Digital Commons Network^™

Family- And Cultural-Level Influences For Latine Adolescent Nicotine Use: A Qualitative Study Informing Prevention, Cindy M. Hernandez Castro

Theses and Dissertations

Early tobacco use among Latine adolescents represents a critical public health concern, with 23.8% reporting current use and exceeding rates among other racial/ethnic groups (Birdsey et al., 2023; Gaddy et al., 2022). This early initiation elevates risks for nicotine dependence and related morbidity in adulthood (Tsao et al., 2023). Guided by Structural Ecosystems Theory (Szapocznik & Coatsworth, 1999) and contemporary grounded theory analysis (Braun & Clarke, 2006; Charmaz, 2006; Noble & Mitchell, 2016), this study examined multilevel influences on nicotine-related attitudes among Latine youth, including: (1) familial factors (i.e., parental monitoring, caregiver-youth communication), (2) cultural dynamics (i.e., cultural values and …

Socialization Interventions For Older Adults In Assisted Living Facilities: A Systematic Review, Anoop S. Muvva

Honors Undergraduate Theses

Older adults, defined as individuals over the age of 65, are a growing population in the United States, with projections estimating this group will reach approximately 80 million persons by 2050. Over 90% of older adults are diagnosed with a chronic condition, which can make it difficult to carry out the activities of daily living. As a result, some older adults reside in assisted living facilities, where dedicated staff provide daily support. However, issues in the delivery of care within these settings, including unmet socialization needs and complications among care staff, may contribute to social isolation. Programs designed to address …

The Psychological Effect Of Maternal Separation From A Child During Incarceration: A Survey And Critique Of Risk Needs Assessments, Samantha Yearwood

Honors Undergraduate Theses

This study examines whether frequently used correctional assessment instruments adequately capture the psychological impacts of maternal-child separation among incarcerated women. This research was conducted in response to growing criticisms that traditional risk and needs assessments fail to account for gender-specific experiences, specifically those related to caregiving roles and pregnancy. Using a qualitative analysis content analysis to assess four widely used instruments, the Women’s Risk and Needs Assessment (WRNA), Correctional Offender Management Profiling for Alternative Sanctions (COMPAS), Brief Symptom Inventory-18 (BSI-18), and Level of Service Inventory–Revised (LSI-R), the thesis  examines the inclusion of pregnancy-related variables, caregiving responsibilities, and separation-related psychological factors. …

Blunt Relief: Cannabis Use As Coping Mechanism For Undergraduate Students With Adverse Healthcare Experiences, Isabella Marie Cafini

Senior Honors Theses and Projects

Negative experiences within the healthcare system can shape how individuals cope with psychological distress, particularly in young adult populations. Coping-motive frameworks suggest that when trust in formal support systems erodes, such as after an adverse healthcare experience, individuals may self-medicate with substances rather than risk another unsupportive interaction. This present study examined how negative experiences within the mental healthcare system influence help-seeking attitudes and cannabis use among college students. We hypothesized that (1) individuals with lower utilization of mental health resources will have higher cannabis use compared to those with higher utilization of mental health resources, and (2) greater amounts …

From Prompt To Practice: Designing Custom Ai Bots For Interpersonal Skill Development, Alaina Michelle Schrader

2026 Scholarly Teaching Conference: Concurrent Session Papers

Developing strong interpersonal, leadership, and professional communication skills is foundational in counselor and education preparation programs (Fecke et al., 2023; Lateef, 2010; Stamer et al., 2023). Despite this reality, students often have limited opportunities for repeated, low-stakes practice before engaging with real clients, students, families, administrators, and other stakeholders (Lateef, 2010; Maurya, 2024; Stamer et al., 2023). This session describes a teaching practice that uses custom AI bots as simulated clients, parents, group members, and school administrators to create realistic, structured practice environments where students can rehearse counseling skills, consultation conversations, advocacy, boundary-setting, and professional decision-making without the pressure or …

A Third Way: An Unlikely Professional Portfolio, Sami C. Pack-Toner

Graduate Student Portfolios, Professional Papers, and Capstone Projects

No abstract provided.

Shared Burden, Potential Space: A Qualitative Study Of How Psychodynamic Therapists Work With Intergenerational Transmission Of Historical Trauma, Shaun J. Halper

Dissertations and Theses

The intergenerational transmission of trauma (ITT) has been investigated since the 1960s, beginning with research on the descendants of Holocaust survivors. Few qualitative studies, however, have taken up how psychodynamic therapists experience their treatments with adult patients with ITT. This study uses Interpretive Phenomenological Analysis (APA) to analyze adult ITT treatments from the perspective of psychodynamic psychotherapists. Ten licensed clinicians in the NYC tri-state area participated in semi-structured interviews, which were organized around three research aims: how clinicians conceptualized and identified ITT, what effective clinical interventions they used, and how they understood the impact of therapist-patient sameness or difference (regarding …

Wherefore Art Thou Competitors? How Situational Affordances Help Differentiate Among Prosocials, Individualists, And Competitors, Y. Liu, A.W. Stivers, R.O. Murphy, N.J. Van Doesum, J. Joireman, M. Gallucci, E. Aharonov-Majar, U. Athenstaedt, L. Bai, R. Böhm, N.R. Buchan, X.-P. Chen, K.B. Dumont, J.B. Engelmann, Li, Norman P., H. Euh, S. Fiedler, J. Friesen, S. Gächter, C. Garcia

Research Collection School of Social Sciences

The Triple Dominance Measure (choosing between prosocial, individualistic, and competitive options) and the Slider Measure (“sliding” between various orientations, for example, from individualistic to prosocial) are two widely used techniques to measure social value orientation, that is, the weight individuals assign to own and others’ outcomes in interdependent situations. Surprisingly, there is only moderate correspondence between these measures, but it is unclear why and what the implications are for identifying individual differences in social value orientation. Using a dataset of 8021 participants from 31 countries and regions, this study revealed that the Slider Measure identified fewer competitors than the Triple …

Behind The Curtain: A Literature Review Of Personal And Ecological Risk Factors And Current Multi-Level Interventions For Performing Artists, Christopher A. Robles

Social Work Theses

Performing artists experience psychological distress, including anxiety, depression, burnout, and substance use disorders, at rates significantly exceeding those of the general population. Guided by Bronfenbrenner’s Ecological Systems Theory (EST) and the Person-in-Environment (PIE) perspective, this structured literature review synthesizes research published between 2010 and 2026 to examine individual personality traits, environmental stressors across meso- and macro-systems, and existing multi-level mental health interventions for performing artists. Findings reveal that while traits such as high openness to experience, sensory processing sensitivity, and perfectionism foster artistic expression, they also heighten vulnerability to occupational stressors, financial precarity, social isolation, and venue-based substance exposure. Current …

From The Classroom To The Workplace: The Role Of Internships In Shaping Student Values, Jasmine Williams

Honors College Theses

A significant degree of research on workplace values has been conducted to better understand how employees are motivated in the hopes of reducing turnover. There also exists a significant body of literature on how internships impact career outcome and can effectively prepare students for the workforce. However, previous studies have not explored the differences between students who have completed internships in comparison to those who have not. The goal of this research is to determine whether internships create a significant impact on students’ workplace values (e.g. intrinsic, extrinsic, altruistic, and social) when compared to students who have not completed an …

The Impact Of Medicaid Policy Limitations On Access To Eating Disorder Treatment: Uncovering The Consequences Of A System Built To Fail, Meghan Frost

DSW Capstone Projects

Individuals who rely on Medicaid face major barriers when trying to access eating disorder (ED) treatment, reflecting broader patterns of structural disadvantage in publicly funded health care. Research shows delayed diagnosis, limited access to ED specialists, and frequent denials for recommended services. These gaps occur because Medicaid policies do not match the needs of evidence based ED care, resulting in delayed or incomplete care for many individuals with eating disorders.

This issue is highly relevant to social work practice because the policies shaping these barriers are complex and difficult for clients and ED providers to navigate. Social workers across clinics, …

Beyond The Identified Patient: Sibling Attachment, Burden, And Coping In The Context Of Mental Illness, Blaire Fauser M.S.

Selected Full Text Dissertations, 2011-

A “mental illness” is defined as a condition that causes clinically significant disturbance in cognition, emotion regulation, or behavior. Mental illness is growing increasingly more prevalent and has been found to not only impact the affected individual but also the broader family system. This study examined the impact of having a sibling with a mental illness on the non-diagnosed sibling. Specifically, the study focused on the relationship between siblings’ (sibling attachment), coping mechanisms, and caregiver burden. Previous research has shown that siblings of individuals with mental illness are at a higher risk of developing psychiatric conditions themselves, which is due …

Improving Pediatric Emergency Department Lethal Means Safety Documentation Rates For Adolescents With Mental Health Concerns, Cassandra L. Stegall, Ana-Maria Mcgill, John Fanton, Paul C. Mullan

Department Psychiatry & Behavioral Science Faculty Publications

Introduction:

Lethal means safety counseling (LMSC) is recommended for children presenting to the emergency department (ED) for a mental health (MH) evaluation. Currently, no gold-standard guidelines exist for documenting LMSC in the ED.

Methods:

This quality improvement project was conducted in the ED of a tertiary children's hospital. Baseline data were analyzed for access to any LMSC documentation (ALD) for "firearms/guns," "sharps," or "medication," and for complete LMSC documentation (CLD) if access to all 3 types was documented. The first intervention period added open-ended screening questions about access to lethal means to the MH-licensed clinical social worker note template. Intervention …

Examining Challenges For Sociology Master’S Degree Students At California State University, David Ortuno

University of the Pacific Theses and Dissertations

The purpose of this study is to identify the lived experiences of CSU sociology graduate students pursuing a master’s degree. Seven sociology graduate students from six of the eight (75%) total sociology MA programs throughout the entire CSU system were interviewed. Their responses were designed to analyze the support systems and challenges they face while pursuing a master's degree, as well as to investigate whether their experiences correlate with or fail to correlate with the promises in the CSU mission statement, and to answer the study’s research questions and achieve the purpose of this qualitative study.

Four themes emerged from …

The Phenomenon Of Professional Burnout Among Military Chaplains In Ukraine, Artem Makovskyi, Oleg Mateyuk, Oleksandr Bilovskyi, Anton Datskov, Dmytro Oleshko

Occasional Papers on Religion in Eastern Europe

The article presents a comprehensive study of the phenomenon of professional burnout among military chaplains in Ukraine in the context of their personal experience of being in extreme (combat) conditions. The relevance of the problem is due to the prolonged impact of combat operations, high psycho-emotional stress, and the special role of military chaplains in the system of moral and psychological support for Ukraine's security and defense sector. The theoretical and methodological basis of the study was the concept of professional burnout by K. Maslach, the provisions of the person-centered approach, and the theory of personal experience. The empirical study …

The Effects Of Meditation On Compassion And Cultural Humility In Mental Health Professionals, Jamie Kostek

Antioch University Dissertations & Theses

The purpose of this study was to examine the effects of a brief, secular, Buddhist-inspired meditation program on self-compassion, compassion for others, and cultural humility on mental health professionals. Using a single-group pretest-posttest design, licensed clinicians (N = 13) participated in a five-week Anytime Anywhere Meditation (Tergar International, 2024) program. Results indicated statistically significant increases in mindfulness, self-compassion, and cultural humility. Additionally, strong positive correlations were found between mindfulness and self-compassion, and between self-compassion and compassion for others. Findings suggest that brief, secular meditation programs rooted in traditional Buddhist practices may support both clinician well-being and culturally responsive practice.

Between Self, Family, And Becoming: Mindfulness And The Transition Experiences Of Latinx Clinical Counseling Graduate Students, Orlando R. Alvarez

Antioch University Dissertations & Theses

Latinx graduate students transitioning into their first semester of clinical counseling master’s programs often navigate substantial challenges as they embark on their academic journeys. While transitions into any new role can be difficult, the changes that accompany the beginning of a graduate program have been associated with increased role and identity strain, anxiety, depression, and feelings of fraudulence and imposterism, negatively impacting student success, performance, and attrition rates (Halladay et al., 2019; Murphy, 2021; Vidic & Cherup, 2019). Although mindfulness practices provide benefits for graduate student wellbeing, there is no current scholarship that has examined how mindfulness practices support Latinx …

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 …

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 …

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 …

Relational Efficacy Beliefs In Supervision Of Master’S Level Counseling Trainees As Predictors Of Counseling Interests And Goals, Taylor Karnilaw

Electronic Theses & Dissertations (2024 - present)

Master's level counseling trainees have condensed training periods before making career-related decisions and are often placed in settings with high rates of burnout and turnover. Supervision has been shown to be a protective factor for burnout and has the potential to be a source of self-efficacy, which has been linked with career-related outcomes like occupational interests and goals (Lent et al., 2018; O’Connor et al., 2018). Moreover, within the context of close relationships, like supervision, efficacy beliefs are believed to be shaped by a network of beliefs, including relation-inferred self-efficacy, self-efficacy, and other-efficacy (Lent & Lopez, 2002). The current study …

Operationalizations Of Adverse Childhood Experiences And Health Prediction, Sarah Josephine Miller

Graduate Theses, Dissertations, and Problem Reports (ETD)

Exposure to adverse childhood experiences (ACEs) has been consistently linked to suboptimal health outcomes and behaviors across the lifespan. As such, there has been widespread adoption of measures like the 10-item cumulative ACEs count measure developed by Felitti and colleagues (1998) across research literature and clinical practice. However, this measure was not developed with consideration of optimal psychometric properties and thus consists of several limitations that inhibit understanding of the specific dimensions of adversity that influence health outcomes. This 3-study dissertation focused on different measurement and statistical techniques to better understand the associations between ACEs and health. In study 1, …

Is Prosocial Behavior A Unique Correlate Of Academic Success In Emerging Adulthood?, Jacqueline Di Biase

Theses and Dissertations (Comprehensive)

Prior developmental research has frequently linked prosocial behavior to stronger academic functioning during childhood and adolescence (Cruz et al., 2024; Gerbino et al., 2018; Oberle et al., 2022), yet its relevance to academic success in emerging adulthood remains unclear. Guided by a Positive Youth Development (PYD) framework, the present study sought to address gaps in emerging adulthood research by examining the academic relevance of prosocial behavior while accounting for influential developmental assets and testing its independent contribution to academic achievement. Undergraduate students (N = 501) completed a cross-sectional self-report survey assessing prosocial behavior, self-control, dutifulness, sociability, and cumulative grade …

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 …

School Psychologists As Advocates: Addressing Microaggressions Targeting Students In Schools, Brea M. Banks, Lourdes D. Concepcion-Cabas, Farhia A. Osman, Kendell Kelly

Faculty Publications – Psychology

The aim of this conceptual paper surrounds a discussion of school psychologists’ role as advocates who can combat the prevalence of microaggressions in schools. The authors first define microaggressions in the context of Critical Race Theory and discuss the negative impact these transgressions have on students. Advocacy is a foundational role of school psychologists, and combatting microaggressions is one way school psychologists can engage in such efforts. Given the goal of this special issues is to highlight how social justice advocacy can address critical issues in school psychology, we use the NASP Practice Model as a framework to describe how …

Efficacy Of Induced After Death Communication Therapy For Grief: A Single-Group Wait-List Controlled Trial, Thomas J. Nehmy, John Daniels, Paul Williamson, Sarah E. Stegall-Rodriguez

Psychological Science Faculty Publications

Induced After-Death Communication (IADC) therapy, which uses bilateral stimulation derived from EMDR, is an emerging approach to reducing grief symptoms in bereaved individuals. The present study evaluated the IADC protocol, consisting of two 90-min sessions, in 43 bereaved adults with assessments at four time points including a one-month waitlist period to provide control data. Large reductions in grief symptoms were observed from baseline to follow-up (global grief severity d = 1.56; average daily sadness d = 1.33). Two-thirds of participants who exceeded the clinical cutoff score for prolonged grief at baseline scored below this threshold at follow-up. Treatment effects were …

Love Letters To The Self: Building Heart Skills Through Positive Autoethnography, Madalena Grobbelaar, Elizabeth Reid Boyd

Research outputs 2022 to 2026

This article is an enquiry between two educators, one from social science and the other from counselling psychology, exploring how Positive Autoethnography can be applied in both teaching and therapeutic contexts. An exploration by co-founders of #Love@ECU, a research initiative at Edith Cowan University (ECU) in Western Australia, the piece investigates the intersection of emotional learning and educational practice through the emerging framework of Heart Skills, an original format currently used in teaching interpersonal skills at ECU. It integrates personal narrative, embodied experience and emotional insight to consider how student growth and resilience can be cultivated. Central to this exploration …

The Amanah Project: A Pilot Educational Intervention Addressing Intimate Partner Violence In Muslim Communities In The United States, Tamara Makki

Graduate Studies Theses and Dissertations 2026

This study is a two-part manuscript dissertation that addresses the need for culturally and faith-based responsive interventions for intimate partner violence (IPV) within the Muslim community in the United States (U.S). The first manuscript is a conceptual and literature-based paper that examines IPV within the Muslim community in the U.S. and explores the intersection of religion, culture, patriarchy, and systemic barriers influencing survivors’ help-seeking experiences. Particular attention is given to issues of accessibility, including the limited availability of culturally and religiously responsive IPV services for Muslim survivors. This manuscript argues for the development of culturally responsive, faith-integrated approaches that improve …

Academic Satisfaction Of Graduate Students In Mental Health Professions: Mediating Roles Of Burnout And Engagement, Yu Ying Li

Electronic Theses & Dissertations (2024 - present)

Academic satisfaction for students is as critical to their retention and well-being as job satisfaction for working adults; however, it has received limited empirical attention particularly among graduate students in mental health-related programs. One of the barriers to mental health trainees’ satisfaction with their academic training is burnout. The current study evaluated the applicability of Study Demands-Resources (SD-R) framework (Lesener et al., 2020) to trainees. Specifically, this study examined the relations between study demands (i.e., perceived stress), study resources (i.e., supervisory alliance and social support), student burnout, student engagement, and academic satisfaction. It also tested if student burnout and engagement …