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Performance-Based Assessment of Oral Dependency within a Forensic Inpatient Mental Health Population

Walsh, Sean
http://rave.ohiolink.edu/etdc/view?acc_num=toledo1480456507489641

Abstract Details

2016, Doctor of Philosophy, University of Toledo, Psychology - Clinical.
The impact of interpersonal dependency can be easily overlooked in clinical and forensic populations despite significant associations with elevated risk for physical illness, suicidality, and functional impairment (Bornstein, 2012). While many measures of interpersonal dependency have been developed and validated across a wide range of clinical populations, there has been minimal research regarding measures appropriate for forensic inpatient mental health populations. The Oral Dependency Language (ODL) scale from the Rorschach Performance Assessment System (R-PAS; Meyer, Viglione, Mihura, Erard, & Erdberg, 2011) is a widely used and validated performance-based measure of interpersonal dependency, but only one published study has used this scale in a forensic population. The present investigation evaluates how dependency needs might manifest within a forensic inpatient mental health population by comparing ODL scores from 88 patients admitted to a maximum security forensic psychiatric facility with ratings of uncooperativeness and passive social withdrawal from the Positive and Negative Syndrome Scale (PANSS; Kay, Fiszbein, & Opler, 1987), a clinician-rated measure of symptoms associated with schizophrenia.Significant negative correlations between ODL scores and the uncooperativeness and passive social withdrawal PANSS items were anticipated but not found. Second, this study also attempted to replicate past research showing a relationship between dependency and physical illness (Bornstein, 1998), with significant positive correlations being expected but not found. Finally, analyses attempted to (a) replicate past research identifying elevated levels of dependency in non-violent pedophiles and sexual homicide perpetrators and (b) extend this research by looking at the relationship between dependency and instant offenses that capture manifestations of orality. Significant positive correlations were hypothesized for both of these analyses but were not found. Lack of construct fit with PANSS variables, method of measurement for assessing dependency, the influence of psychosis on instant offenses, and unique manifestations of dependency in a forensic inpatient mental health population with patients experiencing psychosis are discussed as possible reasons for the lack of significant results for the current study.
Joni Mihura, Ph.D. (Committee Chair)
Gregory Meyer, Ph.D. (Committee Member)
Wesley Bullock, Ph.D. (Committee Member)
Jason Rose, Ph.D. (Committee Member)
Nicole Kletzka, Ph.D. (Committee Member)
153 p.
Clinical Psychology; Psychological Tests; Psychology
Dependency, Rorschach, R-PAS, Schizophrenia, PANSS, Forensic, Assessment

Recommended Citations

Citations

  • Walsh, S. (2016). Performance-Based Assessment of Oral Dependency within a Forensic Inpatient Mental Health Population [Doctoral dissertation, University of Toledo]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=toledo1480456507489641

    APA Style (7th edition)

  • Walsh, Sean. Performance-Based Assessment of Oral Dependency within a Forensic Inpatient Mental Health Population. 2016. University of Toledo, Doctoral dissertation. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=toledo1480456507489641.

    MLA Style (8th edition)

  • Walsh, Sean. "Performance-Based Assessment of Oral Dependency within a Forensic Inpatient Mental Health Population." Doctoral dissertation, University of Toledo, 2016. http://rave.ohiolink.edu/etdc/view?acc_num=toledo1480456507489641

    Chicago Manual of Style (17th edition)

toledo1480456507489641
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© 2016, all rights reserved.
This open access ETD is published by University of Toledo and OhioLINK.