Date of Award
Doctoral Research Paper
Graduate School of Professional Psychology
Judith Fox, Ph.D.
Second Committee Member
Neil Gowensmith, Ph.D.
Third Committee Member
Amy King, Psy.D.
Public stigma, Self-stigma, Therapeutic alliance, Intersubjectivity, Adolescence, ADHD, Trauma
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Public stigma and self-stigma are major factors that impede the seeking of mental health treatment as well as the development of an effective therapeutic alliance. This paper explores the co-creation of stigma dynamics from an intersubjective systems theory lens suggesting these dynamics may play a role for adolescent clients who have experienced significant trauma. Specifically, the potential overlooking and/or misdiagnosis of trauma-related experiences and symptoms often occurring with adolescents diagnosed with ADHD may be contributing to a co-constructed dynamic between the therapist and client to avoid an exploration of trauma that would be experienced as more stigmatizing, more threatening, and more difficult to treat. A clinical vignette is offered to exemplify this co-construction and the potential impact on the therapeutic relationship. Recommendations are then offered in order to prevent possible misdiagnosis and decrease stigma within the therapeutic relationship.
Sanderson, Isabelle, "Co-Constructing Stigma: Treating Trauma in Adolescence" (2021). Graduate School of Professional Psychology: Doctoral Papers and Masters Projects. 406.
Theoretical Analysis and Synthesis