Clinical Psychology Commons^™

Training Games: An Application Of Game Theory To Clinical Psychology Graduate Training, Benjamin David Cornell

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Contents

Groundwork - 4

Game Theory - 4

Game Theory and the System of Clinical Psychology Graduate Training - 6

Psychological Payouts, Reconciling Game Theory and Clinical Psychology - 8

Games in the Training of Psychotherapists - 15

Prisoners’ Dilemmas, Internship and Graduate Applicant Selection - 15

The Strategic Implications of Learning, Nash Equilibria - 21

Commitment Moves, “The Frame,” Psychotherapy, Supervision - 24

Mechanism Design, The Match - 27

Intra-systemic Conflict, Program Design - 30

Conclusion - 34

Works Cited - 36

A Qualitative Evaluation Of A Substance Abuse Treatment Program For Athletes, Megan K. Lavoy

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

The focus of this study was to examine the experiences of two past participants of an athlete­-specific drug and alcohol rehabilitation program. Researchers have discussed the vulnerability of an athlete population and prevalence of substance use among athletes ( e.g., Turrisi, Mastroleo, Mallett, Larimer, & Kilmer, 2007; Martens, Watson, Royland, & Beck, 2005). Some rehabilitation programs and specific approaches to treating substance abuse in athletes have started to emerge and are beginning to be discussed in the literature (Donahue et al., 2014). However, there remains a gap in the research of studies examining the experiences of these athletes who have …

Therapeutic Alliance Through Person-Centered Therapy: An Influential Factor In Long-Term Utilization Of Mental Health Services Among Asians In The United States, Lahela Ashlee Rice Jorgenson

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

While the Asian population in the United States is growing vastly and there is an abundance of literature regarding barriers to utilization of psychological services for this population, there remains minimal research on positive or facilitative factors for those who do utilize services and do not prematurely terminate treatment. The purpose of this study was to explore possible factors that promote clients' utilization and commitment to mental health services, as reported by Asian clinicians working with an Asian American population. This study was performed through a descriptive qualitative approach consisting of semi-structured interviews with four clinicians providing mental health services …

Cinematherapy With Inside Out: A Theoretical And Practical Guide, Jessica Rosenfeld

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Since its release in 2015, the Disney/Pixar film "Inside Out" has received widespread critical and commercial acclaim. Despite the film's basis in established psychological theories, little has been published regarding its clinical applicability, particularly for adolescent and adult clients in traditional talk therapy. Through the use of cinematherapy, a deeper examination of the film is offered, and suggestions for treatment use are provided. Via the lens of modern psychodynamic (Intersubjectivity) and behavioral (ACT) techniques, this paper offers diverse options for integrating "Inside Out" in psychotherapy and proves that it contains clinical applicability for a wide range of practitioners.

A Phenomenological, Arts-Based Study Of Art Therapists’ Self-Reflective Practice, Laurie Ponsford-Hill

Theses and Dissertations (Comprehensive)

This phenomenological, arts-based study examined the experiences of 15 art therapists using five-minute, full-bodied self-portraiture with 55 minutes of self-reflective journaling once a week for four weeks at the end of each work week. The therapists determined the location for this practice. Subsequently, the four artworks, as a serial, were explored with each participant in a one-hour telephone or Skype interview to understand their lived experience through art, and its signs, and symbols. This process enabled the therapists to act as witness to their respective self/selves, deepening their insights and connections about self. The transcribed audio-taped interviews were manually coded …

The Inevitability Of Decay: Disability In Ernest Hemingway's The Old Man And The Sea, Dominic Robin

UNF Graduate Theses and Dissertations

To many, Ernest Hemingway embodies a certain image of "masculinity," one centered around ability and physical performance. Such a narrative ignores the truly complicated and dynamic shape his understanding of the body took. Through an analysis of Hemingway's The Old Man and the Sea, I examine the form this ideology took in his later life, focusing particularly on Hemingway's evolved understanding of the body. Through this research, a more nuanced picture of Hemingway emerges, one that recognizes the complicated and dynamic nature his view of the "able" body took.

Risk Of Unintended Pregnancy In Latina Young Adults: The Effect Of Gender Role Beliefs, Acculturation, And Depression, Jessica Block

Psychology Theses & Dissertations

This study investigated the effect of Latina gender role beliefs, or marianismo beliefs, on risk for unintended pregnancy by examining contraceptive method use in Latina young adults. Acculturation and depression were also examined as moderators of the association between marianismo and contraceptive method choice, as well as separately for their effects on contraceptive use. Unmarried, nulliparous Latina women aged 18-24 (N = 142) were recruited through online social media platforms. Data were collected in the United States in July 2017. Logistic regression analyses were performed to distinguish between women who utilized more effective v. less effective contraceptive methods in the …

Attrition In Behavioral Parent Training Programs In Clinical And Community Settings: A Meta-Analytic Review, Brett C. Michael

UNF Graduate Theses and Dissertations

Abstract

It is estimated that approximately 16-20% of youth will develop a diagnosable behavior disorder. Behavioral parent training is a valuable approach to address disruptive behaviors by teaching parents how to effectively manage their child’s challenging behavior with non-physical disciplinary techniques. While these programs are generally effective, attrition rates have been found to be as high as 60% in some cases. This review provides information about the characteristics commonly associated with these programs, the attrition rates of each program, and the general effectiveness of the programs. Meta-analytic procedures were implemented to identify contributing factors leading to withdrawal from intervention.

Keywords: …

Examining The Role Of Behavioral Inhibition In Harsh Parenting Preferences: An Analog Study, Kelsey T. Ellis

Psychology Theses & Dissertations

Understanding the cognitive processes involved in harsh parenting behavior would have broad implications for parenting interventions and training programs. Few studies have addressed how parental stressors, specifically infant crying, can influence individuals’ self-regulatory cognitive capacities and ultimately their preference for harsh parenting strategies. Furthermore, little research has explored the link between these cognitive processes and harsh parenting preferences; thus, little work has been done to establish a true causal relationship. This study examined the role of behavioral inhibition in harsh parenting preferences when individuals were exposed to an infant crying noise.

Participants (n = 129) were undergraduate students (Mage = …

Recognizing Addictive Disorders Through Transdiagnostic Assessment, Meagan M. Carr

Master's Theses and Doctoral Dissertations

Some evidence suggests high rates of comorbidity between substance and other related addictive disorders. However, few self-report instruments adopt a transdiagnostic approach, which would be best positioned to answer questions about comorbidity as well as other related phenomenon, such as discontinuation of one type of behavior and initiation of another. The current work aimed to develop a measure that screened for seven types of potentially addictive behavior: alcohol use, drug use, tobacco use, gambling, binge eating, hypersexual behavior, and excessive video game playing. Data were collected at three time-points to develop a large pool of possible items, establish the initial …

Treatment Satisfaction And Adult Mental Health Outcomes Of Childhood Sexual Abuse Survivors, Tarila Abbott

Theses and Dissertations

In the current study, we examined the impact of trauma-specific treatment and treatment satisfaction to determine if receiving treatment had an impact on the adult mental health outcomes of childhood sexual abuse survivors. One hundred ninety-four participants completed a series of self-report measures that captured their experience of childhood sexual abuse, possible enrollment in treatment, experience in treatment, and current PTSD, Depression, Alcohol Abuse, and Experiential Avoidance levels. MANOVAs were conducted to identify and examine any relationships between treatment groups. It was hypothesized that participants who received therapy specific to their childhood sexual abuse would endorse lower levels of PTSD, …

Minority Stress, Same-Sex Couples, And Marriage Equality: A Qualitative Interview Study, Angela Lee-Attardo

Antioch University Dissertations & Theses

In June 2015, the marriage equality movement in the United States succeeded at the federal level. This study documents individuals’ perceptions of how the fight for marriage equality affected their thoughts, feelings, and behaviors within their own marriages to same-sex spouses. I conducted interviews with eight married individuals (five men and three women) who were married prior to the Supreme Court decision legalizing same-sex marriage nationwide. Areas of inquiry included (a) motivation to get married, (b) factors affecting commitment, (c) willingness to utilize couple therapy, and (d) factors affecting thoughts about divorce. I hypothesized that, for some individuals or couples, …

Indicators Of Client Engagement In A University Psychotherapy Training Clinic, Katie L. Randall-Sungar

Antioch University Dissertations & Theses

A retrospective research study evaluated archival data on client engagement from a program evaluation project implemented at the Psychological Services Center at Antioch University New England. Student researchers from the Center for Behavioral Health Innovation (formerly Center for Research of Psychological Practices) partnered with the Antioch University Psychological Services Center (PSC) to investigate the impact of client early engagement on drop-out rates and therapy outcomes of mental health clients. Potential participants were administered a brief questionnaire, prior to the first session via phone call, to assess their readiness, expectations of therapy, potential barriers to seeking treatment, and their initial impression …

Disclosure And Nondisclosure In Clinical Supervision: Negotiation Of The Learning/Vulnerability Paradox, Vanessa Jayne Leary

Antioch University Dissertations & Theses

Few studies have explored the long-term impact of nondisclosure and disclosure events on supervisee development and identity formation. This qualitative study explored the retrospective accounts of supervisee (non)disclosure experiences in clinical supervision as supervisees negotiated the learning/vulnerability paradox that accompanies disclosure. Through the use of Interpretive Phenomenological Analysis (IPA), six early career licensed clinical psychologists who completed their predoctoral internships between 3 and 5 years ago, graduated from an APA-accredited program, and who were actively practicing in the field of psychology were interviewed. Following interview transcription, I engaged in the process of convergent and divergent analysis in order to elicit …

Proactive Stress Management For Firefighters, Amanda M. Mead

Antioch University Dissertations & Theses

Firefighters in the United States face significant risks as they serve their communities. Despite research that has thus far demonstrated the benefits of proactive coping strategies, and a previously suggested need for a proactive stress management program for firefighters, no such program has yet been implemented or evaluated specifically for firefighters. The purpose of this dissertation was to research stress and stress management using qualitative interviews with New Hampshire and Arizona firefighters to inform the development of a future primary prevention program (proactive stress management) to this at-risk population. Results yielded themes of sleep deprivation, stigma, protectiveness, mental health, lack …

Latent Structure Of The Wisconsin Card Sorting Test In Psychiatrically Hospitalized Youth, Jane S. Studeny

Antioch University Dissertations & Theses

The aims of this study were to explore the latent factor structure of WCST performance in psychiatrically hospitalized youth, and to investigate associations between latent factors and various psychiatric, psychological, and neuropsychological variables. The results revealed a three-factor solution that is broadly attributed to executive abilities of problem solving, cognitive flexibility, and inhibitory control. The resulting three-factor solution accounted for 96% of the variance in the present study’s sample, and was comparable to results from similar studies in adult populations. Latent factors were associated with performance on a brief test of intelligence as well as to several measures of executive …

Examining Attentional Control And Processing Speed Deficits As Underlying Mechanisms Of Neuropsychological Impairment In Schizophrenia, Mayte Forte

Graduate Masters Theses

Neuropsychological impairment is a key characteristic of schizophrenia (SZ), but its cognitive profile and underlying information processing mechanisms are not yet well understood. We compare patterns of neuropsychological functioning in 85 persons with SZ and 76 healthy controls across measures of intelligence, memory, and executive function. We then test the hypothesis that neuropsychological impairment in SZ is related to dual deficits in two related but distinct information processes: processing speed and attentional control. All research participants completed Wechsler Adult Intelligence Scale-Third Edition (WAIS-III), Wechsler Memory Scale Third Edition (WMS-III), and Wisconsin Card Sorting Test (WCST), all of which provided measures …

Whether Or Not 'It Gets Better'…Coping With Parental Heterosexist Rejection, Cara Herbitter

Graduate Masters Theses

Lesbian, gay, and bisexual (LGB) people face the burden of additional stressors as a result of their experiences of stigma and discrimination regarding their sexual minority status. Parental rejection of LGB people in the context of heterosexism serves as a powerful minority stressor associated with poorer mental health (e.g., Bouris et al., 2010; Ryan, Huebner, Diaz, & Sanchez, 2009). Few contemporary theories exist to describe the experience of parental rejection. In addition, the extant empirical research has focused primarily on youth experiences among White and urban LGB samples, signaling the need for research across the lifespan investigating more diverse samples. …

Validation Of The Multilayered Gender Identity Questionnaires, Philip Eiseman

Dissertations

Gender identity shapes the ways transgender adults experience themselves and relate to the world around them. Although research and theory suggest that gender identity is a multidimensional construct, most measures of gender identity have viewed gender as primarily a unitary construct tied to the gender binary. The aim of this study was to develop and validate the Multilayered Gender Identity Questionnaires (MGIQ), a set of measures of gender identity, in a sample of transgender adults. Qualitative data collected through focus groups with transgender adults (N = 7) helped refine and develop these measures. A series of analyses involving a …

Pathological Personality Traits And Neuropsychological Function, Rui Tang

Psychology Theses and Dissertations

Traditional categorical diagnosis in DSM-5 has received widespread criticism due to its extreme heterogeneity, poor diagnostic reliability, poor validity and high comorbidity. The alternative trait model introduced the domain of psychoticism, which captures the trait of positive schizotypy. Positive schizotypy has been linked to vulnerability to schizophrenia spectrum disorders, which has shown several areas of neuropsychological dysfunction. Considerable evidence has demonstrated that the dimensional model has superior reliability and validity and ties to important clinical constructs such as neuropsychological function. Little research has tied the dimensional model of personality pathology to neuropsychological domains including processing speed and executive function. The …