, & Olfson, 20008; Eisenburg and Chung, 2012), or receive care that is not minimally …

Is The Relationship Between Trait Mindfulness And Psychological Distress Indirect?, Sailesh Maharjan

Electronic Theses, Projects, and Dissertations

Mindfulness, purposeful attention without judgment or acceptance, and related practices are increasingly popular with a large number of people and have been incorporated into many western psychotherapies (e.g., Mindfulness-Based Stress Reduction, Dialectical Behavior Therapy, Acceptance and Commitment Therapy and Mindfulness Based Cognitive Therapy). There is considerable debate over whether mindfulness is best studied as a state, trait or procedure. Although many studies have found that trait mindfulness is related to physical and mental health outcomes, less is known about the mechanism(s) through which mindfulness enhances clinical outcomes. The current study explored the role of potential mediators of the relationship between …

Employing Polyethnography To Navigate Researcher Positionality On Weight Bias, Nancy Arthur, Darren E. Lund, Shelly Russell-Mayhew, Sarah Nutter, Emily Williams, Monica Sesma Vazquez, Anusha Kassan

The Qualitative Report

Researchers often focus on the content of their research interests but, depending on the research approach, may pay less attention to the process of locating themselves in relation to the research topic. This paper outlines the dialogue between an interdisciplinary team of researchers who were at the initial stages of forming a research agenda related to weight bias and social justice. Using a polyethnographic approach to guide our discussion, we sought to explore the diverse and common life experiences that influenced our professional interests for pursuing research on weight bias. As a dialogic method, polyethnography is ideally suited for the …

A Visit To The Doctor: Preparation For Activism, Simone Watson

Dignity: A Journal of Analysis of Exploitation and Violence

No abstract provided.

The Porn Myth: Exposing The Myth Behind The Fantasy Of Pornography By Matt Fradd, Donald L. Hilton Jr.

Dignity: A Journal of Analysis of Exploitation and Violence

No abstract provided.

Cumulative Sexual Victimization And Mental Health Outcomes Among Incarcerated Women, Jennifer Hartsfield, Susan F. Sharp, Sonya Conner

Dignity: A Journal of Analysis of Exploitation and Violence

This research explores the relationship between three different types of self-reported sexual victimization and subsequent mental health problems in a sample of incarcerated women. Previous literature establishes a link between victimization histories and poor mental health outcomes. This study focuses on sexual victimization experienced as a child, as an adolescent and as an adult, both individually and cumulatively, in relation to entering prison with a mental health diagnosis as well as reporting current depressive symptoms while incarcerated. Each type of victimization is significantly related to both prior mental health diagnosis and current depression in prison. Furthermore, there is an additive …

The Color Ceiling: African Americans Still Fighting For Equity And Equality, Osaro Airen Ph.D, Lpc, Ncc

Journal of Human Services: Training, Research, and Practice

There currently exists a unique ceiling-effect that has plagued the African American community for a number of years but due to the group being placed under the Glass Ceiling umbrella, the true nature of their issues have been vastly overlooked. To bring to light the true nature of these issues, the author created the term, Color Ceiling. The Color Ceiling refers to the invisible barriers that impede financial equity, employment equity, and promotional advancement for African Americans in the workplace specifically higher education.

High Healthcare Utilization At The Onset Of Medically Unexplained Symptoms, Lisa M. Mcandrew, L. Alison Phillips, Drew A. Helmer, Kieran J. Maestro, Charles C. Engel, Lauren M. Greenberg, Nicole Anastasides, Karen S. Quigley

Educational & Counseling Psychology Faculty Scholarship

Objective: Patients with medically unexplained syndromes (MUS) often do not receive appropriate healthcare. A critical time for effective healthcare is the inception of MUS. The current study examined data from a prospective longitudinal study of Operation Enduring Freedom/Operation Iraqi Freedom (OEF/OIF) veterans to understand the relationship of increasing physical symptom burden to healthcare utilization.

Methods: Data was examined from a prospective study of OEF/OIF veterans assessed before and one year after deployment (n=335). Physical symptom burden was measured with the Patient Health Questionnaire (PHQ-15). Analyses were conducted with polynomial regression and response surface analysis (RSA).

Results: Increases in physical symptom …

Telephone-Based Versus In-Person Delivery Of Cognitive Behavioral Treatment For Veterans With Chronic Multisymptom Illness: A Controlled, Randomized Trial, Lisa M. Mcandrew, Lauren M. Greenberg, Donald S. Ciccone, Drew A. Helmer, Helena K. Chandler

Educational & Counseling Psychology Faculty Scholarship

Background:The goal of this randomized clinical trial was to examine the efficacy of a cognitive behavioral stress reduction treatment for reducing disability among veterans with chronic multisymptom illness (CMI).Method: Veterans (N=128) who endorsed symptoms of CMI were randomized to: usual care (n=43), in-person (n=42) or telephone-delivered cognitive behavioral stress management (n=43). Assessments were conducted at baseline, three months, and twelve months. The primary outcome was limitation in roles at work and home (i.e., ‘role physical’). Reductions in catastrophizing cognitions were evaluated as a mechanism of action. Results: Intent-to-treat analyses showed …

The Common Sense Of Counseling Psychology: Introducing, Lisa M. Mcandrew, Jessica L. Martin, Myrna L. Friedlander, Katherine Shaffer, Jessica Y. Breland, Sarah Slotkin, Howard Leventhal

Educational & Counseling Psychology Faculty Scholarship

The goal of therapy is typically to improve clients’ self-management of their problems, not only during the course of therapy but also after therapy ends. Although it seems obvious that therapists are interested in improving client’s self-management, the psychotherapy literature has little to say on the topic. This article introduces Leventhal’s Common-Sense Model of Self-Regulation, a theoretical model of the self-management of health, and applies the model to the therapeutic process. The Common-Sense Model proposes that people develop illness representations of health threats and these illness representations guide self-management. The model has primarily been used to understand how people self-manage …

Less Engagement In Pleasure Activities Is Associated With Poorer Quality Of Life For Veterans With Comorbid Post-Deployment Conditions, Lisa M. Mcandrew, Held F. Rachel, Abbi Bhavna, Karen S. Quigley, Drew A. Helmer, Radhika V. Pasupuleti, Helena K. Chandler

Educational & Counseling Psychology Faculty Scholarship

Objective: The presence of multiple comorbid conditions is common after combat deployment and complicates treatment. A potential treatment approach is to target shared mechanisms across conditions that maintain poorer health-related quality of life (HRQOL). One such mechanism may be decrements in pleasurable activities. Impairment in pleasurable activities frequently occurs after deployment and may be associated with poorer HRQOL.

Method: In this brief report, we surveyed 126 Veterans who had previously sought an assessment at a Veterans Affairs post-deployment health clinic and assessed pleasurable activities, HRQOL, and post-deployment health symptoms.

Results: Forty-three percent of Veterans met our criteria for all three …

Yoga And The Ability To Counteract Negative Effects Of Stress And Trauma, Allison R. Steinwand, Staci L. Born

Counseling and Human Development Faculty Publications

Many individuals today struggle with the effects of chronic stress, whether due to social and environmental factors or as a result of trauma embedded in their psychophysiology. Research has demonstrated that once an individual endures a traumatic event, there are undesirable changes that occur in the brain and body It is of the utmost importance that mental health counselors consider the relationship between the body and mind. The purpose of this paper is to describe the negative impact traumatic experiences and chronic stress has on the brain and body. Furthermore, the ways in which yoga practice can mitigate trauma symptoms …

The Relationship Between College Students’ Purpose In Life And Risk-Taking Behavior, Anna Church

All Master's Theses

The relationship between college students’ sense of purpose in life and their self-reported risky substance use and sexual behavior was investigated. Participants from a northwestern university (N = 174) answered questions online from questionnaires measuring meaning in life, alcohol use, substance use, sexual risk behavior, and social desirability. A MANCOVA analysis was conducted. The results demonstrated no statistically significant effects. Strengths and limitations of the study as well as directions for future research and therapeutic interventions are discussed.

Double Whammy: Interpretive Phenomenological Analysis Of Older African Americans Experiencing Hiv & Age Related Comorbidities, James W. Chavers

Antioch University Dissertations & Theses

HIV among older African Americans represents one of the fastest and largest growing populations of infected groups in America (CDC, 2008). With the availability of anti-retrovirals (ARV), or AIDS cocktail drugs, HIV has become a chronic illness. As African Americans are living longer with HIV, they are encountering the diseases that are consonant with aging. The effect of aging with HIV and an age-related comorbid condition can be physically and emotionally debilitating. Many of these older adults are also dealing with poverty, stigma, poor healthcare access, and limited social support. The purpose of this study was to explore how these …