Clinical Psychology Commons^™

Therapeutic Riding: Effects On Emotional Well-Being In Adults, Jamie L. Lucas

Antioch University Dissertations & Theses

Therapeutic interventions with horses are increasing and utilized to treat a number of ailments, including psychological ones. Despite the growth of these interventions, there has been little research performed, particularly quantitative, to determine efficacy. One proposed benefit of therapeutic riding, a particular type of intervention involving horses, is that it enhances or improves emotional well-being. This construct has been poorly defined and operationalized in the literature. The current study sought to operationalize and measure emotional well-being using a multidimensional model. Three proposed sub-domains of emotional well-being: positive affect, life satisfaction, and self-esteem were measured in adults prior to and after …

Exploring Ethical And Boundary Challenges In Outreach Psychotherapy: A Training Model, Susan M. Rogers

Antioch University Dissertations & Theses

The need for outreach psychotherapists has increased considerably over the past few decades. Research suggests graduate training has not kept up with this phenomenon. Graduate students continue to be trained for in-clinic work, and are not prepared for the challenges of going into clients’ homes and into the community. The literature supports the necessity for therapists who will be doing outreach psychotherapy to be trained in working in these atypical settings, as many innate challenges exist in this work. Challenging mental health issues, distracting environmental issues, safety concerns, lack of collegial support and supervision in the field, feelings of isolation, …

A Phenomenological Investigation Of Physician Job Satisfaction In Rural Integrated Primary Care, Jacob Brendan Austin

Antioch University Dissertations & Theses

The job satisfaction of rural primary care physicians is of import given the crucial role these physicians play in rural health care systems and their consistent decline in numbers nationwide. The professional isolation of practicing in rural areas, particularly in accessing specialty care, creates greater burdens for rural physicians than their more urban counterparts, which likely contributes to their low level of job satisfaction. The shortage of mental health providers in rural areas in particular is thought to create a burden for rural primary care physicians, who generally neither have the time, training, nor expertise to adequately deal with complex …

Passageworks: The Impact Of A Social-Emotional And Spiritual Learning Program Among Adolescents, Randi Hirschberg

Antioch University Dissertations & Theses

Adolescence is a crucial developmental period in one's life. Unfortunately, our nation's youth are afflicted by high rates of risky behavior and psychiatric disorders that impact their ability for a successful future. Research indicates that school-based preventative social-emotional learning (SEL) programs can play a large role in improving the lives of adolescents. Despite this, few documented SEL program evaluations have examined their applicability to the fast growing Latino population. Latinos have been identified as more vulnerable to the problems among our youth than any other group. Identifying SEL programs that hold potential for decreasing these vulnerabilities is critical. Additionally, SEL …

The Phenomenology Of Court-Ordered Treatment: From The Perspective Of Methamphetamine Dependent Adults, Justin Steffener

Antioch University Dissertations & Theses

This phenomenological study was designed to explore with a sample of methamphetamine dependent adults their perceptions of the process involved in their experiences of court-ordered treatment. The motivation for this study derives from the researcher's wish to unearth ways to better understand and support the needs of adults suffering from addiction. A significant amount of research has already been conducted in regards to the treatment of methamphetamine addiction from the standpoint of quantitative measurements of treatment outcomes, but limited information is presently available from the perspective of the suffers. The stringent selection of the sample was composed of six individuals …

Measuring The Effect Of Supported Employment Treatment On Self-Efficacy In Individuals With Severe Mental Illness, Meghan E. Szczebak

Antioch University Dissertations & Theses

Competitive employment is a common goal for those with severe mental illness (SMI), and evidence shows that the majority of those with SMI want to work. However, despite the desire to work competitively, those with SMI have the highest unemployment rate of any disability group (Mueser, Salyers, & Muesar, 2001). The Recovery Model is an approach to Supported Employment that has provided hope for those with mental illness, as well as challenged treatment providers to adopt a more collaborative, optimistic approach to helping clients live fulfilling, self-directed lives. To increase employment for those with SMI, effective vocational rehabilitation methods must …

The Effects Of Cultural Competence And Racial Identity Development On The Working Alliance In African-American And Caucasian Counseling Dyads: A Preliminary Analysis, Peter J. Scoma

PCOM Psychology Dissertations

Multicultural considerations in behavioral healthcare rightfully remain a point of interest for practitioners, administrators and educators alike. Attention to culturally sensitive practice as a core competency for mental health practitioners has become rooted in academic curriculum and clinical trainings (Bussema & Nemec, 2006; Schottler et al., 2004). Despite this increased awareness of culturally competent practice, the results of these efforts are unclear as minority utilization of behavioral healthcare services continues to decline (Flaskerud, 2007). Racial biases and prejudice are still apparent in administrative and institutional settings that aspire to integrate cultural competencies into their organizations (Sue & Sue, 2007). Literature …

Traumatic Stress Responses In Mothers And Fathers To Pediatric Intensive Care Treatment: The Role Of Beliefs, Carla Cirilli

PCOM Psychology Dissertations

The aim of this study was to examine the prevalence of traumatic stress responses in parents of children treated in a pediatric intensive care unit, specifically parental beliefs about their child’s illness and their own coping self-efficacy as related to the severity of parental acute and posttraumatic stress. Archival data from a study conducted August 2004 through July 2005 in the Children’s Hospital of Philadelphia PICU were used. Two hundred and forty-five parents were assessed at 48 hours after admission, and 180 parents were assessed 3 months postdischarge. At Time 1, parents completed a screening measure assessing psychosocial factors and …

Visuomotor Adaptation In Young Adults With And Without Motor Difficulties, Chi-Mei Lee

Master's Theses and Doctoral Dissertations

Children with Developmental Coordination Disorders (DCD) have shown motor learning deficits in visuomotor adaptation tasks, and the failure of detecting errors seems to be the key that impedes motor learning. Recent studies suggested that presenting larger feedback improves the rate and extent of motor learning in healthy subjects and stroke patients. The present study recruited young adults with and without motor difficulties and aimed to examine their adaptability in visuomotor adaptation tasks with either regular (30° rotation) or enlarged (30° + double error) visual feedbacks. Results revealed that participants with lower motor ability showed less adaptability than those with higher …

The Relative Effects Of Mindfulness And Values On Therapeutic Relationship: Developing Methods Of Manipulating Alliance, Regan Michelle Slater

Electronic Theses and Dissertations

Comfactors research indicates that there is a positive relationship between therapeutic relationship and improved client outcomes. However, little research has been done to examine the nature of this relationship. The current study examined the relationship between mindfulness, values, and working alliance. Participants were 59 undergraduate students who were randomly assigned to one of three conditions: mindfulness plus values, mindfulness, or control. Depending on condition, participants engaged in a mindfulness plus values exercise, a mindfulness exercise, or a wait control. All participants then engaged in a conversation with the experimenter regarding a recent disagreement. Mindfulness and values connectedness were assessed pre-intervention, …

The Relationship Between Parental Stress, Cognitive Distortions, And Child Psychopathology, Daniel Kennedy

PCOM Psychology Dissertations

While there are a number of factors that may contribute to maladaptive parenting behaviors, parental stress has consistently been related to the increased risk of child maltreatment and, ultimately, the development of childhood. The question then is what drives parental stress and what are those key factors? Based on previous research, there are multiple parental, child, and environmental factors that lead to parental stress, but there is not a clear understanding of what initially drives parental stress. Based on cognitive behavioral models of stress and Abidin’s theory of parental stress, it is theorized that parental cognitions play an important role …

Clinician Factors In Psychotherapy Disparities For People With Intellectual Disabilities And Co-Occurring Mental Illness, Timothy Barksdale

PCOM Psychology Dissertations

An estimated 4.5 million Americans with intellectual disabilities (ID) have lived in the community for over twenty years now, following the closing of institutions that once isolated them from the public (Scott, Lakin & Larson, 2008). It has since become evident that this group has the same and more vulnerabilities of developing mental illness than the general public but often lack access to therapeutic service (Whitaker & Read, 2005). Unfortunately society’s lack of interaction with and education about this population has contributed to a number of misconceptions and fears. The hypothesized variables for the behavioral health disparity included: level of …

A Qualitative Study Of Recovery-Oriented Services In Inpatient Forensic Settings, Deanna Pecora Mellie

PCOM Psychology Dissertations

Recovery principles are currently guiding the transformation of mental health practice and policy in the United States (Anthony, 2000; Davidson et al., 2005; Davidson et al., 2006; Ralph & Corrigan, 2007). Although principles of recovery have become the focus of mental health care reform, they have just begun to enter the forensic system (Hillbrand & Young, 2008). This is important because the forensic state hospital population has experienced a significant growth, reportedly approximating 50 % of all beds in given states, while the general civil state hospital population continues to decline (Salzer et al., 2006). Furthermore, Hillbrand and Young (2008) …

Attention To Psychosocial Concerns Related To Lqts: A Survey Of Medical Providers, Elizabeth Conlin

PCOM Psychology Dissertations

Long QT Syndrome (LQTS) is a heritable condition characterized by syncopal episodes, arrhythmias, and sudden cardiac death in otherwise healthy individuals. Current research, although underrepresented, on the quality of life and psychosocial stressors indicate that some individuals experience depression and anxiety as a result of this chronic medical illness. A survey was created and administered to cardiologists and allied professionals, who offer medical services to LQTS patients, and belong to the Pediatric Arrhythmia and Congenital Electrophysiology Society (PACES). A Likert scale survey was developed for selfadministration and posted in an email for PACES members to complete voluntarily. This survey study …

Acculturation, Psychological Distress, And Family Adjustment Among Russian Immigrants In The United States, Eugene Dunaev

PCOM Psychology Dissertations

The purpose of this research was to investigate the effect of acculturation differences on psychological distress and family functioning in non-Jewish Russian immigrant families. Potential mediating effects of social support and parenting style and moderating effect of the child’s gender were investigated using regression analysis. The sample consisted of 80 Russian immigrant mother-child dyads residing in the northeast region of the U.S. The study included independent assessment of acculturation to American and Russian cultures. Results confirm the presence of associations between acculturative differences, psychological distress, and family problems. A mediational role of social support and parenting style on the impact …

An Evaluation Of A Group Nutritional Program In A Population Of Obese Individuals With Psychiatric Disabilities, Jamie Via

PCOM Psychology Dissertations

Individuals with serious mental illnesses are at high risk for obesity. The increased risk of obesity and comorbid medical conditions among individuals with serious mental illnesses has increased the need to seek and utilize effective treatments to address obesity in this population. In efforts to address the need for effective treatment, Eli Lilly and Company developed the Solutions for Wellness program. The aim of this study was to examine if the Solutions for Wellness nutritional program was effective in increasing wellness knowledge and increasing healthy lifestyle choices within a small sample of obese individuals with serious mental illnesses. The nutritional …

Early Adolescent Non-Suicidal Self-Injury And Sensory Preference Differences: An Exploratory Study, Jacquelyn Shea Christensen

CGU Theses & Dissertations

BACKGROUND: Non-suicidal self-injury (NSSI) occurs in 13% to 20% of adolescents, and is often indicative of deeper internal or social problems. A close review of current explanatory models of NSSI suggested that underlying individual sensory preferences may contribute substantial explanations for the self-regulatory functions of NSSI, as well as have implications for treatment approaches. In the context of integrating sensory processing models with prominent functional NSSI models, this dissertation research compared sensory preferences in youth who engaged in NSSI to sensory preferences of youth who did not engage in NSSI.

OBJECTIVE: NSSI-engaging youth were hypothesized to have lower threshold sensory …

Stresses Of Mothers Caring For An Older Adolescent Diagnosed With Autism: A Phenomenological Exploration, Linda Mason

Antioch University Dissertations & Theses

A review of the literature provides ample research about caregiver stress in relationship to healthcare needs, aging, and mental illness. However, there is limited research about caregiver stress in regard to families that care for a child with disability. Further limited in scope is research about mothers who care for an older adolescent with diagnosed autism. This qualitative phenomenological study explored the lived experience of six mothers caring for an older adolescent diagnosed with autism. The question about what causes stress resulted in findings: isolation, coping with their child's challenging behaviors, and frustration with the establishment. The question about what …

Comparing Static-99 Scores Of Incarcerated White, Black, And Latino Sex Offenders, Michele O. Waldron

Antioch University Dissertations & Theses

Risk assessments contribute to sentencing and parole decisions, and thus are among the highest stakes assessments in the mental health field. The Static-99 has become a standard element of risk assessments for sex offenders, yet its norms and predictive accuracy have been established primarily with Caucasian samples, while the incarcerated population is disproportionately minority. Scoring of the Static-99 depends heavily on history of criminal offenses; if patterns of offenses differ along ethnic lines, the possibility that offense history should be understood to have ethnically-specific predictive validity (that is, the predictive significance of a given factor differs by ethnicity) becomes more …

Robustness Of The Achievable Benchmark Of Care Method, Jeff Arthur Capobianco

Wayne State University Dissertations

The Achievable Benchmark of Care Method is a process of care performance improvement measurement approach for identifying top performing healthcare providers. The purpose of this study was to investigate the robustness of the method. This was achieved by comparing the robustness of the standard ABC method, which uses the mean to calculate the benchmark, to versions of the ABC method where the mean was replaced with either a 5%, 10%, or 20% trimmed mean, a 15% Winsorized mean or the one-step Huber ø1.28 calculation. Monte Carlo simulations where conducted using publically available, Medicare process of care data. The mean was …