Matching Items (19)
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- All Subjects: psychology
- Genre: Doctoral Dissertation
- Creators: Kinnier, Richard
- Creators: Tein, Jenn-Yun
Description
Over recent decades, euthanasia has been a topic of increasing debate. With legalization of euthanasia in the states of Oregon and Washington and attempted reform in several other U.S. states and nations worldwide, it has become increasingly important to understand the roles and values of helping professionals who might be working with clients considering this option. The current study targeted 85 undergraduate students, 54 doctoral students in counseling psychology, and 53 doctoral-level professionals in psychology to assess both their personal values regarding euthanasia and their willingness to allow a client the autonomy to make a decision about euthanasia. Several factors were analyzed in regards to their relation to client autonomy and attitudes toward euthanasia, including age of client and sex of client. These variables were manipulated in vignettes to create four scenarios: a 24 year old male, 24 year old female, 80 year old male, 80 year old female. Other factors included level of education of the participant, spirituality and strength of religiosity of the participant, and personal experiences with deaths of friends or family members. Results indicated that more education was associated with greater support for euthanasia and that stronger religiosity and spirituality were related to less support for euthanasia. This study also found that participants did not exhibit differential levels of support based solely on the age or the sex of the client depicted in the vignette. Results further indicated that for doctoral students and professionals the loss of a loved one, regardless of cause of death, did not have a significant effect on their attitudes toward euthanasia. It is important for training programs to be aware of these findings in order to monitor trainees in terms of personal biases in the therapy relationship. With objectivity a high priority while working with clients, it is necessary to be aware of outside factors potentially influencing one's work with clients surrounding this value-laden issue.
ContributorsBevacqua, Frank (Author) / Robinson-Kurpius, Sharon (Thesis advisor) / Kinnier, Richard (Committee member) / Homer, Judy (Committee member) / Arizona State University (Publisher)
Created2011
Description
This study examined four research questions investigating relationships among the experience of trauma, identity development, distress, and positive change. There were 908 participants in the study, ranging in age from 18 to 24 which is known as the period of emerging adulthood. Participants completed an online survey regarding their exposure to trauma and reactions to these experiences. The first research question examined the experience of trauma for the sample. The second question examined group differences among the participant's identity status, gender, and posttraumatic stress disorder (PTSD) diagnostic status on the hypothesized variables. In general, comparisons among the four identity status groups found participants who experienced greater identity exploration (diffused and moratorium) experienced more distress, whereas the identity status groups that reported greater identity commitments (foreclosed and achieved) were associated with positive change. Similar findings were found for PTSD diagnostic status indicating more distress and identity exploration for participants with the diagnosis and more positive change and identity commitments for participants without the diagnosis. Female participants were found to experience more PTS symptoms, centrality of the trauma event, and positive growth than males. Examination of the relationships between trauma severity and posttraumatic growth revealed an inverted U-shaped relationship (quadratic) that was a significant improvement from the linear model. An S-shaped relationship (cubic) was found for the relationship between trauma exposure and posttraumatic growth. Regression analyses found the centrality of the trauma event to one's identity predicted identity distress above and beyond the experience of trauma. In addition, identity distress and the centrality of the trauma contributed to the variance for identity exploration, while only identity distress contributed to identity commitments. Finally, identity development significantly predicted positive change above and beyond, identity distress, centrality of the trauma event, and the experience of trauma. Collectively, these results found both distress and growth to be related to the experience of trauma. Distress within one's identity can contribute to difficulties in the psychosocial stage of identity development among emerging adults. However, the resolution of identity exploration towards commitments to goals, roles, and beliefs, can help trauma survivors experience resilience and growth after stressful experiences.
ContributorsWiley, Rachel (Author) / Robinson-Kurpius, Sharon (Thesis advisor) / Stamm, Jill (Committee member) / Kinnier, Richard (Committee member) / Arizona State University (Publisher)
Created2013
Description
The present study utilized longitudinal data from a high-risk community sample (n= 377; 166 trauma-exposed; 54% males; 52% children of alcoholics; 73% non-Hispanic/Latino Caucasian; 22% Hispanic/Latino; 5% other ethnicity) to test a series of hypotheses that may help explain the risk pathways that link traumatic stress, posttraumatic stress disorder (PTSD) symptomatology, and problematic alcohol and drug use. Specifically, this study examined whether pre-trauma substance use problems increase risk for trauma exposure (the high-risk hypothesis) or PTSD symptoms (the susceptibility hypothesis), whether PTSD symptoms increase risk for later alcohol/drug problems (the self-medication hypothesis), and whether the association between PTSD symptoms and alcohol/drug problems is due to shared risk factors (the shared vulnerability hypothesis). This study also examined the roles of gender and ethnicity in these pathways. A series of logistic and negative binomial regressions were performed in a path analysis framework. A composite pre-trauma family adversity variable was formed from measures of family conflict, family life stress, parental alcoholism, and other parent psychopathology. Results provided the strongest support for the self-medication hypothesis, such that PTSD symptoms predicted higher levels of later alcohol and drug problems among non-Hispanic/Latino Caucasian participants, over and above the influences of pre-trauma family adversity, pre-trauma substance use problems, trauma exposure, and demographic variables. Results partially supported the high-risk hypothesis, such that adolescent substance use problems had a marginally significant unique effect on risk for assaultive violence exposure but not on overall risk for trauma exposure. There was no support for the susceptibility hypothesis, as pre-trauma adolescent substance use problems did not significantly influence risk for PTSD diagnosis/symptoms over and above the influence of pre-trauma family adversity. Finally, there was little support for the shared vulnerability hypothesis. Neither trauma exposure nor preexisting family adversity accounted for the link between PTSD symptoms and later substance use problems. These results add to a growing body of literature in support of the self-medication hypothesis. Findings extend previous research by showing that PTSD symptoms may influence the development of alcohol and drug problems over and above the influence of trauma exposure itself, preexisting family risk factors, and baseline levels of substance use.
ContributorsHaller, Moira (Author) / Chassin, Laurie (Thesis advisor) / Davis, Mary (Committee member) / Pina, Armando (Committee member) / Tein, Jenn-Yun (Committee member) / Arizona State University (Publisher)
Created2014
Description
This study explored the motivation and persistence factors for non-professional athletes who decided after the age of 40 to begin training for an IRONMAN distance triathlon. The qualitative methodology of grounded theory (Strauss & Corbin, 1998) was used in conceptualizing and implementing the research. In-depth interviews were conducted with 10 individuals in the Southwest region of the United States. Data was coded in accordance with grounded theory methods. Motivation themes that emerged from the data centered around either initiating training for triathlon as an approach toward a specific goal or outcome, or beginning triathlon as a way to cope with personal difficulties. Obstacles to motivation also emerged, such as finances and time, injury, fear and doubt, and interpersonal difficulties. Persistence themes emerged that centered around either taking active steps to help continue training and relying on internal traits or characteristics to promote persistence. Data are discussed in terms of how these individuals adopt triathlon as a part of their lifestyle and identity, and how they come to persist in training beyond IRONMAN.
ContributorsLiddell, T. Michael (Author) / Claiborn, Charles (Thesis advisor) / Kinnier, Richard (Committee member) / Margolis, Eric (Committee member) / Arizona State University (Publisher)
Created2013
Description
In the present research, elements of the intra- (i.e., family dynamics) and extra-family (i.e., characteristics of parents' occupations) contexts were examined in a longitudinal design as associated, broadly, with individuals' mental health, relationship quality, and future orientations among Mexican American families with adolescent offspring in two separate studies. The first study reviewed the utility of applying dyadic data methods to the investigation of family processes, explored the strengths three different analytic approaches (i.e., the actor-partner interdependence model, a two-intercept model, and a difference model), and applied them to the study of marital relationships (N = 246 marital dyads). Results revealed that spouses' marital negativity was related to their own somatic symptoms, whereas, spouses' somatic symptoms were associated with both their own and their partners' marital negativity, with some variations by approach. This study suggested the three analytic approaches, though designed to answer slightly different questions, yielded a similar pattern of results with several important differences. The second study utilized a person-centered approach to identify family-level patterns of both mothers' and fathers' objective occupational characteristics (i.e., self-direction, hazardous conditions, physical activity), as well as the larger sociocultural context of these patterns (N = 160 dual-earner families). Results revealed three distinct occupational contexts: Differentiated High Physical Activity, Incongruent, and Congruent High Self-Direction. Results indicated that families in the Congruent High Self-Direction profile had the highest levels of youth career aspirations, whereas, educational aspirations were the highest among youth in both the Incongruent and Congruent High Self-Direction profiles. Youth-mother and -father conflict was highest in the Congruent High Self-Direction profile, and youth-father warmth was highest for families in the Differentiated High Physical Activity profile. This study suggested that Mexican American parents work in varied occupational contexts, and these contexts were differentially associated with family relationships and youth's orientations toward the future.
ContributorsWheeler, Lorey A (Author) / Updegraff, Kimberly A (Thesis advisor) / Umana-Taylor, Adriana (Committee member) / Christopher, Scott (Committee member) / Tein, Jenn-Yun (Committee member) / Arizona State University (Publisher)
Created2012
Description
Authenticity is a familiar concept in popular culture. Despite its popularity, few studies have empirically examined the construct of authenticity. In this study, the Authenticity Scale and Authenticity Inventory, two recently created scales measuring dispositional authenticity, were examined to determine how they compare to one another as well as how they related to theoretically relevant measures including well-being and career indecision. Results from 576 undergraduate students supported the factor structure of the Authenticity Scale, but empirical support for the Authenticity Inventory was not found. Findings indicated that the Authenticity Scale was strongly related to well-being and moderately correlated with career indecision. Small correlations between the Authenticity Scale and the Self-Concept Discrepancy Scale provided evidence that the constructs of authenticity and congruence are related but measure different things. The clinical and research implications of this study are explored and encourage a broader perspective in conceptualizing vocational concerns. The empirical support found for the Authenticity Scale advocates for its use in future research applications.
ContributorsWhite, Nathan (Author) / Tracey, Terence (Thesis advisor) / Kinnier, Richard (Committee member) / Thompson, Marilyn (Committee member) / Arizona State University (Publisher)
Created2011
Description
Mediation analysis is integral to psychology, investigating human behavior’s causal mechanisms. The diversity of explanations for human behavior has implications for the estimation and interpretation of statistical mediation models. Individuals can have similar observed outcomes while undergoing different causal processes or different observed outcomes while receiving the same treatment. Researchers can employ diverse strategies when studying individual differences in multiple mediation pathways, including individual fit measures and analysis of residuals. This dissertation investigates the use of individual residuals and fit measures to identify individual differences in multiple mediation pathways. More specifically, this study focuses on mediation model residuals in a heterogeneous population in which some people experience indirect effects through one mediator and others experience indirect effects through a different mediator. A simulation study investigates 162 conditions defined by effect size and sample size for three proposed methods: residual differences, delta z, and generalized Cook’s distance. Results indicate that analogs of Type 1 error rates are generally acceptable for the method of residual differences, but statistical power is limited. Likewise, neither delta z nor gCd could reliably distinguish between contrasts that had true effects and those that did not. The outcomes of this study reveal the potential for statistical measures of individual mediation. However, limitations related to unequal subpopulation variances, multiple dependent variables, the inherent relationship between direct effects and unestimated indirect effects, and minimal contrast effects require more research to develop a simple method that researchers can use on single data sets.
ContributorsSmyth, Heather Lynn (Author) / MacKinnon, David (Thesis advisor) / Tein, Jenn-Yun (Committee member) / McNeish, Daniel (Committee member) / Grimm, Kevin (Committee member) / Arizona State University (Publisher)
Created2022
Description
Concussion, or mild traumatic brain injury (mTBI), is a frequent cause of brain damage among youth and, therefore, represents a major public health problem. While most youth recover from concussion within 2 to 4 weeks, some concussed children and adolescents endure prolonged symptoms, along with mood disturbance sequelae for months. Few studies have assessed mood disturbance and concussion in pediatric populations. Additional research is necessary to understand pediatric concussion recovery and mood disturbance better, to guide early intervention efforts, and to improve pediatric concussion care. The purpose of this study was to examine how symptoms of mood disturbance (i.e., anxiety, depression, anger) and somatization relate to the odds of concussion recovery in male and female youth 12 to 17 years of age, who presented for neuropsychological evaluation after head injury. Significantly fewer females were deemed recovered at initial neuropsychological evaluation compared to males. Bivariate analyses of mood disturbance and somatization predictors revealed significant group differences in symptom burden between those determined recovered from concussion and those who had not recovered. Logistic regressions of each mood disturbance variable and somatization on concussion recovery suggested a modest decline in the odds of recovery as symptoms of mood disturbance or somatization increase. A multivariable logistic regression model of mood disturbance predictors, somatization, gender, and age was significant and explained over a quarter of the variance in concussion recovery; however, after a backward variable selection procedure, only depression and somatization symptoms were significant in the final model and accounted for a modest decline in the odds of concussion recovery at initial evaluation. Results replicate and extend research findings in pediatric concussion.
ContributorsBarros, Kathleen (Author) / Kinnier, Richard (Thesis advisor) / Kurpius, Sharon (Committee member) / Lavoie, Michael (Committee member) / Arizona State University (Publisher)
Created2021
Description
The purpose of this study was to examine the association between characteristics of the symptomatology change curve (i.e., initial symptomatology, rate of change, curvature) and final treatment outcome. The sample consisted of community clients (N = 492) seen by 204 student therapists at a training clinic. A multilevel approach to account for therapist effects was followed. Linear, quadratic, and cubic trajectories of anxiety and depression symptomatology, as assessed by the Shorter Psychotherapy and Counseling Evaluation (sPaCE; Halstead, Leach, & Rust, 2007), were estimated. The multilevel quadratic trajectory best fit the data and depicted a descending curve (partial “U”-shaped). The quadratic growth parameters (intercept, slope, quadratic) were then used as predictors of both symptom change and reliable improvement in general symptomatology (pre- to post-treatment), as assessed by the Outcome Questionnaire-45.2 (OQ-45.2; Lambert, Hansen, Umpress, Lunen, Okiishi et al., 1996). The quadratic growth parameters of depression and anxiety showed predictive power for both symptom change and reliable improvement in general symptomatology. Patterns for two different successful outcomes (1-change in general symptomatology and 2-reliable improvement) were identified. For symptom change, successful outcomes followed a pattern of low initial levels of depression and anxiety, high initial rates of change (slope), and high (flattening after initial drop) curvature, and the pattern applied to both within- and between-therapist levels. For reliable improvement at within-therapist level, successful outcomes followed a pattern of high initial rate of change (slope) and high curvature. For reliable improvement at between-therapist level, successful outcomes were associated with a pattern of low initial levels of depression and anxiety. Implications for clinical practice are discussed.
ContributorsJimenez Arista, Laura E (Author) / Tracey, Terence (Thesis advisor) / Kinnier, Richard (Committee member) / Bernstein, Bianca (Committee member) / Randall, Ashley K. (Committee member) / Levy, Roy (Committee member) / Arizona State University (Publisher)
Created2018
Description
Research has demonstrated that intimate partner violence (IPV) plays an important role in relationship satisfaction. Consistently, the research has indicated a negative association between the prevalence of IPV and relationship satisfaction (Cano & Vivian, 2003; Hotaling & Sugarman, 1990; Vivian & Langhrinrichsen-Rohling, 1994); however, more recent research has provided evidence of higher relationship satisfaction when IPV is present (Frieze, 2005; Hamby & Gray-Little, 2000; Williams & Frieze, 2005). There has been less emphasis placed on uncovering possible explanations for this inconsistency. Some researchers have suggested that victims find ways to rationalize their offender's behavior (Ackerman & Field, 2011), do not consider themselves victims of violence (Hamby & Gray-Little, 2000), or even fail to identify physical violence as IPV (Ferraro & Johnson, 1983) in order to maintain their desire to feel satisfied in their relationship. There is a need for additional research to understand why an individual might report higher relationship satisfaction when IPV is present in her/his intimate relationship and attempt to uncover underlying, contributing factors of IPV. This study sought understanding of the potential mediating role that idealization, the overly positive illusions of a partner or the intimate relationship (Murray, Holmes, & Griffin, 1996a; 1996b), may play on the association between IPV and relationship satisfaction. Additionally, gender was examined as a potential moderator between the predictor and outcome variables as IPV research has consistently documented the need for greater gender symmetry within this topic. One hundred and fifty-two adults (75 males and 77 females) who were currently involved in an intimate relationship (e.g., dating, engaged, married) or had been within the past 12-months completed a survey that assessed IPV, idealization, and relationship satisfaction. Three types of IPV were measured for the purposes of this study (i.e., psychological aggression, physical assault, and sexual coercion), and each was analyzed separately. Results indicated that idealization served as a mediating variable in the relationship between IPV and relationship satisfaction for all three types of IPV. Gender was not found to moderate the relationships for any of the three types of IPV and relationship satisfaction. Limitations, implications, and future research are discussed.
ContributorsKim, Charlene Sun (Author) / Robinson Kurpius, Sharon E (Thesis advisor) / Kinnier, Richard (Committee member) / Tracey, Terence J. G. (Committee member) / Arizona State University (Publisher)
Created2018