Thesis (Ph. D.)--University of Washington, 2002. / Vita. Includes bibliographical references (leaves 83-93).

<p> This 3-month intensive single case study of Rey (pseudonym), a 16-year-old male client and his family highlights the impact of the local wraparound program in Santa Cruz County (WRAP) on a participating probation youth of immigrant background. A holistic lens helped understand the interactive spheres that made up Rey's world. The theoretical considerations reviewed&mdash;both individual and systems orientations&mdash;suggested a more complete view of the complex interrelated factors that made up the participant's reality. The literature review covered social ecology; community psychology; wraparound; the local cultural, historical, and ethnographical background; attachment; complex trauma; emotion regulation; interconnectedness; family therapy; and coherence. There is a session-by-session synopsis of Rey's interactions with the program, followed by an analysis of the sessions as they related to his defense, receiving support, connectedness, participation, exploration, and emotion regulation. The holistic model offered detailed insight into Rey's experiences during his work with WRAP. Although the results are individualized, the focus on the single participant allowed for sensitization and increased awareness regarding WRAP's impact on Rey's world. The use of the holistic model and the themes that emerged should be examined in further research with different populations and diverse sociocultural surroundings.</p>

<p> The effects of a six-week mindfulness class on racial stereotype bias, attention, and working memory was measured by the Implicit Association Test (IAT), Attention Network Task (ANT), and Automated Operation Span Task, respectively. Explicit racism (Modern Racism Scale, Right-Wing Authoritarianism, Social Dominance Orientation), mindfulness (Five-Facet Mindfulness Questionnaire), depression, anxiety, and stress (Depression, Anxiety, and Stress Scale) were also examined. Sixty traditional-aged undergraduate women participated in this study (20 completed the mindfulness course and the remaining completed a non-MBSR physical education course). The results revealed that training was not associated with decreased racial stereotype bias on the IAT. Training was associated with increased performance in attention-switching on the ANT. In both groups, explicit racism and working memory predicted racial bias at time 1, and explicit racism predicted change in racial bias between times 1 and 2. Unexpectedly, increase in mindfulness (FFMQ) approached prediction of an increase in racial bias across both groups. In summary, the findings contradict the hypothesis that participation in a six-week mindfulness course will reduce stereotype application and activation.</p>

<p> Separate theories of leadership roles and parenting styles have been richly developed and explored, but the relationship between the two is an area in need of further research. The various skills garnered through leadership experience can be instrumental for parents in managing and resolving family conflict, thereby increasing family resiliency. The willingness to address conflict directly versus the avoidance of conflict has been summarized into specific patterns that all groups, including families, progress through; however, the degree to which parents initiate reconciliatory actions needs further detailed analysis. Additionally, insight on the importance of parents modeling positive coping strategies will be derived through proper conflict management as a learned adaptive behavior for children. The intent of this grounded theory qualitative study was to explore potential overlap between leadership roles and parenting styles, and how the use of constructive conflict management strategies develops family resiliency. Through the use of semi-structured interviews, this overlap between leadership, parenting, and conflict management was analyzed. Each participant provided a response to open-ended questions regarding their leadership experience, role as a leader in their family, and their perception of family conflict. Next they described how they would respond to hypothetical scenarios incorporating various degrees and approaches to conflict. All the responses were coded and analyzed for themes that resulted in a new theory on family resiliency based on parents' use of minor levels of conflict to teach children the life skills necessary to cope with greater confrontational situations, such as crises or potentially traumatic events. </p>

<p> Past research has shown that entrainment facilitates social bonding in intimates and strangers. The current study investigated if synchronicity in romantic couples is disrupted by relationship discord. Rocking chair movements were used as an objective measure of synchronicity. Couples rocked together for 3 minutes to assess their baseline synchronicity, and again for 3 minutes after inducing a threat to the relationship in one member of each couple. It was hypothesized that satisfied couples would be more entrained than dissatisfied couples at baseline, as well as after inducing a relationship threat. Results indicated no significant difference in rocking between satisfied and dissatisfied couples at baseline. However, results supported that synchronicity was significantly disrupted in dissatisfied couples, but not satisfied couples, after the threat was induced. These results suggest that relationship satisfaction acts as a buffer to relationship threats and/or that satisfied couples are more likely to remain entrained even in the face of hardship.</p>

<p> Mental health stigma, while common, leads to harmful consequences. There is some evidence to show that education reduces stigma. The reduction, however, is short term and only observed in those who are relatively open and flexible with their beliefs. Emerging research suggests that variables such as empathy, perspective taking, and psychological flexibility may be key processes in stigma reduction. Relational Frame Theory (RFT) provides a framework for understanding the development of stigma, the role of inflexibility in maintenance of stigma, and how education that targets flexibility might facilitate reduction in stigma. Applications of RFT have resulted in the development of the Implicit Relational Assessment Procedure, a tool that can be applied for assessment of not only implicit stigmatizing attitudes, but also the flexibility with which they are held. The current study examined the impact of divergent educational experiences on mental health stigma using college students with various levels of formal education relevant to psychological difficulties both implicitly with self-report measures and explicitly with the IRAP. Also examined were empathy and psychological flexibility as moderators of the relationship between education and stigma. Data suggest that mental health bias is a function of education, but that didactic and experiential education may have differential effects. Increases in education and empathy factors were associated with reduced stigma measured explicitly; however, these variables did not correlate with the measure of implicit stigma. Additionally, when empathy moderated the relationship between education and implicit stigma, high levels of empathy were associated with increases in implicit stigma. Inconsistencies in results from implicit and explicit measures indicate a clear need for continued research in this area to more fully understand mental health stigma and to develop reduction interventions. </p>

<p> Psychological struggle seems to be an inherent part of the human experience. Unfortunately, the public attitude towards the obese focuses more on negative stereotypes (e.g., undisciplined, ugly, stupid, and lazy) than on the underlying psychological components that lie at the heart of the struggle. Negative stereotypes like these have an affect upon the way the obese think about themselves and may lead to self-stigmatization, which in turn may interfere with a person's attempt to gain control of their health and emotional well-being when eating is used to relieve the associated distress. Many people who struggle with their weight are found to be very rigid in their thought processes regarding food. Perhaps it is not the content of food and body-related cognitions that is important, but the inflexibility with which they are held.</p><p> The current study will investigate the relationships among avoidant eating behavior, perceived stigmatization, self-stigmatization, and psychological flexibility. Participants will be recruited from a population of obese individuals who are seeking help at a bariatric clinic, and from Facebook. Participants will initially complete a packet of questionnaires on psychological flexibility, perceived stigmatization, self-stigmatization, and eating behavior online. Then for seven days they will receive four text messages a day for seven days, three of which will provide them with a link to the Periodic Assessment of Stigmatizing Experiences, and one text message providing a link to the Daily Eating Survey. It is hypothesized that 1) Perceived stigmatizing experiences (i.e., a fear of enacted stigma from society) will predict disordered eating 2) Weight- and food-related psychological inflexibility will moderate the relationship between perceived stigmatizing experiences and disordered eating 3) Self-stigma (i.e., self-devaluation due to perceived stigmatization from society) will moderate the relationship between perceived stigmatizing experiences and disordered eating 4) Psychological inflexibility will predict increased perceived self-stigma.</p>

<p> Trauma is a social justice issue by which many of its sufferers historically have remained mystified in a web of misdiagnosis, the most notorious being <i> hysteria.</i> Today, individuals suffering from attachment disorders, anxiety, and depression and the victims of violence, addiction, emotional abuse, and physical abuse often have overlapping symptoms roughly mirroring trauma response symptomatology. These individuals comprise the bulk of those seeking relief from the healing professions, yet the <i>DSM-V </i> has but one diagnosis for trauma: posttraumatic stress syndrome. Recent advances in neuroscience have converged with observations from the field of psychology to confirm the need for a more complex trauma diagnosis. It is time to bring trauma out of the lab and into the streets. Using artistic-creative methodologies, this production thesis channels the expanding body of trauma research into comic strips designed to stimulate social dialogue about the existence of trauma response symptoms in our communities.</p>

<p> Prior research has identified a variety of common correlates between food security and depression but oftentimes the data used in these analyses are not representative of the US or do not consider multiple categorical levels of the focal variables. Using data from the 2009-2010 National Health and Nutrition Examination (NHANES), this study sought to examine the relationship between four levels of food security - full, marginal, low and very low - and depression. The findings indicate low and very low food security are significantly related to an increased risk of depression, while marginal food security is not significantly different from full food security. Inclusion of interaction effects between food security and gender as well as food security and having a child/children were not found to be a significant improvement to the model.</p>

<p> This dissertation is a phenomenological analysis of the lived experiences of adult daughters who perceive their mothers to have struggled with a mental illness throughout their childhood, adolescence, or even into adulthood. An extensive review of the literature showed a noticeable dearth in the existing literature regarding the lived experiences of adult daughters who experienced maternal mental illness first-hand. Qualitative face-to-face interviews were conducted with eight female participants in an effort to obtain a more comprehensive understanding of their retrospective account of living with a mother who is mentally ill. Of particular interest was creating a space for the women to re-tell their stories and to identify ways in which their own relationship with their mothers has had a trans-generational effect on the relationship and parenting styles with their own children. Several thematic patterns were obtained from the interviews including parentification (mothering the mother), minimization of the mother's mental illness, and feelings of anger, sadness, embarrassment that came up as the daughters dealt with the impact of maternal psychopathology. The stories told by these women will hopefully contribute to the existing literature on attachment, maternal mental illness, and the subsequent impact on parenting practices.</p>