Clinical Psychology Commons^™

"Help Me Live It The Way You Do": Grounding Singaporean Responses To The Rorschach Situation, Casey Y. Lee

Electronic Theses and Dissertations

Contemporary research on the Rorschach and culture is striking for the latter’s disappearance as a variable of significance (Meyer et al., 2015; Meyer et al., 2007; Mihura et al., 2013; Viglione & Hilsenroth, 2001). This erasure is chronicled and reproduced in the narratives of universal objectivity, of extensive international meta-analyses, of replications, of standardized norms (Ritzler, 2004; Smith et al., 2018; Smith et al., 2020; Weiner, 2004). A different story emerges, however, when we ask, how has culture disappeared? The proposed study is a multimethod qualitative analysis of Singaporean responses to the Rorschach, aimed at generating sensitive yet critical discourses …

Relationship Of Covid-19-Related Racial Discrimination And Oppressed Identities On Chinese American Mental Health, Allison A. Fong

Doctoral Dissertations

Although anti-Asian hate has been present throughout history, the country witnessed an uptick in race-based violence and discrimination against Asian Americans during the COVID-19 pandemic. Utilizing the framework of intersectionality, this quantitative cross-sectional study aimed to capture the additive impact of various forms of oppression, including COVID-19-related racial discrimination, on levels of depression, anxiety, and life satisfaction in Chinese American college students (n = 35) in the Greater San Francisco Bay Area. Within this relationship, bicultural identity integration was also explored as a possible moderator. Although regression analysis did not show significant relationships between COVID-19-related racial discrimination and intersectional discrimination …

Emotion-Attention Relationships In Anxiety: A Multimodal Psychophysiological Network Analysis, Kyle O'Brien

Clinical Psychology Dissertations

Anxiety has long been associated with changes in attention processing, emotional salience detection, and emotional affect. Traditional methods of measuring anxiety frequently utilize self-report symptom measures, behavioral performance measures, and psychophysiological indicators. The current study integrates behavioral accuracy, self-report measures of psychological distress and well-being, and event-related potential markers of attention processing into an exploratory multimodal psychological network analyses to identify meaningful patterns across these indicators. The final sample of nonpatients included 36 anxious (low depression) and 24 control (low anxiety and depression) participants who completed an Emotion Attention Blink task while EEG data were collected to assess early, more …

A Poetic Call For And A Reflection And Commentary On Clarity, Understanding, Hope, Courage, And Compassion, Carroy U. Ferguson

Psychology Faculty Publication Series

Finding a published poem I had written as a teenager, titled “The Heavens Weep.” this article uses that poem as the basis for a commentary that reflects on the state of the world today (2026),  As a commentary, the article uses the poetic and metaphoric words in the poem as a relevant "reality check" for what is still going on today.  In essence, the commentary is about a call for Clarity, Understanding, Hope, Courage, and Compassion, or what I call Archetypal Energies, Higher Vibrational Energies that operate deep within our individual and collective psyches to creatively urge us to "see" …

Exploring Rural Culture And Gambling Harm Among Young Adults In Central Appalachia, Noah S. Anderson, James P. Whelan, Meredith K. Ginley

Appalachian Student Healthcare Research Review

Background: Gambling-related harms are increasing among young adults, yet limited research has examined how rural cultural identity shapes gambling engagement and associated harms. Appalachia is a predominantly rural region with distinct cultural values, limited behavioral health access, and increasing exposure to legalized and informal gambling opportunities.

Purpose: This study examined whether Appalachian self-identification and affective states are associated with gambling engagement and gambling-related harm among college students residing in central Appalachia.

Methods: Participants were 395 undergraduate students recruited from a central Appalachian public university who completed an online survey assessing Appalachian self-identification, gambling engagement, gambling-related symptom severity (Problem Gambling Severity …

Analysis Of A Process-Based Approach To Case Formulation And Treatment With Acceptance And Commitment Therapy, Callum Smith

Dissertations

Process-Based Therapy (PBT) is a novel approach to clinical research and practice. PBT is proposed as an alternative model to classic diagnostic frameworks. It emphasizes conceptualizing psychological problems through adaptive and maladaptive processes of change. The aim of current PBT research is to develop reliable methods of organizing change processes into network models. In network models, change processes are presented in nodes connected by lines and arrows to represent the interacting relationships between those processes for a given individual. The present project aims to evaluate the inter-rater reliability and predictive validity of a novel semi-structured interview method to aid in …

Switches And Witches: Exploring The Relationships Between Religious Struggles, Spiritual Beliefs, And Well-Being, Emma J. Trierweiler

Psychology Theses & Dissertations

This study examined the mechanisms between interpersonal and doubt-related struggles and well-being outcomes in a formerly religious sample. The focus of this dissertation was to analyze the mediating roles of disengagement from God and perceived social support. Approach toward God was also examined as a control but not specified to be connected to the well-being outcomes given the emphasis on formerly religious individuals’ experiences. This was a retrospective study, where participants were asked to consider their responses as they relate to the time they were pulling away from religion. Three measures of well-being were explored using structural equation modeling. Positive …

Role Of Stigma On Engagement In Mental Health Services For Latinxs With First-Episode Psychosis (Fep), Livia J. Padron Briceno

Electronic Theses, Projects, and Dissertations

Psychotic patients often endure stigma in their daily lives (Corrigan, 2018). Psychotic patients are understood as individuals who are experiencing psychotic symptoms such as hallucinations, delusions and disorganized speech (Arciniegas, 2015; Breitborde et al., 2017; Moskowitz et al., 2019) and have been diagnosed according to the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) criteria with a psychotic disorder (e.g. Schizophrenia, Schizoaffective Disorder). Stigma refers to negative perceptions held about an individual experiencing mental illness. While public stigma refers to the negative views adhered to by members of communities (e.g., sociocultural group, family units) about people with mental illness, self-stigma …

A Critical-Constructivist Grounded Theory Exploration Of The Mental Health Experiences Of Individuals With Intellectual Disabilities In Post-Secondary Settings, Alyssa L. Decker

Dissertations, 2020-current

Individuals with intellectual disabilities (ID) now have access to higher education, often through inclusive post-secondary education programs (IPSE), to increase employability and quality of life. IPSE programs, historically, have provided academic and life skill support and not mental health support within programs’ curricula. A recent review of IPSE programs reveals that if mental health services are included, they are often accessed through university health services. Transitioning from high school to college induces high levels of stress, which can exacerbate underlying mental health conditions. Mental health care is defaulted to an already overburdened college counseling center without the knowledge and skills …

Understanding College Student Expectancies Of Simultaneous Engagement In Multiple Risk Behaviors: A Measurement Development And Model Testing Study, Shelby Whalen

Electronic Theses and Dissertations

Risky behaviors, actions that may cause physical, psychological, social, or economic harm to oneself or others, are prevalent among college students. While significant research has focused on single high-risk behaviors of alcohol use, drug use, gambling, and gaming separately, students frequently engage in multiple high-risk behaviors simultaneously, such as drinking alcohol while gambling. Research shows that students have distinct and specific expectancies about what happens when they engage in a risk behavior, however, minimal research has examined students’ perceptions or reasons for simultaneous poly-risk behavior engagement. This multi-phase project characterized students’ outcome expectancies for simultaneous poly-risk behavior combinations, developed and …

The Memphis Gambling Screen: A Clinical Validation Study Of An Enhanced-Readability Self-Report Measure For Gambling Disorder, Natasha Bourgoin

Electronic Theses and Dissertations

Precise identification of gambling disorder can be difficult when commonly used screeners vary in clarity and diagnostic accuracy. The Memphis Gambling Screen (MGS) was developed as an enhanced-readability self-report measure to improve item comprehension and strengthen the diagnostic accuracy of DSM-5 gambling disorder. This study evaluates the psychometric properties and diagnostic accuracy of the MGS with a combined sample of individuals seeking treatment for problem gambling or substance use disorder and college students with a recent history of gambling (N = 232). Participants completed a demographic questionnaire, the MGS, and another commonly used measure, the Problem Gambling Severity Index …

Drinking Group Injunctive Norms: An Event-Level Examination, Karolina Kazlauskaite

Psychology Theses & Dissertations

College students are at increased risk for negative alcohol-related outcomes. Theoretical and empirical support suggest that peer groups play a crucial role in college student alcohol use, in part because they establish normative values and behaviors (i.e., norms) that members follow. Research indicates that those who identify more strongly with a group are more likely to embody that group’s values—particularly regarding drinking. Notably, injunctive norms, or perceptions of peer permissibility toward drinking, predict individual drinking outcomes, such that perceiving one’s peers as more approving confers additional risk for personal drinking. However, prior examinations of injunctive norms have not assessed perceptions …

Examining Pain Catastrophizing, Mental Toughness, Self-Efficacy, And Perceived Pain In The Performance Of Female Athletes During Their Menstrual Cycle, Carissa R. Martinez

Electronic Theses and Dissertations

Pain is a universal unpleasant or negative experience influenced by physiological, psychological, and environmental factors. Disruption in the neural pathways of pain can affect athletic performance and lead to injury risks. Both negative attributes, such as stress, anxiety, and depression, and positive attributes, such as mental toughness and self-efficacy, contribute to pain perception and catastrophic thinking. The menstrual cycle also plays a critical role in pain catastrophizing, as hormonal fluctuations across different phases may hinder pain perception and performance in female athletes. However, research lacks the inclusion of how these factors impact female athletes. Using a non-experimental quantitative analysis, this …

The Relationship Between Depression And Cognitive Proficiency Index Across Biological Sex, Angela N. Ferdinardo

Dissertations

Depression is a widely studied mood disorder, and understanding its effect on cognitive functioning has become an important area of research. While research has examined relationships among depression, working memory, and cognitive deficits, limited research has explored depressive symptoms and cognitive proficiency across biological sex. Depression manifests similarly in men and women, though men are more likely to experience irritability, impulsivity, and anger, while women tend to experience sadness, stress, and sleep disturbances (Johns Hopkins Medicine, 2023). Women are also more likely to seek treatment and cope differently than men. This study examined the relationship between depression and cognitive proficiency …

The Legacy Of Trauma: Exploring The Effect Of Generational Stress On Gut Health And Mental Well-Being In Black Women, Jocelynn Jones

Dissertations

This dissertation examines how generational trauma and chronic stress may relate to gut health and mood outcomes among Black women. Using a literature review design, this work brings together research on intergenerational trauma, gendered racism, Superwoman Schema, weathering, allostatic load, mood disorders, reproductive health disparities, and the microbiota-gut-brain axis. The central argument is that depression, anxiety, gastrointestinal symptoms, fatigue, reproductive vulnerability, and healthcare mistrust should not be understood as fully separate concerns when they may be shaped by shared stress conditions. The proposed integrated model does not claim that trauma directly causes gut dysbiosis or mood disorders. Instead, it suggests …

Examining The Relationships Between Apathy Subdomains, Heart Rate Variability And Cognitive Performance, Yasmin Bahai Nabulsi

Psychology Theses & Dissertations

Apathy, defined as a reduction in motivation and goal-directed behavior, is a multidimensional neuropsychiatric syndrome encompassing behavioral, executive, and emotional components. Although heart rate variability (HRV) has been linked to depression and executive functioning, its relationship with apathy remains unexplored. The present study examined associations between apathy subtypes, resting HRV, HR and HRV reactivity, and cognitive performance. A sample of 116 healthy young adults completed self-reported measures of apathy, depression, fatigue, reward sensitivity, and attentional control. Electrocardiography (ECG) was used to assess resting HRV, followed by continuous recording during cognitive tasks, which included the Digit Span Test and a verbal …

A Qualitative Study Of Immigration Trauma, Posttraumatic Growth, And The College Experience Among Mena Immigrant Students, Braa A. Elkhidir

Dissertations

Middle Eastern and North African (MENA) immigrant students who are seeking to earn a higher education in the United States have to navigate acculturative stressors and systemic barriers. Prior research has focused primarily on the challenges MENA immigrant students experience without deeply exploring how these students adapt and grow. The focus in this qualitative study was to understand how MENA immigrant college students experience and make meaning of their academic journeys. Semi-structured interviews were used to explore the academic experiences of seven MENA immigrant college students in the United States and assess how acculturative stressors, personal strengths, coping strategies, and …

Black Protection: Black Social Media Competency And Urban, Black Adolescents On Social Media, Taylor A. Williams

Dissertations

While urban, Black adolescents interact with racial identity content on social media, their identity is primarily shaped through offline experiences and later reflected or reinforced online. Through the concept of Black social media competency (B-SMC), this study examined the relationships between Black urban adolescents’ social media use, exposure to race-related content, and experiences navigating the digital environment. The study used a qualitative design, grounded in the phenomenological and ecological frameworks, with 21 adolescents recruited from two urban, Midwestern schools and programs to participate in semi-structured interviews, and data were analyzed using thematic analysis to identify patterns in how the participants …

Pathways To The Streets: A Proposed Model Examining The Factors Influencing Gang Affiliation And Involvement Among Young Black Men In The United States, Ceauna L. Juarez

Dissertations

This literature review examined gang involvement among young Black men in the United States and explored the factors that contribute to joining gangs and the consequences that may follow. The first chapter provides a brief history of gang involvement in Black communities and introduces Erikson’s development model, self-determination theory, and the minorities’ diminished returns as the three theoretical frameworks. The second chapter discusses common challenges faced by young Black men who are currently involved in gangs or are at risk of joining. The chapter explores issues such as life expectancy after gang involvement, adverse childhood experiences, mental health concerns, and …

Intergenerational Trauma And Grief Among The Latine Community: Proposed Interventions And Treatment Considerations, Alexandra M. Johnson

Dissertations

The intersectionality of bereavement, trauma, and culture has many clinical considerations, including the impact on individuals and families. Traumatic events can impact an individual directly, collectively, and intergenerationally. The Latine community is one of the largest cultural groups in the United States, and mental health treatment often includes several cultural considerations. This critical literature review examined how the Latine community has been impacted by intergenerational trauma, specifically through experiences of grief and loss, to inform clinical focus, case conceptualization, and identify gaps in the literature. The first chapter provides a brief history of the intersectionality of intergenerational trauma and bereavement, …