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Full-Text Articles in Medicine and Health Sciences

The Lived Experience Of The Covid-19 Pandemic Among Mandate-Resistant Adults In Washington State, Amber N. Peterson Jan 2024

The Lived Experience Of The Covid-19 Pandemic Among Mandate-Resistant Adults In Washington State, Amber N. Peterson

Antioch University Full-Text Dissertations & Theses

This study examined the lived experience of self-identified, mandate-resistant adults in Washington state. This study explored participants’ experience of the COVID-19 pandemic, from a retrospective framework by uncovering challenges, silver linings, decision-making, and self-reported mental health. Remote interviews were conducted with nine participants. Participants were between 23–31 years old, mostly male, and over half identified as Black. Through semi structured interviews, data was collected and analyzed using Interpretive Phenomenological Analysis (IPA). Participants described their experiences during the COVID-19 pandemic and highlighted significant changes in the way they lived their lives. Most notably, participants described ways in which they defied COVID-19 …


A Constructivist Grounded Theory Analysis Of Seven Medical Provider Perspectives On Major Barriers To Prescribing Buprenorphine To Youth With Opiold Use Disorder In Outpatient Medical Settings: "We Should Be Providing Them With What We Know To Be The Gold Standard Of Care"., Maeve O'Leary Sloan Jan 2023

A Constructivist Grounded Theory Analysis Of Seven Medical Provider Perspectives On Major Barriers To Prescribing Buprenorphine To Youth With Opiold Use Disorder In Outpatient Medical Settings: "We Should Be Providing Them With What We Know To Be The Gold Standard Of Care"., Maeve O'Leary Sloan

Antioch University Full-Text Dissertations & Theses

This study utilized Primary Care Provider (PCP) perspectives to unveil major barriers to prescribing buprenorphine to youth (ages 16-25) with opioid use disorder (OUD). Semi-structured interviews were conducted with seven PCPs recruited through convenience and snowball sampling. Interviews were conducted and recorded via Zoom video conferencing. Transcripts were generated and analyzed for themes using a Constructivist Grounded Theory (CGT) approach. The CGT of the present study describes four major barriers that limit PCP prescription of buprenorphine to youth: 1) PCPs Feel Overwhelmed, 2) PCPs Feel Ill Equipped to Treat Youth Patients with OUD, 3) PCPs Hold and Observe Stigma toward …


A Journey To Finding Space In The Tension: Experience Of Instructors' Relationship With Religion And Spirituality In Doctoral Psychology Programs, Samantha Mcgee Jan 2022

A Journey To Finding Space In The Tension: Experience Of Instructors' Relationship With Religion And Spirituality In Doctoral Psychology Programs, Samantha Mcgee

Antioch University Full-Text Dissertations & Theses

Religion and spirituality, when viewed through a holistic lens, can reflect important aspects of a person’s identity. It can be a source of well-being and also struggle. The fields of religion, spirituality and psychology have had a history of being polarized, with some efforts to integrate the two fields. Tensions exist at multiple ecological levels around the topic of religion and spirituality, which can make it easier to avoid discussing it in classrooms and therapy rooms. It is important to address and create room for discussion of experiences around religion and spirituality in classrooms that are training psychologists so they …


Incorporating Psychological Trauma Into Adhd Differentials: A Pilot Study Of Primary Care Providers' Perspectives, Amber Nipper Jan 2021

Incorporating Psychological Trauma Into Adhd Differentials: A Pilot Study Of Primary Care Providers' Perspectives, Amber Nipper

PsyD Program in Clinical Psychology Doctoral Dissertations ( Seattle)

According to the American Academy of Pediatrics (AAP, n.d.), 40% to 50% of individuals seeking mental health services terminate prematurely due to lack of access, lack of transportation, financial constraints, child mental health professional shortages, and stigma related to mental health. These barriers contribute to primary care providers assessing and managing mental health concerns at increasing rates, particularly symptoms consistent with attention deficit/hyperactivity disorder (ADHD). ADHD is a neurobiological disorder beginning in childhood that is defined as “a persistent pattern of inattention and/or hyperactivity-impulsivity that interferes with functioning or development” (American Psychiatric Association [APA], 2013, p. 59). Current literature shows …


Influencing Legislation For Juveniles In The Adult Judicial System: A Phenomenological Examination Of Legal Advocates, Krista F. Franklin Jan 2021

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 …


Clinical Supervisors' Experiences Addressing Age And Generational Cohort Affiliations With Counseling Supervisees, Susan N. Golden Jan 2021

Clinical Supervisors' Experiences Addressing Age And Generational Cohort Affiliations With Counseling Supervisees, Susan N. Golden

Antioch University Full-Text Dissertations & Theses

Diversity of cultural identities, such as abilities, age and generational cohort affiliation, and socioeconomic status and the practice of clinical supervision are rarely addressed in the professional counseling literature. Subsequently, there is a need for a greater understanding of how expanded cultural identities are addressed by clinical supervisors in the practice of clinical supervision. This research study focused specifically on how age and generational cohort affiliation are addressed as a cultural consideration by clinical supervisors during the practice of clinical supervision. For this study, the Interpretive Phenomenological Analysis research approach was utilized to answer the research questions: 1. How do …


Is It Who Am I Or Who Do You Think I Am? Identity Development Of Adolescents With Substance Use Disorders, Danielle N. Treiber Jan 2019

Is It Who Am I Or Who Do You Think I Am? Identity Development Of Adolescents With Substance Use Disorders, Danielle N. Treiber

Antioch University Full-Text Dissertations & Theses

The purpose of this study was to unearth how adolescents with substance use disorders achieve the task of identity formation and the construction of self-concept in the midst of the drug culture and society that exists. It sought to uncover the social constructs designed to ignore and/or remove human complexities and allow an intersectional approach to be brought to a study on this population. Historically, there has been a failure to investigate the underlying social attitudes and behaviors that impact the very delicate and vulnerable process of finding self. Psychosocial and relational adjustment are strongly influenced by the extent to …


Descriptive Phenomenological Analysis Of Influences To Death Anxiety, Michelle M. Ehle Jan 2019

Descriptive Phenomenological Analysis Of Influences To Death Anxiety, Michelle M. Ehle

Antioch University Full-Text Dissertations & Theses

There are two certainties in life: we are born, and we will die. Everything in between birth and death is our life. This truth leads many individuals to existential questions: What is the meaning of life? How do we become satisfied with life, knowing that death is impending? Does awareness of death motivate how we live? Death anxiety is a well-studied subject; well over 500 studies provide information on who is the most fearful of death among a variety of groups (women versus men, religious verses secular, youth verses elderly, et cetera). These studies also use presuppositions to explain fear …


Knitting As An Adjunctive Treatment For Substance Use Disorder: A Mixed Methods Multiple Case Study, Aubriana M. Teeley Jan 2018

Knitting As An Adjunctive Treatment For Substance Use Disorder: A Mixed Methods Multiple Case Study, Aubriana M. Teeley

Antioch University Full-Text Dissertations & Theses

Substance abuse disorder is a characterized by the presence of cognitive, behavioral, and physiological symptoms from substance use with continued use despite these consequences. It has serious individual and societal implications, such as negative health effects, overdose, poor work and school performance, negative impacts on relationships, and even death. Economic effects include more frequent use of emergency and hospital services as compared to peers without substance use disorder. A variety of treatments for substance use are available, including inpatient and outpatient programs accompanied by behavioral interventions, individual or group psychotherapy, or 12-step programs. However, there is no one treatment that …


Experiencing The Death Of A Formerly Abusive Parent, Heather Spence Jan 2016

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 …


Black And White Multiracial Adult Womens' Experience Of Their Physical Appearance: A Qualitative Descriptive Phenomenological Analysis, Vanessa Geissler Jan 2016

Black And White Multiracial Adult Womens' Experience Of Their Physical Appearance: A Qualitative Descriptive Phenomenological Analysis, Vanessa Geissler

Antioch University Full-Text Dissertations & Theses

According to the 2010 United States Census 1.8 million people self-identified as multiracial Black, and of that 1.8 million, 45% self-identified as Black and White. Multiracial individuals are a growing population in the United States, and by year 2050 an estimated 21% of the entire population will be multiracial. Irrespective of these statistics, research among this population is limited. Further research is warranted because existing literature has identified an increased emphasis on multiracial individual’s physical appearance. Questions such as, “What are you?” or labels such as exotic, beautiful, fascinating, or other, are a few examples of how this population is …


Therapeutic Horseback Riding With Military Veterans: Perspectives Of Riders, Instructors, And Volunteers, Leslie Lafleur Jan 2015

Therapeutic Horseback Riding With Military Veterans: Perspectives Of Riders, Instructors, And Volunteers, Leslie Lafleur

Antioch University Full-Text Dissertations & Theses

Statistics reveal that over 353,000 military members have been diagnosed with PTSD and/or TBI resulting from war-related activities. With the rising number of war stress injuries, there have not been enough psychotherapeutic services to meet the current demand for the care of returning veterans from Iraq and Afghanistan. Although some intervention strategies have been deemed successful, the current standards of care (e.g., exposure therapy, cognitive therapy) are limited by training inadequacies, accessibility, and outcomes (e.g., retention, early drop out, resistance, non-responsiveness). Furthermore, it is unclear whether these treatments are efficacious in addressing the unique symptom presentations of this population. The …


Seasoned Psychotherapists' Experience Of Difficult Clinical Moments, Kirk J. Honda Jan 2014

Seasoned Psychotherapists' Experience Of Difficult Clinical Moments, Kirk J. Honda

Antioch University Full-Text Dissertations & Theses

Purpose: This phenomenological study was concerned with the clarification of the experience of the difficult clinical moment which is defined as a discrete moment in which the psychotherapist experiences distress as a result of his or her work with a client. Method: Retrospective descriptions of experience of difficult clinical moments were obtained from a diverse sample of ten seasoned psychotherapists in the Seattle area. The interviews were transcribed, analyzed, and summarized, and these summaries were confirmed by each participant as being an accurate representation of their experience. Results: Thematic analysis revealed six themes of experience during a difficult clinical moment: …


The Reintegration Myth: An Interpretive Phenomenological Inquiry Into The Reentry Experiences Of Air Force Reservists Returning From Afghanistan, Brent French Jan 2012

The Reintegration Myth: An Interpretive Phenomenological Inquiry Into The Reentry Experiences Of Air Force Reservists Returning From Afghanistan, Brent French

Antioch University Full-Text Dissertations & Theses

This project documents the 18-month reentry trajectory of nine (including the author) United States Air Force Reservists returning home from a six-month deployment to Afghanistan in 2009 and 2010. Compared with their Active Component peers, members of the Reserve Component are more likely to be diagnosed with adaptive disorders and have an elevated risk of unemployment, substance abuse, and suicide. Since a critical difference between Active and Reserve Component members is the dual-status of reservists as both military members and civilians, this project sought to better understand this duality within the context of nonpathological reentry. This required an interdisciplinary approach …


A Search For Meaning: The Family’S Response To Serious Mental Illness, Katherine Marie Burrelsman Jan 2009

A Search For Meaning: The Family’S Response To Serious Mental Illness, Katherine Marie Burrelsman

Antioch University Full-Text Dissertations & Theses

It is a commonly held belief that it is inherent in human nature to strive for coherence and meaning in the midst of adversity. Whether this is short or long term, for immediate or prolonged functioning, we all strive to put experiences within events into a framework that enables us to develop a sense of order leading to acceptance and resolution. Therefore, each individual within a family system may develop a hypothesis in order to make a modicum of sense of what can appear to be an impossible situation. The participants involved in this study were individuals with relatives suffering …