- Psychotherapy Techniques and Applications
- Suicide and Self-Harm Studies
- Child and Adolescent Psychosocial and Emotional Development
- Oral microbiology and periodontitis research
- Child Abuse and Trauma
- Personality Disorders and Psychopathology
- Oral and gingival health research
- Mental Health Treatment and Access
- Migration, Health and Trauma
- Counseling, Therapy, and Family Dynamics
- Dental Radiography and Imaging
- Academic and Historical Perspectives in Psychology
- Youth Substance Use and School Attendance
- Treatment of Major Depression
- Gun Ownership and Violence Research
- Social Work Education and Practice
- Endodontics and Root Canal Treatments
- Oral Health Pathology and Treatment
- Gender Roles and Identity Studies
- Youth Development and Social Support
- Counseling Practices and Supervision
- Early Childhood Education and Development
- Optimal Experimental Design Methods
- Obsessive-Compulsive Spectrum Disorders
- Mentoring and Academic Development
Fordham University
2014-2021
Johns Hopkins Medicine
2020
Johns Hopkins University
2020
Tufts University
2015
Boston University
2002-2015
Portland State University
2003-2011
Walker (United States)
2008
George Mason University
2008
Cytokinetics (United States)
2003
University of California, Berkeley
2000
<h3>Importance</h3> Police violence is reportedly widespread in the United States and may pose a significant risk to public mental health. <h3>Objective</h3> To examine association between 12-month exposure police concurrent health symptoms independent of trauma history, crime involvement, other forms interpersonal exposure. <h3>Design, Setting, Participants</h3> This cross-sectional, general population survey study 1221 eligible adults was conducted Baltimore, Maryland, New York City, York,...
Traditional masculinity is hypothesized to be associated with suicidal ideation, and traditional predicted interact stressors, intensifying ideation. Cross-sectional prospective data from a study of 2,431 young adults was analyzed using hierarchical regression main effects interaction models. second only in strength depression, including when controlling for other risk factors. Prospective were substantially weaker. There mixed evidence by stress interactions. The results provide preliminary...
In the United States, men die by suicide at 3.5 times rate of women. 1 One driver this gender disparity may be high traditional masculinity (HTM), a set norms that includes competitiveness, emotional restriction, and aggression. 2 Quantitative studies HTM are interrelated with discourse on hegemonic masculinity. 3Using norm-and trait-based measures, were found to have higher suicidal ideation (SI), 2,4 but our knowledge, association death has not been tested credible measure HTM.Add Health...
To evaluate the efficacy and effectiveness of Kognito At Risk for College Students, an online, interactive suicide prevention gatekeeper training.In Study 1, a randomized controlled trial was conducted to test Kognito. Retention participants at follow-up strong. In 2, administrative records were used follow help-seeking behavior trainees one academic year, contrasted with untrained students.In between-group changes in attitudes large time-two, but attenuated modestly by 2-month follow-up....
Children's causal attributions about childhood mental health problems were examined in a national sample for prevalence; relative stigmatization; variation by age, race and ethnicity, gender; self-report of diagnosis depression or attention-deficit hyperactivity disorder (ADHD).A 1,091 children randomly assigned to read vignettes peer with depression, ADHD, asthma respond an online survey. Causal social distance assessed, correlations examined. Logistic regression models each item tested...
The prevalence of childhood maltreatment and the magnitude association with internalizing mental health symptoms were examined in 398 incarcerated youth. abuse greatly exceeded general population rates. proportion variance accounted for by was small but developmentally significant. Sexual is a markedly stronger predictor problems youth than physical abuse. Consistent bio-psychological model trauma, dissociation at time sexual strongest nondemographic symptoms. Physical associated more...
A New Analytic ModelSuicide is one of the leading causes male mortality.In nearly every country in world, more males than females end their life by suicide.Previous research indicates male-specific risk factors include social such as being unmarried, low income, and unemployment.An analytic model suicide developed, proposing that traditional gender role creates a culturally-conditioned narrowing perceived options cognitive rigidity when under stress increases risk.Suicide prevention...
As part of an evaluation component a youth suicide prevention, quasi-experimental repeated measures design tested hypotheses about two brief prevention gatekeeper trainings (Question, Persuade, Refer [QPR] and RESPONSE) one longer intervention skills training (Applied Suicide Intervention Skills Training [ASIST]). All three showed large changes in attitudes self-efficacy, largely maintained at follow-up. ASIST trainees had increases asking at-risk Convergent with other research, modeling...
This study evaluated a consumer delivered anti-stigma presentation, In Our Own Voice (IOOV), with Masters of Social Work (MSW) students, replicating previous undergraduates.Thirty MSW students completed pre and post surveys to measure changes in attitude, knowledge social distance after the presentation.Paired samples t-tests showed increases attitude (p < .001), .05), .001). Compared research on undergraduate scored higher all three pre-test measures (all p .001).The results further support...
Abstract The relationship of the five-factor model personality to working alliance, symptoms and well-being was examined in a diverse community mental health sample (N = 103). Agreeableness, openness, extraversion conscientiousness were associated with alliance. Neuroticism strongly symptoms, negatively well-being. Extraversion moderately Personality is deserving further study as potentially important influence on therapy process outcome. Part much-replicated association alliance outcome may...
The treatment processes associated with reduced suicidal ideation have received little research attention. This study evaluates the influence on of theory-based intrapsychic processes: maladaptive cognition and defensive style. Thirty-three community mental health patients completed questionnaires at two time points. Decreases in automatic thoughts were a strong correlate decreased ideation, decreases immature defenses moderate strength correlate. These relationships remained significant...
Abstract The association of sexual abuse and witnessing traumatic incidents with mental health, behavioral problems, suicidality was examined in 74 teenage boys incarcerated Oregon. Sexual had strong effects on internalizing problems. Witnessing events more modest effects. Those both traumas showed markedly higher rates suicidality. remained when controlling for neighborhood decline family conflict, but the trauma became insignificant. These results are convergent other studies suggest is a...
We investigated whether male high school students displaying traditional masculinity (HTM), defined briefly as overacting roles, possessed distinctive social origins and adult lifestyle trajectories differentiating them from others.Based upon four survey waves of the National Longitudinal Study Adolescent to Adult Health cross-linked Death Index, we contrasted surveys 1 2 respondents reporting HTM, n = 3138, 31%, with remaining 69% (n 6849) on various sociodemographic characteristics,...
A five-factor personality inventory and other measures were administered to 39 clients 15 therapists. Global therapist-client similarity client neuroticism moderately strongly associated with lower symptoms. For female clients, global extraversion therapeutic alliance. These preliminary results warrant further investigation. If are replicated, intake matching may lead decreased premature terminations better outcomes in many kinds of psychosocial treatments.
Abstract Two patient‐level mechanisms of change, defenses, and cognition were tested over 3 time points in 65 depressed adults, approximately half receiving treatment. Early changes automatic thoughts immature defenses associated with symptom change from time‐one to time‐three. The directionality early thought predicting was partially supported, but defense occurs simultaneously with, or after, change. Given the convergent evidence cognitive as a mediator depression reduction, all therapies...
Background and Objective Hyperhidrosis (HH) is associated with impairments in quality of life (QOL) elevated anxiety. Microwave thermolysis a newer treatment that reduces sweating, yet effects on QOL emotional symptoms have not been examined. Two sessions are recommended to achieve 80% amelioration clinical HH. We hypothesized microwave would reduce sweat severity, improve QOL, anxiety young adults suffering from axillary HH prospective trial. Study Design/Materials Methods enrolled 24 (mean...
Abstract Emotional and behavior problems in rural adjudicated youth have received scant research attention. The association of risk protective factors with emotional behavioral were examined samples urban youth. Urban had higher levels personal peer risk. For both samples, family community strong factors. effects school variables on stronger for closer social ties communities provide effects. Programs that facilitate more supportive networks are consistent the results this study.
Summary Specialized child welfare MSW programs and stipend support for students have been developed in several states through the Federal Title IV-E program. Thirty-seven focus groups conducted over four years with approximately 550 California were submitted to qualitative thematic analysis. The intense emotional challenge of work emerged groups. A three stage cognitive-affective model student development is proposed. This exploratory study suggests hypotheses further research: that at more...
Objective: To test the original factor structure of Theoretical Evaluation Self Test (TEST) and to assess alternate structures. TEST includes major psychotherapy theories (cognitive-behavioral, family, humanistic, psychodynamic), ecosystemic pragmatic approaches, a cultural competency orientation. Method: Composing replication sample are 146 MSW students 32 practicing clinicians. Some analyses also include previously collected ( n = 130). Results: Five six subscales replicated by exploratory...
Abstract The therapeutic relationship rests on both an emotional bond with the therapist and a rational, “working” connection. Both dimensions of alliance have relevance for multicultural clinical work. There been many contributions to practice that emphasize either cognitive or levels alliance. This paper uses empirical studies papers synthesize rational perspectives Examples are drawn from literature, published case examples, author's own practice. Key Words: Therapeutic...
To examine the effects of patient-level mechanisms change postulated by cognitive-behavioral theory and psychodynamic theory, thirty-three patients in eclectic therapy completed questionnaires at two time points. Decreases automatic thoughts immature defenses were each associated with lower symptoms, correlated one another level a trend. The theorized patient are independently active therapy. Implications for research clinical practice discussed.