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Exploring The Intersection Of Dementia And Violence Risk Assessment, Jamie S. Klugiewicz 2023 Antioch University of New England

Exploring The Intersection Of Dementia And Violence Risk Assessment, Jamie S. Klugiewicz

Antioch University Dissertations & Theses

This is a mixed-method study exploring Designated Forensic Psychologists’ (DFPs) experiences with the violence risk assessment (VRA) of individuals diagnosed with dementia. DFPs (N = 23, 69.6% female, 87% White) completed an online survey investigating the frequency of VRA and dementia, potential change in VRA method in response to dementia, application of existing VRA instruments, and perceived benefit of tailored guidelines and VRA instruments. Most in this sample (84.2%) endorsed cases involving VRA and dementia that typically comprised 5% or less of lifetime cases. The presence of dementia had a variable impact on the approach to VRA, and thematic analysis …


How Racial Trauma Manifests In Black Women From Direct And Indirect Encounters With Police Brutality, Ashley Turner 2023 Antioch University Seattle

How Racial Trauma Manifests In Black Women From Direct And Indirect Encounters With Police Brutality, Ashley Turner

Antioch University Dissertations & Theses

This phenomenological study explored Black women’s lived experiences with racial trauma stemming from direct and indirect encounters with police brutality. A total of nine participants living in Washington state participated in this study. They identified as Black, ciswomen, fluent in English, and at least 21-years-old. In-depth, semi-structured, qualitative interviews were conducted to explore participants’ experiences with police. Transcripts were analyzed using interpretative phenomenological analysis. The results consisted of the following five themes: (a) forms of police encounters, (b) influence of identity, (c) perceived reason for police brutality, (d) emotions stemming from police brutality, and (e) tactics to survive police interactions. …


From Intersubjectivity To Activism: A Case For Engaged Psychoanalytic And Psychodynamic Psychology, Abigail Bliss 2023 Antioch University of New England

From Intersubjectivity To Activism: A Case For Engaged Psychoanalytic And Psychodynamic Psychology, Abigail Bliss

Antioch University Dissertations & Theses

This dissertation consists of a book proposal, including a completed introduction and first chapter, in addition to detailed chapter outlines summarizing the content for the actual book. After framing this project and exploring its inspiration, which includes Freud and his free clinics (Danto, 2005), the first chapter begins with explorations of multiple theories of intersubjectivity and the analytic third, considering how contemporary sociopolitical factors might affect the intersubjective experience. To this end, I demonstrate how race, politics, the COVID-19 pandemic, and the incorporation of telehealth practices affect the intersubjective experience in psychoanalytic/psychodynamic (PA/PD) psychotherapy. I then research and review PA/PD …


Does Anyone Else? The Lived Experience Of Writing About Depersonalization On Reddit, Kristina S. Fury 2023 Antioch University Seattle

Does Anyone Else? The Lived Experience Of Writing About Depersonalization On Reddit, Kristina S. Fury

Antioch University Dissertations & Theses

As both The International Statistical Classification of Diseases and Related Health Problems 11th Revision (ICD-11) and The Diagnostic and Statistical Manual of Mental Disorders-5-Text Revision (DSM-5-TR) describe, depersonalization (DP) involves unpleasant episodes of detachment from one’s sense of self or of unreality in the environment. Symptoms include people feeling as though they are an outside observer of their thoughts, feelings, sensations, body, or actions. DP can take the form of emotional numbing, in which people may feel they are watching themselves from a distance or as though they are characters in a play. People can also feel physically numb, disconnected …


"The Power To Heal And Cure": Adaptations Of Western Therapy By American Indian And Alaska Native Therapists, Calleaghn B. Kinnamon 2023 [email protected]

"The Power To Heal And Cure": Adaptations Of Western Therapy By American Indian And Alaska Native Therapists, Calleaghn B. Kinnamon

Antioch University Dissertations & Theses

The legacy of colonialism has created a modern-day reality where Indigenous populations of the United States (US) experience mental, physical, and emotional distress at disproportionately higher rates than other cultural groups in the country. Increased distress translates to an increased need for supportive services. Because the field of Western Psychology is based in colonialistic EuroWestern worldviews which positions that worldview as superior, Indigenous clients and communities have often experienced further harm in their encounters with mental health services. In recent decades, there has been increasing attention to adapting research, training, academic and clinical work in ways that are culturally appropriate …


Using A Single Measure To Assess Adherence And Differentiation In Family Therapy For Adolescent Externalizing Problems, Stephanie Violante 2023 Virginia Commonwealth University

Using A Single Measure To Assess Adherence And Differentiation In Family Therapy For Adolescent Externalizing Problems, Stephanie Violante

Theses and Dissertations

Family therapy is considered a well-established treatment approach for adolescent externalizing problems; however, research examining its effectiveness when delivered in routine practice settings has produced mixed results. The accurate interpretation of these inconsistent results requires an understanding of what therapeutic techniques were delivered, including those that were prescribed (i.e., adherence) and those that were non-prescribed (i.e., differentiation), suggesting the need for a measure that can concurrently assess treatment adherence and differentiation. The current study examined the extent to which an observational measure of an array of therapeutic techniques for youth emotional and behavioral problems (the Therapy Process Observational Coding System …


Addressing Death Distress In Caregivers Of Patients With Malignant Glioma, Kelcie D. Willis 2023 Virginia Commonwealth University

Addressing Death Distress In Caregivers Of Patients With Malignant Glioma, Kelcie D. Willis

Theses and Dissertations

The field of psychosocial oncology seeks to improve the quality of life of patients and families affected by cancer. This task becomes increasingly important when there are limited, non-curative treatment options, a high probability of recurrence, and rapid functional decline, such as in the case of a malignant glioma (MG). Indeed, the diagnosis of a MG is associated with negative sequalae that often translates to higher caregiver burden. Caregivers—who must manage the functional decline of the patient, changes within the family, and a complicated medical system—often feel overwhelmed, isolated, and ill-equipped to handle these myriad responsibilities. While they also report …


Profiles Of Family Functioning In Pediatric Hematology-Oncology Patients: Longitudinal Associations With Child Well-Being, Sydney Sumrall 2023 Virginia Commonwealth University

Profiles Of Family Functioning In Pediatric Hematology-Oncology Patients: Longitudinal Associations With Child Well-Being, Sydney Sumrall

Theses and Dissertations

This study aims to assess 1) patterns of family functioning and 2) longitudinal associations between family functioning patterns and well-being in a vulnerable cohort of children with chronic illness. Caregivers of hematology (16.4%) and oncology (83.6%) patients ages 7-20 (N=55; Mage = 13.3 [SD = 2.7]; 52.7% female; 45.5% non-Latinx White, 38.2% Black or African American, 12.7% Latinx, 1.8% Asian, and 1.8% multi-racial,) reported on family functioning via the Family Assessment Device. Cluster analyses identified three mutually exclusive clusters: one high adaptive group, one moderate adaptive group, and one maladaptive group. Group membership was not significantly …


Physical Activity In Adolescents With And Without Adhd: Longitudinal Associations With Sleep, Adhd, And Internalizing Symptoms, Caroline N. Cusick Lowman 2023 Virginia Commonwealth University

Physical Activity In Adolescents With And Without Adhd: Longitudinal Associations With Sleep, Adhd, And Internalizing Symptoms, Caroline N. Cusick Lowman

Theses and Dissertations

Adolescents with Attention-Deficit/Hyperactivity Disorder (ADHD) are at risk for developing clinically significant sleep problems and comorbid internalizing symptoms. Physical activity (PA) has significant positive associations with a variety of health outcomes, including sleep and aspects of mental health. As such, the US Department of Health and Human Services recommends adolescents receive at least 60 minutes of moderate-to-vigorous PA (MVPA) per day. However, it is unknown whether adolescents with ADHD have different patterns of physical activity compared to their peers. Importantly, it may be that PA can serve as a buffer between ADHD symptoms and development of comorbid difficulties with sleep …


Witnessing Community Violence And Its Consequences: Changes Across Middle School, Sarah Pittman 2023 Virginia Commonwealth University

Witnessing Community Violence And Its Consequences: Changes Across Middle School, Sarah Pittman

Theses and Dissertations

Community violence exposure is prevalent among youth residing in economically marginalized communities that have high rates of violence. Witnessing community violence has been concurrently associated with persistent adverse consequences. However, few studies have applied a developmental psychopathology framework and examined dynamic developmental processes between witnessing community violence and outcomes over time. Moreover, most prior studies have used analyses that assume that associations between witnessing violence and outcomes are the same for all adolescents, which is inconsistent with both developmental theories and theories specific to community violence exposure. The goal of this study was to apply a developmental psychopathological framework to …


Examining Genetically-Informed Etiologic Models Of Co-Occurring Posttraumatic Stress Disorder And Recreational Cannabis Use Among College Students, Terrell A. Hicks 2023 Virginia Commonwealth University

Examining Genetically-Informed Etiologic Models Of Co-Occurring Posttraumatic Stress Disorder And Recreational Cannabis Use Among College Students, Terrell A. Hicks

Theses and Dissertations

The college years encompass a period of increased risk recreational cannabis use (RCU), as well as a time of increased risk for trauma exposure and developing posttraumatic stress disorder (PTSD). Given the high co-occurrence between RCU and PTSD, and the potentially negative consequences of the two (e.g., worse academic outcomes), there is a need to understand the etiologic mechanisms of these commonly co-occurring conditions. Two primary phenotypic models exist: self-medication model (i.e., PTSD to RCU) and the high-risk model (i.e., RCU to PTSD). To date, there are two existing studies longitudinally examining the etiologic models proposed to explain co-occurring RCU …


Correlates Of Current Tobacco Use Among Cancer Survivors: Examining The Role Of Posttraumatic Growth And Family Conflict, Kendall Fugate-Laus 2023 Virginia Commonwealth University

Correlates Of Current Tobacco Use Among Cancer Survivors: Examining The Role Of Posttraumatic Growth And Family Conflict, Kendall Fugate-Laus

Theses and Dissertations

Cancer survivors who use tobacco are at a greater risk of death and poor health outcomes. Although tobacco use during cancer survivorship is associated with poor psychosocial functioning, it is relatively unknown how tobacco use is associated with other variables important to cancer survivorship, such as family functioning and posttraumatic growth. Thus, the current study aims to contribute to this gap within the literature by investigating the association between family conflict, posttraumatic growth, and current tobacco use status among cancer survivors. Participants were recruited from Virginia Commonwealth University’s Massey Comprehensive Cancer Center and eligible to participate if they received any …


Initial Psychometric Evaluation Of An Observer-Rated Measure Of Shared Decision Making Practices In Youth Psychotherapy, Jennifer LC Herbst 2023 Virginia Commonwealth University

Initial Psychometric Evaluation Of An Observer-Rated Measure Of Shared Decision Making Practices In Youth Psychotherapy, Jennifer Lc Herbst

Theses and Dissertations

SDM is a process by which clinicians and clients collaboratively make treatment decisions; this process may improve the alliance and clinical outcomes. SDM in youth psychotherapy is understudied, and a critical gap in the field is the paucity of established measures designed to assess SDM practices in youth psychotherapy. This project aimed to fill this gap by examining the score reliability and validity of a novel observer-rated measure of SDM designed for youth psychotherapy—the Shared Decision Making Practices in Youth Mental Health scale (SDM-YMH)—and using the measure to investigate linkages between SDM practices, the alliance, and clinical outcomes. Therapy tapes …


Moderators Of Response To Intervention For College Students With Adhd: Integrating Personal And Contextual Factors, Cathrin D. Green 2023 Virginia Commonwealth University

Moderators Of Response To Intervention For College Students With Adhd: Integrating Personal And Contextual Factors, Cathrin D. Green

Theses and Dissertations

College students with attention deficit/hyperactivity disorder (ADHD) are at increased risk for educational, interpersonal, and comorbid mental health difficulties. Although growing evidence suggests that psychosocial interventions can effectively improve ADHD symptoms and functioning in college students with ADHD, there is almost no research investigating individual differences in intervention response. Numerous factors ranging from participant characteristics, as well as social and contextual factors could lead some people to respond more positively than others. Understanding individual differences in intervention response may help to better target intervention efforts and to determine where intervention refinement is needed. This study evaluates whether personal and contextual …


Predictors Of Attitudes About Autism Spectrum Disorder (Asd), Claire Sullivan 2023 Eastern Illinois University

Predictors Of Attitudes About Autism Spectrum Disorder (Asd), Claire Sullivan

Masters Theses

Students with Autism Spectrum Disorder (ASD) are far less likely to enroll in secondary education than neurotypical students and students with disabilities (White et al., 2016). There is little research on the factors contributing to the reluctance of young adults on the autism spectrum to seek higher education. This study aims to answer two research questions. The first research question aims to determine if there is a predominance of negative attitudes towards ASD amongst present undergraduate college students. The second research question explores whether this could be a determining factor in a college determination for students with ASD. This current …


Efficacy Of A Brief Mindfulness Intervention For Not-Just-Right Experiences, Samuel Richard Cares 2023 Northern Illinois University

Efficacy Of A Brief Mindfulness Intervention For Not-Just-Right Experiences, Samuel Richard Cares

Graduate Research Theses & Dissertations

The obsessions and compulsions that define the diagnosis of Obsessive-Compulsive Disorder (OCD) traditionally have been characterized by harm avoidance. However, harm avoidance is neither specific to OCD nor does it comprehensively explain all symptoms with which individuals with OCD present. Emerging research has focused on incompleteness—and its manifestation through the phenomenon of not just right experiences (NJREs)—as a potential motivating factor for OCD symptoms. Whereas Exposure and Response Prevention (ERP) is conceptually relevant to—and empirically supported for treating—symptoms characterized by harm avoidance, there is an unclear connection between ERP and symptoms characterized by incompleteness. Research has begun to explore ways …


Evaluating The Attention Training Technique As A Transdiagnostic Intervention For Fear-Based Psychopathological Symptoms: A Randomized Controlled Trial, Benjamin John Ellem 2023 Northern Illinois University

Evaluating The Attention Training Technique As A Transdiagnostic Intervention For Fear-Based Psychopathological Symptoms: A Randomized Controlled Trial, Benjamin John Ellem

Graduate Research Theses & Dissertations

Recent research indicates that fear-related psychological disorders are a distinguished class of psychopathology, all of which share the underlying endophenotype of maladaptive acute fear responding. The relationship between maladaptive fear responding and psychopathology has been found to be moderated by executive functioning capacity—most notably attentional control. However, the current psychopathological nosology does not link fear-based disorders together. As a result, many fear-based disorders are treated separately with different evidence-based psychotherapies. These psychotherapies tend to focus on reducing phenotypic behaviors or self-reported experience of symptoms. Individuals with fear-based disorders may be better served by treatments that focus on the aforementioned endophenotypes …


Ocd And Scrupulosity Symptoms In The Lgbtq+ Community, Katherine Hurley Mangen 2023 Northern Illinois University

Ocd And Scrupulosity Symptoms In The Lgbtq+ Community, Katherine Hurley Mangen

Graduate Research Theses & Dissertations

Research related to obsessive-compulsive disorder (OCD) in the LGBTQ+ community has been limited to date. However, at least one previous study has indicated that the "unacceptable thoughts" symptom dimension of OCD may be particularly relevant to this population. The current study sought to examine whether LGBTQ+ individuals report greater levels than non-LGBTQ+ individuals of scrupulosity symptoms, or religious- and/or moral-based OCD symptoms that often are grouped into the unacceptable thoughts dimension. Participants completed a battery of questionnaires measuring several constructs, which the author proposed may be particularly relevant to the development and maintenance of scrupulosity symptoms among members of the …


Intergenerational Transmission Of Parenting: Does Emotion Regulation Buffer The Effect Of Negative Early Care Experiences On The Cortisol Stress Response And Subsequent Caregiving?, Erin Rochelle Mckay 2023 Northern Illinois University

Intergenerational Transmission Of Parenting: Does Emotion Regulation Buffer The Effect Of Negative Early Care Experiences On The Cortisol Stress Response And Subsequent Caregiving?, Erin Rochelle Mckay

Graduate Research Theses & Dissertations

A phenomenon known as the intergenerational transmission of parenting, where children tend to parent their children in a manner similar to how their own parents provided care, has received notable attention within developmental research. While several mechanisms focusing on cognitive and psychological factors have been proposed, there is less research examining biological mechanisms within the intergenerational transmission of parenting framework, especially when considering caregiving behavior exhibited in the context of child distress. Further, few studies have examined parent attributes which may disrupt the intergenerational transmission of parenting. The current study seeks to examine the hypothalamic-pituitary-adrenal (HPA) axis stress response as …


Examining Measurement Invariance Of The Pios And Pios-R Across Christian, Jewish, And Muslim Groups, Johanna Anita Younce 2023 Northern Illinois University

Examining Measurement Invariance Of The Pios And Pios-R Across Christian, Jewish, And Muslim Groups, Johanna Anita Younce

Graduate Research Theses & Dissertations

The Penn Inventory of Scrupulosity (PIOS) was developed in a sample of primarily Christian participants. Since scrupulosity is intertwined with religion, it is important to establish that the PIOS and its revised version (PIOS-R) are invariant across the religions with which the measure is primarily utilized: Christianity, Islam, and Judaism. Additionally, there was inconsistency in the literature as to the factor structure of the PIOS/PIOS-R, so three of the models in the literature each were examined and compared for the PIOS and the PIOS-R. 718 participants were recruited through MTurk and reported affiliation with either Christianity (n = 274), Islam …


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