Clinical Psychology Commons^™

Racial Disparity In The Diagnosis Of Conduct Disorder, Cortney R. Vanhook

Undergraduate Research Awards

African American youth are exposed to considerably more risk factors than their Caucasian counterparts, yet they are being diagnosed at comparably lower rates for Conduct Disorder (CD) in epidemiological studies. Empirical data supports the claim that African Americans are at greater risk of developing CD. However, the internal dysfunction benchmark of the Diagnostic Statistic Manual (DSM) discourages clinicians from diagnosing youth who display environmentally caused CD. The racial disparity in the diagnosis of CD is problematic for two reasons. First, African American youth who display antisocial personality are more likely to be referred to the justice system than to therapeutic …

Iatrogenic Symptoms In Psychotherapy , Charles Boisvert, David Faust

Charles M Boisvert

Although the mental health professions are effective in ameliorating personal distress, treatment can sometimes have negative consequences. The authors explore causal mechanisms for iatrogenic symptoms in therapy by discussing the process by which clients may be socialized into therapy and the potential impact that psychiatric labels and language may have in influencing clients' self-perceptions. The authors review research that has examined possible negative effects of psychiatric labels and then examine other forms of language, categorization, and conceptualizations that may contribute to negative effects in therapy. Iatrogenic symptoms may originate through the overreliance on a belief system within which therapists interpret, …

Leading Researchers’ Consensus On Psychotherapy Research Findings, Charles Boisvert, David Faust

Charles M Boisvert

We examined leading international psychotherapy researchers’ views on psychotherapy outcome research. Participants completed a questionnaire on which they rated level of research evidence for or against various assertions about psychotherapy processes and outcomes. Participants rated how confident they were that the assertions were supported by psychotherapy research. Strong, or relatively strong, consensus was achieved on several of the questionnaire items. Areas for which relative uniformity of opinion does or does not exist have potential implications for the teaching and conduct of psychotherapy and for the science–practice interface in psychotherapy. Additionally, consensus about psychotherapy findings can be used as a yardstick …

Thoughts Of Suicidality And Self-Harm In Middle Childhood: Relationship With Child Maltreatment And Maternal Substance Abuse And Depression, Tara Cossel, Natasha Elkovitch, David Hansen

David J. Hansen

Child maltreatment victims are at increased risk for a multitude of symptoms, including: internalizing problems (e.g., depression, anxiety), behavior problems (e.g., aggression) and post-traumatic stress symptoms (Paolucci, Genuis, & Violato, 2001). Not all maltreated children present with the same outcomes, and research consistently demonstrates child abuse does not have an inevitable pattern or a unified presentation of symptoms. Some youth may be asymptomatic following abuse; others display a myriad of symptoms at varying levels of severity (Kendall-Tackett, Williams, & Finkelhor, 1993). A small percentage of this group becomes suicidal.

Recent studies have presented accumulating evidence that suicidality and self-harm warrant …

Clinical Benefits Of Emotional Freedom Techniques On Food Cravings At 12-Months Follow-Up: A Randomised Controlled Trial, Peta Stapleton, Terri Sheldon, Brett Porter

Peta B. Stapleton

This randomised, single-blind, crossover trial tested whether Emotional Freedom Techniques (EFT) maintained reduced food cravings in participants after 12-months, and updates previously reported 6-month findings. Ninety-six overweight/obese adults were allocated to a four-week EFT treatment or waitlist condition. Degree of food craving, perceived power of food, restraint capabilities and psychological symptoms were assessed at pre-, post- and 12-month follow-up for collapsed groups. Significant improvements occurred in weight, body mass index, food cravings, subjective power of food, craving restraint and psychological coping for EFT participants from pre- to 12-months (p<0.05). It appears EFT can result in maintaining reduced cravings over time and impact upon weight and BMI in overweight and obese individuals.

Fraudulent Therapies In Psychology: The Enduring Value Of Science., W. Joseph Wyatt

Psychology Faculty Research

Therapy is an effort, based upon scientifically derived principles, to optimize the ration of positive-to-negative reinforcers, for the individual and for society. Fraudulent therapies do not derive from scientific principles. Among these are orgone therapy, re-birthing, facilitated communication, recovered memory therapy, alien abduction, and past-life therapy.

Spiritual Well-Being And Flow, Joel Simons, Brian Goetsch, Rodger K. Bufford

Faculty Publications - Doctor of Psychology (PsyD) Program

No abstract provided.

Utility Of The Mmpi-2-Rf In Detecting Non-Credible Somatic Complaints, Martin Sellbom, Dustin Wygant, Michael Bagby

Dustin B. Wygant

We examined the utility of the Minnesota Multiphasic Personality Inventory-2-Restructured Form (MMPI-2-RF) validity scales (infrequent responses (F-r), infrequent psychopathology responses (Fp-r), infrequent somatic responses (Fs), symptom validity (FBS-r), and response bias (RBS)) in differentiating individuals who were asked to feign physical health problems from a group of somatoform disorder patients and genuine medical patients with no history of mental health problems. A large group of undergraduate students were instructed to feign physical health problems as if they were participating in a disability evaluation for a work-related injury. Comparison groups were drawn from archival databases and consisted of non-litigating medical patients …

Avoidant Personality Disorder, Charles A. Sanislow, Ellen E. Bartolini, Emma C. Zoloth

Charles A. Sanislow, Ph.D.

No abstract provided.

11. Twenty-Five Years Of Interviewing Research And Practice: Dolls, Diagrams, And The Dynamics Of Abuse Disclosure., Thomas D. Lyon

Thomas D. Lyon

Sleep Disturbances In Alzheimer's Disease And Caregiver Mood: A Diary Study, Anna Maria Katarina Akerstedt

Open Access Dissertations

Sleep disturbances are common in persons with Alzheimer's disease (AD) (Hart et al., 2003) and pose a great strain on their family caregivers (Hope, Keene, Gedling, Fairburn, & Jacoby, 1998) including their emotional functioning (Schulz & Martire, 2004). The current study is the first to examine the impact of daily sleep and mood in persons with AD on their caregiver's sleep and emotional functioning. The study examined sleep and mood across eight days in 40 family caregivers of persons with AD. It was hypothesized that poor sleep in the person with AD person would have a negative impact on caregiver …

Long Term Predictive Validity Of Diagnostic Models For Personality Disorder: Integrating Trait And Disorder Concepts, Leslie C. Morey, Christopher J. Hopwood, John C. Markowitz, John G. Gunderson, Carlos M. Grilo, Thomas H. Mcglashan, M. Tracie Shea, Shirley Yen, Charles A. Sanislow, Andrew E. Skodol

Charles A. Sanislow, Ph.D.

Background. Several conceptual models have been considered for the assessment of personality pathology in DSM-5. This study sought to extend our previous findings to compare the long-term predictive validity of three such models: the Five-Factor Model (FFM), the Schedule for Nonadaptive and Adaptive Personality (SNAP), and DSM-IV personality disorders (PDs).

Method. An inception cohort from the Collaborative Longitudinal Personality Disorder Study (CLPS) was followed for 10 years. Baseline data were used to predict long-term outcomes, including functioning, Axis I psychopathology, and medication use.

Results. Each model was significantly valid, predicting a host of important clinical outcomes. Lower-order elements of the …

Long-Term Outcomes In Borderline Psychopathology: Old Assumptions, Current Findings, And New Directions, Charles A. Sanislow, Katherine L. Marcus, Elizabeth M. Reagan

Charles A. Sanislow, Ph.D.

Borderline personality disorder (BPD) and historical variants of the diagnosis were long held to represent an intractable syndrome of psychopathology consisting of interpersonal, intrapsychic, and affective disturbances. For years, patients labeled “borderline” were regarded pejoratively due at least in part to the lack of effective treatments. Prospective data from recent naturalistic follow-along studies along with the development of treatments with empirically demonstrated efficacy have changed how BPD is viewed. It is now less common to hide the diagnosis from the patient, and BPD has become a useful label to guide the treatment process and help the patient make sense of …

Brushed-Off Testimony, Stanley L. Brodsky, Dustin B. Wygant

Psychology Faculty and Staff Research

In line with years of tradition, soldiers young and old come together at the local pub or hall to swap war stories of time in the trenches. For the forensic clinician, the trenches represent the hard-fought battles during expert testimony. As it turns out, our pub was a social gathering at the 2012 meeting of the American Psychology Law Society in San Juan, Puerto Rico. The University of Alabama Psychology Law Program hosted a social gathering for its faculty, graduate students, alumni, and friends to come together and share stories and camaraderie. It was in this setting that we launched …

Empirically Guided Case Conceptualization Of Posttraumatic Stress Disorder With The Minnesota Multiphasic Personality Inventory-2 Restructured Form (Mmpi-2-Rf) In A Forensic Disability Evaluation, Lauren M. Vines, Roger O. Gervais, Dustin Wygant

Psychology Faculty and Staff Research

The following article discusses how the Restructured Form of the Minnesota Multiphasic Personality Inventory (MMPI -2-RF; Ben-Porath & Tellegen, 2008) can be used in case conceptualizations for Posttraumatic Stress Disorder (PTSD), particularly in compensation seeking settings. We review contemporary conceptualizations of PTSD, particularly emphasizing the role that affect and personality in regards to etiology of the disorder, as well as different manifestations of the disorder. We then review the case of an individual seeking compensation for trauma related disability performed by the third author. Particular emphasis is placed on examining how interpretation of the MMPI-2-RFprofile is guided by empirical findings.

Child Custody Evaluations: Ethical, Scientific, And Practice Considerations, Robert P. Archer, Dustin Wygant

Psychology Faculty and Staff Research

Child custody evaluations are among the most difficult of forensic evaluations. The current paper examines differences between custody evaluations and other types of psychological and forensic evaluations. We also discuss important ethical issues regarding these evaluations and review the typical components of a custody evaluation, with particular attention on psychological testing as a component of custody evaluations. We then discuss the role of research in informing the interpretation of the evaluation data and provide a complete sample custody evaluation report to illustrate several points from the manuscript.

Understanding Phonological Memory Deficits In Boys With Attention-Deficit/Hyperactivity Disorder (Adhd): Dissociation Of Short-Term Storage And Articulatory Rehearsal Processes, Jennifer Bolden

Electronic Theses and Dissertations

The current study dissociated and examined the two primary components of the phonological working memory subsystem – the short-term store and articulatory rehearsal mechanism – in boys with ADHD (n = 18) relative to typically developing boys (n = 15). Word lists of increasing length (2, 4, and 6 words per trial) were presented to and recalled by children following a brief (3 s) interval to assess their phonological short-term storage capacity. Children’s ability to utilize the articulatory rehearsal mechanism to actively maintain information in the phonological short-term store was assessed using word lists at their established memory span but …

The Relationship Between Social Phobia, Peer Attachment, And Identity Within Different Cultural Contexts, Shengnan Li

Electronic Theses and Dissertations

This study investigated the relationship between social phobia, peer attachment, and identity development, within three different countries: China, India, and the USA. It was hypothesized that social phobia interferes with peer attachment, and that poor peer attachment interferes with identity development among late adolescents and emerging adults, thus peer attachment mediates the relationship between social phobia and identity. It was further hypothesized that this relationship between variables is moderated by culture such that in collectivistic cultures, where identity is more dependent upon group affiliation and identification, the interference of social phobia (through peer attachment) on identity would be much greater …

Comorbidity Of Psychopathy In Schizotypy: Skin Conductance To Affective Pictures, Kathleen A. Ragsdale

Electronic Theses and Dissertations

Prior research substantiates a relationship between psychopathy and schizophrenia-spectrum disorders, which has begun to elucidate why some individuals with schizophrenia are violent. Unfortunately, this relationship has been limited to self-report. To objectively corroborate this finding, undergraduate students were recruited from an online screening administration of the Schizotypal Personality Questionnaire. This resulted in 56 participants (52% male) with a mean age of 20.37 (SD = 4.74) and a wide range of schizotypy scores who participated in the experiment. Following completion of self-report measures, participants viewed 15 pictures (five neutral, five threatening, and five of others in distress) from the International Affective …

Match Between Parent And Child Temperament: Implications For Parenting Behaviors And Children's Behavior Problems, Melissa Middleton

Electronic Theses and Dissertations

To examine the relationships among the match between parent and child temperament, parenting behaviors, parenting stress, and young children's behavior problems, the current study investigated the responses of mothers who are raising children between the ages of 3- and 5-years. Mothers completed the Dimensions of Temperament Scale-Revised for Children (Windle & Learner, 1986), the Dimensions of Temperament Scale-Revised for Adults (Windle & Learner, 1986), the Alabama Parenting Questionnaire-Preschool Revision (Clerkin, Marks, Policaro, & Halperin, 2007), the Maternal Emotional Styles Questionnaire (Lagace-Seguin & Coplan, 2005), the Parenting Stress Index-Short Form (Abidin, 1995), and the Child Behavior Checklist (Achenbach & Rescorla, 2000, …