Social Work Commons^™

Playing Together : A Clinician's Perspective On The Use And Value Of Play In Therapy With Couples, Teresa Musick

Theses, Dissertations, and Projects

The purpose of this study was to examine couples therapists perceptions of their use and value of play in the therapeutic encounter. Secondary to the main hypothesis, this thesis also solicited couples therapists to comment on their experience in couples therapy as a client and how this impacted their sense of relationship satisfaction. Forty-four couples’ therapists representing a variety of licensing credentials (psychologists, LPC’s, MSW/LMSW/LICSW, MFT’s) and time in practice completed a brief online questionnaire. The questionnaire asked participants to rate their use, value, and experience of play in the therapeutic encounter. Results indicate that clinicians who participated in this …

Clinician Vulnerability : Openness To Influence In Relational Therapy, Christine Powers

Theses, Dissertations, and Projects

The current study examined how clinicians practicing relational psychotherapy experience their own vulnerability in the therapeutic relationship with clients. The study followed a qualitative, phenomenological research methodology. The researcher interviewed ten experienced clinicians who practice relational psychotherapy. Four major themes emerged as significant findings. First, vulnerability was described as a quality of engagement in the therapeutic relationship that is open, engaged, and resonant. Second, participants expressed a sense of risk associated with mutual vulnerability. Third, participants emphasized the importance of mutual vulnerability for client’s healing. Fourth, participants described vulnerability as a developmental capacity. These findings have significance for the field …

Feedback Informed Care : Co-Creating Treatment Success, Eve Sandler

Theses, Dissertations, and Projects

This qualitative research was conducted in order to answer the question: What factors do patients think are most useful in therapy? Feedback was collected from a sample of 630 participants from The Community Psychiatry Program (CPP) at Johns Hopkins. Respondents were asked to complete a written survey answering two questions: 1. How do you know when you are getting better? and 2. What are the most important aspects of (CPP)?

This study collected data from both patients and caregivers. Brief responses for each question were coded using a general inductive approach, which revealed multiple themes and subthemes. One significant finding …

Workout Your Burnout : An Exploratory Look At The Role Of Perceived Barriers And Benefits To Physical Activity In Social Workers, Samuel Shapiro

Theses, Dissertations, and Projects

This mixed-methods exploratory study aimed to develop better understanding of the relationship between social workers’ participation in physical activities and their perceptions of potential barriers and benefits to participating in exercise. Sixty-four individuals completed an online survey, disclosing their physical activity habits as while growing up as well as those of their parents and/or caregivers. Quantitative questions asked participants to measure: their recent physical activity rates, defining them as light, moderate or vigorous; their perceived potential benefits of and barriers to physical activity, and, finally, their contentedness with aspects of their body and their work. Participants reported few barriers and …

"A Whole Lot Of Conscious Effort" : Exploring How Protective Factors Contribute To Resiliency In Parents Who Have Experienced Traumatic Events In Childhood, Annelies J. Spykman

Theses, Dissertations, and Projects

The purpose of this research project is to address the multiple variables that contribute to trauma exposure in childhood and how it manifests in the traumatized person’s later parenting styles. The over-arching research question is: do protective factors provide sufficient supports to parents who were subjected to traumatic experiences in childhood in order to lessen the transmission of trauma to their own children? This qualitative study is an assessment of interviews with 18 participants who identify as parents who have experienced at least one traumatic event in childhood. Findings of this study implicate a high level of resilience that has …

Patients' Perceptions Of Stressors In The Intensive Care Unit : A Meta-Analysis, Nancy Sohier Welch

Theses, Dissertations, and Projects

This study reveals what intensive care unit (ICU) patients from different countries consider most stressful about the ICU experience. A review of 16 independent studies on patients’ perceptions of ICU stressors yielded 10 data sets from seven countries that met criteria for inclusion in a meta-analysis. Stressors were categorized according to three types – bodily, psychological, and physical environmental – and were selected for comparison based on their frequent appearance among the top 20 stressors in each study selected. Findings showed considerable agreement between studies. Being in pain, Having tubes in the nose and mouth, and Being thirsty were …

An Exploration Of The Relationship Of Obsessive-Compulsive Disorder Symptoms And Traumatic Experiences In Adult Clients, Sasha Pansovoy

Theses, Dissertations, and Projects

This qualitative research study explored clinicians’ perspectives on the association between Obsessive Compulsive Disorder and trauma in the treatment of adult clients. Using both content and narrative analysis, the study examined whether OCD symptoms are reminiscent of the clients’ traumas. Nine clinicians were interviewed and presented narratives of clients who have experienced traumatic events and OCD. Key findings revealed that (1) 10 out of the 12 clients presented were abused as children; (2) OCD symptoms were perceived as coping strategies; (3) the majority of discussed clients were cisgender males; and (4) OCD symptoms of the clients reflected past traumas. Treatment …

The Problem Of Evidence : Philosophy Of Science And Evidence Based Practice In Clinical Social Work, Bronwyn DepréS

Theses, Dissertations, and Projects

Evidence Based Practice is one of the most prevalent concepts in social work today, guiding social workers across the world. This theoretical thesis examines Evidence Based Practice, its theoretic foundations, and its application in social work, using the theories of Logical Positivism and Critical Rationalism from Philosophy of Science. Philosophy of Science is a branch in Philosophy that studies and theorizes about precisely what science is, how science works, the implications of science, and the logic behind it. This thesis argues that Logical Positivism is the scientific foundation that Evidence Based Practice rests on, and uses Critical rationalism to dispute …

The Impact Of Islamophobia On The Muslim American Community : Accounts Of Psychological Suffering, Identity Negotiation, And Collective Trauma, Areeza Ali

Theses, Dissertations, and Projects

The rise of Islamophobia has undoubtedly disrupted the identity and way of life of Muslim Americans in the last decade and half. This study centers the voices of eight Muslim Americans discussing the mental health impact of anti-Muslim discrimination and prejudice, the pervasiveness of xenophobic and Islamophobic perspectives in the U.S., and the normalization and acceptance of discrimination as evidenced by the presidential victory of Donald Trump.

The major findings of this study indicate that the marginalization and othering of Muslim Americans have manifested in adverse psychological symptoms including fear, stress, worry, isolation, numbness, desensitization and insecurity. In addition, this …

"As If" : An Exploration Of The Relationship Between Clincians' Theoretical Orientations And Their Conceptualizations Of Patient-Generated Metaphors In Psychotherapy, Joe Berlin

Theses, Dissertations, and Projects

The present qualitative study explored the relationships between psychotherapists’ theoretical orientations, phenomenological understandings of their own clinical practice, and the metaphoric language used by patients in psychotherapy. This study is based upon interviews with 12 Licensed Independent Clinical Social Workers who are presently practicing psychotherapy. This sample was selected using a quota method, whereby three distinct psychotherapy theoretical orientations were represented in the sample: psychodynamic, narrative, and cognitive-behavioral therapy.

The findings suggest that psychotherapists actively consider the metaphors patients use in therapeutic dialogue, and that these clinicians regularly draw upon their theoretical knowledgebase in doing so. This study finds that …

Kinship Diversion : Exploring Experiences Of Relative Probate Guardianship In Los Angeles, Ca., Alison Davies

Theses, Dissertations, and Projects

This qualitative study explored the characteristics and experiences of relative caregivers in Los Angeles County who were involved in a child welfare practice called “kinship diversion.” It specifically examined cases in which caregivers were diverted to probate court to obtain legal guardianship of their relatives' children as an alternative to opening a case with the child welfare system due to allegations of abuse or neglect against the biological parents. Five kinship caregivers were interviewed with a focus on answering the questions of who is diverted to legal guardianship, and why?

The findings of this study showed that diversion occurred …

A Mixed-Method Study Examining The Intersection Of Race And Sexual Violence Among Lgbtq Prisoners, Sarah J. Aftab

Theses, Dissertations, and Projects

The current mixed-method study examined the intersection of race and sexual violence among LGBTQ prisoners while incarcerated. The study used secondary data from a survey of LGBTQ prisoners collected by an organization in 2014 (N=1093). Historically, the criminal justice system has criminalized and discriminated against LGBTQ persons, and reports show a prevalence of abuse occurs during incarceration. Quantitatively, the study aimed to determine a relationship between race and sexual violence; qualitatively, it aimed to understand how prisoners in this study experienced sexual violence. Findings suggested: Black, Latinx/Hispanic, and Mixed race prisoners had significantly lower likelihood of unwanted touching …

Queer Women's Sexual Experiences After Sexual Violence In A Non-Heterosexual Relationship, Amee Catalano

Theses, Dissertations, and Projects

This quantitative study explores the sexual experiences of queer women after sexual violence perpetrated by a previous intimate partner in a non-heterosexual relationship. Sixty individuals identifying as queer women with a sexual violence experience completed an anonymous online survey consisting of questions related to help-seeking behaviors and sexual distress. The Female Sexual Distress Scale-Revised (FSDS-R) (Derogatis et al., 2008) was adapted to assess levels of sexual distress amongst the sample population.

This study found three themes: 1.) current sexual experiences carry anxiety and posttraumatic stress symptoms, 2.) sexual violence experience(s) as impacting libido, desire, and behavior, and 3.) current sexual …

Perinatal Depression Screening : Using Antenatal Depression Screens And Patient Demographics To Predict Risk For Postpartum Depression :, Jackson Doyle

Theses, Dissertations, and Projects

This study examined the relationship between antenatal depression and postpartum depression in pregnant women at a family health clinic. The aim was to determine whether antenatal depression screens predicted postpartum depression. The Edinburgh Postnatal Depression Screen (EPDS) was used to screen for depression in 411 pregnant women during the first trimester, third trimester and postpartum phases of pregnancy. Risk factors including patient body mass index, socioeconomic status and marital status were considered predictors of perinataldepression. EPDS scores were analyzed over the three time periods and were compared to body mass index, socioeconomic status and marital status. Results indicated that third …

Do Characteristics Of Children And Families Influence Reported Caregiver Burden? : A Secondary Data Analysis Of The 2009-2010 National Survey Of Children With Special Health Care Needs, Chelsea Davies

Theses, Dissertations, and Projects

Children with special health care needs (CSHCN) make up 15% of U.S. children 18 and under. They require increased specialized care, which may pose unique challenges to families. Prior research suggests families from historically disenfranchised groups may experience greater burden due to systems of structural oppression. This quantitative secondary data analysis of the 2009-2010 National Survey of CSHCN (N=40,242) uses a cross-sectional design, testing whether family characteristics (race/ethnicity, caregiver’s gender or education level, and number of CSHCN in the home) or a child’s functional difficulty (chronic pain, behavior, anxiety/depression) are significantly associated with caregiver burden. Results suggest significantly greater time, …

Barriers To Mental Health Treatment For Refugees In Maine : An Exploratory Study, Hayley Fitzgerald

Theses, Dissertations, and Projects

The purpose of this study was to explore the barriers refugees face when it comes to accessing mental health treatment in Maine. Research suggests that refugees underutilize mental health services throughout the United States, despite equal to higher rates of mental health symptoms when compared to the general population. To acquire data, eight refugees were interviewed using a semi-structured interview guide. Participants were asked to share about their perceptions of mental illness and mental health treatment, discuss coping mechanisms that they find useful, and offer suggestions for providers working with refugees. Major findings included that stigma, fear, language, and cultural …

The Role Of Spirituality In The Reconstruction Of Identity In Older Women, Elin Hardenberg

Theses, Dissertations, and Projects

This study examines whether spirituality plays a role in how older women integrate changes in their identity as they age. The research questions guiding this study are: 1) how do women navigate changes in identity in older adulthood; and 2) what role does spirituality play in the reconstruction of a woman’s identity in older adulthood? Erikson’s stages of development are used as a framework for understanding where participants are in their developmental process. The study was conducted by interviewing six women between the ages of seventy and ninety who self-identified as having an opinion about their relationship to spirituality. It …

An Exploration Of The Relationship Between Religion And Spirituality And Acculturation Stress Among International Students In The Western Massachusetts, Mun Ying Kennis Cheng

Theses, Dissertations, and Projects

This quantitative study examined the relationship between religion and spirituality and acculturative stress among international students (n=38) in two colleges in Western Massachusetts. This study utilized three well-validated tools to measure acculturative stress for international students, religion and spirituality, and intrinsic religious motivation to test the hypothesis that religion and spirituality can help international students lessen their acculturative stress. The findings suggested no significant correlation between the variables, possibly due to a small sample size. The results showed that over 55% of students had some type of religious affiliation, and over 63% indicated they either attended churches or practiced meditation …

Looking For Ghosts Everywhere : The Effects Of Vicarious Traumatization On Mental Health Interpreters Who Work With Refugees, Sophie Anna Lembeck

Theses, Dissertations, and Projects

This study aimed to add to the available literature on vicarious traumatization among mental healthcare interpreters who work with refugees. I attempted to further this research by interviewing 12 mental health interpreters who work with refugee clients in order to ascertain their experiences with vicarious traumatization. All participants interviewed presented with physical and/or psychological symptoms associated with vicarious traumatization, although they were unfamiliar with the concept of vicarious traumatization itself. Participants’ reactions to working with traumatized clients manifested in various physical and psychological ways and ranged in severity. Previous literature suggests that symptoms of vicarious traumatization are exacerbated when interpreters …

Working With Trauma : A Qualitative And Retrospective Exploration Of The Experiences Of Clinicians Who Work With Trauma, Allyson Rebecca Lent

Theses, Dissertations, and Projects

The current study explored the gap in understanding the experiences of clinicians who work with trauma given the interesting intersection of high prevalence of trauma and demonstrated lack of training in working with trauma survivors. To this end, this qualitative and exploratory study sought to gain a retrospective understanding of clinicians’ training and career experiences in an effort to glean what has worked well in preparing skilled clinicians to work with trauma. Findings confirmed that clinicians do not feel prepared to do trauma work upon graduating from their degree programs and that they must seek out training opportunities in order …