Mitigating Weight Stigma In The Medical System: Self-Compassion For Nursing Students, Ellen C. Joseph

Electronic Theses and Dissertations

Weight stigma is a form of oppression that has been shown to have a detrimental impact on the well-being of people with higher weight. Healthcare providers are one of the most common sources of weight stigma, and their stigmatizing beliefs have been found to be associated with differential care for patients with “obesity”. The current study aimed to explore the feasibility of the loving-kindness meditation (LKM) as a brief intervention that reduces weight bias in nursing students by increasing self-compassion, positive, other-focused emotions, and cognitive flexibility, in order to improve compassionate care for patients with higher weight. Participants (189 nursing …

Development And Testing Of Remote Facilitation Of Prevent-Teach-Reinforce For Families To Address Challenging Behavior In Young Children (Ptr-F:R), Abby Hodges

Electronic Theses and Dissertations

As children advance through developmental stages, they often present behavioral difficulties such as tantrums, lack of cooperation, and aggression. For some children, behaviors are serious enough that they interfere with the child’s ability to engage in positive relationships, participate in necessary routines, and learn new skills, warranting behavioral intervention (Dunlap et al., 2017). Being responsive to the needs of the family and appreciation for the central role that they play is crucial to the success of behavioral interventions and the maintenance of positive outcomes (Bailey, 2013; Campbell, 1995), thus, their input should be at the center of all recommendations and …

Examining Perceived Stigma, Disclosure, Self-Compassion, And Health-Related Quality Of Life In College Students With Cystic Fibrosis, Anna R. Hangge

Electronic Theses and Dissertations

Cystic Fibrosis (CF) is a life-limiting genetic disorder that affects the lungs, pancreas, and other organs. Recent advances in CF-related healthcare have improved the life expectancy of individuals with CF from childhood to approximately 50 years old (CFF, 2020). Therefore, more individuals with CF are attending college and facing challenges within this new stage of life. This study examined perceived stigma, disease disclosure, self-compassion, and health-related quality of life (HRQoL) in a sample of current and former college students with CF to understand their psychosocial experience of managing their illness while in college. Results indicated that perceived stigma and HRQoL …

Exploring The Impact Of The Achievement Gap On Shame And Resilience In African American College Students, Brittany R. Thomas

Electronic Theses and Dissertations

The achievement gap refers to the stark difference that occurs between racial or gender groups, as one group performs significantly higher than the other. An achievement gap has the propensity to produce psychological distress, as well as buffering techniques that are necessary for survival and success. Growing research shows that African American college students experience unique levels of trauma, shame, hardship, macro, and micro-aggressions, suggesting that these students learn to self-preserve as early as 10 years old. This study used a Pearson correlation, Independent T-Test, and a Moderated Multiple Regression to explore the impact of the achievement gap on shame …

Implicit Theories As A Moderator Between Religious Commitment And Forgiveness Among Muslims Experiencing A Religious Identity Offense., John Michael Hart Ii

Electronic Theses and Dissertations

A recurrent finding in the literature on the relationship between religion and forgiveness is that religious people tend to describe themselves as forgiving while reporting less forgiveness in response to actual offenses (Davis, Worthington, Hook, & Hill, 2013; McCullough & Worthington, 1999). Scholars have suggested moderating factors may explain this discrepancy (Worthington et al., 2010), though the existing literature has been criticized as limited because much of the research is based on Christian samples (Carlisle & Tsang, 2013; Davis et al., 2013). Implicit theories, which have previously been found to be associated with forgiveness and theorized to be related to …

Examining The Influence Of Mental Health On Expressions Of Verbal Aggression And Assertiveness, Juliet Aura

Electronic Theses and Dissertations

ABSTRACT

Recent reports in the media suggest an increase in the number of aggression cases in schools and the community. One of the forms of aggression experienced over the lifespan is verbal aggression. Verbal aggression has been considered a negative trait because of the harmful effects it has on the recipient. On the contrary, assertive behavior is a socially desirable trait and is considered a positive communication trait. The purpose of the study was to establish the effectiveness of psychological services and self-care in reducing verbally aggressive behavior. The study also aimed to determine how psychological services can improve assertiveness. …

Religiosity, Outgroup Contact, Postconventional Religious Reasoning, And Their Associations With Christians' Prejudice Against Sexual And Gender Minorities., Lucas Huckaby

Electronic Theses and Dissertations

Over the last few decades there has been a resurgence of work investigating topics around religion and spirituality (R/S), with the majority of the literature demonstrating associations with positive outcome variables. However, R/S factors have also shown significant relationships with some negative outcomes, most notably prejudice towards sexual and gender minorities (SGM). Following the call of researchers, this study investigates the hypothesized positive relationship between postconventional religious reasoning (PRR), defined as an individual’s ability to engage in critical thinking around R/S ideas while also demonstrating increased perspective-taking, along with other known covariates of prejudice against SGM (religiosity, outgroup contact) to …

The Loss-Processing Framework, Lawrence Childress

Electronic Theses and Dissertations

The circumstances of responding to loss due to human death are among the most stressful experiences encountered in life. Although grief’s symptoms are typically considered essential to their gradual diminishment, possible negative impacts of complications related to grief are also well known, and have been associated with detriments to mental and physical health. Grief, however, can also generate transformative positive change. Thus, albeit ineludible, responding to loss is not uniformly experienced, expressed, or understood. It is also culturally-shaped, making attempts to define “normal” grief, as well as to label some grief “abnormal”—and to medicalize it—possibly problematic. Bereavement (the situation surrounding …

It’S Not All Aces: The Role Of Negative Parental Influences And Criminal Thinking In Juvenile Offending Behaviors, Branna Humphrey

Electronic Theses and Dissertations

The role of adverse childhood experiences (ACEs) and criminal thinking in causing criminal behavior has been explored extensively in criminal justice research. Based on the concepts of ACEs and the Psychological Inventory of Criminal Thinking Scale, the negative parental influences and criminal thinking styles of 1,354 juvenile offenders were examined to establish that negative parental influences and criminal thinking are separately associated with juvenile problem and offending behavior, and that criminal thinking mediates the relationship between negative parental influences and juvenile problem and offending behavior. Analyses showed support for criminal thinking as a pathway from negative parental influences to juvenile …

An Examination Of Racial And Ethnic Differences In Internalized Mental Health Stigma And Perceived Mental Health Barriers Due To Stigma Among Women Veterans, Christe’An D. Iglesias

Electronic Theses and Dissertations

The stigma associated with mental illness can serve as a barrier for receiving treatment. Veterans may avoid seeking care due to stigma-related negative beliefs about one’s self or others. Research suggests that the stigma of mental illness can adversely impact service utilization. Although studies have shown that racial and ethnic minoritized individuals are more likely to experience poor mental health outcomes, no studies have examined how mental illness stigma differs across racial groups among women veterans. The objective of this secondary analysis is to examine how internalized mental health stigma and perceived barriers to access to care related to mental …

“But I’M Not Racist”: How Implicit Racial Bias, Feedback And Racial Affective States Impact Clinical Judgment In Mental Health Treatment, Dhriti Tiwari

Electronic Theses and Dissertations

Implicit bias has gathered research interest in healthcare, yet remains less directly examined in the mental health field (Merino et al., 2018). Mental health providers can continue to be influenced by implicit bias despite higher ratings of cultural competence (Boysen, 2010). The purpose of this study was to supplement the limited research examining the impact of implicit bias on the clinical judgment process. The study aimed to examine whether: 1) implicit race bias scores were related to diagnostic impressions, 2) feedback about implicit bias was related to diagnostic impressions, and 3) racial affect mediated the relationship between receiving feedback and …

Trainee Attitudes Toward Social Class As Predictors Of Clinical Decision Making: Exploring The Effects Of Classism In Psychotherapy, Jeremy J. Coleman

Electronic Theses and Dissertations

The current study examined the effects of classist beliefs on trainee attitudes toward their client based on perceived social-class status. This study sought to determine whether classist attitudes contribute to meaningful differences in clinical decision making. A sample of mental health trainees (n = 147) attending graduate-level programs in the U.S. were recruited and randomly assigned to one of two clinical vignette conditions. Both vignette conditions included identical data regarding a hypothetical client’s presenting concerns (e.g., sleep disturbance, worry, rumination, loneliness), but differed on indicators of client socioeconomic status (SES). Results showed statistically significant between-group differences on ratings of clinical …

Psychological Factors That Impact White Counseling Trainees’ Responses To Cultural Ruptures, Emma Freetly Porter

Electronic Theses and Dissertations

In the field of counseling and clinical psychology, the last several decades have been characterized by a strengthened recognition of the importance of cultural factors in psychotherapy. While this has been impactful, there is evidence that cultural ruptures, microaggressions, and racial/ethnic disparities in psychotherapy outcomes persist. Aversive racism theory, which provides explanations for the racist tendencies typically associated with progressive White individuals, postulates that a conflict between explicit egalitarian beliefs and implicit negative racial biases impedes White individuals from adequately addressing and acknowledging underlying biases. Therefore, it was hypothesized that psychological factors, such as defense mechanisms, professional selfdoubt and self-compassion, …

The Experiences And Mental Health Impact Of Islamophobia On Muslim Americans Following The 2016 U.S. Presidential Election: A Hermeneutic Phenomenological Study, Hadeel Ali

Electronic Theses and Dissertations

The purpose of the current hermeneutic phenomenological qualitative study was to understand the phenomenon of Muslim Americans’ lived experiences of Islamophobia prior to and two years into Donald Trump’s presidential administration. 14 participants from multiple regions in the United States completed a semi-structured interview via telephone. The data analysis revealed seven major themes: 1) Muslim Americans experience different dimensions of Islamophobia, 2) Muslim Americans experience various forms of Islamophobia, 3) Variables that impact the prevalence of Islamophobia, 4) Islamophobia impacts various areas of Muslim Americans’ lives, 5) Muslim Americans may react differently to experiences of Islamophobia, 6) Islamophobia impacts the …

Moderate Effects Of Anxiety And Physical Activities On The Relationship Between Body Image And Covid-19 Fear, Yutong Guo

Electronic Theses and Dissertations

Improving psychological well-being has been a hot topic in counseling psychology research. However, since the COVID-19 pandemic, people’s lifestyle has been changed that caused series mental health problems. Using a sample of 576 participants from different universities. This study examined whether Covid-19 correlated with Body image a) whether anxiety moderated this relationship. b) whether physical activities moderated this relationship. c) how does different kind of body image avoidance being influenced. Pearson’s correlation test and linear regression analyses were conducted. The result indicated that COVID-19 fear has significantly positive relationship with body image. physical activities level has significantly increase the relationship …

Spiritual Care Of Gay Men In Committed Relationships: An Evidenced-Based Intercultural Approach, Marc J. Coulter

Electronic Theses and Dissertations

Sexual minorities have historically been targets of homophobia, heterosexism, discrimination, and persecution particularly within traditional, conservative religious organizations. As a result, many people who identify as male and gay reject traditional forms of religion and seek alternative spiritual beliefs and practices affirming their sexual orientation, often self-identifying as “spiritual but not religious” (SBNR). Some white, gay male couples in committed relationships also reject traditional views of sexual fidelity and negotiate open, consensual, non-monogamous sexual relationships with their primary partner. Gay couples seeking behavioral health assistance to navigate relational difficulties may encounter clinicians who fail to acknowledge the harmful influence of …

Testing A Sociocultural Model Of Body Image In Women Athletes With Disabilities, Brooke R. Lamphere

Electronic Theses and Dissertations

Evidence suggests that athletes and people with disabilities (PWD) experience multiple body images that change relative to their social context (e.g., Petrie & Greenleaf, 2012). The powerful influence of social factors on body image and disordered eating in women athletes is well-documented (e.g., Schaefer, et al., 2015; Fitzsimmons-Craft et al., 2014), as is the centrality of the body in the lived experience of athletes and PWD (Behel & Rybarczyk, 2012; Galli et al., 2016); yet, limited research has explored the effects of social factors on body image in athletes with disabilities (i.e., AWD; e.g., Galli et al., 2016; Sousa et …

The Relationship Between The Supervisory Alliance And Novice Supervisees’ Risk-Taking Behavior, Aleis Pugia

Electronic Theses and Dissertations

Supervisee risk-taking is the process by which supervisees take the new skills and interventions they learn in supervision and implement them in therapy with clients. Risk-taking overlaps with many of the skills supervision is intended to develop: clinical decision-making, supervisee self-efficacy, supervisee skill development, and clinical reflection (Bambling & King, 2014; Ellis et al., 2014; Rousmaniere et al., 2016; Wilson et al., 2016). Risk-taking has not been examined before the in the supervision literature, however, it is an important process to understand as it represents a process bridging supervision and clinical practice. The current study was an exploratory study intended …

Navigating Internalized Stigma And Identity Development In Bipolar Disorder I: A Grounded Theory Investigation., Kaylyn L. Watterson

Electronic Theses and Dissertations

Mental illness stigma occurs at multiple levels in Western societies. Internalized stigma, the application of negative stereotypes and prejudice about mental illness to self-concept, has deleterious effects on mental health for adults living with a serious mental illness. Historically, research on stigma in serious mental illness has centered on schizophrenia. Recently, researchers and clinicians have drawn attention to bipolar disorder I, an affective disorder that creates disruptions in functioning and increased risk for substance abuse and suicide. Despite the growing literature establishing the relationship between recovery in serious mental illness and identity, little is known about how adults in long-term …

Therapeutic Rupture Repair In Treatment Of Military Adolescents., Brent Anthony Luebcke

Electronic Theses and Dissertations

Ruptures in the therapeutic alliance have shown to be a significant predictor of therapy outcomes, with non-repaired ruptures resulting in increased dropout rates of therapy, and repaired ruptures resulting in positive therapy outcomes. This study investigated the impact of alliance ruptures on outcomes of therapy among youth and adolescents, with a specific focus on military youth and adolescents. A sample of 5,640 military adolescents who were treated by 101 therapists were selected for analysis based on inclusion criteria of: a) being aged 13 to 19 years old; and b) attending more than one session of therapy. Each session, clients completed …

The Nigerian-American Immigration Experience: Overcoming Adversity Through Resilence., K. Chinwe Idigo

Electronic Theses and Dissertations

Nigerian-Americans are a fast-growing population in the United States, when compared to other immigrant groups. Despite growing numbers there is limited empirical research examining pathways that facilitate success among this immigrant population. This study addresses the dearth in literature by proposing and testing a modified ABCX model of family resilience among Nigerian-Americans. It is hypothesized that similar to other immigrant, and racial/ethnic minority groups in the United States, NigerianAmericans employ protective factors such as ethnic identity and resilience to buffer the effects of acculturative stress and perceived discrimination on well-being and psychological distress. Regression analyses suggest some consistency with the …

Medical Noncompliance In A Pediatric Patient Living In A Single-Parent Household, Lucy Obianuju Norrell

Electronic Theses and Dissertations

Abstract Noncompliance is a patient’s inability to comply with the recommended treatment for their complete recovery from an ailment, while compliance is the extent to which a patient adheres to the provider’s directive, such as medication and orders given. The purpose of this study was to determine if motivational interviewing when applied to noncompliant pediatric patients from single-parent households, would improve global medical compliance in this population as compared to the standard of care at the end of three months. Thirty-two participants were recruited using the homogeneous purposeful sampling. The project employed a mixed-method approach. Fred Kleinsinger’s noncompliant behavior tool …

The Academic Success And Beyond-Academic Wellbeing Of High Functioning Autistic Boys: A Policy-Professional Care-School-Parent Ecological Perspective, Evelyn Sauceda

Electronic Theses and Dissertations

High Functioning Autistic (HFA) boys have significant social, emotional, and cognitive difficulties and unique cognitive abilities that require special support from stakeholders in their ecology (policy makers, care providers, schools, and parents). The quality of such support and its ecological integration are of poor quality. The purpose of this study was to report on the perceptions of parents of HFA boys about their children’s academic and beyond-academic experiences as understood within a policy-care provider-school-parent ecological framework. This study contributes to the limited ecological literature on the topic. This exploratory, qualitative, phenomenological, non-experimental, and cross-sectional research study used a non-probability, purposive, …

A Phenomenological Study Of The Experiences Of Military Families, Who Have Children With Disabilities And Maladaptive Behavior, With School-Based Mental Health Personnel, Londi J. Segler

Electronic Theses and Dissertations

This qualitative study used a phenomenological approach to capture the lived experiences of military families who have children with disabilities and maladaptive behavior to note risk and protective factors that might impede the mental health development of that population of student. Through interviews with at-home-caregivers, I explored their experiences with public school staff, outside mental health services, and school psychologists. Study findings revealed that participants felt they were going to battle with school staff who were not willing to incorporate culturally responsive practices when working with their children. School staff who implemented regular bi-directional communication were more likely to gain …

What Happens Next? A Grounded Theory Exploration Of The Psychological Impact Of Leaving The Gang, Alana C. Liskov

Electronic Theses and Dissertations

Very little research exists regarding the psychological impacts of gang membership and the mental health needs of gang members. Of the few studies that have been conducted, gang members were found to have increased rates of post-traumatic stress disorder (1.77 odds), current substance abuse (2.58 odds), oppositional defiant disorder, (1.24 odds) and conduct disorder (4.05 odds) (Harris, Elkins, Butler, Shelton, Robles, Kwok, Simpson, Young, Mayhew, Brown, & Sargent, 2013). Violent ruminative thinking, violent victimization and fear of further victimization were also significantly higher in gang members and believed to account for high levels of psychosis and anxiety disorder in gang …

What Remains? An Interpretative Phenomenological Analysis Of Therapists’ Psychological Boundaries In Crisis Work, Dana Santiago

Electronic Theses and Dissertations

Little attention has been given to clinicians who work primarily with clients in crisis. The current study explored therapists’ psychological boundaries in crisis work. Qualitative data was collected from two semi-structured interviews with current mental health crisis professionals (n = 5). An Interpretative Phenomenological Analysis was used to gain access into participants’ perceptions and understandings of their experiences. Findings revealed 4 superordinate themes: Professional Self, Impacted Self, Relational Self and Evolving Self along with 11 subthemes that related to psychological boundaries. Results suggest psychological boundaries are fluid and closely tied with self-awareness and support from other professionals.

Perceived Quality Of Clinical Supervision And Level Of Vicarious Trauma In Therapists-In-Training, Jessica L. Mantia

Electronic Theses and Dissertations

This study examined the relationship between perceived quality of clinical supervision and levels of vicarious trauma (VT) and secondary traumatic stress (STS) in a sample of novice therapists who reported working with survivors of sexual trauma. The researcher included therapist’s personal sexual trauma history and history of therapy for sexual trauma as covariate variables. Results did not support the predictive value of clinical supervision in determining level of VT or STS in this population. There were no meaningful differences among groups based on personal history of sexual trauma or participation in therapy. A high percentage of participants in this sample …

A Meta-Analytic Review Of The Relationship Between Interpersonal Trauma And Committed Romantic Relationships, Geneva Polser

Electronic Theses and Dissertations

The effects of trauma can be wide reaching and long lasting. In effort to create more comprehensive theories for the effects of trauma, there is a focus on the association between trauma and intimate relationships. For example, posttraumatic stress disorder (PTSD; APA 2013) is associated with deficiencies in romantic relationship satisfaction through an increase in maladaptive communication patterns, relationship instability and intimate partner violence. Furthermore, relationship satisfaction can predict decreases in an individual reliving the trauma, emotional numbness and irritability.

The focus in this study is on interpersonal trauma. This encompasses trauma enacted from one (or more) individual(s) onto another …

A Phenomenological Exploration Of Korean Adoptees’ Multiple Minority Identities, Jared Utley

Electronic Theses and Dissertations

Since the end of the Korean War, Korean children have been placed for international adoption due to their marginalized status in South Korea. In the United States, Korean children have predominantly been adopted to White families through transracial adoption (Bergquist, 2003; Lee, 2003). Transracial adoption describes the process of children being placed in a home where there are racial differences with one or both adoptive parents. Through international transracial adoption, Korean adoptees may undergo events that impact the salience and development of multiple minority identities, including: racial, ethnic, cultural, and as an adoptee. These experiences may be shaped by interactions …

Black Minds Matter: A Phenomenological Inquiry Examining The Prevalence Of Racial Trauma Among Black Doctoral Students, Jazmyne Markeeva Peters

Electronic Theses and Dissertations

Systemic and institutionalized racism is endemic to life in the United States and contributes to the daily marginalization of Black people. While the negative psychological and physiological effects of racism have been well-documented, the notion that racism can be experienced as a trauma is a newer theory. Racial trauma has been understudied and underappreciated, though it is a theory that clinicians should incorporate when working with Black clients and other clients of color. Exploring the ways in which Black doctoral students attending a predominantly White institution (PWI) have experienced racism is an essential contribution to the existing racial trauma literature. …