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Full-Text Articles in Social and Behavioral Sciences

Therapist Competency Using Transference-Focused Psychotherapy To Treat Borderline Personality Disorder., Rachel J. Altman Apr 2024

Therapist Competency Using Transference-Focused Psychotherapy To Treat Borderline Personality Disorder., Rachel J. Altman

Antioch University Full-Text Dissertations & Theses

Empirical research on clinician experience of competency treating borderline personality disorder is scarce, and that which does exist focuses on the negative experiences of those who treat this population. Utilizing an interpretive phenomenological analysis approach, this qualitative research investigation explored the lived experience of feelings of competency in clinicians treating borderline personality disorder using the evidence-based model of Transference-Focused Psychotherapy. To better comprehend this phenomenon and address research questions, data were collected via one, semi-structured interview given to five different clinicians who practice Transference-Focused Psychotherapy. Four themes emerged from the researched data: Positive treatment outcomes for patients, Using negative countertransference …


Relationships Between White Psychology Trainees’ Multicultural Competence And Racial Affect In The Pandemic, Daniella L. Colb Apr 2024

Relationships Between White Psychology Trainees’ Multicultural Competence And Racial Affect In The Pandemic, Daniella L. Colb

Antioch University Full-Text Dissertations & Theses

In this dissertation, I used an exploratory research approach to examine White psychology trainees’ affective responses to race-related material and how they relate to trainees’ self-perceived levels of multicultural competence amidst the COVID-19 pandemic and the rise of the Black Lives Matter movement. Participants completed self-report instruments about their experiences and identities, their affective responses to racial content, and their grasp of facets of multicultural competence. Significant correlations were found between affective responses—specifically White guilt and negation—and multicultural competence. The relationship found between White guilt and multicultural competence may speak to the power of guilt to motivate trainees’ pursuit of …


The Impact Of Asian American Cultural Centers On Sense Of Belongingness For Asian American Undergraduate Students, Malina B. Maladore Apr 2024

The Impact Of Asian American Cultural Centers On Sense Of Belongingness For Asian American Undergraduate Students, Malina B. Maladore

PsyD Program in Clinical Psychology Doctoral Dissertations (New England)

This dissertation examines the role of cultural centers and experiences of microaggressions in shaping the ethnic identity of Asian American undergraduates in U.S. higher education institutions. Utilizing Phinney’s model of ethnic identity development, a study with 175 participants revealed a positive correlation between reported microaggressions and sense of ethnic belonging in students attending universities with cultural centers. The findings highlight the complexities of belongingness and the potential impact of cultural centers on ethnic identity and experiences of microaggressions. This research contributes to a deeper understanding of Asian American students’ experiences in higher education. This dissertation is available in open access …


In And Through The Body: A Quantitative Exploration Of Embodiment In Eating Disorders, Lauren Zaniboni Apr 2024

In And Through The Body: A Quantitative Exploration Of Embodiment In Eating Disorders, Lauren Zaniboni

PsyD Program in Clinical Psychology Doctoral Dissertations (New England)

The field of clinical psychology has long privileged cognitive and affective experience and information over that which is stored in, and communicated by, the body (Caldwell, 2018; Young, 2006). Despite the profound and complex web of interactions between mind and body in EDs, this subspecialty has been no exception. The need for improvements in eating disorder (ED) treatment outcomes is well documented and transtheoretically accepted. Current practice guidelines for the treatment of adult EDs recommend the utilization of cognitive, behavioral, and interpersonal strategies to target problematic thinking and deficits in emotion regulation that are thought to fuel ED behaviors (American …


Engaging In Art To Support Social-Emotional Learning (Eassel): A Classroom-Based Approach, Hailey Mcafee-Scimone Apr 2024

Engaging In Art To Support Social-Emotional Learning (Eassel): A Classroom-Based Approach, Hailey Mcafee-Scimone

PsyD Program in Clinical Psychology Doctoral Dissertations (New England)

This dissertation describes a project to develop an art-based curriculum to teach young elementary school-age children social and emotional skills in the classroom based on the experiences of experts in the field of elementary education. Social-emotional learning (SEL) focuses on several key concepts including skills in interpersonal relationships, emotion regulation, and mindfulness (McClelland et al., 2017). By addressing SEL early within the education curriculum, children are exposed to resources that will help them to develop strong regulation skills, engage in identity exploration, and practice healthy relationship skills (Jones et al., 2017). The integration of SEL and art creates a learning …


The College Sexual Violence Epidemic: Examining Prevention And Response Procedures, Casey Buonocore Apr 2024

The College Sexual Violence Epidemic: Examining Prevention And Response Procedures, Casey Buonocore

Antioch University Full-Text Dissertations & Theses

A 2019 survey conducted by the Association of American Universities reported the prevalence rate of college sexual violence at approximately 13%. Additional college sexual violence research has found that there is often a significant discrepancy between rates of sexual violence and usage rates of post-assault resources (Stoner & Cramer, 2019). Given previous statistics on college sexual violence and emerging statistics on intimate partner violence, the COVID-19 pandemic likely exacerbated this existing discrepancy. Prior college sexual violence research has found that students are much more likely to access sexual violence resources if they have already received comprehensive information about those resources …


An Internal And External Contextual Autoethnography Of A Single Mother's Experience As It Intersects With Misogyny, Patriarchy, And Hegemonic Masculinity, Heidi Sampson Jan 2024

An Internal And External Contextual Autoethnography Of A Single Mother's Experience As It Intersects With Misogyny, Patriarchy, And Hegemonic Masculinity, Heidi Sampson

Antioch University Full-Text Dissertations & Theses

This dissertation is a contextual autoethnography of my lived experience with stigmatization, stereotypes, and institutional obstructions as a divorced single mother who previously experienced intimate partner violence and was diagnosed with post-traumatic stress disorder. The purpose of the study is to shed light on the complexity of the single motherhood experience, both internally and externally. From 2009 to 2019, the institutions I accessed for assistance as a single mother and those I interacted with for my children, my job, my health, and even within the church were unnecessarily burdensome financially, physically, and emotionally. This dissertation takes a contextual look at …


Developing More Equitable And Critically Conscious Organizations: Testimonios And Critical Platicas With Black And Latino/X Lgbtq+ Male Chrd Leaders, Mario Burton Jan 2024

Developing More Equitable And Critically Conscious Organizations: Testimonios And Critical Platicas With Black And Latino/X Lgbtq+ Male Chrd Leaders, Mario Burton

Antioch University Full-Text Dissertations & Theses

This dissertation connects the recent DEIB movement within organizations to larger social justice movements, specifically those that impact workers and the workplace. Critical human resource development (CHRD) professionals, who serve as “insider activists”, are highlighted due to their work to continue movement objectives within organizations. Through testimonios and critical platicas, this study explores how Black and Latino/x LGBTQ+ CHRD professionals, in particular, are experiencing the workplace, especially as it relates to their engagement with how DEIB is practiced within organizations. Through this study, these professionals provide insights into the ways that workplaces can be redesigned and reimagined to be …


Her Voice Matters: Life Histories Of Black Women Teachers’ Working Conditions, G. Funmilayo Tyson-Devoe Jan 2024

Her Voice Matters: Life Histories Of Black Women Teachers’ Working Conditions, G. Funmilayo Tyson-Devoe

Antioch University Full-Text Dissertations & Theses

This study explored Black women’s lived experiences as teachers in urban schools during the era of 21st-century education reform. It centers around the relationships between Black women teachers (micro), their working conditions in low-performing urban schools (mesa), and neoliberal education policies (macro) that affect their work. The theoretical frames were Black feminist thought and critical race theory. The research questions were as follows: first, what are the working experiences of Black women teachers of tested subjects in low-performing urban public schools and, second, how do socio-political factors affect their working conditions? The research design was qualitative and included narrative inquiry …


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 …


The Relationship Of Workplace Support, Job Control, And Burnout In Nurses, Shannon A. Mccleery Jan 2024

The Relationship Of Workplace Support, Job Control, And Burnout In Nurses, Shannon A. Mccleery

Antioch University Full-Text Dissertations & Theses

Nurses are the most likely group of healthcare workers to develop burnout. Previous research identified supervisory support, job control, and decision-making ability in the workplace as protective factors against burnout. There was a gap in the literature regarding the relationship between burnout in nurses and their experience of support, control, and decision-making during the COVID-19 pandemic. Reducing and preventing burnout in nurses is important due to the nursing shortage and concerns of attrition rates. This quantitative study examined the relationship of emotional support, instrumental support, job control, and decision-making opportunities in the workplace to burnout in hospital-based nurses. Measures used …


Posttraumatic Growth Following Pregnancy Loss, Megan Pinette Jan 2024

Posttraumatic Growth Following Pregnancy Loss, Megan Pinette

Antioch University Full-Text Dissertations & Theses

Posttraumatic growth (PTG) is positive psychological change that can result from the struggle with trauma or other highly stressful events (Calhoun & Tedeschi, 1999; Calhoun et al., 2010). The aim of this study was to capture the rich narratives of individuals who have experienced pregnancy loss and reported PTG. The narratives of ten participants were investigated to better understand what areas of posttraumatic growth they experienced following this often-devastating loss, as well as the processes that led to this growth. Participants of this study reported experiencing growth in the domains of (a) Relating to Others, (b) Personal Strength, (c) New …


The Pursuit Of Happiness: Freedom And Well-Being In Positive Psychology, Kevin J. Mckenzie Jan 2024

The Pursuit Of Happiness: Freedom And Well-Being In Positive Psychology, Kevin J. Mckenzie

Antioch University Full-Text Dissertations & Theses

This project explores the relationship between freedom and well‑being. Through reviewing the literature of positive psychology and existential psychology, clearer pictures of well‑being and freedom emerge, allowing for statistical analysis. By adopting Seligman’s well‑being theory as a model that incorporates hedonic and eudaimonic elements of well‑being and self‑determination theory’s conceptualization of autonomy as a proxy for freedom in existential psychology, this study explores the relationship between these constructs and their theorized factors through correlational analysis. A potential measurement model for an overall well‑being measure incorporating freedom as a factor is proposed and tested using confirmatory factor analyses. The effects of …


Narratives That Perpetuate, Narratives That Disrupt, And Narratives That Heal: One Teacher’S Exploration Of Decoloniality, Alison Packwood Henry Jan 2024

Narratives That Perpetuate, Narratives That Disrupt, And Narratives That Heal: One Teacher’S Exploration Of Decoloniality, Alison Packwood Henry

Antioch University Full-Text Dissertations & Theses

The initial question was innocent enough, at least on the surface: How do scholars and practitioners define child centered, developmentally appropriate, culturally responsive education in places distant from my home in the US? I was originally inspired to ask this question by my graduate students—aspiring and practicing Waldorf teachers—who were wrestling with the Eurocentric nature of the curriculum. In researching this question, I never imagined that I would find myself asking questions about the decolonization and indigenization of education, much less about coloniality. In fact, even as I completed the literature review, I was still so unfamiliar with the word …


Preparing Counselors To Meet The Needs Of Transgender Clients, Kristy Carangi Sep 2023

Preparing Counselors To Meet The Needs Of Transgender Clients, Kristy Carangi

Antioch University Full-Text Dissertations & Theses

This exploratory quantitative study tests the effectiveness of a three-hour Transgender Training Intervention for increasing the gender identity competence of counselors and counselors-in-training. Participants (N = 4) were recruited online and completed the 20-item Counselor Competence Gender Identity Survey (CCGIS) before and after the virtual training intervention. Data were analyzed using descriptive statistics. Results indicated that mean total CCGIS scores increased from 127.0 in the pretest to 138.75 in the posttest, a 9.25% increase. The largest gains were made on the Gaining Knowledge/Skills to Counsel Gender Diverse Individuals subscale (CCGIS-KS). Mean scores on the CCGIS-KS increased from 24.25 in the …


Examining The Relationship Between Counselor Professional Identity And Burnout, Jessica Gaul Sep 2023

Examining The Relationship Between Counselor Professional Identity And Burnout, Jessica Gaul

Antioch University Full-Text Dissertations & Theses

This study examines counselor professional identity and burnout for clinical mental health counselors. The population of focus included licensed or license-eligible Clinical Mental Health Counselors, who were post-grad (N=53). Participants then completed the Professional Identity Scale in Counseling - Short Form and the Maslach Burnout Inventory–Human Services Survey. When examining the findings regarding the relationship between Counselor Professional Identity and Burnout for this study, the initial observation revealed the validity and applicability of the MBI-HSS to clinical mental health counselors. Though a relationship between Burnout and Counselor Professional Identity was not identified, relationships between sub-scale items were noteworthy. Implications for …


How Racial Trauma Manifests In Black Women From Direct And Indirect Encounters With Police Brutality, Ashley Turner Jan 2023

How Racial Trauma Manifests In Black Women From Direct And Indirect Encounters With Police Brutality, Ashley Turner

Antioch University Full-Text Dissertations & Theses

This phenomenological study explored Black women’s lived experiences with racial trauma stemming from direct and indirect encounters with police brutality. A total of nine participants living in Washington state participated in this study. They identified as Black, ciswomen, fluent in English, and at least 21-years-old. In-depth, semi-structured, qualitative interviews were conducted to explore participants’ experiences with police. Transcripts were analyzed using interpretative phenomenological analysis. The results consisted of the following five themes: (a) forms of police encounters, (b) influence of identity, (c) perceived reason for police brutality, (d) emotions stemming from police brutality, and (e) tactics to survive police interactions. …


Exploring The Definition Of Resilience: A Convergent Parallel Mixed Methods Study In Adults Over The Age Of 65, Sara J. Blessington Jan 2023

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 …


Protective Behavioral Strategies And Negative Consequences Of Alcohol Use Among College Athletes, Nirmala Jayaraman Jan 2023

Protective Behavioral Strategies And Negative Consequences Of Alcohol Use Among College Athletes, Nirmala Jayaraman

Antioch University Full-Text Dissertations & Theses

Alcohol use is associated with a variety of negative consequences among young adults (Benton et al., 2004). Current studies are considering how protective behavioral strategies (PBS), such as acting as a designated driver, alternating with a non-alcoholic beverage, or watching out for a friend at a party, can be analyzed to better understand what factors contribute to alcohol consumption and drinking behavior (Borden et al., 2011). The purpose of this study was to further understand the relationship between the use of specific protective behavior strategies and negative consequences related to drinking alcohol among college athletes. The present study used survey …


Mind Wandering In Daily Life: A National Experience Sampling Study Of Intentional And Unintentional Mind Wandering Episodes Reported By Working Adults Ages 25 – 50, Paula C. Lowe Jan 2023

Mind Wandering In Daily Life: A National Experience Sampling Study Of Intentional And Unintentional Mind Wandering Episodes Reported By Working Adults Ages 25 – 50, Paula C. Lowe

Antioch University Full-Text Dissertations & Theses

Numerous researchers have investigated thinking that drifts away from what the individual was doing, thinking that is known as mind wandering. Their inquiries were often conducted in university lab settings with student participants. To learn about mind wandering in the daily life of working adults, this experience sampling study investigated intentional and unintentional mind wandering episodes as reported by working adults, ages 25–50, living across the United States. In this age frame, work and family responsibilities have increased in complexity and overlap. Using a smartphone app, participants were randomly notified to answer experience sampling surveys six times a day for …


How Is Obsessive-Compulsive Disorder Taught In Graduate Counseling Programs?, Laura Smestad Jan 2023

How Is Obsessive-Compulsive Disorder Taught In Graduate Counseling Programs?, Laura Smestad

Antioch University Full-Text Dissertations & Theses

The purpose of this study was to investigate how OCD is taught in graduate counseling programs. A quantitative approach with a qualitative element was used to explore the experiences of master’s-level counseling students learning about OCD as well as to examine specific information taught about OCD in graduate counseling programs. Participants completed the OCD Counselor Education Questionnaire to assess how OCD was taught in their diagnosis coursework. Quantitative survey questions were analyzed using a frequency analysis, and qualitative answers were analyzed using thematic analysis. Findings revealed significant gaps in graduate counseling curriculum related to OCD symptomology, misdiagnosis, and evidence-based treatments, …


Relationships Harm, Relationships Heal: Exploring Larger Bodied People's Experiences Of Weight Stigma And Eating Disorders In The Context Of Family Relationships, Rebecca Erin Belinsky Jan 2023

Relationships Harm, Relationships Heal: Exploring Larger Bodied People's Experiences Of Weight Stigma And Eating Disorders In The Context Of Family Relationships, Rebecca Erin Belinsky

Antioch University Full-Text Dissertations & Theses

Eating Disorders are the second deadliest mental illness, after opioid addiction, and affect a significant amount of the population, with some studies estimating that almost one in ten people will struggle with an eating disorder in their lifetime and that many more will suffer from subclinical eating disorder symptoms like disordered eating (Deloitte Access Economics, 2020). The majority of people struggling with an eating disorder are not medically underweight, and traditionally eating disorder research and treatment has failed to address eating disorders in people in larger bodies (Galmiche et al., 2019). To better understand the needs and experiences related to …


Internalized Transphobia And The Development Of Disordered Eating Behaviors In Gender Diverse Adults, Bonnie Kester Jan 2023

Internalized Transphobia And The Development Of Disordered Eating Behaviors In Gender Diverse Adults, Bonnie Kester

Antioch University Full-Text Dissertations & Theses

Gender diverse individuals experience a multitude of oppressive interactions within our society and receive incessant messages of invalidation, oppression, and aggression. These chronic stressors have been shown to increase the risk of developing disordered eating behaviors within this population. The current study aims to explore how internalized transphobia may affect the development of disordered eating behavior as viewed through the Minority Stress Framework. This study explored the lived experience of being gender diverse in our society and how this may relate to the development of disordered eating behavior while also investigating protective factors. This study utilized a qualitative phenomenological methodology, …


Children Tell Landscape-Lore Among Perceptions Of Place: Relating Ecocultural Digital Stories In A Conscientizing/Decolonizing Exploration, Meredith Jean Bird Miller Jan 2023

Children Tell Landscape-Lore Among Perceptions Of Place: Relating Ecocultural Digital Stories In A Conscientizing/Decolonizing Exploration, Meredith Jean Bird Miller

Antioch University Full-Text Dissertations & Theses

We know that when children feel a sense-of-relation within local natural environments, they are more prone to feel concern for them, while nurturing well-being and resilience in themselves and in lands/waters they inhabit. Positive environmental behaviors often follow into adulthood. Our human capacities for creating sustainable solutions in response to growing repercussions of global warming and climate change may grow if more children feel a sense of belonging in the wild natural world. As educators, if we listen to and learn from students’ voices about how they engage in nature, we can create pedagogical experiences directly relevant to their lives. …


Counselors’ Lived Experience Treating Patients Utilizing Methadone: The Intersection Of Culture, Policy, And Stigma, Kathryn Floyd Eggert Jan 2023

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 …


Once More, With Feeling: Partnering With Learners To Re-See The College Experience Through Metaphor And Sensory Language, Taran Cardone Jan 2023

Once More, With Feeling: Partnering With Learners To Re-See The College Experience Through Metaphor And Sensory Language, Taran Cardone

Antioch University Full-Text Dissertations & Theses

This study focuses on better understanding students and their internal worlds through conceptual metaphor theory and sensory language. Using a phenomenological and arts-based approach, I examined students’ metaphorical constructions of their college experiences and the sensory language and information informing those constructions. By engaging participants in a multimodal process to re-see their experience through connoisseurship and criticism, I explored the following research questions: How do students metaphorically structure their college experience? What sensory language do college students use to describe the metaphorical dimensions of their college experience? How does sensory information shape the metaphorical structuring of their college experience? Through …


Would You Offer Your Heart To The Wolf With The Red Roses? The Lived Experience Of Women In Relationships With Violent And Incarcerated Men, Amber R. Silverwood Jan 2023

Would You Offer Your Heart To The Wolf With The Red Roses? The Lived Experience Of Women In Relationships With Violent And Incarcerated Men, Amber R. Silverwood

Antioch University Full-Text Dissertations & Theses

Relationships with incarcerated individuals can be complex and complicated for the partner outside the prison walls. These relationships are seldom discussed and are poorly studied overall, with minimal information available about the people who start romantic relationships with people in prison. This study aimed to better understand the lived experiences of the women who engage in romantic relationships with men and specifically examined romantic relationships that started after their partner was incarcerated. The participants for this study were located on the website Reddit, in a designated subreddit for women in such relationships. In total, nine women responded and spoke candidly …


Does Anyone Else? The Lived Experience Of Writing About Depersonalization On Reddit, Kristina S. Fury Jan 2023

Does Anyone Else? The Lived Experience Of Writing About Depersonalization On Reddit, Kristina S. Fury

Antioch University Full-Text Dissertations & Theses

As both The International Statistical Classification of Diseases and Related Health Problems 11th Revision (ICD-11) and The Diagnostic and Statistical Manual of Mental Disorders-5-Text Revision (DSM-5-TR) describe, depersonalization (DP) involves unpleasant episodes of detachment from one’s sense of self or of unreality in the environment. Symptoms include people feeling as though they are an outside observer of their thoughts, feelings, sensations, body, or actions. DP can take the form of emotional numbing, in which people may feel they are watching themselves from a distance or as though they are characters in a play. People can also feel physically numb, disconnected …


Autism Paradigms And Mental Well-Being Among Autistic Adults: A Quantitative Exploration, Libbey Walker Jan 2023

Autism Paradigms And Mental Well-Being Among Autistic Adults: A Quantitative Exploration, Libbey Walker

Antioch University Full-Text Dissertations & Theses

Autistic populations experience significant mental health challenges. A growing body of research supports addressing autistic mental health problems using the framework of minority stress theory, the social model of disability, and the neurodiversity paradigm (e.g., Botha & Frost, 2018; Cage et al., 2018). This quantitative study explored how identification with the neurodiversity paradigm versus the pathology paradigm related to mental well-being in autistic adults. Participants (N = 135) completed an online survey in which they rated their identification with autism descriptions representing both paradigms. Participants also completed measures of psychological distress, self-esteem, personal autism acceptance, and internalized autism stigma. Most …


Exploring Supervisory Needs Of First-Generation Professionals Working In Higher Education, Angela R. Wellman Jan 2023

Exploring Supervisory Needs Of First-Generation Professionals Working In Higher Education, Angela R. Wellman

Antioch University Full-Text Dissertations & Theses

As first-generation students enter the workforce and traverse through their careers, their work supervisors are solidly positioned to positively influence their experiences. There is very little literature to be found that addresses the professional experiences of first-generation professionals in relation to their supervisors. The purpose of this exploratory study was to learn, directly from first-generation professionals working in higher education, what they believe they need from their supervisors to support their well-being and success. This research also sought to discover how important participants thought that each need statement was, as well to gain insight to what extent the identified needs …