David Kealy
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ADVICE AND INSIGHTS FROM UBC FACULTY ON REACHING OUT TO SUPERVISORS
These videos contain some general advice from faculty across UBC on finding and reaching out to a potential thesis supervisor.
Supervision Enquiry
Graduate Student Supervision
Doctoral Student Supervision
Dissertations completed in 2010 or later are listed below. Please note that there is a 6-12 month delay to add the latest dissertations.
Emerging adulthood is a period when a person’s sense of who one can become undergoes considerable development. It has been proposed that interventions that focus on enhancing identity can help emerging adults shape and pursue their life goals; however, little is currently known about group interventions that help young people develop a robust sense of identity. Thus, the purpose of this dissertation was to advance understanding of identity-focused group interventions among emerging adults. Three studies were conducted using a staged approach to achieve this goal. Study 1 reviewed identity-focused group interventions that were empirically tested with emerging adults to uncover their defining characteristics and purported mechanisms of change. Interventions were categorized into three groups, including didactic, task-oriented, and experiential. Study 2 compared two possible selves group interventions (interpersonal-experiential and didactic) that aimed to increase participants’ sense of future possibilities. Findings indicated significant improvement in future outlook and personal growth initiative following participation in both types of intervention. While no significant change in vocational possible selves was observed, significant improvement in relational possible selves was found among participants who completed the interpersonal-experiential intervention. Follow-up analyses found that improvement in relational possible selves in the interpersonal-experiential intervention was associated with participants’ ratings of group engagement during the intervention. Study 3 explored participants’ subjective experiences in the aforementioned possible selves group interventions. Three overarching categories emerged from a thematic analysis, including psychosocial changes (four themes), helpful factors (nine themes), and unhelpful factors (five themes). The emergent themes were associated with one or both group interventions. Taken together, these three studies made the following contributions to the advancement of knowledge: consolidating and interpreting the disparate literature; investigating the effectiveness of and participants’ perceptions of change in two identity-focused group interventions; examining group processes in the above interventions, and; exploring participants’ perceived limitations and suggestions for improving the aforementioned interventions. Findings from this dissertation provide support for the need to study psychological interventions that address identity development in emerging adulthood, affording an original and substantive contribution to the identity scholarship domain.
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Master's Student Supervision
Theses completed in 2010 or later are listed below. Please note that there is a 6-12 month delay to add the latest theses.
Loyalty has been a popular topic in organisational behaviour for decades, but recent research has found evidence to suggest that the construct may be dispositionally oriented and multidimensional. Understanding the latent structure of interpersonal loyalty has important theoretical and clinical implications for counselling psychologists, particularly as the emergence of more maladaptive qualities of the construct have come to the fore. This study investigated the newly developed 42-item Multidimensional Interpersonal Loyalty Inventory (MILI) using confirmatory factor analysis and correlations to other variables on a sample of 394 community dwelling adults. The results yielded factor loadings and fit indexes that adequately supported a six-factor structure. Good internal consistency reliability was found with alpha values ranging from .79-.90 for the individual subscales. Several significant correlations were found between loyalty factors and other interpersonal variables providing convergent and discriminant support for the distinction between three adaptive and three maladaptive domains. Notable relationships were found for the Self-Sacrifice, Transactional and Value-compromise factors which had significant associations to the dark triad, anxious-avoidant attachment, and identity dysfunction. Overall, this study contributes valuable evidence towards the reliability and validity of the MILI and is a significant step forward in better understanding the darker, less adaptive sides of interpersonal loyalty.
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Background: Canada’s culturally diverse populations (CDPs) experience difficulties such as language barriers, difficulty navigating the healthcare system, and lack of culturally tailored resources compared to the general population when accessing mental health services. These surmountable barriers may be addressed by e-mental health (eMH) technologies that allow for mental healthcare to be delivered through the Internet and related technologies. However, little attention has been devoted to understanding the cultural responsiveness of these services among CDPs. Objectives: This study investigates the use of eMH among CDPs for anxiety and depressive disorders in an urban area. Our objectives are to (1) explore the experience of eMH services and gauge their cultural responsiveness, (2) examine participants’ digital health literacy, mental health status, and usage of eMH; and (3) develop recommendations based on participants’ experiences to improve eMH services. Methods: Participants (N=136) completed a survey regarding their eMH use, the severity of their depression and anxiety symptoms, and socio-demographic characteristics. Participants (N=14) shared experiences through semi-structured focus group discussions. From this, we developed a set of guidelines based on the experiences and recommendations from participants for future eMH resources. Participants (N=5) were invited to provide feedback through one-on-one interviews. Results: Survey participants’ ages ranged from 19 to 74 years, with 43% within young adult ages of 19 to 24. Of these participants, 65% were women, 22% were men, while 3% identified as Trans Male, Non-Binary, or Other. Most survey participants identified as South Asian (40%) or Chinese (28%). The majority of participants (68%) indicated that the eMH resources they used, overall, were not culturally tailored. However, most participants (65%) agreed that the resource was available in their preferred language. Focus group discussions revealed themes of facilitators and barriers of help-seeking behaviours and sociocultural contexts. eMH recommendations suggested by participants’ responses focused on including culturally tailored content, graphics and phrases, and lived experiences of CDPs while reducing culturally linked stigma. Conclusion: The findings showcase the need for more culturally responsive eMH beyond language translation, while providing healthcare professionals with a greater and nuanced understanding of treatment needs in cultural groups.
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Publications
- Acceptance and commitment therapy for psychosis and trauma: Investigating links between trauma severity, attachment and outcome (2019)
Behavioural and Cognitive Psychotherapy, 47 (2), 230-243 - Better doctor-patient relationships are associated with men choosing more active depression treatment (2019)
Journal of the American Board of Family Medicine, 32 (1), 13-19 - Clinicians' empathy and professional quality of life (2019)
Journal of Nervous and Mental Disease, 207 (2), 49-52 - Externalizing depression symptoms among Canadian males with recent suicidal ideation: A focus on young men (2019)
Early Intervention in Psychiatry, 13 (2), 308-313 - Getting absorbed in group therapy: Absorption and cohesion in integrative group treatment (2019)
Counselling and Psychotherapy Research, 19 (3), 286-293 - Got Empathy? A Latent Profile Analysis of Psychotherapists' Empathic Abilities (2019)
Psychotherapy and Psychosomatics, 88 (1), 58-60 - Individual goal achievement in group psychotherapy: The roles of psychological mindedness and group process in interpretive and supportive therapy for complicated grief (2019)
Clinical Psychology and Psychotherapy, 26 (2), 241-251 - Is stage of change enough? Confidence as a predictor of outcome in inpatient treatment for eating disorders (2019)
International Journal of Eating Disorders, 52 (3), 283-291 - Partner trust and childhood emotional maltreatment: The mediating and moderating roles of maladaptive schemas and psychological flexibility (2019)
Journal of Contextual Behavioral Science, 12, 66-73 - Shame and guilt mediate the effects of alexithymia on distress and suicide-related behaviours among men (2019)
Psychology, Health and Medicine, - The attenuating effect of depression symptoms on negative-affect expression: Individual and group effects in group psychotherapy for personality disorders (2019)
Journal of Counseling Psychology, 66 (3), 351-361 - Validity of the Male Depression Risk Scale in a representative Canadian sample: sensitivity and specificity in identifying men with recent suicide attempt (2019)
Journal of Mental Health, 28 (2), 132-140 - What the patient wants: Addressing patients’ treatment targets in an integrative group psychotherapy programme (2019)
Psychology and Psychotherapy: Theory, Research and Practice, 92 (1), 20-38 - Where does it hurt? Location of pain, psychological distress, and alexithymia among outpatients seeking psychotherapy (2019)
International Journal of Psychiatry in Clinical Practice, - Acceptance and commitment therapy for psychosis and trauma: Improvement in psychiatric symptoms, emotion regulation, and treatment compliance following a brief group intervention (2018)
Psychology and Psychotherapy: Theory, Research and Practice, 91 (2), 248-261 - Addressing the complexity of perfectionism in clinical practice (2018)
Psychodynamic Psychiatry, 46 (4), 457-490 - Affective-Somatic Symptoms of Depression, Suicide Risk and Exposure to Childhood Maltreatment: Data from Emerging Adults to Older-Age Males (2018)
International Journal of Mental Health and Addiction, - Alexithymia, suicidal ideation and health-risk behaviours: a survey of Canadian men (2018)
International Journal of Psychiatry in Clinical Practice, 22 (1), 77-79 - Body talk: Sex differences in the influence of alexithymia on physical complaints among psychiatric outpatients (2018)
Psychiatry Research, 261, 168-172 - Childhood maltreatment and age effects on depression and suicide risk among Canadian men (2018)
Psychiatry Research, 270, 887-889 - Childhood trauma among adult clients in Canadian community mental health services: Toward a trauma-informed approach (2018)
International Journal of Mental Health, 47 (4), 284-297 - Childhood trauma and somatic symptoms among psychiatric outpatients: Investigating the role of shame and guilt (2018)
Psychiatry Research, 268, 169-174 - Depression and Prostate Cancer: Examining Comorbidity and Male-Specific Symptoms (2018)
American Journal of Men's Health, 12 (6), 1864-1872 - Developing a Working Model of Cross-Cultural Supervision: A Competence- and Alliance-Based Framework (2018)
Clinical Social Work Journal, 46 (4), 310-320 - Financial concerns and symptom distress among psychiatric outpatients (2018)
Journal of Public Mental Health, 17 (3), 105-113 - Interpersonal problems associated with narcissism among psychiatric outpatients: A replication study (2018)
Archives of Psychiatry and Psychotherapy, 20 (2), 26-33 - Investigating the link between pathological narcissism and somatization (2018)
Journal of Nervous and Mental Disease, 206 (12), 964-967 - Male depression subtypes and suicidality latent profile analysis of internalizing and externalizing symptoms in a representative canadian sample (2018)
Journal of Nervous and Mental Disease, 206 (3), 169-172 - Male guilt – and shame-proneness: The personal feelings questionnaire (PFQ-2 Brief) (2018)
Archives of Psychiatry and Psychotherapy, 20 (2), 46-54 - Male-type depression symptoms linked to broader psychopathology (2018)
Journal of Affective Disorders, 235, 523-524 - Measuring the capacity to love: Development of the CTL-inventory (2018)
Frontiers in Psychology, 9 (JUL) - Mechanisms of change in treatments of personality disorders: Commentary on the special section (2018)
Journal of Personality Disorders, 32, 134-142 - Narcissism and Interpersonal Problems among Psychiatric Outpatients: What Is the Role of Defensive Style? (2018)
Journal of Nervous and Mental Disease, 206 (9), 711-715 - Psychological health profiles of Canadian psychotherapists: A wake up call on psychotherapists' mental health (2018)
Canadian Psychology, 59 (4), 315-322 - Psychotherapists' Professional Quality of Life (2018)
Traumatology, - Reactance and engagement in integrative group psychotherapy for personality dysfunction (2018)
Journal of Psychotherapy Integration, 28 (4), 462-474 - So, who wants to be here? A survey of patients' motives for seeking psychotherapy services and their expected un-involvement in therapy (2018)
Archives of Psychiatry and Psychotherapy, 20 (3), 26-30 - The emotion regulation questionnaire: ERQ-9 factor structure and measurement invariance in Australian and canadian community samples (2018)
TPM - Testing, Psychometrics, Methodology in Applied Psychology, 25 (3), 369-377 - Athletic identity and psychiatric symptoms following retirement from varsity sports (2017)
International Journal of Social Psychiatry, 63 (7), 598-601 - Attachment style and readiness for psychotherapy among psychiatric outpatients (2017)
Psychology and Psychotherapy: Theory, Research and Practice, 90 (2), 229-234 - Intensive Evening Outpatient Treatment for Patients With Personality Dysfunction: Early Group Process, Change in Interpersonal Distress, and Longer-Term Social Functioning (2017)
Psychiatry (New York), 80 (2), 184-195 - Looking ahead through a fragile lens: Vulnerable narcissism and the future self (2017)
Personality and Mental Health, 11 (4), 290-298 - National registry of psychotherapies (2017)
International Journal of Group Psychotherapy, 67 (3), 448-454 - Pathological narcissism and maladaptive self-regulatory behaviours in a nationally representative sample of Canadian men (2017)
Psychiatry Research, 256, 156-161 - Perfectionism in the therapeutic context: The perfectionism social disconnection model (2017)
The Psychology of Perfectionism: Theory, Research, Applications, , 306-330 - Prioritizing the Development of Evidence-Based Therapists over the Deployment of Evidence-Based Therapies (2017)
Canadian Journal of Psychiatry, 62 (3), 223-224 - Psychological mindedness and psychotherapy process in short-term group therapy (2017)
Psychodynamic Psychiatry, 45 (3), 343-361 - Psychotherapists' ideals in the treatment of panic disorder: An exploratory study (2017)
Counselling and Psychotherapy Research, 17 (3), 201-208 - Self-conscious emotions and suicidal ideation among women with and without history of childhood sexual abuse (2017)
Counselling and Psychotherapy Research, 17 (4), 269-275 - Short-Term Group Therapy for Complicated Grief: The Relationship Between Patients’ In-Session Reflection and Outcome (2017)
Psychiatry (New York), 80 (2), 125-138 - Therapists perspectives on optimal treatment for pathological narcissism (2017)
Personality Disorders: Theory, Research, and Treatment, 8 (1), 35-45 - Burnout among Canadian Psychiatry Residents: A National Survey (2016)
Canadian Journal of Psychiatry, 61 (11), 732-736 - Childhood emotional support and borderline personality features in a sample of Canadian psychiatric outpatients (2016)
International Journal of Social Psychiatry, 62 (5), 452-454 - Childhood Traumas Among Men Attending Outpatient Psychiatric Services (2016)
International Journal of Mental Health and Addiction, 14 (2), 135-140 - Pathological narcissism and somatic symptoms among men and women attending an outpatient mental health clinic (2016)
International Journal of Psychiatry in Clinical Practice, 20 (3), 175-178 - Unravelling the Relationship between Physician Burnout and Depression (2016)
Canadian Journal of Psychiatry, 61 (11), 739 - When it is not a good fit: Clinical errors in patient selection and group composition in group psychotherapy (2016)
Psychotherapy, 53 (3), 308-313 - Narcissism and relational representations among psychiatric outpatients (2015)
Journal of Personality Disorders, 29 (3), 393-408 - On overvaluing parental overvaluation as the origins of narcissism (2015)
Proceedings of the National Academy of Sciences of the United States of America, 112 (23), E2986 - "Difficult" patient? Or does he have a personality disorder? (2014)
Journal of Family Practice, 63 (12), 697-703 - Moving the field forward: Commentary for the special series "Narcissistic personality disorder - New perspectives on diagnosis and treatment" (2014)
Personality Disorders: Theory, Research, and Treatment, 5 (4), 444-445 - Pathological narcissism and the obstruction of love (2014)
Psychodynamic Psychiatry, 42 (1), 101-120 - Reflections on the holding environment in health-care counseling (2014)
Patient Education and Counseling, 97 (2), 299-300 - Revisiting Balint's innovation: Enhancing capacity in collaborative mental health care (2014)
Journal of Interprofessional Care, 28 (5), 466-470 - Getting the word out about treating borderline personality disorder: An online information resource (2013)
Journal of Psychiatric Practice, 19 (1), 62-64 - The Containing Selfobject: Reflections about Relational Process in Clinical Practice (2013)
Journal of Social Work Practice, 27 (3), 319-331 - Depressive tendencies and pathological narcissism among psychiatric outpatients (2012)
Psychiatry Research, 196 (1), 157-159 - Veiled and Vulnerable: The Other Side of Grandiose Narcissism (2012)
Clinical Social Work Journal, 40 (3), 356-365 - 2010 Essay Competition Winner: Transformation at a community mental health centre (2011)
Psychodynamic Practice, 17 (4), 419-426 - Narcissistic interpersonal problems in clinical practice (2011)
Harvard Review of Psychiatry, 19 (6), 290-301 - Object relations and emotional processing deficits among psychiatric outpatients (2011)
Journal of Nervous and Mental Disease, 199 (2), 132-135 - Marginalization of borderline personality disorder (2010)
Journal of Psychiatric Practice, 16 (3), 145-154 - A view from the trenches: A survey of Canadian clinicians' perspectives regarding the treatment of borderline personality disorder (2009)
Journal of Psychiatric Practice, 15 (6), 449-453
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