Clinical Psychology Commons^™

Repeated-Measures Latent Profile Analyses Of Intervention Fidelity To A Teacher-Delivered Intervention Program For Children At Elevated Risk For Emotional And Behavioral Disorders, Katrina A. Markowicz

Theses and Dissertations

Teachers have difficulty delivering Tier-2 intervention programs for preschoolers at elevated risk for socioemotional and behavioral disorders with high intervention fidelity (Durlak, 2010; Sutherland et al., 2018). Several proximal factors that impact program fidelity have been identified, which may undermine program effects (Domitrovich et al., 2008; McLeod et al., 2022; Sutherland et al., 2018). Therefore, researchers have identified strategies, such as practice-based coaching, to improve intervention fidelity and support teachers (Hemmeter et al., 2015; Synder et al., 2015). Most of the field's knowledge of these topics is limited to variable-centered approaches (Fettig et al., 2022; Low et al., 2016). However, …

Effect Of Social Anxiety On Trial-By-Trial Changes In Attentional Biases To Emotional Faces, Nina Plotnikov

Theses and Dissertations

Cognitive research suggests that many anxiety disorders, including social anxiety disorder, are associated with an increased attentional bias toward potentially threat-related stimuli. However, inconsistent findings suggest the effect of anxiety on attentional bias to threat is not direct and that other factors, including emotion, perceptual load, and time on-task, impact the relationship between social anxiety and attentional biases to facial stimuli. In the present study, 157 undergraduate students completed a computerized letter search task identifying one of two target letters (N or X) from a circular arrangement of different letters (high load) or dots (low load). In 20% of trials, …

Therapist Engagement With Patient Nonverbal Behavior: Exploring These Interactions As A Mechanism Of Change In Virtual And In-Person Short-Term Psychotherapy, Elliana Sheriwn

Dissertations and Theses

The individual (intrapsychic) and dyadic (interpersonal) implications of nonverbal behavior have kindled interest among psychologists for decades. Many researchers and clinicians have studied nonverbal communication in the context of attachment and moment-to-moment interactions between parent and infant (Stern, 1977; Beebe et al., 2000). Theorists have also explored nonverbal behavior in the clinical setting as a dynamic relational dimension co-created by patient and therapist (Freedman and Lavendar, 1995). Although the extant literature highlights how nonverbal communication can inform psychotherapy outcome (e.g., by fostering empathy and building rapport), the topic of therapist engagement with patient nonverbal behavior—specifically, how these interactions serve as …

Social Determinants Of Psychosis: An Examination Of Loneliness, Stress, Discrimination, And Neighborhood Cohesion In Psychotic Disorders, Alexandria Selloni

Dissertations and Theses

This study examined social determinants in individuals diagnosed with psychotic disorders in a large, diverse, sample from the NIH-sponsored All of Us Research Program. Participants completed self-report measures of loneliness, perceived stress, everyday discrimination, and neighborhood social cohesion. Analyses showed that individuals with a diagnosis of a psychotic disorder experience significantly more feelings of loneliness, stress, everyday discrimination, and poorer neighborhood social cohesion compared to individuals without any diagnosis of a mental disorder as well as compared to individuals who may have other mental disorders other than psychosis. We further examined racial difference among individuals with psychotic disorders and found …

The Menstrual Cycle In Psychotherapy: Interventions, Therapist Engagement, And Blind Spots, Rozita Alaluf

Dissertations and Theses

There is a dearth of literature on psychotherapy and menstruation, except for the treatment and diagnosis of issues associated with premenstrual distress. This study aimed to bridge this gap by investigating the frequency and context of discussions about the menstrual cycle, the factors influencing therapists’ engagement with this topic, and the therapeutic approaches utilized to address the menstrual cycle within psychotherapy.

In phase 1, 118 psychotherapists from various theoretical backgrounds completed a survey on menstruation in clinical practice. The data was analyzed using descriptive statistics. In phase 2, semi-structured interviews were conducted with 7 psychotherapists, primarily identifying their theoretical orientation …

Motherhood In Crisis: A Qualitative Study Of First-Time Mothers Diagnosed With Breast Cancer, Tamzin M. Baker

Dissertations and Theses

The aim of this study is to explore the psychological impact of pregnancy-associated breast cancer (PABC) on a first-time mother’s identity. What effects does life-threatening illness have on the development of maternal identity and connection? This question was explored with a sample of six mothers via semi-structured interview and self-report measure with the aim to shed light on a scarcely studied phenomenon that is predicted to affect a greater number of mothers in the future. These research questions were explored through Interpretive Phenomenological Analysis (IPA) (Smith et al., 2009) resulting in group experiential themes and three theoretical constructs: (1) a …

Teach Them How To Say Goodbye: Student Therapist Termination At A Psychodynamic Training Clinic, Michael Ferrara

Dissertations and Theses

Termination is arguably one of the most important aspects of psychotherapy, however, the research into training for termination is sparse. Further, student therapists report that their training for termination provided little guidance, instruction, or acknowledgment of clinical realities around treatment endings. Using a semi-structured interview with a sample of 11 student therapists at a psychodynamic training clinic, this study explored experiences of termination and the preparation for those endings. Qualitative thematic analysis indicated that this group of student therapists did not experience shared and structured termination training but did not feel they were unprepared for the endings with their patients. …

Identity-Focused Therapist Self-Disclosure In Matched Sexual/Gender Minority Dyads: A Longitudinal Therapy Process-Outcome Study, Brian Thomas Neff

Dissertations and Theses

Therapist self-disclosure (TSD) is a controversial clinical intervention whose benefits and drawbacks remain contested. Notably, no prior research has differentiated explicitly between self-disclosures related to the therapist’s core identities and those peripheral to identity, and qualitative studies suggest that identity-focused therapist self-disclosure (TSD-I) may be beneficial when therapist and patient share at least one marginalized identity. LGBTQ+ people, who experience significant health disparities and utilize psychotherapy more than their heterosexual and cisgender counterparts, could benefit particularly from TSD-I. The mental and physical health challenges facing LGBTQ+ individuals are predominantly explained through minority stress theory, which suggests that societal prejudice and …

The Development Of A Computerized Text Analysis Measure Of Differentiation Relatedness: A Pilot Study, Liang Yi Wong

Dissertations and Theses

Self-definition and relatedness are considered two important processes for psychological development. Self-definition refers to an individual’s ability to maintain a stable, agentic, integrated sense of self that is differentiated from others. Relatedness refers to one’s ability to establish and maintain mutually reciprocal, stable, interpersonal relationships. Research shows that impairments in self-definition and relatedness are connected with various forms of personality and psychiatric disorders. Assessing for these impairments may allow clinicians and researchers to identity relevant factors that lead to therapeutic change. One way to assess for self-definition and relatedness is by understanding an individual’s description of self and others, which …

Policing With A Double-Edged Sword: The Associations Between Neighborhood Deprivation, Coping & Substance Use Among Black & Latiné Families, Neil M. Allicock

Dissertations and Theses

The COVID-19 pandemic has exacerbated systemic racial inequities among Black and Latiné communities, increasing daily stressors such as exposure to violence, racial discrimination, and negative perceptions of the police. Social constraints from quarantining and social distancing have weakened community relationships that previously provided relief from these stressors. Persistent poverty and racial discrimination further strain community ties and challenge the well-being of marginalized communities. Negative experiences with the police are unique stressors for Black and Latiné youth, potentially increasing their risk for substance use. The erosion of community ties may heighten psychological stress and lead to less adaptive coping methods, such …

Mentalized Affectivity Among Adolescents In Wilderness Therapy: An Initial Exploration, William Holland

Dissertations and Theses

Mentalized affectivity (MA) blends emotion regulation and mentalization in a single construct that underlies psychopathology and is a target of psychotherapeutic intervention as a mechanism of change. Little research has investigated MA’s role in psychopathology and treatment for adolescents. Change in MA has yet to be investigated. Wilderness therapy is a non-traditional treatment model for “hard-to-reach” adolescents; its mechanisms of change have not been robustly researched. This study aims to investigate change in adolescents’ MA capacities over the course of wilderness therapy, in order to explore the role of MA components (Identifying, Processing, Expressing) in adolescent psychopathology; the relation between …

Making Sense Of The Space Between: A Qualitative Study Of Therapist’S Experience And Use Of Therapeutic Enactments, Paul Ballantyne Lafreniere

Dissertations and Theses

This study sought to examine a particular category of technical challenge in therapy: enactments. Enactments, broadly defined, are moments or stretches of time in therapy where both the patient and therapist cannot put their conflicts into words, and instead act them out within the therapeutic milieu. These phenomena frequently elicit shame and guilt on the part of the therapist, and can prove detrimental to treatment. Equally, however, investigation of these moments within treatment can be of considerable clinical utility. In this qualitative phenomenological study, 6 therapists were interviewed about their experiences working with enactments in clinical practice. The strategies which …

Adult Play And Its Relations To The Working Alliance And Psychosocial Dysfunction In Short-Term Psychotherapy, Charlotte B. Gendron

Dissertations and Theses

The importance of play in child development is well-documented: the capacity to play is associated with psychological health, and the cognitive and affective processes involved in play, such as fantasy, symbolism, narrative organization, divergent thinking, and affective expression, relate to areas of adaptive functioning. Research also illustrates that the inability to play is associated with adverse experiences in children, and that play therapy can facilitate the development of play and subsequent psychological health. In addition to its relation to psychological health, the capacity to play in childhood is inextricably linked to the infant-caregiver relationship. There is less literature on what …

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 …

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 …

Body Image Development And Eating Disorder Risk In Young Children: What Do Parents Want To Know?, Anna Atchison

Electronic Theses & Dissertations (2024 - present)

Background: Body image concerns and other risk factors for disordered eating can emerge in early childhood, but no interventions specifically target these early risk factors to mitigate future eating disorder risk. This study sought to quantify parents' knowledge of factors influencing eating disorder risk in young children, their concerns about their children’s eating behaviors, and perceived need and preferences for a parent education intervention addressing these topics. Methods: Parents (52 mothers, 55 fathers) of children aged 2-6 completed measures of parental eating disorder symptoms and internalized weight bias and child eating behaviors. Open-ended questions explored parents’ concerns about their children’s …

The Many Impacts Of The Covid-19 Pandemic On Latinx College Students’ Mental Health: Exploring The Role Of Sleep, Social Support, And Familismo, Mayra S. Ramos

Theses and Dissertations

College students experienced a multitude of disruptions to their daily life, and changes to their physical (i.e., sleep quality) and mental health (e.g., anxiety and depressive symptoms) because of the COVID-19 pandemic. Though the field has identified the factors that have contributed to negative physical and mental health changes, there remains much to be known about social and cultural protective factors that could buffer the negative role of the COVID-19 pandemic on Latinx college students. The current study contributed to the literature on the mental health outcomes of Latinx college students by identifying a possible mediator and moderators between the …

Polyvictimization In Context: Identifying Patterns Of Peer, Dating, And Community Violence Among Black Early Adolescents, Carine Leslie

Theses and Dissertations

Early adolescents exposed to multiple forms of victimization (“polyvictimization”) may experience a number of detrimental psychosocial outcomes. Some person-centered research has identified victimization subgroups among adolescents but have not examined the overlap of peer, dating, and community victimization among Black early adolescents living in economically disadvantaged urban communities. Thus, this study empirically identifies victimization profiles in a sample of Black early adolescents to ascertain the patterns and correlates of polyvictimization. The present study aimed to (a) identify subgroups of Black early adolescents based on their frequency of peer, dating, and community victimization using latent profile analyses, and (b) evaluate the …