Clinical Psychology Commons^™

A Pilot Feasibility Trial Of Mindfulness And Modification Therapy For Males Who Use Aggression, Jenny Mitchell

Dissertations, Theses, and Capstone Projects

Physical aggression incurs substantial harm to victims and witnesses, particularly when it occurs within close relationships such as family, friendships, or intimate partnerships. Men who use aggression against partners and other adults frequently experience high levels of psychopathology, including depression, posttraumatic stress symptoms, anxious/insecure attachment, paranoia, bipolar disorder, intermittent explosive disorder, personality disorders, and substance abuse, which contribute to use of aggressive behaviors. However, existing treatments for aggression often do not address these symptoms. It is important that treatments for aggression are grounded in theoretical literature and backed by empirical support in order to increase treatment engagement and effectiveness. Treatments …

The Impossible Situation? Impasse As Psychotherapeutic Paralysis, Possibility, And Progress, Leo Cancelmo

Dissertations, Theses, and Capstone Projects

Psychotherapeutic impasse has long been understood in the clinical literature as treatment stagnation and even failure, both from one-person and two-person psychodynamic perspectives. However, there is a dearth of empirical research that delves deeper to understand this complex and rich phenomenon. Using semi-structured interviews with nine psychodynamic therapists speaking about individual adult patients, this study examined experiences of impasse to better understand treatments that become embroiled in a kind of paralysis. Qualitative analyses revealed dyads where patients were conceptualized as struggling chronically with negative feelings about themselves and others, and who experienced traumatic personal histories. Impasse in and of itself …

Serial Position Effect Profiles And Their Neuroanatomical Correlates: Predictors Of Conversion To Alzheimer's Disease, Isabelle K. Avildsen

Dissertations, Theses, and Capstone Projects

The current study was designed to determine whether targeted, premorbid, neuropsychological measures of the serial position effect (SPE) can detect and explain risk for later development of Alzheimer’s disease (AD). The study tested the utility of SPE measures in healthy controls (HC) and individuals already diagnosed with mild cognitive impairment (MCI) or AD. Aim 1 was to determine whether these sensitive, valid neuropsychological measures can explain disease risk. SPE of list-learning are highly sensitive cognitive markers that capture important elements of both linguistic and amnestic mechanisms of encoding, learning, and retrieval. Using the Rey Auditory Verbal Learning Test (RAVLT), we …

Ssri-Induced Emotional Blunting: A Study Of Cognitive Changes In Pharmaceutically Treated Depression, Carly Tocco

Dissertations, Theses, and Capstone Projects

Objective: In recent years, approximately 12.7% of the American population are on a prescribed antidepressant medication. Selective Serotonin Reuptake Inhibitors (SSRIs) are a widely used pharmacological treatment for depressive and anxiety disorders, primarily due to their tolerance levels, mild side effects in comparison to other antidepressants, and broad range of clinical indications. However, there are still numerous concerns about SSRIs’ ability to improve depressive symptoms without adding side effects such as sexual dysfunction, gastrointestinal upset, and a restricted range of emotions. Although patients typically claim that they have less emotional pain while on SSRIs than they do during a depressive …

The Impact Of Cannabis Use On Neuropsychological And Neural Biomarkers Of Treatment Response In Schizophrenia Spectrum Disorders, Melanie B. Thies

Dissertations, Theses, and Capstone Projects

Cannabis use among patients with schizophrenia-spectrum disorders (SSD) is at significantly greater levels than in healthy populations but the impact of cannabis on neural mechanisms of clinical improvement is poorly understood. Cognitive functioning and neural connectivity are disrupted as a result of both SSD and cannabis use, and research indicates that neuropsychological capacity and connectivity of the striatum, a region involved in salience and reward processing, may be integral to effective antipsychotic drug (AP) treatment response. Despite this overlap, no previous research has investigated the effect of cannabis on the brain functions implicated in AP treatment response. The present study …

Exploring Social And Emotional Functioning In Emerging Adult Survivors Of Adverse Childhood Experiences, Sara Babad

Dissertations, Theses, and Capstone Projects

As many as two thirds of adults in the United States have experienced adverse childhood experiences (ACEs) and 60% of these individuals have experienced multiple, or cumulative ACEs. ACEs are associated with a range of outcomes, including social, emotional, and cognitive changes, health risk behaviors, psychopathology, worse physical health, and early death. Although some ACEs effects have been well-researched, social and emotional changes have received minimal attention in the literature in general. Research on ACEs effects in emerging adults (ages 18 to 25), an already vulnerable population, is also limited. Furthermore, there is debate in the field as to which …

Anomalous Self-Experiences And Aberrant Salience In Schizotypy, Victoria Martin

Dissertations, Theses, and Capstone Projects

Within this investigation, the self-disorder hypothesis of schizophrenia was assessed via an illusory perceptual paradigm. It has been proposed that alteration of basic (minimal) selfhood may underlie cognitive and perceptual disturbances in psychosis (Sass, 2014). Disturbed corporeality (i.e., anomalous experience of one’s body) is an identified component of basic self-disturbance. As it is difficult to empirically capture the spontaneous occurrence of anomalous bodily experiences as they arise, the Pinocchio Illusion (PI) has been employed to capture variations in the plasticity of bodily self-experience (specifically, body boundary plasticity) (Michael & Park, 2016). The PI paradigm provides for the sensations of arm …

Countertransference And The Patient's Experience: Exploring How Engagement With Affect Is Related To Short-Term Psychotherapy Outcomes, Ariel R. Westerman

Dissertations, Theses, and Capstone Projects

Background: Therapist focus on affect in the here-and-now can facilitate a patient’s emotional experience as well as expression of affect, both of which are associated with better outcome over the course of treatment (Diener et al., 2007). A therapist’s use of her own experience of the patient can serve as a signal to intervene in the here-and-now. While “countertransference” was historically seen as an obstacle to a therapist’s neutrality and therefore efficacy (Freud, 1910), shifts in the field toward a two-person psychology model led some to reconsider it as a potential source of clinical data (Winnicott, 1947; Heimann, 1950; Racker, …

The Social Construction Of Premenstrual Dysphoric Disorder (Pmdd), Raya Balabanova

Dissertations, Theses, and Capstone Projects

The creation of psychiatric diagnoses, otherwise known as psychiatric nosology, is a complex endeavor, one involving a great deal of social construction. One diagnosis in particular, premenstrual dysphoric disorder (PMDD), exemplifies the different factors that go into the creation of psychiatric labels. After decades of research, activism, and debates, PMDD was included in the diagnostic and statistical manual (DSM-5), which is widely used by clinicians in the U.S. This thesis aims to describe how the symptoms described by PMDD caught the attention of the medical profession and how PMDD was shaped into the diagnosis it is today. The introduction of …

Virtual Reality Supplement To The Peers Social Skills Intervention For Adolescents With Asd, Kevin Ambrose

Dissertations, Theses, and Capstone Projects

The purpose of this study was to replicate findings of the Program for the Education and Enrichment of Relation Skills (PEERS) parent-assisted social skills training program for a diverse group of adolescents with historical autism spectrum disorder (ASD) diagnoses in an urban locality. Additionally, this study sought to pilot a 3D multi-user virtual environment for adolescent participants and an online learning community for parent coaches; both hypothesized to reinforce the social skills curriculum. A randomized controlled trial of PEERS was completed with 12 adolescents diagnosed with ASD with some participation from their caregivers. Results show that participants who received the …

The Impact Of #Metoo On Reasons For Sexual Assault Disclosure, Cheryl H. Tien

Doctoral Dissertations

Sexual assault is a long-standing widespread problem. Yet, despite the high prevalence of sexual assault, it is the most underreported crime of all crimes reported to the police (Bureau of Justice, 2018). The #MeToo movement has had a significant impact on the way in which sexual assault survivors disclose their experiences and the reasons they disclose. Disclosure appears to be an important factor in survivors’ healing from their assault, with increasing coping, greater attachment to others, and positive growth cited as effects of disclosure provided that the response to the disclosure is positive to the survivor (Ahrens & Aldana, 2012; …

Examining Culturally Adapted, Values Based, Mental Health Stigma Reduction And Help-Seeking Messages For Asian Americans, Anna M. Ying

Graduate Doctoral Dissertations

Mental health stigma is a ubiquitous concern impacting help-seeking in the United States and worldwide, including in college students. Insufficient attention has been given to the cultural context of stigma and help-seeking in Asian Americans, constructs in which culture has inherent relevance. The current study was the first to develop and test the acceptability of an online culturally adapted, values-based stigma and help-seeking intervention for Asian American college students, intentionally framing the benefits of therapy and mental wellness as congruent with values-based behaviors, intending to reduce the social costs and stigma of impaired functioning. A sample of 115 East, South, …

Associations Between Childhood Sexual Abuse, Adult Sexual Assault Experiences, Psychological Distress, And Substance Use, Diamonde Mccollum

The Pegasus Review: UCF Undergraduate Research Journal

This study evaluates the potential mechanisms underlying the association between childhood sexual abuse (CSA) and substance use among adult women. Moreover, CSA, adult sexual assault (ASA), and psychological distress (including symptoms of depression and perceived stress) was evaluated to determine how it contributes to substance misuse. Past research shows that individuals who experience CSA are more likely to experience ASA, which results in psychological distress. Individuals may use substances to cope with psychological distress from CSA and ASA, consistent with the self-medication hypothesis. Women (N = 225) were recruited from Mechanical Turk (Mturk) and completed an online survey. Results indicate …

Do Adverse Childhood Experiences Mediate The Relationship Between Autistic Traits And Borderline Personality Traits?, Alyne Rodrigues

Dissertations - ALL

Background: Previous studies have found comorbid autism spectrum disorder (ASD) and borderline personality disorder (BPD) diagnoses in clinical samples, higher autistic traits in individuals with BPD compared to control groups, and co-occurrence of autistic traits and BPD traits in community samples. Adverse childhood experiences (ACEs) are highly prevalent among autistic individuals and individuals diagnosed with BPD. However, to date, cumulative ACEs have been neglected as a potential mediator of the association between ASD and BPD. The present preliminary cross-sectional study examined whether retrospective self-reported ACEs, before 18 years of age, explained the relationship between current self-reported autistic traits and current …

Potential Causes Of Stigma Toward Autism Spectrum Disorder In The Hispanic/Latin Community, Jill Morales

Psychology and Counseling Theses

The goals of this study were to (a) examine if stigma against ASD is predicted by high levels of acculturation, low socioeconomic status, low levels of education, and the lack of intention to seek help from a mental health professional, and (b) examine potential differences between Hispanics and Non-Hispanics on these predictors. I predicted higher levels of acculturation and lower levels of education among Hispanic/Latin individuals than non- Hispanic/Latin individuals, and that mature Hispanic/Latin individuals will have higher levels of acculturation and lower levels of education compared to their younger counterparts.

The data were collected via a Qualtrics survey distributed …

Parental Attachment And Compassion As Predictors Of Distress Disclosure Among Young Adults, Ellie N. Wilde

Clinical Psychology Dissertations

Distress disclosure is associated with perceived social support, so it is important to understand what supports our ability to disclose distress. This study examined relationships between distress disclosure, fear of others’ compassion, parental attachment, self-compassion, and perceived social support among young adults. I expected young adults with stronger parental attachment security to report greater capacity for distress disclosure and that this relationship would be mediated by fear of others’ compassion. I expected trait self-compassion to moderate relationships between these variables on all paths of the mediation, such that higher self-compassion would reduce the adverse impact of insecure parental attachment on …

Examining The Feasibility Of Implementing A Mindfulness-Based Cancer Recovery Bibliotherapy For The Treatment Of Psychosocial Distress In Women With Breast Cancer, Juliana A. D'Onofrio

Theses and Dissertations

Breast cancer is the most common cancer diagnosis and the second leading cause of cancer-related death for women in the United States. Clinical depression and anxiety occur frequently within this population. Subclinical symptoms are also common and include increased sense of vulnerability, agitation, and grief as well as fears related to pain, creating a burden for one's family, and death. Due to the variety of negative implications women experience from psychosocial distress, improving quality of life and reducing symptomatology becomes imperative. A plethora of research supports the use of Mindfulness-Based Cancer Recovery (MBCR). Considering the challenges present within traditional psycho-oncological …

'Bleeding-In-The-World': A Qualitative Study Of Self-Cutting And Blood, Sadie Mohler

Electronic Theses and Dissertations

This dissertation is an existential, phenomenological study of the role and meaning of blood in self-cutting. Using in-depth, open-ended interviews with participants who self-cut, the author gathered data on the multisensorial experience of blood and bleeding in self-cutting. Data analysis was organized around the lifeworld existentials of corporeality, temporality, spatiality, communication, and relationality. The impact of blood and bleeding across each lifeworld dimension emphasized highly relevant, and previously unstudied, aspects of the lived experience of self-cutting. The six themes identified and explored are (a) blood as an animate abject; (b) bleeding and control; (c) bleeding is a process and the …

Calm-Mo: An Integrative Tool For Psychological Mindfulness, Charles L. Miller

Dissertations, 2020-current

Henriques has developed a “Unified Theory” that consists of eight key ideas he argues can effectively frame both the science of psychology and the practice of psychotherapy. CALM-MO, the eighth of these ideas, offers an integrative, principled approach to psychological mindfulness. CALM-MO is an acronym that encapsulates the process of cultivating a “calm” meta-cognitive observer that embodies the attitudes of curiosity, acceptance, loving compassion, and motivation toward valued states of being. Henriques posits that the idea consolidates key elements from across the various schools of thought to bring together essential therapeutic principles geared toward seeking and maintaining well-being. As such, …

Strategies And Methods Of Training Teacher Emotional Competence, Christina D. Beaton

Dissertations, 2020-current

Teaching is an emotional endeavor. That is why teachers must be equipped with skills to manage their emotions as well as emotions of their students. The present research investigates a strategies and methods for a model of training teacher emotional competency. Elementary school teachers (N=78) were asked about their perception of the importance of emotional competencies including emotional self-awareness, emotion regulation, effective emotional expression, identifying and responding to students’ emotions, promoting a positive emotional climate in the classroom, using emotions to promote learning, skills to promote student emotional competence, and skills to maintain teacher well-being. They also reported how often …