Date of Award

4-11-2025

Document Type

Dissertation

Degree Name

Doctor of Psychology (PsyD)

Department

Graduate Department of Clinical Psychology

First Advisor

Dr. Leihua Edstrom, Ph.D.

Second Advisor

Dr. Marilyn Charles, Ph.D.

Third Advisor

Dr. Nancy Thurston, Psy.D.

Abstract

Whereas studies have examined associations between traumatic experiences and the development of various disorders, a notable gap in the literature persists on the impacts of trauma timing and type (intergenerational vs. personal, chronic vs. singular) on the development of psychiatric diagnoses. This qualitative study utilizes a grounded theory approach, thematic analysis, and various coding techniques to explore linkages between trauma and the development of personality disorder(s). The population referenced for this dissertation was sourced from accessible archival data, consisting of transcript dynamic intake or follow-up interviews, Traumatic Antecedent Interviews (TAIs), and chart reviews from a long-established psychoanalytic clinic. The qualitative, grounded theory analysis indicated that early life traumatic experiences had profound impacts on participants, which manifested as patterns of negative emotionality, relational issues, low self-esteem, maladaptive coping, and changes in worldview. The effects of the participants' traumatic experiences tainted many facets of their lives, and the importance of sense-making throughout the healing process was apparent. The present study may aid clinicians in the development of more compassionate, effective care models for personality disorders, as well as destigmatization efforts.

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