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Interoceptive Forecasting And Recall: The Role Of Anxiety Sensitivity And Disgust Sensitivity, David Lloyd Yap 2025 CUNY Graduate Center

Interoceptive Forecasting And Recall: The Role Of Anxiety Sensitivity And Disgust Sensitivity, David Lloyd Yap

Dissertations, Theses, and Capstone Projects

Predicting and remembering emotional states (affective forecasting and recall) are adaptive processes that allow individuals to engage with the future and past to guide behavior, yet these processes are prone to bias. Although affective forecasting and recall biases are common across healthy populations, more pessimistically biased affective forecasts and recall have been linked to greater anxiety and depression symptom levels and to emotional disorders. A crucially understudied aspect of affective forecasting and recall is the perception of the somatic (interoceptive) symptoms that accompany emotions. This study investigated forecasting and recall accuracy of somatic symptom levels (i.e., interoceptive forecasting and recall). …


Non-Linear Heart Rate Variability: Investigating Cardiac Complexity Of Psychopathic Traits, Khaya A. Roach 2025 CUNY Graduate Center

Non-Linear Heart Rate Variability: Investigating Cardiac Complexity Of Psychopathic Traits, Khaya A. Roach

Dissertations, Theses, and Capstone Projects

Psychopathy is a complex personality disorder characterized by distinct emotional and interpersonal deficits, and affects approximately 25% of the prison population and 4.5% of nonincarcerated populations. The manifestation of psychopathy can be understood through two distinct variants, each demonstrating unique etiological pathways and clinical presentations. Primary psychopathy is characterized by core interpersonal and affective deficits, including shallow emotions and manipulativeness, while demonstrating reduced autonomic responsivity and lower anxiety levels. Secondary psychopathy presents with higher levels of impulsivity, anxiety, and emotional dysregulation, showing stronger associations with various psychopathologies. Treatment outcomes also vary between the variants, with primary psychopaths typically showing poor …


The Role Of Parent Psychiatric Symptoms In The Intergenerational Continuity Of Child Neglect: A Prospective Examination, Cody D. Stitzel 2025 CUNY Graduate Center

The Role Of Parent Psychiatric Symptoms In The Intergenerational Continuity Of Child Neglect: A Prospective Examination, Cody D. Stitzel

Dissertations, Theses, and Capstone Projects

Parental history of childhood neglect is a risk factor for offspring neglect. When a parent and their offspring both experience neglect in childhood, the phenomenon is referred to as the intergenerational continuity of child neglect. Understanding how child neglect is continued from one generation to the next is essential for creating effective interventions and prevention strategies that may help break the cycle. Since links between childhood neglect and heightened risk for various psychiatric symptoms have consistently been identified in research, as well as links between various psychiatric symptoms and heightened risk for child neglect, it may be that parents’ psychiatric …


Improving The Assessment Of Functional Ability In Older Adults, Aneela Rahman 2025 CUNY Graduate Center

Improving The Assessment Of Functional Ability In Older Adults, Aneela Rahman

Dissertations, Theses, and Capstone Projects

Deficits in instrumental activities of daily living (IADL) are a hallmark of dementia, and the unprecedented aging of the population strongly motivates early identification of older adults at-risk for functional decline. In 2015, the White House Conference on Aging emphasized the need to improve detection of diminished capacity across important areas of functioning. To date, there is very limited research on early IADL changes in cognitively unimpaired (CU) individuals and those with subjective cognitive decline (SCD) and mild cognitive impairment (MCI), who may be in early preclinical dementia stages. Additionally, little is known about how changes in functional brain networks …


The Role Of Intolerance Of Uncertainty In Prenatal Anxiety: Exploring Meta-Cognitive And Psychosocial Moderators, Jenna A. Macri 2025 University of Massachusetts Boston

The Role Of Intolerance Of Uncertainty In Prenatal Anxiety: Exploring Meta-Cognitive And Psychosocial Moderators, Jenna A. Macri

Graduate Masters Theses

Prenatal anxiety is common and has been linked to myriad adverse psychological and physical health outcomes for both the pregnant individual and the child. While research on factors contributing to the etiology and maintenance of prenatal anxiety is limited, intolerance of uncertainty has been identified as a key factor related to anxiety during pregnancy. The current study aimed to substantiate the role of intolerance of uncertainty in prenatal anxiety and explore meta-cognitive and psychosocial constructs as potential moderators of the relation between intolerance of uncertainty and prenatal anxiety. Additionally, due to inconsistencies in the operationalization of prenatal anxiety in the …


Effects Of Emotion Regulation On Reactions To Racism In Process Of Antiracism Among White Individuals, Stephanie Marando-Blanck 2025 University of Massachusetts Boston

Effects Of Emotion Regulation On Reactions To Racism In Process Of Antiracism Among White Individuals, Stephanie Marando-Blanck

Graduate Doctoral Dissertations

The current study used multiple mediation models to explore the pathways and relationships among white privilege awareness, white emotional empathy, white cognitive empathy, white guilt, and different types of emotion regulation as predictors of individual and institutional antiracist engagement. Gaining an understanding of how white individuals experience and regulate certain racial emotions in the process of learning about their white privilege may inform antiracist trainings, diversity, equity and inclusion workshops, multicultural courses in schools, as well as counseling trainings in cultural humility. White adults (N = 170) were recruited through an online crowdsourcing platform (Prolific) and completed a brief (~20 …


Contributions Of Adverse Childhood Experiences, Racism, Therapy And Health Habits To Cardiovascular Health In African American Adults, Tahra Chaunice Nobles 2025 University of San Francisco

Contributions Of Adverse Childhood Experiences, Racism, Therapy And Health Habits To Cardiovascular Health In African American Adults, Tahra Chaunice Nobles

Doctoral Dissertations

This dissertation explores the impact of Adverse Childhood Experiences (ACEs), racism, health habits, and therapy engagement on cardiovascular disease (CVD) among Black adults. This study builds on the Biopsychosocial Model and Allostatic Load Theory to examine how trauma, racism, and health habits influence cardiovascular health outcomes in the African American population. Through a quantitative analysis, this study investigates whether ACEs, experiences of racism, engagement in health habits, and participation in therapy contribute to the development or mitigation of CVD in Black adults. A total of 83 participants were included in the study, with data collected on ACEs, the frequency of …


The After Effects Of The Covid-19 Pandemic On The Mental Health Of International V/S Domestic Students - A Qualitative Study, Keerat Sidhu Bhatti 2025 The University of San Francisco

The After Effects Of The Covid-19 Pandemic On The Mental Health Of International V/S Domestic Students - A Qualitative Study, Keerat Sidhu Bhatti

Doctoral Dissertations

The COVID-19 pandemic significantly impacted the mental health of both international and domestic graduate students, exacerbating social isolation, financial strain, and psychological distress. This qualitative study examines the long-term effects of the pandemic on these student populations, exploring shared and divergent experiences, coping strategies, and evolving priorities. While both groups faced heightened anxiety and academic disruptions, international students encountered additional stressors, including cultural displacement, visa uncertainties, and limited support networks. Domestic students, in contrast, struggled with routine disruptions but had greater access to familial and social support. Across both groups, the pandemic prompted a reassessment of personal and professional priorities, …


Adult-Child Caregivers’ Fear And Coping Regarding The Risk Of Inheriting Alzheimer’S Disease, Rebecca Anne Ledbetter 2025 Walden University

Adult-Child Caregivers’ Fear And Coping Regarding The Risk Of Inheriting Alzheimer’S Disease, Rebecca Anne Ledbetter

Walden Dissertations and Doctoral Studies

Caring for elderly parents with Alzheimer’s disease (AD) poses two major challenges for adult-child caregivers: the tasks involved in taking care of ailing parents and also potentially living in fear of developing the same disease. This research examined how caregivers with such fear regard their vulnerability to AD and how they manage the stress that comes with caregiving for someone with a disease they dread developing themselves. This grounded theory study employed the appraisal theory of emotions and the theory of moods as frameworks and aimed to establish awareness regarding coping strategies that adult-child caregivers have about caretaking and their …


Better Serving Those Who Serve: Supporting Psychological Wellness Of Lgb Military Personnel In The Post “Don’T Ask Don’T Tell” Era, Anne Neuweiler 2025 University of Denver

Better Serving Those Who Serve: Supporting Psychological Wellness Of Lgb Military Personnel In The Post “Don’T Ask Don’T Tell” Era, Anne Neuweiler

Electronic Theses and Dissertations

Few studies have been able to explore lesbian, gay, and bisexual military personnel’s experiences in military mental healthcare settings. This study examined the experience of LGB servicemembers in military counseling environments, as well as how to support these servicemembers in military mental health and military communities. Six participants volunteered for the study and six semi-structured interviews were completed with LGB servicemembers who had contact with mental health. Three research questions guided the present study and a transcendental phenomenological frame was used to analyze the data and themes emerged. Research question one yielded three themes: 1) “I'm Definitely not Gay”: The …


The Multicultural Orientation Framework In Couple Therapy, Jasmine R. Davis 2025 University of Denver

The Multicultural Orientation Framework In Couple Therapy, Jasmine R. Davis

Electronic Theses and Dissertations

Couples’ cultural values and beliefs are important to their relational connection. Cultural values and beliefs can be sources of strength in relationships, but they can also lead to impasses. As such, clinicians and researchers could benefit from a cultural framework to inform conceptualization and treatment when working with couples. The Multicultural Orientation (MCO) framework has three pillars: cultural humility, cultural comfort, and cultural opportunities. The MCO framework is empirically supported for use in individual and group psychotherapy but has not been applied to couple therapy. This dissertation includes two parts. First, we outline a conceptual framework for the application of …


There Is No Finish Line: The Ramps Framework – An Evolving Model For Working With Racial Identities In Sport And Performance Psychology, Dylan Vas 2025 University of Denver

There Is No Finish Line: The Ramps Framework – An Evolving Model For Working With Racial Identities In Sport And Performance Psychology, Dylan Vas

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

The field of sport psychology has persisted in its calls for action on increasing cultural competence, being more inclusive of underrepresented identities, and progressing towards social justice (AASP, 2024b; Bejar et al., 2022; Fisher et al., 2003; Martens et al., 2000; Quartiroli, et al., 2023; Ryba et al, 2013; Ryba et al., 2024). This work attempts to contribute to these calls by providing attention on racial identity – including the proposal of an actionable and novel model, The Racial Identity Model of Psychology in Sport (RAMPS) Framework. The proposed model incorporates publications from sport psychology, clinical psychology, and social justice …


Supervisee Barriers To Disclosure And The Supervisory Working Alliance, Rachel G. Hughitt 2025 University of Denver

Supervisee Barriers To Disclosure And The Supervisory Working Alliance, Rachel G. Hughitt

Electronic Theses and Dissertations

This study investigated barriers influencing supervisees’ willingness to disclose clinical errors in mental health training contexts, with a focus on the supervisory working alliance (SWA) as a potential moderating factor. Participants read two vignettes – one describing a clinical error and the other a client concern – and were asked to indicate which case they would discuss with their supervisor. They also completed the Brief Supervisory Working Alliance Inventory–Trainee Form (BSWAI-T) and the Supervisee Disclosure in Supervision Scale (SDSS), which assessed the quality of the supervisory alliance and perceived barriers to disclosure, including fear of negative evaluation, lack of confidence, …


Trainee Countertransference And Competency In Bereavement Therapy: Strengths And Limitations Of The Wounded Healers, Meghan Paynter 2025 University of Denver

Trainee Countertransference And Competency In Bereavement Therapy: Strengths And Limitations Of The Wounded Healers, Meghan Paynter

Electronic Theses and Dissertations

Countertransference is a common experience in therapy, happening among clinicians of all stages of their career and the outcomes of this experience hinge largely on how countertransference is managed. Challenging topics, such as grief, only make countertransference harder to manage effectively and the management of this experience improves with practice and time—something trainees have not yet ascertained. Given the pervasiveness of grief as a human experience, also indiscriminate in nature, the experiences of trainees experiencing countertransference are important to understand, including what is experienced, how they experience it, and how it impacts their process and self-perception of confidence and competence …


Examining Barriers To Crisis Service Use Among Black Young Adults, Emily K. Burns 2025 University of Denver

Examining Barriers To Crisis Service Use Among Black Young Adults, Emily K. Burns

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Black communities face an increased burden of mental illness (Gordon, 2020). This can be linked to factors such as experiences of racism, higher rates of unemployment, financial and food insecurity, and disparities in health care (Gordon, 2020). Despite this, Black communities have historically experienced relatively low rates of suicide (Gordon, 2020). This has been anecdotally attributed to protective cultural values and beliefs about suicide. However, there has been a recent shift in this trend, particularly for Black youth and young adults.


Playing Catch Up: A Brief Look Into Modern Internet Culture And Its Impact On Adolescent Male Development, Xavier Bird 2025 University of Denver

Playing Catch Up: A Brief Look Into Modern Internet Culture And Its Impact On Adolescent Male Development, Xavier Bird

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

This doctoral paper argues that the internet, particularly the "manosphere," poses three significant threats to the development of adolescent males in the U.S.: the influence of misogynistic online personalities, the normalization of risky online behavior, and the spread of right-wing misinformation. The paper highlights the role of the COVID-19 pandemic in exacerbating these issues due to increased internet usage. Furthermore, it proposes a research study to investigate the link between exposure to online misogynistic content and aggressive behavior in schools, emphasizing the unique challenges of studying adolescents and their online culture. Finally, the paper stresses the urgent need for updated …


The Developmental Cohort Model Of Interpersonal Process Groups: A Clinician's Guide For University Counseling Centers, Lauren Caldas 2025 University of Denver

The Developmental Cohort Model Of Interpersonal Process Groups: A Clinician's Guide For University Counseling Centers, Lauren Caldas

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

The purpose of this paper is to outline a clinician's manual that guides providers in the development, facilitation, and maintenance of long-term interpersonal process groups (IPGs) within university counseling centers (UCCs). This manual also presents a new model: The Developmental Cohort Model (DCM), which utilizes a stepped model throughout a traditional student's college timeline. I will present this manual in the context of the Developmental Cohort Model (DCM), but it can certainly remain useful for any type of IPG. Research suggests that group therapy is an effective way to increase access to mental health care (Burlingame & Strauss, 2021) and …


A Clinical Pathway For Differential Diagnosis Of Adhd Vs Trauma: Early Childhood Recognition And Intervention, Maria Neiers 2025 University of Denver

A Clinical Pathway For Differential Diagnosis Of Adhd Vs Trauma: Early Childhood Recognition And Intervention, Maria Neiers

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Distinguishing Attention-Deficit/Hyperactivity Disorder (ADHD) from Complex Posttraumatic Stress Disorder (C-PTSD) presents significant diagnostic challenges due to overlapping symptom presentations, shared neurobiological impacts, and frequent comorbidities. This paper explores the nuanced clinical differentiation between ADHD and C-PTSD, and other trauma disorders, in pediatric populations, emphasizing the importance of trauma-informed assessment, early identification, and integrative clinical reasoning. The discussion highlights how structured diagnostic reasoning can reduce uncertainty, enhance diagnostic clarity, and support effective treatment planning. As a central contribution, this paper introduces an original clinical reasoning flowchart and a case conceptualization to illustrate its practical application in real-world diagnostic dilemmas. The need …


Applying Contextual Behavioral Science To Address Addictions In Monsters, Chase Hollander 2025 University of Denver

Applying Contextual Behavioral Science To Address Addictions In Monsters, Chase Hollander

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

The dominant essentialist paradigm in addiction treatment often conceptualizes addiction as a curse or plague which seizes the individual afflicted by it. Such views are reinforced by neurobiological interventions like Medication-Assisted Treatment (MAT). While MAT can reduce cravings and withdrawal symptoms, its long-term efficacy is mixed, and its emphasis on abstinence as a primary outcome limits its scope. Addiction is a multifaceted phenomenon shaped by physiological, psychological, social, and systemic factors—including stigma, moral judgment, and structural oppression. Essentialist approaches frequently pathologize individuals and obscure these broader influences. In contrast, contextual behavioral sciences and therapies aligned with functional contextualism such as …


Proposed Theoretical Model Of Pediatric Onset Multiple Sclerosis And Restrictive Eating Behaviors, Anna L. Smith 2025 University of Denver

Proposed Theoretical Model Of Pediatric Onset Multiple Sclerosis And Restrictive Eating Behaviors, Anna L. Smith

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Multiple Sclerosis (MS), a chronic, demyelinating, autoimmune disease that causes an array of physical and cognitive symptomatology, is commonly diagnosed in adulthood. Pediatric Onset Multiple Sclerosis (POMS) is characterized by diagnosis of the disease before age 18 and accounts for about 5% of MS cases. While there is a growing body of literature examining the impact of adult-onset multiple sclerosis on psychosocial functioning, research specifically addressing POMS remains limited. Moreover, there is a notable gap in the literature regarding the risk of eating disorders among individuals with POMS. This paper will explore a constellation of potential risk factors that may …


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