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Bipolarity Of Maladaptive Personality Traits In The Alternative Model Of Personality Disorders, Alexandra Hines 2023 University of Kentucky

Bipolarity Of Maladaptive Personality Traits In The Alternative Model Of Personality Disorders, Alexandra Hines

Theses and Dissertations--Psychology

It has been posited that extremely high or extremely low levels of any personality trait in the Five Factor Model of Personality can be maladaptive. However, the Alternative Model of Personality Disorders (AMPD) in Section III of the DSM-5 is composed almost exclusively of unipolar maladaptive traits. The lack of maladaptively low neuroticism and high extraversion fails to fully cover psychopathy; the lack of maladaptively high extraversion fails to cover histrionic personality disorder (HPD); the lack of maladaptively high agreeableness fails to cover dependent personality disorder (DPD); and the lack of maladaptively high conscientiousness fails to cover obsessive-compulsive personality disorder …


Personalized Longitudinal Network Models Of Alcohol Use: A Mechanistic Approach, Stephen Semcho 2023 University of Kentucky

Personalized Longitudinal Network Models Of Alcohol Use: A Mechanistic Approach, Stephen Semcho

Theses and Dissertations--Psychology

AUD and high-risk drinking are significant public health concerns, and prevailing diagnostic models fail to account for the within-person variability in AUD presentation and the role of functional mechanisms that maintain drinking outcomes. The ETOH Framework highlights the importance of three primary superdomains that maintain and characterize AUD – reward salience, cognitive dyscontrol, and negative emotionality. The current study was the first attempt to investigate the role of the primary ETOH mechanisms, along with positive and negative affect, on alcohol use outcomes, using a novel approach to model individual-level networks of relations over time. This study gathered twice-daily diary data …


The Sport Concussion Assessment Tool: A Multidimensional Symptom Model For Detecting Elevated Post-Concussion Symptoms, Eric Ingram 2023 University of Kentucky

The Sport Concussion Assessment Tool: A Multidimensional Symptom Model For Detecting Elevated Post-Concussion Symptoms, Eric Ingram

Theses and Dissertations--Psychology

Following sport-related concussions, a multidimensional symptom interpretation may identify athletes with domain-specific problems when beginning to return-to-play (RTP). This study investigated whether a four-factor model of post-concussion symptoms (i.e., cognitive, physical, affective, and sleep-arousal) would identify student-athletes with persistent concerns not reflected by their total symptom score. Collegiate student-athletes (N=24,696) from the Concussion Assessment Research and Education consortium completed the Sport Concussion Assessment Tool – 3rd edition Symptom Evaluation at baseline and two post-injury follow-ups (i.e., beginning RTP and 6-month). Confirmatory factor analysis was used to compare one- and four-factor models of post-concussions symptoms. Normative reference data were …


The Condom Use Outcomes And Sexual Functioning Of Young Adult Latinas: The Roles Of Intimate Partner Violence, Posttraumatic Stress Disorder, And Marianismo Beliefs, Jessica Flores 2023 University of Kentucky

The Condom Use Outcomes And Sexual Functioning Of Young Adult Latinas: The Roles Of Intimate Partner Violence, Posttraumatic Stress Disorder, And Marianismo Beliefs, Jessica Flores

Theses and Dissertations--Psychology

Intimate partner violence (IPV) has been linked to poorer condom use outcomes and sexual functioning in women broadly. Limited studies have examined these associations in Latina samples through a culturally sensitive, trauma-informed lens. A sample of 383 U.S. Latina/Latinx/Hispanic women (Mage = 25.29 years; SD = 4.44) who had a past-year intimate relationship completed a cross-sectional online survey of IPV history, posttraumatic stress disorder (PTSD) symptoms, marianismo beliefs (i.e., traditional Latina gender role expectations), condom use outcomes (i.e., condom use attitudes, efficacy, negotiation efficacy, and behaviors) and sexual functioning. Linear regression models found that past-year IPV was positively related …


Victimization, Symptoms Of Posttraumatic Stress Disorder, And Gender As Predictors Of Long-Term Substance Use Outcomes Of Patients In Community Treatment Programs, Christopher John Penn 2023 University of Kentucky

Victimization, Symptoms Of Posttraumatic Stress Disorder, And Gender As Predictors Of Long-Term Substance Use Outcomes Of Patients In Community Treatment Programs, Christopher John Penn

Theses and Dissertations--Psychology

Violence victimization and posttraumatic stress disorder (PTSD) are prevalent among individuals with substance use disorders (SUDs). Current evidence is mixed regarding the impact they have on substance use-related treatment outcomes and few studies have examined victimization and PTSD symptoms together in the same model. The current study will evaluate whether there is an indirect effect of past year victimization on substance use-related treatment outcomes through the pathway of PTSD symptom severity, among a subsample of 1,613 adult men and women reporting a lifetime history of victimization who participated in the Kentucky Treatment Outcome Study (KTOS), a statewide study evaluating federally- …


Development Of Inattention And Executive Dysfunction In Youth With Spina Bifida: Condition Severity Variables As Predictors, Allison D. Payne 2023 Loyola University Chicago

Development Of Inattention And Executive Dysfunction In Youth With Spina Bifida: Condition Severity Variables As Predictors, Allison D. Payne

Master's Theses

Spina bifida (SB) is associated with neurologic impairments that increase individuals’ risk for neuropsychological deficits, particularly inattention and executive dysfunction. While extant literature has yet to examine the development of inattention in youth with SB, some research suggests that these youth may not experience the age-related improvements in executive dysfunction seen in the general population. SB is a heterogeneous condition; thus, it is important to consider variability in condition severity when examining outcomes over time in youth with SB. Lesion level and shunt status are commonly used as indicators of SB severity and have been significantly associated with variability in …


College Transition Fall 2020 And 2021: Understanding The Relationship Of Covid-19 Experiences And Psychosocial Correlates With Anxiety And Depression, Andrea Lourie, Susan Kennedy, Erin J. Henshaw, Drexler James 2023 Denison University

College Transition Fall 2020 And 2021: Understanding The Relationship Of Covid-19 Experiences And Psychosocial Correlates With Anxiety And Depression, Andrea Lourie, Susan Kennedy, Erin J. Henshaw, Drexler James

Faculty Publications

Rates of mental health symptoms, particularly anxiety and depression, have increased significantly in college students in the past decade along with utilization of mental health resources. The COVID-19 pandemic created an additional source of stressors to an already challenging landscape of college transition. COVID-19 has been associated with an increase of anxiety among college students, particularly first year students, entering college in Fall 2020. The shifts in policy (e.g., federal, state, and college) accruing medical data, and vaccine availability between Fall 2020 and Fall 2021 provide an opportunity to examine the role of COVID-19 experiences in the transition to college …


Psychoanalytic And Psychodynamic Practitioners Survey, Rebecca Moussa 2023 Antioch New England Graduate School

Psychoanalytic And Psychodynamic Practitioners Survey, Rebecca Moussa

Antioch University Dissertations & Theses

There has been little consensus in the field of psychology in what defines a psychoanalytic/psychodynamic (PA/PD) practitioner or psychologist. This dissertation analyzed the data from the 2021 Psychoanalytic and Psychodynamic Practitioner’s Survey. The analyzed data was used to further understand who these practitioners are and how they practice by exploring (a) practice patterns, (b) education and training experiences, (c) demographics of practitioners, (e) practice settings and populations, (f), clinical problems addressed, and (g) needs and interest assessment for new specialty and subspecialty board certification. The results were analyzed and revealed relevant information about individuals’ ethnic/racial identification and the intersecting factors …


Finding Body Appreciation Through The Weight-Neutral Framework, Hannah Goehner 2023 Antioch University of New England

Finding Body Appreciation Through The Weight-Neutral Framework, Hannah Goehner

Antioch University Dissertations & Theses

Body dissatisfaction is a critical risk factor for well-being; however, it can be considered normative in women. Body dissatisfaction is exceptionally high for women in larger bodies (Murnen, 2011). Due to body dissatisfaction’s prevalence and risk, mental health providers must assist higher-weight women in developing body appreciation. This qualitative study aims to comprehend how weight-neutral treatments promote body appreciation among higher-weight women. Utilizing a feminist and positive psychology framework, the study explored how higher-weight women developed body appreciation, how weight-neutral treatment promoted this development, and what outside factors assisted their progression. Comparison analysis between the weight-neutral and weight-focused samples was …


Exploring The Lives Of Animal Activists: A Qualitative Study, Erin K. McKenney 2023 Antioch University of New England

Exploring The Lives Of Animal Activists: A Qualitative Study, Erin K. Mckenney

Antioch University Dissertations & Theses

The animal rights movement, despite its historical roots, has only recently garnered attention in the realm of social sciences, increasingly being recognized as a facet of social justice. This dissertation delves into the intersection of animal rights activism and gender, primarily focusing on the parallels drawn between the oppression of women and animals/nature. The noticeable dominance of women in the animal rights movement, as suggested by previous studies, formed the basis for adopting an eco-feminist approach to explore this issue, highlighting the shared oppression and exploitation faced by women and animals. In-depth, in-person interviews were used to collect data on …


Psychiatric Diagnostic Decision-Making: Investigating The Theory Of The Dual-Process Model, Christopher S. Kleva 2023 Virginia Commonwealth University

Psychiatric Diagnostic Decision-Making: Investigating The Theory Of The Dual-Process Model, Christopher S. Kleva

Theses and Dissertations

Diagnostic decision-making is an important component of clinical practice; however, there is substantial diagnostic unreliability within mental health diagnoses. The lack of reliability emphasizes the importance of investigating diagnostic decision-making; however, the research to date is limited, primarily relying on a vague definition of decision-making based on the dual-process model. The present study is an exploratory attempt to apply the dual-process model to explain how mental health clinicians (n = 30, 73.3% cisgender female, 96.7% psychologists) arrive at making diagnostic decisions through the use of an interactive interview mechanism. For each participant, we are able to create a figure …


The Impact Of Poorly Facilitated Anti-Racist Conversations, Brandon Kirkwood 2023 Antioch University of New England

The Impact Of Poorly Facilitated Anti-Racist Conversations, Brandon Kirkwood

Antioch University Dissertations & Theses

It is well established that the graduate school experience is significantly different for students of color; on top of a rigorous training program, they face additional distinct challenges including racism, discrimination, and feelings of isolation. Insidious Trauma theory provides the framework for this quantitative exploration assessing the impact of poorly facilitated anti-racist conversations on the physical and emotional wellbeing of clinical psychology graduate students of color. George Floyd’s murder, among many other incidents of racial injustice, was a powerful catalyst that propelled academic institutions into action. Anti-racist dialogue became the intentional focus of graduate classes almost overnight. Well-meaning but insufficiently-prepared …


With Liberty And Justice For All: Psychological And Functional Consequences For Service Members Acquitted Of Sexual Assault, Jamie Leavey 2023 Antioch University of New England

With Liberty And Justice For All: Psychological And Functional Consequences For Service Members Acquitted Of Sexual Assault, Jamie Leavey

Antioch University Dissertations & Theses

Policy makers are tasked with changing laws and improving systemic processes in response to evolving moral standards. As societal outrage grew regarding sexual assault in the military, those in power sought to balance what was perceived as a system that ignored, retaliated against, or unfairly burdened victims. However, as the pendulum swung toward victims’ rights and privileges, those accused of this crime inherited the burden of an imbalanced system. In the military context, the experience of the accused is impacted by the lack of separation between functional domains of life (e.g., work, home, community), multiple roles of military commanders (e.g., …


Internalized Transphobia And The Development Of Disordered Eating Behaviors In Gender Diverse Adults, Bonnie Kester 2023 Antioch University of New England

Internalized Transphobia And The Development Of Disordered Eating Behaviors In Gender Diverse Adults, Bonnie Kester

Antioch University Dissertations & Theses

Gender diverse individuals experience a multitude of oppressive interactions within our society and receive incessant messages of invalidation, oppression, and aggression. These chronic stressors have been shown to increase the risk of developing disordered eating behaviors within this population. The current study aims to explore how internalized transphobia may affect the development of disordered eating behavior as viewed through the Minority Stress Framework. This study explored the lived experience of being gender diverse in our society and how this may relate to the development of disordered eating behavior while also investigating protective factors. This study utilized a qualitative phenomenological methodology, …


Executive Functioning Among The Karyotypes In Turner Syndrome And Implications For Interventions, Sara Scull 2023 Antioch University of New England

Executive Functioning Among The Karyotypes In Turner Syndrome And Implications For Interventions, Sara Scull

Antioch University Dissertations & Theses

Turner syndrome (TS) is a genetic disorder seen in phenotypically female (pf) individuals who have either a complete or partial absence of the second sex (X) chromosome. TS includes different karyotypes, and it presents with a variety of phenotypic and genotypic features. In general, the neuropsychological profiles for individuals diagnosed suggest that TS can contribute to challenges in various aspects of daily life, including social and emotional functioning. With regard to academic performances, individuals with TS often present with relative strengths in a range of verbal abilities and relative weakness in visual-spatial/perceptual abilities, nonverbal memory, motor function, processing speed, executive …


Black Mental Health Clinicians' Experiences And Lessons From The Intersecting Crises Of Black Mental Health, Covid-19, And Racial Trauma: An Interpretive Phenomenological Study, Chanté Meadows 2023 Antioch University - PhD Program in Leadership and Change

Black Mental Health Clinicians' Experiences And Lessons From The Intersecting Crises Of Black Mental Health, Covid-19, And Racial Trauma: An Interpretive Phenomenological Study, Chanté Meadows

Antioch University Dissertations & Theses

This study explored the experiences of African American mental health clinicians’ during the intersecting crises of the Black mental health crisis, the highly publicized racial tension tied to extrajudicial violence and over-policing of Black Americans, and the COVID-19 pandemic. The pandemic started a global crisis that affected millions of people’s physical and mental health and overall well-being. Shared trauma explores the duality of mental health clinicians’ personal and professional experiences. Grounded in critical race theory and models of trauma, this study explores Black mental health clinicians’ lived experiences and lessons. This is an interpretive phenomenological study with narrative interviews of …


An Intersubjective Approach To The Role Of Anger In Differentiation And The Development Of A Cohesive Self: A Case Study, Hannah Schriber 2023 University of Denver

An Intersubjective Approach To The Role Of Anger In Differentiation And The Development Of A Cohesive Self: A Case Study, Hannah Schriber

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

The anger-turned-inward theory of depression has been extensively explored in psychodynamic literature. Still, little has been written about how modern relational approaches work with anger to aid patients in developing a healthy self-concept. This paper will first focus on a literature review of anger in Self Psychology and Intersubjective Systems Theory. These theories view anger as the manifestation of asserting one’s self after narcissistic injury. This paper will explore the relationship between anger and depression with an intersubjective lens utilizing the case study of Martha. Here I conceptualize depression as an introjective defense against misattuned early relational experiences. I explore …


A Qualitative Analysis Of Treatment Providers’ Understanding And Assessment Of Trauma And Autism, Leah Hanson 2023 University of Denver

A Qualitative Analysis Of Treatment Providers’ Understanding And Assessment Of Trauma And Autism, Leah Hanson

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Patients with autism spectrum disorder (ASD) are particularly vulnerable to traumatic experiences and further development of posttraumatic stress disorder (PTSD). Underlying traumatic stress is commonly missed and remained untreated in the autism population. In a previous pilot study, Hanson and Richards (2021) gathered providers’ understandings on trauma and autism The current study is a further, systemic content analysis on archival data from Hanson and Richard’s pilot study. Results from the current content analysis of the responses to Question 1 (How do you assess for trauma in your patients?) revealed that providers assess patients’ trauma primarily by interviewing caregiver and patients, …


The Misattuned Music Industry: An Intersubjective Perspective On The Music Industry's Mental Health Crisis, Jonathan Fricke 2023 University of Denver

The Misattuned Music Industry: An Intersubjective Perspective On The Music Industry's Mental Health Crisis, Jonathan Fricke

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Research shows that professional musicians tend to experience higher rates of mental health challenges compared to the general population. While there are a number of underlying factors and historical experiences that may help us to better understand these psychological struggles, I will be examining the relational system between musician and the music industry beginning at the time in which an amateur musician transitions to the professional realm. With this transition comes incredible demand and pressure from the industry. Professional musicians are at the mercy of grueling tour schedules where they spend months away from loved ones, must be "on" at …


Weplay Denver: The Why And How: Background And Implementation Manual, Lauren Gross 2023 University of Denver

Weplay Denver: The Why And How: Background And Implementation Manual, Lauren Gross

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

WePlay Denver (WePlay and Nosotros Jugamos; see glossary) is a program providing caregiver-infant playgroups designed to teach families with young children the value of play as well as provide information and resources on topics related to child development, family wellbeing, and mental health. WePlay and Nosotros Jugamos are a collaboration between the University of Denver’s Graduate School of Professional Psychology (GSPP) and the Children’s Museum of Denver, Marsico Campus, and are based on a similar program from the Chicago Children’s Museum. WePlay offered its first playgroup in 2019, while Nosotros Jugamos began in 2020.


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