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 …

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 …

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

Theses, Dissertations, and Projects

No abstract provided.

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 …

You Don't Know How Strong You Are Until Being Strong Is Your Only Option : Examining Resiliency In Survivors Of A Parent Or Caregiver's Suicide, Haley A. Rice

Theses, Dissertations, and Projects

Suicide is a prevalent public health issue in the United States as it intimately effects many Americans annually. This study explored the bereavement and coping processes as well as strength and resiliency of adult children who lost their parent to death by suicide. Twelve adult children were recruited for this study through social media and suicide support groups. Participants were interviewed by phone and interviews were transcribed and analyzed using an inductive approach. The following themes were identified: intensity of the loss, secondary trauma of suicide, feelings of stigma, solace in talking about their parent, researching mental illness, attending grief …

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 …

A Mixed-Method Study Examining The Intersection Of Race And Sexual Violence Among Lgbtq Prisoners, Sarah J. Aftab

Theses, Dissertations, and Projects

The current mixed-method study examined the intersection of race and sexual violence among LGBTQ prisoners while incarcerated. The study used secondary data from a survey of LGBTQ prisoners collected by an organization in 2014 (N=1093). Historically, the criminal justice system has criminalized and discriminated against LGBTQ persons, and reports show a prevalence of abuse occurs during incarceration. Quantitatively, the study aimed to determine a relationship between race and sexual violence; qualitatively, it aimed to understand how prisoners in this study experienced sexual violence. Findings suggested: Black, Latinx/Hispanic, and Mixed race prisoners had significantly lower likelihood of unwanted touching …

An Exploration Of The Relationship Between Religion And Spirituality And Acculturation Stress Among International Students In The Western Massachusetts, Mun Ying Kennis Cheng

Theses, Dissertations, and Projects

This quantitative study examined the relationship between religion and spirituality and acculturative stress among international students (n=38) in two colleges in Western Massachusetts. This study utilized three well-validated tools to measure acculturative stress for international students, religion and spirituality, and intrinsic religious motivation to test the hypothesis that religion and spirituality can help international students lessen their acculturative stress. The findings suggested no significant correlation between the variables, possibly due to a small sample size. The results showed that over 55% of students had some type of religious affiliation, and over 63% indicated they either attended churches or practiced meditation …

Do Characteristics Of Children And Families Influence Reported Caregiver Burden? : A Secondary Data Analysis Of The 2009-2010 National Survey Of Children With Special Health Care Needs, Chelsea Davies

Theses, Dissertations, and Projects

Children with special health care needs (CSHCN) make up 15% of U.S. children 18 and under. They require increased specialized care, which may pose unique challenges to families. Prior research suggests families from historically disenfranchised groups may experience greater burden due to systems of structural oppression. This quantitative secondary data analysis of the 2009-2010 National Survey of CSHCN (N=40,242) uses a cross-sectional design, testing whether family characteristics (race/ethnicity, caregiver’s gender or education level, and number of CSHCN in the home) or a child’s functional difficulty (chronic pain, behavior, anxiety/depression) are significantly associated with caregiver burden. Results suggest significantly greater time, …

Kinship Diversion : Exploring Experiences Of Relative Probate Guardianship In Los Angeles, Ca., Alison Davies

Theses, Dissertations, and Projects

This qualitative study explored the characteristics and experiences of relative caregivers in Los Angeles County who were involved in a child welfare practice called “kinship diversion.” It specifically examined cases in which caregivers were diverted to probate court to obtain legal guardianship of their relatives' children as an alternative to opening a case with the child welfare system due to allegations of abuse or neglect against the biological parents. Five kinship caregivers were interviewed with a focus on answering the questions of who is diverted to legal guardianship, and why?

The findings of this study showed that diversion occurred …

Perinatal Depression Screening : Using Antenatal Depression Screens And Patient Demographics To Predict Risk For Postpartum Depression :, Jackson Doyle

Theses, Dissertations, and Projects

This study examined the relationship between antenatal depression and postpartum depression in pregnant women at a family health clinic. The aim was to determine whether antenatal depression screens predicted postpartum depression. The Edinburgh Postnatal Depression Screen (EPDS) was used to screen for depression in 411 pregnant women during the first trimester, third trimester and postpartum phases of pregnancy. Risk factors including patient body mass index, socioeconomic status and marital status were considered predictors of perinataldepression. EPDS scores were analyzed over the three time periods and were compared to body mass index, socioeconomic status and marital status. Results indicated that third …

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 …

Working With Trauma : A Qualitative And Retrospective Exploration Of The Experiences Of Clinicians Who Work With Trauma, Allyson Rebecca Lent

Theses, Dissertations, and Projects

The current study explored the gap in understanding the experiences of clinicians who work with trauma given the interesting intersection of high prevalence of trauma and demonstrated lack of training in working with trauma survivors. To this end, this qualitative and exploratory study sought to gain a retrospective understanding of clinicians’ training and career experiences in an effort to glean what has worked well in preparing skilled clinicians to work with trauma. Findings confirmed that clinicians do not feel prepared to do trauma work upon graduating from their degree programs and that they must seek out training opportunities in order …

Classism In The Therapeutic Alliance : Implications For Clinical Social Work Practice, Taylor Millard

Theses, Dissertations, and Projects

This qualitative study was an exploration of the impact of classism in the therapeutic alliance, specifically from a power, privilege, and oppression framework, and with attention to participants’ salient intersecting identities. Twelve clinicians, who identified with working class backgrounds and who had engaged in therapy as both clinicians and clients, engaged in semistructured qualitative interviews. The findings indicated that classism was salient to participants’ intersectional subjectivities and to their experiences in the field. Significantly, participants all named experiences in which a systemic lack of attention to classism and/or social class identities led them to feel alienated and silenced as students, …

A Correlative Analysis Of Mystical Experiences And Lasting Symptom Improvement From Mdma-Assisted Psychotherapy For Treatment-Resistant Ptsd : A Project Based Upon An Investigation Sponsored By Multidisciplinary Association For Psychedelic Studies (Maps), Michiko A. Mitsunaga-Whitten

Theses, Dissertations, and Projects

Before the Controlled Substance Act of 1985 categorized psychedelic substances as criminalized schedule I drugs, psychiatrists used ±3,4-methylenedioxymethamphetamine (MDMA) as a catalyst to psychotherapy. Over two decades later, this project seeks to contribute to the renaissance of psychedelic research. Specifically, this study focuses on participants’ experience of treatment in the recent FDA approved Phase 2 clinical study, “A Randomized, Triple-Blind Phase 2 Pilot Study Comparing 3 Different Doses of MDMA in conjunction with manualized psychotherapy in 24 Veterans, Firefighters, and Police Officers with Chronic, Treatment-resistant PTSD.” The current study presents results from correlation analyses of the Mystical Experience Questionnaire …

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 …