Clinical Psychology Commons^™

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 …

Fitbit Engagement In An Health Physical Activity Intervention For Young Adult Cancer Survivors: A Secondary Analysis Of The Impact Randomized Controlled Trial, Jessica Gomez Smith

Theses and Dissertations

Wearable devices allow for objective remote and real-time data collection and have been increasingly popular among the general public and in mHealth activity (PA) interventions. Despite this, our knowledge of feasibility and efficacy for using wearable devices to increase PA among a particularly vulnerable population—young adult cancer survivors age 18-39 (YACS)—is limited. Engaging in physical activity while undergoing cancer treatment contributes to reduced risk for recurrence and secondary cancers, and can also help to manage treatment side effects. However, there are a multitude of barriers to PA engagement among cancer survivors, with YACS in particular demonstrating low rates of PA. …

Development Of A Validity Scale For The Icd-11 Personality Disorder Measure (Psi-11), Rae Lutz

Theses and Dissertations

Invalid responding is a significant issue in the utilization of self-report information. Invalid responding can be assessed by stand-alone validity measures or embedded validity scales. The International Classification of Diseases (ICD) is one of two major diagnostic systems which provide guidance on diagnosing personality disorder, with the most recent version (ICD-11) providing a fully dimensional model for personality disorders. No existing measures aimed at assessing dimensional personality pathology have addressed the combination of PD severity and trait qualifiers that were based upon ICD-11 guidelines. To address this gap, Clark et al. (2021) developed the ICD-11 Personality Disorder Measure (PSI-11). However, …

Community Informant And Mental Health Provider Perspectives On Access To Mental Healthcare For Lgbtqia+ Communities In Virginia, Chariz Seijo

Theses and Dissertations

The existing literature on mental health disparities for lesbian, gay, bisexual, transgender, queer, intersex, and asexual (LGBTQIA+) populations suggests members of LGBTQIA+ populations are at greater risk of mental health disorders than cisgender and heterosexual individuals. The COVID-19 pandemic has also exacerbated mental health disparities for many, including LGBTQIA+ populations. Combined with mental health provider shortages and anti- LGBTQIA+ bills across the country, inequities in mental healthcare are a significant concern. This qualitative study was designed to gather unique perspectives of key community informants and mental health providers on their experiences with mental healthcare provision to LGBTQIA+ communities in Virginia. …

The Relationship Of Intolerance Of Uncertainty And Inferential Confusion To Obsessive-Compulsive Symptoms In A Nonclinical Sample, Fiona Christina Ball

Graduate Research Theses & Dissertations

Intolerance of uncertainty (IU) is a transdiagnostic cognitive vulnerability that has been linked to obsessive-compulsive (OC) and generalized anxiety (GA) symptoms. Inferential confusion (IC) refers to dysfunctional reasoning which overvalues imagined possibilities and devalues sensory information. The inference-based approach (IBA) proposes that IC generates obsessional doubt which leads to OC symptoms. Conceptually, IU and IC both involve the existence of multiple possibilities, and the limits of knowledge. No prior research has studied these constructs together. The current study sought to examine the relationships among IU, IC, and OC symptoms in a nonclinical sample. IC was explored as a potential condition …

Maternal Cumulative Trauma And Child Externalizing Behavior: Indirect Pathways Through Posttraumatic Stress Symptoms And Parenting Behaviors, Chynna Michelle Dubuclet

Graduate Research Theses & Dissertations

The present study aimed to add to the literature by analyzing the relationships present within the connection between maternal cumulative trauma and child externalizing behaviors. Specifically, this study examined the indirect effects that posttraumatic stress symptoms and parenting behaviors exert on the relationship between maternal cumulative trauma and externalizing behaviors. This study used structural equation modeling to assess the relationship between maternal cumulative trauma and child externalizing behaviors (i.e., conduct and behaviors, hyperactivity/impulsivity, opposition/defiance) through maternal PTSS and parenting behaviors (i.e., acceptance, lax discipline, overreactive discipline). Data was collected from 308 mothers (Mage = 20.59, 70.0% White/Caucasian) between April 2020 …

A Comparison Of Academic Achievement And Psychological Symptoms In Homeschooled And Traditionally Schooled Children: Accounting For Demographic And Family Characteristics, Lauren Elizabeth Hauck

Graduate Research Theses & Dissertations

The prevalence of homeschooling is increasing, especially in the aftermath of the COVID-19 pandemic. However, methodologically strong research examining how children's well-being may differ based on their schooling type (i.e., homeschooled vs. traditionally schooled) is rare. This study is a response to a call for advancing the methodological rigor and expanding our understanding of family contributions to differences between homeschooled and traditionally schooled children’s adjustment. Thus, the study aims to determine if differences between homeschooled and traditionally schooled (i.e., attending public school) children’s academic and emotional adjustment are present after accounting for both family demographic characteristics and parenting and home …

Expressive Writing Rooted In Self-Determination Theory: An Intervention For Racial Trauma, Diana A. Robinson

Graduate Research Theses & Dissertations

Understanding the impact of racial discrimination is not a new endeavor in the field of psychology. However, research utilizing a trauma-focused lens to evaluate the negative mental health outcomes in the aftermath of racial discrimination is only in its infancy. In addition to depression, anxiety, and substance use, recent research has linked racial discrimination to negative mental health outcomes that mirror that of posttraumatic stress disorder (PTSD). Although many researchers have identified the negative effects of racial discrimination, few studies have examined intervention approaches designed to reduce the negative impact of racial discrimination. Self-Determination Theory (SDT) is a comprehensive theory …

Building From The Family Stress Model: Examining The Role Of Maternal Impulsivity And Neighborhood Collective Efficacy On Adolescent Psychological Symptoms, Lauren Therese Mcneela

Graduate Research Theses & Dissertations

The Family Stress Model (FSM) offers an understanding of the complex relationship between economic hardship and child outcomes through a number of parent factors (e.g., psychological functioning) and parenting practices; however, additional variables of influence were considered within this framework, as a way to fully encapsulate the processes within the family and neighborhood contexts that influence child psychological functioning. Using the Future of Families and Child Wellbeing Study, formerly called Fragile Families and Child Wellbeing Study (FFCWS), a sample of primarily low-income, single-parent households, the present study examined the FSM in relation to adolescent externalizing and internalizing psychological outcomes. Additionally, …

Self-Compassion Intervention For Shame In Trauma-Exposed Gender And Sexual Minorities, Kyla A. Leonard

Graduate Research Theses & Dissertations

Individuals who identify as gender or sexual minorities (e.g., lesbian, gay, bisexual, pansexual, asexual, queer, transgender, nonbinary, intersex, gender nonconforming, etc.) have a high prevalence of interpersonal trauma. These individuals also experience a higher likelihood of experiencing posttraumatic stress disorder (PTSD) symptoms after exposure to potentially traumatic events. It has also been shown that those who identify as gender or sexual minorities experience high rates of shame due to minority stress and psychological factors such as internalized heterosexism. Experiences of shame are a central component in the development and maintenance of PTSD symptoms, particularly within this population. Self-compassion is an …

Explicit And Implicit: Traumatized Cognitions And Identities, Brandon Michael Davis

Graduate Research Theses & Dissertations

Negative cognitions following exposure to traumatic events, such as viewing the self or the world negatively, are a crucial factor in the development and maintenance of posttraumatic stress disorder (PTSD). Furthermore, evidence points to traumatic exposure impacting identity and perception of the self. Effective measurement of these negative self-cognitions is important for understanding the consequences of traumatic events. Self-report measures are the most common approach to studying cognitions, but other methods such as cognitive tasks that require automatic responses may give further insight into negative posttraumatic cognitions. This study sought to investigate self-report and automatic evaluations of trauma cognitions in …

The Effect Of Inverse Reasoning On Scrupulosity Symptoms, Anna M. White

Graduate Research Theses & Dissertations

The inference-based approach (IBA) is a cognitive model which proposes that obsessive-compulsive disorder (OCD) primarily develops and is maintained by unhealthy reasoning processes. One such unhealthy reasoning process identified by the IBA is inverse reasoning, in which conclusions about reality are drawn based on what could be true despite evidence indicating that a conclusion is not true. Research indicates that the IBA may be particularly relevant for OCD presentations involving lower levels of insight, including scrupulosity—obsessions and compulsions with religious or moral themes. Although the IBA is a model developed for OCD generally, no research has examined whether the IBA …

Race-Based Stressors And Racial Trauma: The Moderating Role Of Parental Racial Socialization, Jessica S. Philip

Graduate Research Theses & Dissertations

Experiences of race-based stressors are linked with worse psychological outcomes for racial/ethnic minority individuals (e.g., Ferdinand et al., 2015). The way in which parents talk to their children about race (i.e., racial/ethnic socialization; RES) may exacerbate or buffer against the strength of this link (e.g., Keum & Ahn, 2021). Therefore, the present study examined the links between race-based stressors, RES, and psychological outcomes (i.e., depression, anxiety, stress, racial trauma) across multiple racial/ethnic minority groups. The present study also explored the different RES messages as potential moderators for the link between race-based stressors and outcomes, as well as differences in these …

Senior Mental Health Clinicians’ Understanding Of Their Self-Efficacy While Providing Services At Community-Based Agencies, Rukiya Symister

Walden Dissertations and Doctoral Studies

Many mental health clinicians strive to provide their clients with rehabilitative and psychotherapy services resulting in a client gaining stable income and housing. However, the role of a senior mental health clinician (SMHC) is not without its challenges of trying to balance their well-being while dealing with increased coworker turnover, demanding caseloads, and limited access to community resources to provide clients with getting their lives back on track, thereby impacting clinicians’ understanding of their self-efficacy. Much of the research on self-efficacy has focused on mental health clients, mental health graduate students, and mental health trainees, often leaving out the lived …

My World's On Fire, How 'Bout Yours? An Investigation Of How Privilege Fosters And Maintains Climate Denial, Morgan A. Chester

Antioch University Dissertations & Theses

The present study investigates the phenomenon of climate denial through a new theoretical framework of privilege. The analysis utilizes a feminist orientation that builds on a historical interpretation through the lens of colonialism. Through the dissection of current multidisciplinary understandings of climate denial and new concepts discovered in the review of academic literature and popular media, a compilation of theory, relationship, and connection is made. Systems of power and privilege are examined and connected to the mechanisms and maintenance of climate denial. The resulting analysis illuminates that settler colonialism, supported by connected ideologies of White supremacy, ableism, and patriarchy inform …