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Articles 1 - 30 of 39
Full-Text Articles in Medicine and Health Sciences
Exploring The Definition Of Resilience: A Convergent Parallel Mixed Methods Study In Adults Over The Age Of 65, Sara J. Blessington
Exploring The Definition Of Resilience: A Convergent Parallel Mixed Methods Study In Adults Over The Age Of 65, Sara J. Blessington
Antioch University Full-Text Dissertations & Theses
The definition of a word helps us understand its context and how it is meant to be used in daily life or research. When a word lacks a universal definition, it is hard to know how to use it. “Resilience” is that type of word. The resilience community in psychological research does not have a concrete, universal definition for this word. It takes on whatever characteristics are useful to the investigator. This study began with seeking a universal definition for the domain known as resilience. This study used a convergent parallel design with adults aged 60 and older living independently …
Counselors’ Lived Experience Treating Patients Utilizing Methadone: The Intersection Of Culture, Policy, And Stigma, Kathryn Floyd Eggert
Counselors’ Lived Experience Treating Patients Utilizing Methadone: The Intersection Of Culture, Policy, And Stigma, Kathryn Floyd Eggert
Antioch University Full-Text Dissertations & Theses
The United States continues to experience unprecedented deaths related to the opioid epidemic. Efforts to address the epidemic remain hampered by war-on-drugs policies that stigmatize people who use drugs and create barriers to accessing evidence-based treatments, particularly methadone maintenance treatments (MMT). Despite 50 years of research regarding MMT, it remains highly regulated, and arguably the most stigmatized treatment. The punitive regulatory structure of MMT remained unchanged until emergency waivers were initiated during the COVID-19 pandemic. The study used an exploratory, critical phenomenological approach to examine the intersection of culture and regulation on the lived experiences of 26 addiction counselors who …
Family Excommunication And Fleeing Nones: Religion, Nonreligion, And Estrangement In Therapy, Jonathan Ludi Leitch
Family Excommunication And Fleeing Nones: Religion, Nonreligion, And Estrangement In Therapy, Jonathan Ludi Leitch
Antioch University Full-Text Dissertations & Theses
Religion fractures families, and therapists working with clients in search of healing have so far had little empirical guidance on how to help. This phenomenological study is the first to explore the experiences of nonreligious Americans using therapy as a way to address religion-related family estrangement. Seventeen participants, all self-identifying as nonreligious but raised in Christian families, were interviewed about their therapy experiences. Most had seen individual therapists and preferred an individual focus but appreciated systemic conceptualizations and interventions. Nondirective, evidence-based, and, when appropriate, trauma-informed approaches were found to be most helpful. Nonreligious, especially non-Christian, therapists were usually but not …
What Does It Look Like For Mental Healthcare Organizations To Be Healthy Places To Work? An Action Research Study, Stephanie L. Fox
What Does It Look Like For Mental Healthcare Organizations To Be Healthy Places To Work? An Action Research Study, Stephanie L. Fox
Antioch University Full-Text Dissertations & Theses
Mental healthcare organizations have a reputation for being unhealthy places to work. The irony of this reputation is keenly felt by its workforce who report unsustainable workloads, high levels of stress, and lack of support or engagement from higher-level leadership. As a mental healthcare provider now in a position of leadership, who has worked across all levels of care within the sector, it was of interest to me to explore how a mental health organization can become a healthier and more sustainable place to work. I approached this study with the assumption that if an organization was healthy and intentional …
An Experiential Qualitative Analysis Exploring The Sexual Identity Experiences Of Latino Caribbean Cisgender Gay Men, Starlin Astacio
An Experiential Qualitative Analysis Exploring The Sexual Identity Experiences Of Latino Caribbean Cisgender Gay Men, Starlin Astacio
Antioch University Full-Text Dissertations & Theses
This qualitative study aims to explore the unique experiences and challenges faced by Latino Caribbean cisgender gay men within their cultural and social contexts. Using focus group and thematic analysis, the researcher examines the narratives and perspectives of a diverse sample of Latino Caribbean cisgender gay men (n = 6) to gain insights into their sexual identity process, cultural influences, family dynamics, and support systems utilizing Interpretative Phenomenological Analysis (IPA) as the methodological framework. The researcher’s findings highlight the themes of Awareness of Sexual Identity, Visibility Management, Spanish Caribbean Families' Influences, Being True to Oneself, and Positive Experiences & Role …
Landscaping Wellness At Work: A Participatory Model For Worker-Centered Health, Anya Helena Piotrowski
Landscaping Wellness At Work: A Participatory Model For Worker-Centered Health, Anya Helena Piotrowski
Antioch University Full-Text Dissertations & Theses
This study contributes to a body of scholarship that demonstrates the benefits and need of employee-driven and defined wellness at work processes. This participatory action research study brought together a team of employees within a remote-work, start-up organization to define and design a process for implementing wellness at work for their organization. Through a participatory process that allowed outcomes to emerge from the group, employees identified opportunities to foster embodied wellness in their organization in three core areas: organizational, personal, and cross-boundary initiatives. Through a reflective collaboration, employees generated ideas and developed a plan to address employee-identified priorities that will …
Dialogic Identity Construction: The Influence Of Latinx Women's Identities In Their Health Information Management Practice, Maria A. Caban Alizondo
Dialogic Identity Construction: The Influence Of Latinx Women's Identities In Their Health Information Management Practice, Maria A. Caban Alizondo
Antioch University Full-Text Dissertations & Theses
The purpose of this qualitative research was to study the experiences of Latinx women who lead in health information management in the United States. Latinx health information management professionals are faced with everchanging workplace dynamics and biases in which they are repeatedly reminded of their individual and ethnic differences that require them to construct and co-construct new facets to their identities in social contexts. By grounding this work in narrative inquiry and viewing identities critically, space is given for delving deeper into the specifics of how gender, ethnicity, culture, and class influenced Latinx women’s leadership practice. Interviews offered the opportunity …
Parents Of Non-Binary Children: Stories Of Understanding And Support, Brooks Bull
Parents Of Non-Binary Children: Stories Of Understanding And Support, Brooks Bull
Antioch University Full-Text Dissertations & Theses
Parents of non-binary children undergo profound changes as they learn to first understand and then support their child. In order to provide family therapists with a foundation from which to work with these families, a thorough review of the literature is provided as well as a narrative research study. Chapter one provides an introduction to the topic of non-binary gender and transgender identities, defines the terms non-binary, transgender, and transsexual, and clarifies the conceptual frameworks at use in the dissertation: social constructionism and transfeminism. Chapter two is a review of peer-reviewed literature on therapy with children and adolescents who identify …
Influencing Legislation For Juveniles In The Adult Judicial System: A Phenomenological Examination Of Legal Advocates, Krista F. Franklin
Influencing Legislation For Juveniles In The Adult Judicial System: A Phenomenological Examination Of Legal Advocates, Krista F. Franklin
Antioch University Full-Text Dissertations & Theses
INFLUENCING LEGISLATION FOR JUVENILES IN THE ADULT JUDICIAL SYSTEM: A PHENOMENOLOGICAL EXAMINATION OF LEGAL ADVOCATES Krista Franklin Antioch University Seattle Seattle, WA This phenomenological study explores the lived experience of Washington State lawmakers and legal activists regarding their involvement in passing Washington State Senate Bill 5064 in February 2014. In response to the 2012 landmark federal Supreme Court decision, Miller v. Alabama, Senate Bill 5064 reduced the number of crimes for which juveniles could be sentenced as adults to life without parole. Six interviewees were selected from those who testified in Olympia, WA. Individual interviews were conducted in an open-ended …
Impact Of Transnationalism On Multiracial Challenges And Resilience Among Asian Mixed-Race Adults In The United States, Sooyeon Lee-Garland
Impact Of Transnationalism On Multiracial Challenges And Resilience Among Asian Mixed-Race Adults In The United States, Sooyeon Lee-Garland
Antioch University Full-Text Dissertations & Theses
This was a quantitative study which examined past and present transnational activities as predictors of multiracial identity challenges and resilience among second generation U.S. born Asian mixed-race adults. Two hundred seventeen participants completed the following three survey questionnaires: a demographic form, the Multiracial Challenge and Resilience Scale (MCRS; Salahuddin & O’Brien, 2011) and an author-adapted version of the Past and Present TS- Transnationalism Scale (Murphy & Mahalingam, 2004). This study is based on the idea of integrating critical race theory, critical mixed-race studies, and intersectionality of both participants’ and parents’ gender and ethnic/racial identity among self-identified Asian mixed-race individuals. The …
Therapists Who Specialize In Addiction: A Grounded Situational Analysis Of A Stigmatized Profession, Heather J. Humphrey-Leclaire
Therapists Who Specialize In Addiction: A Grounded Situational Analysis Of A Stigmatized Profession, Heather J. Humphrey-Leclaire
Antioch University Full-Text Dissertations & Theses
This study used the methodology of a grounded situational analysis to explore the lives of therapists who specialize in addiction. Historians have researched the history of addiction treatment itself and some have identified parallel processes of discrimination, stigma, and stigma by association for therapist and client, but the complex intersectionality between social processes and organizational issues have been largely invisible. In this study, therapists who specialize in addiction (including social workers, clinical mental health counselors, and alcohol and drug counselors) were asked about their sense of how others see them in their role. These conversations made visible the many, enmeshed …
Discovering Themes: Disability Identity Development As It Pertains To People Born With Spina Bifida, Elizabeth H. Scriven
Discovering Themes: Disability Identity Development As It Pertains To People Born With Spina Bifida, Elizabeth H. Scriven
Antioch University Full-Text Dissertations & Theses
To date, disability identity development is a highly understudied construct. There are many models of disability, each interpret disability through a specific lens, but do not address the influence of disability on identity development. The few theories of disability identity that do exist have not been widely adopted. In addition, there is a lack of empirical evidence to support them. Another difficulty is that these theories do not separate different disability groups. Rather, the theories are applied to a broad heterogenous group of disability types. This is a problem because each disability type is quite distinct from the others and …
When Bad Genes Ruin A Perfectly Good Outlook: Psychological Implications Of Hereditary Breast And Ovarian Cancer Via Narrative Inquiry Methodology, Cammi Clark
Antioch University Full-Text Dissertations & Theses
Scientists debunked the belief that breast cancer is always viral with the mid-90s discovery of the first hereditary genetic mutation linked to a significantly higher-than average chance of breast and ovarian cancer. This genetic condition, called Hereditary Breast and Ovarian Cancer (HBOC), passes the mutation from generation to generation in a family. Thousands of variations of such mutations exist, and carriers account for 10 to 15% of all breast cancer, and up to 20% of ovarian (Childers et al., 2017). In addition, genetic testing uncovered a rapidly rising number of healthy people (never had breast/ovarian cancer) who are also carriers, …
Cultural Consultations In Criminal Forensic Psychology: A Thematic Analysis Of The Literature, Alesya Radosteva
Cultural Consultations In Criminal Forensic Psychology: A Thematic Analysis Of The Literature, Alesya Radosteva
Antioch University Full-Text Dissertations & Theses
The importance of culture as a reference point in clinical practices such as forensic psychology has been considerably valued yet poorly understood, especially in an age where precision and sophistication outlast cultural authenticity and patient-clinician relationship. This paper looks at the gaps and inconsistencies that exist in current forensic psychology research. The topic is introduced by delving into the understanding of the phenomenon of culture and its influences on our everyday conditioning. Aspects such as language, biological development, traditions, rituals, and narratives are emphasized as potent tools that drive individuals to create and mold culture according to needs and requirements …
The Experience Of Qigong Among Women Cancer Survivors, Jennifer Sveund
The Experience Of Qigong Among Women Cancer Survivors, Jennifer Sveund
Antioch University Full-Text Dissertations & Theses
Research has shown that qigong can be beneficial for a variety of health related conditions; However, evidence suggests that in the United States, a lack of well designed clinical trials limits the efficacy of qigong in the context of cancer treatment. Research has indicated that careful consideration should be given to the design of randomized control trials using qigong due to the conflicting philosophical methodologies. In the United States, qigong has been under investigated, particularly lacking are qualitative inquiries into qigong use and cancer survivorship. This study is an interpretative phenomenological inquiry that sought to understand women’s experience of qigong …
"You're Doing Fine, Right?": Adolescent Siblings Of Substance Abusers, Cynthia E. Clarfield
"You're Doing Fine, Right?": Adolescent Siblings Of Substance Abusers, Cynthia E. Clarfield
Antioch University Full-Text Dissertations & Theses
There has been a rising interest in addiction medicine and addiction treatment in both the medical and behavioral health science fields. Research suggests having a family member with a substance abuse problem has negative impacts on both physical and mental health (Orford, Copello, Velleman, & Templeton, 2010a). Despite advances toward understanding the experiences of family members affected by a loved one's addiction, the siblings of substance abusers have been largely excluded from scientific research and literature. As a result, little is known about how siblings experience the impacts of a brother or sister's addiction; even less is known about the …
Young Adults In Transition: Factors That Support And Hinder Growth And Change, Mona Treadway
Young Adults In Transition: Factors That Support And Hinder Growth And Change, Mona Treadway
Antioch University Full-Text Dissertations & Theses
Young adults between 18 and 24 years of age with mental illness are significantly less likely to receive mental health services than adults in older age groups.Nationally, higher rates of depression, substance abuse, and psychiatric issues are reported in this age group.A therapeutic model referred to as young adult transition programs has emerged to better address the unique developmental challenges found in this age group.This study examined 317 critical incidents that supported or hindered young adults in a therapeutic transition program.The research design used a combination of an instrumental case study and critical incident technique (CIT).Using interviews and the Outcome …
Medication Assisted Treatment And The Three Legged Stool: Medical Providers, Chemical Dependency Professionals, And Clients, Steven Matt Magrath
Medication Assisted Treatment And The Three Legged Stool: Medical Providers, Chemical Dependency Professionals, And Clients, Steven Matt Magrath
Antioch University Full-Text Dissertations & Theses
Opioid dependence has reached epidemic levels in the United States and around the world. With the increased prescribing of opioid pharmaceuticals and the influx of inexpensive heroin, the health care cost to society has topped $72.5 billion annually (Murphy et al., 2016). Opioid overdose deaths have now surpassed motor vehicle deaths and have tripled since 1990. In some age groups opioid overdose is the leading cause of death. This study seeks to analyze the only field that directly treats this primary brain disease: medication assisted treatment for opioid dependence. The three primary participants in this partnership include: (a) doctors and …
Experiencing The Death Of A Formerly Abusive Parent, Heather Spence
Experiencing The Death Of A Formerly Abusive Parent, Heather Spence
Antioch University Full-Text Dissertations & Theses
It is well documented that approximately 25–33% of children experience abuse, many of those at the hands of a primary caretaker. Within the literature on child maltreatment, there exists a paucity of research about the long-term effects of early maltreatment on adult attachments with the previous abuser, including the experiences of adults who experience the death of their previous caretakers. Additionally, most of the research on grief and bereavement assumes positive affect for the deceased by survivors. This dissertation is an in-depth examination of five adults, aged 50–70 years old, who experienced the recent death of a parent or stepparent …
Demographic Characteristics And Trauma Symptomology In Juvenile Justice Residents At Echo Glen Children's Center, Britta L. Bergan
Demographic Characteristics And Trauma Symptomology In Juvenile Justice Residents At Echo Glen Children's Center, Britta L. Bergan
Antioch University Full-Text Dissertations & Theses
Exposure to traumatic and stressful events has become increasingly commonplace and the impact of such experiences has been well documented. Trauma events in childhood have been associated with a number of factors, including maladaptive emotional and behavioral responses, increased vulnerability for exposure to additional traumatic events, and adverse experiences later in life. Juvenile justice youth have been found to have higher rates of trauma exposure, when compared to community samples of same-aged peers. The population of youth residing at Echo Glen Children’s Center, in Snoqualmie, Washington, exhibit unique characteristics for a juvenile justice population, including age (the youngest juvenile offenders …
The Efficacy Of Psychosocial Services In Comprehensive Cancer Care: A Program Evaluation, Nicola B. Mucci
The Efficacy Of Psychosocial Services In Comprehensive Cancer Care: A Program Evaluation, Nicola B. Mucci
Antioch University Full-Text Dissertations & Theses
On average, regardless of other factors, persons affected by cancer will experience some level of distress associated with the disease and its sequelae. Left untreated, psychosocial problems can, and often do, adversely affect a person's health and healthcare treatment. As a result, national initiatives have been implemented to recognize and treat psychosocial stressors to optimize a person's functioning and facilitate successful movement through the medical system. A program evaluation was conducted to examine how Providence Regional Cancer Partnership has addressed the psychosocial needs of its patient population. Specifically, the psychosocial services department, Patient Support Services, was evaluated to understand how …
The Happy Boomer: Baby Boomer Life Satisfaction Through Affect And Feeling Of Belonging, Brooke Christina-Marie Massey
The Happy Boomer: Baby Boomer Life Satisfaction Through Affect And Feeling Of Belonging, Brooke Christina-Marie Massey
Antioch University Full-Text Dissertations & Theses
The age cohort of 65 years and older is a growing population. It is part of the group referred to as Baby Boomers, the generation born between the years 1946-1964. It will be the largest population to reach late adulthood to date. In the United States alone, the Baby Boomer cohort is expected to reach 70 million by 2030. In response to this growing elderly population much research has been conducted on Baby Boomer quality of life issues. Such research uncovered the phenomenon known as the well-being paradox. The well-being paradox refers to the findings that older adults' life satisfaction …
Worlds Of Connection: A Hermeneutic Formulation Of The Interdisciplinary Relational Model Of Care, Susana Lauraine Mccune
Worlds Of Connection: A Hermeneutic Formulation Of The Interdisciplinary Relational Model Of Care, Susana Lauraine Mccune
Antioch University Full-Text Dissertations & Theses
Despite a general agreement across health care disciplines that Advanced Care Planning (ACP) and Advanced Directives (ADs) add important elements to a patient's end-of-life care desires, and can inform their loved ones and advocates, help create ease of mind, and enhance quality of care, they continue to remain significantly underused. More than half of Americans transition to chronic and terminal illness without having completed them. The aim of this study was to increase the frequency and enhance the quality of communication about Advance Directives and Advance Care Planning within the clinical relationship. The resulting Interdisciplinary Relational Model of Care (IRMOC) …
Loneliness And Perceived Stigmatization Among Older Adults Enrolled In Opiate Substitution Treatment Programs And The Utilization Of Mental Health Services, Jennifer B. Armstrong
Loneliness And Perceived Stigmatization Among Older Adults Enrolled In Opiate Substitution Treatment Programs And The Utilization Of Mental Health Services, Jennifer B. Armstrong
Antioch University Full-Text Dissertations & Theses
Little research has examined the role that loneliness and perceived stigmatization play in the decision to seek mental health services among older adults enrolled in opiate substitution treatment. Researchers studying this at-risk population have called for more studies to examine services that can be implemented within current opiate substitution treatment settings. This study advances research in the field by utilizing standardized self-report measures to examine the relationship between loneliness, perceived stigmatization, and the impact of said variables on the utilization of available mental health services among older adults enrolled in opiate substitution treatment programs. Ninety-four 50-71-year-old adults from an opiate …
Toward Transforming Health Systems: A Practice Study Of Organizing And Practical Inquiry In Academic Medicine, Thomas A. Ellison
Toward Transforming Health Systems: A Practice Study Of Organizing And Practical Inquiry In Academic Medicine, Thomas A. Ellison
Antioch University Full-Text Dissertations & Theses
Transformation of health care systems will be grounded in new professional relations and collective, cross-disciplinary actions to impact care delivery. Organizing such relations and actions involves practical inquiry rather than applying professional knowledge. This dissertation presents an exploratory, performative study of the initial organizing of the Health Systems Innovation and Research (HSIR) Program in Health Sciences at the University of Utah. The HSIR program was conceived principally to catalyze cross-disciplinary innovation and health services research and enhance care delivery changes by documenting care improvements and publishing research. This study includes a composite narrative of the organizing and practical inquiry work …
A Narrative Study Of Emotions Associated With Negative Childhood Experiences Reported In The Adult Attachment Interview, Lynne Hartman
A Narrative Study Of Emotions Associated With Negative Childhood Experiences Reported In The Adult Attachment Interview, Lynne Hartman
Antioch University Full-Text Dissertations & Theses
Attachment patterns, which tend to be stable over time, are passed from one generation to the next. Secure attachment has been linked to adaptive social functioning and has been identified as a protective factor against mental illness. The parents’ state of mind with regard to attachment—as measured with the Adult Attachment Interview (AAI) (Main, Goldwyn, & Hesse, 2002)—predicts the attachment classification for the infant in Ainsworth’s Strange Situation Procedure (Ainsworth, Blehar, Waters, & Wall, 1978). Earned-secure individuals have overcome negative childhood experiences to achieve a secure state of mind in adulthood. Earned security, like continuous security, strongly predicts infant security …
A Phenomenological Study: Marriage And Family Therapists' And Clinician's Perceptions Of How Secondary Traumatic Stress Affects Them And Their Families, Norja Elizabeth Cunningham
A Phenomenological Study: Marriage And Family Therapists' And Clinician's Perceptions Of How Secondary Traumatic Stress Affects Them And Their Families, Norja Elizabeth Cunningham
Antioch University Full-Text Dissertations & Theses
Multiple facets of clinicians' lives are influenced by compassion fatigue including physiological well-being, the perspective of clinicians in relation to the world, and psychological and emotional reactions to trauma triggers (Figley, 1998). Work stress research considers the systemic effects of stress on workers' relationships. Research also shows that romantic relationships are negatively influenced by work stress (Sanz-Vergel, Rodriguez, Bakker & Demerouti, 2012). This phenomenological study investigated the lived experience of three clinicians and how compassion fatigue was experienced in their relationships with their partners and children. Clinicians completed the Professional Quality of Life assessment and those with a score of …
Making Space For Dying: Portraits Of Living With Dying, Elise Lark
Making Space For Dying: Portraits Of Living With Dying, Elise Lark
Antioch University Full-Text Dissertations & Theses
In Making Space for Dying: Portraits of Living with Dying, I describe the everyday lived experience of dying and the care culture within freestanding, community-based, end-of-life residences (CBEOLR) utilizing portraiture and arts-based research. I craft four case studies into “portraits,” based on interviews, on-site visits, up-close observation, and field notes. In the person-centered portraits, I reveal the inner landscape of two terminally ill women, with data represented in poetry. In the place-centered portraits, I “map” the social topography of two CBEOLRs to illustrate how lives and care of the dying are emplaced, from the perspectives of community leaders, …
Coping Responses And Mental Health Symptoms In Incarcerated Juvenile Males, Jennifer Renae Newhard
Coping Responses And Mental Health Symptoms In Incarcerated Juvenile Males, Jennifer Renae Newhard
Antioch University Full-Text Dissertations & Theses
Coping responses develop throughout the lifespan of an individual. Unfortunately for some, difficult life circumstances may lead to the use of maladaptive forms of coping. This study investigated coping responses amongst male incarcerated juvenile offenders and examined which specific mental health symptoms may occur with specific coping responses. The goal of this study was to determine whether male incarcerated juvenile offenders utilize avoidant coping responses over approach coping responses. Also, this study investigated whether specific mental health symptoms, such as depression, anxiety, anger, and disruptive behaviors, were more prevalent amongst those who utilize avoidant coping responses. De-identified, archival data for …
The Post-Combat Couple Adjustment Questionnaire: A Preliminary Validation, Valerie Maine
The Post-Combat Couple Adjustment Questionnaire: A Preliminary Validation, Valerie Maine
Antioch University Full-Text Dissertations & Theses
This dissertation presents the results of a psychometric study regarding the preliminary validation of The Post-Combat Couple Adjustment Questionnaire (PCCAQ). This measure was designed to assess post-combat and post-deployment adjustment for male veterans and their female partners. The measure was created using existing literature on veterans, posttraumatic stress disorder (PTSD), and couples. The PCCAQ consists of four domains of couple functioning, including: (a) redefining roles, expectations, and division of household responsibilities; (b) managing strong emotions; (c) abandoning emotional constriction and creating intimacy in relationships; and (d) creating a sense of shared meaning surrounding the deployment experience. The PCCAQ was compared …