Social Work Commons^™

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 …

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 …

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 …

"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 …

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 …

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 …

Presenting Problems And Treatment Expectations Among Service Users Accessing Psychiatric Outpatient Care: Are There Gender Differences?, Ora Nakash, Maayan Nagar, Itzhak Levav

School for Social Work: Faculty Publications

Background: Community-based studies have documented gender differences in mental health problems and service utilization. This mixed methods study explored gender differences in severity of emotional distress, referral paths, presenting problems and care expectations among service users upon accessing outpatient psychiatric care. Methods: Consecutive service users (N=284, 64% women) who presented for a new or repeated episode of care in adult outpatient clinics completed questionnaires on a measure of emotional distress, treatment history and referral path. These variables were quantitatively analyzed. Also, users completed two open-ended questionnaires on reasons for seeking care and expectations from the services. These variables were qualitatively …

Comorbidity Of Common Mental Disorders With Cancer And Their Treatment Gap: Findings From The World Mental Health Surveys, Ora Nakash, Itzhak Levav, Sergio Aguilar-Gaxiola, Jordi Alonso, Laura Helena Andrade, Matthias C. Angermeyer, Ronny Bruffaerts, Jose Miguel Caldas-De-Almeida, Slivia Florescu, Giovanni De Girolamo, Oye Gureje, Yanling He, Chiyi Hu, Peter De Jonge, Elie G. Karam, Viviane Kovess-Masfety, Maria Elena Medina-Mora, Jacek Moskalewicz, Sam Murphy, Yosikazu Nakamura, Marina Piazza, Jose Posada-Villa, Dan J. Stein, Nezar Ismet Taib, Zahari Zarkov, Ronald C. Kessler, Kate M. Scott

School for Social Work: Faculty Publications

Objective This study aimed to study the comorbidity of common mental disorders (CMDs) and cancer, and the mental health treatment gap among community residents with active cancer, cancer survivors and cancer-free respondents in 13 high-income and 11 low-middle-income countries. Methods Data were derived from the World Mental Health Surveys (N = 66,387; n = 357 active cancer, n = 1373 cancer survivors, n = 64,657 cancer-free respondents). The World Health Organization/Composite International Diagnostic Interview was used in all surveys to estimate CMDs prevalence rates. Respondents were also asked about mental health service utilization in the preceding 12 months. Cancer status …

Promoting Critical Reflexivity Through Arts-Based Media: A Case Study, Christopher Trevelyan, Rory Crath, Adrienne Chambon

School for Social Work: Faculty Publications

As an increasingly central focus of social work pedagogy, critical reflexivity can be distinguished from non-critical forms of reflexivity by its emphasis on the socially constructed, power-laden nature of knowledge and subjectivity, and its embracement of anxiety and other difficult emotions in social work practice. Given the in actu nature of its processes, however, critical reflexivity poses particular challenges as a teaching objective for social work educators. In order to assess the potential of arts-based media to engender critical forms of reflexivity in social work audiences, qualitative inquiry was conducted on social workers' experience of an arts-based video installation on …

Exploring Clinicians' Use Of Evidence-Based Interventions That Treat Attachment Problems Between Children, Five Years Of Age And Under, And Their Primary Caregivers, Jean Faucher

Theses, Dissertations, and Projects

This exploratory quantitative study was an attempt to address the dearth of research regarding the use of attachment-focused evidence-based treatments (AF EBT) in the clinical setting. Thirty-eight Master’s level or higher licensed mental health clinicians who work with children that are five years old and under, as well as with their primary caregivers, were surveyed via an anonymous web based questionnaire. The survey explored clinicians’ level of awareness, training, use, adaptation, and perceived effectiveness regarding four AF EBTs, as well as potential barriers that may have impeded their use. The AF EBTs were Child-Parent Psychotherapy (CPP), Attachment and Biobehavioral Catch-UP …

Therapists' Experiences Treating Clients With Dissociative Identity Disorder, Alexandra E. Paull

Theses, Dissertations, and Projects

The purpose of this exploratory study was to collect qualitative data to examine what social workers describe as their experience working with clients who fit the diagnosis of Dissociative Identity Disorder (DID). This study interviewed twelve licensed therapists through in person, phone, and skype interviews. These interviews explored the experience of their clinical work and its impact on them personally. Seven major themes were identified from coding the narrative data: the challenges and rewards of treatment, characteristics of the population, characteristics of the clinicians, treatment structure, what treating their first client with this disorder was like, misconceptions, and places current …

What Does The 'Q' Stand For Anyway? : Queerness And Agency Competence, Eleanor C. Taylor

Theses, Dissertations, and Projects

This exploratory study’s purpose was to explore queer identity in mental health practice through the question, "Does queerness emerge as a distinct cultural category through the language of conversation, clinical practice, and administrative policy in mental health agencies that serve queer people, and in what practices is this reflected?” This project was undertaken in order to begin to fill gaps in existing cultural competence literature, particularly regarding queer identity.

This project entailed semi-structured interviews with ten participants, who worked in direct service at mental health agencies that serve LGBTQIA+ populations. This study examines the meanings and effects of queerness in …

An Exploration Of Romantic Adult Attachment, Marital Satisfaction And Parenting Stress In Couples Participating In The Supporting Father Involvement Program, Sarah T. Robins

Theses, Dissertations, and Projects

Over the years attachment theory and research have provided frameworks for understanding infant attachment and adult attachment. More recently, the phenomenon of romantic attachment between couples has been examined. The current mixed-methods study investigates the relationship between romantic adult attachment, marital satisfaction, and parenting stress in partners participating in the Supporting Father Involvement Program. Quantitative and qualitative results indicate that there is an association between adult attachment styles, marital satisfaction, and parenting stress. More specifically, fearful insecurities in mothers are associated with more parenting stress while secure attachments in mothers are connected to more satisfaction in the marital relationship. Fathers …

Hpv Vaccine Acceptability Among Men: A Systematic Review And Meta-Analysis, Peter A. Newman, Carmen H. Logie, Nick Doukas, Kenta Asakura

School for Social Work: Faculty Publications

Objective To understand rates of human papillomavirus (HPV) vaccine acceptability and factors correlated with HPV vaccine acceptability. Design Meta-Analyses of cross-sectional studies. Data sources We used a comprehensive search strategy across multiple electronic databases with no date or language restrictions to locate studies that examined rates and/or correlates of HPV vaccine acceptability. Search keywords included vaccine, acceptability and all terms for HPV. Review methods We calculated mean HPV vaccine acceptability across studies. We conducted meta-Analysis using a random effects model on studies reporting correlates of HPV vaccine acceptability. All studies were assessed for risk of bias. Results Of 301 identified …

Examination Of The Role Of Implicit Clinical Judgments During The Mental Health Intake, Ora Nakash, Margarita Alegría

School for Social Work: Faculty Publications

We examined the characteristics of therapists' implicit clinical judgments during the mental health intake. Following the intake sessions with new clients, we conducted 129 semistructured interviews with 47 therapists. We found that 82% of therapists and 75% of interviews included reference to implicit clinical judgments. Therapists referred to these judgments as a cognitive process that relied on knowledge acquired through past clinical experiences and was primarily based on nonverbal cues and affective communication. Therapists used implicit processes when evaluating how to facilitate a good working alliance, what diagnostic information to collect, and how to decide on a diagnosis. The majority …

Early Family Ties And Marital Stability Over 16 Years: The Context Of Race And Gender, Terri L. Orbuch, José A. Bauermeister, Edna Brown, Brandyn Dior Mckinley

School for Social Work: Faculty Publications

Spouses' emotional ties to family early in marriage are linked to marital outcomes, but little is known about how these ties affect marital stability and whether these effects vary by race and gender. The present study examines the links between emotional ties to family of origin and in-laws in the first year of marriage and marital stability over the first 16years of marriage. Data were collected as part of a longitudinal study following Black American (n=199) and White American (n=174) married couples. Analyses revealed that perceptions of closeness to in-laws early in marriage were associated with odds of divorce over …

The Effect Of Cancer On Suicide In Ethnic Groups With A Differential Suicide Risk, Ora Nakash, Micha Barchana, Irena Liphshitz, Lital Keinan-Boker, Itzhak Levav

School for Social Work: Faculty Publications

This study examined the suicide risk among persons with cancer in ethnic groups with differential suicide mortality in the general population. We calculated the suicide standardized incidence ratios (SIRs) among Europe-America and Asia-North Africa-born Israelis with cancer, relative to the respective rates in the general population. The SIRs were higher in the European-American group [men: 1.96, 95% confidence interval (CI) 1.62-2.30; women: 2.03, 95% CI 1.51-2.56], but not significantly different in the Asian-North African group (men: 0.86, 95% CI 0.52-1.20; women: 0.80, 95% CI 0.10-1.50). Assessment of suicide risk must consider the 'suicide culture' of the person with cancer.

Social Services For Sexual Minority Youth: Preferences For What, Where, And How Services Are Delivered, Elizabeth A. Wells, Kenta Asakura, Marilyn J. Hoppe, Kimberly F. Balsam, Diane M. Morrison, Blair Beadnell

School for Social Work: Faculty Publications

As part of an internet-based study to investigate experiences of sexual minority youth in the U.S., 544 youth, ages 14-19, were surveyed about their need for services, where they preferred to receive these services, and their preferred method of service delivery. The survey was anonymous and youth were recruited from LGBTQ-specific listservs and venues as well as through social networking sites as a way of reaching youth often not represented in LGBTQ surveys. Youth highly endorsed many types of services, settings, and modes of delivery. Some subgroup differences emerged. Transgender youth and those uncertain about their gender identity expressed stronger …

Bench Book For Assessing Parental Gatekeeping In Parenting Disputes: Understanding The Dynamics Of Gate Closing And Opening For The Best Interests Of Children, William G. Austin, Linda Fieldstone, Marsha Kline Pruett

School for Social Work: Faculty Publications

This Bench Book summarizes theory, research, and a forensic assessment model of parental gatekeeping relevant for understanding and resolving child custody disputes. This concise format is geared primarily as a resource for judges, though it may be equally valuable to evaluators, parenting coordinators, and others. Gatekeeping encompasses a common statutory factor of support for the other parent-child relationship. The gatekeeping model includes a continuum ranging from facilitative to restrictive gatekeeping. Behavioral examples are presented. Implications of a gatekeeping analysis for crafting parenting plans are described, including in relocation cases and when there has been a history of intimate partner violence.

Building Full-Service Schools: Lessons Learned In The Development Of Interagency Collaboratives, Thomas J. Mcmahon, Nadia L. Ward, Marsha Kline Pruett, Larry Davidson, Ezra E.H. Griffith

School for Social Work: Faculty Publications

Although the history of clinical-school-eommunity collaboration can be traced back to the end of the 19th century, the full-service school movement represents a new era in the quest for more effective ways to deliver human services to children. As awareness that school systems alone cannot address the social problems affecting millions of children, the concept of full-service schools has been embraced as a potential solution to service delivery problems affecting children living in high-risk environments. Built on shared commitment to positive child development, full-service schools represent an effort to make human service systems partners in the educational process, while simultaneously …

Assessment Of Co-Occurring Depression And Substance Use In An Ethnically Diverse Patient Sample During Behavioral Health Intake Interviews, Sarah Darghouth, Ora Nakash, Alisa Miller, Margarita Alegría

School for Social Work: Faculty Publications

Background: Co-occurring disorders present a challenge for providers who often fail to diagnose them with accuracy. This study explores the assessment process of co-occurring depressive and substance use disorders in community health clinics serving ethnically diverse patients. The goals are to identify how symptoms discussed in intake, as well as patient and provider characteristics, are associated with receiving a diagnosis of co-occurring disorders or not. Methods: Participation in the study consisted of videotaping the intake, conducting a semi-structured interview, and completing demographic and clinical measures. Quantitative analyses were conducted based on information coded from videotapes of intakes with 119 patients …

Cancer And Common Mental Disorders In The Community: Results Of The Israel-World Mental Health Survey, Ora Nakash, Anat Shemesh, Maayan Nagar, Itzhak Levav

School for Social Work: Faculty Publications

Background and Objectives: To study common mental disorders (CMD) and other mental health-related variables among community residents with active cancer, cancer survivors and cancer-free respondents. Methods: Data were extracted from the Israeli component of the 28-country World Mental Health Survey. The sample included 165 respondents who reported ever having cancer and 2,282 cancer-free respondents, all aged 39 years and older. The WHO/Composite International Diagnostic Interview (CIDI) was used to determine the prevalence rate of CMD. Emotional distress (ED) was ascertained with the GHQ-12. Also, respondents were asked about sleep disturbances and mental health service utilization. Results: Respondents with active cancer …

Belonging As A Mode Of Interpretive In-Between: Image, Place And Space In The Video Works Of Racialised And Homeless Youth, Rory Crath

School for Social Work: Faculty Publications

In an essay in Critical Social Work, Robert Fairbanks suggests that space perspectives need to be accounted for in social work practice if the profession is to procure a more nuanced understanding of the production of social relationships. Yet, Fairbanks s analysis fails to account for the problematic of a spatialised politics of belonging for racialised subjects, and for the connections between racialising practices and (neo)liberal governance on localized social-spatial relations. This paper addresses these shortcoming by accomplishing three objectives: (1) To introduce a renewed vector of space thesis by borrowing from post-colonial writings; (2) To enliven that frame by …

Interpersonal Complementarity In The Mental Health Intake: A Mixed-Methods Study, Daniel C. Rosen, Alisa B. Miller, Ora Nakash, Lucila Halpern, Margarita Alegría

School for Social Work: Faculty Publications

The study examined which socio-demographic differences between clients and providers influenced interpersonal complementarity during an initial intake session; that is, behaviors that facilitate harmonious interactions between client and provider. Complementarity was assessed using blinded ratings of 114 videotaped intake sessions by trained observers. Hierarchical linear models were used to examine how match between client and provider in race/ethnicity, sex, and age were associated with levels of complementarity. A qualitative analysis investigated potential mechanisms that accounted for overall complementarity beyond match by examining client-provider dyads in the top and bottom quartiles of the complementarity measure. Results indicated significant interactions between client's …

Agreement Between Clinician And Patient Ratings Of Adaptive Functioning And Developmental History, Jared A. Defife, Rebecca Drill, Ora Nakash, Drew Westen

School for Social Work: Faculty Publications

Objective: Psychiatric researchers rely heavily on patient report data for clinical research. However, patient reports are prone to defensive and self-presentation biases. Recent research using practice networks has relied on clinician reports, and both forensic and personality disorder researchers have recently turned to quantified data from clinically expert observers as well. However, critics have raised legitimate concerns about the reliability and validity of data from clinician informants. The aim of this study was to assess the validity and diagnostic efficiency of clinician reports of their patients' adaptive functioning and developmental histories, using patient reports as the comparative standard traditionally used …

Psychosocial Capacity Building In New York: Building Resiliency With Construction Workers Assigned To Ground Zero After 9/11, Joshua Miller, Jeff Grabelsky, K. C. Wagner

School for Social Work: Faculty Publications

Construction workers who worked on “Ground Zero” after 9/11 in New York City were exposed to stressful and traumatic conditions. Clinicians, trade union leaders and the Cornell School of Industrial and Labor Relations designed a psychosocial capacity-building project which helped workers to recognize, understand and respond to their reactions through a series of interventions that included peer training, psychosocial workshops, brochures, and outreach and referral services. The project emphasized the use of mutual aid and social support through group interventions facilitated by clinicians and offered by trade unions. The article describes the planning and implementation of the project as well …

“Everything Has Changed”: Narratives Of The Vietnamese American Community In Post-Katrina Mississippi, Yoosun Park, Joshua Miller, Bao Chau Van

School for Social Work: Faculty Publications

In this qualitative study of the Vietnamese American community of Biloxi, Mississippi, conducted three years after Katrina, we attended not only to individual experiences but to the relationship of individuals to their collective and social worlds. The interlocked relationship of individual and collective loss and recovery are clearly demonstrated in respondents’ narratives. The neighborhood and community of Little Saigon was significant not only as a symbolic source of identity but as a protected and familiar space of residence, livelihood, and social connections. The post-Katrina changes in the neighborhood are, in multiple ways, changing participants’ experience of and relationship to their …

Promoting Fathers' Engagement With Children: Preventive Interventions For Low-Income Families, Philip A. Cowan, Carolyn Pape Cowan, Marsha Kline Pruett, Kyle Pruett, Jessie J. Wong

School for Social Work: Faculty Publications

Few programs to enhance fathers' engagement with children have been systematically evaluated, especially for low-income minority populations. In this study, 289 couples from primarily low-income Mexican American and European American families were randomly assigned to one of three conditions and followed for 18 months: 16-week groups for fathers, 16-week groups for couples, or a 1-time informational meeting. Compared with families in the low-dose comparison condition, intervention families showed positive effects on fathers' engagement with their children, couple relationship quality, and children's problem behaviors. Participants in couples' groups showed more consistent, longer term positive effects than those in fathers-only groups. Intervention …