Thesis (Ph.D.)--Pacific Graduate School of Psychology, 2000. / Source: Dissertation Abstracts International, Volume: 61-09, Section: B, page: 5023. Adviser: Cynthia Rosengard.

Thesis (Ph.D.)--Pacific Graduate School of Psychology, 2001. / Source: Dissertation Abstracts International, Volume: 62-08, Section: B, page: 3808. Chairs: Amy M. Wisniewski; Roger L. Greene.

Thesis (Ph.D.)--Pacific Graduate School of Psychology, 2003. / Source: Dissertation Abstracts International, Volume: 64-02, Section: B, page: 0976. Adviser: Amy Wisniewski.

Thesis (Ph.D.)--Syracuse University, 2008. / "Publication number: AAT 3323072."

Thesis (Ph.D.)--Fairleigh Dickinson University, 1998. / Source: Dissertation Abstracts International, Volume: 58-06, Section: B, page: 3307. Chairperson: David Pogge.

Thesis (Ph.D.)--Fairleigh Dickinson University, 1999. / Source: Dissertation Abstracts International, Volume: 59-12, Section: B, page: 6487. Chair: Neil A. Massoth. Available also in print.

Thesis (Ph.D.)--Fairleigh Dickinson University, 2000. / Source: Dissertation Abstracts International, Volume: 61-02, Section: B, page: 1066. Chairperson: Christopher A. Capuano. Available also in print.

People who are mentally unwell and have committed a criminal offence are cared for by forensic mental health services. Their treatment is provided in secure hospitals so that any risks to the public are minimised. The complex nature of the mental health difficulties experienced by this clinical population means that they are typically treated in secure hospitals for several years, incurring high economic and personal costs. The need for meaningful approaches to treatment and management of these individuals is therefore paramount. The first paper systematically reviewed eighteen qualitative research papers that explored stakeholder perspectives on the personal recovery approach to care in forensic contexts. Principles of personal recovery were perceived to be meaningful and applicable in forensic contexts if adaptations were made to overcome inherent barriers such as restrictions due to risk management. Methodological quality of the reviewed studies was limited by shortcomings in the transparency of study procedures. The second paper explored the experiences of a significant subpopulation of forensic service users who were discharged to the community subject to conditions including ongoing monitoring, then recalled back to a secure hospital due to a relapse in their mental state or other indicators of increased risk. Using grounded theory, a theoretical model was developed of how these individuals make sense of being recalled. This was found to be a recursive process influenced by their perceptions of events before their recall, during the recall itself, and their subsequent experiences.

Gatekeeper Suicide Prevention Trainings such as Question Persuade and Refer (QPR) are used to increase suicide awareness and teach participants basic suicide intervention skills. Previous researchers showed that QPR training increases knowledge of suicide risk factors and increases participants' willingness to intervene with individuals at risk of suicide. It was hypothesized that completion of QPR would also increase positive attitudes toward the utilization of mental health services and that this outcome would be more pronounced among male participants. The examination of attitudes was rooted in the theoretical framework of Ajzen's theory of planned behavior. The Inventory of Attitudes toward Seeking Mental Health Services (IASMHS) was the instrument used for the study. The study occurred in a rural community college in southern Oregon. Student attitudes were assessed prior to completion of a 1-hour QPR presentation followed by a 3-week post assessment. Analysis of Variance revealed significant effects of QPR training. IASMHS scores were significantly higher at post QPR training. A significant interaction between gender and QPR training showed that women scored significantly higher than men only at pre QPR training. There was no statistical gender difference in attitudes measured by the IASMHS at post QPR training. QPR increased help seeking attitudes in both men and women with the increase being more pronounced in men. Increasing positive attitudes toward help seeking can contribute to positive social change. Practitioners in the field of men's health should consider using gatekeeper suicide prevention training such as QPR as a means of increasing male help seeking.

Le dispositif d’annonce du cancer est par essence un processus d’objectivation : il consiste en la création, préalable à la rencontre d’un patient, d’un environnement pensé avant le trauma de l’annonce du cancer, et adaptatif à la spécificité de chaque situation. Cependant, nous estimons que ce dispositif s’adresse au conscient et au préconscient du sujet mais que l’essentiel de ce qui advient dans le climat traumatique de l’annonce et l’angoisse qu’il génère se situe dans l’inconscient. L’angoisse, en tant qu’affect responsable putatif d'un auto-brisement de la parole rendrait impossible, selon nous, l’utilisation de la partie poïétique de l'inconscient (Tuchê). Dans une première partie de notre travail nous avons étudié les désordres de stress post-traumatique (névrose traumatique) et la qualité de vie en lien avec la santé chez les patients et chez l'autrui significatif faisant face à l'annonce d'un cancer du poumon. Les conclusions de cette étude quantitatives sont les suivantes : (i) Les désordres post-traumatiques succédant à l'annonce d'un cancer du poumon sont extrêmement élevés, (ii) le proche significatif est affecté de manière conséquente, (iii) ce sont essentiellement des réactions de stress de type ré-expériences intrusives (effraction psychologique) qui dominent et expliquent les valeurs élevées sur l’échelle d’Horowitz, telles qu’observées dans cette étude. [etc.] / The plan of action to announce cancer is in essence a process of objectivation: it consists in the creation, prior to the meeting with a patient, of a well thought-out environment, adaptable to the specificity of each case. Nevertheless, we consider that this plan of action is directed at the conscious and the preconscious of the subject, but also that the main part of what happens during the traumatic atmosphere of the announcement and the anguish it generates is to be situated in the inconscient. Anguish, as a presumed affect responsible for the self-break of the speech, would make it impossible, in our view, to use the poïetic part of the unconscious (Tuchê). In the first part of our work, we have studied the disorders of the post traumatic stress (traumatic neurosis), and the quality of life linked with health, for the patients and the significant others facing the announcement of a lung cancer. The conclusions of this quantitative study are as follows: (i) the numbers of post-traumatic disorders following the announcement are extremely high (ii) the near family is affected in a consequent way (iii) they are mainly responses of stress of the intrusive re-experience type (psychological breaking-in) which prevail, and account for the high values on the Horowitz's scale, as observed in this study. [etc.]