Clinical Psychology Commons^™

The Integration Of Culture, Identity, And Belongingness In Emdr Therapy: Practitioners’ Perspectives, Robert Anthony Richards

Counseling and Psychology Dissertations

This dissertation examines how EMDR (Eye Movement Desensitization and Reprocessing) practitioners approach power dynamics, identity, and belongingness in therapy from a multicultural and social justice perspective. Using a qualitative narrative research design guided by intersectional feminist epistemology, the study investigates how privilege, positionality, and belongingness influence clinicians’ approaches to EMDR therapy. Semi-structured interviews were conducted with nine EMDR-trained practitioners from diverse sociocultural backgrounds to explore how relational, systemic, and contextual factors influence their clinical work. Thematic analysis was used to illuminate how EMDR practitioners navigate complex power dynamics both within the therapeutic alliance and in broader sociocultural contexts. Participants emphasized …

The Relationships Between Ego Depletion And Social Behaviors Across Different Degrees Of Psychological Flexibility, Jacob Cage Norris

Masters Theses

Social behavior includes behaviors that are influenced, directly or indirectly, by the realistic, anticipated, imagined, or implied presences of others. Particular social behaviors such as altruism or aggression may vary in how accessible they are, depending on the degree of self-control that has been recently exerted. Specifically, self-control fatigue, or ego depletion, seems to make aggression more likely and altruism less. However, individuals who are psychologically flexible, or who tend to be in contact with the present moment while engaging in behaviors that support the pursuit of values may not respond to ego depletion with the same changes to social …

The Role Of Isotocin In Female Zebrafish (Danio Rerio) Reproductive Behavior And Its Implication For Intranasal Oxytocin Therapy In Humans, Katelynn M. Benge

Masters Theses

In the past several decades, oxytocin has been colloquially termed the “cuddle hormone,” due to its role in pair-bonding and monogamy (Carter et al., 1992). In addition to being used experimentally for psychological disorder, it has also been used in couple’s counseling settings (Anagnostou et al., 2014; Domes et al., 2016). The outcomes of this research reveal mixed results, creating a need for further research in the topic to understand the exact mechanisms by which oxytocin works in the brain to induce this prosocial response. This study sought to address this deficit through the zebrafish animal model. The zebrafish serves …

Fear Of Falling: A Collaborative Approach To Treatment, Alexandra Uhren, Celeste Delap, Kate Jansen

Journal of Interprofessional Practice and Collaboration

Purpose: Physical Therapy (PT) and Behavioral Health (BH) often overlap in patient care; however, collaborative treatment is always not utilized by providers. This case study details the interdisciplinary treatment of a 69-year-old female with a fear of falling; emphasizing the importance of interprofessional collaborative care in treating Fear of Falling (FOF) in individuals at risk for fall-related injury with Cognitive Behavioral Therapy (CBT) and PT interventions.

Problem: FOF is common among older adults and can result in physical, psychological, and social consequences (Lee & Tak, 2023; MacKay et al., 2021). Patients at risk of fall-related injury experience decreased self-confidence in …

The Relationship Between Celebrity Worship And Psychotherapy Preferences, Sean Frydman M.S.

Selected Full Text Dissertations, 2011-

Celebrity worship (CW) is defined as an increased admiration toward a celebrity figure which may lead to excessive interest in their lives (McCutcheon et al., 2021). Intense CW has been found to be associated with a variety of pathological traits, suggesting that individuals with higher CW might benefit from psychotherapy (Sansone & Sansone, 2014). However, no research is available regarding psychotherapy preferences for this population. Research to date has found positive correlations between accommodating patients’ treatment preferences and greater treatment satisfaction and outcomes, stronger alliance, and reduced attrition (Iacoviello et al., 2007; Lindhiem et al., 2014; Swift et al., 2011, …

Psychotherapy Technique And Emotional Communication: The Relationship Between Technique Use In Psychotherapy And Patient Speech Styles Associated With The Referential Process, Sorrel Johnson M.S.

Selected Full Text Dissertations, 2011-

Linguistic analysis is a growing field within psychotherapy process research. Computerized measures have been developed to quantify qualities of speech associated with the Referential Process (RP), a construct describing the way in which people communicate emotional experience by cycling through different language styles (Bucci, 2021c). The three phases of RP are arousal, referential activity (RA), and reflection/reorganizing (R/R). Examining the latter two, the current study aimed to determine if therapists’ use of techniques was associated with immediate levels of patient RA and R/R in a sample of three archival psychotherapy sessions. Sessions were coded moment-by-moment (N=263 therapist speech turns) for …

The Effects Of Coping Motives On Alcohol Use Consequences, Madisyn E. Feliciano, Samantha Pelfrey

UROP Posters

The purpose of this study was to examine the difference in alcohol use consequences between those who drink to cope with anxiety or depression symptoms and those who do not. Our research aimed to expand on earlier studies by placing emphasis on how coping with anxiety and depression influences alcohol consequences using constructs aligned with DSM-V symptom criteria. Research has consistently shown that those who drink to regulate distressing emotions experience more harmful consequences, making this an imperative area for prevention efforts. It was hypothesized that coping motivated drinking would be associated with an increased amount of alcohol related consequences. …

Measurement Invariance Of Transtheoretical Model-Based Measures For Covid-19 Vaccination Readiness, Allegra Opiela

Open Access Dissertations

Purpose. To assess the measurement invariance of four novel Transtheoretical Model (TTM)-based measures for readiness to get vaccinated for COVID-19. Design. Cross-sectional.

Setting. Online survey study in the United States (US).

Participants. 1169 US-based adults aged 18-85.

Measures. Demographics, Stage of Change, Vaccination History, Decisional Balance, Self-efficacy, Myths, and Barriers to COVID-19 vaccination.

Analyses. Multigroup confirmatory factor analyses with increased restraints on model parameters to assess configural (no constraints), metric (factor loadings constrained), and scalar invariance (factor loadings and item intercepts constrained) in a sequential manner.

Results. Decisional Balance, Myths, and Barriers demonstrated scalar …

The Latent Lens: Exploring Hetereogeneity In The Use Of Physical Restraints Via Latent Class Analysis And The Lens Model, Andrew Miele

Theses and Dissertations

Research on the use of physical restraints has revealed high rates of heterogeneity between clinical settings and an array of potential risk factors at both the patient and provider level. This is most evident in general medical hospitals, where patient populations are more heterogenous than other settings and physicians often can rely only on observable characteristics of patients to assess safety risks. More recent work has shown that coherent subgroups of restrained patients can be derived from demographic and clinical indicators. Identification of coherent patient subgroups may aid in understanding both the heterogeneity of the restrained patient population and differences …

Patient-Identified Reasons For Premature Termination: A Systematic Review, Jack N. Mizrahi M.S.

Selected Full Text Dissertations, 2011-

Premature unilateral termination has been estimated to occur in approximately 20% of patients seeking psychotherapy. Research has identified a variety of factors including patient, therapist and treatment variables that may contribute to psychotherapy dropout. There is currently quite limited research on patients’ perspective of premature termination, with much of our understanding based on therapist’s perspective. Although therapist perspectives are an important source of information regarding premature termination, therapist judgments about patient progress are often inaccurate, and therapists consistently struggle with foreseeing unilateral termination. In addition, therapists have been found to attribute premature termination more to patient factors than their own …

Emotional Intelligence In Blended Vs. Non-Blended Families With Childhood Trauma, Rose Johnson Rodriguez M.S.

Selected Full Text Dissertations, 2011-

This study examined whether family structure (blended vs. non-blended) influenced changes in emotional intelligence (EI) among adults, while controlling for baseline EI and childhood trauma. Participants were 420 adults (292 from non-blended families and 128 from blended families) who completed pre- and post-treatment assessments of emotional intelligence using the Assessing Emotions Scale and completed the Childhood Trauma Questionnaire (CTQ) at baseline. Multicollinearity diagnostics revealed some overlap between emotional and physical abuse on the CTQ, but no severe violations. The overall model was significant, F (7, 412) = 16.95, p < .001, R2 = .224, explaining 22% of the variance in EI change. Baseline EI significantly predicted change (p < .001), while CTQ subscales were non-significant. Family structure had a small but statistically significant effect on EI change, F (1, 412) = 4.79, p = .029, partial η2 = .011, with adults from blended families showing slightly greater increases in EI than those from non-blended families. Findings suggest that while family context may shape emotional growth, baseline emotional functioning remains the strongest predictor of change. Future studies should recruit larger samples to enhance power and explore the mechanisms underlying these associations.

Exploring The Romantic Relationship Experiences Of Adults With Adhd (A Qualitative Study), Daniella Bababekov M.S.

Selected Full Text Dissertations, 2011-

Attention-Deficit/Hyperactivity Disorder (ADHD) is a prevalent neurodevelopmental disorder that affects approximately 2.5% of the adult population globally (APA, 2022) and can influence functioning across multiple domains of functioning, including romantic relationships. Fourteen adults currently in romantic relationships participated in semi-structured interviews. Data were analyzed using Auerbach and Silverstein’s (2003) grounded theory method. The purpose of this study was to explore the lived experiences of adults with ADHD in romantic relationships, in order to inform interventions and strategies targeting the unique difficulties faced by this population and their partners. Findings suggest that ADHD influences romantic relationships through interconnected relational processes, including …

Know Your Worth: A Qualitative Study Examining Factors That Psychologists Consider When Setting Their Fees, Emily Rispoli M.S.

Selected Full Text Dissertations, 2011-

Fee-setting in psychotherapy is a routine yet complex aspect of clinical practice that shapes access to care, the sustainability of private practice, and the therapeutic relationship. Despite its importance, limited research has examined how psychologists determine their fees in modern practice. Existing literature has largely focused on ethical guidelines, economic considerations, and the meaning of money in therapy, with less attention to how clinicians navigate fee-setting in real-world contexts. The purpose of this qualitative study was to explore the factors licensed psychologists consider when setting and adjusting their fees in self-employed, out-of-network private practice. Fourteen psychologists (Ph.D. and Psy.D.) participated …

Mental Health Stigma And Its Associations With Depression, Suicidality, And Help-Seeking Among Muslims Living In The United States, Tarnem Amer M.S.

Selected Full Text Dissertations, 2011-

Muslims living in the United States (MLUS) have higher rates of depression (Sloan & Haner, 2023) and are more likely to report a history of suicide compared to other faith groups (Awaad et al., 2021). Nonetheless, help-seeking rates among Muslims remain lower than those among non-Muslims (Ahmad et al., 2023). Mental health stigma has been identified as a key barrier to seeking care, but its mechanisms and outcomes have been understudied among MLUS. The present study examined three types of stigma (mental health public stigma, mental health self-stigma, and mental health help-seeking stigma) and their associations with psychiatric symptoms and …

Self-Efficacy Of The Minority Student Therapist: Exploring The Intersections Of Impostorship And Internalized Racism, Marilenny Herrera M.S.

Selected Full Text Dissertations, 2011-

The self-efficacy of ethnic and racial minority student therapists is significantly influenced by the complex interplay of the impostor phenomenon (IP) and internalized racism, which are often compounded by broader societal and systemic factors. IP, which is common among minority individuals (Bravata et al., 2020), has been shown to be shaped by racialized experiences that impact perceptions of competence and belonging (Cokely et al., 2017). It is important to understand how these factors may affect minority student therapists, particularly as the number of psychology doctorate recipients from underrepresented minority groups continues to rise (American Psychological Association, 2019). The present qualitative …

Sink Or Swim: Standard Swim Lessons As A Novel Intervention For Reducing Generalized Anxiety In Children, Joseph S. Brier

Selected Full Text Dissertations, 2011-

Anxiety disorders are the most common mental health conditions in children ages 6–18, with an estimated worldwide prevalence of 6.5% (Rapee et al., 2023; Polanczyk et al., 2015). Although psychological interventions are highly effective, only about 60% of children with anxiety receive professional help within 12 months of symptom onset (Ghandour et al., 2019). Swimming lessons may represent a widely available, low-cost, and naturally motivating alternative intervention for anxiety. Learning to swim targets mechanisms responsible for the development and maintenance of anxiety, including avoidance and maladaptive cognitions (Mowrer, 1951; Dymond & Roche, 2009), and emerging evidence suggests that treating one …

The Relationships Among Maternal Stress, Disordered Eating, Depressive Symptoms, And Infertility In Women Throughout The Postpartum Period, Christina Shoshilos

PCOM Psychology Dissertations

The perinatal period is a critical time of psychological, physiological, and social transition that can increase vulnerability to mental health challenges, particularly during the first year postpartum. This study examined the relationships among maternal stress, depressive symptoms, and disordered eating behaviors in postpartum women, with additional focus on differences by postpartum stage (0 to 6 months vs. 6 to 12 months) and infertility history. Participants (N = 248) were cisgender women who had given birth within the past 12 months and completed validated self-report measures of maternal stress, depressive symptoms, and disordered eating behaviors. A multiple regression analysis revealed …

Understanding The Role Of School Resource Officers In Addressing Students’ Mental Health Needs: A Phenomenological Study, Ryan Christopher Vinzant

Dissertations and Theses

Since the 1990s School Resource Officers (SROs) have been commonly employed in schools throughout the United States. However, their jobs may look very different depending on what setting they are in and the different administrative policies governing their work. Throughout this time, researchers have focused on the different roles that SROs have within the educational environment and how these roles are put into action when interacting with students. However, there have been limited studies exploring the role SROs play when interacting with students who are experiencing mental health problems or experiencing a mental health crisis. Mental health problems have become …

Interactional Synchrony In Mother-Infant Dyads: Developmental Changes And The Impact Of Maternal Emotion Dysregulation Over Time, Jessica Taylor Kelly

Dissertations and Theses

Infancy is a period of rapid development, while motherhood is often a time of heightened emotionality (Bjelica et al., 2018; Leclère et al., 2014). Synchrony between mother and infant is one of the earliest bonding experiences, with short- and long-term implications for the infant’s development and the mother-infant relationship (Leclère et al., 2014). However, little research has characterized developmental shifts in mother-infant synchrony. Maternal emotion dysregulation is likely to influence mother-infant synchrony (Doba et al., 2022; Lotzin et al., 2015, 2016). Yet little research has evaluated the impact of maternal emotion dysregulation on mother-infant synchrony over time. This project aims …

Roots To Recovery: How Therapeutic Horticulture Can Heal Sexual Trauma, Fiona E. Larsen-Teskey

Scripps Senior Theses

Sexual assault is one of the most prevalent sources of trauma among females. While still requiring more research, therapeutic horticulture (TH), also known as gardening therapy, has so far shown promising results regarding trauma recovery. In this study, I seek to discover how TH can aid in female sexual assault recovery. To determine its impact, I will conduct a three-month experiment with two groups: those who receive cognitive behavioral therapy (CBT) and those who receive CBT plus TH. I will specifically measure three common side effects survivors face: dissociation, shame, and PTSD. These categories will be measured through surveys and …