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 Degree Discipline: Clinical Psychology
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Complex Ptsd As a Less Pejorative Label: Is the Proposed Diagnosis Less Stigmatizing Than Bpd?
Clinicians’ attitudes and behaviors toward patients with borderline personality disorder (BPD) are affected by the label’s stigma. Complex posttraumatic stress disorder (CPTSD) was proposed as a comprehensive and less stigmatizing diagnostic category for clients with BPD and a history of complex trauma. Given considerable similarities across both disorders’ diagnostic criteria, the CPTSD framework holds promise as a means to improve therapists’ attitudes towards clients with BPD and a history of complex trauma. However, this quality of CPTSD had not yet been examined empirically. Using vignettes in a between-subjects experimental design, this study investigated whether CPTSD is a less stigmatizing label than BPD for trauma survivors. Participants were 322 practicing psychotherapists. Evidence of BPD stigma was found, as was an affinity for CPTSD. Results generally supported CPTSD as a less stigmatizing label than BPD; therapists presented with a CPTSD-labeled vignette were somewhat less likely to blame the client for her symptomatic behavior and expected slightly stronger working alliance with the client than therapists presented with the BPD-labeled vignette. However, therapists’ agreement with the BPD diagnosis and theoretical orientation were found to be more salient than diagnostic label in affecting concepts related to the stigmatization of BPD clients. Additionally, familiarity with CPTSD was related to more favorable attitudes toward the client and her course of treatment. Regardless of CPTSD’s recognition as a formal diagnosis, education about the construct is widely recommended for therapists.
Conceptualizing Quality of College Life
The objectives of this study were to mathematically model the quality of college life (QCL) concept and to study the associations between attachment style, emotion regulation abilities, psychological needs fulfillment and QCL via structural equation modeling. Data was collected from 507 undergraduate students (men = 178, women = 329; age M = 21.78 years, SD = 4.37). This data was used to provide evidence for the validity of the College Adjustment Scales (CAS) as a measure of quality of college life. The CAS demonstrated good convergent validity with the World Health Organization Quality of Life measure (WHOQOL), Subjective Well-being and Psychological Well-being Scales. Results: Students who were insecurely attached were as likely to feel adequate in their academic and professional endeavors as securely attached students. However, insecurely attached students had lower QCL levels, lower fulfillment of psychological needs and more emotion regulation difficulties than securely attached students. The results also indicated that Anxious Attachment and Avoidant Attachment were positively and strongly associated. Nonetheless, Anxious Attachment and Avoidant Attachment affected QCL through different mechanism. Emotion regulation mediated the path between Anxious Attachment and QCL while the fulfillment of psychological needs mediated the path between Avoidant Attachment and QCL. The fulfillment of psychological needs also mediated the path between emotion regulation and QCL. The described pattern of results was found for three separate models representing 1) the student’s attachment with their romantic partner, 2) best friend and 3) mother. Additionally, the study’s findings suggest a change in primary attachment figure during the college years. Emotion regulation, the fulfillment of psychological needs and QCL were all affected more strongly by the student’s attachment style with their romantic partner and best friend compared to their attachment style with their parents.
Conditioned Reinforcement with an Equine Subject
Historically, horse trainers have relied primarily upon repetition, negative reinforcement, and punishment to teach new behaviors. Positive reinforcement has been eschewed, largely on the basis of the wides read belief that positive reinforcement is not effective with horses. Additional difficulties in the timely application of such reinforcement have further inhibited its use. After repeated pairing of an auditory stimulus with an established primary reinforcer, the auditory stimulus was predicted to be a reinforcer. An equine subject was then successfully trained to perform five different, novel tasks using only the auditory stimulus. Subsequently, extinction of behavior was noted in the absence of the conditioned reinforcer. Implications for many phases of horse training were discussed. Some weaknesses of the present study were noted along with suggested issues for future investigations.
Context and Degree of Learning in Cue Selection and Transfer of Training
The present study examined the effect of first-list stimulus context (color versus no color) and two degrees of first-list learning (twenty trials versus five trials) on cue selection and transfer of training. College students learned two paired-associate lists consisting of highly similar trigrams as the stimulus terms and nouns as the response terms. The second list consisted of twelve items presented on homogeneous white backgrounds for eighteen trials. Four secondlist items represented each of three transfer paradigms--A -B,A-B; A-B,A-C; and A-BC-D. It was concluded that color context draws attention to the color-backed items during the early stages of learning but is not selected for encoding until the later stages of learning.
Contextualized Risk Assessment in Clinical Practice: Utility of Actuarial, Clinical, and Structured Clinical Approaches to Predictions of Violence.
Assessing offenders' risk of future violent behavior continues to be an important yet controversial role of forensic psychologists. A key debate is the relative effectiveness of assessment methods. Specifically, actuarial methods (see Quinsey et al., 1998 for a review) have been compared and contrasted to clinical and structured clinical methods (see e.g. Hart, 1998; Webster et al., 1997). Proponents of each approach argue for its superiority, yet validity studies have made few formal comparisons. In advancing the available research, the present study examines systematically the type of forensic case (i.e., sexual violence versus nonsexual violence) and type of assessment method (i.e., actuarial, structured clinical, and unstructured clinical). As observed by Borum, Otto, and Golding (1993), forensic decision making can also be influenced by the presence of certain extraneous clinical data. To address these issues, psychologists and doctoral students attending the American Psychology Law Society conference were asked to make several ratings regarding the likelihood of future sexual and nonsexual violence based on data derived from actual defendants with known outcomes. Using a mixed factorial design, each of these assessment methods were investigated for its influence on decision-makers regarding likelihood of future violence and sexually violent predator commitments. Finally, the potentially biasing effects of victim impact statements on resultant decisions were also explored.
Contingency of Parental Rewards and Punishments as Antecedents of Locus of Control
The study investigated the relationships between perceived contingency of parental rewarding and punishing behaviors and locus. of control. Scores on Levenson's Internal, Powerful Others, and Chance locus of control scales were correlated with scores on Yates, Kennelly, and Cox's (1975) Perceived Contingency of Rewards and Punishments Questionnaire. Few significant correlations were obtained. Maternal non-contingent reward related negatively and significantly to internality for males. Paternal non-contingent reward related positively and significantly to males' perception of control by powerful others. And paternal contingent reward related negatively and significantly to females' perceptions of control by chance. Results are discussed relative to learned helplessness research interpretations.
Control of Heart Rate by Progressive Relaxation Techniques and Cerebral Electrotherapy
This study presents the findings of an investigation of the effects of two different treatments, progressive relaxation and cerebral electrotherapy, on heart rate. With progressive relaxation, the subject relaxes by following instructions. With cerebral electrotherapy, relaxation is due to an external source of stimulation. Decreases in heart rate for subjects receiving progressive relaxation were compared with decreases for subjects receiving cerebral electrotherapy. A placebo group was used to evaluate the effects of both treatments independently. While decreases in heart rate were observed for both treatments, only progressive relaxation produced decreases significantly greater than those of the placebo group. However, decreases in heart rate produced by progressive relaxation were not significantly greater than decreases produced by cerebral electrotherapy.
The Control of Violent Behavior of a Chronic Schizophrenic by Aversive Therapy
The purpose of this experiment was to investigate the modification of behavior of a thirty-five-year-old, hospitalized, chronic schizophrenic male. The hypothesis was that the patient's aggressive and self-injurious behavior could be modified through the use of aversion therapy.
Correlates and Predictors of Medication Noncompliance in Patients with Schizophrenia
The treatment of schizophrenia today consists of a multi-component system of services. Mental health professionals generally agree that anti-psychotic medications are an essential treatment for schizophrenia. However, adherence to medication regimens by patients with schizophrenia is notoriously poor. To identify correlates and predictors of medication compliance, the Schedule for Affective Disorders and Schizophrenia (SADS), a semi-structured diagnostic interview, was administered to 90 outpatients with schizophrenia. The results suggest that there are specific variables (i.e., mood symptoms, psychotic symptoms, and socio-demographic variables) that predict medication compliance. In addition, the confirmation of these variables was effective (90.0%) at identifying non-compliant patients. The results suggest that schizophrenia is a complex disorder composed of heterogeneous symptoms. However, a specific group of symptoms is proposed which may provide a screening measure for predicting patients who are likely to be non-compliant with their medications.
Correlates Between Adult Romantic Attachment Patterns and Dimensional Personality Pathology
Previous research has suggested that adult attachment disturbance is related to maladaptic interaction patterns and personality disorder constructs. Specifically, research indicates that those with attachment disturbance are significantly more likely to meet criteria for a number of personality disorders, including borderline personality disorder, narcissistic personality disorder, and antisocial personality disorder. The purpose of this study was to investigate the associations between adult attachment and the new dimensional model of personality disorders scheduled to be released in the Diagnostic and Statistical Manual for Mental Health Diosrders (5th ed.) in spring 2013. Participants completed the Schedule for Adaptive and Nonadaptive Personality (SNAP) to measure dimensional personality functioning and the Experiences in Close Relationships (ECR-R) and the Attachment Prototypes to measure adult attachment patterns. Additionally, select scales from the Personality Assessment Inventory (PAI) and the Five Factor Model (FFM) will be utilized as secondary measures of personality patterns. The results suggest strong associations between adult attachment orientations and specific maladaptive personality characteristics.
Correlates of Parent-Child Relations as Perceived by the Child, Type of Humor Appreciations, and Neuroticism
Appreciation of humor is generally accepted as being a unique aspect of human personality. Yet, despite its prominence in everyday situations, it remains a relatively unexplored area of scientific investigation. The present study has a twofold purpose: (1) an examination of the relationship of "sense of humor" to neurosis in a relatively normal population and, (2) an exploratory investigation of the type of parent-child relationship which fosters a particular mode of response to humor. As a result of the methods used to explore these areas, a third area for study was available to the investigator. That was the examination of the type of parent-child relationship perceived by the subject and the subsequent development or absence of neurosis.
A Correlational Study of the Weigl-Goldstein-Scheerer Color Form Test and the Proverbs Test
The purpose of this study was to examine (1) whether the Weigl-Goldstein-Scheerer Color Form Test and the Proverbs Test were able to discriminate between a sample of normal patients and a sample of schizophrenic patients, and (2) to determine if there was a significant correlation between these two instruments.
Countercontrol as a Factor in Teaching Vocal Imitation to an Autistic Child and it Relationship to Motivational Parameters
Operant conditioning techniques were used to establish imitation in the manner outlined by Baer. Countercontrol was assessed in motor and vocal imitation across four motivational levels. Three levels of food deprivation, i.e., three hour, fourteen hour, and twenty-one hour, plus a final response contingent shock level, composed the parameters.
Criterion Validity of the MMPI-2 in a State Hospital Setting
The current study investigated the criterion validity of the Minnesota Multiphasic Personality Inventory - 2 (MMPI-2) by comparing participants' profiles with other variables, including diagnosis, length of hospitalization, and chronicity. The specific diagnostic groups investigated were depressed (major depressive disorder; dysthymic disorder; and bipolar disorder, depressed), schizophrenic (schizophrenia, schizophreniform disorder, and schizoaffective disorder), and borderline personality disorder (BPD). Statistical analyses included use of univariate analyses of variance (ANOVAs), multivariate analyses of variance (MANOVAs), regression analyses, and measures of sensitivity, specificity, positive predictive power (PPP), and negative predictive power (NPP). MANOVA results indicated significant differences between diagnostic groups on Scales F, 2, 3, 4, 7, ANX. FRS. DEP. BIZ. M f i , LSE, and FAM. There were considerable differences between males and females when separate MANOVAs were performed for gender groups. Cutoff see ires for classification by diagnosis resulted in significant specificity rates and negative predictive power, but sensitivity rates and positive predictive power were not significant.
A Criterion Validity Study of the MMPI-2 and PAI Spanish Versions with DIS Diagnosis: Implications for Clinical Practice
New Spanish versions of the Minnesota Multiphasic Personality Inventory-2 (MMPI-2) and the Personality Assessment Inventory (PAI) were assessed with the Spanish translation of the Diagnostic Interview Schedule (DIS) as the gold standard. Findings from categorical and dimensional analyses suggest that, although the degree of diagnostic concordance of both measures with the DIS was found to be moderately high, the MMPI-2 clinical scales yielded greater specificity but lower sensitivity than the PAI scales on two of four diagnostic categories (i.e., Major Depression, and Schizophrenia). Both measures failed to correctly diagnose Anxiety Disorders, while the MMPI-2 also showed poor diagnostic accuracy with Alcohol Dependence.
A Cross-sectional and Longitudinal Study of Adolescents and Religion: Views of Risk and Resiliency
The research literature within the past decade has documented the importance of religiosity and spirituality in helping many adults around the world cope with major life stressors and events. Still, the role of religiosity and spirituality in adolescence is not well-known as research during this developmental period has been limited by sample size, homogeneity of samples, ethnic restrictions, and use of scales with few items. The goal of the current study is to identify and understand adolescent levels of religiousness and spirituality, as well as their roles on later social, emotional, and behavioral outcomes. The current study relied upon data from the National Longitudinal Study of Adolescent Health and utilized confirmatory factor analysis and structural equation modeling in order to generate models of the relationships between the various latent variables. The religiosity and spirituality factors in the current study adequately measure religious perceptions and practices of adolescents over time. These constructs also play a role in later emotional well-being and self-esteem. Analyses also found adequate predictive abilities in the other model factors of delinquency, psychological well-being, self-esteem, and the social support. It is concluded from this study that religiosity and spirituality are not interchangeable constructs, and that more robust measures of both factors yield richer results. It is recommended that more comprehensive scales of religiosity and spirituality be developed and investigated in the future.
A Cross-Sectional Study of Custodial Grandparenting: Stresses, Coping Skills, and Relationships with Grandchildren
This cross-sectional study compared three groups of grandparents, two custodial and one noncustodial, to identify and delineate the unique challenges and expectations faced by custodial grandparents due to their nontraditional roles while attempting to disentangle grandparental role demands from child-specific problems as sources of distress. Those grandparents raising grandchildren demonstrating neurological, physical, emotional, or behavioral problems exhibited the most distress, the most disruption of roles, and the most deteriorated grandparent-grandchild relationships. Although the custodial grandparents raising apparently normal grandchildren demonstrated less distress, less disruption of roles, and less deterioration of the grandparent-grandchild relationship than those grandparents raising grandchildren displaying problems, they still demonstrated higher levels than did traditional grandparents. Those grandparents who reported fewer resources, demonstrated poor attitudes regarding seeking mental health services, and reported raising grandchildren displaying problems had the lowest levels of adjustment.
Decentering and the Theory of Social Development
The concept of decentering originated with Piaget, who defined decentering as a feature of operational thought, the ability to conceptualize multiple perspectives simultaneously. Feffer applied Piaget’s concept of decentering to the cognitive maturity of social content. This study used Feffer’s Interpersonal Decentering scoring system for stories told about TAT pictures to investigate the developmental hierarchy of decentering for children and adolescents. The participants originated from the Berkeley Guidance Study, a longitudinal sample of more than 200 individuals followed for more than 60 years by the Institute of Human Development at the University of California, Berkeley. The hypotheses tested were: (1) chronological age will be positively related to Decentering as reflected in Feffer’s Interpersonal Decentering scores obtained annually between ages 10 and 13 and at 18; (2) children born into higher class homes would have higher Age 12 Decentering scores; (3) children born later in birth order will have higher Age 12 Decentering scores; (4) children whose parents were observed to have closer bonds with their children at age 21 months will have higher Age 12 Decentering scores; (5) adolescents with higher scores from the Decentering Q-sort Scale (derived from adolescent Q-sorts) will have higher Age 12 Decentering scores; and (6) participants who have higher Age 12 Decentering scores will self-report higher CPI Empathy scale scores at Age 30. A repeated measures ANOVA tested Hypothesis 1. Pearson product-moment correlation coefficients tested Hypotheses 2-6. Age and Decentering scores were unrelated, as was birth order; social class findings were mixed. Parents’ bonds with child and Age 12 Decentering were negatively correlated (closer bonds predicted higher Decentering), as were Age 12 Decentering and Age 30 Empathy (higher early Decentering predicted lower adulthood Empathy). Girls (age 12) tended to decenter more consistently and had higher Decentering scores than boys.
The Decrement of Stuttering as a Result of the Application of the Experimental Analysis of Behavior
This investigation is an attempt to apply the principles of the experimental analysis of behavior to the stuttering behavior of two clinical subjects. The experimental manipulations were performed in order to bring about a decrement in the stuttering rate of the two subjects.
Deficits in Miranda Comprehension and Reasoning: The Effects of Substance Use and Attention Deficits.
Each year, an estimated 318,000 defendants who do not comprehend the Miranda warnings waive their rights and provide incriminating evidence without the protection of counsel (Rogers, 2008), which make Miranda-related competencies one of the most pervasive pretrial issues. A wide range of issues could potentially affect an individual's capacity to provide a knowing and intelligent waiver. Previous Miranda research has focused narrowly on the effects of cognitive and developmental factors. The current study added to the Miranda literature by examining the impact of two highly prevalent conditions found in correctional populations, attention deficits and substance abuse. Adult defendants in custody (N = 118) were evaluated within 36 hours of arrest in order to assess both chronic psychological disorders and situational variables. Results indicate that attention deficits have a significant impact on defendants' ability to provide a knowing Miranda waiver, whereas substance use profoundly affected their reasoning about Miranda waiver decisions. This study represents the first systematic investigation of the effect of transient mental states on Miranda-related abilities with criminal defendants. Important implications for forensic practice are addressed.
Dementia, Diabetes, and Depression: Relationship to Cognitive Functioning
The number of adults in the United States who are age 65 or older is rapidly increasing. With longer lifespan comes an increase in chronic diseases such as dementia, diabetes, and depression. This study used archival data from a larger study conducted at the Memory Clinic at John Peter Smith County Hospital in Ft. Worth, Texas to examine several hypotheses and research questions related to the influence of type of dementia, presence of Type II diabetes, and presence of depression on neuropsychological test performance. First, this study attempted to identify specific patterns of performance on neuropsychological measures for those with Alzheimer's dementia (AD), vascular dementia (VaD), or mild cognitive impairment (MCI). The results indicated that those with MCI perform better than those with AD or VaD on all neuropsychological measures, and that those with VaD perform better than those with AD on a measure of verbal memory. Another purpose of the study was to determine how the presence of Type II diabetes affects this pattern of functioning; the overall finding in this study was that the presence or absence of diabetes did not affect performance on measures of cognitive functioning. Additionally, the study attempted to add to literature examining the influence of depression on older adults with diabetes and/or dementia; no significant differences emerged.
Denial of Risk: the Effects of Intentional Minimization on Risk Assessments for Psychopathic and Nonpsychopathic Offenders
Risk assessments for offenders often combine past records with current clinical findings from observations, interviews, and test data. Conclusions based on these risk assessments are highly consequential, sometimes resulting in increased criminal sentences or prolonged hospitalization. Offenders are therefore motivated to intentionally minimize their risk scores. Intentional minimization is especially likely to occur in offenders with high psychopathic traits because goal-directed deception is reflected in many of the core traits of the disorder, such as manipulativeness, glibness, and superficial charm. However, this connection appears to be based on the conceptual understanding of psychopathy, and it has rarely been examined empirically for either frequency or success. The current study examined the connection between psychopathic traits and the intentional minimization of risk factors using a sentenced jail sample. In general, offenders were able to effectively minimize risk on the HCR-20 and SAQ, while the PICTS, as a measure of cognitive styles, was more resistant to such minimization. Psychopathic traits, especially high interpersonal facet scores, led to greater minimization using a repeated measure, simulation design. Important differences in the willingness and ability to use deception were found based on (a) the content of subscales, and (b) the mode of administration (i.e., interview vs. self-report). The important implications of this research are discussed for risk assessment procedures regarding likely areas of deception and its detection. It also informs the growing literature on the connection between psychopathic traits and deception.
Depressed and Nondepressed Students: Judgment of Control, Defensiveness, and Cognitive Functioning
Ninety-six undergraduates were given four tasks under either reward or punishment conditions. Each task consisted of 20 trials of pressing or not pressing a button to make a light come on. Monetary reinforcement was contingent on light onset for all tasks and on accuracy of judgment of control for the 2nd, 3rd, and 4th tasks. Cognitive processing was comprehensively assessed for each task by measuring expectancy, judgment of control, perception of environmental stimuli, evaluation of performance, attribution, and reinforcement value. Results showed that subjects were more accurate in moderate than in low control and in low than moderate frequency. Females were more accurate in perceiving environmental stimuli and had lower self-esteem, lower efficacy expectancies, and higher self-rated reinforcement values for monetary incentives than males. Low defensives were accurate in expectancy of control, judgment of control in punishment, and estimation of environmental stimuli. Subjects in reward were more accurate in perceiving reinforcing events and they gave themselves more credit for task performance than subjects in punishment gave themselves blame for comparable performance. Those in punishment had more stable and external attributions and were more anxious, depressed, and hostile. Depressives and nondepressives reacted differently to the monetary contingency on accuracy of judgment of control. Depressives showed overestimation of control immediately after initiation of this contingency, then gradually decreased their estimation until they were relatively accurate on the last task. Nondepressives showed more accurate judgment of control immediately after monetary contingency on accuracy, but returned to overestimation on subsequent tasks. These findings gave partial support to Alloy and Abramson (1979) in that mild depressives became increasingly accurate in judgment of control across tasks. Female depressives, compared to female nondepressives, were less accurate in perceiving environmental stimuli and gave themselves less credit in reward. Although depressives did not set a particularly high criterion for success as suggested by Beck and Seligman, all subjects set criteria for success higher than both estimated and actual maximal control (ps < .05).
Depression and Heart Rate Variability in Patients with Coronary Artery Disease
Depression is an independent risk factor for morbidity and mortality in patients with coronary artery disease (CAD). Altered autonomic nervous system (ANS) activity, a common feature of depression, is also a risk factor for cardiac events in patients with CAD. Heart rate variability (HRV) reflects ANS activity, and reduced HRV predicts morbidity in cardiac populations. The purpose of this study was to determine whether differences in HRV exist between depressed and nondepressed patients with CAD. Twenty-one depressed inpatients, with angiographically documented CAD were retrospectively matched to 21 nondepressed CAD patients by sex, age, and smoking status. Demographic, medical, psychological interview data, and 24-hour ECG recordings were obtained. Depressed subjects had significantly lower HRV, or trends toward lower HRV, than nondepressed subjects, even after controlling for severity of CAD. Subject groups did not differ on left ventricular ejection fraction, history of myocardial infarction, or any other relevant medical variable assessed. These results suggest that depression is associated with decreased HRV in patients with CAD, and may help to explain the increased rates of cardiac events observed in CAD patients with depression.
Detection of Malingering on Raven's Standard Progressive Matrices and the Booklet Category Test
The capacity of Raven's Standard Progressive Matrices (SPM) and the Booklet Category Test (BCT) to discriminate between groups of brain-injured, simulated malingering, and normal participants was investigated in this study. Exploratory analyses were also conducted to examine the differences between groups categorized as sophisticated and naive fakers. Clinical decision rules and discriminant function analyses were utilized to identify malingerers. Clinical decision rules ranged in hit rates from 41% to 78%, in sensitivity from 2% to 100%, and in specificity from 86% to 100%. Discriminant functions ranged in hit rates from 81% to 86%, in sensitivity from 68% to 73% and in specificity from 82% to 87%. Overall, the least helpful detection method examined was below chance responding on either measure, while the most efficient was gross errors for SPM.
The Detection of Neuropsychological Malingering
The present study compared the responses of a group of simulating malingerers who were offered a monetary incentive to feign symptoms of a head injury, with the responses of head injured groups both with and without litigation, a forensic parole group, and an honest-responding control group. The following six neuropsychological measures were utilized: Rey 15-Item Memory Test, Controlled Oral Word Association Test, Finger Oscillation Test, WAIS-R Neuropsychological Instrument (Vocabulary, Information, and Similarities subtests), Booklet Category Test, and Wisconsin Card Sorting Test. The statistical concepts of floor effect, performance curve, and magnitude of error were examined. Additionally, the statistical differences in the responses of the five groups were analyzed to determine cutting scores for use in distinguishing malingerers from nonmalingerers.
Development and Validation of a Measure of Religious and Spiritual Flexibility
Religion and spirituality are vital aspects of many people’s lives both in the United States and across the globe. Although many constructs and measures exist to describe and assess the experience of pursuing the sacred, the complexity of religious and spiritual experience leads to mixed results in relation to well-being and psychopathological traits. However, in broad terms, the relationship appears positive. Over the past 30 years the need for more refined and useful approaches to the study of religious and spiritual behavior has been repeatedly acknowledged. Although authors wisely caution development of further measures without due cause, extant constructs and measures do not provide clear and consistent results for understanding the influence of one’s relationships to religion and spirituality upon behaviors of clinical interest. The present project drew from the functional contextual concept of psychological flexibility, which provides clarity to understanding the encouragement and maintenance of psychological well-being. A new construct of religious and psychological flexibility is explicated as a functional approach to understanding religious and spiritual behavior in a manner that is useful in research and clinical settings alike. The development and evaluation of the Measure of Religious and Spiritual Flexibility (MRSF) is described. The MRSF evidenced adequate internal consistency and test-retest reliability. Confirmatory factor analysis results were positive, but indicate further refinement. Analyses suggested good construct validity of the MRSF in relation to psychological well-being and psychopathology; construct validity in relation to extant constructs in the psychology of religion was varied. Implications and future directions are discussed.
Development of a Multidimensional Approach to Understanding Youthful Offenders: The Influence of Psychosocial and Personality Risk Factors
This study employed a multivariate, multidimensional approach to understanding psychosocial and personality variables associated with institutional maladjustment and recidivism among youthful offenders. Participants included nine hundred serious and chronic male youthful offenders incarcerated in the Texas Youth Commission (TYC); sample sizes varied by analysis. Empirically-validated psychosocial factors (e.g., intelligence, home approval status), past criminal history variables, and two self-report personality measures of empathy and hostility were entered into hierarchical regression and structural equation modeling (SEM) analyses to predict institutional behavior and recidivism at one- and three-year intervals after release from the TYC. Confirmatory factor analysis of the personality measures revealed one underlying factor indicative of their theoretical constructs of empathy and hostility. Some differences were noted between youth in the specialized treatment programs; however, effect sizes were small to moderate. Overall, regression and SEM results indicated the variables accounted for a meaningful proportion of the variance in the outcomes. Specifically, although length of stay in the TYC was associated with institutional behavior, younger age of onset, higher hostility, and greater home disapproval also contributed significantly. Past criminal behavior was predictive of future reoffending, but lower empathy, greater home disapproval, and younger age of onset accounted for a substantial portion of the variance in recidivism. Institutional maladjustment served as a mediator between the psychosocial and personality variables and the recidivism outcomes. Treatment implications are provided, including a discussion of the tenuous association between length of sentence and recidivism and an emphasis on the importance of evaluating dynamic personality and psychosocial variables beyond static measures of past behavior.
Developmental Stressors and Associated Coping Skills in the Development of Disordered Eating in College Females
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There is a lack of clarity in the current literature in how potential etiological factors interact and result in disordered eating. The purpose of this study was to examine an expanded model of Personality, Social Support, Appraisal/Coping Processes, Abuse History, Internalization of Sociocultural Standards, Psychological Disturbances, and Body Disparagement in the development of disordered eating. The current model was evaluated using 276 women in their transition to college, a time period highly associated with symptoms believed to increase a woman's risk for the development of disordered eating including perceived difficulty coping, weight gain, and negative affect. Structural equation modeling was used to allow simultaneous examination of the causal relationships between the factors. Structural analyses confirmed that college women with previous stressful experiences appraised the adjustment to college as more stressful and reported feeling less able to cope with the transition. Those women who identified the transition as overwhelming were also aware of increased negative mood and psychological states since beginning the school semester. Further, women with previous traumatic sexual experiences appeared to be at additional risk for increased negative affective symptoms. The resulting model confirmed that those women who experience negative mood states and those that endorse strong internalization of cultural values regarding attractiveness encountered increased dissatisfaction and disapproval of their bodies. Finally, women with higher levels of body concern engaged in more eating behaviors associated with disordered eating. The roles of personality functioning and perceived social support could not be identified in the developmental model. The predictive links between constructs in the resulting model provide meaningful information regarding the transition to college and associated risks for development of disordered eating. Validation of the model in an independent sample would provide confirmation of these relationships and longitudinal research examining females' attitudes across crucial developmental periods might provide important information regarding which individuals are most at risk for development of disordered eating.
The Diagnostic Suitability of Goldberg's Rule for the Mini-Mult
This study was undertaken to determine whether the Mini-Mult is able to function as well as the MMPI for a limited clinical purpose, the discrimination of psychosis and neurosis by Goldberg's rule. The smaller size of the Mini-Mult (71 items) allows conservation of time .and energy by subjects and professionals. Thirty male residents of the Austin State Hospital completed two standard MMPIs and one oral Mini-Mult. A fourth set of scores was obtained by extracting Mini-Mult from the first MMPI. Correlations and tests of significance were computed for raw scores and Goldberg's index scores. Results indicate no significant differences in the discrimination of psychosis and neurosis between the MMPI and the Mini-Mult.
Dietary Treatment of Hyperactive Children
This study investigated whether a salicylate-restricted diet (eliminating foods containing artificial additives and natural salicylates) could effectively reduce hyperactivity in children more so than a diet not restricting salicylates (ostensibly restricting foods containing refined sugar). Ten hyperactive children, nine boys and one girl, were matched on their pre-treatment activity rates and assigned to either a salicylate-restricted diet (Group I) or a diet not restricting salicylates (Group II). After approximately nine weeks, post-treatment activity rates were obtained, and a significant difference in favor of the salicylate-restricted diet group was found with this diet group exhibiting a significantly lower mean post-treatment activity rate in comparison to the group placed on a diet not restricting salicylates (p<.05). Implications for diagnosis and treatment of hyperactivity in children were discussed.
Differences between Acknowledged and Unacknowledged Rape: Occurrence of PTSD
This study examined the relation between level of rape acknowledgement and levels of PTSD symptoms reported in female college students. Subjects were administered the Sexual Experiences Survey (SES), the PTSD Interview, and a demographics questionnaire. Subjects were then grouped into the following categories based on their responses to the SES: reported rape victims, acknowledged rape victims, unacknowledged rape victims, and a control group of non-rape subjects. Small sample analyses did not reveal the expected linear relation between the two variables. Only the acknowledged group showed greater PTSD symptoms. The unacknowledged and control groups did not significantly differ on overall PTSD symptom severity, or on any cluster of PTSD symptoms. Naturalistic selection factors are discussed that could have affected the outcome of the study.
Disclosure and its Perceived Impact as Mediators of the Long-Term Consequences of Child Sexual Abuse
The primary purpose of the present study was to investigate factors associated with childhood sexual abuse which mediate long-term effects. Of particular interest were the mediators of disclosure and its perceived impact, as well as variables related to the severity of the abuse. Also of interest were impact areas related to a history of molestation which have received little attention in the literature. Five hundred and seventy-five female undergraduates completed an extensive questionnaire with measures of family background, childhood and adult sexual experiences, health status, and psychological variables. Of these subjects, 286 reported at least one incident of child sexual abuse. It was hypothesized that those females with histories of sexual abuse who received a positive response to their disclosure of abuse would demonstrate more adaptive adult functioning as compared to those victims receiving a negative response, or those who never disclosed. Significant differences were not detected among the three groups on the outcome measures. A number of reasons were explored for why these differences may not have been detected in the present investigation. Although differences were not detected for disclosure status, significant differences were detected between females reporting a history of child sexual abuse and those reporting no abuse on all of the outcome measures. Specifically, sexual abuse victims were more likely than nonvictims to be sexually revictimized in adulthood. Potential explanations for this finding were explored in a discriminant function analysis predicting revictimization status. Further, abused females had significantly higher levels of depression, dissociation, and perceptual disturbances when compared to their nonabused peers. Sexual abuse victims also reported more health symptoms across various bodily systems and had more negative attributions about their physical health status. Differences between the abused and nonabused groups on levels of perceptual disturbance and perceived physical health status are particularly noteworthy since previous research has detected these symptoms only through clinical samples.
Dogmatism and Sex Role Differentiation in Adults
This study is an investigation of the general questions Is there a relationship or interaction between a subject's dogmatism score (as measured by the Dogmatism Scale) and his self-rating of the perceived stereotypical masculinity-femininity dimension (as measured by the abridged Mf scale of the Minnesota Multiphasic Personality Inventory)?
Dogmatism in Adults and Correlates of Early Parent-Child Relationships
The results suggest that children's perceptions of parental child-rearing behavior are related to their tendencies to be dogmatic in their beliefs, and apparently perceptions of parents as loving has reinforcing properties for the child that may lead to the uncritical acceptance of the belief system of the parents.
Early Recognition of Minimal Brain Injury through Use of the Metropolitan Readiness Tests
This study explored the usefulness of the Metropolitan Readiness Tests (MRT) as a screening device for minimal brain injury. It was hypothesized that brain injured (BI) children would score significantly lower on Test Six of the MRT than non-brain injured (NBI) children. Test Six is a visual-motor perceptual task.
The Effect of a Free-Time Contingency on Peer Acceptance and Rate of Speed in Working Arithmetic Problems
The primary concern in today's educational system is the rate of progress students achieve in the classroom. Research has shown token reinforcement programs to be an effective method of increasing rate of work in the classroom; however, token economies are time consuming and do not meet the needs of all classroom situations. The purpose of this study was to test the effectiveness of the use of free time as a reinforcer in increasing rate of speed in working arithmetic problems and peer acceptance (how well an individual is accepted by his peers). The data indicated that free time as a positive reinforcer did increase the rate of speed in working arithmetic problems correctly; however, it did not affect peer acceptance.
The Effect of a Program of Operant Conditioning of Autonomically Mediated Behavior on Manifest Anxiety
The purpose of this experiment was to initiate research into the use of operant conditioning of autonomically mediated behavior (OCAM) in the modification of maladaptive behavior. Anxiety was chosen as a target behavior because of its apparent pervasiveness among many different maladaptive behaviors.
The Effect of Ambiguity on Peak Weightlifting Performance : A Study of Experienced Weightlifters
Recent studies in the area of sport and exercise science have suggested that weightlifting performance may be significantly improved under ambiguous conditions—namely, when the amount to be lifted is unknown. In the present study, procedural concerns from previous studies examining the effect of ambiguity were noted and a methodological variation was introduced.
The Effect of Fundamental Religious Belief Upon Males' and Females' Attitudes Toward Woman's Role in Society
Studying the effect of fundamental religious belief upon attitudes toward woman's role in society, findings were: (1) persons high in fundamental belief have more traditional attitudes than persons low in fundamental belief; (2) atheists, agnostics, Unitarians, Jews, and 'others' hold more liberal attitudes than Protestants or Catholics; (3) persons who frequently attend religious services hold more conservative attitudes than persons who attend infrequently; and (4) females hold more liberal attitudes than males. Also, marital status did not affect attitudes toward woman's role. Subjects were 63 female and 38 male college students. Findings were discussed in light of effects conservative attitudes toward woman's role could have upon fundamentalists, and of the theory supporting the hypotheses.
The Effect of Hypnotically-Induced Mood Elevation as an Adjunct to Cognitive Treatment of Depression
Cognitive therapy for the treatment of depression has generated substantial research indicating its effectiveness and it is currently considered among the most viable conceptualizations of depression. However, it has remained controversial because its methods do not directly address emotional symptoms in depressed persons. Treatment of depressed emotions is a primary focus of hypnotic mood elevating techniques. These techniques enable depressed persons to experience positive emotions during hypnosis sessions and to re-experience them daily concurrent with performance of certain specified behaviors. This study evaluated the efficacy of a multicomponent treatment which combines the techniques of cognitive therapy and hypnotic mood elevation in the treatment of depressed persons. The three treatment conditions constructed for this investigation were cognitive therapy plus hypnotic mood elevation, cognitive therapy plus pseudo-biofeedback, and no treatment waiting list.
The Effect of Stress, Anxiety-Proneness and Previous Exposure to Familial Abuse on Violence in Later Relationships
Abuse in adult relationships as affected by stress, anxiety-proneness, and exposure to abuse as a child was examined using 579 North Texas State University undergraduates, Frequency and levels of abuse observed or received as a child and received or expressed as an adult were measured using a modification of Straus' Conflicts Tactics Scale (1979). Anxiety-proneness was determined by scores received on Spielberger's (1970) State-Trait Anxiety Inventory. Current levels of stress for the past two years were measured using the Life Experiences Survey (Sarason, 1978). Overall frequencies for received and expressed abuse (including physical and verbal abuse) in adult relationships were quite high (62.9 percent and 73.8 percent respectively). Females reported expressing significantly more abuse than did males. No gender differences were found for the receipt of abuse. Gender differences in types of violence were also examined. In addition, multiple regression was used to determine predictor variables for the expression and receipt of abuse. For males, receiving abuse as a child, positive stress scores, higher levels of anxiety-proneness, and observing father's abuse of mother significantly predicted expressing abuse as an adult. Observing mother's abuse of father and positive stress scores significantly predicted receiving abuse as an adult. For females, having received abuse as a child and trait anxiety were significant predictors for the expression of adult abuse. Receiving abuse as a child was the only significant predictor for the receipt of adult abuse. The greater impact of observing abuse between parents on males was discussed. In addition, difficulties confronting researchers in this area and the possible explanations for more frequent reports of female expression of abuse were examined.
The Effect on Group IQ Test Performance of Modification of Verbal Repertoires Related to Motivation, Anxiety, and Test-Wiseness
To investigate the efficacy of a cognitive approach applied to problems of motivation, anxiety, and test-wiseness in a group test situation, programmed texts were used to Condition a repertoire of verbal responses relevant to each of these problems. Five sixth grade classes composed of 118 Students total were administered Otis-Lennon Mental Ability Tests in a pretest-posttest design. For the five groups, ANCOVA demonstrated a significant effect on raw scores, but not on IQ. Significant IQ and raw score gains were found for the combination group over the control group. Due to treatment lower IQ level students of the combination group made greater raw score gains than upper IQ level students.
Effectiveness of Secondary Reinforcement on the Behavior of a Hyperactive Child
The purpose of this study was to demonstrate the effectiveness of various secondary reinforcers on the behavior of a hyperactive child. A base rate of appropriate behavior was obtained in a first-grade classroom. The operant techniques employed were secondary reinforcers consisting of monetary reinforcement; monetary paired with peer reinforcement; monetary, peer, and verbal reinforcement combined; and verbal reinforcement only.
Effectiveness of the Neurobehavioral Cognitive Status Examination in Assessing Alzheimer's Disease
Accurate, early diagnosis of Alzheimer's Disease is becoming increasingly important in light of its growing prevalence among the expanding older-aged adult population. Due to its ability to assess multiple domains of cognitive functioning and provide a profile of impairment rather than a simple global score, the Neurobehavioral Cognitive Status Examination (NCSE) is suggested to better assess such patterns of cognitive deficit for the purpose of diagnosis. The performance of the NCSE was compared with that of the Mini-Mental State Examination (MMSE) for diagnostic sensitivity in a sample of patients diagnosed as having probable Alzheimer's Disease. The strength of correlation between severity of cognitive impairment on these tests and report of behavior problems on the Memory and Behavior Problems Checklist (MBPC) was also explored, as was performance on the NCSE and report of behavior problems using the MBPC in predicting Single Photon Emission Computed Tomography (SPECT) scan results. The NCSE was found to exhibit greater sensitivity to physician diagnosis of probable Alzheimer's Disease relative to two versions (Serial 7's or WORLD) of the MMSE (.90, .77 and .68, respectively). While both measures were found to correlate significantly with the report of behavior problems, only a moderate proportion (NCSE = .22 and MMSE = .33) of the explained variance was accounted for by either test. Severity of cognitive impairment on the NCSE was found to be significant, though small in estimate of its effect size, for predicting the absence/presence of pathognomic findings on SPECT scans. In contrast, the report of behavior problems on the MBPC did not significantly predict SPECT scan outcomes. The NCSE would appear to be a sensitive tool for the identification of the extent and severity of cognitive impairment found among demented individuals; however, it may be "over"-sensitive to such diagnosis. Although relationships between cognitive impairment and behavior problems and/or neuroradiological findings are observed, their meaningfulness remains with the need for further, more detailed, study using standardized criteria for comparison purposes.
Effects of a Psychotherapy Presentation on Asians' Therapy Expectations and Help-Seeking Attitudes
The effectiveness of an educational psychotherapy presentation on Asians' therapy expectations and help-seeking attitudes was investigated. Subjects were foreign-born Asian university students. Compared to a non-Asian American normative sample, the Asian group demonstrated significantly less accurate expectations about therapy and less positive attitudes about seeking help for psychological problems. A psychotherapy presentation was used to modify expectations and attitudes. It consisted of an audiotaped lecture on therapist and client roles and the types of problems discussed in therapy. It also included a written transcript of therapist-client dialogues for subjects to read. The experimental group, which received the presentation, was compared to placebo control and delayed-treatment control groups. The psychotherapy presentation did not modify Asians' expectations or attitudes more than the control groups. Instead, all three groups showed improvement at posttest. Because there is a clear need to assess further the therapy expectations and attitudes of Asians, future research was recommended.
The Effects of an Experimentally-Induced Bodily Focus Experience on a Psychotherapist during a Psychotherapy Session
The purpose of this study is to contribute to the current process research by investigating a psychotherapist's experience during psychotherapy. Massage therapy and relaxation therapy were used to manipulate psychotherapist's bodily focus, physiology, and affective state. Topics discussed include: the bodily focus of the therapist, neurobiological models of experience, mind-body boundary issues, and a present-time focus. Doctoral level Counseling and Clinical graduate students were used as participants.
The Effects of Assessment Context on State Anxiety and a Neuropsychological Model of Attention
This study investigated the effects of assessment context on state anxiety and attention according to the Mirsky (1996) model of attention. Context varied in the physical testing environment, demeanor of the assessor, and explanation of the purpose of testing. A relaxed condition (RC) and structured medical condition (SMC) distinction was made prior to data collection and the two contexts were designed to reflect contrasting practices of neuropsychologists. Elements of attention evaluated included Encoding (Digit Span), Focusing/Executing (Visual Search and Attention Test), Shifting (Wisconsin Card Sorting Test: Computerized Version 2), Sustaining, and Stabilizing (Continuous Performance Test-Identical Pairs). Eighty healthy adult females participated in the study. The findings suggest that the SMC caused higher levels of anxiety and lower valence than the RC, which in turn caused poorer sustained attention and superior shifting attention for this condition. Such interpretations are consistent with several theories on the effects of anxiety on attention. It should be noted, however, that differences observed in attention were limited to select measures. Factor analysis also indicates that the encode, shift, and sustain elements of attention were largely consistent with the factor solution proposed by Mirsky, while findings on the focus/execute and stabilize elements bring into question the construct validity of these aspects of the model. Findings from the study are considered relevant to those interested in attention theory and particularly researchers and clinicians involved in the administration of neuropsychological testing.
The Effects of Attributional Styles on Perceptions of Severely Mentally Ill Offenders: a Study of Police Officer Decision-making
Police officers are allowed considerable discretion within the criminal justice system in addressing illegal behaviors and interpersonal conflicts. Broadly, such resolutions fall into two categories: formal (e.g., arrest) and informal outcomes. Many of these interventions involve persons who have historically faced stigmatization, such as those who have mental disorders, criminal histories, or both (i.e., mentally disordered offenders). On this point, stigma generally includes discriminatory behavior toward the stigmatized person or group and can be substantially influenced by internal and external attributions. In addition, researchers have suggested that internal attributions lead to punishing behaviors and external attributions lead to helping behaviors. The current study examined attributions about offender behavior made by police officers in an effort to evaluate the effectiveness of Corrigan’s model. Specifically, this study investigated the effects of officer attributions on their immediate decisions in addressing intentionally ambiguous and minor offenses. Officers provided one of two vignettes of a hypothetical offender who was either mentally disordered or intoxicated and provided their anticipated resolution of the situation. Encouragingly, disposition decision differed by offender condition, with a substantially higher rate of arrests for the intoxicated offender (i.e., the external condition). Corrigan’s model was initially successful for both offender conditions, but was overall more successful for the mentally disordered condition. Results are discussed within the broader context of police policy, such as crisis intervention training, and identification of officers who could benefit from additional mental health trainings.
Effects of Cautioning and Education in the Detection of Malingered Mild Traumatic Brain Injury
This study examined the effectiveness of cautioning and education on simulating a mild traumatic brain injury on several neuropsychological measures. The measures used included the Word Memory Test (WMT), Wechsler Adult Intelligence Scales® - Third Edition (WAIS®-III), Wechsler Memory Scales®-3rd Edition instrument (WMS®-III), 16-item version of the Rey Memory Test, and a self-report symptom checklist. Five experimental groups were used including clinical and non-clinical controls, as well as three simulation groups. The design and implementation of this study also attempted to correct several methodological short comings of prior research by increasing the incentives for participants, expanding the generalizability of findings and examining research compliance and participant self-perception through debriefing. Discriminant analysis was utilized to determine if specific functions existed that would correctly classify and distinguish each experimental group. Several discriminant functions had at least moderate canonical correlations and good classification accuracy. Results also include utility estimates given projected varying base rates of malingering.