Clinical Psychology Commons^™

Stressful Life Events And Ocd Treatment: A Thematic Analysis Of Patient Perspectives, Emily E. Fenlon

Theses and Dissertations--Psychology

Trauma exposure, including interpersonal violence (IPV), is associated with increased risk and severity of obsessive-compulsive disorder (OCD). Exposure and response prevention (ERP) is the treatment of choice for OCD, yet research suggests a history of trauma and comorbid PTSD may adversely impact treatment outcomes. No studies have yet evaluated patient perspectives on the relationship between trauma, IPV and related sequelae and OCD treatment. The present study applies reflexive thematic analysis to interviews from individuals with a history of IPV who received exposure-based therapy for OCD. Interviews explored the influence of posttraumatic distress, impairment, and psychopathology on the treatment of OCD, …

The Relationship Between Estradiol And Progesterone Concentration Levels, Alcohol Consumption, And Inhibitory Control, Layne Elizabeth Robinson B.S.

Theses and Dissertations--Psychology

Alcohol use is increasing among women, with estimates for binge drinking having risen to levels similar to those seen in men. Despite this trend, sex differences regarding mechanisms of alcohol consumption have seldom been investigated. Our group and others have found evidence to suggest that ovarian sex hormones are associated with alcohol consumption and mechanisms that might be related to alcohol consumption, such as executive function deficits. The current study sought to extend this prior research in a larger sample with higher drinking rates and more rigorous methods, and to explore inhibitory control associations with drinking. Across the two samples …

Patient Perspectives Of Psychotherapy Duration And Treatment Outcomes, Doug Terrill

Theses and Dissertations--Psychology

The duration of psychotherapeutic treatment is a longstanding and clinically consequential question in psychotherapy research. Premature dropout from therapy is common, indicating some patients do not receive adequate benefit. On the other hand, some patients remain in treatment beyond the point at which they receive significant benefit, which may delay care for those on patient waitlists. Researchers have proposed two contemporary models of the relation between treatment duration and symptom improvement; 1) the dose-effect (DE) model, which posits that patients improve at similar rates following a negatively accelerated symptom curve, suggesting treatment should end when sessions no longer provide significant …

Effects Of Transcranial Direct Current Stimulation On Urge During Cue-Exposure To Body-Focused Repetitive Behaviors, Hannah Rebecca Wild

Theses and Dissertations--Psychology

Body-focused repetitive behaviors (BFRBs) are unnecessary, repetitive grooming behaviors linked to abnormalities in sensory and reward processing, as well as top-down inhibition. The left dorsolateral prefrontal cortex (dlPFC) is implicated in these processes and plays a key role in cravings among individuals facing addiction. Transcranial direct current stimulation (tDCS) targeting the left dlPFC shows promise in reducing craving for addictive substances. Despite phenomenological similarities between BFRBs and addictive disorders, no controlled studies have examined tDCS’s effect on BFRBs. This study used a randomized, double-blind design to examine whether a single session of anodal multifocal tDCS targeting the left dlPFC reduced …

Comparing Domain- And Facet-Based Models Of Personality Disorder: Incremental Predictive Validity And Model Fit, Alexandra Hines

Theses and Dissertations--Psychology

Personality disorders (PDs) have historically been conferred using a categorical diagnostic framework (i.e., present versus absent). However, recent research supports a transition toward dimensional models of PDs wherein personality traits are measured along a continuum. Some dimensional models contain personality domains only, whereas other models contain both personality domains and facets of each of those domains. The leading models of each type are the PD model in the eleventh edition of the International Classification of Diseases (ICD-11) and the Alternative Model of Personality Disorders (AMPD) in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), respectively. …

Let's Not Talk About Sex? Exploring Sexual Pain In Orthodox Jewish Women, Zehava Gros Schwartzblatt M.S.

Selected Full Text Dissertations, 2011-

Vaginismus, a genito-pelvic pain disorder characterized by involuntary muscle contraction that renders vaginal penetration painful or impossible, is estimated to affect between 1% and 7% of women worldwide (Laskowska & Gronowski, 2022). Although commonly conceptualized as a medical condition, growing evidence suggests that its etiology is significantly shaped by sociocultural and religious factors (Tugrul & Kabakci, 1997). In particular, belief systems that associate sexuality with immorality, sin, or shame (Cotter, 2015; Lewis et al., 2004), combined with limited sexual education, stigma, and misinformation (Nasserzadeh, 2015), may contribute to the development and maintenance of the disorder. These dynamics are especially salient …

Exploring What Parents And Their Twice-Exceptional Children Need From The Mental Health System, Mehrnaz Mirhosseini M.S.

Selected Full Text Dissertations, 2011-

Twice-exceptional (2e) students, defined broadly as those with both high cognitive abilities and disabilities, have unique psychological needs. Many 2e students struggle in school and at home, and their abilities and disabilities tend to mask each other, making it more difficult to diagnose twice-exceptionality (Foley-Nipcon et al., 2013). Additionally, no gold-standard interventions have been identified (Foley-Nicpon & Candler, 2018). These factors and the relative obscurity of twice-exceptionalism can leave parents feeling helpless, confused, and isolated when seeking care for their 2e child. There is no research on which mental health interventions parents believe their 2e children need, as well as …

Barriers To Healthcare For Traditionally-Aged Lgbq+ College Students, Parker Long

Honors Undergraduate Theses

Seeking and receiving high-quality healthcare are key components of healthy living. Greater access to high-quality healthcare is associated with higher quality of life (Bunker, 2001). Despite the many benefits of quality healthcare, many people face barriers to accessing quality healthcare, resulting in poorer physical and mental health outcomes (Jatrana & Crampton, 2021). Individuals who identify as LGBQ+ face serious health disparities as a marginalized group. The current research was designed to examine and address these specific barriers to accessing high-quality healthcare among LGBQ+ traditionally-aged college students in order to inform ways to improve access to care. Specifically, this study investigated …

Dispositional Correlates Of Mobile Dating Application Users’ Self-Presentation Behaviors, Danielle Rafal

PCOM Psychology Dissertations

Introduction: Mobile dating applications (MDAs) have moved from niche to norm, making connecting with others easier. A problem with MDAs is the accuracy of user self-presentation. Dispositional characteristics such as personality traits, psychological distress, and age may be factors that drive MDA users’ self-presentation behaviors. This study explored whether the extent of discrepancy between deceptive and real self-presentation predicts psychological distress, whether Big Five traits enhance this prediction, and whether age group influenced self-presentation among MDA users.

Method: Using a cross-sectional quantitative survey-based design, 160 MDA users ages 18 and older residing in the United States completed the following measures: …

Examining The Psychosocial Impact Of Having An Adolescent Sibling With A Leukemia Diagnosis, Jordan A. Barczak

PCOM Psychology Dissertations

The current research regarding the impact of having a sibling undergoing cancer treatment is inconsistent and limited in scope. The current study explored the psychosocial effects, including peer relationships, academic outcomes, and overall mood in siblings of children with a cancer diagnosis. This study also explored the interaction patterns between children, their siblings with a leukemia diagnosis, and other members of the family. The participants of this study consisted of five youth from different families with a child or adolescent sibling with a leukemia diagnosis. The participants were recruited via social media and other community outreach avenues. Participants were between …

Increasing The Efficiency Of Screening For Severity Level Of Neurocognitive Impairment In The Corrections Sample: An Exploratory Study, Kelly Denton

PCOM Psychology Dissertations

Acquired brain injury (ABI) is a serious and potentially devastating health condition that can cause several lasting deleterious consequences affecting many domains of life. Difficulties are commonly reported in cognition, emotional, and social functioning, in addition to physical impairment. ABI disproportionally affects different groups, including the corrections population, which is five times more likely than the general population to have an ABI. However, there is limited research on the severity of neurocognitive impairment after an ABI for inmates in a correctional setting. It was hoped that the current study would help clarify the characteristics of ABI that result in different …

An Investigation Into Distinctions Between Nonsuicidal Self-Injury And Disordered Eating Behaviors, Kyle Ross

West Chester University Graduate Theses, Dissertations, and Final Projects

The investigation of nonsuicidal self-injury (NSSI) and eating disorders (EDs) is important for the field of clinical psychology to clearly conceptualize and treat self-destructive behaviors. The present study aimed first to understand experiences of NSSI and ED behaviors and then to determine the best way to conceptualize indirect versus direct self-harm behaviors to inform treatment. Four research questions focused on (1) experiences of the behaviors, (2) functions of the behaviors, (3) conceptualization of direct/indirect self-harm, and (4) descriptions of treatment experiences. Interviews were conducted with nine people (eight women, one nonbinary) with a mean age of 31 years old. Participants …

Generation Z: Black Male Constructions Of Masculinity And Provider Roles In Heterosexual Marriages, Bentley Stafford Hylton

Antioch University Dissertations & Theses

This study explores how expectations associated with the male provider role identity impact the psychological well-being of Black American Generation Z (“Gen Z”) men. Using a qualitative design, approximately 20 participants were surveyed to examine how efforts to meet provider role expectations influence well-being, as well as how Gen Z Black men construct and define masculinity within contemporary sociocultural contexts. While prior research has examined Black masculinity, limited attention has been given to its intersection with provider role expectations, particularly among emerging adults. Historically, messages about masculinity and marital roles have been transmitted through community institutions, leadership, and cultural narratives; …

"Why Don't I Talk To A Therapist?": Motivations And Reflections Of Female-Identifying Chinese Immigrants Seeking Psychotherapy For Depression, Qiuyi Wei

Antioch University Dissertations & Theses

This phenomenological study explored the lived experiences of Chinese immigrants and temporary residents struggling with depressive symptoms and their process of seeking and accepting psychotherapy support. The study aimed to describe the factors that motivated participants to enter therapy for depression while also addressing their internal concerns about treatment. Nine female-identified Chinese immigrant adults with such experiences were recruited. Participants’ perceptions of their depressive symptoms and the factors contributing to their decision to seek professional therapy were explored through in-depth, semi-structured qualitative interviews conducted in Mandarin. The interview transcripts were analyzed in Mandarin using interpretative phenomenological analysis, through which four …

Youth And Caregiver Expectations In Pediatric Concussion Recovery And Persisting Symptoms, Molly A. O'Reilly

Antioch University Dissertations & Theses

Concussions present complex diagnostic and treatment challenges, particularly for pediatric patients who may experience persisting symptoms. Psychological mechanisms, including patient expectations and beliefs about recovery and symptoms, play a critical role in shaping outcomes. However, there is limited research exploring these factors in pediatric populations, particularly using qualitative approaches. This study sought to address this gap by employing a qualitative phenomenological design with interpretive phenomenological analysis to examine the recovery expectations of pediatric patients with persisting symptoms following concussion, as well as caregivers’ perspectives. Using the nocebo effect as a conceptual framework, eight pediatric patients and their caregivers participated in …

Improving Parental Self-Efficacy In An Integrated Primary Care Setting, Leo Parini

Antioch University Dissertations & Theses

A pediatric mental health crisis in the United States has strained integrated primary care, leaving providers with high volumes of requests for psychotherapy. Low parental self-efficacy (PSE)—reduced caregiver confidence in supporting children's emotional and behavioral needs—may contribute to this demand. This study examined whether a brief, 4-week parent training curriculum informed by Supportive Parenting for Anxious Childhood Emotions (SPACE), targeting child anxiety and obsessive-compulsive disorder (OCD) and delivered by a clinical psychologist within an integrated primary care setting, would increase PSE. Using secondary, de-identified data, PSE was measured before and after the course with the Brief Parental Self-Efficacy Scale; 19 …

Experiences Of Title Ix Investigations For Bipoc Survivors Of Sexual Violence, Tiffini Vo

Antioch University Dissertations & Theses

Sexual violence is among the most common crimes on college campuses. Nearly one in four undergraduate women experience sexual violence during college, yet reporting remains low (Spencer et al., 2020). Some students avoided reporting because of fear of criticism, backlash, blame, and shame (Lorenz et al., 2023). These responses not only influence reporting decisions but can also contribute to persistent psychological harm. A common consequence of sexual assault is the survivor developing post-traumatic stress disorder (PTSD), depressive and anxiety symptoms, and suicidality, demonstrating the severity of the crime perpetrated against them (Rothman et al., 2021). Even more so, those who …

Hiding In Plain Sight, Gayle M. Perreault

Antioch University Dissertations & Theses

Some autistic individuals reach adulthood without receiving a diagnosis, and the processes contributing to delayed recognition are not yet fully understood. This study explored how contextual conditions across development related to the emergence and use of camouflaging behaviors in late-diagnosed autistic adults from groups historically underrepresented in autism research. Using an inductive collective case study design, narrative interviews were conducted with seven autistic adults diagnosed after age 15. The analysis examined how participants described learning, maintaining, and interpreting camouflaging behaviors across childhood through early adulthood within social, environmental, and institutional contexts, with attention to how participants experienced environmental expectations and …

How To Reduce Inpatient Violence: A Theory Synthesis From Four Models, Arthur Walker

Antioch University Dissertations & Theses

Working in an inpatient setting inherently involves an increased risk of violence. This violence can affect both staff and patients alike and can lead to psychological trauma, serious bodily injury, and even death. To mitigate this risk, many models for preventing inpatient violence have been proposed for hospitals to implement. However, the evidence for the efficacy of these methods is inconsistent, and the theoretical underpinnings are varied and slim. This dissertation seeks to improve these models by re-examining the theoretical structures for common themes of four models for inpatient violence reduction and proposing additional recommendations informed by this synthesis. First, …

Into Action: A Twelve Step-Informed Act Group Protocol For Outpatient Substance Use Treatment, Doug Hohenberger

Antioch University Dissertations & Theses

Substance use disorders remain a prevalent and costly public health concern. Despite this, efforts to disseminate evidence-based practices frequently encounter both practical and philosophical barriers. Language and practices from the Twelve Steps of Alcoholics Anonymous have permeated addiction treatment settings and have become the “common tongue” for addiction recovery discourse. Consequently, most substance use treatment programs feature tenets of the Twelve Steps of Alcoholics Anonymous in their clinical programming, even though the framework was designed for peer support settings. Twelve Step fellowships have made important contributions to the substance use treatment field and have guided individuals through personal recovery through …