Digital Commons Network^™

The Implementation Of The Therapeutic Alliance In Aphasia Rehabilitation Research: A Narrative Review, Shelby Swiercz

Honors Theses

Background: The therapeutic alliance (TA), defined as the collaborative relationship between clinician and client, is widely recognized as a key factor influencing rehabilitation outcomes. However, within aphasia rehabilitation, its role remains underexplored and inconsistently measured

Methods: This narrative review examined peer-reviewed studies published between 1990 and 2025 that focused on adult aphasia rehabilitation and addressed the client-clinician relationship. Studies were identified through database searches, including PubMed, CINAHL, ComDisDome, EBSCO, and Google Scholar, and analyzed using thematic analysis.

Results: Most of the studies employed qualitative methodologies, particularly thematic analysis and semi-structured interviews, to explore patient and clinician perspectives. The therapeutic alliance …

How Mindfulness And Yoga Practices Are Implemented In Occupational Therapy, Madeline Roberts

Honors Theses

The application of yoga and mindfulness-based interventions (MBIs) in occupational therapy (OT) and their effects on occupational, cognitive, emotional, and physical outcomes are examined in this literature review. Occupational therapy is a comprehensive, client-based field that helps people engage in everyday activities to improve overall well-being, health, and independence. In recent years, there has been an increased interest in using mindfulness-based interventions in occupational therapy, as they align with OT's focus on well-being and quality of life. A systematic literature search was conducted using PubMed, WMU Library Search, and ScienceDirect to identify peer-reviewed research on mindfulness-based interventions, yoga, and occupational …

“As Though You Could Never Sink”: Gender Euphoria Through Aquatic Embodiment In The Sun Also Rises, Devan Edwards

Honors Theses

Recent scholarship in disability studies and queer theory (2007-2024) reveals that Jake Barnes's war wound in Hemingway's The Sun Also Rises functions as something more complex than tragic loss. This paper argues that Jake's swimming and fishing scenes constitute moments of gender euphoria, a term borrowed from contemporary transgender studies, enabled specifically by aquatic embodiment. In these scenes, water functions as the physical and symbolic medium through which Jake's war-wounded body transcends the performative demands of 1920s heteronormative masculinity. Building on Michael Anesko's provocative reading of Jake as "accidentally transgendered" (Literature and Medicine, 2015) and Martina Kübler's argument that impotence …

An Examination Of The Value Of Study Abroad When Learning A Foreign Language: A Study Of Differing Student Outcomes. To What Extent Does Studying Abroad Enhance A Language Learning Experience?, Julie Syler

Honors Theses

The purpose of this study is to articulate the importance of learning a foreign language and examine the value of studying abroad when learning a foreign language, by conducting qualitative research on different study abroad experiences. There is an ongoing discussion of the importance of foreign language learning and whether or not it is a beneficial endeavor. This literature review explores the benefits of foreign language learning to demonstrate their impact and how they occur when studying abroad. Furthermore, this investigation examines how and why study abroad experiences promote language acquisition. The improvements in communication and understanding in a foreign …

Euripides, Rhetoric, And The Sophists: Euripides’ Exhortation For Rhetoric And To Hear Each Other, Phillip Bonnes

Honors Theses

From the fifth and fourth centuries B.C., professional teachers travelled throughout Greece, teaching a wide variety of subjects from music to grammar. One subject that these sophists taught earned massive notoriety for them and, consequently, their trade: rhetoric. Within Athenian democracy, this craft of speaking well to persuade others became both valuable for those who are politically active and dangerous for demagogues. Coinciding with this emerging art of rhetoric was the emergence of Athenian tragedy. These tragedies served to speak about and encourage reflection upon their own contemporary politics and culture. This paper explores how Euripides examines and encourages wariness …

Glass From The Past: A Chemical And Spatial Analysis Of French Container Glass From Fort St. Joseph, Ian Walraven

Honors Theses

No abstract provided.

Navigating Screens For Neurodivergent Individuals, Avery Wilson

Honors Theses

As technology becomes more prevalent in everyday life, it is important to consider the implications that this may have for one's mind and well-being. These implications are particularly important for vulnerable populations, such as neurodivergent individuals, who may have unique sensitivities to technology consumption. This paper reviews current literature to provide an overview of the implications of using media on the neurodivergent population, such as individuals with Autism Spectrum Disorder (ASD) and Attention Deficit/Hyperactivity Disorder (ADHD), who often possess unique brain sensitivities that influence technology consumption.

To begin, the paper examines the changes in brain structure and functioning in children …

Wmu Board Of Trustee Board Meeting, Thursday April 16 2026, Wmu Board Of Trustees

WMU Board of Trustees Meetings

Acceptance of the Agenda

Approval of the Minutes (February 12, 2026 and March 10, 2026)

Remarks by the Chair of the Board

Remarks by the President

Updates by the Faculty Senate President

Updates by the Western Student Association President

Updates by the Graduate Student Association President

Investing in WMU’s Future: Collaborating with University Advancement

WMU/AAUP Scholarship for First Generation Students

Public Comments Regarding Action Items

Action Items

• WMU Non-Discrimination and Sexual Misconduct Policies

Consent Items

• Liquor License: College of Aviation, November 6, 2026
• Utility Easement from Consumers Energy: Valley Oaks
• Scholarship or Endowment Amendment – Bernadine P. Carlson
• Curriculum Proposals …

A Study Of Artificial Intelligence (Ai) Use Among Entry-Level Occupational Therapy Doctoral Students, Gustavo Reinoso, Rachel Allen-Mchugh, Thomas Decker, Yolanda Griffiths, Stacey Huffman-Main, Leslie Jackson, Ashley Murray, Jamie Rognes, Christine Urish

The Open Journal of Occupational Therapy

Artificial intelligence (AI) is increasingly integrated into higher education, yet little research explores its use among entry-level occupational therapy doctoral (OTD) students. This study developed a scale to assess AI usage and perceptions, examining differences across academic years. Eighty OTD students from a mid-sized urban university completed a 44-item survey refined using a Delphi method with nine faculty experts. Exploratory factor analysis identified three subscales—Efficiency and Adaptability, Academic Integrity Concerns, and the Student-Professor Divide—accounting for 46.04% of the variance (Cronbach’s α = .72–.93). Multivariate analysis of variance revealed significant effects of academic year on subscale scores (Wilks’ Λ = .822, …

Doing Drag: Exploring The Experiences Of Drag As An Occupation For Performers In California, Alicia Montes, Anna Ranario, Lilibeth Rosales, Eileen Spahle, Nathan Gelman, Laura Greiss Hess, Karen Mccarthy

The Open Journal of Occupational Therapy

Background: Drag is a performative art where individuals explore identity, challenge societal norms, and foster community through exaggerated gendered performance. Drag in the United States is facing potential restrictions and remains underexplored in occupational science and occupational therapy literature.

Methods: This qualitative study explored the experiences of drag performers in California, applying an occupational perspective through the framework of form, function, and meaning. Five drag performers were interviewed. Reflective thematic analysis was used to interpret qualitative data.

Findings: Identity was the central theme, interconnected with form, belonging, non-belonging, meaning and motivation, and resistive occupation. Findings highlight drag …

Empowering Parents Through Occupational Therapy And Primary Care Partnerships: A Feasibility Study, Maureen M. Fischer, Jennifer E. Lape

The Open Journal of Occupational Therapy

Background: Partnerships between occupational therapists and primary care providers may increase parents' accessibility to needed information to support their children’s development and promote occupational engagement. The purpose of this study was to explore the feasibility and potential impact of occupational therapy-led parent education sessions in pediatric primary care.

Method: We designed a mixed methods feasibility study with two individualized parent education sessions within 2 weeks. The study took place at a pediatric primary care practice. Convenience sampling was used to recruit nine parents who met these criteria: parent/caregiver of a child 3 years of age or under, 18 years of …

The Relationship Between Burnout, Resilience, And Locus Of Control In Occupational Therapy, Tabitha Gibbs, Miguel Garcia, Karen Menard, William O'Bannon

The Open Journal of Occupational Therapy

Background: Burnout in occupational therapists is characterized by emotional exhaustion, depersonalization, and diminished accomplishment.

Method: This non-experimental correlational study, guided by Rotter’s Locus of Control Theory and the attribution theory of motivation, analyzed the relationship between resilience, locus of control, and burnout among occupational therapists using the Brief Resilience Scale, the Internal-External Locus of Control Short Scale -4, and the Copenhagen Burnout Inventory. The sample of 83 participants was obtained via questionnaires sent to a convenience sample of occupational therapists with at least 6 months of work experience in any practice setting.

Results: The results of this study …

Advancing Hand Therapy Practice Through Specialized Clinical Reasoning And Patient Education, Candace Heinlein

Capstone Projects

This doctoral capstone experience (DCE) was completed at Corewell Health Grand Rapids Hospitals Hand Therapy Clinic and focused on two ACOTE concentration areas including advanced clinical practice skills and education. The experience combined hands-on clinical practice in a specialized outpatient hand therapy setting with the development of high-quality client education materials and home exercise programs (HEPs). Objectives were created to address identified needs through the creation of client education handouts, development of diagnosis-specific Medbridge HEP templates, and creation of training resources to improve therapist efficiency with Medbridge use. Outcomes of the project included improved access to evidence-based educational materials, reduced …

Research Day 2026 Program, Western Michigan University Homer Stryker M.D. School Of Medicine

Research Day

No abstract provided.

Book Clubs And Young Adult Literature: Preparing Preservice Special Educators In Inclusive Literacy Practices, Marie Tejero Hughes, Juana Abarca, Marta Mohammad

Reading Horizons: A Journal of Literacy and Language Arts

The study presented in this article explored how book clubs centered on young adult (YA) literature supported 67 preservice special educators (PSEs) in developing inclusive literacy practices. The study examined PSEs’ reflections on social, cultural, and personal themes in YA narratives and how these informed their planning for students with disabilities. Using a qualitative descriptive approach, researchers analyzed online discussion posts collected over a 6-week book club course component. Findings reveal that PSEs engaged with themes such as identity, resilience, systemic inequities, and disability representation, often connecting literature to their own positionalities and future teaching roles. PSEs also identified a …

Home Visits As Culturally Sustaining Pedagogy: A First-Grade Classroom Community Learns From Families’ Shared Assets And Challenges, Jen Mccreight

Reading Horizons: A Journal of Literacy and Language Arts

This article builds on existing scholarship by analyzing the use of home visits as a tool to learn about families’ funds of knowledge—their viewpoints, beliefs, and critical understandings—while also examining families’ own complex views of their linguistic and cultural assets. Through the lens of culturally sustaining pedagogy, the article discusses how home visits were used as a family/school partnership practice that celebrated and built on first grade students’ unique cultural and linguistic assets, as well as how families’ insights were shared with and taken up by first-grade students through classroom activities and projects.

Occupational Therapy & Zoo Exhibit Design: Embedding Accessibility Within, Jacqui Randall

Capstone Projects

This doctoral capstone project was completed at the Indianapolis Zoo. Zoos and museums infrequently contract, but very few employ an occupational therapist to assist with exhibit design development. An occupational therapy consultant could assess exhibit accessibility and provide potential solutions to make them more accessible and inclusive for individuals with disabilities. The goal of the project was to create a list of refined recommendations to make the oceans building more accessible and incorporate more multisensory experiences when it is renovated in the spring of 2027. Also, the Accessibility and Sensation Among Zoo Exhibits and Interactives: Checklist and Application Guide was …

The Importance Of Holistic Care: The Development And Implementation Of Spiritual Resources For Caregivers And Staff At Joni’S House El Salvador, Chloe Veilleux

Capstone Projects

It is within the occupational therapy (OT) scope of practice to not only address client needs related to mind, body, and spirit, but also those of caregivers as a means of fostering overall improved quality of life. Additionally, when OTs address spirituality and implement spiritual/spirituality-informed interventions, correlations of improved psychosocial factors such as well-being, motivation, and reduced stress have been shown, as well as improved hope and reduced burden for caregivers. There remains, however, a gap in the research and implementation of spiritually informed care and resources specifically as it pertains to caregivers of those with disabilities. To address this …

Reconstructing Life One Clay Pot At A Time, Kelly Allen

The Open Journal of Occupational Therapy

Kate Lewis, a ceramicist and teaching artist based in Grand Rapids, MI, created the artwork for the Winter 2026 issue of the Open Journal of Occupational Therapy (OJOT). The image features a collection of heart-shaped ceramic pinch pots, produced after she was told she may never be able to move her left arm again. She created them on the recommendation of an occupational therapist who understood the value of meaningful occupations for recovery. These vessels represent a pivotal shift in Kate’s rehabilitation from Complex Regional Pain Syndrome (CRPS). Diagnosed in 2018 after sustaining an injury to her wrist, the minor …

Professional Standards As Gateways, Not Barriers, In Occupational Therapy, Ryan Thomure

The Open Journal of Occupational Therapy

No abstract provided.

Intentional Resiliency Mentoring: A Mixed Methods Study Exploring A Pilot Mentorship Program For Occupational Therapy Students, Courtney J. Taylor, Ana K. Brussa, Kate G. Barlow

The Open Journal of Occupational Therapy

Because of high levels of reported stress, occupational therapy (OT) students’ ability to employ interpersonal skills and professionally manage conflicts is impeded. This mixed methods pilot study investigated the impact of an Intentional Relationship Model (IRM) informed mentorship program on OT students’ perceived stress and self-efficacy for interpersonal communication. Students (N = 21) completed pre and posttests of the Self Efficacy for Therapeutic Use of Self Scale (SETUS) and the Perceived Stress Scale (PSS-10). Six monthly mentor journals (N = 6) were collected to further explore the student experience. Quantitative findings demonstrated students’ (N = 21) ability to manage stress …

Occupational Therapy Students’ Perspectives On Using Virtual Reality Simulation In Preparation For Objective Structured Clinical Examinations: A Qualitative Study, Pegah Firouzeh, Craig R. St. Jean, Christine Ha, Mary Roduta Roberts

The Open Journal of Occupational Therapy

The use of virtual reality (VR) simulations in clinical education has been receiving increased research attention. The purpose of this study was to investigate first-year occupational therapy (OT) students’ experiences using a VR-simulated clinical interview as part of their preparation for a client history-taking Objective Structured Clinical Examination (OSCE). This qualitative study used focus groups to understand students’ (n = 20) perceptions of the effect of VR simulation on learning and exam readiness. We also explored students’ perceptions of the simulation’s authenticity, strengths, and weaknesses. Qualitative data analysis was conducted to identify codes and develop categories in association with the …

Maternal Role Transition: A Quality Of Life Frame Of Reference For Mothering After Nicu, Wendy Gaughan, Kathryn A. Lemonda

The Open Journal of Occupational Therapy

Occupational therapists are uniquely skilled to address the needs of a new mother and the infant during transition to motherhood, as acquisition of this new role may cause a role strain with other previously held roles. New mothers to infants requiring a neonatal intensive care unit (NICU) hospitalization experience additional stressors and considerations during this role transition. The Maternal Role Transition (MRT) Frame of Reference is a novel, community-based approach to facilitate attainment and integration of mothering occupations and address role strain during the perinatal period. MRT is rooted in the theoretical foundations of Maternal Role Attainment Theory, Self Efficacy …

Rehabilitation Habits And Roles: The Dual Impact Of Iadls And Psychosocial Interventions Poststroke, William Sit, Ryan Hulla, Veronica Smith, Joanna Ruiz, Steve Abraham

The Open Journal of Occupational Therapy

Background: This randomized study assessed an 8-week program for stroke survivors at an outpatient center in the United States. The program focuses on a holistic approach to recovery through habits and roles.

Method: Two researchers randomly divided 19 participants (N = 19) into two groups, with each group focusing on two distinct programs: the Occupational Therapy Instrumental Activities of Daily Living (IADLs) program and the Psychosocial Modules (PS) program for stroke survivors. Participants attended weekly group sessions and individual phone sessions, which reinforced learned strategies, provided personalized guidance, and ensured adherence to program goals. The Canadian Occupational Performance …

Enhancing Self-Esteem In Adolescents During Acute Inpatient Psychiatric Hospitalization: A Mixed Methods Study, Praveen Injeti, Julie D. Kugel, Dragana Krpalek, Liane Hewitt, Lida Gharibvand

The Open Journal of Occupational Therapy

Background: Low self-esteem (LSE) can negatively impact adolescent mental health, leading to suicidal ideation (SI). Social stressors, such as peer rejections, are considered a source of stress that can contribute to LSE, SI, and subsequent admission to psychiatric facilities. This study aimed to assess the effectiveness of an occupational therapy intervention to improve self-awareness and self-esteem during short-term hospitalization.

Method: The research used a mixed methods approach to evaluate the impact of a psychoeducational intervention by an occupational therapist on 16 adolescents. The Rosenberg Self-esteem Scale (RSES) was used before the intervention (pretest), immediately after the intervention (posttest …

More Than Covering Ears: A Clinical Inventory For Characterizing Decreased Sound Tolerance (I-Dst) In Autism, Tana B. Carson, Angela Medina, Katherine L. Long, Yuxi Qiu, Monica Noriega

The Open Journal of Occupational Therapy

Background: Decreased sound tolerance (DST) is among the most common and distressing forms of sensory over-responsivity experienced by children with autism spectrum disorders. DST includes hyperacusis and misophonia, among others, and can limit participation in daily activities. Recently, a new screening tool, the Pediatric Hyperacusis and Misophonia Questionnaire (PMHQ-4) has been developed to allow health professionals to better identify and differentiate these conditions using a single assessment. Additional clinical tools are needed to further characterize DST symptoms to facilitate treatment planning after diagnosis.

Methods: In this mixed-methods study n = 15 parents of autistic children 6 to 17 …

Navigating Kingship: Sea Power And Sovereignty In Gower's Confessio Amantis, Elizabeth D. Brissey

Accessus

This article examines John Gower’s Apollonius of Tyre in the Confessio Amantis through the lens of the blue humanities, giving special attention to the ways in which the tale treats the sovereign’s maritime domain as integral to the terrestrial. Apollonius depicts sovereignty over aquapelagic space, with the sea serving both as a channel of exchange and as a figurative medium through which sovereignty is negotiated. The crucial issue that aligns the Apollonius tale with the concept of English sovereignty lies in its vision of thalassocratic space in which kingship is grounded in sea power and the sea as a connecting …

Hoccleve Vs. Mowbray: Whose Book Is It?, Joyce Coleman

Accessus

Writing in 1994, Derek Pearsall suggested that, c. 1411-14, the future Henry V had commissioned Thomas Hoccleve to write The Regiment of Princes, and then to oversee the creation of copies to distribute among important courtiers, in “a concerted attempt ... to cement relationships with possibly doubtful friends” (Pearsall 1994: 396).

Ten years earlier, however, Kate Harris had proposed that the arms in the initials under the famous presentation image and on ff. 1 and 71 of London, BL Arundel 38 were all linked to John Mowbray, the future duke of Norfolk—not to the prince and to Thomas FitzAlan, earl …

Scriptor Latinus Morigeris -- Some Aspects Of Gower’S Latin Usage, Mark T. Riley

Accessus

This paper describes the distinctive characteristics of John Gower’s Latin as illustrated primarily by his Vox Clamantis, although his shorter Latin works are occasionally mentioned. Topics include Gower’s Latin education, his extensive Latin vocabulary and mythological references, the paragraphing of his poem, his procedures for using or adapting quotations, as well as his characteristic wordplay and punning. Further topics cover Gower’s medieval use of various verbs, pronouns, and conjunctions, with the accompanying grammatical structures, some of which may present difficulties for the translator. Also included is a section on the meter of the Vox Clamantis, with some notes on …

Preface, Georgiana Donavin, Eve Salisbury

Accessus

Preface for Accessus 9, no. 1.