Exploring Primary Care Providers’ Compassionate Care And Their Evidence-Based Practice With Death, Grief, And Loss: Patient Experience And Perspective, Kathryn Krzykala

Dissertations

Research on primary care providers’ (PCPs) education regarding Death, Grief, and Loss (DGL) remains limited. Specifically, data is lacking regarding patients' perceptions and opinions on what they need and expect from their PCPs regarding grief and loss. This exploratory mixed-method study comprised 146 participants who had experienced death and non-death loss. It examined participants' perceptions of 1) PCP compassion, 2) PCP utilization of evidence-based grief and loss practices, 3) their own level of comfort discussing DGL with their PCPs during medical visits, and 4) their personal grief and loss experiences. The findings revealed that PCPs' grief-informed evidence-based treatment, as reflected …

Evaluation Of Neuroplastic Changes In Psychological Intervention And Contemporary Treatments Of Depression, Taylor Severance

Dissertations

Major depressive disorder is one of the most prevalent mental health disorders worldwide. There is a vast range of treatment options for depression, with varying levels of effectiveness. Recent treatments for depression have expanded, increasing alternative treatments, and it is unknown which treatments have the largest impact on depression. This research was designed to examine the treatments of depression, with a focus on psychotherapy and contemporary treatments such as ketamine, psilocybin, and transcranial magnetic stimulation. A literature review was conducted to assess treatment outcomes and neuroplastic changes in these interventions, as well as combinations of the interventions. Data were evaluated …

Seen And Heard: A Visual Testimony Of Purity Culture Using Qualitative Photovoice Methodology, Amanda Brown

Dissertations

Purity culture, rooted in Christian teachings, has profoundly shaped individuals’ identities, relationships, and perceptions of sexuality, gender, and faith. While popular culture is talking about the effects of purity culture, scholarly literature is lacking. This study employed photovoice methodology to center the voices of those who grew up in purity culture, using photography and personal narratives to explore its long-term effects. The study focused on how individuals who have experienced purity culture articulate and visualize their stories, revealing nuanced insights across seven thematic domains: gender expectations, romantic relationships, faith, mental health, identity formation, sex and sexuality, and healing and …

Useful Measures Of Adult Attachment And Object Relations In Psychotherapy, Matilde A. Torallas Huerta

Dissertations

This is a literature review of objective and projective measures of attachment and object relations in adults, with the objective of reviewing outstanding research to identify the key factors for adult attachment assessment considered within attachment and object relations theories, what measures of adult attachment styles and dysfunction work best, and to provide key themes of assistance in the measurement of attachment and object relations in adult clients in psychotherapy. Theoretical foundations of attachment and object relations theory are reviewed as well as objective and projective instruments grouped by format. The 10 themes found to be useful in the assessment …

Reclaiming Healing Spaces: A Phenomenological Study On The Transformative Power Of Outdoor Therapy From The Lived Experiences Of Black Clinicians Working With Black Clients, Lynn Murphy

Dissertations

This phenomenological study involved assessing the experiences of Black therapists who engaged Black clients in outdoor therapeutic contexts. The study was founded on the existing literature that shows the quality of the therapeutic relationship is pivotal for client retention and the Western standards that have historically favored treatment within indoor environments. To contextualize this research, a comprehensive literature review was commenced, covering topics such as the decolonization of therapy, the historical and present-day relationship between Blacks and the outdoors in the United States, sedentary lifestyles, the psychological benefits of time spent in nature, various types of outdoor therapy, and the …

Inpatient Staff Perspective On Verbal De-Escalation Within A High Acuity Population, Giovanna Dezutti

Dissertations

This study explored inpatient staff’s perspective of verbal de-escalation within a high acuity population as well as the factors that make either a positive or negative impact on the effectiveness of verbal de-escalation as used in high acuity impatient settings. This phenomenological study used semi-structured interviews of 5 participants working in this setting. Participants were recruited through snowball sampling, and interviews were conducted via zoom. This study found that participants unanimously agreed that the training they received regarding verbal de-escalation was not sufficient and that employment of certain personality traits and behaviors were more effective than using only the methods …

A Convergent Parallel Mixed Methods Examination Of The Impact Of Graduate Student Loan Balances On Overall Quality Of Life Among Clinical Psychologists With Psyd Degrees, Lekai James

Dissertations

Graduate student loan debt in psychology, particularly for those with Doctorate in Psychology (PsyD) degrees in clinical psychology, is highly problematic. Previous research has shown that student loan debt negatively impacts quality of life (QOL) by affecting subjective well-being (SWB) and life satisfaction (LS). This study used a convergent parallel mixed method approach, guided by bottom-up spillover theory and Maslow’s hierarchy of needs, to explore the relationship between QOL and total graduate student loan balances, as well as the effects of income and monthly student loan payments on QOL among PsyD graduates. Participants (N = 16) completed a survey with …

Positive Psychology In The Ncaa: Amplifying The Power And Uplifting The Voices Of Student Athletes In Multiple Mental Health Studies, Ashley C. Green

Dissertations

Mental health resources and programming in the National Collegiate Athletics Association (NCAA) continues to expand in research and implementation in collegiate athletic departments of all institutions. This study sought to respond to and expand on dissertation research conducted by Dr. Heather Ryan (2021), an administrator in the athletic department at Duke University, and Dr. Chelsi Day (2011) previously the sport psychologist from Ohio State University athletics, and currently for the National Basketball Association (NBA) team, the Memphis Grizzlies. Both are identified as experts regarding student-athlete research regarding mental health needs and accessibility within the NCAA. Topics of research evaluated for …

The Impact Workplace Microaggressions Have On Those Who Identify As Lesbian, Gay And Bisexual., Andres Medina

Dissertations

Progress has occurred in recent years for lesbian, gay, bisexual, transgender equal rights. However, there are still areas where discrimination is evident such as the workplace. Some lesbian, gay, bisexual, transgender employees may not share their identity at work due to discrimination concerns. Such forms of discrimination may be passive acts such as microaggressions. These microaggressions can make work-life stressful; furthermore, the stress experienced at work may impact other areas such as home life. This study explored two areas. The first area investigated was whether identity disclosure at work affected workplace microaggressions. The sample size was 88 working adults who …

Secondary Traumatic Stress In Intimate Partners And Children Of Service Members, Amber Foreman

Dissertations

This literature review addresses secondary traumatic stress (STS) in intimate partners and children of service members. More specifically, this literature review aims to explore if intimate partners and children of military service members are at risk for developing secondary traumatic stress. Secondly, this review aims to explore if there are specific risk factors associated with the development of secondary traumatic stress in intimate partners and children of service members. Finally, this review examines if there are other stressors and outcomes for intimate partners and children of service members. A systematic review of peer-reviewed research was explored to accomplish addressing the …

Creating Appropriate Clinical Guidelines For The Bilingual Population With Acquired Brain Injuries, Sophia L. Pena

Dissertations

While there is a growing bilingual demographic in the United States, relatively little is known about treating this population should they experience a brain injury. This is a growing area of interest, as research has demonstrated that the acquisition of a second language promotes neuroplastic changes that then impact brain functioning pre- and post-brain-injury. Given bilingualism’s cognitive complexity, clinicians are left with challenges on how best to tailor treatment for brain-injured bilingual populations. Therefore, the focus of this review was to provide clinical recommendations to clinicians performing assessments with bilingual individuals with acquired brain injuries. The goal was for the …

Cuban Immigrants’ Experience With Acculturation And How They Cope In The United States, Lourdes Araujo

Dissertations

Objective: This research examines how Cuban immigrants experience cope and adapt to the United States. Cuban immigration is associated with specific stressors related to the immigration experience and the necessary process of acculturation and assimilation. These major stressors can result in mental health concerns among Cuban immigrants; however, no studies have examined how acculturation may influence Cuban immigrants’ coping skills and resultant mental health concerns. This unique study is the first to examine the coping skills Cuban immigrants use during acculturation and the effects of these skills on Cuban immigrants’ mental health. Methods: Seventeen participants completed a semistructured interview and …

Exploration Of The Link Between Migration And Acculturation Related-Stress, Attachment Style, And Psychological Distress In Arab Immigrants, Refugees, And Asylees, Hayat Nadar Psy.D.

Dissertations

Abstract

The migration process is fraught with experiences of ethnic discrimination and has been linked to heightened levels of psychological and acculturative stress. Interestingly, earlier research revealed a higher prevalence of insecure attachment in migrant compared to non-migrant populations. Attachment style may be influenced by sociocultural and sociopolitical forces and the associated prejudice and discrimination experienced by a particular migrant population. The current study was conducted to explore whether higher levels of sociocultural adversity were associated with increased psychological distress and attachment insecurity and to test attachment as a mediator between sociocultural adversity and psychological distress. Using a cross-sectional design, …

You Are Resilient: Trauma-Informed, Strengths-Based Treatment For Low-Ses, Urban Youth, Courtney Molina

Dissertations

The focus in this review was to explore the benefits and optimal use of trauma-informed, strengths-based care for the therapeutic treatment of low-socioeconomic status (SES), urban youth. Specific focus was given to evidence-based research on the treatment of emotional and behavioral dysregulation among low-SES, urban youth. The review was guided by the following research questions: How can emotional and behavioral dysregulation be symptoms of trauma among low-SES, urban youth; What makes trauma-informed and strengths-based care optimal for the treatment of low-SES, urban youth with dysregulation; and What are clear guidelines for providing trauma-informed, strengths-based care to low-SES, urban youth with …

Student Perceptions Of School And Teachers In The Classroom, Sonji Jones-Manson

Dissertations

Much of the existing education research on student outcomes has focused on gaining a better understanding of student cognition and behavior, considering affect primarily as the role of a mediator or moderator to cognitive or behavioral outcomes. Student satisfaction with school is an affective outcome that is shaped by their relationships with their teachers. Though research on affect as an outcome has increased, it has not been well-understood and often ignored in models of understanding student outcomes. This qualitative study adds to the body of research on student affect as an outcome by collecting data from current high school students …

Cultural Homelessness, Self-Esteem, And Skin Color Satisfaction Among Latinxs, Josephine M. Almanzar

Dissertations

This study explored feelings of cultural homelessness, self-esteem, and skin color satisfaction among Latinxs. A close interest was placed in examining responses of participants who identified as racially Black or Afro-Latinx. Through an electronic survey, the study aimed to answer the four research questions: (1) Is there a correlation between cultural homelessness, self-esteem, and skin color satisfaction; (2) Do participants of different self-perceived skin colors differ in self-esteem, cultural homelessness, and skin color satisfaction; (3) Does age moderate the relationship between self-perceived skin color and self-esteem; and (4) Does age moderate the relationship between self-perceived skin color and cultural homelessness. …

The Relationship Between Neuropsychological Functioning, Biomarker Av-1451, And Subjective Memory Impairment In A Cognitively Normal Sample, Amberrose Reale-Caldwell

Dissertations

Mild cognitive impairment (MCI) is often a prodromal stage for Alzheimer’s disease (AD) development, with those diagnosed with MCI at increased risk for developing AD. The present study aimed to provide data to support a prodromal stage of MCI via analysis utilizing the neuropsychological domain of memory, subjective memory impairment (SMI), and the PET tau biomarker, AV-1451. It was hypothesized that individuals with SMI would differ significantly from participants without SMI (nSMI) on measures of memory and level of tau binding in the entorhinal cortices and the hippocampi. It was further hypothesized that differences in memory would be mediated by …

Self-Care Domains, Benefits Of Self-Care In Graduate-Level Training Programs, And Ways To Incorporate Self-Care Education And Practices In Graduate-Level Training Programs, Krystel Segovia

Dissertations

A literature review was conducted to examine the concept of self-care as a proactive means to manage the stressors of life, enhance professional competency, and live a well-balanced lifestyle, particularly for graduate-level psychology students. Different levels of distress, including stress, compassion fatigue, and burnout, were researched and discussed. The various domains of self-care were discussed as were the benefits of engaging in regular self-care practices. Finally, various ways to incorporate self-care into already established graduate-level training programs at universities and practicum training sites were discussed to enhance the training experience as well as mitigate burnout in the novel clinician.

Effect Of Attentional Focus On Learning And Performance In Youth Sports, Justin Wright

Dissertations

Youth athletes are different from adult and elite athletes in several domains that include cognitive resources, working memory, automaticity of motor movements, conscious control for propensity, attentional focus, and acquisition of motor-skills. Due to significant differences between athletes, not all instructions and feedback provided by coaches are best suited for every player. Instructions and feedback may direct an athlete’s attentional focus and cognitive resources incorrectly leading to poor acquisition and performance of motor-skills. Clinical psychologists with knowledge of motor-skill acquisition, cognitive resources, learning theory, conscious control propensity, automaticity of motor movements, constrained action hypothesis, and attentional focus can follow the …

A Mother's Spiritual Journey With Her Disabled Son: An Autoethnography, Margaret C. Higgins Edd

Dissertations

Abstract

This autoethnographic research delves into a mother’s experiences with her disabled son over thirty-five years. Beginning with a thick description of the crib accident that resulted in physical and cognitive disabilities that profoundly change the course of both mother and son’s life, this research chronicles the search for meaning, community, and healing as they negotiate the realms of medicine, education, career, family, and spirituality. Models of disability that seek to explain various ways in which society often views disability are examined, but none resonate with the researcher’s intimate experiences nor satisfies her deepest needs for insight and healing. Making …