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Full-Text Articles in Multicultural Psychology

The Relationship Between Acculturative Stress, Body Dissatisfaction, And Disordered Eating Behavior Among Latina Women In The United States, Emily Lillian Johnson Dec 2026

The Relationship Between Acculturative Stress, Body Dissatisfaction, And Disordered Eating Behavior Among Latina Women In The United States, Emily Lillian Johnson

Doctoral Dissertations

The majority of research on body dissatisfaction and disordered eating behaviors focuses predominantly on the experiences of white women, neglecting the significant impact of acculturative stress on these issues, especially among understudied groups like Latina women. The present study seeks to address the gap in the literature by obtaining data that explores the extent to which acculturative stress, body dissatisfaction, and disordered eating behavior have a relationships. Additionally, it investigates the roles of cultural values and ethnic identification in protecting against body dissatisfaction and disordered eating behavior within this population. To determine whether acculturative stress is predictive of body dissatisfaction …


Clinician Perspectives On Fistula Mental Health, Victoria K. Leonard May 2026

Clinician Perspectives On Fistula Mental Health, Victoria K. Leonard

Doctoral Dissertations

Background – Obstetric fistula is a childbirth injury caused by prolonged labor that leads to stillbirth and incontinence, spurring social exclusion and isolation. These layers of trauma put women with fistula at great risk for psychological suffering, which has profound negative socioeconomic impacts on them, their families, and communities. This study captured treatment as usual at Comprehensive Community Based Rehabilitation in Tanzania (CCBRT), the country’s largest provider of fistula care.

Method – Improving holistic fistula treatment requires engaging the clinicians who care for women with fistula. This study aimed to investigate the training, beliefs, and treatment approaches of nurses and …


Association Between Decisional Conflict And Quality Of Life Among Parents With A Child Undergoing Hospital-Based Treatment For A Recent Cancer Diagnosis, Augustine Provencio Sep 2025

Association Between Decisional Conflict And Quality Of Life Among Parents With A Child Undergoing Hospital-Based Treatment For A Recent Cancer Diagnosis, Augustine Provencio

Doctoral Dissertations

Having a child with a chronic illness, such as cancer, can cause families significant distress. Parents of these children must make frequent decisions relating to their child’s care. Depending on factors such as health literacy and support from medical staff, parents may have varying levels of decisional conflict (DC) throughout the decision-making process. Compounding stress throughout their child’s illness can often contribute to lower levels of health-related quality of life (HRQoL) while their child is receiving hospital-based treatment. Parents with a non-English language preference (NELP) often have greater challenges navigating healthcare systems due to a lack of resources and limited …


How Art Therapy And Emdr Help Asylum Seekers And Refugees Move Towards Healing Trauma: A Literature Review, Anna Mogilevsky May 2025

How Art Therapy And Emdr Help Asylum Seekers And Refugees Move Towards Healing Trauma: A Literature Review, Anna Mogilevsky

Expressive Therapies Capstone Theses

In the past ten years, there has been a significant rise in the number of asylum seekers and refugee populations worldwide (UNHCR, 2022). Displaced individuals are extremely vulnerable to mental illness because of the compounded trauma experienced in their countries of origin with the stress of immigration, asylum seeking, culture shock, and language barriers. PTSD is affecting 500 million individuals globally, and refugees are especially susceptible to having these symptoms (Farrell, 2020). Art therapy and EMDR are identified as the most promising modalities for treating such trauma.

This literature review examines the various ways EMDR and art therapy have been …


South Asian American Experiences Of Microaggressions And Wellbeing: The Moderating Role Of Social Support, Archita Birla Jan 2025

South Asian American Experiences Of Microaggressions And Wellbeing: The Moderating Role Of Social Support, Archita Birla

Electronic Theses and Dissertations

Although the South Asian American community is rapidly expanding in the United States (South Asian Americans Leading Together [SAALT], 2015), there remains a dearth of psychological research regarding the impacts on mental health and wellbeing affecting this diverse community. Racial microaggressions, or verbal or behavioral actions indicating hostile or negative attitudes toward marginalized individuals (Sue et al., 2007), negatively impact People of Color (POC) mental health and wellbeing (Forrest-Bank & Jenson, 2015a; Nadal, Wong, et al., 2015). Some research exists on South Asian American communities and microaggressions (Houshmand et al., 2014; Poolokasingham et al., 2014) but there is limited research …


Effective Methods In Communicating Assessment Results To Individuals With Limited English Proficiency: A Survey Of Current Psychologists’ Practices., Dee Vang Sep 2024

Effective Methods In Communicating Assessment Results To Individuals With Limited English Proficiency: A Survey Of Current Psychologists’ Practices., Dee Vang

Theses and Graduate Projects

The use of language interpreters is a primary solution for providing inclusive language services when conducting psychological assessments for people with limited English proficiency. However, this approach has limitations that have negatively affected the ability of clients with limited English proficiency to comprehend assessment results and adhere to recommendations. The purpose of this study was to improve the current understanding of effective methods for communicating assessment results to persons with limited English proficiency (PLEP) and working with language interpreters. Eight participants were interviewed about their current methods of communicating results and working with language interpreters during a feedback session. Consensual …


La Amenaza Cultural Y La Actitud De Docentes Chilenos Hacia La Multiculturalidad En La Escuela: El Rol De La Ansiedad Exogrupal Y La Sensibilidad Intercultural, María-José Mera-Lemp Dra., Javier Torres-Vallejos Dr., Florencia Guglielmetti-Serrano Sep 2024

La Amenaza Cultural Y La Actitud De Docentes Chilenos Hacia La Multiculturalidad En La Escuela: El Rol De La Ansiedad Exogrupal Y La Sensibilidad Intercultural, María-José Mera-Lemp Dra., Javier Torres-Vallejos Dr., Florencia Guglielmetti-Serrano

Revista Española de Pedagogía

En Chile, la llegada de escolares inmigrantes ha tenido importantes consecuencias para el profesorado, que ha debido adaptarse de manera rápida y con escasos recursos a una nueva realidad en las aulas. Esto pone de relevancia el estudio de variables que inciden en las actitudes que desarrollan hacia el alumnado inmigrante. Este trabajo tuvo como objetivo determinar el rol de la ansiedad exogrupal y la sensibilidad intercultural en la relación entre la amenaza cultural y la actitud hacia la multiculturalidad en la escuela, en una muestra compuesta por 190 profesores de educación primaria y secundaria. Se realizó un modelo de …


Reclaiming Healing Spaces: A Phenomenological Study On The Transformative Power Of Outdoor Therapy From The Lived Experiences Of Black Clinicians Working With Black Clients, Lynn Murphy Sep 2024

Reclaiming Healing Spaces: A Phenomenological Study On The Transformative Power Of Outdoor Therapy From The Lived Experiences Of Black Clinicians Working With Black Clients, Lynn Murphy

Dissertations

This phenomenological study involved assessing the experiences of Black therapists who engaged Black clients in outdoor therapeutic contexts. The study was founded on the existing literature that shows the quality of the therapeutic relationship is pivotal for client retention and the Western standards that have historically favored treatment within indoor environments. To contextualize this research, a comprehensive literature review was commenced, covering topics such as the decolonization of therapy, the historical and present-day relationship between Blacks and the outdoors in the United States, sedentary lifestyles, the psychological benefits of time spent in nature, various types of outdoor therapy, and the …


Gendering Diaspora Across Generations: Lebanese Motherhood And Daughterhood Post-Emigration, Janan Shouhayib Sep 2024

Gendering Diaspora Across Generations: Lebanese Motherhood And Daughterhood Post-Emigration, Janan Shouhayib

Dissertations, Theses, and Capstone Projects

This dissertation sits at the intersection of critical diaspora studies and Arab feminism, seeking to explore how migrant Lebanese women embody, design, and understand home, examined through the lens of motherhood and daughterhood. The following opening questions guided the study: Which aspects of Lebanese culture do women preserve, adapt, and/or abandon once they emigrate from Lebanon? How do these choices manifest in mother-daughter relationships? How do Lebanese women’s relationships to their culture change over time within the diaspora? To address this complex inquiry, this study employs two methods across three datasets. The first method includes archival data that was collected …


An Exploration Of Adult Children’S Attachment To Their Parents Across Two Cultural Groups: Indians In India And Indians Who Immigrated To The United States, Vilasini Meenakshi Arun Aug 2024

An Exploration Of Adult Children’S Attachment To Their Parents Across Two Cultural Groups: Indians In India And Indians Who Immigrated To The United States, Vilasini Meenakshi Arun

Doctoral Dissertations

Typically, attachment theory has been studied and explored with western populations. Individuals seeking mental health treatment within the United States include western and nonwestern cultural groups and research, theories and interventions that apply to diverse populations are necessary. Attachment relationships are often a part of, or reasons for clients to seek therapy either overtly or covertly, thus allowing research on attachment to better inform treatment plans and practice. An attachment relationship between a parent and child can be influenced by several factors and may change over the course of development, but little is known about this process among Indians …


Carceral Liberalism: Feminist Voices Against State Violence, Andrea Michaels Aug 2024

Carceral Liberalism: Feminist Voices Against State Violence, Andrea Michaels

Feminist Pedagogy

The following book review of Shreerekha Pillai’s Carceral Liberalism: Feminist Voices against State Violence (2023) is an expansive and timely collection of essays on the carceral state in its implications for feminist educators. This review focuses on the connections and connectivity of two essays in the collection that attempt to address a minor examination of the person as political.


Archetypal Energies And Global Mental Health, Carroy U. Ferguson Aug 2024

Archetypal Energies And Global Mental Health, Carroy U. Ferguson

Psychology Faculty Publication Series

As a keynote speaker at the Global Mental Health Conference 2024, held at Sophia University, Costa Mesa, CA, in-person and virtually, August 16-18, 2024, my topic was "Archetypal Energies As A Framework for Self-Empowerment and Well Being". The theme of this 2024 global conference was: Enlightened Minds, Compassionate Hearts, and Embodied Wisdom. To supplement my keynote address, I wrote this blog article titled "Archetypal Energies and Global Mental Health".


Themes In Help-Seeking Of Female Military Sexual Assault Survivors, Priscilla Phan Aug 2024

Themes In Help-Seeking Of Female Military Sexual Assault Survivors, Priscilla Phan

Doctoral Dissertations

While large efforts have been made to address military sexual assault, there are still barriers in the help-seeking journey that need attention. This study aimed to examine barriers and facilitators to formal and informal help-seeking behaviors and to understand the role of stigma in survivors' help-seeking behaviors for female military sexual assault survivors. Through semi-structured interviews, the study explored the help-seeking experiences and mental health sequela of fourteen female military sexual assault survivors. This study focused on cis-gender women over the age of eighteen who experienced a military sexual assault, by another military service member, while on active-duty. Women shared …


Help Seeking Experiences Of Asian American Parents Of Children With Autism Spectrum Disorder, Mellanie Kristelle Roxas De Guzman Aug 2024

Help Seeking Experiences Of Asian American Parents Of Children With Autism Spectrum Disorder, Mellanie Kristelle Roxas De Guzman

Doctoral Dissertations

Autism Spectrum Disorder (ASD) has become more widely understood and accepted by the general and professional populations. However, self and social stigma related to ASD persist and continue to negatively impact help-seeking behaviors. This qualitative study used semi-structured interviews guided by an ecological systems model, to explore the lived experiences of 11 Asian American (AsAm) parents residing in the greater San Francisco Bay Area with a child with ASD. A thematic analysis framework was utilized. A total of six themes and six subthemes emerged from this study and included: (1) comparisons, (2) stigma, (3) resilience, (4) support for services, (5) …


Perceptions Of Adhd-Related Behaviours In Trinidad & Tobago And Canada: A Cross-Cultural Study, Ronald V. Auguste Aug 2024

Perceptions Of Adhd-Related Behaviours In Trinidad & Tobago And Canada: A Cross-Cultural Study, Ronald V. Auguste

Electronic Thesis and Dissertation Repository

Undiagnosed ADHD is prevalent in the region where Trinidad & Tobago is situated. Children with ADHD are vulnerable to numerous negative outcomes. Parents and teachers are best positioned to identify ADHD-related behaviours in children but can only do so if they associate those behaviours with ADHD. This study investigates their perception of ADHD-related behaviours in children. It examines the hypothesis that these behaviours are more likely to be seen as issues of indiscipline and low motivation rather than a medical or psychological condition. Utilizing multilevel modelling, perceptions of ADHD-related behaviours in Trinidad & Tobago were compared to those in Canada, …


A Qualitative Study On Workplace Mental Wellbeing In The Singapore Context, Chad C E Yip, M. Anthony Machin, Yong Wah Goh Aug 2024

A Qualitative Study On Workplace Mental Wellbeing In The Singapore Context, Chad C E Yip, M. Anthony Machin, Yong Wah Goh

The Qualitative Report

Workplace wellbeing is essential for the employee as well as the organisation, but it may not adequately capture the way wellbeing is experienced in Singapore due to its diverse multi-ethnic society imbued with Eastern and Western values. The present study explores Singaporean employees’ understanding and perspectives in relation to how they experience wellbeing at the Singapore workplace. With a total of 31 participants consisting of full-time Singaporean employees from 17 industries, we used reflexive thematic analysis (Braun & Clarke, 2013) to interpret the data and develop the themes. These 13 themes are: accomplishment, autonomy, co-worker relationship, employee recognition, fairness, learning …


An Exploration Of China’S Low Fertility From A Feminist Lens: Chinese Women’S Feminist Identity Development, Perceived Gender Inequality, And Attitudes Toward Marriage, Yuan Hao Aug 2024

An Exploration Of China’S Low Fertility From A Feminist Lens: Chinese Women’S Feminist Identity Development, Perceived Gender Inequality, And Attitudes Toward Marriage, Yuan Hao

Seton Hall University Dissertations and Theses (ETDs)

Inspired by China’s current low fertility rate issues, this dissertation explored how Chinese women’s perceptions on gender inequality might shape their attitudes towards marriage and intent to marry, through the influences of different dimensions of feminist identity development. Through an online survey, 251 Chinese women who met the inclusion criteria were participants in this study. Hypotheses were tested through mediation analysis using the PROCESS Macro Model 4.

The following hypotheses were supported: 1) Chinese women’s perception of gender inequality is associated with their attitudes toward marriage. The greater they perceive gender inequality, the more negative their attitudes toward marriage will …


Examining The Association Between Parental Attachment, Fictive Kin Bonds, Psychological Needs Satisfaction, Emotional Distress, And Subjective Well-Being Among Black Americans, Roxanne Watts Aug 2024

Examining The Association Between Parental Attachment, Fictive Kin Bonds, Psychological Needs Satisfaction, Emotional Distress, And Subjective Well-Being Among Black Americans, Roxanne Watts

Dissertations

Secure attachment with parents predicts less emotional distress and greater subjective well-being across the lifespan. One mechanism by which parental attachment supports mental health outcomes is through psychological needs satisfaction (PNS). In addition to the attachment to parents, relationships with fictive kin caregivers are prevalent and important among Black families. The present study investigated the association between parental attachment, fictive kin bonds, psychological needs satisfaction and mental health outcomes (i.e., emotional distress and subjective well-being) in a sample of Black American adults. Two hundred twenty-three (N = 223) participants completed measures of parental attachment, fictive-kin bonds, psychological needs satisfaction …


Mental Health Stigma Related To Depression And Suicidal Behavior In Korean-Americans, Soo Min Kim Aug 2024

Mental Health Stigma Related To Depression And Suicidal Behavior In Korean-Americans, Soo Min Kim

Student Theses

Despite the surge of the Korean population within the United States, the Korean-American population is significantly underrepresented in research when observed separately from other Asian groups. The Republic of Korea has had the highest suicide rate within the OECD nations for well over a decade (Organization of Economic Cooperation and Development), and evidence suggests that the risk of suicidality may extend to Koreans living abroad (Kung, 2018). There is also evidence of high prevalence of depressive symptoms in Korean-Americans (Bernstein et al., 2011). In addition, Koreans are consistently demonstrated to hold stigmatizing beliefs about mental illness, however, very little research …


The Relationship Between Mental Health, Self And Other Stigma, And Help-Seeking Behaviors In Ethnic Minority Undergraduate Students, Briane Souki Jul 2024

The Relationship Between Mental Health, Self And Other Stigma, And Help-Seeking Behaviors In Ethnic Minority Undergraduate Students, Briane Souki

Ursidae: The Undergraduate Research Journal at the University of Northern Colorado

Racial and ethnic minority undergraduate students are disproportionately affected by mental health challenges and are less likely to seek support due to self-stigma and stigma from others, cultural perceptions of mental health, and help-seeking behaviors (Tucker et al., 2013). It is critical to understand mental health in cultural contexts because they influence help seeking behaviors for ethnic minority college students. These stigmas are thoughts that influence the help-seeking behaviors of students. Many ethnic minority students have internalized self-stigma toward help seeking. Part of overcoming minority student hesitancy toward help-seeking is to promote culturally aware mental health practices. In predominantly white …


The Influence Of Unhelpful Supervisor Support On Employee Burnout Across Cultures, Charles Blomstrom-Johnson Jul 2024

The Influence Of Unhelpful Supervisor Support On Employee Burnout Across Cultures, Charles Blomstrom-Johnson

Theses and Dissertations

Organizations continue to become increasingly interconnected globally, yet often fail to consider the cultural context of policies. Such failures to account for cultural differences may add to workplace stressors for employees, leading to an increased risk of burnout. Supervisors may attempt to buffer against burnout by providing social support to their employees. However, if the support given by supervisors is considered by the recipient to be unhelpful, these buffering effects may be reversed. Examining samples from the United States and Japan, this study hypothesized that unhelpful supervisor support and burnout would relate significantly to one another, and that culturally based …


“Understand What The Feelings Of The Student Must Be:” Newcomer Youths’ High School Integration Experiences, Anusha Kassan Dr., Alissa Priolo Dr., Natalie C. Sweeney, Suzanne Goopy Dr., Rahat Zaidi Dr. Jun 2024

“Understand What The Feelings Of The Student Must Be:” Newcomer Youths’ High School Integration Experiences, Anusha Kassan Dr., Alissa Priolo Dr., Natalie C. Sweeney, Suzanne Goopy Dr., Rahat Zaidi Dr.

The Qualitative Report

The present study was grounded in a social constructionist epistemology with an integrative social justice lens. It highlights the perspectives of one group – that of newcomer youth – from a collective case study exploring the phenomenon of school integration across multiple collaborators in one designated high school. As school integration is a central component in the lives and experiences of newcomer youth, this study aimed to provide insights and lessons learned directly from this group as they were integrating into a high school in Western Canada. In line with the epistemology and research design, the research prioritized participant voices …


Training In Trauma-Responsive And Anti-Racist Telehealth: A Model For Behavioral Health Clinicians And Providers, Ritchie Rubio Jun 2024

Training In Trauma-Responsive And Anti-Racist Telehealth: A Model For Behavioral Health Clinicians And Providers, Ritchie Rubio

Psychology Division Scholarship

Telehealth's uptake in behavioral health services has been accelerated by the COVID-19 pandemic. However, many clinicians continue to lack focused training in providing trauma-informed and culturally-responsive telehealth care. This article outlines a model curriculum that was created to instruct and coach behavioral health providers in California on how to integrate anti-racist and trauma-responsive techniques into telehealth. Topics like evidence-based trauma therapies, racial/ ethnic trauma, marginalized communities, digital divide, and provider selfcare were all covered in the nine-part curriculum. Every three-hour session included evidence-informed didactic content, telehealth skills practice, and concrete planning for implementation. Trauma-responsive frameworks such as the tri-phasic model …


Impact Of Physical Intimate Partner Violence On Postpartum Depression And Breastfeeding Duration In American Indian And Alaska Native Women, Zoe Resnick Milavetz Green, Marcia Bennett, Abby Hughes-Scalise, James Theisen, Julie Beans Jun 2024

Impact Of Physical Intimate Partner Violence On Postpartum Depression And Breastfeeding Duration In American Indian And Alaska Native Women, Zoe Resnick Milavetz Green, Marcia Bennett, Abby Hughes-Scalise, James Theisen, Julie Beans

Theses and Graduate Projects

In Alaska, 46 to 91 percent of American Indian and Alaska Native women have experienced physical intimate partner violence (IPV), compared to all women in other states, where the prevalence ranges from seven to 51 percent (Tjaden & Thoennes, 2000). Experiencing physical IPV has negative consequences on the mother’s physical and mental well-being, and has been associated with increased vulnerability to postpartum depression (PPD). Compared to other populations, American Indian and Alaska Native women are at greater risk for PPD due to less access to resources and less research on treatments (MacDorman, 2011). Additionally, American Indian and Alaska Native women …


Effects Of Intimate Partner Violence And Machismo On Pregnant Women In Mexico: A Systematic Review, Amber Casarrubias-Enriquez Jun 2024

Effects Of Intimate Partner Violence And Machismo On Pregnant Women In Mexico: A Systematic Review, Amber Casarrubias-Enriquez

University Honors Theses

This thesis aims to understand the effects of machismo and its link to intimate partner violence against pregnant women in Mexico. Machismo is a common underlying social norm in Latin America with Mexico being my target of interest. The term is defined as extreme masculinity that often contributes to gender inequalities and can have violent characteristics. Intimate partner violence is categorized as violent threats or acts against a partner and affects nearly 44% of women in Mexico (Carney et al., 2022). Barriers to help stem from shame, family expectations, and the overall violence against women in Mexico. Sadly, abuse persists …


Conducting Culturally Responsive, Strengths-Based Assessment In Schools, Eileen Cullen Jun 2024

Conducting Culturally Responsive, Strengths-Based Assessment In Schools, Eileen Cullen

Electronic Theses and Dissertations

Special education assessment has a significant impact on the lives of children with disabilities and their families. However, traditional assessment practices have been critiqued as being deficit-based, overly focused on “labeling” students, and failing to provide a holistic understanding of the student. Assessment models such as strengths-based assessment (SBA) and culturally responsive assessment (CRA), have potential to addresses these critiques and be more appropriate for the growingly diverse school population. Despite this, these models of assessment are under studied and there is a lack of clear guidance for how practitioners should implement them.

In these manuscripts, CRA and SBA are …


Understanding The Relationship Between Perceived Childhood Experiences And Relationship With God, Remaz Bahaa Jun 2024

Understanding The Relationship Between Perceived Childhood Experiences And Relationship With God, Remaz Bahaa

Theses and Dissertations

The present study explores the relationship between perceived childhood experiences and one’s current relationship with God in an Egyptian Muslim sample. While such relationship has been researched in Western contexts, there is a notable gap in understanding these dynamics within Muslim Middle Eastern cultures. In this study, 180 participants, brought up in Muslim households, were given the following questionnaires: both versions of the Parental Acceptance Rejection Questionnaire (PARQ) referring to the father and mother, Attachment to God Inventory (AGI), and Images of God (LAMBI Scale). The results presented the internal consistency of both the AGI and LAMBI scales with the …


The Psychological Significance Of Cultural And Religious Values Among The Arab Population, Michel Sherif Mikhail Jun 2024

The Psychological Significance Of Cultural And Religious Values Among The Arab Population, Michel Sherif Mikhail

Theses and Dissertations

Introduction: Values, which are the guiding principles and beliefs of our lives, have an influence over one’s psychological health. This study aims to investigate how Schwartz’s four higher-order values (conservation, openness to change, self-transcendence, and self-enhancement) and religious values influence psychological health among the Arab population. Methods: A total of 1,023 respondent from nine Arab countries aged 18 to 71 filled an online survey with measures of the following constructs: Schwartz’s four higher-order values (Portrait Value Questionnaire-21), religious values (Sahin’s Index of Islamic Moral Values), and general psychological health (General Health Questionnaire-28). Results: Two models of multiple regression were …


Growing Together: Cultivating The Social-Emotional Effects Of Art Education Through Trauma-Informed Pedagogy, Kaitlyn Lawrence Jun 2024

Growing Together: Cultivating The Social-Emotional Effects Of Art Education Through Trauma-Informed Pedagogy, Kaitlyn Lawrence

Masters Theses

In many societies, the process of art is recognized as a healing and transformative practice. In recent years, it has been emerging in tandem with social emotional practices and procedures in American education. However, it is also a fact that social emotional learning (SEL) does not account for all students due to its inability to account for the needs of all students in the classroom. SEL alone aims to teach healthy development and emotional management skills, but fails to account for students with varying experiences. While there are those who can and do integrate the skills from the Social Emotional …


Drug Use And Harm Reduction: Community Readiness As Pathway To Well-Being And Reintegration, Lauretta Ekanem Omale Jun 2024

Drug Use And Harm Reduction: Community Readiness As Pathway To Well-Being And Reintegration, Lauretta Ekanem Omale

Dissertations

Drug abuse negatively impacts the life and well-being of those who use drugs; this harm often extends to their loved ones, communities, and society. One presumptive set of psychological explanations for drug abuse is an addictive personality, a psychological susceptibility resulting from challenging family relationships, inadequate reinforcement, the absence of healthy role models, conflicting parental expectations, and a lack of love and respect. Harm reduction is a public health approach that focuses on minimizing the harmful effects of drugs and reducing judgment. It aims to meet people where they are in life and provide judgment-free, empathetic, supportive, and needed medical …