Clinical Psychology Commons^™

Adherence To And Competence In Cognitive Behavioral Therapy For Youth Anxiety: Psychometric Evaluation, Cassidy C. Arnold

Theses and Dissertations

Treatment integrity—the extent to which a treatment is delivered as it was intended—has long been recognized as critically important in treatment evaluation research, but has garnered increased attention in recent years within the context of dissemination and implementation science. However, the field’s development has been hindered by inadequate measurement tools. This project is focused on developing and evaluating the psychometric strength of two measures of treatment integrity. To evaluate the psychometric strength of the Cognitive-Behavioral Therapy for Youth Anxiety Therapist Adherence Scale (CBAY-A)and the Cognitive-Behavioral Therapy for Youth Anxiety Therapist Competence Scale (CBAY-C), 954 psychotherapy sessions from two treatment evaluation …

Behavioral Adjustment In Children With Life Threatening Illness A Qualitative Study, E. Joseph Becher Jr.

Antioch University Dissertations & Theses

This study investigated factors that affect adjustment in children with life-threatening illness from the viewpoint of the parents/caregivers. The data were collected from parents/caregivers whose children have a life threatening diagnosis. Parents/caregivers were interviewed and asked to complete the Parent Request Questionnaire (PRQ) which was given to them after the in-person interview. This newly developed PRQ was utilized into prior research to predict the levels of adjustment in children. It includes age, whether the child has been informed of the diagnosis, whether the child engages in age-appropriate activities, the child's prior experience with death, the child's family's involvement in treatment, …

Understanding The "Refugee" Of Hurricane Katrina: An Exploration Of Titles, Time And Post-Traumatic Growth, Kandice L. Timmons

Antioch University Dissertations & Theses

This qualitative phenomenological study sought to understand the “refugee” experience of displacement from an individual perspective and the impact of trauma during a natural disaster through the lens of post-traumatic growth. It views survivors of Hurricane Katrina, who were displaced and returned home, and aims to investigate what changes, if any, have occurred since their return. The literature aids in understanding the complexities of the trauma endured in the aftermath, and seeks to better understand their refugee identity, the experience of displacement, the effects of trauma, and the changes that occurred in recovery. The data was collected through the Brief …

When The Heroes Become Less Super: Coping With Problems Of Professional Competence, Gregory Betz

Antioch University Dissertations & Theses

This dissertation addresses the subject of problems of professional competency within clinical psychology. A review of the current literature on the subject begins with topics including recent changes in terminology, conceptualization, and prevalence of competency problems. Contributing factors, differences between practicing psychologists and trainees, and ethical issues are addressed. The review concludes with current perspectives for assessing and intervening for problems of professional competence. The second section provides the methodology for the study which was a mixed-methods design consisting of a quantitative and qualitative component. The primary procedure consisted of an educational intervention provided to first-year students of a clinical …

Common Psychosocial And Spiritual Factors Among Individuals Who Have Healed From Chronic Lyme Disease, Frederick Green

Antioch University Dissertations & Theses

This dissertation examined the subjective experience of individuals who have healed from Chronic Lyme Disease (CLD). Despite significant attention paid to the controversy over CLD diagnosis and treatment, scholarly research has neglected the psychosocial and/or spiritual factors that facilitate healing from the perspective of CLD sufferers. This study addressed this research gap by using Interpretive Phenomenological Analysis (IPA) to explore the barriers and facilitators of healing among those who have healed from CLD. Six participants who had suffered from CLD and considered themselves healed from the disease were recruited and interviewed. The qualitative data was reduced to meaning units, which …

Racial/Ethnic Status And Perceived Stigma For Breastfeeding In Public, Nicole I. Medina-Shewey

Antioch University Dissertations & Theses

The World Health Organization recommends babies be exclusively breastfed for at least six months. However, the Centers for Disease Control reported that only 18.8% of American mothers exclusively breastfed their children to six months in 2014. Past studies have indicated that Minority women breastfeed at rates lower than Caucasian women. The current study aimed to determine if perceived stigma associated with breastfeeding in public is a possible factor in this phenomenon. It utilized a hardcopy and online version of a survey that was distributed at Women Infant Children’s (WIC) offices in New Hampshire and online breastfeeding support groups. The sample …

The Relation Between Adiposity And Anxiety In Youth: Analysis Of Peer Victimization, Teasing, Sociocultural Influences, And Internalization Of Appearance Ideals As Explanatory Variables, Natasha L. Burke

USF Tampa Graduate Theses and Dissertations

The purpose of the current study was to examine putative mediators and moderators in the association between adiposity and anxiety in a sample of overweight and obese youth. In addition, anxiety was examined as a potential moderator between adiposity and health-related quality of life (HRQOL). Participants were youth (N = 137) between 8 and 17 years old (M = 13.09, SD = 2.61) and their legal caregivers recruited from four medical clinics affiliated with the University of South Florida. Youth were primarily overweight (28.5%) or obese (64.2%) and ethnically diverse. Data were analyzed by path analysis. Weight-related teasing significantly mediated …

An Experimental Evaluation Of The Relationship Between In-Vivo Stimuli And Attentional Bias To Smoking And Food Cues Among Female Smokers, John Bernard Correa

USF Tampa Graduate Theses and Dissertations

Background: Cross-sectional and experimental research has shown that female smokers more frequently report using cigarettes to control negative affect, manage dietary restraint, and suppress body image dissatisfaction. However, there has been little research to identify cognitive mechanisms that may underlie these effects. Cross-stimulus attentional bias is one such mechanism.

Aims and Hypotheses: We hypothesized that, when compared to neutral stimuli, in-vivo appetitive stimuli would enhance motivation to obtain a particular substance. More specifically, in-vivo smoking stimuli would increase attentional bias to smoking-related pictorial cues, whereas in-vivo food stimuli would increase attention to smoking-related and food-related pictorial cues. We also hypothesized …

The Role Of Anxiety Sensitivity In The Relationship Between Posttraumatic Stress Symptoms And Negative Outcomes In Trauma-Exposed Adults, Brittany Belle Kugler

USF Tampa Graduate Theses and Dissertations

Background: The development of posttraumatic stress symptoms (PTS) following a traumatic event is related to significant functional impairment, diminished quality of life, and physical health issues. Yet it is not entirely clear why some traumatized individuals experience negative outcomes while others do not. The purpose of this study is to determine the role of several influential factors related to PTS severity and negative outcomes, such as diminished quality of life and physical health issues, following traumatic events. Method: One hundred and twenty-two trauma-exposed adults were recruited through the University of South Florida’s SONA system and through flyers on campus. Subjects …

Compassion Fatigue And Coping In Mental Health Professionals Working In Residential Treatment With Traumatized Youth, Michael J. Baniewicz

PCOM Psychology Dissertations

This study utilized a prospective cross-sectional design to examine if a coping profile can be identified, indicating whether or not a professional is able to cope effectively with exposure to trauma symptoms while working in a residential treatment setting. The participants in this study were employees at a residential treatment facility in the suburbs of a major metropolitan area. Results indicated that individuals who utilized an emotion-focused or problem-focused coping style were less likely to experience symptoms of burnout. Participants who worked directly with those individuals who had experienced trauma experienced levels of burnout similar to those who had not, …

Institutional Aggression: Psychometric Development Of A Predictive Risk Assessment Screening Tool, Lauren Spotts M.S.

PCOM Psychology Dissertations

Aggression among those with mental illnesses has been extensively reviewed. Research has shown that aggression within an institutional or hospital setting, that is presently termed “Institutional Aggression,” threatens the ability to provide a safe and therapeutic environment for both patients and staff. Although earlier measures have been designed to address this construct, the present study examines Institutional Aggression based on the parameters of the Overt Aggression Scale (OAS; Yudofsky, Silver, Jackson, Endicott, & Williams, 1986). The purpose of the current study was to determine the predictive relationship between clinical and sociodemographic factors and the rate of Institutional Aggression with the …

My Own Worst Enemy: Exploring Factors That Predict Self-Harm, Matthew Allen Loesch

UNF Graduate Theses and Dissertations

Current research on factors predicting self-harm focus on disparate factors and may not be able to comprehensively explain the mechanisms causing self-harm. The aim of the current study was to examine factors that may be related yet independently predict self-harm. Factors discussed include rumination, self-criticism, and working memory. A binary logistic regression found that the only factor that predicted the presence of self-harming behavior was a high level of self-criticism. Further, a Classification and Regression Tree found that the single strongest predictor of self-harming behavior was a belief that love needs to be continually earned from others. Our findings have …

Effects Of Presenting Normative Alcohol Data On Perceptions Of College Drinking Behavior, Cullen Patrick Hardy

Antioch University Dissertations & Theses

Alcohol abuse, often in the form of binge drinking, is a problem that every college campus faces. Many researchers suggest that students believe that their peers drink more alcohol than is actually true, and use such a perception as a justification to drink more alcohol than should be consumed (Perkins, Haines, & Rice, 2005). The purpose of this study is to understand whether presenting normative information on drinking behavior among college students in two different ways (focus on heavy drinking or focus on abstinence) has an effect on the perceptions of drinking behavior.

The Lived Experience Of Adolescents Who Engage In Nonsuicidal Self-Injury, Erin Elizabeth Holley

Antioch University Dissertations & Theses

The purpose of the current study was to explore the lived experience of adolescents who engage in nonsuicidal self-injury (NSSI). Phenomenological interviews inquired about emotionality, conflict styles, and parental relationships among a clinical population of six adolescents. All participants met criteria for the proposed diagnosis of NSSI found in the Diagnostic and Statistical Manual for Mental Disorders, Fifth Edition (American Psychiatric Association, 2013). Nine central themes emerged as significant: identification with an alternative to the dominant culture, inhibition of affect, difficulty managing conflict, suicidality, negative emotionality, feeling numb, negative internal monologue, self-harm as a temporary coping skill, and maternal conflict. …

Self-Compassion As A Moderator Of The Relationship Between Emotion Dysregulation And Borderline Personality Disorder Symptoms, Priya Loess

Graduate Student Theses, Dissertations, & Professional Papers

A core feature of borderline personality disorder (BPD) is emotion dysregulation (American Psychiatric Association, 2013). Such dysregulation leads to emotions spiraling out of control, hindering reason, and leading to out-of-control maladaptive behaviors (Conklin, Bradley, Westen, 2006). Invalidating environments, coupled with biologically based emotional vulnerability, are thought to account for the development of BPD (Linehan, 1993). Self-compassion (SC) is in contrast to some common symptoms related to BPD, such as self-hatred, intense shame, and negative self-schemas. SC was tested as a potential moderating mechanism in the relationship between emotion dysregulation and BPD symptoms among a sample of college students. SC consists …

Cognitive Processes And Moderators Of Willingness In Individuals With Social Anxiety Disorder And Non-Anxious Controls In Response To A Social Performance Task, Lauren P. Wadsworth

Graduate Masters Theses

The present study investigated differences between individuals with social anxiety disorder (SAD) and non-anxious controls (NAC) on measures of thought processes and anxiety responses surrounding an anxiety-provoking situation. Participants gave a spontaneous speech to an audience and reported their anxiety throughout. Measures of trait decentering and anxiety, situational anxiety, negative thoughts and believability, and willingness to repeat the task were administered. Compared to NAC, individuals with SAD reported a higher prevalence of negative thoughts, found the thoughts more believable, reported lower levels of trait decentering, and reported less willingness to repeat an anxiety-provoking task. Collapsing the groups, we found an …

Clinical Art Therapy And Hebrew Calligraphy: An Integration Of Practices, Debra Linesch

Journal of Clinical Art Therapy

This paper explores the process of integrating two apparently disparate practices, clinical art therapy and the rendering of Hebrew calligraphy as religious ritual. A growing body of literature that supports this attempt at integration is briefly reviewed. Following this, an exploration of the potential integration is described, discussed and analyzed. The author’s own images are viewed as an example of an image making process that is developed from a faith tradition and informed by the understandings and values of clinical art therapy. The findings of the exploration suggest that art therapy understandings have the potential to illuminate and support many …

Repositioning Art Work From Patients Suffering From Anorexia Nervosa In A Gendered, Socio-Cultural Context: A Self-Reflective Study, Dafna Rehavia-Hanauer

Journal of Clinical Art Therapy

This article, conceptualized within a post-structuralist, feminist approach to art therapy, addresses the role of visual images as a controlling constituting discourse significant to the formation of the eating disorder anorexia nervosa. As a core position this article argues for a change in the way art work created within the art therapy process by women who suffer from anorexia nervosa is interpreted and analyzed by art therapists. The article argues for an enhanced appreciation and critical analysis of gendered, social-cultural contextualization of visual images and recognition of how these forces have a role in directing women to enact behaviors of …

The Use Of Creative Art As A Strategy For Case Formulation In Psychotherapy: A Case Study, Semra Karaca Phd, Nurhan Eren

Journal of Clinical Art Therapy

Case formulation refers to the appraisal of the individual data and the treatment plan in terms of certain principles. In psychotherapy, case formulation is relevant for the recognition of conceptual and clinical tools, as well as for the evaluation of the therapeutic endeavor. Art work (painting) provides an effective tool for case formulation because it allows the individual to express his/her thoughts and emotions, which are prone to the influences of subconscious drives, conflicts, fears, and desires in a symbolic fashion. In this study, case formulation of a 31-year-old woman, who could not overcome her verbal and physical aggressive behaviors, …

Editorial Poem, Einat Metzl

Journal of Clinical Art Therapy

No abstract provided.