Digital Commons Network^™

Experiences Of Title Ix Investigations For Bipoc Survivors Of Sexual Violence, Tiffini Vo

Antioch University Dissertations & Theses

Sexual violence is among the most common crimes on college campuses. Nearly one in four undergraduate women experience sexual violence during college, yet reporting remains low (Spencer et al., 2020). Some students avoided reporting because of fear of criticism, backlash, blame, and shame (Lorenz et al., 2023). These responses not only influence reporting decisions but can also contribute to persistent psychological harm. A common consequence of sexual assault is the survivor developing post-traumatic stress disorder (PTSD), depressive and anxiety symptoms, and suicidality, demonstrating the severity of the crime perpetrated against them (Rothman et al., 2021). Even more so, those who …

Storytelling And Equity: A Program Evaluation That Promotes And Supports Narrative-Based Learning And Open Dialogue Practices At Higher Ed Institutions, Regis A. Peeples

Antioch University Dissertations & Theses

On college campuses worldwide, storytelling functions as a primary method for transmitting and affirming knowledge. It serves to validate lived experiences, acts as a relational teaching tool, and supports theoretical inquiry. Given that teaching is inherently political, storytelling can also perpetuate hate, oppression, and other social harms within academic environments. Even when educators use storytelling constructively, limited training exists on the full range of its impacts on students, particularly in terms of what may be described as “dangerous” storytelling. Dangerous storytelling refers to narratives, intentional or authentic, that reinforce or cultivate phobias about physical appearance (e.g., race, culture, nationality), propagate …

Hiding In Plain Sight, Gayle M. Perreault

Antioch University Dissertations & Theses

Some autistic individuals reach adulthood without receiving a diagnosis, and the processes contributing to delayed recognition are not yet fully understood. This study explored how contextual conditions across development related to the emergence and use of camouflaging behaviors in late-diagnosed autistic adults from groups historically underrepresented in autism research. Using an inductive collective case study design, narrative interviews were conducted with seven autistic adults diagnosed after age 15. The analysis examined how participants described learning, maintaining, and interpreting camouflaging behaviors across childhood through early adulthood within social, environmental, and institutional contexts, with attention to how participants experienced environmental expectations and …

Virtual Communities, Real Identities: Bi+ Storying And Connection On Youtube, Gabrielle Gershoni

Antioch University Dissertations & Theses

This dissertation explored how bi+ individuals narrate identity, belonging, and community connection through personal storytelling on YouTube. Despite being a significant subset of the LGBTQIA+ population, bi+ individuals face unique challenges such as monosexism, bi-erasure, and binegativity. These systemic challenges contribute to health disparities and a pervasive lack of belongingness in both straight and queer communities. Using a narrative inquiry framework and reflexive thematic analysis, this study examined six publicly shared narratives of bi+ YouTube creators to investigate how digital spaces are utilized to construct and discus bi+ identities. Heteronormative socialization, “clicks” of identity recognition, relational negotiations, and misrecognition both …

How To Reduce Inpatient Violence: A Theory Synthesis From Four Models, Arthur Walker

Antioch University Dissertations & Theses

Working in an inpatient setting inherently involves an increased risk of violence. This violence can affect both staff and patients alike and can lead to psychological trauma, serious bodily injury, and even death. To mitigate this risk, many models for preventing inpatient violence have been proposed for hospitals to implement. However, the evidence for the efficacy of these methods is inconsistent, and the theoretical underpinnings are varied and slim. This dissertation seeks to improve these models by re-examining the theoretical structures for common themes of four models for inpatient violence reduction and proposing additional recommendations informed by this synthesis. First, …

Illuminating Secrets Of Harmful Supervision: A Narrative Inquiry Into The Lived Experiences Of Marriage And Family Therapy Supervisees Of Color During Clinical Supervision And The Effects On Their Personal And Professional Identity, Danielle Garcia Gomez

Antioch University Dissertations & Theses

Harmful supervision is a critical yet often underexamined issue for supervisees of color (SOC), whose lived experiences are underrepresented in clinical supervision literature. Given the hierarchical and evaluative nature of clinical supervision, power dynamics are placed at the center of professional training, thereby creating conditions where unchecked supervisory power can lead to harm. Within Marriage and Family Therapy (MFT), research on harmful supervision is limited, despite the profession’s emphasis on relational dynamics. This qualitative study aimed to amplify the voices of SOC victim-survivors of harmful supervision and to answer the research question: How have harmful supervision experiences affected the personal …

Bipoc Supervisors And Their Cross-Ethnoracial Supervisees: An Exploratory Dyadic Interdependence Study On Cultural Humility, Ethnocultural Empathy, Supervisory Alliance And Ethnoracial Identity Development, Karen Andal Neri

Antioch University Dissertations & Theses

There is an ongoing need for more relational, process-oriented multicultural supervision training models and research to address multicultural issues through a sociocultural perspective in cross-ethnoracial supervision. BIPOC therapists have often reported inadequate multicultural education and training as well as responsiveness from their White supervisors. As supervisors themselves, BIPOC therapists are often overlooked and understudied in the couple/marriage, family therapy (C/MFT) field, which remains predominantly Eurocentric. As a process-oriented model, multicultural orientation (MCO), especially its primary organizing pillar, cultural humility, appears highly relevant to BIPOC supervisors working across ethnoracial and cultural lines with their supervisees. However, neither the MCO nor broader …

Mental Health Therapists’ Experiences Of Moral Injury, Mary Krome

Antioch University Dissertations & Theses

Moral injury refers to the psychological, social, behavioral, and spiritual consequences that may result from experiences involving perceived violations of deeply held moral values and beliefs. Although research on moral injury has expanded beyond military populations, limited attention has been given to the experiences of mental health therapists, and qualitative investigations of this phenomenon remain scarce. Therefore, this project provides a qualitative assessment of mental health therapists’ lived experiences of moral injury, using an ecosystemic approach and accounting for biopsychosocial factors that influence experiences of moral injury. Six mental health therapists completed the Moral Injury and Distress Scale and endorsed …

Mind The Gap: Comparing Asian American And White American Experiences In Integrated Primary Care, Tenzin Miller-Dorjee

Antioch University Dissertations & Theses

This study explores Asian American and White American adults’ experiences of integrated primary care (IPC), focusing on patient satisfaction and perceived provider cultural competence. Although IPC models are intended to improve access to behavioral health services, it remains important to examine whether these models are experienced as culturally responsive and equitable across racial groups. This study used a quantitative, cross-sectional survey design with 550 adults in the United States who reported experience with IPC. Patient satisfaction was assessed using the Patient Experience of Integrated Care Scale (PEICS), and perceived provider cultural competence was assessed using the Iowa Cultural Understanding Assessment–Client …

Into Action: A Twelve Step-Informed Act Group Protocol For Outpatient Substance Use Treatment, Doug Hohenberger

Antioch University Dissertations & Theses

Substance use disorders remain a prevalent and costly public health concern. Despite this, efforts to disseminate evidence-based practices frequently encounter both practical and philosophical barriers. Language and practices from the Twelve Steps of Alcoholics Anonymous have permeated addiction treatment settings and have become the “common tongue” for addiction recovery discourse. Consequently, most substance use treatment programs feature tenets of the Twelve Steps of Alcoholics Anonymous in their clinical programming, even though the framework was designed for peer support settings. Twelve Step fellowships have made important contributions to the substance use treatment field and have guided individuals through personal recovery through …

A Qualitative Analysis Of Fitness Wearable Use And Embodiment, Lucas Brandt

Antioch University Dissertations & Theses

Wearable fitness technologies have become increasingly integrated into contemporary health and wellness culture, providing users with continuous access to physiological and behavioral data related to movement, sleep, stress, recovery, and overall health. Research has demonstrated that wearable devices can increase physical activity and support health behavior change (Ferguson et al., 2022; Koivisto & Hamari, 2019). Although less is known about how these technologies influence individuals’ lived experiences of their bodies. Understanding this relationship is particularly important given growing concerns regarding embodiment, self-surveillance, and the psychological effects of health-tracking technologies (Bergsland, 2017; Rapp, 2021). Drawing on theories of mind-body connection and …

“I May Flourish In Spite Of The Obstacles": A Deaf Queer Minority Stress Model, Maya E. Weaver

Antioch University Dissertations & Theses

The current study explores the intersectional experiences of individuals who identify as both d/Deaf and Lesbian, Gay, Bisexual, and Queer/Questioning, among other marginalized sexual identities. Historically, both Deaf and queer communities have faced significant oppression and discrimination; yet little research has examined the unique challenges encountered by those living at the intersection of these two identities, with most of the existing deaf literature focusing on heterosexual individuals and most of the queer literature centering around non-Deaf individuals. This study sought to address that gap by, within an exploration of their unique form of minority stress, investigating how identifying with both …

Bi+ Cismale Experiences With Straight Cismale Friends, Taylor M. Hardock

Antioch University Dissertations & Theses

Minority Stress Theory (2006) posits that individuals with a marginalized sexual identity have unique challenges and stressors. Bisexual+, or bi+, individuals have particular stressors related to not holding a monosexual identity, including specific mental health challenges. Research has shown that friendship can have many positive benefits on individuals, though the literature looking at friendship among bi+ identifying people is very limited. This qualitative study investigates the experiences of friendship between bi+ and straight cis men, especially as they may relate to minority stress and experiences of resilience and community belongingness. A thematic analysis was utilized to understand the personal experiences …

Beyond The Rabbit Hole: Dmt, Death, And The Hereafter, Abby Molina

Antioch University Dissertations & Theses

This dissertation explores a proposed relationship between death and N,N-dimethyltryptamine (DMT) within the context of contemporary clinical psychology and the current psychedelic renaissance. Building on Rick Strassman’s hypothesis that DMT may be released at the moment of death and Imants Barušs’ conceptualization of death as an altered state of consciousness, this project examines the phenomenological similarities between DMT-induced experiences (psychedelic “trips”) and near-death experiences (NDEs). Through review of neurobiological research, psychedelic-assisted therapy literature, religious and cultural ceremonial practices, and documented DMT trip and NDE reports, this work evaluates the plausibility that endogenous DMT contributes to altered states of consciousness observed …

Adverse Childhood Experiences Of Individuals Charged Or Convicted Of Homicide In Their Youth, Marcus Krodel

Antioch University Dissertations & Theses

Adverse Childhood Experiences (ACEs) represent a collection of distressful events occurring during childhood and have been shown to have a negative impact on future functioning. ACEs were utilized in the current study to increase our understanding of a unique population among court-involved individuals: juveniles charged or convicted of homicide. Court decisions have established that juveniles convicted of homicide are both distinct from their adult counterparts and present with dissimilar risk and protective factors. The current study explored a sample of 66 individuals who were charged or convicted of homicide while in their youth. Each participant was retroactively assigned an ACEs …

Doctoral Trainees’ Experiences Of Vicarious Trauma Within Inpatient Settings: An Exploratory Study, Melissa Neitlich

Antioch University Dissertations & Theses

Vicarious trauma (VT), first coined by Irene Lisa McCann and Anne Pearlman, is described as a pervasive and cumulative impact of working with survivors of trauma, resulting in changes to the therapist’s identity, worldview, psychological needs, beliefs, and memory. In spite of the unique vulnerabilities of doctoral trainees for experiencing VT, there is limited research on the impact of VT among doctoral trainee populations, as most of the extant literature focuses on the impact of VT in middle- to late-career psychological practice. In this primarily qualitative dissertation, I examined trainees’ experiences of vicarious trauma within various inpatient settings using the …

Impact Of Therapeutically Applied Role-Playing Games (Ta-Rpg) For Individuals At The Intersection Of Sexual And Gender Minorities (Sgm) And Autism Spectrum Disorder (Asd), Alexander S. Gelernter

Antioch University Dissertations & Theses

Individuals with Autism Spectrum Disorder (ASD) who also identify as sexual and gender minorities (SGM) may experience intersecting challenges related to communication, social belonging, masking, identity development, and access to affirming clinical spaces. Although role-play and therapeutically applied role-playing games (TA-RPGs) have been described as promising experiential approaches, limited research has examined how ASD/SGM individuals themselves understand role-playing games (RPGs) or evaluate their possible therapeutic use. This qualitative study explored how young adults with ASD level 1 who identify as SGM describe their experiences with RPGs and how they appraise the potential usefulness, risks, and conditions of TA-RPG. Five participants …

Cross-Domain Identity Development In Bipoc Autistic Adults: A Grounded Theory Study, Ginnylyne Mariano Guisadio

Antioch University Dissertations & Theses

Racial and autistic identity development both involve navigating stigma, seeking community, and contending with dominant frameworks that constrain authentic self-expression, yet existing research has not examined how these processes interact for individuals holding both identities. These interactions unfold within structural conditions such as diagnostic disparities, culturally specific ableism, and racialized consequences of visible autistic expression, which shape how identity development proceeds for BIPOC autistic adults. This study investigated whether and how the core identity processes of exploration and commitment proceeded for this population. Nine BIPOC autistic adults participated in written interviews analyzed through constructivist grounded theory, with identity status theory …

Dancing With The Void: A Cultural Exploration Of Nihilistic Musical Identities And Their Experience In Psychotherapy, Zachary Marciano

Antioch University Dissertations & Theses

This dissertation examines the profound existential paradox faced by individuals who have identified with nihilistic beliefs and ideas while attempting to seek meaning through therapy. Nihilism, characterized by the belief in the inherent meaninglessness of existence, poses a significant challenge to the traditional therapeutic framework, which often centers on the pursuit of meaning and purpose. This dichotomy poses a unique conundrum for individuals who embrace nihilistic perspectives shaped by identification with nihilistic lyrics and themes in alternative music genres such as metal, goth, grunge, and punk. Alternative music culture often serves as a vehicle for expressing and internalizing nihilistic beliefs, …

I’M A Sucker For You: The Role Of Parasocial Relationships And Celebrity Worship In Predicting Loneliness Among Fans Of The Jonas Brothers, Samantha Lynn D'Anna

Antioch University Dissertations & Theses

The current study sought to better understand the dynamics between parasocial relationships and celebrity worship in predicting loneliness among the Jonas Brothers fan community. A comprehensive review of existing literature positioned this dissertation within the context of current research. A quantitative, survey-based methodology was used to examine associations between variables through correlational analyses, and a qualitative component invited participants to share written narratives about the impact the Jonas Brothers have had on their lives. Quantitative findings showed that although parasocial relationships did not directly relate to loneliness, they were strongly linked to celebrity worship, which then mediated the connection between …

The Psychological Process Of Decolonizing The Colonized Self: A Grounded Theory Based On Hong Kongers’ Decisions After The 2019 Protests, Lai Kwan Shirley Lo

Antioch University Dissertations & Theses

Hong Kong, a British colony for over a century, was returned to China in 1997. In 2019, the proposal of an extradition bill sparked widespread outrage, leading to a year of unprecedented social unrest. The protests eventually dissipated with the advent of the COVID-19 pandemic and the Chinese central government’s tightening controls. Although the state characterized its interventions as decolonization, a significant wave of Hong Kongers responded by leaving their homeland to cultivate new lives in the “Western world,” including Britain. How does a colonized population willingly return to their colonizer after decolonization? This study sets out to search for …

The Role Of Emotional Intelligence In Entrepreneurial Leadership: A Mixed-Methods Case Study On Fostering Resilience And Sustainable Performance In Chinese Tech Startups, Mei Wang

Antioch University Dissertations & Theses

This study examines the relationship between emotional intelligence (EQ) and entrepreneurial leadership in Chinese tech startups through an explanatory sequential mixed-methods design. Guided by a primary research question—how EQ functions within the leadership team under sustained crisis—and a sub‑question examining the specific competencies to Navigate Emotions, Exercise Optimism, Increase Empathy, and Apply Consequential Thinking—the study uses the Six Seconds Emotional Intelligence (SEI) Assessment and semi‑structured interviews with five leaders within one company (identified by the pseudonym BTI), a Beijing‑based SaaS startup. The findings reveal that the abilities to manage emotional reactions and maintain a positive outlook serve as the “twin …

Parent Perspectives: Child Attendance In Community Grief Support, Janeene Sanderson

EWU Masters Thesis Collection

Childhood bereavement can affect children emotionally, socially, and developmentally, creating a need for support that is both age-appropriate and grief-informed. This qualitative study explored how parents perceived the impact of community grief support programs for their bereaved children. The study focused on children ages 8–12 who attended a peer support group, grief camp, or similar community-based grief support program after the death of a loved one. Data were collected through parent interviews and reviewed through thematic analysis. Findings showed that parents perceived these programs as meaningful because they created safe spaces where children could feel normal and validated in their …

Paradox Mindset In Working Parenthood: Linking Dual-Role Enrichment To Pursuit, Success, And Satisfaction, Tengjiao Huang, Xiaoyu Dai, Chi-Ying Cheng, Angela Leung

Research Collection School of Social Sciences

Managing the simultaneous demands of career and parenthood often generates tensions—particularly for women, who have historically been expected to take primary responsibility for caregiving. These gendered expectations persist, even as men increasingly express a desire to engage more actively in caregiving while maintaining their professional roles. Drawing on paradox mindset theory and work-family enrichment literature, this research investigated whether a paradox mindset—a cognitive tendency to embrace and value tensions—is positively associated with an aspiration for enrichment between work and parenting roles. In turn, this aspiration is hypothesized to predict intentions and outcomes related to dual-role pursuit. Three cross-sectional survey studies …

Hungarian Validation Of The Pelvic Floor Distress Inventory - 20 (Pfdi-20) Questionnaire And The Pelvic Floor Impact Questionnaire - 7 (Pfiq - 7), Barbara Kozma, Bence Kozma, Peter Takacs, Dávid Rátonyi, Nelli Farkas, Attila G. Sipos, Balint Farkas

Department of Obstetrics & Gynecology Faculty Publications

Introduction and Hypotheses

Pelvic floor disorders (PFDs) affect women's quality of life through physical, psychological, and social domains. The Pelvic Floor Distress Inventory-20 (PFDI-20) and the Pelvic Floor Impact Questionnaire-7 (PFIQ-7) are validated tools for assessing symptom severity and quality of life impact. The current study aim to investigate the reliability and validity of the Hungarian versions of these questionnaires in women with PFD symptoms.

Methods

This validation study was carried out at the University of Debrecen among women with clinically confirmed pelvic floor disorders. The PFDI-20 and PFIQ-7 questionnaires were translated into Hungarian using independent native English speaker in …

Evaluating The Role Of Provider Perspective And Their Impact On Individuals With Sickle Cell Disease In The United States Of America, Jadyn C. Oppong

Undergraduate Theses and Capstone Projects

Individuals affected by invisible disabilities, such as Sickle Cell Disease (SCD), have additional challenges beyond the physical manifestation of their disease, which is otherwise unknown externally. SCD patients continually consider disease manifestation in everyday life and experience varying degrees of disease perception in and out of the hospital environment. Additional considerations of a patient’s other intersecting identities, such as race and cultural identity, call attention to the sociological landscape of the United States of America. The dynamics observed within this landscape can be seen through the symbolic interaction of these identities with the invisible disability identity, in which a compounding …

Developmental Risk In Context: A Network Perspective On Adversity And Resilience, Alexander J. O'Donnell

Theses and Dissertations from DePaul University

Exposure to childhood adversity is common, unequally distributed, and strongly linked to negative outcomes across development. Efforts to improve well-being should consider protective factors across multiple levels, in addition to addressing the structural causes of adversity. Traditional approaches to resilience, such as cumulative risk and interaction models, provide useful information but do not capture the full complexity of how adversities and protective factors are connected. Network analysis offers a way to examine these interconnections by mapping associations and clusters of variables. This study uses data from the National Study of Adolescent to Adult Health (Add Health) to explore the combined …

Shades Of Stress: Colorism As Minority Stress For Women Of Color, Caitlin M. Mercier, Brea M. Banks, Lourdes D. Concepción Cabán, Michelle Duong

Faculty Publications – Psychology

Women of color often endure indignities shaped by colorism and skin tone discrimination, pressuring them to adhere to racialized beauty ideals (i.e., lighter skin). In response, some women of color may internalize these standards (i.e., through internalized coping and racial self-hatred) which can foster psychological distress. Yet, these associations remain underexplored. Using minority stress theory, in our cross-sectional study we collected online survey data to examine whether internalization and racial self-hatred explained the indirect link between colorist microaggressions and psychological distress among 121 women of color at a Midwestern US historically white institution. Using path analysis, we found support for …

Community Care During Austerity: Mutual Aid And Online Connection Among Disabled Americans, Maeve J. King

College of Graduate Studies: Theses & Dissertations

Amidst a mental health epidemic and rising inequality, online communities offer a medium for peer support networks for disabled Americans. Community care, especially in the form of mutual aid, has increased in popularity since the beginning of the COVID-19 pandemic. Considering troubling increases in eugenics-based messaging and disproportionate economic inequality, disabled Americans in particular have leaned into community care. Previous research establishes social media as a hub for resource mobilization and safe space for members of marginalized communities to connect. This research aims to explore the impacts of social, political, and economic unrest on the development of community care and …

Exploring Psychological Safety And Workforce Experiences Among Employees In Recovery Community Organizations In The Southern United States: A Qualitative Study, Claire-Lorentz Ugo-Ike

College of Graduate Studies: Theses & Dissertations

This qualitative study explored how employees in Recovery Community Organizations (RCOs) in the Southern United States experience psychological safety and how these experiences shape employee well-being and their intentions to stay or leave their organizations. Guided by Edmondson’s Psychological Safety Theory and the Job Demands-Resources (JD-R) model, the study examined how leadership practices, workplace culture, and the emotional demands of recovery support work shape employees’ perception of safety, support, and sustainability in the workforce. Semi-structured interviews were conducted with 19 RCO employees working in various peer support roles. Thematic analysis identified five major themes: (1) leadership behaviors shape psychological safety …