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 Degree Discipline: Clinical Psychology
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Posttraumatic Stress and Neurobehavioral Symptoms

Posttraumatic Stress and Neurobehavioral Symptoms

Date: December 2013
Creator: Klein, Robert S.
Description: The purpose of this study is to examine the structure of neurobehavioral symptoms in service members with physical and/or psychological trauma to determine the diagnostic specificity of these symptoms. Previous literature has demonstrated that orthopedic injured, mild traumatic brain injury (MTBI), and healthy controls shared similar levels of postconcussive symptom complaints, which suggest that postconcussion-like symptoms are not unique to MTBI. To the best of my knowledge, this is the first study examining this phenomenon in a sample of recently redeployed service members. Dimensional analysis of the PCL-C and NSI using SEM did not produce a model that was consistent with previous literature and principle component analyses did not produce a simple solution for posttraumatic stress or neurobehavioral symptoms. Thus, the study does not provide evidence for construct validity for either instrument. Implications for these findings are that clinicians need to be aware that these instruments may not be measuring coherent constructs within this population as purported and should judiciously interpret and report the results of these instruments.
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Altruism and Depression: Exploring This Relationship and the Mechanisms Behind It

Altruism and Depression: Exploring This Relationship and the Mechanisms Behind It

Date: August 2013
Creator: Wright, Brittney, C.
Description: The impact of environmental influences on depression has been well established by research. In particular, it is known that receiving/perceiving adequate social support has a protective influence on depression. Less is known about the protective benefits of providing support to others, namely in the form of altruistic, empathetic, or prosocial behavior. While research has shown that having altruistic attitudes and engaging in altruistic behaviors has a positive impact on physical health and mental well-being, studies on the association between altruistic attitudes and/or behavior and depression are limited. The present study examined the relationship between altruism and depression, and hypotheses were tested that allow for explanation of why altruism may protect against depression. A sample of 303 participants was recruited from the University of North Texas and the surrounding community. Participants completed an online survey that examined their altruistic activities, details regarding these activities, their prosocial attitudes, and their current level of depression. Results did not support that level of involvement in altruistic activities is directly related to depression severity. However, outcomes from involvement in altruistic activities, including sense of overburden from participating in altruistic activities, level of social interaction with other helpers and those helped during altruistic activities, and sense ...
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Correlates Between Adult Romantic Attachment Patterns and Dimensional Personality Pathology

Correlates Between Adult Romantic Attachment Patterns and Dimensional Personality Pathology

Date: August 2013
Creator: Ernest, Kimberly Dawn
Description: 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.
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An Examination of Resnick's Model of Malingering: a Pai Study of Feigned Ptsd

An Examination of Resnick's Model of Malingering: a Pai Study of Feigned Ptsd

Date: August 2013
Creator: Wooley, Chelsea N.
Description: Malingered posttraumatic stress disorder (PTSD) poses a formidable clinical challenge in personal injury and disability cases because of the apparent ease in feigning PTSD and the supposed link (proximate cause) to the claimed damages. The effective assessment of feigned PTSD is particularly challenging because this diagnosis is both easier to fake than other Axis I disorders and more difficult to detect. As an additional confound, some patients with genuine PTSD produce highly variable, elevated profiles on multiscale inventories that are difficult to distinguish from feigned PTSD. The current study examined whether the Personality Assessment Inventory (PAI) can effectively differentiate between genuine and feigned PTSD in 109 inpatients from a trauma unit. The two most effective scales were the MAL and the NDS scales. As a primary focus, the current study was the first empirical investigation of Resnick's model of malingered PTSD that is comprised of three subtypes: pure malingering (pure-M), partial malingering (partial-M), and false imputation (false-I). The primary goal was to evaluate whether each feigning group was able to (a) effectively simulate PTSD symptoms and diagnoses and (b) avoid being classified as feigning. The partial-M group proved to be the best feigning group in achieving these two goals. Furthermore, ...
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Female Psychopathy Predictors: Cluster B Traits and Alexithymia

Female Psychopathy Predictors: Cluster B Traits and Alexithymia

Date: August 2013
Creator: Rogstad, Jill E.
Description: Psychopathy has long been lauded as a premier predictor of negative behavioral outcomes because of its demonstrated associations with violence, antisocial conduct, and institutional maladjustment. Traditional conceptualizations of psychopathy highlight the relatively equal importance placed on personality features (i.e., a grandiose, deceitful interpersonal style and deficits in affective experience) and behavioral elements (i.e., an impulsive and irresponsible lifestyle marked by social deviance) of the syndrome. However, little research to date has investigated psychopathy dimensions in female samples, particularly as they relate to maladaptive behaviors beyond forensic settings. The current study comprehensively examined personality (i.e., Axis II Cluster B traits and alexithymia) and behavioral (i.e., suicide-related behavior and aggression) expressions of psychopathy in a sample of female inpatients recruited from trauma and dual-diagnosis units at a psychiatric hospital in Dallas, Texas. Contrary to expectations, the essential components of psychopathy in female psychiatric patients emphasized APD and NPD traits over features of HPD and BPD, which were relatively similar to elements traditionally highlighted in male psychopathy. On this point, two latent dimensions comprehensively addressed female psychopathy in the current sample: impulsive antisociality and narcissistic and histrionic interpersonal style. Interestingly, psychopathy (M r = .01) and Cluster B traits (M r = .05) ...
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An Investigation of Malingering and Defensiveness Using the Spanish Pai Among Spanish-speaking Hispanic American Outpatients

An Investigation of Malingering and Defensiveness Using the Spanish Pai Among Spanish-speaking Hispanic American Outpatients

Date: August 2013
Creator: Correa, Amor Alicia
Description: For response styles, malingering describes the deliberate production of feigned symptoms by persons seeking external gain such as financial compensation, exemption from duty, or leniency from the criminal justice system. In contradistinction, defensiveness occurs when patients attempt to downplay their symptoms of psychological impairment. Both of the aforementioned response styles can markedly affect the accuracy of diagnosis, especially on self-reports, such as multiscale inventories. As an important oversight, no studies have been conducted to examine the effect of culturally specific response styles on profile validity and the classification of malingering among Hispanic American clinical populations. The current study investigated whether the Spanish Personality Assessment Inventory (PAI) effectively distinguished between Spanish-speaking outpatient groups randomly assigned to honest, feigning, and defensive experimental conditions. In examining the results, PAI malingering indicators utilizing Rare Symptoms strategies (NIM and MAL) demonstrated moderate to large effect sizes. For defensiveness, Spanish PAI indicators also demonstrated moderate to very large effect sizes (M d = 1.27; range from 0.94 to 1.68). Regarding psychometric properties, Spanish PAI validity scales, provide adequate to good data on reliability and discriminant validity. Clinical utility of the Spanish PAI increases as different cut scores are employed.
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An Investigation of the Phase Model of Psychotherapy Across Therapeutic Orientations: Are Different Approaches Actually All That Different?

An Investigation of the Phase Model of Psychotherapy Across Therapeutic Orientations: Are Different Approaches Actually All That Different?

Date: August 2013
Creator: Herbert, Gregory L.
Description: The current study investigated the process of change underlying two different evidence-based treatments that yield similar outcome effectiveness in the treatment of depression: Cognitive Therapy (CT) and Interpersonal Therapy (IPT). The phase model of psychotherapeutic change (Howard et al., 1993) change is used to provide both a theoretical and practical framework in which to assess different patterns of change across the treatment modalities. The phase model posits that recovery from distress occurs in three sequential stages: remoralization, remediation and rehabilitation. CT can be conceptualized as a treatment in which the primary focus is on the treatment of symptoms (remediation), whereas IPT can typically be conceptualized as focusing on interpersonal conflicts and functioning (rehabilitation). The study utilized the TDCRP dataset (Elkin et al., 1985). Survival analysis indicated no significant difference in terms of onset or pattern of improvement across treatment orientations. Chi square analyses indicated individuals treated with IPT spend significantly more time engaged in rehabilitation compared to their CT counterparts. Taken together, these findings represent evidence that the process of therapeutic change is similar, if not virtually identical, across therapeutic orientation. The analyses also indicate that the phases of therapy may not necessarily be mutually exclusive and sequential, but may ...
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Values and Valuing in a College Population

Values and Valuing in a College Population

Date: August 2013
Creator: Hernandez, Nikki C.
Description: Values and valuing behavior have many conceptualizations. Despite how they are defined, values have a significant impact on behavior and are idiosyncratic in nature. The present study reviewed values research and sought to explore values identification and successful valued living among an archived sample of university students. Specifically, in a convenience sample of 282 undergraduate students, variables that affect values identification and behavior such as ethnicity, gender, psychological distress, and psychological flexibility were identified. Results indicated that university students identified with more than one valued living domain (as measured by the PVQ) and that contextual factors such as ethnicity, gender, age, and religiosity/spirituality were associated with specific values endorsed. Furthermore, psychological distress, including depression and anxiety (as measured by the DASS) was negatively correlated with values purity – the extent to which values are freely chosen. Finally, psychological flexibility (low experiential avoidance as measured by the AAQ-2), predicted values purity and successful living in accordance with identified values, and the relationship between these two variables was mediated by psychological flexibility.
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Exploring Psychopathic Personality Traits and Moral Development in a Non-criminal Sample

Exploring Psychopathic Personality Traits and Moral Development in a Non-criminal Sample

Date: May 2013
Creator: Bewsey, Kyle
Description: This study explored psychopathic personality traits among a non-criminal, college undergraduate sample. Much research has been done on conceptualizing the construct of psychopathy, but this work has been conducted primarily with incarcerated individuals using a structured interview, The Psychopathy Checklist – Revised (PCL-R; Hare, 1991, 2003). The goal of the current study was to assess psychopathic traits among non-criminal individuals using The Self-Report Psychopathy Scale - Version Four (SRP-IV; Paulhus, Neumann, & Hare, in press), and compare how SRP-IV scores were associated with a well recognized semi-structured interview for psychopathy, The Psychopathy Checklist – Screening Version (PCL: SV; Hart, Cox, & Hare, 1995). The study also examined whether psychopathic personality traits could be predicted using a measure of normal-range personality, based on the five-factor model (FFM; Digman, 1990), and a measure developed by Loevinger (1976) related to ego development. Five-Factor Model Rating Form (FFMRF; Mullins-Sweat, Jamerson, Samuel, Olson, & Widiger, 2006) scores and Total Protocol Ratings (TPR score) on the Washington University Sentence Completion Test (WUSCT; Hy & Loevinger, 1996) were used to predict psychopathy scores. Correlations of SRP-IV scores and PCL: SV scores with FFMRF scores and WUSCT TPR scores were also examined for their uniformity. As predicted, there ...
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Miranda Reasoning and Competent Waiver Decisions: Are Models of Legal Decision Making Applicable?

Miranda Reasoning and Competent Waiver Decisions: Are Models of Legal Decision Making Applicable?

Date: May 2013
Creator: Blackwood, Hayley L.
Description: Miranda understanding, appreciation, and reasoning abilities are essential to courts' determinations of knowing and intelligent Miranda rights waivers. Despite the remarkable development of Miranda research in recent decades, studies have generally focused on understanding and appreciation of Miranda rights, but have not examined Miranda reasoning and waiver decisions. Therefore, examining the nature of defendants' decisional capacities constitutes a critical step in further developing theoretical and clinical models for competent Miranda waiver decisions. The current study evaluated Miranda waiver decisions for 80 pretrial defendants from two Tulsa-area Oklahoma jails. Previously untested, the current study examined systematically how rational decision abilities affect defendants' personal waiver decisions. Components from general models of legal decision making, such as decisional competence and judgment models, were examined to determine their applicability to Miranda waiver decisions.
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