Off-campus Pacific University users: To download campus access theses and dissertations, please log into our proxy server with your PUNet ID and password.

Non-Pacific University users: Please talk to your librarian about requesting this thesis or dissertation through interlibrary loan.

Theses or dissertations that have a specific embargo period indicated below will not be available to anyone until the date indicated.

Date of Award

5-25-2005

Degree Type

Dissertation (On-Campus Access Only)

Degree Name

Doctor of Psychology (PsyD)

Committee Chair

Michel Hersen

Second Advisor

Jay C Thomas

Abstract

This dissertation presents the case study of M.W., a 55-year-old. visually impaired woman with extensive prior history of major depression, dependent personality features, and complicated bereavement after the death of her mother from Alzheimer's disease. Her pathological grief was accompanied by a psychotic episode. The course of treatment had to be modified because of an interaction between M.W.'s disability and her psychological circumstances. These modifications to standard cognitive behavioral techniques are discussed, along with complicating factors including treatment non-compliance. The theoretical rationale for modification is presented, drawing upon literature from the fields of psychology, occupational therapy, and medicine. It is only with combined knowledge from these fields that comprehensive conceptualization and treatment of M.W was possible.

Share

COinS