Social Work Commons^™

Social Identities Of Clients And Therapists During The Mental Health Intake Predict Diagnostic Accuracy, Ora Nakash, Tamar Saguy

School for Social Work: Faculty Publications

Across countries, common mental disorders are often more prevalent and/or more persistent among disadvantaged members (e.g., ethnic minorities) compared with advantaged group members. Although these disparities constitute a heavy challenge to national health organizations, there is little empirical evidence to help account for the mechanism underlying them. In this study, conducted in clinics across Israel, we investigated processes, rooted in the clinical encounter that may contribute to mental health disparities. We focused on the accuracy of diagnostic decisions, which are likely to substantially impact the client’s prognosis. Therapists’ diagnostic decisions following the initial intake with their client were compared with …

Assessment Of Clinical Information: Comparison Of The Validity Of A Structured Clinical Interview (The Scid) And The Clinical Diagnostic Interview, Rebecca Drill, Ora Nakash, Jared A. Defife, Drew Westen

School for Social Work: Faculty Publications

Adaptive functioning is a key aspect of psychiatric diagnosis and assessment in research and practice. This study compared adaptive functioning validity ratings from Structured Clinical Interviews (SCIDs, symptom-focused structured diagnostic interviews), and Clinical Diagnostic Interviews (CDIs, systematic diagnostic interviews modeling naturalistic clinical interactions focusing on relational narratives). Two hundred forty-five patients (interviewed by two independent interviewers) and their interviewers completed the Clinical Data Form which assesses adaptive functioning and clinical information. Both interviews converged strongly with patient-reports, with no significant differences in validity of the interviews in measuring global and specific domains of adaptive functioning variables. Findings suggest that CDIs …

Primary Mental Health Prevention Themes In Published Research And Academic Programs In Israel, Ora Nakash, Liat Razon, Itzhak Levav

School for Social Work: Faculty Publications

Background: The World Health Organization Comprehensive Mental Health Action Plan (CMHAP) 2013-2020 proposes the implementation of primary prevention strategies to reduce the mental health burden of disease. The extent to which Israeli academic programs and published research adhere to the principles spelled out by the CMHAP is unknown. Objective: To investigate the presence of mental health primary prevention themes in published research and academic programs in Israel. Methods: We searched for mental health primary prevention themes in: (1) three major journals of psychiatry and social sciences during the years 2001-2012; (2) university graduate programs in psychology, social work and medicine …

Farm Work As Treatment For Posttraumatic Stress Disorder, Mindy L. Walls

Theses, Dissertations, and Projects

This exploratory, descriptive study assessed what, if anything, is beneficial about engaging in agricultural work, or, farm work, for individuals living with posttraumatic stress disorder (PTSD). An anonymous, online survey was utilized, asking a series of multiple choice and open ended questions about the participants’ farm work history, PTSD experience, and demographic information. Thirty-nine participants responded with varying identities and work history, but many shared experiences of PTSD. Almost all of the participants found farming to be beneficial for managing PTSD. Specifically, four themes arose from the data that explained what about farming was beneficial for individuals with PTSD: farming …

I Googled. "How Do You Know You're Gay?" : A Qualitative Study On Lgbtq Identity Formation And The Internet /, Rebekah M. Meresman

Theses, Dissertations, and Projects

This qualitative, exploratory study examined the impact of the internet on the identity formation process of LGBTQ individuals. This study aimed to answer the question: How and why do some LGBTQ-identified adults use the internet as a tool to formulate their sexual/gender identity? Through an anonymous online survey, LGBTQ identified participants were asked several open-ended questions about their identity formation experiences, and the role of the internet on this process.

Fifty individuals participated in the study, from a wide range of sexual and gender identities, half of which identified as transgender or gender non-conforming. Of these participants, most indicated that …

Navigating A Paradoxical Identity : The Experiences Of Mixed Race Individuals Who Are Perceived As White, Marcella Emily Galvez Wagner

Theses, Dissertations, and Projects

This qualitative exploratory study examines the experiences of mixed race individuals who are perceived as White by others based on physical appearance. Literature on the mixed race population has only more recently focused on the phenomenon of racial misrecognition, or the incongruence between racial identity and racial perception by others. This study seeks to advance this literature by exploring the experiences of individuals who have a particular form of racial misrecognition where they hold a non-dominant racial identity and yet are perceived as White by others. The study explored racial identity, racial markers, disclosure and passing, family context, experiences of …

What Would Increase The Accessibility And Desirability Of College Counseling Services For Music Majors Presenting With Various Mental Health Issues?, David J. Winston

Theses, Dissertations, and Projects

Based on the perceptions of 11 college counselors interviewed at 5 private universities and music conservatories throughout New England, this qualitative research study examined the accessibility and desirability of college counseling services for music majors presenting with mental health issues. Findings suggested that the desirability of college counseling services would increase if there were more outreach and advertisements toward music majors from counseling centers. Participants reported that more flexible hours and increase in staff to accommodate the unique needs of music majors would be the solution to improving accessibility. An unexpected finding in this study was reported instructor abuse of …

"The Most Badass Thing I'Ve Ever Done" : Experiences Of Transgender And Gender Non-Conforming Birth Parents, Lauren Ambrosini

Theses, Dissertations, and Projects

To most people, the ability to carry and bear children is one that is inextricably linked with femininity and womanhood. However, some individuals who gestate and give birth to a child do not identify as women or as feminine. At the forefront of disentangling these two concepts from pregnancy and birth are gender non-conforming individuals, including masculine identified women, transgender men, and folks who identify as outside the gender binary of man/woman, who have chosen to carry and bear children. Beyond the narratives of a few well known transmen (e.g., Thomas Beatie) and masculine-of-center lesbians (e.g., A.K. Summers) who have …

Moral Injury In Veterans : A Theoretical Investigation Of The Psychic, Moral And Social Sequelae Of War Trauma, Sarah C. Towers

Theses, Dissertations, and Projects

Although the idea that a violation of deeply held moral and ethical values can result in a profound psychic, social and spiritual wounding is an ancient one, the exploration of the phenomenon of moral injury in the field of mental health has only recently gained traction. Moral injury is increasingly being regarded as its own psychological phenomenon, one that shares symptomology with PTSD, but is also distinct, and as yet not sufficiently accounted for in current PTSD criteria. This theoretical thesis charts the evolving clinical construct of moral injury and draws on two bodies of theory, narrative theory and adult …

Adoption And The Use Of Self-Disclosure : A Qualitative Inquiry Of The Clincial Professional, Heather L. Smith-Jackson

Theses, Dissertations, and Projects

One of the intentional purposes of this study was to expand upon the limited research that is offered from a clinical perspective regarding self disclosure, but with a concentration on adopted mental health professionals. This study: explored the nature of therapeutic relationship, investigated continued controversial topic of self disclosure and explored specifically adoption identity formation and self disclosure grounded in social constructivism.

Twelve female participants who identified as mental health professionals completed in person interviews. The goal was to recruit 16 participants evenly divided between clinicians who were adopted and non adopted. However because of limitations, the sample consisted of …

Art As A Clinical Tool In The Treatment Of Complex Ptsd : A Theoretical Study, Emma T. Brenner-Malin

Theses, Dissertations, and Projects

This theoretical thesis explores how art-making can be used as a clinical tool in social worker’s psychodynamic treatment of complex post-traumatic stress disorder. A theoretical thesis was chosen in order to address the gap in the social work literature discussing the integration of creative action into trauma-informed care. D.W. Winnicott’s object relations theory and Trauma-informed art therapy theory are the two theoretical lenses applied and discussed. A review of the literature indicates that art created during therapy can function as a transitional object, facilitating the client’s ability to learn how to regulate their affect, recall dissociated affect and memories, bolster …