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The Effects Of Miscarriage On African American Men, Serita E. Baysmore Jun 2026

The Effects Of Miscarriage On African American Men, Serita E. Baysmore

Doctoral Dissertations and Projects

The purpose of this descriptive phenomenological study was to describe the lived experience of African American men who have endured the loss of a child through miscarriage. Schlossberg’s transition theory, developed in 1981, was used to identify how men work through their grief by focusing on how they enter into, move through, and move out of the transition. By centering the descriptions on lived experiences, semi-structured interviews were utilized with African American men from a North Texas church, which boasts a predominantly African American population, and by word of mouth. After completion of the interviews, the data were analyzed according …


The Impact Of Leadership Style On Cohesion And Trust Within Remote Teams, Grace E. Choi Jun 2026

The Impact Of Leadership Style On Cohesion And Trust Within Remote Teams, Grace E. Choi

Doctoral Dissertations and Projects

This qualitative phenomenological study explored how leadership approaches affected the development of trust and team cohesion within remote teams in the post-pandemic workplace. The pandemic transformed daily work interactions so that relationship focused leadership has become essential for distributed employees. This study examined how employees experience leader behaviors that either supported or hindered unity and trust through the lens of Leader-Member Exchange and transformational/transactional leadership theories. Through purposive sampling, nine adults who have spent at least one year working remotely in team-based roles in the United States were recruited for semi-structured interviews lasting approximately 45-60 minutes. Interviews were audio recorded …


Children With Cerebellar Malformations And Co-Occurring Autism: A Phenomenological Study Exploring Challenges Faced With The Dual Diagnosis Process, Service Acquisition, And Psychosocial Impacts, Ladeana W. Gambill Jun 2026

Children With Cerebellar Malformations And Co-Occurring Autism: A Phenomenological Study Exploring Challenges Faced With The Dual Diagnosis Process, Service Acquisition, And Psychosocial Impacts, Ladeana W. Gambill

Doctoral Dissertations and Projects

Parents of children who have been diagnosed with cerebellar malformations, such as Dandy-Walker Malformation, often face confusion and frustration as they are given uncertain prognoses about their child’s future. The uncertainty is further compounded when there are concerns for autism spectrum disorder (ASD), and testing is sought, with conflicting answers on whether their child has autism or not. Acquisition of autism-specialty services may be delayed if a diagnosis of autism is not received in a timely manner. The purpose of this interpretive phenomenological study was to understand the lived experiences and challenges faced by parents of children with cerebellar malformations …


Technology Acceptance And Chatgpt Use In The Workplace, Niya Lewis Jun 2026

Technology Acceptance And Chatgpt Use In The Workplace, Niya Lewis

Doctoral Dissertations and Projects

Artificial intelligence is increasingly being integrated into organizations and workplaces increasing the need to better understand the influence this technology has on employees. Research investing psychological factors that influence employees' intended use and benefits of these technology tools will help to better understand strategies to support adaptation and effective use of these tools for employees. This quantitative correlational study examined the relationships among technology self-efficacy (TSE), perceived usefulness (PU), decision-making confidence (DMC), occupational self-efficacy (OSE), and technology acceptance (TA) of ChatGPT among working adults across various occupational sectors. Mediating and predictive mechanisms that influence workers objectives to engage with ChatGPT …


The Relationship Between Estimated Vo2max And Poor Mental Health: A Study Of Brfss Data, Angelina Somadina Oputa Jun 2026

The Relationship Between Estimated Vo2max And Poor Mental Health: A Study Of Brfss Data, Angelina Somadina Oputa

Doctoral Dissertations and Projects

Mental health conditions are one of the leading contributors to the global burden of disease. Despite advancements in mental health therapies and psychiatric medications, significant numbers of patients continue to struggle with mental illness. Despite these challenges, exercise can serve as a powerful tool to address mental health concerns. Current literature has referenced the value of physical fitness to support mental health, however there is limited large-scale research assessing the estimated maximal oxygen uptake (VO2Max) as a predictor of poor mental health days. In response, this quantitative secondary analysis was conducted to examine the relationship between estimated VO2Max and poor …


Values And The Black-White Mental Health Paradox, Tiffany Soignoli Jun 2026

Values And The Black-White Mental Health Paradox, Tiffany Soignoli

Doctoral Dissertations and Projects

This quantitative cross-sectional study explored the Black-White mental health paradox (BWMHP), which proposes that Black individuals have better or similar mental health than White individuals despite additional stressors, but the etiology of these differences has not been found. While self-esteem has been consistently found to differentiate Black and White adults in relation to the BWMHP, values have not been investigated. Therefore, using a total sample of 191 Black and 191 White American adults (N = 382), values were examined to determine whether they contribute to the differences in depression, stress, and anxiety, leading to better mental health. Chi-square tests of …


How Are Depression And Anxiety In Biracial Black–White Adults Related To Monoracial Familial Connectedness Throughout Life?, Cary M. Steffey Jun 2026

How Are Depression And Anxiety In Biracial Black–White Adults Related To Monoracial Familial Connectedness Throughout Life?, Cary M. Steffey

Doctoral Dissertations and Projects

The multiracial population is the fastest-growing minority group in the United States, yet their mental health and familial experiences are insufficiently studied. Due to their complex racial backgrounds, unique life experiences, and diverse social connections, multiracial individuals endure mental health issues that differ from those of many other populations, including their family relationships. Some of these differences include how these relationships affect life experiences and mental health status. This quantitative study examined psychological well-being among multiracial individuals, with a focus on relationships with monoracial family members. This study hypothesized that greater familial support predicts improved mental health outcomes. The study …


Dissecting The Discourse: Colin Kaepernick's National Anthem Protest And Conservative Media As Competing Racial Projects, Travis Moody Jun 2026

Dissecting The Discourse: Colin Kaepernick's National Anthem Protest And Conservative Media As Competing Racial Projects, Travis Moody

Master's Theses

This thesis examines the media portrayal of Colin Kaepernick’s protest against police brutality and racial injustice during the National Anthem in the 2016 National Football League (NFL) season. Using content analysis, I analyze why Colin Kaepernick protested in his own words and how conservative media outlets such as Fox News rearticulated and criticized his social justice stance as an unpatriotic denigration of the American flag and Star-Spangled Banner. As I further argue, social movements such as #BlackLivesMatter and the Colin Kaepernick-inspired “Take a Knee” movement represent a political project to inform racial discourse regarding racial injustice in the United States. …


Evaluation Of A Sleep Health Composite: Changes In Sleep Over The Menarcheal Transition Among Girls, Julianna Adornetti Jun 2026

Evaluation Of A Sleep Health Composite: Changes In Sleep Over The Menarcheal Transition Among Girls, Julianna Adornetti

Master's Theses

Sleep undergoes a shift during puberty, increasing the risk for psychological and insomnia symptoms, particularly among girls. However, little research has examined how the onset of menarche may contribute to vulnerability in sleep and psychological functioning. The Sleep Health framework provides a standardized, multidimensional way to conceptualize sleep health (RU-SATED: satisfaction, alertness, timing, efficiency, duration, and regularity). Although prior studies have provided proof-of-concept for assessing sleep health using a composite score (SHc), its measurement properties have yet to be explored. The primary aims of this longitudinal study were to (1) evaluate the factor structure of a sleep health composite, (2) …


Satisfaction With Caseworker Services And Child Outcomes For Youth In The Foster Care System, Taira Masuda Jun 2026

Satisfaction With Caseworker Services And Child Outcomes For Youth In The Foster Care System, Taira Masuda

Master's Theses

Currently, there are approximately 400,000 children involved in the U.S. foster care system (U.S. Department of Health and Human Services, 2023). Youth involved in foster care experience challenges such as trauma, disruptions to their support system, academic disruptions, and additional public system involvement (Emerson & Lovitt, 2003; Fawley-King et al., 2017; Masuda & Helm, 2024; Modrowski et al., 2023). Considering this context, it is essential to increase efforts to reduce added distress and bolster supportive contexts for youth. Caseworkers are essential service providers for youth in foster care. Caseworkers provide support to youth and families through assessing needs, connecting families …


Surviving And Thriving: The Indigenous Migrant, Danna Guzman-Rodriguez Jun 2026

Surviving And Thriving: The Indigenous Migrant, Danna Guzman-Rodriguez

Honors Theses

This literature and cultural study highlights the generation of children of indigenous immigrants and the relationship with their indigenous identity and culture. This unique experience is complex and encapsulates issues such as indigenous cultural survival, homogeneity, globalization, and lack of cultural identity. Exploring the Totonac community in La Chaca, Veracruz in Mexico, allows for a deeper explanation of this experience. Speakers of Totonac and other indigenous languages often migrate to countries such as the United States and carry such cultural ties with them. What happens to these ties after moving to a Western-dominated country where globalization favors English and Western …


Leadership Reflections: The Unique Challenges And Rewards Of Leadership In Library Technical Services, Maria Savova Jun 2026

Leadership Reflections: The Unique Challenges And Rewards Of Leadership In Library Technical Services, Maria Savova

Library Staff Publications and Research

Library Technical Services functions are at the core of library operations and are indivisible from any public service the library provides. The way technical services librarians and staff approach their work, communications, and organizational experience, however, is distinct and requires thoughtful approaches and concerted effort from leadership. Greater visibility and institutional understanding are critical to resourcing these services properly and sustaining their excellence. Drawing on practice-based reflections, this column proposes approaches to capturing the insight and expertise of the people who steward the library’s largest investments, connecting their task-based sustainer activities to the larger strategic library context, supporting and empowering …


A Qualitative Study Of Gratitude Practice Among Won Buddhist Older Adults And Implications For Gerontological Social Work, Sungsim Lee Jun 2026

A Qualitative Study Of Gratitude Practice Among Won Buddhist Older Adults And Implications For Gerontological Social Work, Sungsim Lee

Dissertations

Although gratitude has been widely studied in social science, existing scholarship has largely relied on Western worldviews and quantitative research frameworks, limiting understanding of lived gratitude experiences within diverse spiritual and cultural contexts, including Eastern spiritual traditions. In Won Buddhism, originating in South Korea, gratitude holds a central place in spiritual life and is understood as an essential practice. This qualitative study explores the views of Won Buddhist older adult practitioners regarding their experiences, benefits, and challenges of engaging in spiritually grounded gratitude practice. Semi-structured interviews were conducted with 23 practitioners aged 65 and older from English-speaking Won Buddhist communities. …


Making Sense Of The Barrio: Place-Based Appraisal And Coping Among Latine Residents In Chicago, Juanita Vivas Bastidas Jun 2026

Making Sense Of The Barrio: Place-Based Appraisal And Coping Among Latine Residents In Chicago, Juanita Vivas Bastidas

Dissertations

Residents of Chicago’s Latine barrios often describe their neighborhoods as places of familiarity and safety—sites defined by both personal independence and collective solidarity, where daily life is marked by a sense of belonging and mutual support. Yet, residents also contend daily with overlapping social and environmental stressors. While urban, medical, and environmental sociologists have each shown that place matters, their findings remain siloed and rarely integrated to illuminate the everyday realities of Latine neighborhoods. As a result, we lack a systematic analysis of how people living in Chicago’s Latine barrios make sense of and cope with multiple, simultaneous stressors. I …


“Being An Arab Is Like Fighting For Your Joy”: Exploring Bicultural Identity, Racialization, And Psychological Well-Being Among Us-Born Arab Americans, Hisham Nsier Jun 2026

“Being An Arab Is Like Fighting For Your Joy”: Exploring Bicultural Identity, Racialization, And Psychological Well-Being Among Us-Born Arab Americans, Hisham Nsier

Master's Theses

Bicultural identity development in Arab Americans, who must manage sometimes conflicting cultural expectations, is understudied. Even less is known about Arab Americans born in the United States (US-born AA), who are American by birth yet are alienated from society due to differences between their ‘white’ racialization and their cultural identities. The current study aimed to examine the relationship between bicultural identity, racialization, and psychological well-being at the intersection of US-born AA’s co-existing identities. Eight adult US-born AAs (Mage = 28 years, SD = 4) were recruited from professional Listservs and WhatsApp affinity groups. Qualitative semi-structured interviews were conducted and analyzed …


Articulating The Future: How The Techno-Optimist Manifesto Constructs Ai Hegemony, Christian Noel Yeomans Jun 2026

Articulating The Future: How The Techno-Optimist Manifesto Constructs Ai Hegemony, Christian Noel Yeomans

Master's Theses

This paper analyzes two recently published digital manifestos—the Techno-Optimist Manifesto (TOM) by Marc Andreessen and the Bitcoin Whitepaper (BW) by Satoshi Nakamoto—and how they articulate political visions for the respective rising technologies of artificial intelligence (AI) and cryptocurrency. I apply Laclau and Mouffe’s discursive articulation theory to both manifestos, analyzing how they contribute to the formation of hegemonic ideological visions among the elites of these two technological sectors. In the context of AI elites, TOM transforms an existing Silicon Valley ideology, techno-optimism, into a radical new form of accelerationism, which I coin t/opt. This shift is examined within the context …


Counting Your Chickens Before They Hatch: Understanding Anticipatory Savoring And How And Why People Approach Or Avoid The Anticipation Of Future Positive Events, Asura Louise Osborne Jun 2026

Counting Your Chickens Before They Hatch: Understanding Anticipatory Savoring And How And Why People Approach Or Avoid The Anticipation Of Future Positive Events, Asura Louise Osborne

Master's Theses

In this study, discretion between the styles used to anticipate positive events is the focus of a Confirmatory Factor Analysis (CFA) conducted on the Index of Anticipatory Styles (IAS). The IAS is a 45-item survey used to measure types of savoring in response to future positive events. This work expands the savoring literature to examine approach- and avoidant-type anticipatory savoring. Approach-type anticipatory savoring discriminates between Enjoyment, Coping, Control, Recalled Anticipation, and Downplaying. Avoidant-type savoring parses between Avoidance of anticipation because events may not occur, Avoidance of anticipation because events may fail to live up to expectations, Jinxing, and Counterproductivity. CFA …


Growing Through Systemic Adversity: Evaluation Of Developmental Trauma Assessment Among Black And/Or Latiné Adolescents With Adhd, Victoria Grant O'Daniel Jun 2026

Growing Through Systemic Adversity: Evaluation Of Developmental Trauma Assessment Among Black And/Or Latiné Adolescents With Adhd, Victoria Grant O'Daniel

Master's Theses

Black and Latiné youth are disproportionately impacted by targeted harm and trauma exposure, which is further exacerbated by stigma, biases, and punitive actions towards youth with attention deficit/hyperactive disorder (ADHD). This presents an urgent public health concern, as frequent exposure to trauma across development can lead to difficulties with behavior regulation, interpersonal relationships, impulse control, emotion regulation, and attention and cognition. Developmental trauma disorder (DTD) was proposed to capture the adverse developmental outcomes experienced by youth exposed to chronic trauma; however, there is a dearth of research on how to assess DTD. Thus, the current study aimed to establish support …


Identity Conflict In Student-Athletes: Athletic And Academic Identity Salience As Predictors Of Stress, Alaina Abel Jun 2026

Identity Conflict In Student-Athletes: Athletic And Academic Identity Salience As Predictors Of Stress, Alaina Abel

Master's Theses

The goal of the current research is to explore the dual identities of collegiate student-athletes. More specifically, it aims to examine how the salience of the two identities may impact identity conflict and stress levels. Balancing the demands of academics and athletics presents unique challenges to this population. Academically, time constraints, missed classes, pressure to maintain GPA, and mental fatigue present barriers to academic success, while athletically, rigorous training schedules, frequent travel, and the pressure to perform consistently present obstacles to excel in their sport. The constant tug and pull between balancing the responsibilities of two roles that significantly shape …


Pubertal Timing, Physical Activity, And Internalizing Symptoms In Adolescent Girls, Kirby Knapp Jun 2026

Pubertal Timing, Physical Activity, And Internalizing Symptoms In Adolescent Girls, Kirby Knapp

Master's Theses

Puberty brings marked changes in physical appearance, biological functioning, psychological well-being, and behavior, making it one of the most pivotal transitions in adolescence. Those who experience puberty earlier than their same-aged peers are at an elevated risk of psychological disorders and physical inactivity. Research shows that there are links between physical activity and psychological disorders, yet few have examined the directional relations between physical activity and internalizing symptoms or whether a certain amount of physical activity is necessary to prevent internalizing symptoms. Therefore, the current study examined (1) the directional relations between internalizing symptoms and physical activity, (2) the degree …


Law Enforcement Training Academies' Effect On Agency Community Policing, Christopher Rhoades Jun 2026

Law Enforcement Training Academies' Effect On Agency Community Policing, Christopher Rhoades

Doctoral Dissertations and Projects

The purpose of this study was to determine if a relationship exists between Community Policing (CP) training in Law Enforcement Training Academies (LETAs) and CP implementation in Law Enforcement Agencies (LEAs) in the United States. This exploratory quantitative study used a correlation design to analyze secondary data from 2018 Census of Law Enforcement Training Academies and the 2020 Law Enforcement Management and Administrative Statistics survey obtained through the Inter-university Consortium for Political and Social Research. The analysis included data from 615 LETAs and 2,704 LEAs. CP training was operationalized using total required hours of community partnership building and problem‑solving approaches. …


The Impact Of Workplace Wellness Programs On Workers’ Compensation Claims And Absenteeism: A Quantitative Study In Public Administration, Stephen Michael Douglas Coy Jun 2026

The Impact Of Workplace Wellness Programs On Workers’ Compensation Claims And Absenteeism: A Quantitative Study In Public Administration, Stephen Michael Douglas Coy

Doctoral Dissertations and Projects

Employee absenteeism is detrimental to organizational effectiveness and efficiency. Workers’ compensation claims are a potential liability to government organizations, as claims filed by employees for work-related injuries or illnesses may impact insurance premiums based on the number and severity of claims filed. Identifying and implementing solutions to mitigate the effects of absenteeism and workers’ compensation claims are critical to organizational sustainability. This quantitative study seeks to determine if workplace health and wellness programs decrease absenteeism and reduce workers’ compensation claims levels among public sector employees. Post-positivism and functionalism provide this study with a theoretical underpinning. The variables of interest were …


The Interplay Between Deficit Spending And Financial Instability: An Examination Of Fiscal And Monetary Policy Interactions, Heidie Jean George Jun 2026

The Interplay Between Deficit Spending And Financial Instability: An Examination Of Fiscal And Monetary Policy Interactions, Heidie Jean George

Doctoral Dissertations and Projects

This study investigates the impact of fiscal and monetary policy on financial stability and fragility, focusing on how government spending and deficits contribute to the economic and financial system. Drawing on Minsky’s Financial Instability Hypothesis (FIH) and Financial Fragility Hypothesis (FFH), the research examines the dynamic relationship between fiscal policy, financial stability, and economic stability. The study focuses on understanding how government spending and deficits affect the economic and financial system in context of private and public debt and policy interactions and the role of system risk factors. The study uses Principal Component Analysis (PCA), Vector Autoregression (VAR), Impulse Response …


The Missing Baby: Investigating The Effects On Psychological Distress, Marital Couple Quality, The Timing Of Bereavement Care And Grief Adaptation Among Fathers Following Perinatal Loss., Sharon L. Green Jun 2026

The Missing Baby: Investigating The Effects On Psychological Distress, Marital Couple Quality, The Timing Of Bereavement Care And Grief Adaptation Among Fathers Following Perinatal Loss., Sharon L. Green

Doctoral Dissertations and Projects

Extensive research on maternal perinatal loss has been conducted for decades. In contrast, there is much less research on bereaved fathers following perinatal loss, specifically, studies that examine bereaved fathers’ psychological distress, time it takes for the health care provider to deliver bereavement care, and the impact it has on grief adjustment. The purpose of this study was to investigate bereaved fathers’ psychological distress, length of time to receive bereavement care, and marital couple quality and their impact on perinatal grief adaptation. The study design was quantitative, nonexperimental, descriptive, and correlational. Study participants were 200 bereaved fathers who were administered …


School Resource Officers, Mental Health Professionals, School Safety: A Qualitative Descriptive Case Study, Carol Burke Jun 2026

School Resource Officers, Mental Health Professionals, School Safety: A Qualitative Descriptive Case Study, Carol Burke

Doctoral Dissertations and Projects

This qualitative descriptive case study described the perceptions of school-based mental health (SBMH) professionals and school resource officers (SROs) regarding personal and campus safety in the presence of an SRO. Guided by routine activity theory (Cohen & Felson, 1979), which framed SROs as capable guardians within schools, and relational cultural theory (Miller, 1976), which emphasized connection and collaboration, the study examined how relational dynamics influenced safety perceptions and well-being. Participants from K–12 public schools in North Central Arkansas contributed data through semi-structured interviews, focus groups, and the Georgia School Personnel Survey of School Climate. Reflexive thematic analysis identified key themes …


The Effects Of Exercise-Related Interventions On The Treatment Of Mental Health, Physical Wellness, And Quality Of Life: A Quantitative Study, Leah Elizabeth Starr Jun 2026

The Effects Of Exercise-Related Interventions On The Treatment Of Mental Health, Physical Wellness, And Quality Of Life: A Quantitative Study, Leah Elizabeth Starr

Doctoral Dissertations and Projects

This research study includes the overview, literature review, methodology, findings, and discussion of a six-week study pending defense. The purpose of the study is to further support Pilates as an evidence-based treatment to enhance physical and mental wellness and improve quality of life. This includes specific variables of interest such as anxiety, depression, dissociative and posttraumatic stress symptoms, stress, and improvements in overall quality of life and physical health. The theoretical framework for the study is somatic psychology and polyvagal theory. The importance of this study is to validate the use of Pilates as an effective form of treatment for …


The Role Of Employee Recognition On Nurse Turnover And Departmental Engagement In Public Hospitals: Department Type As A Moderator, Dawn M. Jenkins Jun 2026

The Role Of Employee Recognition On Nurse Turnover And Departmental Engagement In Public Hospitals: Department Type As A Moderator, Dawn M. Jenkins

Doctoral Dissertations and Projects

Nurses are indispensable to the operation of public hospitals, often serving on the front lines of patient care in high-pressure environments characterized by limited resources and elevated patient acuity. These conditions contribute to burnout, disengagement, and turnover, threatening healthcare quality and workforce sustainability. This quantitative, correlational, and predictive study examined the relationship between recognition received through a digital recognition portal with nurse engagement and turnover in public hospital settings. Drawing on two years of archival organizational data, this research examined whether recognition frequency and recognition satisfaction predicted engagement and turnover, and whether department type moderated those relationships. Analyses included linear …


Barriers And Beliefs: Narratives Of Mental Health Help-Seeking Among First-Generation Latino/Hispanic College Students, Karina L. Alba Lockhart Jun 2026

Barriers And Beliefs: Narratives Of Mental Health Help-Seeking Among First-Generation Latino/Hispanic College Students, Karina L. Alba Lockhart

Doctoral Dissertations and Projects

Mental health challenges among college students in the United States have increased in recent years, yet first-generation Latino/Hispanic college students continue to underutilize available services while facing unique cultural and structural barriers to care. This qualitative narrative study explored how first-generation Latino/Hispanic college students made meaning of mental health help-seeking in relation to perceived barriers, perceived benefits, and cultural values such as familismo and stigma. Guided by the health belief model and cross-cultural psychology, this study recruited 15 participants from four-year institutions in the United States and collected data through an online asynchronous questionnaire. Thematic and narrative analysis revealed that …


Fentanyl At The Border: A Critical Analysis Of U.S. Customs And Border Protection Strategies Against Synthetic Opioid Smuggling, Patricia Salinas Jun 2026

Fentanyl At The Border: A Critical Analysis Of U.S. Customs And Border Protection Strategies Against Synthetic Opioid Smuggling, Patricia Salinas

Doctoral Dissertations and Projects

This dissertation will investigate the efficacy of tactics employed by U.S. Customs and Border Protection (CBP) in detecting and intercepting fentanyl at legal ports of entry along the U.S border during the fiscal years 2022 to 2025. Given that fentanyl continues to be a pivotal element in the ongoing opioid crisis within the United States, it is imperative to understand the mechanisms by which this synthetic opioid is smuggled into the country and to evaluate the efficacy of federal initiatives. These efforts are crucial for protecting public health and enhancing national security. This quantitative study examines fentanyl seizure data from …


The Prevalence Of Moral Injury Among Veterans Diagnosed With Post-Traumatic Stress Disorder (Ptsd): Analyses By Combat Exposure, Gender, Age Group, And Military Service, Carl B. Forkner Jun 2026

The Prevalence Of Moral Injury Among Veterans Diagnosed With Post-Traumatic Stress Disorder (Ptsd): Analyses By Combat Exposure, Gender, Age Group, And Military Service, Carl B. Forkner

Doctoral Dissertations and Projects

The attacks on the United States on September 11, 2001, and the ensuing wars in Afghanistan and Iraq, heralded in a new concept affecting our combat and support military personnel. This concept is known today as moral injury. Military personnel were already familiar with post-traumatic stress disorder (PTSD), whether from personal experience or from reading and training on the subject, but no training addresses the prevalence or effects of moral injury. The term moral injury (MI) was first coined by psychiatrist Jonathan Shay and his colleagues based on feedback from military and veteran patients in 1998; however, it remains that …