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Explaining Combat Related Posttraumatic Stress Disorder: An Integrated Mental Illness And Military Process Model, Mandi F. Deitz 2014 East Tennessee State University

Explaining Combat Related Posttraumatic Stress Disorder: An Integrated Mental Illness And Military Process Model, Mandi F. Deitz

Electronic Theses and Dissertations

The purpose of the current study was to examine a process model of combat-related and mental-illness related processes that explain increased likelihood of Posttraumatic Stress Disorder (PTSD). This dissertation proposed the development of PTSD may occur due to cultural, social, and self-related pathways associated with veterans’ dual encounters with combat (i.e., severity) and mental illness symptoms. Participants were 195 military veterans recruited from multiple sites and strategies to maximize sample size and representation. Participants were asked to complete several self-administered assessment inventories, including: the Posttraumatic Stress Disorder Checklist-Military, the Trauma Symptom Checklist, the Combat Experiences scale, the Self-Stigma of Mental …


An Examination Of Risk And Protective Factors For Suicidal Behavior In A Low-Income, Underserved Primary Care Sample, Kristin L. Walker 2014 East Tennessee State University

An Examination Of Risk And Protective Factors For Suicidal Behavior In A Low-Income, Underserved Primary Care Sample, Kristin L. Walker

Electronic Theses and Dissertations

Suicidal behavior, including ideation and attempts, is a significant public health problem. Due to the complexity of suicidal behavior, it is necessary to consider an array of factors that could serve as risk and protective factors. Previous research has shown that deficits in social problemsolving ability are associated with increased risk for suicidal ideation and attempts; conversely, problem solving strengths are associated with reduced risk. This dissertation project, consisting of 3 individual manuscripts, was designed to explore the relationship between social problemsolving ability and suicidal behavior in low-income primary care patients. Furthermore, additional constructs including health related quality of life, …


Health-Related Quality Of Life And Suicidal Behaviors In Primary Care Patients: Conditional Indirect Effects Via Interpersonal Needs And Depressive Symptoms, Catherine Rowe 2014 East Tennessee State University

Health-Related Quality Of Life And Suicidal Behaviors In Primary Care Patients: Conditional Indirect Effects Via Interpersonal Needs And Depressive Symptoms, Catherine Rowe

Electronic Theses and Dissertations

Suicide is a public health problem and complex relationships exist between intrapersonal suicide risk factors and interpersonal risk factors. Health-related quality of life (HRQL) may interact with difficulties with interpersonal relationships and psychopathology. We examined thwarted interpersonal needs and depressive symptoms as potential mediators on the association between HRQL and suicidal behaviors. It was hypothesized that thwarted interpersonal needs would mediate the association between HRQL and suicidal behavior, and that this mediating effect would be dependent on the moderating effect of depressive symptoms. It was hypothesized that thwarted interpersonal needs and then depressive symptoms would sequentially mediate the association between …


An Efficient Standardized Method Of Maintaining Quality Assurance In Therapeutic Treatment Record Keeping, Kelsey Michael Bradshaw 2014 University of Nevada, Las Vegas

An Efficient Standardized Method Of Maintaining Quality Assurance In Therapeutic Treatment Record Keeping, Kelsey Michael Bradshaw

UNLV Theses, Dissertations, Professional Papers, and Capstones

Quality assurance (QA) within the field of mental health is the practice of monitoring and reviewing services to ensure adherence to specified standards of care. Agents within State governments and various organizations influence record keeping procedures through ethical guidelines and law. For instance, client records must be maintained for all clients receiving mental health services, including informed consent, releases of information, treatment plans, and progress notes. Accurate and timely record keeping procedures assure quality mental health services. However, professionals sometimes err in the maintenance of client records, which can have a negative impact on services, clients, and practitioners. To assist …


Unfinished Business In Bereavement: A Mixed Methods Study, Kara Lee Klingspon 2014 University of Nevada, Las Vegas

Unfinished Business In Bereavement: A Mixed Methods Study, Kara Lee Klingspon

UNLV Theses, Dissertations, Professional Papers, and Capstones

Unfinished business(incomplete, unexpressed or unresolved relationship issues with the deceased) is frequently discussed as a risk factor for chronic and severe grief reactions. However, few empirical studies have examined this construct. The present study aimed to address this gap in the literature by examining the presence and severity of unfinished business as well as common themes of unfinished business reported in open-ended qualitative narratives among a sample of 256 bereaved individuals. In bivariate analyses, self-reported presence of unfinished business and the severity of distress due to unfinished business were both found to be associated with higher levels of distress and …


Impaired Theory Of Mind In Psychotic And Affective Disorders, Erik Nelson Ringdahl 2014 University of Nevada, Las Vegas

Impaired Theory Of Mind In Psychotic And Affective Disorders, Erik Nelson Ringdahl

UNLV Theses, Dissertations, Professional Papers, and Capstones

Psychotic symptoms in bipolar I disorder during mood episodes has been associated with several negative outcomes raising the question as to whether psychosis is a risk factor for a more severe form of this chronic and debilitating condition. However, relatively little research has been directed at understanding the relationships among social cognitive functioning in bipolar I disorder with and without a history of psychosis. Impaired social cognition has been identified as a putative endophenotypic markers in schizophrenia and the evidence is mounting as to whether similar impairments also exist in bipolar I disorder. Given the plethora of research supporting the …


Identifying Maltreated Youths At Heightened Risk For Posttraumatic Symptoms, Emma H. Ross 2014 University of Nevada, Las Vegas

Identifying Maltreated Youths At Heightened Risk For Posttraumatic Symptoms, Emma H. Ross

UNLV Theses, Dissertations, Professional Papers, and Capstones

Childhood maltreatment is associated with increased risk for lifetime and current PTSD (Davis & Siegel, 2000; Widom, 1999). This study examined a model of PTSD in which dissociation, depression, and posttraumatic cognitions related to heightened PTSD symptoms for maltreated youths. This study then evaluated the model's fit across variations in intelligence, gender, age, ethnicity, and maltreatment type. Participants (n=360) included youths from Department of Family Services-related sites in Las Vegas. The first hypothesis was that the model would display goodness-of-fit across various indices. The second hypothesis was that the model would better fit youths with below average intelligence (FSIQ = …


Weight-Based Microaggressions Experienced By Obese Women In Psychotherapy, Kerri Jo Schafer 2014 University of Nevada, Las Vegas

Weight-Based Microaggressions Experienced By Obese Women In Psychotherapy, Kerri Jo Schafer

UNLV Theses, Dissertations, Professional Papers, and Capstones

A large body of research demonstrates the existence of weight bias in healthcare professionals, including physicians, nurses, and dietitians (Budd, Mariotti, Graff, & Falkenstein, 2011). Very few published studies examine mental health providers' attitudes toward obese clients, but a small body of existing data suggests that mental health providers attribute more negative personal attributes to fictional obese clients and rate them as having more severe symptoms than their average weight counterparts (Agell & Rothblum, 1991; Hassel, Amici, Thurston, & Gorsuch, 2001; Young & Powell, 1985). Given these findings, it is important to understand whether obese clients experience mental health professionals …


Auditory Processing Deficits In Bipolar Disorder With And Without A History Of Psychotic Features, Ryanna Verbiest 2014 University of Nevada, Las Vegas

Auditory Processing Deficits In Bipolar Disorder With And Without A History Of Psychotic Features, Ryanna Verbiest

UNLV Theses, Dissertations, Professional Papers, and Capstones

Auditory perception deficits have been identified in schizophrenia and linked to dysfunction in primary auditory cortex. There is also evidence that primary auditory cortex abnormalities are associated with positive symptoms, particularly auditory hallucinations. Given the evidence that individuals with bipolar disorder frequently experience auditory hallucinations, it may be that individuals with bipolar disorder who also exhibit psychotic symptoms demonstrate similar impairment in auditory perception tasks. Additionally, these deficits may contribute to impaired social interactions, as they are likely to interfere with accurate perception of emotion from spoken words. The current study examined this matter by comparing performance of 50 individuals …


Ethnocultural Differences In Motivations For Sex, Arthur Robert Andrews III 2014 University of Arkansas, Fayetteville

Ethnocultural Differences In Motivations For Sex, Arthur Robert Andrews Iii

Graduate Theses and Dissertations

Motivations for sex are numerous and varied (Browning, 2004; Meston & Buss, 2007). Using exploratory factor analytic methods, 21 theoretically distinct motivations have been proposed (Browning, 2004; Meston & Buss, 2007). A comprehensive number of motivations for sex has yet to be examined with confirmatory techniques. Theoretical work related to the treatment of sexual dysfunction has suggested that motivations focused on individual and partner pleasure would positively relate to sexual functioning (e.g., Leiblum & Rosen, 1992). Motivations for sex also appear to vary as a function of ethnocultural factors, as some motivations have only been uncovered utilizing qualitative methods with …


Parent Management Training In Primary Care: Feasibility, Acceptability, And Preliminary Results, Debbie Gomez 2014 University of Arkansas, Fayetteville

Parent Management Training In Primary Care: Feasibility, Acceptability, And Preliminary Results, Debbie Gomez

Graduate Theses and Dissertations

This study explores the notion that brief interventions delivered in primary care can lead to positive outcomes in children with externalizing behavior problems. Study aims explored behavioral problem prevalence, whether caregivers found it acceptable to receive brief behavioral interventions following routine pediatric visits for identified behavioral problems, and whether it was feasible to deliver same-day services in a primary care setting. Additionally, preliminary data were provided regarding a small N randomized control trial conducted in a primary care setting. The trial utilized either a one-session intervention comprised of evidence-based Parent Management Training components or a supportive therapy intervention for children …


Development And Testing Of The Home Safety And Beautification Checklist With Mothers Referred For Child Neglect And Substance Abuse, Michelle Pitts 2014 University of Nevada, Las Vegas

Development And Testing Of The Home Safety And Beautification Checklist With Mothers Referred For Child Neglect And Substance Abuse, Michelle Pitts

UNLV Theses, Dissertations, Professional Papers, and Capstones

Unintentional injury is the leading cause of death among children in the United States accounting for nearly 40 percent of deaths in this age group. Approximately 50 percent of nonfatal injuries, and 40 percent of fatalities, occur in and around the home. Elevated rates of child injury in the home environment are associated with parental substance abuse and neglectful behaviors. Childhood injuries are preventable, yet practical and cost-effective measures to identify child home safety risks are limited. This study involved a retrospective preliminary examination of the Home Safety and Beautification Checklist (HSBC) in a sample of drug-abusing mothers referred by …


The Impact Of Racial Identity On Perceived Microaggressions, Racial Socialization And Psychological Outcomes, Terrence Harper II 2014 Eastern Michigan University

The Impact Of Racial Identity On Perceived Microaggressions, Racial Socialization And Psychological Outcomes, Terrence Harper Ii

Master's Theses and Doctoral Dissertations

The negative psychological consequences of racial prejudice and discrimination in the lives of African Americans have been well documented. Recently, researchers have investigated how racial identity status attitudes may influence the perception of discrimination (i.e., it has been suggested that racial identity may act as a buffer against experiencing negative affect as a consequence of exposure to racial discrimination). While this hypothesis has received increased attention in the literature of late, current studies testing said hypothesis have not examined this association by using the recent advances in the conceptualization of subtle discrimination (i.e., microaggressions). As such, the purpose of this …


Time Travel With Gilles Deleuze, John M. Winslade 2014 California State University - San Bernardino

Time Travel With Gilles Deleuze, John M. Winslade

Special Education, Rehabilitation & Counseling Faculty Publications

My focus here will be on working in therapy with an elastic concept of time built on Deleuze’s readings of time as a synthesis of the past, present and future. This interest has particular value for the construction of remembering conversations. I shall speak to the value I can see for this field of practice. The poststructuralist philosopher Gilles Deleuze has much to offer narrative practice through the concepts he developed. I intend to explore some specific aspects of his reconceptualization of time in this presentation.


Effects Of Gender Bias And Gender Inversion Stereotypes On Assessment Of Personality Traits And Diagnosis Of Personality Disorders, Beatrice Charmaine Mosier 2014 Louisiana Tech University

Effects Of Gender Bias And Gender Inversion Stereotypes On Assessment Of Personality Traits And Diagnosis Of Personality Disorders, Beatrice Charmaine Mosier

Doctoral Dissertations

Past research has shown the results of gender and gender role biases on the diagnostic decision-making process, particularly with regard to personality disorders. This bias has implications for homosexual individuals, as they often are viewed as displaying traits of opposite sex individuals. With regard to personality assessment, current research continuously supports a more dimensional conceptualization of personality pathology. In the most recent edition of the Diagnostic and Statistical Manual of Mental Disorders, a hybrid model of personality assessment, which utilizes both categorical methods and dimensional approaches, has been added as an alternative model. The study explored the effects of …


The Impact Of Stereotype Threat On High School Females' Math Performance: Moderators And An Intervention, Jacqueline Hebert Ball 2014 Louisiana Tech University

The Impact Of Stereotype Threat On High School Females' Math Performance: Moderators And An Intervention, Jacqueline Hebert Ball

Doctoral Dissertations

Historically, there has been a significant gender gap in science, technology, engineering, and mathematics (STEM) careers (Beede et al., 2011; National Science Foundation, 2009), which has been attributed to females' lack of interest and pursuit of careers in these fields (Singletary et al., 2009). In the past, the lack of female participation in these careers was explained by a difference in natural abilities in these areas, especially in mathematics (Benbow & Stanley, 1983); however, research has shown that females are capable of performing just as well as males in the same age group in math (Smith & White, 2002; Spencer …


What We Thought We Knew: Intellectual Assessment Of Individuals Who Are Blind, Richard L. Sylvester Jr. 2014 Louisiana Tech University

What We Thought We Knew: Intellectual Assessment Of Individuals Who Are Blind, Richard L. Sylvester Jr.

Doctoral Dissertations

Throughout the history of intellectual assessment, research involving individuals who are blind has often been scarce. Currently, there are no intellectual assessment procedures based on the Cattell-Horn-Carroll (CHC) theory of intelligence available to individuals who are blind. CHC theory is considered to be the gold standard of intellectual assessment and many government and diagnostic policies rely upon CHC theory. The proposed research sought to extend the current reach of CHC theory to individuals who are blind by developing a new measure of tactile performance ability. The Tactile Assessment of Performance (TAP) was developed and administered to participants who were blind …


The Effect Of Meritocratic Worldviews On Mental Illness Stigma, Andrew Newsom 2014 Marquette University

The Effect Of Meritocratic Worldviews On Mental Illness Stigma, Andrew Newsom

Dissertations (1934 -)

Mental illness stigma is an ongoing barrier to the treatment of individuals experiencing psychiatric distress. Many individuals who need mental health services avoid treatment due to fear and shame. Understanding the determinants of mental illness stigma is an important step toward increasing treatment seeking and effectiveness. One meritocratic worldview (The Protestant Work Ethic or the belief that hard work, determination, and responsibility lead to positive outcomes) has been consistently shown to be related to mental illness stigma. The present study examines the connection between the Protestant Work Ethic (PWE) and attitudes toward mental illness. A sample of Marquette University students …


Assessment Of Performance Validity During Neuropsychological Evaluation In Patients With Epilepsy, Nichelle Rothong 2014 Marquette University

Assessment Of Performance Validity During Neuropsychological Evaluation In Patients With Epilepsy, Nichelle Rothong

Dissertations (1934 -)

Patients with epilepsy are considered a motivated population without clear incentive to perform suboptimally on neuropsychological testing. However, in the limited research exploring performance validity testing (PVT) in patients with epilepsy, the base rate of suboptimal performance has ranged from 4 (Hill, Ryan, Kennedy, & Malamut, 2003) to 28% (Loring, Lee, & Meador, 2005). These findings are concerning, as suboptimal PVT scores have been found to be associated with significantly lower neuropsychological performance across most cognitive domains (e.g., Green, Rohling, Lees-Haley, & Allen, 2001). One possible explanation for the variance in base rate of suboptimal performance is the significant cognitive …


Barriers And Facilitators Of Suicide Risk Assessment In An Emergency Department: Perspectives From Health Care Providers, Megan Lynn Petrik 2014 Marquette University

Barriers And Facilitators Of Suicide Risk Assessment In An Emergency Department: Perspectives From Health Care Providers, Megan Lynn Petrik

Dissertations (1934 -)

Emergency departments (EDs) are critical sites for identifying patients with heightened suicide risk but there are no practice guidelines for the assessment of such patients. This study aimed to inform ED suicide risk assessment practices by examining ED providers' perspectives on this practice via a mixed methods approach. ED providers (n = 92) from two hospital systems completed an online survey that assessed demographic information, occupational information related to screening for suicide risk and related conditions, attitudes toward suicide prevention, and knowledge of suicide risk factors. A subset of ED providers (n = 19) completed a qualitative interview to gain …


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