<p> Large-scale crises continue to surprise, overwhelm, and shatter college and university campuses. While the devastation to physical plants and persons is often evident and is addressed with crisis management plans, the number of emotional casualties left in the wake of these large-scale crises may not be apparent and are often not addressed with mental health preparedness plans. As a result, there is a growing sentiment that campuses should investigate and document detailed mental health preparedness plans that would address the readiness of their institutions to meet the mental health needs of their faculty, students, and staff should a large-scale crisis impact their campus. In addition, it has been recognized that an instrument is needed to help colleges and universities assess the mental health preparedness of their campuses. Utilizing a Delphi methodology, this four round Delphi study (with 34 experts from 17 states with combined expertise in mental health and higher education) adapted the <i>Mental Health All-Hazards Disaster Planning Guidance</i> (2003), written for state and local mental health agencies, to create a mental health preparedness plan for college and university campuses should a large-scale crisis occur. Utilizing the aforementioned mental health preparedness plan, this study also created an instrument, identified as a numeric scorecard, to help colleges and universities assess the mental health preparedness of their campuses should a large-scale crisis occur on their campus.</p>

<p> Obesity has recently become a worldwide epidemic, with 75% of American adults overweight and 33% classified as obese (World Health Organization, 2005). The rise in obesity has brought a similarly marked focus on weight loss. While weight loss is often achievable, prior medical research has shown maintaining weight loss to be the largest hurdle, with roughly 95% of individuals regaining back the weight loss within a 5 year period (Berry &amp; Canetti, 2009). Despite this, relatively little research has been conducted investigating the psychological and relational characteristics of individuals that successfully maintain major weight loss, and the impact drastic weight loss has on relationships, family systems and romantic relationships. Consequently, systems therapists wishing to support an individual and their families throughout the weight loss process are left without empirical or theoretical guidance. The purpose of this study was to contribute to the development of a theory of drastic weight loss maintenance that explains identity and relationships changes that unfold before, during and after weight loss within successful weight loss maintainers. Unstructured, open-ended qualitative interviews were conducted with five former contestants of NBC's television program <i>The Biggest Loser.</i> Overall, weight loss experiences fell into two broad categories of personal narrative/identity and systemic/relationship themes. Narrative therapy's concept of personal narratives was used to classify narrative/identity themes as the dominant themes and beliefs within a personal narrative. Systemic/relationship themes included themes in intergenerational backgrounds, family systems and relationships. Themes amongst those participants who were successful at weight maintenance were also compared to participants who were struggling to maintain their weight loss results. A sequential model outlining how narrative/identity themes and systemic/relationship themes combine in order to create successful long-term weight maintenance after drastic weight loss is proposed. Clinical and research implications for couple, family and individual psychotherapy are also discussed.</p>

<p> The purpose of this study was to identity how events perceived as traumatic or very difficult to handle, factors of emotional distress, and demographics may predict nonmedical use of prescription drugs (NMPD) among traditional undergraduate college students. This secondary analysis utilized data from the National College Health Assessment II (NCHA II) from the Fall 2010 for the primary analysis. Data from the Fall 2008 and 2009 semester were subsequently analyzed to validate results over time. Sequential logistic regression was used to determine NMPD; first evaluating events perceived as traumatic, then including factors of emotional distress, and finally adding demographics of race and ethnicity, gender, Greek affiliation, and year-in-school. Fifth year (58&ndash;103%), 4^th year (46&ndash;67%), 3^rd year (43&ndash;60%), Greek affiliation (35&ndash;55%), feeling suicidal (27&ndash;49%), difficulties with intimate relationships (22&ndash;46%), males (28&ndash;39%), sleep difficulties (14&ndash;37%), feeling angry (29&ndash;35%), death of a family member or friend (13&ndash;29%), 2^nd year (25&ndash;28%), feeling anxious (18&ndash;27%), and difficulties with finances (16&ndash;24%) were significantly more likely to predict NMPD during Fall 2008&ndash;2010 semesters. Conversely, Asians or Pacific Islanders (70&ndash;79%) and Blacks or African Americans (19&ndash;40%) were significantly less likely to use prescription drugs nonmedically over the same time period. While statistically significant, the model lacked increase of strength as variables were added to the regression equation. Regardless, college counselors, health professionals, and administrators should target support and interventions to assist students struggling with trauma, emotional distress, and the misuse of prescription drugs.</p>

<p> Unrequited love is a form of love in which a person&rsquo;s feelings of romantic love toward another are not reciprocated. This thesis is an exploration of unrequited love from a depth psychological perspective, taking into account the powerful yet mysterious influence of the archetypes of the collective unconscious on this common human experience. Utilizing a hermeneutic methodology to amplify theories from both psychology and mythology, the author seeks to provide a road map for understanding how and why unrequited love can be used as a means of initiating the process of individuation. Readings of the literature serve to provide a solid foundation for understanding depth psychological concepts and to articulate the difference between the two sides of unrequited love. The author uses the protagonist from the film <i> Angus</i> to exemplify the way in which the projection of unconscious archetypes can eventually lead one toward a balance of psyche and self-knowledge. </p>

<p> Attachment theory has been applied in examining an individual's relationship with God through various research studies. Few research studies, however, have examined a romantic couples' relationship with God and each other as part of a family system. The purpose of this constructivist grounded theory study was to develop a deeper understanding of the relational system of married couples and God. I interviewed nine marital couples from multiple Christian denominations that reported having a strong relationship with each other and a strong relationship with God together. The interviews were transcribed and analyzed using constructivist grounded theory techniques presented by Charmaz (2006). I analyzed emergent categories of behaviors, emotions, and cognitions to construct a theory and model of marital couples and their shared relationship with God. I compared and contrasted the results and theory to existing literature on attachment theory as well as theology on kinship covenant to demonstrate a shared attachment to God that reflects a covenant attachment system. Finally, I discuss clinical, pastoral and future research implications. </p>

<p> This study describes police officers&rsquo; perspectives of Crisis Intervention Team (CIT) training. Ethnographic interviews were used to gather data, and Transformational Learning Theory guided this study. Implications of CIT training indicate that CIT officers are a part of a subculture within police culture, and respond differently to mental health calls differently than their non-CIT counterparts. Outcomes of these different response styles include decreased criminalization, decreased injury to officers/consumers, decreased use of force, and increased confidence in responding to mental health calls for officers who are CIT trained. Implications of this study are discussed in relation to sustainability of partnerships between law enforcement officers and mental health professionals.</p>

<p>Relationship quality has been determined to be a positive factor in the treatment of depression (Brown, 2000; Fagan, 2009). Although the importance of marriage has been broadly studied, little research has investigated correlations among relationship quality, depressive moods, and attachment styles. Although the prevalence of depressive moods has been documented within populations of Taiwanese/Chinese international students and American college students (Wei et al., 2007), Wang and Mallinckrodt (2006) found that definitions of ideal attachment differ in these groups. Furthermore, researchers have not yet investigated the effect of cultural differences and attachment styles on the interactions between relationship quality and depressive moods among Taiwanese and Chinese international students. </p><p> Two-group and four-group comparison (Macready, 2005) methods were applied to answer the following questions: 1) Is there a significant difference between quality of romantic relationships or levels of depressive moods of American college students with anxious or avoidant attachment style and Taiwanese or Chinese college students studying in America with anxious or avoidant attachment style? 2) How does the effect differ between the two groups? A multivariate analysis of variance (MANOVA) was conducted to determine the effect on the linear combination of relationship quality and levels of depressive moods between the American students and Taiwanese/Chinese international students with different attachment categories (secure, preoccupied, dismissive, and fearful). Four follow-up analyses of variance (ANOVAs) were conducted to determine statistical significant differences in levels of depressive moods or relationship quality among Taiwanese/Chinese international students with different attachment categories. </p>

<p> The present study examined the influence of attachment style, social support, and family resiliency on levels of stress, depression, and anxiety in parents who have children with autism. The study concentrated on investigating the impact of attachment anxiety, attachment avoidance, social support from family and friends, and family resiliency on stress, depression, and anxiety in parents who have children with autism. One hundred and eighty-nine participants, who were parents of children with autism and belonged to various local and national parent support organizations, filled out an online survey provided to them via email, newsletter, or group forum. Results showed that attachment avoidance, social support from friends, and family resiliency are significant predictors of stress. Furthermore, attachment anxiety, attachment avoidance, and family resiliency were indicated as being significant predictors of anxiety and depression. The findings from this study suggest that attachment style, family resiliency, and social support outside the family are important factors to consider in the psychological well-being of parents who have children with autism.</p>

<p> Through the use of artistic-creative methodology and alchemical hermeneutic exploration, this production thesis examines the creation of images and the process of dialoguing with them as a therapeutic tool, helping to heal and empower female trauma survivors. By acknowledging and interacting with images from the unconscious, one may begin to reintegrate split or dissociated parts of the Self, ultimately leading to the reunification of psyche. Drawing upon the theories of Jung, depth psychology, and expressive arts therapy, the author presents her personal journey toward healing, selfexpression, and empowerment, which involves active imagination and dialogues with created images. The production, two original paintings, illustrates the process of accessing the unconscious through interaction with images as a way of making meaning and healing from trauma, splitting, and dissociation. Using these ideas, mental health clinicians can gain an additional modality for the successful treatment of trauma survivors. </p>

<p> The aim of this study was to contribute to the literature on the relationship between client pretreatment expectations and psychotherapy attendance. It investigated the construct validity of the Milwaukee Psychotherapy Expectancy Questionnaire - Brief (MPEQ-B; Marsden, 2014) and the value of Therapeutic Relationship Expectations and Change Expectations as predictors of intake attendance and the number of therapy sessions attended. Adult clients (n = 102) calling to schedule an intake appointment at a local community mental health center completed a survey of pre-treatment expectations (MPEQ-B) and psychological distress (Outcome Rating Scale, Miller &amp; Duncan, 2000). Other variables (e.g., wait-time, previous therapy experience, number of sessions attended, and demographic variables) were collected from the clients' electronic medical record (EMR). Confirmatory factor analysis of the MPEQ-B supported a two-factor model, which was consistent with previous research (Marsden, 2013; 2014). Logistic regression revealed that client Change Expectations was the only variable to uniquely predict intake attendance. Pre-therapy attrition was more likely for clients with higher ratings of Change Expectations. Multiple regression results indicated that only previous therapy attendance was a statistically significant predictor of number of sessions attended. Overall, these findings advance the literature on client expectations as a multidimensional common factor related to client therapy attendance (intake session and total number of sessions attended). These results also highlight the need for programmatic research using the Milwaukee Psychotherapy Expectancy Questionnaire (MPEQ; Norberg, Wetterneck, Sass, &amp; Kanter, 2011) and MPEQ-B, as well as measures of other types of client expectations, to better understand the influence of client expectations on a range of clinical variables.</p>