Clinical Psychology Commons^™

The Problem Of Evidence : Philosophy Of Science And Evidence Based Practice In Clinical Social Work, Bronwyn DepréS

Theses, Dissertations, and Projects

Evidence Based Practice is one of the most prevalent concepts in social work today, guiding social workers across the world. This theoretical thesis examines Evidence Based Practice, its theoretic foundations, and its application in social work, using the theories of Logical Positivism and Critical Rationalism from Philosophy of Science. Philosophy of Science is a branch in Philosophy that studies and theorizes about precisely what science is, how science works, the implications of science, and the logic behind it. This thesis argues that Logical Positivism is the scientific foundation that Evidence Based Practice rests on, and uses Critical rationalism to dispute …

An Exploration Of The Relationships Between Self Compassion And Burnout : Secondary Traumatic Stress And Compassion Satisfaction Among Providers Who Work With Children And Families Who Have Experienced Trauma, Binlin Xia

Theses, Dissertations, and Projects

The field of social work education has witnessed a soaring need to help providers cope with the negative emotional impact of working with clients who have experienced trauma. This study explored the association between self compassion and the experience of burn out (BO), secondary traumatic stress (STS) and compassion satisfaction (CS) among mental health providers who specifically work with children and youth who have experienced trauma. This quantitative study employed a survey in addition to two open-ended questions in a sample of 60 participants using a convenience sampling process.

The findings suggest that self compassion serves as a strongly correlated …

“Forming Ranks”: The Impact Of Negative-Destructive Leadership In The Aftermath Of Military Sexual Assault And Reporting, Jessica Payton

Electronic Theses and Dissertations

Military leaders play central roles in responding to sexual assault in the military social ecology, yet their impacts on victims’ post-assault and reporting experiences remain understudied. Using standpoint epistemology and a military-specific social ecological approach, this two-stage project investigated how military leaders impacted survivors’ post-assault and reporting experiences, as well as their experiences with military peers, community resources, and justice and separation processes. Data were gathered through an initial focus group with eight subject matter experts in advocacy, legal work, and policy reform, followed by subsequent in-depth individual interviews with eight female survivors of military sexual assault, seven of whom …

Sleep And Pain In Older Adults: The Role Of Negative And Positive Affect, Scott Ravyts

Theses and Dissertations

Poor sleep is known to contribute to increased levels of pain. Preliminary findings suggest that negative and positive affect may mediate this relationship. Given that older adults are prone to both sleep disturbance and pain, the main objectives of the present study were to: 1) examine the relationship between sleep and pain in a non-clinical pain sample of community-dwelling older adults and 2) to examine whether negative and positive affect mediate the relationship between sleep and pain. Baseline measures from 82 older adults participating in the Active Adult Mentoring Project (AAMP) were used for secondary data analysis. A daily sleep …

Understanding The Experience Of Immigration Among Adult Mexican-Born Males Living In The United States: An Exploration Of Grief, Loss, And Coping, Mauricio B. Ortiz

Antioch University Dissertations & Theses

This study uses psychoanalytic object relations theory to understand and analyze the lived experiences of adult Mexican males which will include the psychological meaning of loss and grief resulting from immigrating into the United States. The literature review illustrates and serves as a guide to broaden the understanding of the complex psychological and emotional processes that adult Mexican immigrants experience when faced with the reality of adapting to a host-culture. Participants were interviewed through a descriptive phenomenological approach seeking a complete description of their lived immigration experiences of grief, loss, and coping. After analysis of the transcriptions, several notable themes …

Childrearing Challenges In Parental Adhd: A Pilot Study And Proposed Research Design, David Porrino

Antioch University Dissertations & Theses

An emerging body of research on the functional impairments of Attention-Deficit/Hyperactivity Disorder (ADHD) in adults notes that parents with ADHD are likely to experience challenges in several facets of childrearing (e.g., Chronis-Tuscano et al., 2008a; Murray & Johnston, 2006). Despite empirical evidence suggesting parents with ADHD have particular kinds of struggles, research evaluating the effects of adult ADHD treatment on parenting challenges is quite scarce. By contrast, a breadth of research indicates that adult ADHD interventions, particularly pharmacotherapy and cognitive-behavioral therapy (CBT), are effective in ameliorating ADHD symptoms. Further, CBT has shown to be an efficacious adjunctive treatment for ADHD …

Exploring The Experience Of Grandchildren In Custodial Grandparent Care, Maura Kathleen Cole

Antioch University Dissertations & Theses

Grandparent-headed families are a growing trend as social policy has moved increasingly toward kinship care for children in out-of-home placements. While much of the current research focuses on the characteristics and potential causal factors in the formation of such families, there has been little qualitative research focusing on the lived experiences of the involved children. This study explores the subjective, meaning-making experiences of six latency-aged grandchildren between the ages of 6 and 11 being raised by their grandparents. This study utilized Interpretative Phenomenological Analysis methodology, and semi-structured interviews, to attain the personal accounts and experiences of these children. The findings …

Psychologists' Hope For Recovery At First Diagnosis Schizophrenia: A Training Model, Marissa Sicley-Rogers

Antioch University Dissertations & Theses

Recovery from schizophrenia is a widely disputed topic among mental health professionals. In spite of scholarly research supporting improved prognosis in schizophrenia, some mental health professionals maintain the belief that recovery from schizophrenia is impossible. A constructionist paradigm frames an understanding of recovery, and describes how different recovery models of schizophrenia may be integrated. From a qualitative approach, this study explores diagnosed individuals’ personal accounts of recovery from schizophrenia. Narrative research provides a framework for analyzing first person, written accounts of recovery from schizophrenia from a criterion-based sample of 18 participants. The results of the study provide insight into dynamic …

Effects Of Screen Light Filtering Software On Sleep And Morning Alertness, Hengyu Chi

All Master's Theses

Research has shown that blue light can impact the circadian rhythm. Research has also suggested that use of electronic devices, such as computers and televisions that emit blue light before sleep, can negatively impact sleep quality. This research has led to the creation of computer software which lowers the levels of blue light in the evening to help with sleep. This study looked at the impact of wavelength filtering software on sleep onset, sleep duration and subjective alertness after morning waking of four college students. The college students were randomized into two groups and had the wavelength filtering software f.lux …

Recidivism: An Analysis Of Race, Locus Of Control, And Resilience, Danisha Latrell Thomas

Walden Dissertations and Doctoral Studies

Recidivism is a growing problem in the United States that has contributed to prison overcrowding. In the United States, this is especially true for minorities, who have the highest incarceration, conviction, and recidivism rates. The purpose of this mixed methods study was to explore the relationship between race, recidivism, locus of control, and resilience. For the quantitative component, the Connor-Davidson Resilience scale (CD-RISC) and the multidimensional locus of control scales were used to measure resiliency and locus of control differences among racial groups (N = 126) on parole at a Fort Worth, Texas parole office. For the qualitative component, in-depth …

Correctional Mental Health Providers’ Experiences Of Forced Termination On The Working Alliance, Karin Gepp

Antioch University Dissertations & Theses

This is a study of the experiences of forced terminations in correctional facilities, particularly their impact on the working alliance between mental health service providers and incarcerated patients. The study includes an introduction to the research problem and its context, followed by a discussion of the literature on the working alliance in psychotherapy, conditions of forced terminations in the treatment of the incarcerated, the problem of forced termination and the working alliance in the correctional settings, and the study’s research methodology. The research methodology is qualitative and includes semi-structured interviews of providers in correctional settings and an analysis of these …

An Exploration Into The Lived Experience Of The Jazz Funeral, Caryn R. Whitacre

Antioch University Dissertations & Theses

This qualitative phenomenological study set out to explore and understand the subjective lived experience of the Jazz Funeral ritual of New Orleans, Louisiana. This dissertation was guided by two principal research questions: 1) What is the lived experience of participation in the Jazz Funeral ritual? and 2) What elements of the Jazz Funeral are beneficial to bereavement as reported by the subjects? Research data were collected and arranged through the utilization of phenomenological research protocol. By recognizing that people are the experts of their own lived experience and listening to participants describe their lived experiences of this ritual, this researcher …

Trans Gender Identities And Language: Interviews With Recent College Graduates, Kelsey Moran

Antioch University Dissertations & Theses

There has been an increasingly pervasive need to gain a deeper and more individualized psychological understanding of how people experience their gender identities, as well as how they navigate the complicated and nuanced language of gender. Words carry meaning and it is vital to gain an insightful understanding of the impact of words, whether supportive or discriminatory, on trans people. The present qualitative study utilized phenomenological methods to hold interviews with three trans individuals, who had recently graduated from college, about their unique experiences with gender. Thematic analysis was used to examine common themes that arose throughout the interviews. Seven …

First Mothers/Birth Mothers: Social Support And Long-Term Psychological Stress And Growth, Megan L. Lyons

Antioch University Dissertations & Theses

Adoption has become a growing area of research. While much of the existing research focuses on the adoptees and their adoptive parents, this study aimed to focus on the first mothers/birth mothers and their life experiences related to placing an infant, or infants, for adoption. The aim of this study was to determine areas for future clinical focus and support program development throughout the adoption process. The study worked toward this goal by considering the availability and impact of perceptions of social support on the psychological stress and growth of first mothers/birth mothers post-adoption and sought to: (a) determine the …

Unforgiving Pain: A Qualitative Exploration Of Chronic Pain And Self-Forgiveness, Ellette K. Dipietro

Antioch University Dissertations & Theses

This dissertation describes a qualitative study exploring associations between self-forgiveness and pain perception in the narratives of women with chronic pain. Quantitative research has demonstrated strong relationships among chronic pain, affect, and health, and among forgiveness, affect, and health. The largely unexplored overlap between these areas suggests the possibility of an inverse relationship between self-forgiveness and pain perception. A single preliminary study was found in the research literature supporting this relationship (Carson et al., 2005). A literature review explores the construct of forgiveness, differentiates religious and psychological conceptualizations, distinguishes other from self-forgiveness, and touches on the connections among forgiveness, health, …

Iraqi Refugees And Cultural Humility: A Mental Health Professional Training Program, Megan Brunmier Marsh

Antioch University Dissertations & Theses

This paper describes the development of a thorough nine-hour professional training program targeting the cultural humility of mental health clinicians who are treating new Iraqi refugee communities. I used the 15-step evidence-based Comprehensive Program Development Model created by Calley (2009) for the design of the structure, curriculum, and materials for this proposed program (Calley, 2011). The training program is informed by conceptual frameworks of cultural competence and humility, ecological systems theory, and social justice with goals of (a) exploring clinicians’ cultural attitudes in order to improve self-awareness at multiple levels (e.g., physiological, psychological, interpersonal), (b) increasing clinicians’ knowledge about Iraqi …

Childhood Drinking And Depressive Symptom Level Predict Harmful Personality Change, Elizabeth N. Riley, Gregory T. Smith

Psychology Faculty Publications

Personality traits in children predict numerous life outcomes. Although traits are generally stable, if there is personality change in youth, it could affect subsequent behavior in important ways. We found that the trait of urgency, the tendency to act impulsively when highly emotional, increases for some youth in early adolescence. This increase can be predicted from the behavior of young children: alcohol consumption and depressive symptom level in elementary school children (fifth grade) predicted increases in urgency 18 months later. Urgency, in turn, predicted increases in a wide range of maladaptive behaviors another 30 months later, at the end of …

Universal Depression Screening In Student Health Centers Across U.S. College Campuses: Prevalence And Characteristics Associated With Use, Ivie English

Graduate Student Theses, Dissertations, & Professional Papers

Universal depression screening at university student health centers can increase identification and treatment of depression among college students, but the rates of screening in these settings were, until now, unknown (Shepardson & Funderburk, 2014). The U.S. Preventive Services Taskforce (USPSTF), American College Health Association, and other organizations have recommended that all primary care settings universally screen for depression, provided that necessary supports are in place (USPSTF, 2016; ACHA, 2010). Notably, others disagree (Joffres et al., 2013; Mitchell et al., 2009; Gilbody et al., 2005). An online survey was electronically mailed to 493 college health center directors and/or medical directors of …

From Dawn To Dan: The Journey Of Karate Masters., Brandon W. Maynard

Antioch University Dissertations & Theses

The contributions martial arts training can make to mental health treatment have scarcely been explored by researchers in psychology. Practitioners of martial arts, such as karate, report that the training improves self-esteem, concentration, and emotional well-being. Several studies have provided empirical evidence in support of these anecdotal reports, but very few have utilized participants who have advanced training in martial arts to examine the emotional impact such training has across time. This study takes a phenomenological approach to studying the emotional effects training has had on master-level martial artists (fourth-degree black belt or higher) in the discipline of karate. Eight …

The Patient-Physician Relationship From The Perspective Of Economically Disadvantaged Patients, Myah Caruso

Antioch University Dissertations & Theses

This qualitative study utilized interpretive phenomenological analysis (IPA) to explore the patient-physician relational experience from the perspective of patients of lower socioeconomic status (SES). Research shows that physicians engage in collaborative care less frequently with patients of lower SES than with their more advantaged counterparts and that lower SES patients participate less during office visits. Information on the patient-physician relational mechanisms that inhibit collaborative care from the perspective of low SES patients is a key gap in this literature. Five adult patients from the lower socioeconomic strata, who were established patients of a primary care physician were recruited from a …