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Full-Text Articles in Social Work

Found In Translation : How Social Work Education Can Support Student Practice With Language-Discordant Client Systems, Martha Ann Early Jan 2017

Found In Translation : How Social Work Education Can Support Student Practice With Language-Discordant Client Systems, Martha Ann Early

Theses, Dissertations, and Projects

This study’s research question was "How can schools of social work support their students to work with language-discordant client systems (LDCS)?" In addition to the need for general support, social work students are preparing to enter a field where the patient population is growing increasingly diverse in terms of ethnicity, culture and language ability. Participants in the study described herein were current and recent social works students who were recruited for sample membership via broad social media outreach, supplemented with outreach to the researcher's professional network

The findings of this study indicate that the role of schools of ...


Barriers To Mental Health Treatment For Refugees In Maine : An Exploratory Study, Hayley Fitzgerald Jan 2017

Barriers To Mental Health Treatment For Refugees In Maine : An Exploratory Study, Hayley Fitzgerald

Theses, Dissertations, and Projects

The purpose of this study was to explore the barriers refugees face when it comes to accessing mental health treatment in Maine. Research suggests that refugees underutilize mental health services throughout the United States, despite equal to higher rates of mental health symptoms when compared to the general population. To acquire data, eight refugees were interviewed using a semi-structured interview guide. Participants were asked to share about their perceptions of mental illness and mental health treatment, discuss coping mechanisms that they find useful, and offer suggestions for providers working with refugees. Major findings included that stigma, fear, language, and cultural ...


How Our Service Systems Impact Resiliency And Recovery Of Domestic Violence Survivors : Clinical Perspectives, Emily Riddle Jacobs Jan 2017

How Our Service Systems Impact Resiliency And Recovery Of Domestic Violence Survivors : Clinical Perspectives, Emily Riddle Jacobs

Theses, Dissertations, and Projects

This qualitative research study explores clinicians’ perceptions of how current social service systems impact domestic violence survivor resiliency and recovery from abuse. The study utilizes a narrative analytic approach examining semi-structured interviews gathered from nine clinicians working in the trauma field. Through using the theoretical frames of intersectionality, trauma theory, and post-traumatic growth theory, the study focuses on the potential for growth and resilience among trauma survivors. This study found that survivors experienced more nuanced post-traumatic growth with ambivalence around new self-development, resiliency, and feelings of empowerment. The research suggests that the current social service systems re-traumatize survivors and replicate ...


Looking For Ghosts Everywhere : The Effects Of Vicarious Traumatization On Mental Health Interpreters Who Work With Refugees, Sophie Anna Lembeck Jan 2017

Looking For Ghosts Everywhere : The Effects Of Vicarious Traumatization On Mental Health Interpreters Who Work With Refugees, Sophie Anna Lembeck

Theses, Dissertations, and Projects

This study aimed to add to the available literature on vicarious traumatization among mental healthcare interpreters who work with refugees. I attempted to further this research by interviewing 12 mental health interpreters who work with refugee clients in order to ascertain their experiences with vicarious traumatization. All participants interviewed presented with physical and/or psychological symptoms associated with vicarious traumatization, although they were unfamiliar with the concept of vicarious traumatization itself. Participants’ reactions to working with traumatized clients manifested in various physical and psychological ways and ranged in severity. Previous literature suggests that symptoms of vicarious traumatization are exacerbated when ...


Benefits And Challenges Of Offering Peer Support To Student Survivors Of Campus Sexual Violence, Zoe Amanda Levenson Jan 2017

Benefits And Challenges Of Offering Peer Support To Student Survivors Of Campus Sexual Violence, Zoe Amanda Levenson

Theses, Dissertations, and Projects

This study examines the self-perceived benefits and challenges to college students in their role as peer supporters for survivors of campus sexual violence. The study identifies emotional, educational, professional, and social benefits and challenges experienced by peer supporters, as well as strategies used by students to mitigate challenges. The study is based on the perspectives of 11 college students who offer peer support through on-campus programs. Data was gathered through semi-structured telephone interviews.

Major benefits included positive emotions (fulfillment, sense of purpose, empowerment), influence on career paths and opportunities, a sense of community, improved interpersonal skills, and increased social capital ...


Exploring The Impact Of Mental Health On Infant Growth In Urban West Bengal, India :: A Retrospective Cohort Study Exploring The Association Of Mental Health Status Of Parents With A Deterioration In Weight For Age Z Score (As An Indicator Of Under-Nutrition) Of Children Under The Age Of 4 In A Cohort Living In An Impoverished Urban Community In West Bengal, India, Noah E.C. Levinson Jan 2017

Exploring The Impact Of Mental Health On Infant Growth In Urban West Bengal, India :: A Retrospective Cohort Study Exploring The Association Of Mental Health Status Of Parents With A Deterioration In Weight For Age Z Score (As An Indicator Of Under-Nutrition) Of Children Under The Age Of 4 In A Cohort Living In An Impoverished Urban Community In West Bengal, India, Noah E.C. Levinson

Theses, Dissertations, and Projects

Underweight malnutrition is considered the underlying contributing factor in 45% of all child deaths worldwide. Employing a retrospective cohort study design, we explored the association of mental illness symptoms of parents with a deterioration in weight for age z score (as an indicator of under-nutrition) of their children under the age of 4 in a cohort living in an impoverished urban community in West Bengal, India. Results, inconsistent with other studies, indicate that the association is not statistically significant among the studied population. The likely explanation is the intensive, multi-faceted nutrition interventions of Calcutta Kids, an organization working for many ...


Understanding And Negotiating Access To Preventative Sexual Health Care Biotechnology In Online Communities : A Thematic Analysis Of The Facebook Group ""Prep Facts: Rethinking Hiv Prevention And Sex, Dorothy Manley Jan 2017

Understanding And Negotiating Access To Preventative Sexual Health Care Biotechnology In Online Communities : A Thematic Analysis Of The Facebook Group ""Prep Facts: Rethinking Hiv Prevention And Sex, Dorothy Manley

Theses, Dissertations, and Projects

This thesis seeks to understand how access is being negotiated between the U.S. health care system, resources, and institutions by locating conversations about access to Pre-Exposure Prophylaxis (PrEP) within the lay led Facebook group PrEP Facts: Rethinking HIV Prevention and Sex. The study offers insight into the fault lines within the health care system and how men who have sex with men (MSM) are managing these fault lines, and providing mentoring and guidance to each other, when seeking access to preventive care. Narratives in the Facebook group illustrate who is accounted for and who falls between the gaps ...


Experiences Of First Generation College Students, Eleanor Grace Stulting Bradley Jan 2017

Experiences Of First Generation College Students, Eleanor Grace Stulting Bradley

Theses, Dissertations, and Projects

The fact that a significant number of first-generation students drop out of college within the first year speaks to the unique struggle that these students face. Although previous studies have looked at this phenomenon, not many have purposefully explored the experiences of the students themselves. This study sought to change that by interviewing 12 first-generation students on their experiences of college and what they believe has helped them to thrive. Several themes emerged throughout the study, including: 1) the idea of shared experiences and peer contact providing a sense of understanding as well as community; and 2) the idea of ...


An Exploration Of The Relationship Between Religion And Spirituality And Acculturation Stress Among International Students In The Western Massachusetts, Mun Ying Kennis Cheng Jan 2017

An Exploration Of The Relationship Between Religion And Spirituality And Acculturation Stress Among International Students In The Western Massachusetts, Mun Ying Kennis Cheng

Theses, Dissertations, and Projects

This quantitative study examined the relationship between religion and spirituality and acculturative stress among international students (n=38) in two colleges in Western Massachusetts. This study utilized three well-validated tools to measure acculturative stress for international students, religion and spirituality, and intrinsic religious motivation to test the hypothesis that religion and spirituality can help international students lessen their acculturative stress. The findings suggested no significant correlation between the variables, possibly due to a small sample size. The results showed that over 55% of students had some type of religious affiliation, and over 63% indicated they either attended churches or practiced ...


Do Characteristics Of Children And Families Influence Reported Caregiver Burden? : A Secondary Data Analysis Of The 2009-2010 National Survey Of Children With Special Health Care Needs, Chelsea Davies Jan 2017

Do Characteristics Of Children And Families Influence Reported Caregiver Burden? : A Secondary Data Analysis Of The 2009-2010 National Survey Of Children With Special Health Care Needs, Chelsea Davies

Theses, Dissertations, and Projects

Children with special health care needs (CSHCN) make up 15% of U.S. children 18 and under. They require increased specialized care, which may pose unique challenges to families. Prior research suggests families from historically disenfranchised groups may experience greater burden due to systems of structural oppression. This quantitative secondary data analysis of the 2009-2010 National Survey of CSHCN (N=40,242) uses a cross-sectional design, testing whether family characteristics (race/ethnicity, caregiver’s gender or education level, and number of CSHCN in the home) or a child’s functional difficulty (chronic pain, behavior, anxiety/depression) are significantly associated with ...


Perinatal Depression Screening : Using Antenatal Depression Screens And Patient Demographics To Predict Risk For Postpartum Depression :, Jackson Doyle Jan 2017

Perinatal Depression Screening : Using Antenatal Depression Screens And Patient Demographics To Predict Risk For Postpartum Depression :, Jackson Doyle

Theses, Dissertations, and Projects

This study examined the relationship between antenatal depression and postpartum depression in pregnant women at a family health clinic. The aim was to determine whether antenatal depression screens predicted postpartum depression. The Edinburgh Postnatal Depression Screen (EPDS) was used to screen for depression in 411 pregnant women during the first trimester, third trimester and postpartum phases of pregnancy. Risk factors including patient body mass index, socioeconomic status and marital status were considered predictors of perinataldepression. EPDS scores were analyzed over the three time periods and were compared to body mass index, socioeconomic status and marital status. Results indicated that third ...


Exploring Clinical Best Practices For Working With The Co-Occurrence Of Psychosis And A Trauma History, Sierra Leah Black Jan 2017

Exploring Clinical Best Practices For Working With The Co-Occurrence Of Psychosis And A Trauma History, Sierra Leah Black

Theses, Dissertations, and Projects

This qualitative research study explored clinical practices most effective in helping people who experience co-occurring psychosis and a trauma history. The research was conducted through interviews with nine mental health professionals, who reported they created their own skill base in working with clients with a co-occurrence of psychosis and trauma. Although every respondent reported this co-occurrence as common, they all expressed a lack of confidence and expertise in treating the population. Best practices for treatment were found to be a combination of psychiatric medication, psychotherapy, and community support. Themes of treatment included the need to establish trusting relationships, appreciate client ...


From Yellow Peril To Model Minority : ǂB Deconstruction Of The Model Minority Myth And Implications For The Invisibility Of Asian American Mental Health Needs, Lynda Anne Moy Jan 2017

From Yellow Peril To Model Minority : ǂB Deconstruction Of The Model Minority Myth And Implications For The Invisibility Of Asian American Mental Health Needs, Lynda Anne Moy

Theses, Dissertations, and Projects

The model minority myth is a racial stereotype imposed upon Asian Americans, often depicting them as a successful and high-achieving monolithic group in the United States. This paper examines sociopolitical functions of the term “model minority” and implications for this broad and diverse racial group by reviewing existing literature and conducting an analysis of qualitative interviews with 12 Asian Americans. The findings of this study suggest that while the model minority myth appears to be a positive stereotype, it may lead Asian Americans to experience distress through (a.) a sense of confinement, (b.) treatment as foreigners, and (c.) erasure and ...


Exploring Experiences Of, And Responses To, Microaggressions As Disrespect From Teachers In High School Classrooms : A Person-Centered Approach, Emily Ann Peck Jan 2017

Exploring Experiences Of, And Responses To, Microaggressions As Disrespect From Teachers In High School Classrooms : A Person-Centered Approach, Emily Ann Peck

Theses, Dissertations, and Projects

The present study examined the relationship among high school students’ experiences of microaggressions and disrespect perpetrated by teachers and their perceptions of school connectedness and projections of their own bystander intervention behaviors. There is reason to believe that peer bystanding behavior, defined as either intervention in the moment, or active supporting after the event, are protective in terms of the otherwise cumulative impact of microaggressions. Using interviews from seventeen high school students, and quantitative data from nine participants, this research prioritized the voices of students, their narratives, and their meaning making process after such events occur. Findings suggest that participants ...


Unequal Treatment : Sociocultural Identities And Their Effects On Eating Diorder Treatment Access And Efficacy, Hannah NoëL Smith Jan 2017

Unequal Treatment : Sociocultural Identities And Their Effects On Eating Diorder Treatment Access And Efficacy, Hannah NoëL Smith

Theses, Dissertations, and Projects

The purpose of this study is to explore ways in which eating disorder treatment can be made not only more accessible, but more effective for clients who identify as people of color, lower-socioeconomic status (SES), trans and gender nonconforming, and people whose Body Mass Index (BMI) normal or higher at the time of treatment.

Data was collected using a survey, which was completed by 28 participants recruited through Facebook eating disorder recovery groups and Instagram. Participants were asked to describe their racial identity, gender identity, SES, and BMI, then reflect on the experience of seeking eating disorder treatment.

The findings ...


"A Whole Lot Of Conscious Effort" : Exploring How Protective Factors Contribute To Resiliency In Parents Who Have Experienced Traumatic Events In Childhood, Annelies J. Spykman Jan 2017

"A Whole Lot Of Conscious Effort" : Exploring How Protective Factors Contribute To Resiliency In Parents Who Have Experienced Traumatic Events In Childhood, Annelies J. Spykman

Theses, Dissertations, and Projects

The purpose of this research project is to address the multiple variables that contribute to trauma exposure in childhood and how it manifests in the traumatized person’s later parenting styles. The over-arching research question is: do protective factors provide sufficient supports to parents who were subjected to traumatic experiences in childhood in order to lessen the transmission of trauma to their own children? This qualitative study is an assessment of interviews with 18 participants who identify as parents who have experienced at least one traumatic event in childhood. Findings of this study implicate a high level of resilience that ...


"Without Roofs Are The Houses" : An Exploration Of Ceremonies In Indigenous Communities, A Pathway To Healing And To The Forgotten, Denis C. Vidal Jan 2017

"Without Roofs Are The Houses" : An Exploration Of Ceremonies In Indigenous Communities, A Pathway To Healing And To The Forgotten, Denis C. Vidal

Theses, Dissertations, and Projects

Settler colonialism is often cited as the foundation for a myriad of social problems such as psychopathological stress in Indigenous communities. This research study explores how culturally syntonic interventions such as sacred ancestral ceremonies can alleviate acute symptoms of anxiety and depression. The experiences of eleven people of Indigenous heritage who live in the Southwest and had participated in sacred ancestral ceremonies were interviewed in an attempt to better understand the potential healing properties of these ceremonies. The participants all self-reported a reduction in anxiety and depression symptoms as measured before and after participating in the ceremonies.


The Construction Of Religion In Social Work Education, Michael Waldon Jan 2017

The Construction Of Religion In Social Work Education, Michael Waldon

Theses, Dissertations, and Projects

This social work master's thesis used a qualitative study design involving non-random sampling of syllabi at accredited master's level social work programs around the United States in order to address the question, "How is religion constructed in social work education?" Materials addressing religion were extracted from syllabi used in first year required practice classes at 15 schools in five different geographic regions around the country. The texts were then analyzed using the techniques of discourse analysis (Carbó, Ahumada, Caballero, & Argüelles, 2016), an approach that considers the active function of language, tending to structure our thinking about abstract concepts ...


An Exploration Of The Relationship Between Vicarious Racism, Police Videos, And Their Impact On The Facebook Consumer, Daniel Segundo Jan 2017

An Exploration Of The Relationship Between Vicarious Racism, Police Videos, And Their Impact On The Facebook Consumer, Daniel Segundo

Theses, Dissertations, and Projects

This quantitative exploratory study used conflictual police videos on Facebook as a marker for vicarious racial trauma on social media to investigate its correlation with trauma symptoms. The literature has yet to examine the impact of vicarious trauma experienced on social media. This study collected data from participants who completed an anonymous online questionnaire reflecting on previous experiences watching conflictual police videos. The findings suggest: a positive correlation between vicarious racial trauma experienced on Facebook with trauma symptoms; that police shooting videos had a stronger correlation to trauma symptoms compared to police arrest videos; and a moderate relationship between negative ...


Mind, Body, & Spirit : An Ecological Community-Based Approach To Healthy Aging, Emily Widra Jan 2017

Mind, Body, & Spirit : An Ecological Community-Based Approach To Healthy Aging, Emily Widra

Theses, Dissertations, and Projects

Based on the biopsychosocial approach of the ecological theory of aging, the present study examined the health status and social engagement of participants in an osteoporosis-prevention exercise class for adults over the age of 65 in two counties in Western Massachusetts. A self-rated health survey was developed and administered in each of the Healthy Bones & Balance classes with 226 responses in total.

Participants in this study had higher self-rated health scores than have been found in a national epidemiological study. In particular, participants who live alone were engaging in more social activities – at senior centers and places of worship – than ...


Feedback Informed Care : Co-Creating Treatment Success, Eve Sandler Jan 2017

Feedback Informed Care : Co-Creating Treatment Success, Eve Sandler

Theses, Dissertations, and Projects

This qualitative research was conducted in order to answer the question: What factors do patients think are most useful in therapy? Feedback was collected from a sample of 630 participants from The Community Psychiatry Program (CPP) at Johns Hopkins. Respondents were asked to complete a written survey answering two questions: 1. How do you know when you are getting better? and 2. What are the most important aspects of (CPP)?

This study collected data from both patients and caregivers. Brief responses for each question were coded using a general inductive approach, which revealed multiple themes and subthemes. One significant finding ...


An Exploration Of The Relationship Of Obsessive-Compulsive Disorder Symptoms And Traumatic Experiences In Adult Clients, Sasha Pansovoy Jan 2017

An Exploration Of The Relationship Of Obsessive-Compulsive Disorder Symptoms And Traumatic Experiences In Adult Clients, Sasha Pansovoy

Theses, Dissertations, and Projects

This qualitative research study explored clinicians’ perspectives on the association between Obsessive Compulsive Disorder and trauma in the treatment of adult clients. Using both content and narrative analysis, the study examined whether OCD symptoms are reminiscent of the clients’ traumas. Nine clinicians were interviewed and presented narratives of clients who have experienced traumatic events and OCD. Key findings revealed that (1) 10 out of the 12 clients presented were abused as children; (2) OCD symptoms were perceived as coping strategies; (3) the majority of discussed clients were cisgender males; and (4) OCD symptoms of the clients reflected past traumas. Treatment ...


A Qualitative Study To Explore Puerto Rican Caregiver Needs And Supports To Better Feed Their Children, Nelly E. Carmona Jan 2017

A Qualitative Study To Explore Puerto Rican Caregiver Needs And Supports To Better Feed Their Children, Nelly E. Carmona

Theses, Dissertations, and Projects

"The worldwide prevalence of childhood overweight and obesity increased 10% between 1990 and 2010". Boneta, Toro, Garcia, Torres, & Palacios (2015). According to the authors, "Obesity rates of Puerto Rican children residing in mainland US and in Puerto Rico are among the highest (23-32%) when compared to other racial groups/ethnic groups". (p.2)

The purpose of this research is to first primarily understand the challenges that Puerto Rican caregivers’ have in providing a diet with high nutritional content for their school age children. A secondary purpose is to use these perspectives of Puerto Rican caregivers to inform social work practice ...


The Voices Of Survivors Of Suicide : Experiences With Forms Of Support After A Suicide Loss, Nicole Dietze Jan 2017

The Voices Of Survivors Of Suicide : Experiences With Forms Of Support After A Suicide Loss, Nicole Dietze

Theses, Dissertations, and Projects

The purpose of this exploratory qualitative study was to identify forms of support available to and utilized by survivors of suicide, to identify barriers to receiving support, and to gather suggestions and/or critiques regarding survivors’ experiences with the supports they received. In-depth interviews were conducted with 13 individuals who had lost a loved one to suicide at least one year prior to the interview. The interviews explored the participants’ experiences with accessing resources, formal and informal supports, negative experiences, and resource recommendations for other survivors of suicide. The findings from this study emphasized how coping with such a profound ...


"If You Lived In Your Body, You'd Be Home By Now" : Clincians' Perspectives On Somatic Practices In Psychotherapy, Natasha Sunil Jeswani Jan 2017

"If You Lived In Your Body, You'd Be Home By Now" : Clincians' Perspectives On Somatic Practices In Psychotherapy, Natasha Sunil Jeswani

Theses, Dissertations, and Projects

While the 21st century has seen increased popularity in somatic practices, there is little cohesive understanding of how these practices are effective and what common value their various branches bring to psychotherapy. This qualitative narrative research study compiles clinicians’ perspectives on their use and understanding of somatic practices in psychotherapy, along with challenges they have experienced in using such methods. The study qualifies such practices as meditation-based, trauma related, or movement-based and ultimately necessitates the inclusion of somatic practices in psychotherapy.


Working With Trauma : A Qualitative And Retrospective Exploration Of The Experiences Of Clinicians Who Work With Trauma, Allyson Rebecca Lent Jan 2017

Working With Trauma : A Qualitative And Retrospective Exploration Of The Experiences Of Clinicians Who Work With Trauma, Allyson Rebecca Lent

Theses, Dissertations, and Projects

The current study explored the gap in understanding the experiences of clinicians who work with trauma given the interesting intersection of high prevalence of trauma and demonstrated lack of training in working with trauma survivors. To this end, this qualitative and exploratory study sought to gain a retrospective understanding of clinicians’ training and career experiences in an effort to glean what has worked well in preparing skilled clinicians to work with trauma. Findings confirmed that clinicians do not feel prepared to do trauma work upon graduating from their degree programs and that they must seek out training opportunities in order ...


"Translating The Language Of The Body" : Engaging Individuals Who Self-Harm In Psychodynamic Psychotherapy, Dani Kowalski Jan 2017

"Translating The Language Of The Body" : Engaging Individuals Who Self-Harm In Psychodynamic Psychotherapy, Dani Kowalski

Theses, Dissertations, and Projects

The purpose of this exploratory study was to gain a deeper understanding of how individuals who self-harm develop ways of communicating about self-harming experiences in therapy. The study used semi-structured interviews with twelve participants to gather qualitative data about their experiences, with a focus on identifying what aspects of therapy were helpful to them, and what was difficult about engaging in therapy.

Participants spoke about the therapeutic encounter as one among many socio-cultural contexts in which changes of self-injury occurred. Findings suggest that engaging individuals who self-harm in therapy involves an understanding of self-harm as a communication of distressing experiences ...


Patients' Perceptions Of Stressors In The Intensive Care Unit : A Meta-Analysis, Nancy Sohier Welch Jan 2017

Patients' Perceptions Of Stressors In The Intensive Care Unit : A Meta-Analysis, Nancy Sohier Welch

Theses, Dissertations, and Projects

This study reveals what intensive care unit (ICU) patients from different countries consider most stressful about the ICU experience. A review of 16 independent studies on patients’ perceptions of ICU stressors yielded 10 data sets from seven countries that met criteria for inclusion in a meta-analysis. Stressors were categorized according to three types – bodily, psychological, and physical environmental – and were selected for comparison based on their frequent appearance among the top 20 stressors in each study selected. Findings showed considerable agreement between studies. Being in pain, Having tubes in the nose and mouth, and Being thirsty were found to be ...


Innocent Until Proven Guilty : ǂB Not For The Families Vicarious Incarceration Within A County Jail, Molly O'Connor Jan 2017

Innocent Until Proven Guilty : ǂB Not For The Families Vicarious Incarceration Within A County Jail, Molly O'Connor

Theses, Dissertations, and Projects

When an individual goes to jail, family members are often left in the shadow of the incarceration.This qualitative research study contributes to the incarceration literature by focusing on caregivers’ experiences at county jails, and by suggesting the usage of the term vicarious incarceration to fully encompass the levels of impact that incarceration has on the family. Caregivers in the present study engaged in a semi-structured interview modeled after Megan Comfort’s (2009) examination of secondary prisonization at San Quentin. Findings indicate that caregivers visiting a county jail do experience secondary prisonization, both at the jail and within the home ...


Clinician Vulnerability : Openness To Influence In Relational Therapy, Christine Powers Jan 2017

Clinician Vulnerability : Openness To Influence In Relational Therapy, Christine Powers

Theses, Dissertations, and Projects

The current study examined how clinicians practicing relational psychotherapy experience their own vulnerability in the therapeutic relationship with clients. The study followed a qualitative, phenomenological research methodology. The researcher interviewed ten experienced clinicians who practice relational psychotherapy. Four major themes emerged as significant findings. First, vulnerability was described as a quality of engagement in the therapeutic relationship that is open, engaged, and resonant. Second, participants expressed a sense of risk associated with mutual vulnerability. Third, participants emphasized the importance of mutual vulnerability for client’s healing. Fourth, participants described vulnerability as a developmental capacity. These findings have significance for the ...