Clinical Psychology Commons^™

Relationships Between Parenting Styles And Oppositional Defiant Disorder In African American Families, Sierra Savedge

Walden Dissertations and Doctoral Studies

Oppositional defiant disorder (ODD) is a mental health disorder that is seen throughout adolescent populations; however, limited research has been conducted on African American adolescents. Based on the parenting theory, the purpose of this quantitative study was to examine relationships between parenting styles, African American cultural influences, and ODD. A sample of 125 parents with adolescents in Virginia was surveyed. The Parenting Styles Questionnaire was used to measure parenting styles. The African American Acculturation Scale Revised was used to measure African American cultural influences. Symptoms of ODD were measured using the Child and Adolescent Disruptive Behavior Inventory. Chi-square tests, independent …

Neuropsychological Intra-Individual Variability In Traumatic Brain Injury: Clinical Utility, Classification, And Associations With Outcomes, Jeremy A. Feiger

Dissertations and Doctoral Documents, University of Nebraska-Lincoln, 2023–

Traumatic brain injury (TBI) survivors experience a range of sequelae including neurobiological brain changes, cognitive impairment, psychological difficulties, and functional changes. Neuropsychological assessment after injury is used to characterize current strengths and weaknesses to inform prognosis and interventions. There is currently no reliable and consistent method of assessing and classifying injuries in the post-acute and chronic phases of moderate to severe TBI (msTBI) that is associated with long term psychosocial outcomes. This study aimed to combine the use of within-person variability on neuropsychological test batteries and in cognitive response latency, known as intra-individual variability (IIV), with a novel cognitive phenotyping …

The Mental Health Experience Of Transgender And Gender Diverse Colombians: Que La Diversidad No Cueste La Vida, María Natalia Acosta Canchila

Dissertations and Doctoral Documents, University of Nebraska-Lincoln, 2023–

Experiences of TGD people in various countries reflect difficulties accessing mental health services and significant mental health needs. In Colombia, experiences in broader healthcare systems suggest various barriers to care that include experiences of discrimination. However, specific experiences in mental health services have not been thoroughly examined. The current study aimed to understand the experiences, perceptions, and needs of TGD people in Colombia in mental health systems. Qualitative data was collected via 40 semi-structured interviews with TGD people in Colombia, data was analyzed via reflexive thematic analysis. Findings suggests great mental health needs related to needing support in the process …

Relational Changes In A Study Of Youth Diagnosed With Cancer, Emily C. Larsen Avnet

Doctor of Psychology (PsyD)

This dissertation explores the relational experiences of youth with cancer within a metropolitan hospital. Through archival interviews with 10 participants, the study identifies seven themes that encompass the youths’ experiences of how a life-limiting illness impacts their relationships and the role it plays. The findings reflect the complexity of a life-limiting illness, particularly during the adolescence and/or pediatric phases of life. The study highlights the importance of relationships, perceived support, and the impact of a cancer diagnosis in youth’s lives and the lives of their loved ones. The results can inform caregivers, loved ones, medical teams, and mental health care …

A Convergent Parallel Mixed Methods Examination Of The Impact Of Graduate Student Loan Balances On Overall Quality Of Life Among Clinical Psychologists With Psyd Degrees, Lekai James

Dissertations

Graduate student loan debt in psychology, particularly for those with Doctorate in Psychology (PsyD) degrees in clinical psychology, is highly problematic. Previous research has shown that student loan debt negatively impacts quality of life (QOL) by affecting subjective well-being (SWB) and life satisfaction (LS). This study used a convergent parallel mixed method approach, guided by bottom-up spillover theory and Maslow’s hierarchy of needs, to explore the relationship between QOL and total graduate student loan balances, as well as the effects of income and monthly student loan payments on QOL among PsyD graduates. Participants (N = 16) completed a survey with …

Family Fragments: Pressure And Proximity In First-Episode Psychosis, Cassandra B. Seltman

Dissertations, Theses, and Capstone Projects

This study explores the value of assuming a position that decenters the identified patient in families with a member with schizophrenia. Instead, a systemic view of the family is taken, as subject to pressures from without and within, and utilizing observable processes for the management and discharge of tension. It attempts the difficult balance of thinking dynamically without sacrificing scientific rigor, considering the social without discounting the biological, and exploring the functionality of the family without collapsing into blame, reductive cause-and-effect thinking, and the search to prioritize one true origin.

When treating family members as discrete units around an identified …

A Modified Grounded Theory Analysis Of Luke’S Understanding Of His Thought Disorder, Daniel Dresher

Dissertations

This current Clinical Research Project examines patterns of therapeutic processing in “Luke”, a male diagnosed with schizophrenia, and how his understanding of his psychotic breaks and mental illness evolved over the course of person-centered psychotherapy. A modified grounded theory approach was used by multiple coders to analyze transcribed text samples from selected archival therapy sessions selected between 1996 and 2019 to develop further hypotheses as to how "Luke" uses schizophrenic language to process experience in ways that are clinically effective as well as ways that hinder his understanding of his experience. Results of this study demonstrated that while Luke’s use …

Drug Use And Harm Reduction: Community Readiness As Pathway To Well-Being And Reintegration, Lauretta Ekanem Omale

Dissertations

Drug abuse negatively impacts the life and well-being of those who use drugs; this harm often extends to their loved ones, communities, and society. One presumptive set of psychological explanations for drug abuse is an addictive personality, a psychological susceptibility resulting from challenging family relationships, inadequate reinforcement, the absence of healthy role models, conflicting parental expectations, and a lack of love and respect. Harm reduction is a public health approach that focuses on minimizing the harmful effects of drugs and reducing judgment. It aims to meet people where they are in life and provide judgment-free, empathetic, supportive, and needed medical …

Evaluating The Relationship Between Parent-Adolescent Communication, Social Media Use, And Psychological Well-Being In Adolescents, Johannah Smith

LSU Doctoral Dissertations

Adolescents, particularly teenage girls, use social media substantially more than any other age group (Boneva et al., 2006; Gross, 2004; Padilla-Walker et al., 2020). Greater social media use has been linked to internalizing and externalizing problems; however, specific social media behavior and the relation to internalizing and externalizing problems is unknown. Additionally, how parent-adolescent communication impacts the relationships has not been explored. This is concerning as specific social media behavior, such as ruminating with peers and general social media addiction, has been linked to adolescents’ psychological well-being. (Sarmiento et al., 2020; Shensa et al., 2017; Nesi et al., 2020). The …

Pain Beneath The Surface: Emotional Self-Control & Trauma In Central Sensitization Among Asian Americans, Yasmin Banga, Lisette Thurlkill, Munyi Shea

School of Psychology, Family, and Community Research Conference

Research has established the links between trauma exposure, PTSD symptoms, and central sensitization. Yet, few studies have specifically examined this mechanism in Asian Americans with chronic pain. This study aims to examine how culture-specific factors, such as emotional self-control, as well as underlying PTSD symptoms play a role in this mechanism among Asian American adults. A sample of 160 Asian Americans with chronic pain was surveyed. Results suggest that PTSD symptoms significantly mediated the impact of trauma exposure on central sensitization, whereas emotional self-control was a non-significant mediator or moderator. Study limitations and implications will be further discussed.

Employment Role Change And Resilient Coping On Affective Well-Being During The Covid-19 Pandemic, Hatun Almuhanna, Penelope Seminario, Lynette Bikos

School of Psychology, Family, and Community Research Conference

The purpose of our study was to evaluate the effect of employment related role change directly upon affective well-being and indirectly through resilient coping in the first year-and-a-half of the COVID-19 pandemic. Participants (N = 197; age M=48.85, SD = 15.28) completed up to 24 waves. Results suggested that the direct effect of role change on affective well-being was statistically significant (B = 0.037, p < 0.024). Although there was a significant effect of resilient coping on affective well-being (B = 0.227, p < 0.001), the indirect effect passing from employment role change through resilience coping to affective well-being was not (B = 0.002, 95CI -0.006, 0.010, p 0.574). The results speak to the centrality of the employment role.

The Lived Experience Of Parents With Newborns In The Neonatal Intensive Care Unit (Nicu): A Heuristic Inquiry, Abigail Bilyk

Walden Dissertations and Doctoral Studies

Parents with newborns who require medical care in the Neonatal Intensive Care Unit (NICU) immediately following birth are at an increased risk of experiencing psychological distress. While quantitative research studies have determined that a NICU admission can have detrimental effects on parents, a better understanding of the lived experience for both mothers and fathers is necessary to ensure adequacy in the standard of care given to parents while their newborn is admitted to the NICU. The phenomenon has not previously been explored using the phenomenological approach of heuristic inquiry. Constructivism, social constructivism, and the transactional model of stress and coping …

The Impact Of Irrational Beliefs On Dysfunctional Decision-Making In B2b Salespeople, Barron W. Brown

Doctoral Dissertations

The complexity of the contemporary business-to-business (B2B) sales landscape requires salespeople to respond faster, be more knowledgeable, and add more value to buyer interactions than ever before. As such, B2B salespeople must carefully consider the impact of their decisions since they have the potential to directly impact organizational revenue and bottom-line outcomes. The present research utilizes rational-emotive behavior theory to examine judgment and decision-making in B2B salespeople. Research questions are presented and tested with a sample of 306 B2B salespeople using structural equation modeling. The results of the analysis reveal that irrational beliefs lead to dysfunctional emotions, and in turn, …

Impact Of Toxic Leadership On The Mental Health Of Employees In Texas State Agencies, Dr. Monika Diaz

Walden Dissertations and Doctoral Studies

This study investigated the impact of toxic leadership on the mental health of employees within Texas state agencies, utilizing betrayal trauma theory (BTT) as the theoretical framework. The study was conducted using a qualitative approach, specifically through semi-structured interviews with eight employees who have experienced toxic leadership firsthand. These interviews aimed to uncover the psychological effects of such leadership on employees, with particular attention to symptoms of stress, anxiety, and job satisfaction. Data were analyzed through thematic analysis. The findings revealed that toxic leadership was significantly associated with increased psychological distress among employees. This distress manifested as heightened anxiety, depression, …

Sexual Abuse: A Multi-Faceted Problem, Marcus Venable

LSU Doctoral Dissertations

On average, US citizens have experienced approximately 400,000 sexual assaults per year, which results in enormous immediate and long-term consequences for individuals, as well as society in general.

In the U.S., the principal method of combatting this crime has been the creation of Sex Offender Registries used to notify the public of the identity and location of convicted sex offenders who may be living in proximity to their residence. In addition to the Registry, laws have been passed forbidding convicted sex offenders from residing within buffer zones around areas of high child concentration [schools/parks/etc.].

The efficacy and consequences of these …

Grief Like Mine: A Literature Review Exploring Culturally Informed Grief Work For Black Youth Using Dance/Movement Therapy, Darrell Hyche

Expressive Therapies Capstone Theses

Black American youth are exposed to more death related circumstances than their peers yet are severely underrepresented in literature focused on the broader scope of children’s bereavement. More research and analysis are required to develop and implement culturally relevant interventions as they embark on their grief journey. Dance/movement therapy has the capacity for providing support that is culturally specific and able to meet the developmental levels of children, yet its grief focus work is limited. This literature review aims to bridge the gap between Black grief and dance/movement therapy as a culturally informed practice. An analysis of various forms of …

The Role Of The Wounded Healer In Expressive Art Therapy: A Literature Review, Yu-Tzu Lin

Expressive Therapies Capstone Theses

Experiencing traumatic events can have a profound impact on individuals, ranging from mild distress to severe symptoms. Trauma is prevalent, and there are numerous studies on potential treatments. However, it is surprising that there is a lack of research on how therapists' own trauma background affects their work with clients and the therapeutic relationship. This literature review examines the intersection of trauma, therapy, and the concept of the "wounded healer," particularly within the context of expressive art therapy. This study discusses how expressive art therapists' personal experiences with trauma can influence their therapeutic approaches. It examines the potential benefits and …

Regulation Through Rhythm: A Literature Review On Dance/Movement Therapy Approaches To Facilitating Nervous System Regulation, Elizabeth Barbera

Expressive Therapies Capstone Theses

Abstract

The mental health field has started to pay attention to how trauma plays into a person’s overall mental and physical well-being. Because of this more research has shown the connection between mind and body. Yet the clinical implications and literature on theories of how to treat trauma and trauma related disorders do not always connect. This review of literature seeks to analyze the literature on Porges’, Polyvagal Theory and Amighi’s, Kestenberg Movement Profiles. An investigation of the current literature makes a connection between the phylogenetic order of both the nervous system and developmental movement. Considerations of how trauma, in …

Aligning With Adolescents: A Literature Review Of Art Therapy In Residential Treatment Programs, Olivia Moore

Expressive Therapies Capstone Theses

Adolescents in residential treatment programs throughout the United States are a specialized population that demonstrate resiliency and hope every day. Many adolescents in these programs have experienced prominent levels of trauma that impact their ability to function in lower-level programs, foster homes, and in their communities. Residential treatment approaches may look like locked facilities with trauma-informed staff who provide programming options, mental health care, and safe living conditions for adolescents. Without strength-based approaches to treatment, this population may struggle to overcome their trauma, mental health challenges, and developmental needs. In this literature review, art therapy was offered to provide developmentally …

Music Therapy As A Support Model In Massachusetts Special Education: A Literature Review, Bonnie Diamond

Expressive Therapies Capstone Theses

Mental health directly impacts student propensity for making academic progress in the public education system. For children with disabilities, it is especially vital to develop and implement techniques within special education that deliver personally tailored benefits. According to the United States Department of Education, music therapy offers highly effective support to a wide range of students within the school setting so that they may achieve academic success and be supported in their social/emotional development (U.S Department of Education, 2011; AMTA, 2021). In examining the multifaceted ways that music therapy can offer support within the structure of education and mental health, …