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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

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
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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

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
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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

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
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Description
Psychogenic non-epileptic seizures (PNES), is a conversion disorder thought to be linked to unresolved emotional distress. While some studies suggest that PNES patients do not attribute their somatic symptoms to severe psychological experiences (Stone, Binzer, & Sharpe, 2004; LaFrance & Barry, 2005), it is unclear what PNES patients do think

Psychogenic non-epileptic seizures (PNES), is a conversion disorder thought to be linked to unresolved emotional distress. While some studies suggest that PNES patients do not attribute their somatic symptoms to severe psychological experiences (Stone, Binzer, & Sharpe, 2004; LaFrance & Barry, 2005), it is unclear what PNES patients do think causes their seizures, and the psychological consequences of those attributions. The aim of the present study was to investigate PNES patients' attributions for their seizures, and to determine how these attributions relate to stress and emotion regulation. It was hypothesized that participants who attribute their seizures to something (i.e., have an explanation for their seizures) will have lower perceived stress and less difficulty with emotion regulation than those who are unsure of the cause of their seizures. Twenty-four PNES participants completed a questionnaire assessing seizure diagnosis, characteristics of seizure impact, perceived stress, psychological symptoms, emotion regulation, attributions for seizures, and coping resources. Contrary to the hypothesis, having an explanation for seizures, rather than being “unsure” of seizure cause, was related to greater perceived stress. While it would seem that attributing unpredictable seizure events to a cause would lower perceived stress and emotion regulation difficulty, this study indicates that an attribution to an unknown cause may be more beneficial for the individual.
ContributorsBarker, Mallory (Author) / Roberts, Nicole A. (Thesis advisor) / Miller, Paul A. (Committee member) / Burleson, Mary H (Committee member) / Arizona State University (Publisher)
Created2012
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The present study examined daily survey data collected from married couples over the course roughly 14 days. I investigated the relationships of the morning quality ratings of three distinct spousal interactions conversation (physical affection, and sexual activity) reported in mornings on later-day positive and negative affect, as well as next-day

The present study examined daily survey data collected from married couples over the course roughly 14 days. I investigated the relationships of the morning quality ratings of three distinct spousal interactions conversation (physical affection, and sexual activity) reported in mornings on later-day positive and negative affect, as well as next-day intensity of negative somatic symptoms (e.g. headaches, dizziness, aches and pains). Hierarchical linear modeling was used to estimate path models for both husbands and wives. Direct and indirect effects were observed. Results showed that quality of conversation and physical affection increased later-day positive mood for both husbands and wives; however, positive quality activity increased later-day positive affect for wives only. Quality of sexual activity decreased later-day negative affect for wives only. Less later-day negative affect decreased next-day intensity of symptoms for both husbands and wives. Lastly, quality of sexual activity decreased later-day negative affect, which decreased next-day somatic symptoms for wives. This was the only significant indirect effect. Implications are that high marital quality is important for maintaining psychological health for both spouses, and physical health, particularly for wives.
ContributorsVincelette, Tara (Author) / Burleson, Mary H (Thesis advisor) / Roberts, Nicole A. (Committee member) / Schweitzer, Nicholas J (Committee member) / Arizona State University (Publisher)
Created2012
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The purpose of this paper is to review the literature on interventions for children with conduct disorder. Conduct disorder mainly effects children and adolescents, and is characterized as a pattern of persistent (sometimes anti-social) behavior in which an individual violates the basic rights of others or disregards societal norms and

The purpose of this paper is to review the literature on interventions for children with conduct disorder. Conduct disorder mainly effects children and adolescents, and is characterized as a pattern of persistent (sometimes anti-social) behavior in which an individual violates the basic rights of others or disregards societal norms and rules. If left untreated, conduct disorder can be a precursor to more severe behavioral problems and consequences, including juvenile delinquency and unlawful behavior as an adult. The interventions reviewed in this paper include cognitive-behavioral therapy (CBT), supportive counseling, experiential therapy, multisystemic therapy (MST), parent management training (PMT), military school, scared-straight programs and boot camps, and medication. Based on empirical data and recommendations from experts in the field, I conclude with suggestions for parents on how best to help their children diagnosed with conduct disorder.
ContributorsHalpern, Victoria Jeanne Nicole (Author) / Kinnier, Richard (Thesis director) / Franklin, Timothy (Committee member) / Department of Psychology (Contributor) / Barrett, The Honors College (Contributor)
Created2016-05
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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

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
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Description
Prior studies have demonstrated the positive impact of touch on both individualand relational well-being. In contrast, a history of trauma is associated with reductions in well-being. Post-traumatic stress disorder caused by prior interpersonal trauma (IPT) may cause individuals to avoid interpersonal touch, which may lead to many negative outcomes. Additionally, prior studies found

Prior studies have demonstrated the positive impact of touch on both individualand relational well-being. In contrast, a history of trauma is associated with reductions in well-being. Post-traumatic stress disorder caused by prior interpersonal trauma (IPT) may cause individuals to avoid interpersonal touch, which may lead to many negative outcomes. Additionally, prior studies found that experiencing more post-traumatic stress symptoms (PTSS) is linked with worse romantic relationship quality. Accordingly, higher PTSS may be a pathway through which more IPT leads to fewer touch behaviors, more touch aversion, and worse relationship quality. Participants were 543 English-speaking females (64.8% White; mean age 30.3 years) recruited through online survey systems Sona and Prolific. The following measures were used: Cumulative Stress and Trauma Scale (IPT); Brennan Touch Scale (touch aversion); the PTSD Checklist for DSM-5 (PTSS); CSE Scale for Trauma (CSET); Emotion Regulation Questionnaire (expressive suppression); and Perceived Relationship Quality Component Index (relationship quality). Mediation and moderated mediation models were analyzed using the PROCESS macro v.3.4 in SPSS v. 27. The major hypotheses were that 1) more IPT would lead to fewer touch behaviors, greater touch aversion, and worse relationship quality through its links to greater PTSS; and 2) the pathways between PTSS and the outcome variables would be moderated by expressive suppression (strengthening the association) and trauma coping self-efficacy (weakening the association). The results showed that the overall associations between IPT and touch behaviors and between IPT and relationship quality were not significant, but the indirect links via PTSS were significant. The association between IPT and touch aversion was significant, but the addition of PTSS as a mediator made that association nonsignificant. When moderators were added, there were mixed outcomes. The moderation term for CSET on the PTSS to touch behaviors pathway was significant. Because touch is important for healthy relationships, therapies should focus on reducing touch aversion for people with a history of IPT and high PTSS. Furthermore, therapy focusing on improving CSET and reducing expressive suppression may help increase touch behaviors, reduce touch aversion, and improve relationship quality in individuals with IPT.
ContributorsMunson, Aubrie A (Author) / Burleson, Mary H (Thesis advisor) / Roberts, Nicole A (Committee member) / Hall, Deborah L (Committee member) / Arizona State University (Publisher)
Created2022
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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.

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
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Individuals with psychogenic non-epileptic seizures (PNES) show signs of emotion-related dysfunction and disrupted interpersonal relationships. Affectionate touch is an important form of non-verbal communication in relationships that may foster emotion regulation and emotional awareness. The present online survey study included 62 individuals with PNES and 80 seizure-free trauma-exposed controls high

Individuals with psychogenic non-epileptic seizures (PNES) show signs of emotion-related dysfunction and disrupted interpersonal relationships. Affectionate touch is an important form of non-verbal communication in relationships that may foster emotion regulation and emotional awareness. The present online survey study included 62 individuals with PNES and 80 seizure-free trauma-exposed controls high (n=40) or low (n=40) in overall symptoms of psychopathology. As hypothesized, PNES individuals reported experiencing less frequent affectionate touch and less interoceptive awareness than either control group. They also reported more somatic symptoms, more emotion regulation difficulties, and less positive emotion than the low psychopathology group. Unexpectedly, there were no group differences in emotional awareness difficulties, nor in initiation of affectionate touch. Across participants, lower interoceptive awareness was associated with lower affectionate touch frequency, indicating that if one has difficulty understanding and being aware of their own body, affectionate touch sensations may not necessarily be understood as pleasant and may be minimized or avoided. Emotional awareness difficulties surprisingly were associated with greater affectionate touch frequency among PNES (versus the expected pattern of awareness difficulties associated with less affectionate touch, as found among controls), suggesting affectionate touch may be used as an attempt to try and understand one’s own feelings, or to compensate for, or even mask a lack of understanding. Findings indicate a distinct difference in physical affection frequency and interoceptive awareness among PNES individuals even when matched to a group similar in psychiatric distress/psychopathology. These findings offer insight into the relationships between interoceptive awareness, affectionate touch, and emotion regulation more broadly.
ContributorsVillarreal, Lucia (Author) / Roberts, Nicole A (Thesis advisor) / Burleson, Mary H (Committee member) / Duran, Nicholas (Committee member) / Arizona State University (Publisher)
Created2021