Diabetes Management For Low-Income Patients: Within-Case Analyses In Primary Care,
2019
Antioch University of New England
Diabetes Management For Low-Income Patients: Within-Case Analyses In Primary Care, Samuel Collier
Antioch University Dissertations & Theses
The study evaluated the effectiveness of a diabetes management program in a co-located mental health and primary care setting in Nashua, New Hampshire. The patient-participants were primarily underserved, low-income, working-class or homeless patients from the surrounding region. A few participants were also older adults. Examination of the literature highlighted the growing diabetes epidemic at local, state, and national levels. A review of past clinical trials of diabetes programs indicated further investigation into diabetes self-management education programs that integrate medical and behavioral health components under the biopsychosocial model. Thus, for the present study, the Stanford Diabetes Self-Management Program (SDSMP; Lorig, Ritter, …
Integrated Primary Care: Development Of A Patient Satisfaction Measure,
2019
Antioch University of New England
Integrated Primary Care: Development Of A Patient Satisfaction Measure, Sarah C. Pearson
Antioch University Dissertations & Theses
Primary care is often the first stop for individuals seeking services for a variety of behavioral health concerns including mental health and substance use disorders. However, many such patients are inadequately treated in these settings. Integrated primary care addresses this issue by adding a behavioral health provider to the primary care team to improve care and patient outcomes. A growing body of evidence suggests that increased integration of behavioral health and primary care yields a variety of significant outcomes including improved patient care, increased access to mental health treatment, and increased patient and provider satisfaction. When thinking about healthcare improvement …
Caregivers' Experience In Wraparound: A Qualitative Study,
2019
Antioch University of New England
Caregivers' Experience In Wraparound: A Qualitative Study, Mackenzie Soniak
Antioch University Dissertations & Theses
A large number of youth in the United States suffer from a severe emotional disturbance (SED). Due to a number of factors (e.g., lack of access to services, siloed service providers), many of these children have unmet severe emotional and behavioral health needs. Wraparound has been identified as a care philosophy and intervention to meet the needs of these youth. Wraparound programs aim to provide individualized, comprehensive, community-based care for children and their families. Although this intervention is widely spread across the United States, research findings on the efficacy of the approach are mixed. Previous research aimed to identify and …
Graduate Student Competencies In Working With Lesbian, Gay, And Bisexual Youth,
2019
Antioch University of New England
Graduate Student Competencies In Working With Lesbian, Gay, And Bisexual Youth, Rachael Roberts
Antioch University Dissertations & Theses
The focus and purpose of this dissertation was to explore students’ who are enrolled in APA-accredited clinical psychology doctoral programs self-perceived competency levels for working with LGB youth. This research utilized the Sexual Orientation Counselor Competency Scale (SOCCS; Bidell, 2005) in conjunction with an experience and demographic questionnaire. A survey was sent to all APA-accredited clinical psychology doctoral programs and all responses were analyzed through correlational analysis. The primary research question dealt with the possibility of a relationship between access and utilization of doctoral program training (in class or otherwise), practicum experiences, and level of confidence that graduate students have …
Internalized Homophobia Of Lgb Emerging Adults: Identity Complexities And Mental Health,
2019
Antioch University of New England
Internalized Homophobia Of Lgb Emerging Adults: Identity Complexities And Mental Health, Emily Christine Newbury
Antioch University Dissertations & Theses
Meyer’s (2003) minority stress model explores the relationship between the social stress of sexual minorities and mental health. Internalized homophobia is linked to feelings of shame, guilt, and worthlessness, and contributes to the development of mental health problems (Ramirez-Valles, Molina, & Dirkes, 2013). The present study examined the relationship between internalized homophobia and mental health in young adults who identify as LGB. Participants (N =130) were recruited from universities in Connecticut and Georgia, as well as from the Amazon Mechanical Turk website. It was hypothesized that higher levels of internalized homophobia would be related to higher levels of self-reported anxiety, …
Alcohol Misuse Among Veterans: Implications For Better Treatment,
2019
Antioch University of New England
Alcohol Misuse Among Veterans: Implications For Better Treatment, Annie Taylor
Antioch University Dissertations & Theses
Veterans are at an elevated risk of alcohol misuse compared to civilians due to a convergence of factors that create a highly concentrated risk of alcohol misuse among this population. Given this troubling finding and the lack of research in the realm of clinician competence related to alcohol misuse among veterans, this study attempted to fill the apparent gap in literature by way of understanding the perceptions of alcohol misuse in the veteran population and the approach to treatment by mental health providers in the Veterans’ Affairs (VA) system. In the current study, which utilized online survey methodology, VA mental …
Is It Who Am I Or Who Do You Think I Am? Identity Development Of Adolescents With Substance Use Disorders,
2019
Antioch University - PhD Program in Leadership and Change
Is It Who Am I Or Who Do You Think I Am? Identity Development Of Adolescents With Substance Use Disorders, Danielle N. Treiber
Antioch University Dissertations & Theses
The purpose of this study was to unearth how adolescents with substance use disorders achieve the task of identity formation and the construction of self-concept in the midst of the drug culture and society that exists. It sought to uncover the social constructs designed to ignore and/or remove human complexities and allow an intersectional approach to be brought to a study on this population. Historically, there has been a failure to investigate the underlying social attitudes and behaviors that impact the very delicate and vulnerable process of finding self. Psychosocial and relational adjustment are strongly influenced by the extent to …
Sexually Objectifying Microaggressions In Film: Using Entertainment For Clinical And Educational Purposes,
2019
Antioch University Seattle
Sexually Objectifying Microaggressions In Film: Using Entertainment For Clinical And Educational Purposes, Jackie M. Nelson
Antioch University Dissertations & Theses
Our culture is steadily becoming more aware, and less tolerant, of sexual harassment and misconduct. This is particularly evident in the wake of the viral Me Too movement beginning in 2017 which highlighted the breadth of personal experiences of sexual harassment on various social media platforms. Often the focus of these experiences is on overt sexual harassment and assault, but less attention is paid to the buildup that can lead to these terrible events. What is more, is that often these events are attributed to character flaws of the perpetrator without taking covert social norms into perspective. This dissertation takes …
Examining The Relationship Between Alcohol Use And Work In The Professional Theater,
2019
Antioch University of New England
Examining The Relationship Between Alcohol Use And Work In The Professional Theater, Michael A. Carollo
Antioch University Dissertations & Theses
Objective: The perception of a culture within the professional theatrical community that promotes problem drinking has been discussed anecdotally within the industry. No meaningful research has been conducted within this population. This study presents initial epidemiological survey data on the drinking habits of professional theatrical community (PTC) members as compared to the general public (GP) in order to confirm whether the phenomenon exists for further study. Methods: Data are from a convenience sample of 104 members of the PTC and GP who were each provided two previously clinically validated measures of problem drinking, the AUDIT and CAGE questionnaire. Drinking habits …
Involuntary "Whiteness": The Acculturation Of Black Doctoral Female Students In The Field Of Clinical Psychology,
2019
Antioch University Seattle
Involuntary "Whiteness": The Acculturation Of Black Doctoral Female Students In The Field Of Clinical Psychology, Carmela A. Maxell-Harrison
Antioch University Dissertations & Theses
This dissertation is based on qualitative research that documents the experiences of Black women matriculating through clinical psychology doctoral programs in predominantly white institutions (PWIs) and the perceived psychological effects of becoming a psychologist in a stigmatized field. Additionally, the historical and collective traumas that are continually experienced by this group and their coping mechanisms are explored and highlighted. More specifically, as existing research has revealed, Black women in doctoral programs in general experience a series of responses to racialized and gendered discriminatory practices leading them to withdraw from their programs or invoke coping mechanisms that may be counterintuitive to …
Family Estrangement And Hospital Readmission Rates Among Severely Mentally Ill Adults,
2019
Antioch University Santa Barbara
Family Estrangement And Hospital Readmission Rates Among Severely Mentally Ill Adults, Jenna A. Gunnels
Antioch University Dissertations & Theses
Most crisis stabilization, and mental health treatment in general, is delivered solely to the individual in crisis, by professionals who are careful to protect the individual’s right to privacy. An unintended consequence of this objective, unfortunately, can be the undermining of the potentially significant role played by family members in the treatment, maintenance, and stabilization of individuals with mental illness. Without family involvement, some individuals burdened by mental illness slowly and steadily decline. This study investigates how familial relationships impact mental health problems, specifically psychiatric hospital readmissions. The goal of this study is to determine whether being estranged from one’s …
The Rorschach’S (R-Pas) Capacity To Predict Quality Of The Working Alliance,
2019
Antioch University of New England
The Rorschach’S (R-Pas) Capacity To Predict Quality Of The Working Alliance, Jordan G. Stewart
Antioch University Dissertations & Theses
The aim of this study was to explore the Rorschach’s ability to predict the working alliance by investigating associations between specific Rorschach Performance Assessment System (R-PAS) variables and the Goals, Tasks, and Bonds dimensions of the Working Alliance Inventory (WAI). Specific R-PAS variables were chosen based their theoretical relatedness to the three dimensions of the WAI. The linear multiple regression results trended toward significance within the Goals domain, with the Human Movement Proportion score (M/MC) significantly predicting individual’s initial WAI Goals scores, indicating that individuals who possibly have difficulty modulating their emotions and tend to be more reactive in their …
“We’Re Together”: An Exploration Of Interracial Couples’ Perceptions Of Support And Relational Therapy,
2019
Antioch New England Graduate School
“We’Re Together”: An Exploration Of Interracial Couples’ Perceptions Of Support And Relational Therapy, Maxine Notice
Antioch University Dissertations & Theses
Interracial couples in the United States experience disproportionate amounts of adversity throughout their relationships. Backlash for loving interracially results in denied access to supportive systems, which literature indicates occurs commonly between micro and macro systems. Using ecological systems and narrative theories, a mixed methodological study was conducted using the Fragile Families Child and Wellbeing study to explore participant’s use of relational therapy and perceptions of access support systems. Subsequently, sixty interracial couple members completed a survey expressing perceptions of relational therapy, and the influence of support systems on their usage. Results indicate interracial and same-race couples attend relational therapy at …
Growth After Developmental Trauma: A Co-Constructed Story,
2019
Antioch University of New England
Growth After Developmental Trauma: A Co-Constructed Story, Naydine Johney
Antioch University Dissertations & Theses
In this study, I explored post-traumatic growth as embedded in a co-constructed healing relationship between a trauma survivor and a “mentor” who has been instrumental to their recovery. It is widely known that people who are resilient in overcoming early adverse childhood experiences have had someone in their corner who believed in them. In a separate, but related body of literature, there are similarly well-documented benefits for those who have the chance to make a difference in a survivor’s life, including for example: relatives, educators, and therapists. To date, we still don’t know if survivors and their mentors hold the …
Women’S Lived Experiences Of Gender Microaggressions: Dental Hygienists’ Stories,
2019
Antioch University of New England
Women’S Lived Experiences Of Gender Microaggressions: Dental Hygienists’ Stories, Karin E. Hovey
Antioch University Dissertations & Theses
This dissertation presents research involving women’s subjective experiences of gender microaggressions. The introduction includes a review of the literature on microaggressions: (a) the types of microaggressions, (b) the emotional and psychological cost to those who experience microaggressions, and (c) how gender microaggressions against women work to maintain oppression and sexual objectification of women in American society. This current research addresses the knowledge gap created by little research on women’s lived experiences of gender microaggressions they encounter in their everyday lives, particularly in the workplace. The population studied was dental hygienists. This population is unique because of the disproportionate number of …
Computer Multitasking In The Classroom: Training To Attend Or Wander?,
2019
Antioch University, New England
Computer Multitasking In The Classroom: Training To Attend Or Wander?, Elizabeth A. Rogers
Antioch University Dissertations & Theses
This study aimed to examine the phenomenon of Psy.D. students’ multitasking on the computer while in the classroom. Using an online survey of 45 questions, the study invited Psy.D. students from across the US to answer questions pertaining to their non-class-related use of computers in the classroom, including an exploration of their relationship with computers and the internet, feelings and judgments regarding multitasking in the classroom, and opinions on the behavior and its potential impact on their profession. A total of 166 people visited the survey with 145 respondents who answered it to completion. Of the 145 participants, 86% (125) …
Sexual Dysfunction: Providers’ Willingness To Ask Lgbq Veterans About Their Sexual Functioning,
2019
Antioch University of New England
Sexual Dysfunction: Providers’ Willingness To Ask Lgbq Veterans About Their Sexual Functioning, Melanie A. Brayman
Antioch University Dissertations & Theses
The prevalence of sexual dysfunction (SD) in veterans is high when compared to the general population because of its relationship to physical and mental health issues endured while serving their country (Hosain, Latini, Kauth, Goltz, & Helmer, 2013). Research has mainly concentrated on male, heterosexual veterans with SD and very little research has explored lesbian, gay, bisexual, and queer (LGBQ) veterans’ experiences. This is concerning considering research indicates that LGBQ veterans’ sexual minority status adds unique stressors such as fear of disclosing identity, fear of stigma, and internalized homophobia in addition to the stresses that occur from being in the …
Therapist Attachment And Meaning-Making In Adolescent Residential Treatment,
2019
Antioch New England Graduate School
Therapist Attachment And Meaning-Making In Adolescent Residential Treatment, Lisa J. Milone
Antioch University Dissertations & Theses
This qualitative study explores therapist views of the therapeutic relationship in adolescent residential treatment from an attachment perspective. The therapeutic relationship is a strong predictor of outcomes in adult psychotherapy and a significant body of research has relied on the attachment literature to understand its importance. Research yields comparable results when examining the significance of the therapeutic relationship with children and adolescents; however, there is virtually no literature exploring it from the attachment lens. This is particularly notable for children and adolescents in residential treatment. As treatment intensity increases from outpatient to inpatient to residential, challenges and opportunities within the …
Linguistic Issues In Culturally Sensitive Assessment: A Rorschach Case Study,
2019
Antioch New England Graduate School
Linguistic Issues In Culturally Sensitive Assessment: A Rorschach Case Study, Lauren M. Weisberg
Antioch University Dissertations & Theses
The Rorschach Inkblot Test (“Rorschach”) has historically been viewed as a culturally sensitive assessment instrument because it utilizes nonverbal stimulus cards (Meyer, Viglione, Mihura, Erard, & Erdberg, 2011). As a result, it has been considered a more appropriate assessment tool for bilingual and multilingual patients than assessments which rely heavily on verbal language. However, there are no evidence-based practice recommendations for Rorschach assessment of bi- and multilingual patients, despite the incredible linguistic diversity in the United States and the widespread use of the Rorschach. This dissertation includes a case study of a multilingual French–Israeli immigrant who was admitted to an …
The Experience Of Relapse After Long-Term Sobriety And Subsequent Return To Sobriety,
2019
Antioch University Santa Barbara
The Experience Of Relapse After Long-Term Sobriety And Subsequent Return To Sobriety, Bahram Edward Kaikhosrow Shahrokh
Antioch University Dissertations & Theses
While psychiatric medications have been categorized as the same as substances of abuse in Alcoholics Anonymous (AA), medications for common medical disorders were not affected by this disapproval of medication. It may be time for a new dialogue (Woody, 2015). According to Gjersing and Bretteville (2018), there has been a concerning increase in overdose deaths in the last decade. This includes a threefold increase in overdose deaths from prescription narcotics and six-fold increase in overdose deaths from heroin in the United States. When prescription opioid users find difficulty in obtaining pills, they may move on to heroin, which is much …
