Social Work Commons^™

Exploring Experiences Of, And Responses To, Microaggressions As Disrespect From Teachers In High School Classrooms : A Person-Centered Approach, Emily Ann Peck

Theses, Dissertations, and Projects

The present study examined the relationship among high school students’ experiences of microaggressions and disrespect perpetrated by teachers and their perceptions of school connectedness and projections of their own bystander intervention behaviors. There is reason to believe that peer bystanding behavior, defined as either intervention in the moment, or active supporting after the event, are protective in terms of the otherwise cumulative impact of microaggressions. Using interviews from seventeen high school students, and quantitative data from nine participants, this research prioritized the voices of students, their narratives, and their meaning making process after such events occur. Findings suggest that participants …

Unequal Treatment : Sociocultural Identities And Their Effects On Eating Diorder Treatment Access And Efficacy, Hannah NoëL Smith

Theses, Dissertations, and Projects

The purpose of this study is to explore ways in which eating disorder treatment can be made not only more accessible, but more effective for clients who identify as people of color, lower-socioeconomic status (SES), trans and gender nonconforming, and people whose Body Mass Index (BMI) normal or higher at the time of treatment.

Data was collected using a survey, which was completed by 28 participants recruited through Facebook eating disorder recovery groups and Instagram. Participants were asked to describe their racial identity, gender identity, SES, and BMI, then reflect on the experience of seeking eating disorder treatment.

The findings …

Predicting Dialectic Behavioral Treatment Outcomes In Veterans At High Risk For Suicide, Courtney Stich

Theses, Dissertations, and Projects

Numerous studies have shown that veterans are at higher risk for suicide compared to the U.S. general population. Despite significant effort, awareness amongst clinicians and policymakers, these rates continue to increase. Dialectical Behavioral Therapy has shown great success in treating suicidality and emotional dysregulation due to mental illness such as Borderline Personality Disorder, yet has never been studied in the veteran population. The initial study found that veterans responded equally to DBT and TAU. This study looked at what clinical and demographic characteristics could predict DBT treatment success. Veterans who identified as women, with higher education, and more suicide attempts …

"Without Roofs Are The Houses" : An Exploration Of Ceremonies In Indigenous Communities, A Pathway To Healing And To The Forgotten, Denis C. Vidal

Theses, Dissertations, and Projects

Settler colonialism is often cited as the foundation for a myriad of social problems such as psychopathological stress in Indigenous communities. This research study explores how culturally syntonic interventions such as sacred ancestral ceremonies can alleviate acute symptoms of anxiety and depression. The experiences of eleven people of Indigenous heritage who live in the Southwest and had participated in sacred ancestral ceremonies were interviewed in an attempt to better understand the potential healing properties of these ceremonies. The participants all self-reported a reduction in anxiety and depression symptoms as measured before and after participating in the ceremonies.

Mind, Body, & Spirit : An Ecological Community-Based Approach To Healthy Aging, Emily Widra

Theses, Dissertations, and Projects

Based on the biopsychosocial approach of the ecological theory of aging, the present study examined the health status and social engagement of participants in an osteoporosis-prevention exercise class for adults over the age of 65 in two counties in Western Massachusetts. A self-rated health survey was developed and administered in each of the Healthy Bones & Balance classes with 226 responses in total.

Participants in this study had higher self-rated health scores than have been found in a national epidemiological study. In particular, participants who live alone were engaging in more social activities – at senior centers and places of …

Race And The Internet : Social Media And Multiracial Identity Development, Pilar Hailé-Damato

Theses, Dissertations, and Projects

The purpose of this study was to understand how, if at all, social media impacts racial identity development for mixed race undergraduates; and if so, whether or not that impact is unique to them or applicable to students with monoracial identities. Semi-structured interviews were conducted at a large southern California public university. 11 undergraduate (3 multiracial) between the ages of 18-22 were interviewed about their social media usage, their racial identities, their process of identification, and how race is discussed online. Through the data collected in this study, we observe that social media is a digital space where notions of …

Psychedelic Psychotherapy : Existential And Neuroscience Perspectives On The Therapeutic Journey, Arthur W. Seelig

Theses, Dissertations, and Projects

Psychotherapy with the use of high-dose psychedelic drugs shows immense promise in treating a myriad of debilitating psychiatric conditions. After a three-decade long suspension, regulators have allowed for new studies and re-awakened interest in the potential of psychedelics. However, while research on the topic has quickly progressed, little has been done to reinvigorate our clinical understanding of the psychedelic healing process. This thesis interprets the psychedelic state through the twin perspectives of existentialism and neuroscience with the goal of starting to develop a theoretical language.

The subjective experience of high-dose psychedelics under therapeutic conditions often results in a loss-of-self referred …

"As If" : An Exploration Of The Relationship Between Clincians' Theoretical Orientations And Their Conceptualizations Of Patient-Generated Metaphors In Psychotherapy, Joe Berlin

Theses, Dissertations, and Projects

The present qualitative study explored the relationships between psychotherapists’ theoretical orientations, phenomenological understandings of their own clinical practice, and the metaphoric language used by patients in psychotherapy. This study is based upon interviews with 12 Licensed Independent Clinical Social Workers who are presently practicing psychotherapy. This sample was selected using a quota method, whereby three distinct psychotherapy theoretical orientations were represented in the sample: psychodynamic, narrative, and cognitive-behavioral therapy.

The findings suggest that psychotherapists actively consider the metaphors patients use in therapeutic dialogue, and that these clinicians regularly draw upon their theoretical knowledgebase in doing so. This study finds that …

Exploring Clinical Best Practices For Working With The Co-Occurrence Of Psychosis And A Trauma History, Sierra Leah Black

Theses, Dissertations, and Projects

This qualitative research study explored clinical practices most effective in helping people who experience co-occurring psychosis and a trauma history. The research was conducted through interviews with nine mental health professionals, who reported they created their own skill base in working with clients with a co-occurrence of psychosis and trauma. Although every respondent reported this co-occurrence as common, they all expressed a lack of confidence and expertise in treating the population. Best practices for treatment were found to be a combination of psychiatric medication, psychotherapy, and community support. Themes of treatment included the need to establish trusting relationships, appreciate client …

Two-Sided Healing : An Exploration Of Jewish Women Psychotherapists' Experience, Aviva Bellman

Theses, Dissertations, and Projects

This study examined the subjective identities of Jewish women psychotherapists, as well as the ways in which they give meaning to their psychotherapeutic practice. Twelve narratives by Jewish women psychotherapists were utilized as secondary data, originally published in an edited book by Greene and Brodbar (2010). The study used a Jewish feminist epistemological stance, an intersubjective understanding of the therapeutic relationship, and an interpretive (hermeneutic) phenomenological approach, which led the researcher to self-reflect over the course of the analytical process (Ginsberg, 2002; Lopez and Willis, 2004). Narratives were analyzed for recurrent themes and sub-themes (Smith, Flowers, & Larkin, 2009). Implications …

A Qualitative Study To Explore Puerto Rican Caregiver Needs And Supports To Better Feed Their Children, Nelly E. Carmona

Theses, Dissertations, and Projects

"The worldwide prevalence of childhood overweight and obesity increased 10% between 1990 and 2010". Boneta, Toro, Garcia, Torres, & Palacios (2015). According to the authors, "Obesity rates of Puerto Rican children residing in mainland US and in Puerto Rico are among the highest (23-32%) when compared to other racial groups/ethnic groups". (p.2)

The purpose of this research is to first primarily understand the challenges that Puerto Rican caregivers’ have in providing a diet with high nutritional content for their school age children. A secondary purpose is to use these perspectives of Puerto Rican caregivers to inform social work practice as …

Queer Women's Sexual Experiences After Sexual Violence In A Non-Heterosexual Relationship, Amee Catalano

Theses, Dissertations, and Projects

This quantitative study explores the sexual experiences of queer women after sexual violence perpetrated by a previous intimate partner in a non-heterosexual relationship. Sixty individuals identifying as queer women with a sexual violence experience completed an anonymous online survey consisting of questions related to help-seeking behaviors and sexual distress. The Female Sexual Distress Scale-Revised (FSDS-R) (Derogatis et al., 2008) was adapted to assess levels of sexual distress amongst the sample population.

This study found three themes: 1.) current sexual experiences carry anxiety and posttraumatic stress symptoms, 2.) sexual violence experience(s) as impacting libido, desire, and behavior, and 3.) current sexual …

Provider Perceptions Of People Who Inject Drugs And Harm Reduction Approaches, Ciara Devozza

Theses, Dissertations, and Projects

People who use injection drugs (PWID) continue to face high rates of death and disease, further exacerbated by the ongoing opioid epidemic. Research indicates that stigma toward this population is high among health care providers, which is shown to result in poor health outcomes and ostracize these high-risk patients from treatment. In the U.S., the dominant substance treatment model is abstinence-based, despite evidence from around the world supporting use of harm reduction interventions which focus on goals to reduce the harmful impacts of drug use to individuals and communities. This quantitative study examined nurses’ attitudes toward PWID and nurses’ receptivity …

The Voices Of Survivors Of Suicide : Experiences With Forms Of Support After A Suicide Loss, Nicole Dietze

Theses, Dissertations, and Projects

The purpose of this exploratory qualitative study was to identify forms of support available to and utilized by survivors of suicide, to identify barriers to receiving support, and to gather suggestions and/or critiques regarding survivors’ experiences with the supports they received. In-depth interviews were conducted with 13 individuals who had lost a loved one to suicide at least one year prior to the interview. The interviews explored the participants’ experiences with accessing resources, formal and informal supports, negative experiences, and resource recommendations for other survivors of suicide. The findings from this study emphasized how coping with such a profound loss …

Barriers To Mental Health Treatment For Refugees In Maine : An Exploratory Study, Hayley Fitzgerald

Theses, Dissertations, and Projects

The purpose of this study was to explore the barriers refugees face when it comes to accessing mental health treatment in Maine. Research suggests that refugees underutilize mental health services throughout the United States, despite equal to higher rates of mental health symptoms when compared to the general population. To acquire data, eight refugees were interviewed using a semi-structured interview guide. Participants were asked to share about their perceptions of mental illness and mental health treatment, discuss coping mechanisms that they find useful, and offer suggestions for providers working with refugees. Major findings included that stigma, fear, language, and cultural …

"If You Lived In Your Body, You'd Be Home By Now" : Clincians' Perspectives On Somatic Practices In Psychotherapy, Natasha Sunil Jeswani

Theses, Dissertations, and Projects

While the 21st century has seen increased popularity in somatic practices, there is little cohesive understanding of how these practices are effective and what common value their various branches bring to psychotherapy. This qualitative narrative research study compiles clinicians’ perspectives on their use and understanding of somatic practices in psychotherapy, along with challenges they have experienced in using such methods. The study qualifies such practices as meditation-based, trauma related, or movement-based and ultimately necessitates the inclusion of somatic practices in psychotherapy.

Looking For Ghosts Everywhere : The Effects Of Vicarious Traumatization On Mental Health Interpreters Who Work With Refugees, Sophie Anna Lembeck

Theses, Dissertations, and Projects

This study aimed to add to the available literature on vicarious traumatization among mental healthcare interpreters who work with refugees. I attempted to further this research by interviewing 12 mental health interpreters who work with refugee clients in order to ascertain their experiences with vicarious traumatization. All participants interviewed presented with physical and/or psychological symptoms associated with vicarious traumatization, although they were unfamiliar with the concept of vicarious traumatization itself. Participants’ reactions to working with traumatized clients manifested in various physical and psychological ways and ranged in severity. Previous literature suggests that symptoms of vicarious traumatization are exacerbated when interpreters …

Alexithymia And Comparison Of Alternative Treatments To Talk Therapy For People Who Have A Mental Health Diagnosis, Rebekah Milhoan

Theses, Dissertations, and Projects

This research study was a quantitative, descriptive investigation of the relationship between the rate of alexithymia in the mental health population and exploring the helpfulness of alternative treatments compared to traditional talk therapy.

An online based questionnaire, using the Toronto Alexithymia Scale (TAS-20), a Likert scale used to measure the presence of alexithymia, and an open-ended comment section, was administer anonymously to fifty-four people with a mental health diagnosis. The major areas of interest were levels of alexithymia in the mental health population and finding out about the helpfulness of alternative treatments.

Participants had higher than average scores on the …

The Retrospective Narratives Of Young Adults With Adhd : How Self-Concept Development Impacts Psychosocial Functioning, Malcolm B. Miller

Theses, Dissertations, and Projects

This study explores how young adults with ADHD construct self-concept, and how their self-concept impacts psychosocial functioning. Research shows that those with ADHD are more likely to experience significant setbacks across the lifespan due to impairments that negatively impact functioning in multiple life domains. Several studies note high comorbidity between ADHD and internalizing symptoms such as anxiety, depression, and low self-esteem. Although existing research suggests neurobiological correlations, there has been little investigation into other causal relationships. This researcher interviewed eight young adults with ADHD hoping to illuminate other possible pathways between ADHD and the presentation of comorbid internalizing symptoms and …

From Yellow Peril To Model Minority : ǂB Deconstruction Of The Model Minority Myth And Implications For The Invisibility Of Asian American Mental Health Needs, Lynda Anne Moy

Theses, Dissertations, and Projects

The model minority myth is a racial stereotype imposed upon Asian Americans, often depicting them as a successful and high-achieving monolithic group in the United States. This paper examines sociopolitical functions of the term “model minority” and implications for this broad and diverse racial group by reviewing existing literature and conducting an analysis of qualitative interviews with 12 Asian Americans. The findings of this study suggest that while the model minority myth appears to be a positive stereotype, it may lead Asian Americans to experience distress through (a.) a sense of confinement, (b.) treatment as foreigners, and (c.) …

The Translation Of Anti-Racism Values From The Professional Into The Personal For White Social Workers Who Have Lived In North Or West Philadelphia, Lauren Hope Newman

Theses, Dissertations, and Projects

This research explores how white social workers who were exposed to anti-racism values during their social work education, execute these values while living in the gentrifying neighborhoods of North or West Philadelphia. Twelve white social workers participated in semistructured interviews in which they described their anti-racism education/training, their motivation for moving to North or West Philadelphia, and how they felt they translated the antiracism values that were learned or reinforced for them in their education into their lives in their gentrifying communities. The findings display the importance in equipping people with the tools to engage within their community and guide …

Innocent Until Proven Guilty : ǂB Not For The Families Vicarious Incarceration Within A County Jail, Molly O'Connor

Theses, Dissertations, and Projects

When an individual goes to jail, family members are often left in the shadow of the incarceration.This qualitative research study contributes to the incarceration literature by focusing on caregivers’ experiences at county jails, and by suggesting the usage of the term vicarious incarceration to fully encompass the levels of impact that incarceration has on the family. Caregivers in the present study engaged in a semi-structured interview modeled after Megan Comfort’s (2009) examination of secondary prisonization at San Quentin. Findings indicate that caregivers visiting a county jail do experience secondary prisonization, both at the jail and within the home. However the …

Clinician Vulnerability : Openness To Influence In Relational Therapy, Christine Powers

Theses, Dissertations, and Projects

The current study examined how clinicians practicing relational psychotherapy experience their own vulnerability in the therapeutic relationship with clients. The study followed a qualitative, phenomenological research methodology. The researcher interviewed ten experienced clinicians who practice relational psychotherapy. Four major themes emerged as significant findings. First, vulnerability was described as a quality of engagement in the therapeutic relationship that is open, engaged, and resonant. Second, participants expressed a sense of risk associated with mutual vulnerability. Third, participants emphasized the importance of mutual vulnerability for client’s healing. Fourth, participants described vulnerability as a developmental capacity. These findings have significance for the field …

Feedback Informed Care : Co-Creating Treatment Success, Eve Sandler

Theses, Dissertations, and Projects

This qualitative research was conducted in order to answer the question: What factors do patients think are most useful in therapy? Feedback was collected from a sample of 630 participants from The Community Psychiatry Program (CPP) at Johns Hopkins. Respondents were asked to complete a written survey answering two questions: 1. How do you know when you are getting better? and 2. What are the most important aspects of (CPP)?

This study collected data from both patients and caregivers. Brief responses for each question were coded using a general inductive approach, which revealed multiple themes and subthemes. One significant finding …

Workout Your Burnout : An Exploratory Look At The Role Of Perceived Barriers And Benefits To Physical Activity In Social Workers, Samuel Shapiro

Theses, Dissertations, and Projects

This mixed-methods exploratory study aimed to develop better understanding of the relationship between social workers’ participation in physical activities and their perceptions of potential barriers and benefits to participating in exercise. Sixty-four individuals completed an online survey, disclosing their physical activity habits as while growing up as well as those of their parents and/or caregivers. Quantitative questions asked participants to measure: their recent physical activity rates, defining them as light, moderate or vigorous; their perceived potential benefits of and barriers to physical activity, and, finally, their contentedness with aspects of their body and their work. Participants reported few barriers and …

The Construction Of Religion In Social Work Education, Michael Waldon

Theses, Dissertations, and Projects

This social work master's thesis used a qualitative study design involving non-random sampling of syllabi at accredited master's level social work programs around the United States in order to address the question, "How is religion constructed in social work education?" Materials addressing religion were extracted from syllabi used in first year required practice classes at 15 schools in five different geographic regions around the country. The texts were then analyzed using the techniques of discourse analysis (Carbó, Ahumada, Caballero, & Argüelles, 2016), an approach that considers the active function of language, tending to structure our thinking about abstract concepts and …

Respect, It Goes Both Ways : Exploring School Connectedness And Students' Experiences Of Microaggressions From Teachers : A Project Based Upon A Joint Project, Laura J. Wesely

Theses, Dissertations, and Projects

This mixed-method study explores what kind of microaggressions high school students of various ethnicities and racial identities experience from their teachers, and if type and responses to microaggressions vary according to the levels of perceived school climate. Qualitative thematic analysis was used to find out what types of microaggressions were experienced. Using quantitative measures of school connectedness and teacher support as well as qualitative thematic analysis, the study analyzed differences in the ways in which students who experience low and high levels of school connectedness responded to these microaggressions. Twenty-one participants were interviewed, and nine were further sampled using quantitative …

An Exploration Of The Relationship Of Obsessive-Compulsive Disorder Symptoms And Traumatic Experiences In Adult Clients, Sasha Pansovoy

Theses, Dissertations, and Projects

This qualitative research study explored clinicians’ perspectives on the association between Obsessive Compulsive Disorder and trauma in the treatment of adult clients. Using both content and narrative analysis, the study examined whether OCD symptoms are reminiscent of the clients’ traumas. Nine clinicians were interviewed and presented narratives of clients who have experienced traumatic events and OCD. Key findings revealed that (1) 10 out of the 12 clients presented were abused as children; (2) OCD symptoms were perceived as coping strategies; (3) the majority of discussed clients were cisgender males; and (4) OCD symptoms of the clients reflected past traumas. Treatment …

And Fetus Makes Three: A Theoretical Exploration Of Clinician Pregnancy In Psychoanalytic And Relational Frameworks, Christian Anne Mccarroll

Theses, Dissertations, and Projects

This paper explores the risks, dilemmas, and opportunities for therapeutic work during and following clinician pregnancy. A therapist’s pregnancy can pose enormous challenges as identities shift, treatment is disrupted, and the therapist’s changing body and role spark new associations and conflicts. This theoretical thesis draws on psychoanalytic and relational theory to explore how clinician pregnancy has been viewed—and overlooked—in the past, and how therapists might contend with the challenges and dynamism of this time. In bringing relational theory to bear on clinician pregnancy, this paper wrestles with ideas of embodiment, with Aron’s (1999) concept of the patient’s experience of the …

Patient Perspectives On Mental Health Therapy For Myalgic Encephalomyelitis (Me) And Chronic Fatique Syndrome (Cfs), Brooke Denmark

Theses, Dissertations, and Projects

This study explored perspectives on mental health therapy of individuals with Myalgic Encephalomyelitis (ME) and/or Chronic Fatigue Syndrome (CFS). ME/CFS can lead to major reduction in quality of life; however, due to limited knowledge about etiologies or effective medical treatments, symptoms may be deemed psychosomatic and patients are referred to mental health treatment. This mixed methods study gathered responses from 169 individuals who identified as having ME, CFS, and/or ME/CFS from ten reported countries. Some of the common themes for what participants found most helpful from therapy were validation, help adjusting to the changes in their lives, and processing grief …