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Full-Text Articles in Social and Behavioral Sciences

A Study Of Innovation In Model Project Design: Addressing Mental Health Symptoms Among Co-Occurring Substance Use And Mentally Ill Clients Who Are Homeless In A Local Community Clinic Setting, Isis Dian Martel May 2017

A Study Of Innovation In Model Project Design: Addressing Mental Health Symptoms Among Co-Occurring Substance Use And Mentally Ill Clients Who Are Homeless In A Local Community Clinic Setting, Isis Dian Martel

Graduate Theses and Dissertations

Homeless persons with co-occurring substance use combined with mental illness constitute a particularly vulnerable subgroup with complex service needs. Unfortunately, the capacity to deliver critical treatment services has been extremely limited causing many from this population to remain untreated. Untreated co-occurring disorders can lead to a host of difficulties for both the individual and the community (Bouchery, Harwood, Sacks, Simon, & Brewer, 2011). Developing community based intervention services in Arkansas is a key activity necessary in strategically addressing this problem (Barbee, Gonzales, & Shelor, 2016). In partnership with the Arkansas Division of Behavioral Health Services, a local community treatment provider …


Environmental And Climatic Constraints On Large-Scale Camelina Production In Eastern Arkansas, Benjamin Robert Tracy May 2017

Environmental And Climatic Constraints On Large-Scale Camelina Production In Eastern Arkansas, Benjamin Robert Tracy

Graduate Theses and Dissertations

Camelina sativa is a cold weather crop that is typically grown in semi-arid environments in the Western United States, usually as a spring crop, but sometimes during the winter. Research analyzing climate data and soil hydrology is important to better understand the environmental and terrain conditions necessary for Camelina farming wherever it is proposed for large-scale production. This study focused on various conditions and constraints pertaining to the potential for Camelina as a crop biofuel in Eastern Arkansas. Due to interest in the economic potential of crop biofuels in this area, and in particular the low input costs for Camelina, …


Relations Between Adverse Childhood Experiences And Current Maladaptive Beliefs In A College Sample, Ilana Starr Berman May 2017

Relations Between Adverse Childhood Experiences And Current Maladaptive Beliefs In A College Sample, Ilana Starr Berman

Graduate Theses and Dissertations

Cumulative childhood trauma has been associated with both symptoms of post-traumatic stress disorder and depression. However, few studies have examined these relations with normative young adult populations nor have they explored the relation between childhood adversities and cognitive distortions as an outcome variable. The current study aimed to: 1) replicate and extend research on the relations between cumulative adversity, using a broad measure of adverse childhood experiences (ACEs; Felitti et al., 1998), which assesses both maltreatment (e.g., physical, sexual, emotional abuse and neglect) and exposure to elements of household dysfunction (e.g., caregiver substance use, witnessing maternal abuse), and mental health …


Gastrointestinal Health As A Stimulus For Native American Attraction To Medicinal Asteraceae And Further Implications For Human Evolution, Christopher David Stiegler Dec 2016

Gastrointestinal Health As A Stimulus For Native American Attraction To Medicinal Asteraceae And Further Implications For Human Evolution, Christopher David Stiegler

Graduate Theses and Dissertations

The Asteraceae, or the daisy family, is the largest family of flowering plants in the world, and its ethnobotanical, medical, and economic value is readily apparent cross-culturally. The aim of this thesis is to examine why constituent genera of the Aster family have remained such an integral part of human medicinal plant knowledge, and thereby to reveal any potential physiological, biological, or evolutionary mechanisms underlining human patterns of use regarding the Asteraceae. The present study focuses specifically on Native American plant knowledge made available by the expansive database in the works Daniel Moerman (Moerman 2003). Frequencies of plant use and …


The Lived Experiences Of Emergency Department Personnel In Working With Individuals With Mental Health Needs, Sarah Wohlford-Neubauer Dec 2016

The Lived Experiences Of Emergency Department Personnel In Working With Individuals With Mental Health Needs, Sarah Wohlford-Neubauer

Graduate Theses and Dissertations

Individuals who work in emergency departments and emergency services in the United States have daunting, overwhelming, and difficult tasks to perform. In addition to medical emergencies that include physical trauma and illnesses, emergency personnel treat individuals with psychiatric emergencies. This qualitative research study explored the lived experiences of ten emergency department personnel that had experienced working with individuals with mental health needs. The ultimate purpose of the study was to break down individuals’ experiences into a shared description of a universal phenomenon. The study utilized a phenomenological, qualitative research design to capture the essence of this phenomenon. Participants’ responses to …


Examining The Sociocultural Experiences Of Cherokee Nation Citizens In Athletic Competition And Sport, Michael Dewayne Merrie Dec 2016

Examining The Sociocultural Experiences Of Cherokee Nation Citizens In Athletic Competition And Sport, Michael Dewayne Merrie

Graduate Theses and Dissertations

The purpose of this dissertation was to examine the sociocultural experiences of Cherokee adults in athletic competition and sport. Specifically, following a qualitative design, fifteen participants were interviewed about their personal experiences in athletic competition and sport while growing up in rural Oklahoma. Interviews were open-ended and followed a semi-structured script of questions with additional probes. Once completed, the recorded interviews were transcribed and data were analyzed. The data revealed six axial codes and three selective codes. Cherokee culture, psychoSocial identity, and athletic competition were the three major selective codes discovered in this study. Qualitative analyses revealed that participants have …


The Influence Of Strength-Training Exercises On The Functional Fitness In Older Adults, Susie Engle Aug 2016

The Influence Of Strength-Training Exercises On The Functional Fitness In Older Adults, Susie Engle

Graduate Theses and Dissertations

The purpose of this study was to examine the influence of strength-training exercises on the functional fitness in older adults. The original convenience sample consisted of 658 participants who attended group strength-training classes offered through the Cooperative Extension Service. The Senior Fitness Test was used to assess baseline fitness levels at the beginning and end of the 12-week strength-training program. Data was collected from 2008 to 2015. Of the 658 participants, 110 were aged 60 to 94 and presented posttest scores occurring approximately 12 weeks after pretest dates. Of the 110 subjects, 99 were female and 11 were male. The …


Social Media And Perceptions Of Sexual Consent: Development And Psychometric Assessment Of Two Consent Measures, Kelley Rhoads Aug 2016

Social Media And Perceptions Of Sexual Consent: Development And Psychometric Assessment Of Two Consent Measures, Kelley Rhoads

Graduate Theses and Dissertations

Background. Preliminary qualitative research suggests some college students believe sexual consent can be communicated and interpreted in Social settings, such as parties or bars, and in contexts lacking face-to-face interaction like text messages and Social media content. Previous sexual consent researchers have described perceptions of consent that occur in Social settings as “outside the bedroom” consent. The belief that sexual consent can be interpreted from Social media content or that accepting an alcoholic beverage from someone at a bar is indicative of sexual consent is problematic and warrants further study. Current validated consent scales are limited and do not assess …


The Perceived Invalidation Of Emotion Scale (Pies): Development And Psychometric Properties, Melissa Jean Zielinski Aug 2016

The Perceived Invalidation Of Emotion Scale (Pies): Development And Psychometric Properties, Melissa Jean Zielinski

Graduate Theses and Dissertations

Despite the decades that have passed since invalidation was first theorized to causally influence the development of psychopathology (Linehan, 1993), no measures have been designed and statistically validated to index current emotion invalidation. Research on invalidation has thus grown slowly and often used measures that were designed to assess other constructs (e.g., criticism, abuse) or that retrospectively assess childhood invalidation. This series of five studies describes the development and psychometric evaluation of the Perceived Invalidation of Emotion Scale (PIES), a novel measure of emotion invalidation. Items for the PIES were developed using themes from a qualitative investigation of adults’ experiences …


Nutritional Deficiencies During The Harvest Season According To Household Consumption And Level Of Nutritional Knowledge: A Case Study Of Northern Mozambique, Maggie Jo Hansen May 2016

Nutritional Deficiencies During The Harvest Season According To Household Consumption And Level Of Nutritional Knowledge: A Case Study Of Northern Mozambique, Maggie Jo Hansen

Graduate Theses and Dissertations

Mozambique is classified as a low income country, the lowest development classification defined by the World Bank. It is underdeveloped in food security, agricultural production, and nutritional status, and research shows its residents are not foreign to poverty and malnutrition. Low protein, starchy foods (maize, rice, wheat, cassava) comprise the majority of the Mozambican diet; these starchy foods are the most available for consumption. Although availability impacts diet, educational barriers may also threaten the knowledge of nutrition and perceptions of healthy foods. Illiteracy and lack of education are extreme challenges to disseminating nutritional education efforts in the rural Nampula region. …


Proteomic Characterization Of Eggshell Membranes And Their Effect On Poultry Physiology And Immunity, Sarbjeet Kaur Makkar May 2016

Proteomic Characterization Of Eggshell Membranes And Their Effect On Poultry Physiology And Immunity, Sarbjeet Kaur Makkar

Graduate Theses and Dissertations

The use of antibiotics in poultry growth and disease control has led to antibiotics resistant problem in human beings, which is a big concern among consumers. With the necessity for judicious use of antibiotics in poultry production, alternative strategies to improve disease resistance in poultry production are necessary. The research is more inclined towards using the natural products available to grow healthier and antibiotic free meat animals. In the context of exploring natural and sustainable resource of alternative to antibiotics, the biochemical milieu of eggshell membranes (ESM) were analyzed by using mass spectrometry techniques including matrix assisted laser desorption ionization …


Toddlers And Technology: An Examination Of How The Digital Surround May Be Related To Prototypic Vocabulary Development And Social Interactions During Play, Hannah Biarnesen Hutcheson May 2016

Toddlers And Technology: An Examination Of How The Digital Surround May Be Related To Prototypic Vocabulary Development And Social Interactions During Play, Hannah Biarnesen Hutcheson

Graduate Theses and Dissertations

This study sought to examine how the digital technology that surrounds young children may be related to prototypic vocabulary development and Social interactions during play. Twenty-six families in the Northwest Arkansas region with children between 15-36 months of age participated in the study. Thirteen children attended a campus preschool, six children attended a grant-funded local preschool, and seven children, all from the Northwest Arkansas area, were part of an earlier home-based study. The materials for the study included a developmental-technology use questionnaire and the MacArthur-Bates Communicative Development Inventories. Archival videotaped play sessions with the seven home-based children utilized a “Little …


The Role Of Child Anxiety In Parent Sick Role Reinforcement, Sarah Ann Bilsky May 2016

The Role Of Child Anxiety In Parent Sick Role Reinforcement, Sarah Ann Bilsky

Graduate Theses and Dissertations

A large body of evidence suggests that parents can facilitate offspring anxiety in response to bodily arousal. These learning experiences are referred to as “sick role reinforcement,” and are particularly important during adolescence, given the profound bodily changes (e.g., puberty) that characterize this period. Sick role reinforcement is likely important in the context of panic disorder (PD). Panic theorists suggest that parents may enhance panic vulnerability by increasing the threat value of bodily sensations. Although a sizeable body of work has examined the role of parent behavior in these processes, few have examined offspring factors in this process. Additionally, little …


Walking In American History: How Long Distance Foot Travel Shaped Views Of Nature And Society In Early Modern America, Brian Christopher Hurley May 2016

Walking In American History: How Long Distance Foot Travel Shaped Views Of Nature And Society In Early Modern America, Brian Christopher Hurley

Graduate Theses and Dissertations

The industrialization of transportation, first with railroads, and then with automobiles, took Americans away from foot transport, changing how Americans interacted with one another and viewed their surroundings. The dissertation traces the walking trips of five central figures in this era of mechanized transport, the personal impact of their experiences while walking through a land they were accustomed to skimming across, and the ways in which these personal revelations led to changes in the national consciousness. Walking upright was central to the development of homo sapiens as a species, and shaped the way they interacted with their environment. Certain aspects …


An Assessment Of Primary Care Physician Opinions About Supporting The Independent Autonomous Practice By Advanced Practice Nurses, James Michael Flanigan Dec 2015

An Assessment Of Primary Care Physician Opinions About Supporting The Independent Autonomous Practice By Advanced Practice Nurses, James Michael Flanigan

Graduate Theses and Dissertations

The Affordable Care Act (ACA) changed the national discussion about who is the decision-maker in healthcare delivery – physicians or others that pay the bill. The federal government is the largest payer of healthcare services while states are responsible for implementing the ACA’s features. Through the ACA, the federal government endorsed non-physician primary care by advanced practice registered nurses (APRN). The research question of this study is: Why do some primary care physicians support independent autonomous practice for advanced practice registered nurses while others do not? The research question should be important to policy-makers because physicians are the predominate purchasers …


Portion Size Communication By Means Of Package Design, Tami J. Strickland Dec 2015

Portion Size Communication By Means Of Package Design, Tami J. Strickland

Graduate Theses and Dissertations

This qualitative study assessed consumers’ current methods of determining portion sizing of chicken products and examined their perceptions of how effectively three package designs communicate portion size. Everett M. Rogers’ Diffusion of Innovations (DI) Theory analyzes the characteristics of the consumer of the innovation (adopter) and the impact these characteristics have on adopting new innovations. The innovation in this study will be the prototype packaging. Focusing on Rogers’ adopter characteristics and defined proprietary consumer segmentation characteristics, this study will be pivotal for future package design projects targeting nutrition education.

Focus group questions were scrutinized through a pilot study and revised …


Community-Based Rehabilitation Supports For Social Inclusion And Work Participation Of Young Adults With Visual Impairment In Kenya: A Case Study, Philomena Jepkemboi Tanui Dec 2015

Community-Based Rehabilitation Supports For Social Inclusion And Work Participation Of Young Adults With Visual Impairment In Kenya: A Case Study, Philomena Jepkemboi Tanui

Graduate Theses and Dissertations

Young adults with a visual impairment (VI) experience less interaction with the community that impacts the way they relate to the world as they transition to the larger society where they face significant barriers of adjustment, exclusion, and work participation. Young adults with VI contend with cultural stigma, inequality, poor self-esteem caused by marginalization, a low quality of life (QOL), and lack of Social support systems that exist beyond the home. The aim of this study was to understand the perceptions of young adults with VI in Elgeyo-Marakwet and Kisumu Counties of Kenya concerning the barriers to community inclusion and …


A Community-Based Participatory Approach To Understanding Health Beliefs, Policies, Barriers, And Solutions Related To The Health Disparities Of Marshallese Cofa Migrants In Arkansas., Pearl Anna Mcelfish Dec 2015

A Community-Based Participatory Approach To Understanding Health Beliefs, Policies, Barriers, And Solutions Related To The Health Disparities Of Marshallese Cofa Migrants In Arkansas., Pearl Anna Mcelfish

Graduate Theses and Dissertations

Public policies have different effects on different populations groups and can perpetuate health disparities among some populations. My research utilizes community-based participatory approach to research in the examination of one unique population: the Marshallese. This dissertation research presents three papers that are part of a cohesive research agenda predicated on community-based participatory research (CBPR) to facilitate policy-oriented learning. My research can be used to inform health policy, health care services, and health education. Chapter Two presents the article titled: Health Beliefs of US Marshallese Regarding Type 2 Diabetes.

This article explores the research question: what health beliefs related to diabetes …


Responses Of Two Strains Of Broilers To Diets Varying In Essential Amino Acid Density And Energy Levels, Tyler James Clark Dec 2015

Responses Of Two Strains Of Broilers To Diets Varying In Essential Amino Acid Density And Energy Levels, Tyler James Clark

Graduate Theses and Dissertations

The responses of two different commercial strains of broilers to diets varying in overall amino acid levels and metabolizable energy levels were observed. Amino acid levels used were 80%, 90%, 100%, 110%, 120%, and 130% of Ross recommended minimum digestable levels of essential amino acids. Energy levels used were either below or above Ross recommended metabolizable energy levels. Diets were fed for 56 days. The two strains were a fast growing broiler strain and a slower growing broiler strain. A selection of birds from each pen was processed at 35, 43, and 56 days of age. Average body weights, cumulative …


In Vivo Periodical Monitoring Of Immune Cell Infiltration In Response To Feathers And Intramuscular Injection Of Ionps Using The Pulp (Dermis) Of Growing Feathers As Test Site Tissue In Chickens, Olfat Taleb Alaamri Dec 2015

In Vivo Periodical Monitoring Of Immune Cell Infiltration In Response To Feathers And Intramuscular Injection Of Ionps Using The Pulp (Dermis) Of Growing Feathers As Test Site Tissue In Chickens, Olfat Taleb Alaamri

Graduate Theses and Dissertations

The applications of nanoparticles are growing, but little is known about their interactions with the immune system as most studies did not use suitable in vivo test systems. The purpose of these studies was to investigate the utility of chicken growing feathers as an in vivo test site for iron oxide nanoparticle (IONP) interactions with the immune system. The first objective of this study was to monitor leukocyte infiltration into the growing feather pulp upon the administration of IONP and IO-mIgG preparations. The second objective was to test the utility of IONPs as vaccine adjuvants by monitoring primary and memory …


A Descriptive Case Study Of Individuals With Presumed Ocular Histoplasmosis Syndrome Utilizing A Facebook Support Group, Lisa Aimee Thompson Dec 2015

A Descriptive Case Study Of Individuals With Presumed Ocular Histoplasmosis Syndrome Utilizing A Facebook Support Group, Lisa Aimee Thompson

Graduate Theses and Dissertations

This dissertation describes the experiences of people diagnosed with presumed ocular histoplasmosis syndrome as they participate in an online peer-support group on Facebook. This is a descriptive case study of factors related to adjustment, treatment, emotional distress, access to services, and online peer support. Participants were interviewed and observed, and documents were collected to describe this phenomenon.


Socially Constructing Drug Addicts From The Poor: A Critical Discourse Analysis, Kalynn Susan Amundson Jul 2015

Socially Constructing Drug Addicts From The Poor: A Critical Discourse Analysis, Kalynn Susan Amundson

Graduate Theses and Dissertations

Welfare drug testing was authorized by the Personal Responsibility and Work Opportunity Reconciliation Act (PRWORA) of 1996, and has subsequently garnered extensive legislative interest in numerous states. This policy raises several questions, which are the subjects of the two journal articles and one manuscript included in this dissertation.

The first article addresses the question of a possible confluence of War on Drugs and Welfare Reform policies as evidenced through welfare drug testing policy, and indicated by continuity in policymakers’ rhetoric. This study examines federal-level policymakers’ debate discourse in these two policy streams. The analysis finds themes of the Social pathology, …


Development And Preliminary Validation Of A Nonmedical Prescription Drug Motives Questionnaire, Lauren Ashleigh Milner Jul 2015

Development And Preliminary Validation Of A Nonmedical Prescription Drug Motives Questionnaire, Lauren Ashleigh Milner

Graduate Theses and Dissertations

The prevalence of nonmedical prescription drug (NMPD) use continues to increase among emerging adult populations; however, little is known about the motivations behind this use. The current study aimed to extend previous research by developing and validating the first known comprehensive NMPD motives measure. As such, the primary focus of the current study was to examine evidence for the reliability and validity of the NMPD Motives Questionnaire by assessing the factor structure, internal consistency, and construct validity of the motives scale. Participants were drawn from a larger study of college student substance use behaviors and attitudes (N = 1,427; Mage= …


Students' Perspectives After Participation In A Mandated College Level Alcohol Intervention Program: A Phenomenological Study, Suzanna L. Guizar Jul 2015

Students' Perspectives After Participation In A Mandated College Level Alcohol Intervention Program: A Phenomenological Study, Suzanna L. Guizar

Graduate Theses and Dissertations

Alcohol abuse among college students continues to be a significant problem by which the consequences impact the student, their peers, and the university. Although quantitative research with volunteer participants supports the use of enhanced brief motivational interventions and cognitive behavioral skills training in reducing risky drinking behavior (binge drinking), research with mandated students has shown inconsistent findings. The current study is a phenomenological qualitative study exploring the students’ perspectives after attending a mandated college-level alcohol intervention program. Mandated students are students who have been referred to an alcohol intervention as a result of violating an alcohol related policy on campus. …


Investigating The Theory Of Ambiguous Loss: The Role Of Ambiguity Tolerance In Pre-Death Grief For Caregivers Of Individuals With Dementia, Megan Kale-Cheever May 2015

Investigating The Theory Of Ambiguous Loss: The Role Of Ambiguity Tolerance In Pre-Death Grief For Caregivers Of Individuals With Dementia, Megan Kale-Cheever

Graduate Theses and Dissertations

This thesis sought to investigate the relationship between ambiguity tolerance and caregiver grief within the framework of ambiguous loss theory. Thirty-one family caregivers completed a quantitative survey comprising two pre-existing scales and several demographic questions designed to assess level of ambiguity tolerance, level of grief, caregiver age and gender, type of relationship to the care recipient, living situation, length of caregiving career, level of Social support and frequency of difficult behaviors. Quantitative data analysis revealed that while no relationship existed between total ambiguity tolerance and total caregiver grief, a modest, inverse relationship exists between tolerance toward general-type ambiguity and burden, …


The Role Of Stress: Low Birth Weight And Preterm Birth For African American Women, Tionna Latrice Jenkins May 2015

The Role Of Stress: Low Birth Weight And Preterm Birth For African American Women, Tionna Latrice Jenkins

Graduate Theses and Dissertations

This population-based study evaluates the impact that psychoSocial stress has on adverse birth outcomes of low birth weight (LBW) and pre-term birth (PTB) among African American mothers in Arkansas. The relationship between adverse birth outcomes in African American women and stress in comparison to non-Hispanic Caucasian women data was evaluated from the Pregnancy Risk Assessment Monitoring System (PRAMS) quantitative survey. Data from 2005 through 2010 was reviewed to show the impact that psychoSocial stress has on adverse birth outcomes. The study sample was comprised of 14,196 participants.

Ethnic group status is the key maternal-level independent variable in this study. Of …


The Effect Of Balance-Based Torso-Weighting On Mobility, Gait, Balance, Postural Control, And Falls Efficacy In Mobility Limited Older Adults, Jennifer L. Vincenzo May 2015

The Effect Of Balance-Based Torso-Weighting On Mobility, Gait, Balance, Postural Control, And Falls Efficacy In Mobility Limited Older Adults, Jennifer L. Vincenzo

Graduate Theses and Dissertations

Exercise is a known intervention to prevent fall risk among older adults; however, adherence is poor. Therefore, it is of interest to determine if other interventions improve function and decrease fall risk among older adults. Balance-Based Torso-Weighting (BBTW) is a non-exercise intervention that improves functional measures among adults with multiple sclerosis, yet the effectiveness of BBTW has not been assessed among older adults without progressive neurological disorders. We conducted a double-blind, randomized study to analyze the effect of BBTW on functional measures and falls efficacy among community-dwelling, mobility limited older adults after 5 days of wearing BalanceWear® for 4 hours …


The Paleoepidemiology Of Malaria In The Ancient Near East, Nicole Elizabeth Smith May 2015

The Paleoepidemiology Of Malaria In The Ancient Near East, Nicole Elizabeth Smith

Graduate Theses and Dissertations

The end of the Late Bronze Age in the Near East (1300 - 1200 BCE) saw the widespread collapse of several large cultural centers, the reasons for which are a subject of continued debate. Evidence from events leading up to this cultural collapse suggest epidemic disease may have factored into the eventual downfall of these early civilizations. Recent DNA analysis from Egyptian mummies who lived during the period leading up to the Late Bronze Age collapse identified malaria in several elite individuals, suggesting the widespread prevalence of this infectious disease in Egypt. However, the exact prevalence, antiquity, and dynamics of …


An Experimental And Computational Evaluation Of The Importance Of Molecular Diffusion In Gas Gravity Currents, Jeremy Jac Herman Dec 2013

An Experimental And Computational Evaluation Of The Importance Of Molecular Diffusion In Gas Gravity Currents, Jeremy Jac Herman

Graduate Theses and Dissertations

The accidental release of hazardous, denser-than-air gases during their transport or manufacture is a vital area of study for process safety researchers. This project examines the importance of molecular diffusion on the developing concentration field of a gas gravity current released into a calm environment. Questions which arose from the unexpectedly severe explosion in 2005 at Buncefield, England were of particular interest. The accidental overfilling of a large tank with gasoline on a completely calm morning led to a massive open air explosion. Forensic evidence showed that at the time of ignition, a vapor cloud, most of which now appears …


The Impact Of Counselor Level Of Spiritual Well-Being On The Morale, Global Symptoms, And Global Impairment Of Adolescents Receiving Treatment For Substance Use And/Or Other Mental Health Disorders: A Pilot Study, Michael William Holland Dec 2013

The Impact Of Counselor Level Of Spiritual Well-Being On The Morale, Global Symptoms, And Global Impairment Of Adolescents Receiving Treatment For Substance Use And/Or Other Mental Health Disorders: A Pilot Study, Michael William Holland

Graduate Theses and Dissertations

In recent years there has been a movement towards a holistic perspective of human nature in the counseling leading to increased interest in the nature and role of spirituality in counseling and the counseling process. In the present study multiple regression analysis is used to determine whether Counselor Level of Spiritual Well-Being, or aspects thereof, namely, Counselor Level of Existential Well-Being and/or Counselor Level of Religious Well-Being, as measured by the Spiritual Well-Being Scale significantly impacts client outcomes, namely, Morale, Global Symptoms, and Global Impairment as measured by the Health Dynamics Inventory for adolescents receiving treatment for substance use and/or …