Clinical Psychology Commons^™

Belonging In The Psychic Nowhere: Racial Trauma, Racial Melancholia And Related Mental Health Outcomes Amongst South Asian Immigrants In The Us, Anusha M. Kumar

Dissertations and Theses

South Asian immigrants have experienced a nuanced immigration history in the US while straddling the Black-White racial binary. Despite their growing presence, research on South Asian mental health is relatively limited and often subsumed under the broader category of "Asian Americans," which obscures unique experiences due to the model minority myth and leads to a paucity of targeted studies, particularly in the U.S. Mental health outcomes, specifically depression, self-harm and disordered eating behaviors are prevalent within this community, and are exacerbated after large-scale sociopolitical events due to increased discrimination. Limited studies examine the intersection of racism and mental health outcomes …

A Qualitative Exploration Of Psychodynamic Therapist's Experiences When Working With Parents In Child And Adolescent Psychotherapy, Marie-Clair Siegman

Dissertations and Theses

A Qualitative Exploration of Psychodynamic Therapist's Experiences of Working with Parents in Child and Adolescent Psychotherapy.

By

Clair Siegman, MA

Advisor: Steve Tuber, PhD

The aim of this study was to identify how therapists incorporate parent-work into their practices and explore the experiences related to this. The literature on engaging parents during child treatment suggests that it is a central to improving outcomes. Research about the treatment alliance that develops between the therapist and parent is limited, especially when considering the therapist perspective. Literature within the psychodynamic and psychoanalytic fields, suggests therapists have a hesitance to working with parents either …

Investigating The Novel Effects Of First-Time Wim Hof Breathing: An Experimental Study, Yuhan Kong

CMC Senior Theses

Breathwork, or voluntary controlled breathing exercise, is central around the world for spiritual and well-being purposes. Most extant research has focused on slow breathing techniques and has found a range of benefitsin physiological (e.g., increase in parasympathetic tone) and psychological (e.g., reduction in depression, anxiety, stress) outcomes. Less explored is fast-paced breathwork, which may also be beneficial for mental and physical health. Wim Hof Breathing (WHB), a novel breathing technique that gained popularity in recent years, has been claimed to have a range of health benefits, including improving mental health, autonomic regulation and cardiovascular functioning. However, very limited scientific studies …

Adolescent Bereavement And Resilient Outcomes: A Comprehensive Analysis, Jenna Holmes

CMC Senior Theses

This thesis explores the complexities of adolescent bereavement and factors that improve resilience. Bereavement in adolescence is particularly difficult and complicated because it occurs during a crucial developmental period, and maladaptive coping during this time has been linked to many negative outcomes. This review covers three different theoretical models (i.e., Model of Adolescent Grieving, Multidimensional Grief Theory, and the Contextual Resilience Model for Bereaved Adolescents) of adolescent bereavement and compares their strengths and weaknesses. The importance of promoting resilience and healthy bereavement is underscored, followed by a discussion of how the type of loss (e.g., parent, sibling, and friend), different …

The Transdiagnostic Role And Measurement Of Cognitive Inflexibility Across Understudied Eating Disorder Groups: A Multi-Method Investigation, Mckenzie Miller

Electronic Theses & Dissertations (2024 - present)

Cognitive inflexibility is an established transdiagnostic executive function deficit that maintains a wide array of psychiatric conditions. Eating disorders (ED) are serious, life-threatening conditions that remain underdiagnosed and understudied across diverse demographic groups. There is growing evidence for a role of cognitive inflexibility in driving hallmark ED symptoms, particularly in anorexia nervosa. Treatments targeting cognitive inflexibility may improve the currently poor outcomes of these conditions. To date, the role of cognitive inflexibility remains to be examined across demographically and diagnostically diverse ED groups. The first two studies presented here examine associations between cognitive inflexibility and symptom presentation in two relatively …

Validation Of The Intolerance Of Uncertainty Scale-12 In A Sample Of Pregnant People, Kayla Costello

Electronic Theses & Dissertations (2024 - present)

Background: Intolerance of uncertainty (IU) has been proposed as a transdiagnostic mechanism driving anxiety, depression, and eating disorder symptoms. Pregnancy is a time of significant uncertainty, yet few studies have examined the measurement of IU and its impacts on pregnant people. The current study aimed to examine the psychometric performance of two versions of the Intolerance of Uncertainty Scale (IUS-27 and IUS-12) and its associations with psychopathologies common in pregnancy.

Methods: This study is a secondary analysis of participants (n = 254) recruited for a larger study of a single-session intervention targeting disordered eating in pregnancy. We examined fit …

Mentalized Affectivity And Its Role In Acculturative Adjustment And Well-Being, Bassem Barada

Dissertations and Theses

Immigration is a phenomenon that occurs on a global scale and continues to grow in prevalence to our present day. Therefore, acculturation remains an essential area of interest for the mental health field. Specifically, assessment of identification with either one’s ethnic culture or the dominant culture remains a robust way to capture acculturative adjustment (Chance, 2015). More recently, emotion regulation has emerged as an important construct in understanding wellbeing. Mentalized affectivity (MA) is an insight-based regulatory process that highlights the importance of understanding current emotional distress in the context of one’s past history (Jurist, 2005). The three dimensions of emotion …

Divorce As A Growth Process: Marital Separation And Separation-Individuation In Adulthood, Anna Egleson

Dissertations and Theses

Research has focused on the negative effects that divorce has on divorcees, on children of divorced parents, and on society. Research has also shown however that many individuals who go through a divorce emerge happier, more content and satisfied with their choice, even though the process was a painful one. Despite this evidence, there is a gap in the research looking at positive, and growth-related experiences of those who have recently gone through a divorce. Theoretical arguments and clinical observations provide a foundation to support the idea that there is a relationship between separation-individuation in adulthood and the internal shifts …

The Effect Of First-Person Testimonial Versus Didactic Video Interventions On Attitudes And Behavioral Intentions Toward Buprenorphine, Tristan S. Fletcher

College of Graduate Studies: Theses & Dissertations

Emerging adults exhibit disproportionately elevated levels of substance use disorders (Substance Abuse and Mental Health Services Administration [SAMHSA], 2021), opioid misuse (SAMHSA, 2021), and opioid use (Hu et al., 2017; Jones et al., 2015) compared to other age cohorts. If left untreated, opioid misuse and opioid use disorder can lead to various negative consequences, including premature death (Strang et al., 2020). Prior research indicates emerging adults have higher opioid-related mortality rates compared to other age groups in the United States (Gomes et al., 2018). Buprenorphine, an opioid partial agonist medication, is an effective intervention for opioid use disorder (Mattick et …

Social Problem-Solving, Stress, Social Support As Predictors Of Distress Among First-Generation Students, Marisa Leib

PCOM Psychology Dissertations

First-generation students are steadily increasing in the United States, and currently comprise one third of today’s college undergraduate population (Stebleton & Jehangir, 2020). First-generation students are more likely to face various academic, social, economic, and cultural challenges when transitioning to higher education. The culmination of these stressors put first-generation students at risk for developing mental health conditions. Social problem-solving (SPS) is one variable that has been shown to buffer against the negative effects of stress among the general college student population. The purpose of the current study was to examine how specific variables contribute to psychological distress among the population …

At-Risk Children: Adult Perception And Recognition Of Mental Health Concerns, Abby D. Lucas

College of Graduate Studies: Theses & Dissertations

Approximately 20% of children ages nine to 17 in the United States struggle with mental health concerns each year (Gamm et al., 2010). Early identification of child and adolescent mental health concerns is crucial for initiating treatment to prevent recurrence or persistence of pathology into adulthood (Logan & King, 2001). Children are primarily dependent upon adults in their lives (e.g., parents/caregivers, education professionals, healthcare providers) to recognize mental health concerns and seek services (Sayal et al., 2010). Providing these adults with guidance on how to appropriately identify and recognize these mental health needs in children is critical (Crouch et al., …

Predictors Of Depression And Life Satisfaction Among Asian Indians Living In The United States Of America, Ramanjot Kaur Basanti

Walden Dissertations and Doctoral Studies

This study assessed the statistical contribution of gender, acculturation, Asian values, coping self-efficacy and discrimination in the prediction of depression and life satisfaction with Asian Indian American adults. The increasing number of Asian Indians in the United States has prompted psychologists and other clinicians to seek understanding of the unique mental health needs of this population. However, previous studies on predictors of depression and life satisfaction among Asian Indians living in the United States had been scarce and inconclusive. The current study, grounded in Berry’s multidimensional theory of acculturation, used a cross-sectional correlational survey design to examine if gender, acculturation, …

Differences In Personality Pathology Among Non-Suicidal Self- Injury And Suicidal Behavior Patterns: A Latent Class Analysis, Rachel Chavin

Dissertations and Theses

Nonsuicidal self-injury (NSSI) is present among a range of personality disorders (PDs) and, though distinct from suicide (Whitlock et al., 2015). Individuals who engage in NSSI and/or suicidal behavior, tend to have similar symptomology consistent with PDs, like rumination (Bowen et al., 2019), impulsivity (Hamza et al., 2015), and greater sensitivity and emotional reactivity within social situations (Selby et al., 2012). Similarly, maladaptive personality traits have shown to positively relate to NSSI and suicide (Jimenez-Treviño et al., 2011; Turner et al., 2018). Yet, research also indicates that NSSI is a heterogenous behavior that varies in severity related to frequency, age …

Traumatic Stress, Sexual Abuse-Related Shame Severity, And Participation In Commercialized Sex Based On Childhood Sexual Abuse, Barbara Ann Bailey

Dissertations and Theses

Any sexual act performed under the condition that one person will receive or provide something of value to another in exchange for the sexual act is referred to as commercial sex. Some research suggests that those who engage in commercial sex are more likely to be victimized or physically assaulted. Moreover, a frequently cited risk associated with engaging in commercial sex is a history of childhood sexual abuse (CSA). Because commercial sex and CSA are often unreported, there is limited understanding regarding symptom severity experienced by survivors of both. It was hypothesized that individuals who had experiences of both CSA …

Adhd Symptoms As A Moderator For The Relationship Between Childhood Maltreatment And Adolescent Delinquency, Demy Alfonso

Graduate Research Theses & Dissertations

Childhood maltreatment (i.e., physical abuse, emotional abuse, and neglect) has consistently been shown to be a significant predictor of engagement in subsequent delinquent behaviors during adolescence. ADHD symptoms have also been shown to be both a risk factor for experiencing childhood maltreatment, as well as a potential consequence of having been exposed to maltreatment. Additionally, concurrent symptoms of ADHD and experiences of maltreatment are significantly associated. ADHD symptoms have also been shown to be related to delinquency. Further, research has found that the prevalence of these difficulties (e.g., ADHD symptoms, delinquent behaviors) may differ according to an individual’s gender. The …

The Relationship Between Moral Thought-Action Fusion And Scrupulosity Across Judaism, Christianity, And Islam, Kelsey Evey

Graduate Theses, Dissertations, and Problem Reports (ETD)

Scrupulosity is a subtype of obsessive-compulsive disorder (OCD) where individuals are upset by intrusive thoughts related to religious or moral issues. Current research suggests that scrupulosity occurs across the major world religions—including the Abrahamic religions (i.e., Judaism, Christianity, and Islam). Some research suggests that moral thought-action fusion (moral TAF), a dysfunctional belief that thinking something is equal to doing it, may only be pathological under certain circumstances (e.g., if it is not culturally normative). If this is true, the current cognitive model of scrupulosity may need to be amended to reflect how cultural differences impact the role of moral TAF …

Burnout In Forensic Psychology Related To Personal Traits And Vicarious Trauma, Olivia Shae Bruno

Theses and Dissertations

Burnout is described as having three components: emotional exhaustion, depersonalization, and feelings of ineffectiveness (Maslach et al., 1997). Burnout is considered a major occupational hazard due to the consequences for the afflicted and the population they work with (Leka & Jain, 2012) including low quality care, job dissatisfaction, absenteeism, and high turnover rates (Maslach et al., 2001). Previous research has identified some occupations and settings which are linked to high rates of burnout, including psychologists (Rodriguez & Carlotta, 2017) and those working in a high stress field, such as police officers (Vazquez et al., 2021), corrections officers (Herlickson, 2010) or …

Veterans, Providers, Moral Injury, And The Integration Of Spirituality In Clinical Care, Claire Muldrew

Theses and Dissertations

Moral Injury (MI) is known to be prevalent among military populations, however, the integration of spirituality into the treatment of veterans with trauma/posttraumatic stress disorder (PTSD) is an understudied topic. This systematic review sought to explore how mental health clinicians and chaplains view the integration of spirituality in the course of clinical care with traumatized veterans who experience MI. Utilizing qualitative methodology, the existing knowledge base was studied to shed light on this topic and to also identify the similarities and differences between these types of providers. The meta-aggregation approach was applied to analysis of the available data and a …

The Lived Experience Of The Covid-19 Pandemic Among Mandate-Resistant Adults In Washington State, Amber N. Peterson

Antioch University Dissertations & Theses

This study examined the lived experience of self-identified, mandate-resistant adults in Washington state. This study explored participants’ experience of the COVID-19 pandemic, from a retrospective framework by uncovering challenges, silver linings, decision-making, and self-reported mental health. Remote interviews were conducted with nine participants. Participants were between 23–31 years old, mostly male, and over half identified as Black. Through semi structured interviews, data was collected and analyzed using Interpretive Phenomenological Analysis (IPA). Participants described their experiences during the COVID-19 pandemic and highlighted significant changes in the way they lived their lives. Most notably, participants described ways in which they defied COVID-19 …

Ideals Of Benevolence, Acts Of Dysconsciousness: White Women's Pursuit Of Diversity In Nonprofits, Tessa A. Fulmer

Antioch University Dissertations & Theses

Recent political movements such as the Black Lives Matter and #MeToo movements have brought renewed attention to the social roles of White women and their unique position of intersectional privilege and oppression. White women experience the benefits of whiteness while simultaneously experiencing the gendered oppression of womanhood. However, there is a lack of research exploring how White women conceptualize and respond to their own positionality as both White individuals and as women. This study utilizes constructivist grounded theory to examine how White women navigate their social location within the context of working in the nonprofit sector, a space wherein White …