Social Work Commons^™

Culture, Gender, And The Social Construction Of Borderline Personality Disorder, Allegra L. Comas

Theses, Dissertations, and Projects

This qualitative study investigates the ways in which culture, gender, and language inform the clinical subjectivity of licensed clinical social workers, marriage and family therapists, and psychologists working with women that present with behaviors associated with BPD as ascribed in the DSM III-V. Psychiatrists who produced BPD argue there is a biological basis to the diagnosis, which has never been proven. The majority of literature on BPD primarily focuses on the patients’ behaviors that may meet the legally codified criteria. However, little scholarship is published about the counter-transference and cultural bias of psychotherapists while diagnosing, treatment planning, and using appropriate …

The Ethics Of Dying : An Exploration Of The Right To Suicide And Clinician Response To Self-Determination And Suicidal Ideation Among Adults Who Struggle With Mental Illness, Shelley Bair

Theses, Dissertations, and Projects

This paper explores the question: What beliefs, values and assumptions do social workers hold when assessing whether or not a person who is a mental health client has the right to suicide? The current literature reveals that individuals struggling with physical disorders deemed extreme and untreatable are likely to be accepted as rational grounds for suicide. Underrepresented in extant research is the critical examination of the desire to die as a rational versus pathological and treatable response to mental health concerns. The study question is examined, in part, through the lens of the Code of Ethics presented by the National …

In The Wake Of Vicarious Traumatization : Making Meaning Through Jungian Theory And Engaged Buddhism, Angel Haydn Reed

Theses, Dissertations, and Projects

No abstract provided.

Living Well In The Lives Of African American Women With Chronic Illness, Gabrilla Ballard

Theses, Dissertations, and Projects

Finding support for African American women with chronic illnesses is challenging. It often requires these women to identify, cultivate, and nurture practice structures that go beyond medical structures already in place to aid in the maintenance of their health conditions. Outside of these structures, the resources needed to support the women are limited. They do not include the scope of modalities necessary to address their unique health presentations and holistic need for medical, emotional and spiritual health. Additionally, intersecting systems of oppression pose challenges to African American women when trying to access resources that could support their overall well-being. This …

Caregiver Experiences Of A Therapeutic Nursery Program : An Exploratory Study, Jaimie Tyler

Theses, Dissertations, and Projects

The purpose of this qualitative exploratory study was to increase our understanding of caregiver experiences whose children use the services of early-intervention programs. The primary value of this study is a better understanding of caregiver perceptions of program aims (how they understand the program), program impact (what they feel or believe it has done/ is doing for them), and program relationships (how they view their family’s relationships with staff). The goal was to add to the limited body of literature on the therapeutic nursery programs by seeking to better understand overall caregiver perceptions and experiences of one such program located …

Program Evaluation Of A Transitional Age Youth Program : A Project Based Upon An Investigation At Servicenet, Northampton, Massachusetts, Andrea Carnegie Chester

Theses, Dissertations, and Projects

This study was designed to survey participants of ServiceNet’s Transitional Age Youth (TAY) program to solicit feedback regarding program effectiveness in meeting their needs. Surveys were designed with ServiceNet staff to solicit participant perspectives on the importance of program goals, and satisfaction with program services in meeting those goals. Surveys included quantitative and qualitative questions, and were distributed to all active TAY program participants. Respondents placed the greatest emphasis on TAY program goals regarding living independently and housing. Subjects were somewhat less satisfied with program services geared towards employment services. Overall, subjects were very positive about TAY staff, particularly regarding …

Socioeconomic Status And Autism Spectrum Disorder : Caregivers' Solutions To Overcoming Service Barriers, Rachel Rodriguez

Theses, Dissertations, and Projects

This study attempted to remedy the existing research gaps by asking: How does SES of caregivers for children with ASD influence their ideas of service barrier solutions? The purpose of this study was to examine caregivers’ perspectives of service barrier solutions and how SES influences their ideas of solutions. It was hypothesized that high SES caregivers would report experiencing less service barriers than low SES caregivers; therefore, there would be a difference in their ideas of solutions. This study explored sources of information, service barriers, ideas of solutions to barriers, and how solutions may improve caregivers’ abilities to care for …

Experiences Of First Generation College Students, Eleanor Grace Stulting Bradley

Theses, Dissertations, and Projects

The fact that a significant number of first-generation students drop out of college within the first year speaks to the unique struggle that these students face. Although previous studies have looked at this phenomenon, not many have purposefully explored the experiences of the students themselves. This study sought to change that by interviewing 12 first-generation students on their experiences of college and what they believe has helped them to thrive. Several themes emerged throughout the study, including: 1) the idea of shared experiences and peer contact providing a sense of understanding as well as community; and 2) the idea of …

Gestalt Therapists' Perspectives On Gender In The Therapeutic Relationship : Implications For Anti-Oppressive Practice, Benjamin Philip Borkan

Theses, Dissertations, and Projects

This study seeks to explore How does Gestalt therapy training influence therapists in navigating clinical encounters involving gender identity? Gestalt therapists’ responses noted the importance of authenticity, contact, ability to question biases, self-examination, personal responsibility, and the therapist’s sense of their own gender identity privilege and oppression. Gestalt therapy is contrasted with anti-oppressive practice principles, in which there are congruent philosophies between Gestalt therapy and anti-oppressive practice principles. Participants’ and this author’s recommendations for future research include further research on the efficacy of Gestalt therapy training in working with varying identities, as well as gathering perspectives from people of marginalized …

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 …

How Our Service Systems Impact Resiliency And Recovery Of Domestic Violence Survivors : Clinical Perspectives, Emily Riddle Jacobs

Theses, Dissertations, and Projects

This qualitative research study explores clinicians’ perceptions of how current social service systems impact domestic violence survivor resiliency and recovery from abuse. The study utilizes a narrative analytic approach examining semi-structured interviews gathered from nine clinicians working in the trauma field. Through using the theoretical frames of intersectionality, trauma theory, and post-traumatic growth theory, the study focuses on the potential for growth and resilience among trauma survivors. This study found that survivors experienced more nuanced post-traumatic growth with ambivalence around new self-development, resiliency, and feelings of empowerment. The research suggests that the current social service systems re-traumatize survivors and replicate …

Benefits And Challenges Of Offering Peer Support To Student Survivors Of Campus Sexual Violence, Zoe Amanda Levenson

Theses, Dissertations, and Projects

This study examines the self-perceived benefits and challenges to college students in their role as peer supporters for survivors of campus sexual violence. The study identifies emotional, educational, professional, and social benefits and challenges experienced by peer supporters, as well as strategies used by students to mitigate challenges. The study is based on the perspectives of 11 college students who offer peer support through on-campus programs. Data was gathered through semi-structured telephone interviews.

Major benefits included positive emotions (fulfillment, sense of purpose, empowerment), influence on career paths and opportunities, a sense of community, improved interpersonal skills, and increased social capital. …

Gender Identity And Childhood Experiences : An Introductory Quantitative Study Of The Relationship Between Gender Identity And Adverse Childhood Experiences, Liam P. Malone

Theses, Dissertations, and Projects

It has been established that individuals with transgender* identities experience abuse and trauma at higher frequencies than individuals with non-transgender identities (Mascis, 2011). Gender dysphoria currently exists as a mental health diagnosis, perpetuating stigma as well as pathologizing gender variance. Clinical social workers have preserved a harmful formulation that gender dysphoria is a disorder caused by trauma. There has been scarce quantitative research to date exploring a relationship between transgender identities and adverse childhood experiences. This study aims to: (1) contribute to a foundation of introductory quantitative research on how childhood experiences interact with gender identity, (2) examine the frequency …

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 …

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 …

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 …

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 …

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 …

Identified Social Supports For Women Previously Incarcerated And Avoiding Recidivism, Isabelle Scott

Theses, Dissertations, and Projects

This study focused on the social supports women recently incarcerated perceived as promoting future success and aid in avoiding recidivism. The literature review describes available programs pertaining to women's reentry and gender responsive treatment. The main objective of this study is to understand what women recently released from incarceration need for a successful reentry as well as barriers, challenges, and motivations for staying out of prison and being productive members of society. The study considered variables such as trauma, substance use, mental health issues and children impact women’s perceived needs. Findings in this study found the correlation between enduring specific …

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 …

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 …

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 …

Found In Translation : How Social Work Education Can Support Student Practice With Language-Discordant Client Systems, Martha Ann Early

Theses, Dissertations, and Projects

This study’s research question was "How can schools of social work support their students to work with language-discordant client systems (LDCS)?" In addition to the need for general support, social work students are preparing to enter a field where the patient population is growing increasingly diverse in terms of ethnicity, culture and language ability. Participants in the study described herein were current and recent social works students who were recruited for sample membership via broad social media outreach, supplemented with outreach to the researcher's professional network

The findings of this study indicate that the role of schools of social work …

"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.

"Translating The Language Of The Body" : Engaging Individuals Who Self-Harm In Psychodynamic Psychotherapy, Dani Kowalski

Theses, Dissertations, and Projects

The purpose of this exploratory study was to gain a deeper understanding of how individuals who self-harm develop ways of communicating about self-harming experiences in therapy. The study used semi-structured interviews with twelve participants to gather qualitative data about their experiences, with a focus on identifying what aspects of therapy were helpful to them, and what was difficult about engaging in therapy.

Participants spoke about the therapeutic encounter as one among many socio-cultural contexts in which changes of self-injury occurred. Findings suggest that engaging individuals who self-harm in therapy involves an understanding of self-harm as a communication of distressing experiences, …

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 …