Clinical Psychology Commons^™

Seeking Solace: Regret, Grief, Anxiety, Rebecca Schroeder

Honors Projects

Seeking Solace: Regret, Grief, Anxiety is a triptych video and artifact piece inspired by the abstract analysis of my dreams. It recognizes worries held within my subconscious and brings them to life through graphic design, photography, and video. The process of creating provides a new perspective of looking at both art and occupational therapy as methods of solving emotional distress.

I have recorded over 80 of my dreams in the past year. In these dreams, regret, grief, and anxiety are common themes. These themes are represented in three triptychs that cycle through past, present, and future problems. The cycling of …

An Examination Of The Specificity Of Economic Loss And Deprivation And Community Violence On Depressive Symptoms And Aggressive Behavior In Urban, Low-Income Adolescents, Jarrett T. Lewis

College of Science and Health Theses and Dissertations

Based on the current literature examining associations of stress and psychopathology in adolescents, several types of stress (e.g., violence exposure, economic-related stress) have been identified as particularly salient in lowincome, urban adolescent populations (Grant et al., 2003; Natz et al., 2012). This population also has been shown to be at heightened risk for problems including internalizing and externalizing symptoms. Identifying specific pathways through which urban, low-income adolescents develop specific emotional and behavior problems in response to particular stressors would be helpful in the development and selections of as the targets of interventions that disrupt mediators that link particular stressors to …

Integrating Cognitive Mechanisms In The Relationship Between Trait Affect And Depressive Symptoms: The Role Of Affect Amplification, Kaitlin A. Harding

Clinical Psychology Dissertations

Trait levels of negative affect (NA) and positive affect (PA) are established risk factors for depressive symptoms (Clark & Watson, 1991), but the mechanisms through which high NA and low PA confer risk for depression are poorly understood. Two proposed mechanisms in the transmission of affective vulnerabilities to depression are the cognitive responses of brooding and positive rumination. Brooding and positive rumination may represent a common cognitive process that amplifies the intensity of affect and contributes to depressive symptoms. Therefore, my dissertation purposes were to (a) determine whether brooding and positive rumination represent a shared cognitive process on distinct affective …

Ua66 Ogden College Of Science & Engineering Newsletter, Cheryl Stevens, Dean

Ogden College of Science & Engineering Publications

No abstract provided.

Nicu Parental Mental Health And Infant Outcomes: Effects Of Psychological Well-Being And Psychopathology, Kathleen H. Parker

Loma Linda University Electronic Theses, Dissertations & Projects

Previous research has shown that having a child in the Neonatal Intensive Care Unit (NICU) is stressful for parents and that parents of NICU infants exhibit higher levels of stress compared to parents of healthy infants (Carter, Mulder, & Darlow, 2007; MacDonald, 2007; Treyvaud et al., 2010). As a result of these high levels of stress, NICU parents are at risk for developing psychopathology. Studies have found correlations between parental psychopathology and lower scores on measures of psychological well-being such as self-acceptance and autonomy (Bhullar, Hine, & Phillips, 2014; Valiente et al., 2013). Additionally, research has indicated that some well-being …

The Influence Of Parental Mental Health On Child Outcomes: The Role Of The Parenting Process, Meredith L. Dennis

Loma Linda University Electronic Theses, Dissertations & Projects

Parents of children affected by developmental delays (DD) have been shown to experience elevated levels of parenting stress compared to parents of typically developing children. Recent studies suggest that higher levels of parenting stress can adversely impact child behavior and development, such that higher levels of parenting stress are often associated with higher levels of behavior problems and negative developmental outcomes. However the specific mechanisms through which parenting stress influences child outcomes remain unclear. The overall parenting process may be one potential medium through which parenting stress influences both child behavioral and developmental outcomes. The current study involved both qualitative …

Cognitive-Behavioral Therapy Augmentation Of Ssri Reduces Cortisol Levels In Older Adults With Generalized Anxiety Disorder: A Randomized Clinical Trial, Christopher B. Rosnick, Julie L. Wetherell, Kamila S. White, Carmen Andreescu, David Dixon, Eric J. Lenze

SIUE Faculty Research, Scholarship, and Creative Activity

Objectives: Elevated cortisol in stress and aging, such as has been seen in late-life anxiety disorders, is postulated to accelerate cognitive and physiological decline in this large and increasing population. Selective serotonin-reuptake inhibitors (SSRIs) and cognitive behavior therapy (CBT) are both effective treatments for Generalized Anxiety Disorder (GAD) in older adults. On the other hand, there is very little research examining the effect of combining these therapies on peak cortisol levels. For the current analyses, we examined the effectiveness of CBT augmentation on peak cortisol levels in older adults diagnosed with GAD.

Methods: The sample consisted of 42 individuals with …

A Telehealth Behavioral Coaching Intervention For Neurocognitive Disorder Family Carers., Ann Steffen, Judith Gant

Psychology Faculty Works

No abstract provided.

From Patient To Student Activation: Development Of The Student Activation Measure, Clinton J. Smith

Doctor of Psychology (PsyD)

The Patient Activation Measure (PAM) was constructed to measure a person’s knowledge, skill, and confidence for self-managing one’s healthcare, or “activation” (Hibbard, Stockard, Mahoney, & Tusler, 2004). The Student Activation Measure (SAM) extends this definition to secondary education. The SAM is a short, positively worded measure that is intended to guide intervention planning. Six hundred three students from two disparate high schools located in the Pacific Northwest completed the measure and an accompanying demographic questionnaire. The respective schools provided the students’ GPAs and attendance records. Using Rasch modeling, the SAM evidenced excellent reliability and construct validity. One-way ANOVAs with post …

Repetition: A Study In Visual Form Using Selected Artworks By Edward Hopper, Lauren Irwin

Dissertations, Theses, and Capstone Projects

An attempt was made to study the form, function and patterns of repetition as expressed in visual form. A selected series of paintings by the artist Edward Hopper spanning a period of over thirty years served as the data set and was examined using an integrative approach combining both psychoanalytic theory and art criticism. The paper explored firstly, how unconscious fantasies shaped the content of Hopper's selected works, the function of the repetitive form of visual expression, and the possible psychic determinants. It was suggested that early childhood issues remained ongoing areas of conflict that continued to find repeated symbolic …

Ways Of Thinking About Illness Representations Of Cancer, Ian Zachary Pervil

Dissertations, Theses, and Capstone Projects

For people who have illnesses with vague or diffuse symptoms, such as systemic cancers that lack solid masses or tumors (e.g. leukemia), the process of adjustment appears more difficult than for those with clearly-defined symptoms. Dual systems theory attempts to understand this phenomenon by contending that individuals rely upon two modes of cognitive processing when conceptualizing illnesses: implicit, System 1 processes and explicit, System 2 processes. Those with illnesses whose symptoms lack specificity may rely more heavily on System 1 processing and have greater difficulty adjusting.

This study tested whether illness representations mediate the relationship between cancer patients' tumor status …

The Effect Of Attitudes Towards The Death Penalty On Forensic Clinical Judgments Of Competency For Execution, Eugenia Garcia-Dubus

Dissertations, Theses, and Capstone Projects

Capital punishment has been a part of the American Justice System since colonial times. A brief historical overview reveals a general tendency towards the imposition of restrictions on who is eligible for the death penalty (DP). In a series of decisions, the Supreme Court has held that the execution of an incompetent inmate is unconstitutional, but the topic is controversial among mental health professionals. The likelihood of clinician attitudes towards the DP affecting judgments of competency for execution (CFE) is discussed in the context of existing literature. The vagueness of the current CFE standard is thought to contribute to this …

Let Fall: Hysteria And The Psychoanalytic Act, Matthew W. Oyer

Dissertations, Theses, and Capstone Projects

This text proposes to examine the contemporary crisis of psychoanalysis by taking seriously feminist critiques of the theory’s phallocentrism, but arguing that the phallus cannot be metaphorically or metonymically replaced by any substitutive term, as most revisionist theories of psychoanalysis have sought to do. Castration is the central psychoanalytic concept, though the theory always seeks to cover it over. In order to develop a psychoanalysis that can confront this castration that is always repressed and yet, in its persistent return, continuously disrupts the continuity of psychoanalytic theory, a detour is proposed, returning to the origins of psychoanalysis and taking hysteria …

Delusional Disorder: Treatment And The Restoration Of Adjudicative Competence, Martin Kassen

Dissertations, Theses, and Capstone Projects

Delusional disorder has long been recognized in the psychiatric nomenclature, however, low prevalence rates and prevailing clinical views about the seemingly refractory nature of delusional disorder have restricted data on clinical treatment outcomes for this illness. Similar perspectives have been noted in forensic settings where minimal data is available to guide standards of care for incompetent to stand trial (IST) delusional pretrial defendants. Rationale. While the factors explicated in Sell provide guidelines for the involuntary medication of defendants found IST, numerous questions are left unanswered regarding the restorability of pretrial delusional detainees. The proposed study investigated the competency restoration rates …

Symptom Patterns Of Posttraumatic Stress Disorder Among Deaf Trauma Survivors, Melissa L. Anderson, Amanda Sortwell, Kelly S. Wolf Craig, Douglas M. Ziedonis

JADARA

Details about Deaf people’s pattern of posttraumatic stress disorder (PTSD) symptoms remain relatively unknown due to inaccessible methods used in most epidemiological research. We conducted semi-structured American Sign Language interviews with 16 trauma-exposed Deaf individuals to explore their PTSD symptom patterns. Half met criteria for current PTSD, a rate higher than the general population. Underlying this disparity may be heightened rates of dissociation and psychogenic amnesia reported by many Deaf trauma survivors. Future research with large samples of Deaf survivors is needed to clarify this hypothesis, and to inform interventions that more accurately target Deaf people’s pattern of trauma symptoms.

Where Does The Time Go? An Investigation Of Self-Reported Time Allocation, Cory Stanton

Master's Theses and Doctoral Dissertations

Depression is recognized as a substantial contributor to the global burden of disease, as well as economic productivity. Behavioral activation has been shown to be an efficacious treatment for depression, drawing on the work of early behavioral theorists and research on the quantitative matching law. Recently, scholars have called for increased theoretical rigor in conceptualizing psychological health, as well as increased conceptual and methodological dialogue between basic and applied researchers. The present study examined the validity of a novel self-report measure of time allocation, an extension of the matching law. A cross-sectional sample of 204 undergraduate psychology students completed measures …

Parents And Teachers’ Perceptions And Clinical Diagnosis Of Autism Among White And Non-White Groups, Margaret Gopaul

School of Psychology Publications

The pervasiveness of autism has significantly increased over the past 2 decades with the 2014 Center for Disease Control and Prevention report indicating 1 in 68 children are diagnosed with Autism Spectrum Disorder (ASD). Early intervention is recommended as the most effective treatment approach. Nevertheless, previous research has indicated that White children are diagnosed with ASD about 1.5 years earlier than are Non-White children. A current gap remains in literature regarding ASD and different racial groups, and evidence has been inconclusive regarding disparities in identifying and diagnosing ASD. To fill this gap, this study investigated the relationship between child race, …

The Association Of Attachment Anxiety And Avoidance With Emotional Dating Abuse Perpetration Using Multimethod, Dyadic Data, Elizabeth A. Goncy, Manfred H.M. Van Dulmen

Psychology Faculty Publications

This study examined the relationship between emotional dating abuse perpetration and attachment anxiety and avoidance using multimethod, multi-informant dyadic data. Data were derived from a sample of young adult heterosexual dating couples (N = 113 couples). We measured attachment through self-report survey data and emotional dating abuse through self-report surveys, partner-report surveys, and ratings by independent observers of a videotaped couple interaction. Both female and male anxiety were related to female emotional abuse across each method. Male anxiety was related to male emotional abuse in survey data, but female anxiety was related to male emotional abuse in observed data. Neither …

Depression And Anxiety In The Elderly: Translating Clinical Methods For Use By Non-Professionals, Arthur P. Sullivan, Noreen T. Sullivan, John A. Sullivan

Department of Behavioral Science Publications and Research

Because seniors suffer depression and anxiety and professional help is not always available, a simple structure is proposed for non-professionals to provide effective help to seniors. These potential helpers who are present in the seniors’ daily environments can then assist the seniors in adjusting to their stage of life and avoid the distress arising from loneliness, purposelessness and physical/mental decline, the factors accounting for the bulk of seniors’ problems. The few therapeutic skills these willing helpers need are described and embedded in a sequence of procedural steps they can use. Mental health professionals are encouraged to teach these skills at …

Psychological Distress And Revictimization Risk In Youth Victims Of Sexual Abuse, Samantha L. Pittenger, Alayna Schreier, Katie Meidlinger, Jessica K. Pogue, Kate Theimer, Mary Fran Flood, David J. Hansen

Department of Psychology: Faculty Publications

Psychological distress, including depression and anxiety, has been associated with increased risk for sexual revictimization in youth who have experienced child sexual abuse. The present study utilized assessment information from treatment seeking youth with histories of sexual abuse to explore specific risk indicators for revictimization—risk taking, social problems, maladaptive cognitions, and posttraumatic stress—that may be indicated by self-reported distress. The relationship between initial levels of distress and change in symptoms over a 12-week course of treatment was also explored. Participants were 101 youth referred to a child-focused therapeutic group for victims of sexual abuse, 65 youth referred to an adolescent-focused …