Clinical Psychology Commons^™

Understanding Mental Health Crisis Response Through The Lens Of First Responders, Ella Gibson

Student Theses

Responses to mental health crises are becoming an increasingly contentious topic as cases of extreme police violence or fatality during a crisis are publicized in the media. Although first responders’ experiences with mental health crisis response have been explored in prior literature, there remains a lack of research that gathers data from multiple first responder roles and compares their experiences across groups. There is also a significant gap in research examining the perspectives of co-response teams. This study sought to gather qualitative data on the experiences of police officers, EMTs/paramedics, and co-response team members, and to explore their perceptions of …

Observed Parenting, Parent-Child Aggression, And Intimate Partner Violence As Predictive Of Family Dysfunction, Paige Munshell

Psychology Theses & Dissertations

Family systems theories contextualize violence as occurring across multiple levels of the family, yet much of the existing literature focuses on a single family member’s outcome (i.e., the child) and neglects to include data collected from fathers. This study examined the associations between indicators of functioning at the dyadic-level in the family system—observed parenting, Intimate Partner Violence (IPV) perpetration, and Parent-Child Aggression (PCA) risk—and later overall family dysfunction. Participants were 180 mothers and 144 of their male partners evaluated when their child was 18 months old and re-evaluated at 4 years old. Measures of observed parenting, IPV perpetration, and PCA …

Identifying Alcohol Intervention-Relevant Constructs For Greek Life: Examining Across Greek Membership And Gender Among College Students, Emily Susan Renzoni

Psychology Theses & Dissertations

Among college populations, students who are members of social Greek life organizations (i.e., social fraternities and sororities) drink more and experience higher rates of negative alcohol-related consequences than their non-affiliated peers. Although there has been success of alcohol interventions in general college populations, research has shown that college drinking interventions that are delivered to students in Greek life are not efficacious in reducing alcohol consumption or related consequences. It is meaningful to investigate if the content commonly addressed in these interventions, although well-documented as being linked to drinking in the general college population, has the same associations for students who …

Gender Considerations When Examining The Association Between Military Sexual Trauma And Chronic Pain Conditions, Lily Sarfaraz

Dissertations

Military sexual trauma (MST) amongst veterans is a growing concern for the Veterans Health Administration (VHA). Veterans who screen positive for MST receive VHA care for any injuries caused as a result of MST, psychological or physical, free of charge. MST is difficult to track, can result in long-term disability, and the burden of illness varies across genders. Current data highlights discrepancies seen across the literature of actual detected MST cases, with rates varying vastly. Efforts to track prevalence of MST identify additional concerns over the various comorbidities seen in MST cases. When examining symptom sequalae of MST, there is …

The Withdrawal From Afghanistan: Impacts On U.S. Veterans Who Served In Afghanistan, Nicole Wall

Dissertations

This study explored the experiences and perspectives of U.S. military veterans who served in Afghanistan regarding their views on the impacts of withdrawal from Afghanistan. Using a qualitative phenomenological approach, the study explored the effects of the immediate and unexpected withdrawal from Afghanistan as it pertains to military veterans' perspectives on the purpose, value, and meaning of their previous military service, and the service of future generations. The study included 10 participants who had previously served at least one deployment to Afghanistan; each participated in a semi-structured interview via phone call, Zoom meeting, or in-person. The interview included 10 demographic …

Exploring The Impact Of Identity-Based Bullying On Suicidal Thoughts And Behaviors Among 6th-12th Grade Youth In Virginia, Camille N. Johnson

Psychology Theses & Dissertations

Suicidal thoughts and behaviors (STBs) are a growing public health concern among youth. Bullying victimization is a robust risk factor for STBs and identity-based bullying (IBB) or bullying that occurs due to a person’s actual or perceived social-identity/identities that is ingrained in discrimination, prejudice, or bias, has been found to be more strongly associated with STBs compared to bullying that was unrelated to identity. The current study used data from the Virginia School Survey of Climate and Working Conditions (N=399,493) to examine associations between general bullying, adult-perpetrated bullying, and IBB with depression and STBs among 6th-12th grade youth. This study …

Considerations And Guidelines For Clinical Training And Professional Practice In The Area Of Psychotherapy Termination, Elyssa L. Jampolsky

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Treatment termination occurs, invariably, in every psychotherapy relationship. Closing the therapy relationship is often a complex process and requires targeted training for psychotherapists to terminate treatment competently and in a way that preserves gains made and fosters continued client growth. Discontinuation of psychotherapy services requires practitioners to apply ethical knowledge, clinical expertise, and relational boundaries. Further, the nuances of forced, end-of-year termination in clinical training environments necessitates targeted supervision and explicit guidelines. Surprisingly, termination practices are underemphasized in training programs and in the literature. The current paper will review the extant literature related to psychotherapy termination broadly as well as …

Differential Substance Use Screening Approaches Among Medical Providers Based On Pregnancy Status, Ericka L. Suarez-Vella

Walden Dissertations and Doctoral Studies

Exploring medical providers’ role in relation to pregnant individuals who use substances is critical. Understanding how screening practices and provider biases influence addiction treatment referrals based on pregnancy status can help address several key issues, including potential disparities resulting from provider bias. It can ensure fair referral practices, promote equitable access to treatment, and ensure timely intervention resulting in better health outcomes. It can influence changes to policy and procedure among healthcare and judicial establishments, ultimately improving the relationship between providers and patients. The purpose of this study was to explore how medical providers’ screening practices of substance use in …

Culturally Aware Mindfulness Training For Army Leaders: A Scalable Solution To Strengthen Mental Readiness, Katherine Dutler (Skowronski)

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

This doctoral paper examines cost-effective, easily distributed mindfulness practices as a force-multiplier for psychological readiness in the U.S. Army. Daily mindfulness reduces symptom burden, raises distress tolerance, and sharpens performance—all without added equipment, appointments, or cost. However, stigma, long waitlists, and civilian-centric messaging still deter soldiers from adapting mindfulness practices. Rather than replacing clinicians, the program functions as preventive maintenance and a bridge while soldiers await care, thereby easing load on an overtaxed system. By embedding mental fitness alongside physical PT, the Army can advance its mandate to “deploy, fight, and win” with forces that are both mentally and physically …

Humor As A Predictor Of Life Satisfaction And Burnout Among Firefighters, Kayla Marie Kovach

Walden Dissertations and Doctoral Studies

Notwithstanding knowledge of the high stress levels experienced by firefighters, little is known about their coping strategies as compared with the general population. To address this gap, the differences in humor styles between firefighters and nonfirefighters in the prediction of life satisfaction and burnout were assessed. The study was grounded in the PERMA theory of well-being and the job demands-resources theory. A cross-sectional, correlational survey research design was used to assess if there are differences between firefighters and nonfirefighters in the types of humor (i.e., self-enhancing, affiliative, aggressive, and self-defeating) used and in the prediction of burnout and life satisfaction …

Gender As A Moderator In The Relationship Between Crisis Call Responding And Police Job Satisfaction, Krystal Fuller

Walden Dissertations and Doctoral Studies

This quantitative study was conducted to investigate the relationship between crisis call responding and job satisfaction among police officers and whether gender moderates this relationship. With crisis helpline calls rising over the past decade, officers face increasing emotional labor demands, particularly female officers in male-dominated environments. While past research has explored stress and gender differences in law enforcement, few studies have examined their interaction. Using the job demands-resources model and gender role congruity theory, this study employed a correlational design with simple linear regression and Hayes’ PROCESS macro to test moderation effects. Participants included 78 police officers from central Texas …

Our Teens Are Not Okay, But They Can Be: An Application Of The Family Firo Method To Improve Parent-Adolescent Communication About Suicide, Janene Pack Lpc, Cmhc, Peder Schillemat

Issues in Religion and Psychotherapy

This article explores the critical role of parent-teen communication in the mental well-being of teenagers, with a particular focus on its connection to suicide risk. A particular focus is on teens who live in Utah as the suicide rate for Utah teens and young adults is almost twice the national average. Despite the focus on families and religion in Utah, a significant number of teens continue to struggle with loneliness, hopelessness, and even thoughts of suicide. One key contributing factor to this struggle is the lack of open, supportive communication between Utah teens and their parents. The absence of effective …

Scrupulosity Ocd And How It Can Affect Our Clients’ Relationship With God, Annabella Hagen

Issues in Religion and Psychotherapy

This article explores various aspects of scrupulosity OCD, starting with the misconceptions about OCD that persist in society and their impact on treatment, along with a discussion of the disorder’s prevalence. It examines common OCD themes, provides a deeper understanding of religious scrupulosity, and clarifies how individuals become trapped in the scrupulosity OCD cycle. Specific triggers within the LDS Church are highlighted, alongside religious considerations such as distinguishing scrupulosity from genuine religiosity and discerning between spiritual promptings and OCD-driven thoughts. The article also addresses barriers to care unique to the LDS community and offers clinician recommendations, including an overview of …

Parental Grief And Loss After Gender Transition: Navigating Ambiguous And Disenfranchised Loss In Latter-Day Saint Families, David Haralson, Chelsea Johnson, Jeff Bennion, Orion Maxfield

Issues in Religion and Psychotherapy

Parents of transgender or gender nonconforming children sometimes experience profound grief and loss, particularly within religious communities that hold specific doctrines regarding gender. This article examines the unique challenges faced by parents in The Church of Jesus Christ of Latter-day Saints (LDS Church) when a child undergoes gender transition. By exploring the concepts of ambiguous loss and disenfranchised grief, we aim to provide a framework for understanding these parents' emotional experiences. The intersection of LDS doctrines and policies on gender with contemporary gender theories creates complex emotional environments for families to navigate. We present the Integrity and Investment Model as …

Helping Clients Grieve The Loss Of Their "Happily Ever After", Karen J. Gilmore, Joseph Chamberlain

Issues in Religion and Psychotherapy

ABSTRACT

Helping Clients Grieve the Loss of Their “Happily Ever After”

One of the most prominent attacks on marriage comes in the form of pornography and sex addiction. In this article I will explore what pornography and sex addiction is, why it can be highly addictive, how pornography and sex addiction can impact the marriage and lead to betrayal trauma, and how to understand the losses that can come from this type of trauma as well as the ensuing grief which may accompany this process. Additionally, I will identify ways to understand how grief presents in betrayal trauma, how to …

What Lies Beneath The Mask Of Sanity: A Comparison Of Ted Bundy And Charles Manson’S Rorschachs, Carl B. Gacono, Jason M. Smith, Tod A. Roy

Archives of Assessment Psychology

Once psychopathy level (PCL-R ≥ 30 = psychopathy) is determined, data beyond what is offered by the PCL-R is needed to fully understand the dynamics which underlie an individual’s overt criminal behavior. As we have empirically demonstrated (Gacono, 2016; Gacono & Evans, 2008; Gacono & Meloy, 1994; Smith et al., 2021), the Rorschach is ideally suited for this task. In this article we demonstrate the utility of the Rorschach Comprehensive System method (Exner, 2003; CS-R, Exner et al. 2022) in ferreting out the dynamics that underlie Ted Bundy and Charles Manson’s masks of sanity (Cleckley, 1941). Ted Bundy’s Rorschach reveals …

Pow, Bam, Snikt: Using Superheroes To Teach Mental Health, Christopher Dabbs

Journal of Thematic Instruction

Undergraduate psychopathology (abnormal psychology) courses traditionally emphasize case vignettes of individuals with psychiatric disorders to illustrate etiology, nosology, and treatment. While pedagogically useful, these depictions can inadvertently provoke distress in students, potentially impeding engagement and learning. To address this dilemma while continuing to center the same learning outcomes, I formulated a course structure which embedded some course topics in superhero-related material with the express intent to create psychological distance between potentially distressing topics and the learners themselves. This commentary provides background for the course, evidenced-based rationale for specific pedagogical choices alongside topical material recommendations, and ends with personal reflections.

Perpetration-Induced Traumatic Stress And Moral Injury In Adult Male Incarcerated Individuals, Cyrelah Jeanee Raynor

Walden Dissertations and Doctoral Studies

Underutilizing trauma-informed approaches in correctional rehabilitation has had detrimental consequences, particularly for gang-involved populations. Theories of personality, responsivity, and stress suggest that gang-affiliated individuals, shaped by coercive environments, may develop psychological reactions such as fear, guilt, and moral shame that contribute to posttraumatic stress disorder (PTSD) and moral injury (MI). This study examined whether gang role, psychopathy, and perpetration predicted PTSD and MI among 70 incarcerated adult males. Participants completed the Moral Injury Outcome Scale (MIOS), the PTSD Checklist for DSM-5 (PCL-5), and the Levenson Self-Report Psychopathy Scale (LSRP). Two hierarchical regressions were conducted. In the PTSD model, only education …

Factors Affecting Public Knowledge About Ocd Mental Health Literacy, Lauren Angell, Aleena Babu, Jimmy Dumont, Lauren Masapollo, Kaitlyn Silva

The Graduate Review

This research project aimed to examine how varying portrayals of obsessive-compulsive disorder (OCD) influence public mental health literacy (MHL). Our research questions focused on the impact of multidimensional vs single portrayals of OCD on OCD MHL, as well as the influence of certain sociodemographic factors on OCD MHL. Additional exploratory questions were investigated and aimed to explain the relationship between OCD MHL and media, as well as OCD MHL and education levels. To investigate these questions, the study employed a combination of experimental and survey-based methods. By fostering greater awareness of misinformation about OCD, the study not only aimed to …

Religion's Role In Shaping Psychopathological Narratives, Andrea Gonzalez Mendoza

The Graduate Review

Understanding the interplay between religion and psychopathology is essential for clinicians navigating the complexities of mental health diagnosis and treatment. This paper explores the nuanced relationship between belief systems and diagnostic frameworks, shedding light on how religious beliefs influence the perception, assessment, and treatment of mental disorders. Drawing upon historical and current-day research, this paper examines how religious interpretations shape the presentation and understanding of psychopathological symptoms. In doing so, this paper argues that psychopathology cannot be understood without considering the influence of religion on its conceptualization. The latter is illustrated by looking at historical diagnostic patterns and how they …