Worlds Of Connection: A Hermeneutic Formulation Of The Interdisciplinary Relational Model Of Care,
2015
Antioch University - Seattle
Worlds Of Connection: A Hermeneutic Formulation Of The Interdisciplinary Relational Model Of Care, Susana Lauraine Mccune
Antioch University Dissertations & Theses
Despite a general agreement across health care disciplines that Advanced Care Planning (ACP) and Advanced Directives (ADs) add important elements to a patient's end-of-life care desires, and can inform their loved ones and advocates, help create ease of mind, and enhance quality of care, they continue to remain significantly underused. More than half of Americans transition to chronic and terminal illness without having completed them. The aim of this study was to increase the frequency and enhance the quality of communication about Advance Directives and Advance Care Planning within the clinical relationship. The resulting Interdisciplinary Relational Model of Care (IRMOC) …
A Model For A Haitian Comprehensive Community Mental Health Center: An Accounting,
2015
Antioch University - New England
A Model For A Haitian Comprehensive Community Mental Health Center: An Accounting, Corey Gifford
Antioch University Dissertations & Theses
Haiti is the poorest country in the Western hemisphere. Mental health resources are minimal and in need of further development. The goal of this dissertation project was to develop a model for a comprehensive outpatient Community Mental Health Center (CMHC) in Port-au-Prince, Haiti. It was both critical and essential that the development of a CMHC be considered within the sociopolitical and economic context of Haiti. As such, this project first examined relevant information regarding Haitian geography, poverty, government, and culture. Within this context, the impact of the 2010 earthquake was considered. This context was then used to consider relevant literature, …
An Evaluation Of Behavioral Skills Training To Teach Assertiveness Skills To College Students,
2015
Central Washington University
An Evaluation Of Behavioral Skills Training To Teach Assertiveness Skills To College Students, Savannah Warrington
All Master's Theses
Assertiveness skills are related to a variety of life factors including stress levels, social relationships, social fears, and anxiety. The previous research has shown that engaging in nonassertive behavior can have negative effects, and assertive behaviors can lead to a healthier life (Eldeeb, Enstar, & Eldosoky, 2014; Elliot & Gramling, 1990; Larijani, Aghajanie, Baheiraei, & Neiestanank, 2010; Morgan, 1974). The purpose of the current research was to determine if behavioral skills training (BST) was effective in teaching assertiveness skills to college students and if the skills would generalize to novel situations. BST is a method for teaching skills that uses …
The Role Of Cultural Climate, Racial Identity, And Mentoring Relationships On African American College Success,
2015
Loyola University Chicago
The Role Of Cultural Climate, Racial Identity, And Mentoring Relationships On African American College Success, Kia-Rai Michelle Prewitt
Dissertations
African American undergraduate students face numerous challenges in higher education including adjusting to college-level work, a new environment, increased responsibilities, building new relationships, and experiences with discrimination. The dissertation study examined whether cultural climate, racial identity, and mentoring relationships predicted academic success for African American undergraduate sophomores attending four-year colleges and universities. The researcher analyzed these constructs using data from the 2012 national data set of the Multi-Institutional Study of Leadership (MSL) survey, an instrument containing over 400 items and scales measuring student demographic information, pre-college knowledge and experiences, college experiences, and educational outcomes. Results of a hierarchical multiple regression …
Factors Impacting Student Outcomes In Multicultural Counseling Courses,
2015
Loyola University Chicago
Factors Impacting Student Outcomes In Multicultural Counseling Courses, Kathleen Kordesh
Dissertations
This study explored how complex factors related to student characteristics (e.g., demographics, levels of racism) and instructor characteristics (e.g., demographics, level of multicultural competence, teaching strategies) are related to student outcomes in multicultural counseling courses (e.g., levels of racism and levels of multicultural competence at the end of the semester). Data collection yielded a sample of 21 students and six instructors. Findings suggest that instructors are a significant factor in how much students develop with regards to gaining multicultural knowledge, but not in how much students develop with regards to gaining multicultural awareness. Multivariate analysis of student responses suggest that …
The Role Of Vocational Hope In The Social Cognitive Career Theory: A Test Of Three Models,
2015
Loyola University Chicago
The Role Of Vocational Hope In The Social Cognitive Career Theory: A Test Of Three Models, Andrea Lynn Carr
Dissertations
This study is the first to empirically explore the potential role that vocational hope serves in the Social Cognitive Career Theory (SCCT; Lent, Brown, & Hackett, 1994). Vocational hope was proposed as a mechanism through which at-risk youth could develop a positive future orientation, an essential component of the career development process (Brown, Lamp, Telander, & Hacker, 2012). Measures assessing vocational hope, hope related self-efficacy beliefs, hope related outcome expectations, and educational and occupational goals were completed by 147 diverse adolescents. Structural equation modeling partially supported vocational hope serving as a partial mediator of the relationships between self-efficacy beliefs and …
Nourish-C: Implementing A Family Based Weight Loss Intervention In A Church Community,
2015
Virginia Commonwealth University
Nourish-C: Implementing A Family Based Weight Loss Intervention In A Church Community, Jacqueline Woods
Theses and Dissertations
Increasing rates of obesity across all race, ethnic, gender, and age groups over the past thirty years have generated significant public health concern. Black children face disproportionately higher risk for overweight and obesity compared with their White peers. Substantial evidence suggests that parent involvement improves pediatric obesity treatment outcomes. Moreover, churches are feasible and culturally congruent places to host health promotion interventions within the Black community. The current study examined the feasibility of disseminating an existing pediatric obesity intervention, NOURISH, in Black church communities. Twenty-five families participated in baseline assessment of the NOURISH-C. Five churches hosted the intervention and eight …
A Narrative Study Of Emotions Associated With Negative Childhood Experiences Reported In The Adult Attachment Interview,
2015
Antioch University - Seattle
A Narrative Study Of Emotions Associated With Negative Childhood Experiences Reported In The Adult Attachment Interview, Lynne Hartman
Antioch University Dissertations & Theses
Attachment patterns, which tend to be stable over time, are passed from one generation to the next. Secure attachment has been linked to adaptive social functioning and has been identified as a protective factor against mental illness. The parents’ state of mind with regard to attachment—as measured with the Adult Attachment Interview (AAI) (Main, Goldwyn, & Hesse, 2002)—predicts the attachment classification for the infant in Ainsworth’s Strange Situation Procedure (Ainsworth, Blehar, Waters, & Wall, 1978). Earned-secure individuals have overcome negative childhood experiences to achieve a secure state of mind in adulthood. Earned security, like continuous security, strongly predicts infant security …
Survey Of Compassion Fatigue Education In Apa-Accredited Clinical And Counseling Psychology Programs,
2015
Antioch University - Seattle
Survey Of Compassion Fatigue Education In Apa-Accredited Clinical And Counseling Psychology Programs, Marissa Joy Scroggins
Antioch University Dissertations & Theses
The purpose of this study was to examine the present state of compassion fatigue (CF) education in APA-accredited clinical and counseling doctoral level training programs. It also sought to identify the number of training programs that require CF training or offer it as optional, attempted to discern the type of setting in which it is taught (class, supervision, etc.), as well as identified some of the reasons why it may not have been included (cost, time, interest, etc.) in programs without CF training. A researcher-developed survey was designed and consisted of a mixture of yes/no and multiple choice questions. Program …
Undiscovered Meanings Of Minority Doctoral Students In Counselor Education Programs,
2015
George Fox University
Undiscovered Meanings Of Minority Doctoral Students In Counselor Education Programs, Beronica M. Salazar
Faculty Publications - Graduate School of Counseling
Higher education institutions aim at being more receptive to attract, recruit, and retain diverse students (“Diversity & the Ph.D.,” 2005). The increase of racial/ethnic diverse minority doctoral students in counselor education programs has created a need to understand their individual challenges. The dearth of research related to the in-depth experience of doctoral students in counselor education program affirms the need for exploration of minority doctoral student experience. This research proposal aspires to give voice to minority doctoral students’ stories of their challenging experiences, employing a reflexive process to discover the meanings connected to the experiences and identifying essential themes for …
An Exploration Of Factors Influencing Attrition From A Pediatric Weight Management Intervention,
2015
Virginia Commonwealth University
An Exploration Of Factors Influencing Attrition From A Pediatric Weight Management Intervention, Melissa Ann Kwitowski
Theses and Dissertations
Childhood obesity is a serious health problem in the United States. Numerous weight management programs attempt to address this issue. However, attrition poses significant treatment efficacy challenges. Understanding attendance and attrition from childhood obesity programs is crucial for effective and appropriate resource utilization. NOURISH+ is a community-based treatment program for parents of overweight and obese children (age 5–11 years, BMI ≥ 85th percentile). The current study investigated attrition from NOURISH+ to enhance understanding of pediatric obesity treatment retention factors. NOURISH+ participants (n=70) completed a questionnaire assessing barriers to adherence and general program feedback. Data were analyzed using frequencies, …
Alexithymia In A Psychiatric Population: Stability And Relationship With Therapeutic Outcome,
2015
Edith Cowan University
Alexithymia In A Psychiatric Population: Stability And Relationship With Therapeutic Outcome, Lauren Mcgillivray
Theses: Doctorates and Masters
Alexithymia has been defined as a personality construct that involves difficulties identifying and describing feelings, as well as an externally oriented thinking style and impoverished fantasy life, which places individuals at risk for various psychopathologies. For psychiatric populations, it represents an obstacle to therapeutic success. Despite extensive research, there is no consensus on the prevalence rate of alexithymia in the general psychiatric population and no data on alexithymia prevalence in the Australian general psychiatric population. In addition, there is inconsistency in the literature regarding the role of alexithymia in therapeutic intervention and a lack of robust studies involving control or …
Major Depressive Disorder: Precursors, Predictors, And Coping Mechanism Among Undergraduate Students,
2015
Walden University
Major Depressive Disorder: Precursors, Predictors, And Coping Mechanism Among Undergraduate Students, Grace Antia Bickham
Walden Dissertations and Doctoral Studies
Major depressive disorder (MDD) is common among college students. The disease perpetuates depressive symptoms and potentially leads to chronic depressive episodes. Existing literature has shown that students who use both cognitive and behavioral maladaptive coping skills are more prone to endure depressive symptoms and poorer academic performance. Despite these known associations, little research has examined the relationship between coping skills and self-efficacy in response to warning signs of MDD in college students. This study sought to fill the gaps in the research of MDD related to precursors, predictors, and coping mechanisms among undergraduate students in a national sample of U.S. …
Utilizing The Rorschach In Analyzing Characteristics Of Women Who Have Experienced Domestic Violence,
2015
Walden University
Utilizing The Rorschach In Analyzing Characteristics Of Women Who Have Experienced Domestic Violence, Mary Aleksandra Iwanski
Walden Dissertations and Doctoral Studies
Intimate partner violence (IPV) affects millions of women, men, and families throughout the world each year, with more than a million incidents of domestic partner abuse reported to law enforcement officials each year in the United States. Being able to accurately assess and help a woman who is experiencing this type of violence can be difficult for even a seasoned mental health or medical professional. The purpose of this study was to determine whether clinicians can gain insight into the personality structure of women who have experienced IPV by clinical interview and administration of the Rorschach alone. This study analyzed …
Lived Experiences Of Military Personnel Reintegrating With Their Preschool Aged Children,
2015
Walden University
Lived Experiences Of Military Personnel Reintegrating With Their Preschool Aged Children, Rob Atchison
Walden Dissertations and Doctoral Studies
Researchers have indicated that school-aged children with a caregiver who had been deployed were more likely to exhibit emotional and behavioral problems. These problems were impacted by the ability of the parent at home to manage emotions so as to utilize appropriate parenting skills with the child. However, there remained an important gap in the literature regarding the experiences of the military personnel reintegrating with their preschool aged child. Therefore, the purpose of this phenomenological study was to address the experiences of military caregivers with their preschool-aged children through semistructured interviews to better understand the variables that impacted the ability …
The Effects Of Motivational Interviewing With The Dual Diagnosis Population,
2015
Walden University
The Effects Of Motivational Interviewing With The Dual Diagnosis Population, Martina S. Moore
Walden Dissertations and Doctoral Studies
Dual diagnosis clients continue to have low treatment completion rates. The purpose of the current study was to understand if motivational interviewing helped to increase completion rates for clients receiving cognitive behavioral therapy (CBT). Studying the problem was necessary for identifying an evidenced-based model for mental health counselors to help clients with dual diagnoses complete CBT treatment. There were no studies available for understanding the effectiveness of motivational interviewing as a tool for improving treatment completion rates for dual diagnoses clients in intensive outpatient programs. The research question examined if motivational interviewing was effective for improving treatment completion rates for …
Health Behaviors, Hardiness, And Burnout In Mental Health Workers,
2015
Walden University
Health Behaviors, Hardiness, And Burnout In Mental Health Workers, Jeremiah Brian Schimp
Walden Dissertations and Doctoral Studies
Burnout has emerged as a significant and costly issue in the modern workforce. Researchers have not fully explored the role of individual health behaviors and personality in burnout among mental health workers. The knowledge gap addressed in this study was the connection between health behaviors, what mental health workers do to take care of themselves, and hardiness, the characteristic way they perceive and interpret environmental challenges. The purpose of this study was to examine the influence of health behaviors and hardiness among mental health workers on the 3 dimensions of burnout as measured by the MBI-HSS: emotional exhaustion, depersonalization, and …
Mental Health Administrators' Knowledge And Perceptions Of Delivery Of Relationship-Based Services,
2015
Walden University
Mental Health Administrators' Knowledge And Perceptions Of Delivery Of Relationship-Based Services, Alan Frank Singer
Walden Dissertations and Doctoral Studies
Past research has recommended that clinical mental health (CMHC) administrators employ a relational focus to their work, but little evidence exists that such a relational focus is actually being utilized. Guided by Rogers' principles of client-centered therapy, this study examined whether CMHC administrators possessed the knowledge and attitudes to utilize the recommendation of relational based therapy and whether implementation in the CMHC was feasible. A qualitative multiple case study design was utilized to collect personal interviews with 12 CMHC administrators who could discuss Norcross and Wampold's single recommendation about therapeutic relationships. Results were triangulated with the guide for CMHC financing, …
Maternal Depression: The Impact Of Perceived Social Support And Behavioral Health Rehabilitation Provider 50 Services,
2015
Walden University
Maternal Depression: The Impact Of Perceived Social Support And Behavioral Health Rehabilitation Provider 50 Services, Tammy Lynn Gregorowicz
Walden Dissertations and Doctoral Studies
The purpose of this study was to identify if the rate of behavioral health rehabilitation services (BHRS) impacts depressive symptoms of mothers with children receiving these services and if the perception of social support moderates the severity of depression. The stress-buffering hypothesis and Bowen's family systems theory were used for the theoretical framework. A quantitative, cross-sectional survey design was used to collect data from mothers of children receiving BHRS Provider 50 services in northeast Pennsylvania. The Beck Depression Inventory, Second Edition and Multidimensional Scale of Perceived Social Support were used to assess depression and perceived social support. A self-made demographic …
Resonating Personality Types For Couples: An Enneagram Application For Predicting Marital Satisfaction,
2015
Walden University
Resonating Personality Types For Couples: An Enneagram Application For Predicting Marital Satisfaction, Douglas George Carpenter
Walden Dissertations and Doctoral Studies
Over 50% of marriages in the United States end in divorce. Researchers have attempted to identify factors that help marriages endure by studying personality, attachment styles, and gender. However, few researchers have examined how dyadic interactions of personality types and attachment types influence marital satisfaction. The purpose of this study was to examine the effects of enneagram personality types on marital satisfaction within 3 groups of attachment types: couples who (a) both demonstrate a secure attachment style, (b) contain one member who demonstrates an insecure attachment style and the other who demonstrates a secure attachment style, and (c) both demonstrate …
