Counseling Psychology Commons^™

Examining Substance-Use Treatment Utilization Among Incarcerated Women In Central Appalachian Jails, Rae Lyn Glover

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

Women in Central Appalachia represent a significant proportion of those engaging in problematic patterns of opioid use, which is concerning given the limited available services in the region and gender specific treatment barriers. This investigation seeks to understand the role of mental health and substance use symptoms among incarcerated Central Appalachian women and build on the conceptual model of substance use treatment utilization purposed by Leukefeld and colleagues (1998). Data for this study was drawn from a larger longitudinal investigation (NIDA 1R01-DA033866) and baseline data collected during initial interviews was analyzed. The sample included 400 women incarcerated at one of …

The Relationship Among Acculturation Orientation, Perceived Discrimination, Psychological Functioning And Gender Among South Asian And South East Asian International Students In The United States Of America, Dia Mason

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

The acculturation process for international students is influenced by several factors such as experiences of discrimination, economic condition, language fluency, and social support. Discrimination, which refers to negative or prejudicial behavior towards an individual or a group of individuals, takes place towards international students due to their poor grasp of the English Language (Lee & Rice, 2007), cultural differences (Cole & Ahmadi, 2003), and racial differences (Hanassab, 2006). Perceived discrimination (among other factors) has been identified as a potential moderator of the relationship between acculturation preferences and psychological functioning in acculturation theory (Berry, 2003). Apart from perceived discrimination, gender has …

Pill Poppin’ Nation: Substance Use, Mental Health, And Treatment Among Criminal Justice-Involved African Americans, Joi-Sheree' P. Knighton

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

The purpose of this dissertation was to examine substance use-related outcomes among criminal justice-involved African Americans using a multiple manuscript format. The Centers for Disease Control and Prevention has deemed nonmedical prescription opioid use an epidemic. National estimates indicate approximately 3.9% of African Americans engage in nonmedical prescription opioid use. Research suggests African Americans involved in the criminal justice system may be significantly at risk of substance use more generally; yet, there are no known estimates of nonmedical opioid use among this subgroup. Rising rates of nonmedical opioid use also has implications for discussing barriers to treatment among socioeconomically marginalized …

Healing From Racism With Compassion Meditation: Effects Of Coping On Mental Health, Courtney Chan

CMC Senior Theses

This study examines whether Compassion Meditation (CM) can help ethnic minority college students heal from race-related stress. The present study hypothesized that through participation in a CM intervention, the augmentation of adaptive coping strategies (i.e., self-compassion) and the reduction of maladaptive coping strategies (i.e., internalization, defined as self-blame, and detachment, defined as social isolation) would reduce depression and PTSD. Participants (N = 9) participated in an 8-session weekly CM intervention and completed three questionnaires at the beginning, middle, and end of the intervention. Results demonstrated that increasing self-compassion predicted decreases in depression, and that reducing coping via detachment predicted …

Just World Beliefs, Identity Development, And Social Justice Advocacy Of Counselor Trainees, Sara Rundlett

All Master's Theses

This was the first study exploring the relationship between the belief in a just world, identity development, and social justice advocacy (SJA). A mixed methods design was conducted using a nationwide sample of ninety-seven counselor-in-training participants. Hypotheses included positive correlation between identity development and SJA, negative correlation between belief in a just world and SJA, and negative correlation between belief in a just world and identity development. Results were not significant but provided implications for future research and counselor training programs.

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 …

Women’S Choice In College Stem Majors: Impact Of Ability Tilt On Women Students’ Educational Choice, Audie Jane Willis

All Graduate Theses, Dissertations, and Other Capstone Projects

This quantitative study explored the impact of ability and ability tilt on the choice of an academic program in STEM majors for female college students who have not been identified as profoundly or highly gifted. A math tilt would be an ability tilt slanting toward math. The career development theory that provided a framework for this study was the Theory of Work Adjustment. Three bodies of literature were reviewed, (a) Self-efficacy as a variable in college major or career choice, (b) life-style preference, and (c) ability tilt and ability. A Chi Square Test of Independence determined that significantly more women …

Understanding The Mental Health Needs Of Immigrant Women With A History Of Trauma, Shalunda D. Allen Sherrod

Walden Dissertations and Doctoral Studies

A significant percentage of undocumented immigrants who come to the United States include women suffering from trauma and abuse. In Southwest Texas, many immigrant women begin their stay in the United States, as residents of an immigration Residential Detainment Center (RDC). Social workers in RDCs are challenged to understand their roles and responsibilities in treating the mental health need of these women. The purpose of this study was to explore the perceptions of social workers, in RDCs, regarding their roles and responsibilities in meeting the mental health needs of immigrant women with a history of personal trauma. Using action research …

Psychotherapists' Experiences Utilizing The New Posttraumatic Stress Disorder Diagnostic Criteria In Dsm-5, Linda Jacobus

Walden Dissertations and Doctoral Studies

The fifth and most recent edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), has presented revised diagnostic criteria for posttraumatic stress disorder (PTSD). The impact of the new diagnostic criteria upon the day-to-day experiences of mental health professionals, including diagnosis, treatment, and insurance billing has remained unclear. Using the adaptive information processing model as a theoretical framework, this multiple case study explored how licensed clinicians experienced utilization of the revised diagnostic criteria for PTSD. Fifteen mental health practitioners who had experience in the treatment of clients presenting PTSD symptoms were interviewed. Data from participant interviews were analyzed …

Intersections Of Culture And Trauma: Understanding Identities And Experiences Of Salvadoran Refugee College Students, Janette Linares, Cara Maffini

Faculty Publications

No abstract provided.

Culture And Parenting Among Teen Fathers, Cecilia Macedo, Cara Maffini

Faculty Publications

No abstract provided.

‘I Feel Like I Don't Belong’: Examining The Social And Cultural Experiences Of Bicultural And Biracial College Students, Michael West, Cara Maffini

Faculty Publications

No abstract provided.

The Internalization Of The Model Minority Stereotype, Acculturative Stress, And Ethnic Identity On Academic Stress, Academic Performance, And Mental Health Among Asian American College Students, Hanna Yun-Han Chang

Dissertations

Previous studies in Asian American psychology literature on cultural factors of acculturation and ethnic identity have yielded mixed findings in its relation to psychological outcomes. Furthermore, there is a gap in the knowledge base regarding the internalization of the model minority stereotype and its impact on Asian Americans. Due to Asian Americans' tendency to value academic excellence as a result of socialization by cultural values and family upbringings, this study examined the effects acculturative stress, ethnic identity, and the internalization of model minority on academic stress, academic performance, and mental health.

Results of this study indicated that acculturative stress significantly …

Pathways Linking Clinician Demographics To Mental Health Diagnostic Accuracy: An International Perspective, Julia Brechbiel

Theses and Dissertations

Significant research efforts have focused on examining the effect of patient factors on providing diagnoses across clinical settings; however, the influence of clinician demographics have received less attention. This study aimed to understand the impact of nonclinical factors such as clinician characteristics and response time on diagnostic accuracy. The study used data from a WHO field study of the ICD-11 development (n = 1822) that required clinicians to diagnose two case vignettes. Clinicians’ slower response times had a significant positive impact on their rates of diagnostic accuracy. However, there was no evidence that clinicians’ demographic features were directly related to …

Modeling Psychologists’ Openness To Performing Clinical Work With Telepsychology, Bradford S. Pierce

Theses and Dissertations

This cross-sectional study examined whether the Theory of Reasoned Action (TRA) and Technology Acceptance Model (TAM) apply to psychologists’ openness to using telepsychology, and to identify significant personal or environmental predictors of telepsychology adoption. A total of 1,791 licensed psychologists currently practicing psychotherapy in the United States were recruited to complete a previously developed 21-item pool. Personal and environmental characteristics were also collected. Path models representing the TRA, TAM, and a hybrid of both were tested. Also, a logistic regression was used to identify personal and environmental predictors of current use of telepsychology. Results indicated the TRA and TAM were …

Three Measures Of Coping In Video Games (Civ-Iii): The Development, Construct Validation, And Profile Analysis Of The Civ-Iii, Chelsea M. Hughes

Theses and Dissertations

Video games provide a competitive, goal-oriented environment. They involve individuals who often seek intentionally to frustrate their opponents’ goals. The gaming community is made up of players who vary in their interpersonal style, learning histories, and skill levels. In this rich and dynamic environment, stress is a common experience. Given the prevalence of gameplay in the population and the frequency of gameplay among gamers, it is important to examine coping responses to stressors, particularly maladaptive ones. The present research entails three studies. In Study 1, I use exploratory factor analyses to develop three scales purported to measure maladaptive coping strategies …

"You're Doing Fine, Right?": Adolescent Siblings Of Substance Abusers, Cynthia E. Clarfield

Antioch University Dissertations & Theses

There has been a rising interest in addiction medicine and addiction treatment in both the medical and behavioral health science fields. Research suggests having a family member with a substance abuse problem has negative impacts on both physical and mental health (Orford, Copello, Velleman, & Templeton, 2010a). Despite advances toward understanding the experiences of family members affected by a loved one's addiction, the siblings of substance abusers have been largely excluded from scientific research and literature. As a result, little is known about how siblings experience the impacts of a brother or sister's addiction; even less is known about the …

Adolescent Perceptions Of Dating Violence: A Qualitative Study, Sarah Taylor, Carrie A. Calkins, Yan Ruth Xia, Rochelle L. Dalla

Department of Child, Youth, and Family Studies: Faculty Publications

Scholars have identified dating violence as a public health issue among adolescents. Yet, minimal research has detailed adolescents’ perceptions of dating violence, specifically gender differences in perceptions. Research suggests that in order for dating violence prevention and intervention to be effective, services need to be delivered in a manner that is understood by adolescents. Therefore, this study used a qualitative phenomenology study to investigate adolescents’ perceptions of dating violence, including gender differences in adolescents’ perceptions. Thirty adolescents between the ages of 14 and 19 from a Midwest public high school participated in focus groups. Focus group participants were asked semistructured …

The Effect Of Loving-Kindness Meditation On Physiological And Psychological Reactions To Violent Stimuli, Joseph A. Garcia

College of Graduate Studies: Theses & Dissertations

In the past, meditation research has focused primarily on mindfulness meditation, but little research has examined Loving-Kindness Meditation (LKM). LKM may be an important addition to treatment or preventative programs for people at risk of exposure to violence or aggression in their lives or work. The current research aims to add to the currently growing body of literature concerning LKM and compassion based meditation practices. The researchers sought to determine if a 12-week course in LKM would have any effect on galvanic skin response (GSR) and heart rate in beats per minute (BPM) during the presentation of a video containing …

Romantic Interest Selection From An Imago Relationship Therapy Perspective, Lauren O. Patterson

College of Graduate Studies: Theses & Dissertations

Imago Relationship Therapy (IRT) is a model of couples therapy that is not empirically validated (Jakubowski et al., 2004). IRT proposes that individuals select Romantic Interests (Interests) that are similar to their Childhood Caregivers (Caregivers) in an effort to heal childhood wounding (Hendrix, 1988). The current study sought to evaluate the IRT proposition of romantic interest selection by evaluating patterns in romantic interest selection, particularly the relationship between Caregiver and Interest personality characteristics, adult attachment dimensions, gender, and geographical location of origin. In addition, the study considers similarities in participant narratives of positive and negative experiences with Caregivers and Interests. …

Young Adults In Transition: Factors That Support And Hinder Growth And Change, Mona Treadway

Antioch University Dissertations & Theses

Young adults between 18 and 24 years of age with mental illness are significantly less likely to receive mental health services than adults in older age groups.Nationally, higher rates of depression, substance abuse, and psychiatric issues are reported in this age group.A therapeutic model referred to as young adult transition programs has emerged to better address the unique developmental challenges found in this age group.This study examined 317 critical incidents that supported or hindered young adults in a therapeutic transition program.The research design used a combination of an instrumental case study and critical incident technique (CIT).Using interviews and the Outcome …

Journey To Success: Lessons From Successful Same-Sex Couples, Jeni L. Wahlig

Antioch University Dissertations & Theses

Therapists are often called upon to support same-sex couples along their journey to success. Yet, only limited information is available for understanding what success means for same-sex couples, what the journey to success might look like, and how we might support them in navigating that journey. In this dissertation, I seek to begin to fill this gap in knowledge by conducting an extensive literature review of factors that affect same-sex couple relationship success and a qualitative research study. In the study, I use narrative inquiry to explore the challenges and life-events important to couples’ journeys toward success; the resources and …

Early Psychosis And Trauma-Related Disorders: Clinical Practice Guidelines And Future Directions, Casey A. Cragin

Antioch University Dissertations & Theses

Despite very high rates of trauma-related disorders among individuals with early psychosis, no clinical practice guidelines for the treatment of comorbid early psychosis and trauma-related disorders exist to date. Indeed, the routine exclusion of individuals with past and current psychosis from participation in trauma research and practice has limited the accumulation of research evidence that could inform such clinical practice guidelines. While preliminary research evidence suggests that traditional, empirically supported treatments for trauma-related disorders can be safely and effectively employed to reduce symptoms of posttraumatic stress and chronic psychosis, it remains unclear whether such treatments are appropriate for individuals in …

Graduate Students And Geropsychology: Growing Need And Lacking Interest, Samantha Marie Hague

Antioch University Dissertations & Theses

As the population of older adults continues to grow with time, the need for geropsychology clinicians also grows. Many barriers exist that contribute to why elderly individuals are not receiving adequate psychological treatment. This study explores why graduate psychology students are often disinterested in working with older adults and whether it is possible that student interest could increase with more geropsychology graduate coursework and practicum training opportunities. This study also explores the possible connection between quality of elderly relationships and interest in working with the elderly. The results of this study support that Clinical and Counseling Psychology graduate programs lack …

Correctional Mental Health Providers’ Experiences Of Forced Termination On The Working Alliance, Karin Gepp

Antioch University Dissertations & Theses

This is a study of the experiences of forced terminations in correctional facilities, particularly their impact on the working alliance between mental health service providers and incarcerated patients. The study includes an introduction to the research problem and its context, followed by a discussion of the literature on the working alliance in psychotherapy, conditions of forced terminations in the treatment of the incarcerated, the problem of forced termination and the working alliance in the correctional settings, and the study’s research methodology. The research methodology is qualitative and includes semi-structured interviews of providers in correctional settings and an analysis of these …

The Process Of Resolving Spiritual Struggle Following Adulthood Trauma, Aimee L. Keith

Antioch University Dissertations & Theses

Spiritual struggle has been described as a disruption in religious practice and spirituality resulting in questioning beliefs, experiencing discord within religious communities, decreasing spiritual practices, and experiencing painful cognitions such as the belief that one is being punished by God. This study used constructivist grounded theory to explore how women identifying as Protestant Christians at the time of the traumatic event resolve their spiritual struggles. Eleven conceptual categories, which are presented in a stage model, emerged from the data. The stages were Experiencing an Event Discordant with Beliefs, Emotional Reaction (following the traumatic event), Questioning (of beliefs, suffering and identity), …

From Dawn To Dan: The Journey Of Karate Masters., Brandon W. Maynard

Antioch University Dissertations & Theses

The contributions martial arts training can make to mental health treatment have scarcely been explored by researchers in psychology. Practitioners of martial arts, such as karate, report that the training improves self-esteem, concentration, and emotional well-being. Several studies have provided empirical evidence in support of these anecdotal reports, but very few have utilized participants who have advanced training in martial arts to examine the emotional impact such training has across time. This study takes a phenomenological approach to studying the emotional effects training has had on master-level martial artists (fourth-degree black belt or higher) in the discipline of karate. Eight …

The Application Of Western Models Of Psychotherapy By Indian Psychotherapists In India: A Grounded Theory, Gurjeet Sidhu

Antioch University Dissertations & Theses

The following study explored the experience of Indian psychotherapists applying Western psychotherapy to Indians. Charmaz’ (2006) Grounded theory methodology was utilized. Seven Indian psychotherapists were interviewed. Interview data yielded the theory of Modification as Resistance. Modification as Resistance captured Indian psychotherapists' attempts to modify Western psychotherapy to resist the erosion of local ways of healing due to the dominance of Western science. Results add to existing critiques of Western psychotherapy applied to Eastern populations. Recommendations based on results are offered to facilitate evidence-based practice (American Psychological Association [APA], 2006) with diverse populations. This dissertation is available in open access at …

The Experience Of Foster Parents: What Keeps Foster Parents Motivated To Foster Long Term?, Rodrigo Diaz

Antioch University Dissertations & Theses

The number of children entering foster care has increased significantly in recent years, leading some to categorize the foster system as being in a state of crisis. More foster parents are needed, as are better retention methods. It is pertinent to understand the experiences that foster parents have that affect their decision to continue or cease fostering. The purpose of this phenomenological qualitative study was to understand the needs of foster parents based on their experiences and perceptions. The overarching research question sought to determine the lived experiences of foster parents who were navigating through, or taking part in, the …

Reducing Adolescent Anger And Aggression With Biofeedback: A Mixed-Methods Multiple Case Study, Jedidiah S. Savard

Antioch University Dissertations & Theses

Adolescent anger, aggression, and violent outbursts are social problems significantly affecting each of us. Individual therapeutic management of pathological anger is treated in various ways depending on practitioners’ theoretical orientations and competency levels. Popular psychological individual and group therapies addressing anger and aggression in adolescents focus primarily on cognitive-behavioral techniques that manage anger’s symptoms. Evidence-based cognitive-behavioral therapies often require clients to self-identify emerging antecedents of anger without assistance; such therapies employ predetermined strategies to assist the client to emotionally de-escalate prior to an angry or aggressive episode. However, cognitive responses to an emotional upheaval stemming from an emergence of anger …