Digital Commons Network^™

Reflecting On Psychotherapy In Adolescence: A Qualitative Analysis Of Processes Of Change, John Parigger

Electronic Theses and Dissertations

There is a sharp increase in anxiety and depression symptoms in adolescence, and many forms of psychotherapy are shown to be effective. However, most research has examined average effects for manualized treatments that address multiple areas of functioning, which makes it difficult to determine how psychotherapy causes positive change. Process-based therapy postulates that all psychotherapies work through promoting adaptive biopsychosocial patterns of behavior (i.e., processes of change). Research has increasingly focused on the process-based therapy model, and there is a need for qualitative studies to incorporate lived experience into our understanding of change processes. The current study utilized the process-based …

Beyond Symptoms: Examining Perinatal Mental Health Care Among Black, Indigenous And People Of Color With Polyendocrine Metabolic Ovarian Syndrome, Vinaya Thomas

Electronic Theses and Dissertations

Perinatal mood and anxiety disorders (PMADs) are as a public health concern in the United States. Individuals from minoritized racial/ethnic groups face a significantly elevated risk of maternal morbidity, mortality, mental health disorders, and associated adverse outcomes. Emerging studies also reveal a higher likelihood of experiencing perinatal mental health concerns in individuals with polycystic ovarian syndrome (PCOS), currently known as polyendocrine metabolic ovarian syndrome (PMOS). People who identify as Black, Indigenous, or a person of color (BIPOC) face unique healthcare challenges given the added structural and social burdens. This online survey study aimed to 1) understand the relationship between PMOS …

Kinesiology Department Chairs’ Perceptions Of Their Training And Preparation, Kason O’Neil

Electronic Theses and Dissertations

Department chairs are responsible for leading academic departments in higher education.  These individuals regularly make important decisions regarding such things as managing faculty and academic programming, overseeing budgets, and supporting student needs. Despite these responsibilities, many people become department chairs without receiving formal leadership training. This study explored how kinesiology department chairs across the United States viewed their preparation for the role and the importance of leadership training. A total of 111 department chairs completed an online survey about their background, previous training, and the importance of training for different administrative responsibilities. The results showed that most chairs had little …

Kindergarten Teachers’ Perceptions Of Instructional Approaches For Teaching Sequencing Concepts: Worksheet, Hands-On, And Beebot-Integrated Lessons, Savannah P. Partin

Electronic Theses and Dissertations

The purpose of this qualitative multiple-case study was to explore kindergarten teachers’ perceptions of three instructional approaches for teaching sequencing concepts: worksheet-based instruction, hands-on manipulative instruction, and BeeBot-integrated instruction. Sequencing is a foundational early literacy skill that supports reading comprehension, story retelling, and understanding the order of events. Although sequencing is commonly taught through traditional instructional methods, limited research has examined how kindergarten teachers perceive the use of educational robotics as a tool for literacy instruction. The study was guided by constructivist theory, sociocultural theory, and developmental systems theory. Participants included six kindergarten teachers from a public elementary school in …

Computational Studies Of Triplet State Formation In Zinc Dipyrrin Complexes, Reuben Kwabla Adigbli

Electronic Theses and Dissertations

Zinc dipyrromethene complexes are promising earth-abundant photosensitizers due to their strong visible-light absorption and tunable excited states. To rationally design them for photocatalysis and photodynamic therapy, a molecular-level understanding of triplet-state formation is needed, but details of intersystem crossing remain unclear. To study the effect of π-extension, we synthesized an indole-substituted zinc dipyrrin complex: the dipyrromethane ligand was prepared from indole and mesitaldehyde, oxidized to the dipyrromethene, then coordinated with zinc. DFT and TD-DFT calculations determined ground and excited-state geometries and energies in different solvents, modeled absorption spectra, and visualized charge distributions. The results show how solvent polarity shifts energies …

An Assessment Of Accessibility And Affordability Of Inpatient Psychiatric Care In Tennessee, Kailee Havrda

Electronic Theses and Dissertations

Introduction: Access to mental health has seen changes over the past decade, but little research and attention have been given to access to inpatient psychiatric facilities. Inpatient psychiatric care is crucial for patients experiencing mental health emergencies who need immediate access to care. Gaps in spatial accessibility, affordability, and the access and assessment process were identified due to a lack of available information in the field.

Methods: Secondary data from the Tennessee Department of Health were used to assess financial accessibility through payer source charges and patient encounters, as well as through mapping of inpatient psychiatric facilities and conducting drive …

Exploring Competitive Dynamics Between Pseudomonas Baetica And Salmonella In A Polymicrobial System, Braxton E.M. Stout

Electronic Theses and Dissertations

The global rise in antimicrobial resistance has catalyzed a greater focus on polymicrobial research aimed at characterizing microbial interactions and uncovering new therapeutic strategies. Though it has long been of interest, environmental soil-derived bacteria remain largely under-represented in research and thus uncharacterized in this field. This project aimed to identify soil microbes that display inhibitory mechanisms to potential nosocomial pathogens. Soil sample S1S3-2 displayed inhibitory phenotypes toward numerous bacteria and was identified as Pseudomonas baetica. In both planktonic and biofilm growth, P. baetica was able to inhibit Salmonella arizonae through a contact-dependent and temperature-dependent manner. Screening of a transposon insertion …

Barriers To Veterans Affairs (Va) Healthcare Utilization: Exploring The Underutilization Of Va Healthcare Services Among Rural, West Texas Veterans, Adam G. Rodgers

Electronic Theses and Dissertations

Rural veterans forgo Department of Veterans Affairs (VA) healthcare at disproportionate rates, and this study found that the primary barrier is not enrollment but utilization. Seven of the eight participants were already enrolled yet remained functionally outside the system. The purpose of this qualitative single-case study was to explore why rural West Texas veterans forgo and underutilize Veterans Health Administration (VHA) healthcare. Two research questions examined the perceptions contributing to that decision and the barriers preventing access. Andersen’s behavioral model of health services use provided the framework. Semistructured virtual interviews with eight rural West Texas veterans were analyzed using Braun …

The Low Participation Of Women In The Truck Driving Industry, Aurora Floodine

Electronic Theses and Dissertations

Women remain underrepresented in the United States trucking industry, particularly in leadership roles, despite ongoing efforts to increase workforce diversity and address persistent driver shortages. This qualitative phenomenological study explored the lived experiences of female trucking professionals who began their careers as truck drivers and later advanced into leadership positions. The study examined the strategies that facilitated women’s progression into leadership and the systemic barriers that may limit their advancement within the trucking industry. Semistructured interviews were conducted with 11 female trucking professionals, and the resulting data were analyzed using thematic analysis. Six themes emerged from the findings: (a) independence, …

School Leadership And Collaboration: A Case Study Of Leaders’ Experience Implementing Vertical Alignment Practices, Tara R. Wehmeyer

Electronic Theses and Dissertations

Changing student demographics within a large elementary school increased the need for collaboration between leadership and staff as they implemented a wide range of initiatives to support student learning. Grounded in the transformational leadership theoretical framework, this exploratory case study sought to systematically observe and gather knowledge about the experiences of campus leaders as they implement vertical alignment teams to foster a collaborative approach while instituting required initiatives. The sample included seven campus leadership team members and data collection utilized transcribed semistructured interviews, debriefing sessions after vertical alignment team meetings, meeting observations, and a researcher’s journal. All data were analyzed …

Don’T Let Us Down: A Phenomenological Study Of African American Employees’ Perceptions Regarding The Benefits Of Professional Development In Student Affairs, Courtney Nicole Demings

Electronic Theses and Dissertations

The experiences of student affairs professionals are critical to the success of higher education, allowing for a concentrated exploration of African American student affairs professionals who are often employed in 2-year U.S. community colleges. The general problem was that African Americans may leave student affairs in community colleges if they do not perceive supervisory support for professional development and, in turn, career advancement. The purpose of this dissertation was to understand and interpret their lived experiences, illuminate the barriers to their career advancement, and discuss the impact of supervisory support. As such, this action research employed qualitative research through the …

Adolescent Depressive Symptoms And Adult Functioning Within Major U.S. Racial Groups, Summer N. A. Millwood

Electronic Theses and Dissertations

Depression is the leading cause of disability among adults in the U.S and is associated with negative short- and long-term social, emotional, economic, and physical health outcomes. Notably, rates of depression among children and adolescents are rapidly increasing across the globe. Depression in youth disrupts crucial developmental processes that can adversely affect concurrent and longitudinal socioeconomic and health outcomes. Although extant research delineates the consequences of adolescent depression for adult functioning (e.g., lower educational attainment, fewer economic resources, worse physical health), studies that examine these associations within racially minoritized populations are scarce. This gap in the literature is especially striking …

The Development And Validation Of Gains-Id, A Guidebook For Adapting Intervention Sessions For Students With Intellectual Disability, Kayla Mccreadie

Electronic Theses and Dissertations

Targeted interventions can equip students with intellectual disabilities (ID) with essential academic skills that support positive post-secondary outcomes. However, the lack of interventions specifically designed for this population creates barriers to equitable education. Until more interventions are developed, educators may benefit from resources that help adapt evidence-based practices to meet the needs of students with IDD.

The first manuscript introduces GAINS-ID (Guide for Adapting INtervention Sessions for Intellectual Disabilities). Based on best practices and Universal Design for Learning (UDL), the guide offers examples of adaptations to various intervention components—such as time, materials, environment, …

Asian American Men's Experiences Of Gendered Racism In Online Competitive Gaming, Calvin Weiting Lee

Electronic Theses and Dissertations

In the U.S., Asian Americans men make up a large portion of active players in online competitive video games. In these settings, harassment, racism, and hate speech are prevalent and often normalized. The purpose of this study was to explore Asian American men’s experiences of gendered racism in online competitive gaming spaces. Using an Interpretative Phenomenological Analysis approach (Smith, Flowers, & Larkin, 2022) and applying the Intersectionality Framework (Crenshaw, 1989; Collins, 2000), six Asian American men were interviewed about their experiences of gendered racism while playing online competitive games. Two Group Experiential Themes emerged from their accounts: 1) Gendered racism …

Exploring The Impact Of Artificial Intelligence Tools On Special Education Teachers’ Workload And Burnout In Colorado: A Qualitative Phenomenological Study, Rawa Suhail Abu Alsamah

Electronic Theses and Dissertations

In the United States, special education (SPED) teachers face complex workloads, high caseloads, and extensive documentation responsibilities, contributing significantly to burnout and retention issues. The recent integration of artificial intelligence (AI) into educational settings presents promising opportunities to alleviate teachers' instructional and administrative demands. To better understand the impact of AI on SPED teachers, this phenomenological qualitative study explored the lived experiences of licensed K–12 SPED teachers in Colorado who use AI tools in their professional practice. This study also examined how AI tools supported workload management, as well as their perceived impacts on burnout and intentions to remain in …

Cultural Humility, A Salve For Romantic Relationship Conflict, Lena Blum

Electronic Theses and Dissertations

Conflict communication and having a relationship consisting of differing sociocultural backgrounds (DISC Couples) have been viewed as obstacles or at best hindrances of relationship satisfaction in earlier couples’ psychology literature. More recent literature makes an argument that it is not merely conflict communication or the differences of culture within a couple, but rather how couples navigate both conflict and differences that impact relationship satisfaction. The present work aims to investigate the role of cultural humility in the association between cultural conflict communication and relationship satisfaction, as well as its relationship with the frequency of cultural conflict communication among DISC couples. …

Pushing Forward: The Dialectical Experiences Of Apida Psychologists In Predominantly White Counseling Settings, Shaun A. Fossett

Electronic Theses and Dissertations

Asian Pacific Islander Desi Americans (APIDAs) are the fastest growing racial group in the United States, yet they remain significantly underrepresented in the field of psychology and notably absent from research examining the professional experiences of racial and ethnic minority clinicians. Existing scholarship has documented the prevalence of racialized organizational structures, microaggressions, and the enduring “model minority” stereotype that both obscures and exacerbates APIDA challenges in professional environments. However, no known published studies have investigated the non–client-facing experiences of APIDA psychologists working in predominantly White counseling settings. The purpose of this interpretive phenomenological analysis (IPA) study was to explore how …

Unmaking Crane Hall: Institutional Change And The Politics Of Exhibit Closures At The Denver Museum Of Nature And Science, Abigail Genene Duff

Electronic Theses and Dissertations

This thesis examines the June 2023 closure of the North American Indian Cultures Hall (NAICH) at the Denver Museum of Nature and Science (DMNS) as a critical moment of institutional transformation. Through a case study approach grounded in archival research, interviews, surveys, and discourse analysis of social media posts and public commentary, this project investigates how exhibit closures reflect shifting dynamics of curatorial authority, Indigenous representation, and settler colonial structures. Guided by theoretical frameworks of settler colonial theory, desire-based research, institutional critique, and museum anthropology, this study explores how internal museum politics, community opinion, and public narratives reshape accountability and …

Critical Policy Analysis Of Student School Board Members: From Symbolic Seats To Shared Power, Reina M. Cruz

Electronic Theses and Dissertations

The aim of this study was to critically examine student voice in school boards, specifically how student representation is enacted, negotiated, or constrained in public school board meetings across multiple states. This study used a critical political analysis, multi-site, multi-year case study, as I wanted to showcase the different forms of student board memberships and the enactment of policy. In total, three school years of public regular board meetings were observed across three different school districts. The study employed a critical policy analysis to examine state statutes, district bylaws, board policies, meeting recordings, agendas, minutes, and transcripts.

I examined variations …

Exploring Foundations Of Animal Host-Microbe Interactions In A Freshwater Sponge, Jacob S. Pawley

Electronic Theses and Dissertations

The most ancient eukaryotic immune defense mechanisms evolved in unicellular species. Multicellular eukaryotes, however, expanded these mechanisms to meet challenges unique to multicellular life, including barrier formation, long-distance cell signaling, and coordinated responses that eliminate microbial threats while minimizing damage to the host. As such, animal immune signaling pathways are exceptionally intricate and diverse. Though, most of what is understood about animal host–microbe interactions stems from a small handful of model systems. Here, I evaluate host–microbe interactions and innate immunity in sponges using the highly tractable freshwater sponge, Ephydatia muelleri. I report the discovery of an external host-derived matrix …

Disrupted Family Ecosystems: Intergenerational Estrangement, Nonnormative Events, And Perceptions Of Established Adults – A Case Study, Seth Wyncott

Electronic Theses and Dissertations

The issue of intergenerational family estrangement has gained increased exposure in research and popular literature; however, significant gaps remain in understanding the lived experience of adult-children who maintain separation from their parents. Complicating matters, the family is not a solitary unit but is intertangled within a macrolevel sociocultural ecosystem. This ecosystem includes normative and nonnormative stressors which are subject to diverse interpretations depending on the historic and evolving character of the family and its members. As such, it is important to examine the dynamic character of estrangement in familial and sociocultural context.

Utilizing a case study method with semi-structured phenomenological …

The Invisible Poet: Stories Of Higher Education Professional Staff Program Experiences Via Poetic Inquiry Through A Wellness Dimensions Framework, Freyja Hofler

Electronic Theses and Dissertations

It is well documented that burnout and low levels of employee wellness have negative effects upon employees as well as the organizations that employ them (Gallup, 2019; Maurer, 2024; Wright & Bonett, 2007). This study was a program evaluation of the C2 Initiatives program via a constructivist paradigm, responsive evaluation approach, and summative outcome evaluation. The NWI’s Six Dimensions of Wellness model was utilized as the theoretical framework of the study and arts-based research was used as the conceptual framework.

Participants were given documents from the C2 Initiatives program as a text base to create blackout poetry, a type of …

Mystical Revelation And Knowledge Of God: Reclaiming Spirituality In Theology Through The Mystics, Elizabeth A. Merski

Electronic Theses and Dissertations

Since the scholastic era, the pursuit of God has occurred preeminently through reason, leading to an imbalanced theology of God that persists to the present day in the form of intellect-centered theology. As a resolution, this work proposes that the mobilization of private, mystical revelation as a source of legitimized theological knowledge of God has the potential to close the existent epistemological gap between reason/belief and theology/spirituality, demonstrating the integral unity between authentic knowledge of God and the receiver’s personal acceptance of God in faith. After examining the required methodological components for the discipline of theology and identifying criteria for …

Becoming A Therapist In A Foreign Land: Narratives Of International Trainee Clinicians Of Color In The U.S., Prathma Sharma

Electronic Theses and Dissertations

The focus of this dissertation project is on the community of trainee clinicians of color, who have been consistently overlooked in the literature on mental health. This dissertation employed narrative analysis as a methodological framework to explore the experiences of international trainee clinicians of color as they navigated the complex landscape of mental health training in the United States. In an increasingly globalized world, the voices and perspectives of these individuals offered critical insights into the challenges, triumphs, and unique pathways that shaped their professional development. Much of the literature on diversity and inclusion tends to individualize the challenging experiences, …

"Help Me Live It The Way You Do": Grounding Singaporean Responses To The Rorschach Situation, Casey Y. Lee

Electronic Theses and Dissertations

Contemporary research on the Rorschach and culture is striking for the latter’s disappearance as a variable of significance (Meyer et al., 2015; Meyer et al., 2007; Mihura et al., 2013; Viglione & Hilsenroth, 2001). This erasure is chronicled and reproduced in the narratives of universal objectivity, of extensive international meta-analyses, of replications, of standardized norms (Ritzler, 2004; Smith et al., 2018; Smith et al., 2020; Weiner, 2004). A different story emerges, however, when we ask, how has culture disappeared? The proposed study is a multimethod qualitative analysis of Singaporean responses to the Rorschach, aimed at generating sensitive yet critical discourses …

Bridging The Gap: Documenting The Effectiveness Of Counseling Education In A Speech-Language Pathology Graduate Program, Gianna Baker

Electronic Theses and Dissertations

This study aimed to examine the impact of a required counseling course through Duquesne University's Speech-Language Pathology program, particularly regarding student’s counseling self-efficacy and their ability to apply counseling skills within clinical practice. Nineteen first year Master’s students in Speech-Language Pathology at Duquesne University during 2025 participated in this study while enrolled in a counseling course and providing therapy to clients. Students completed the Counselor Activity Self-Efficacy Scales for SLPs (CASES) (Victorino & Hinkle, 2019) prior to beginning and after completion of the required counseling course. While observing video-recorded therapy sessions, the Counselor Competencies Scale-Revised (CCS-R) (Lambie & Swank, 2024) …

Impact Of Taped Problems Intervention Modification On Children With Deafness, Clyniece Hodge

Electronic Theses and Dissertations

Children with hearing loss are at an increased risk of experiencing setbacks in various areas of life, including academic performance and employment opportunities. Academically, they are likely to experience poor academic achievement in reading, as well as in mathematics (ASHA, 2013). In comparison to gifted hearing students and average-ability hearing students, students with hearing loss are at a higher risk of low mathematics performance (Hassan & Mohammed, 2019). Despite these known challenges and risk factors, limited research has been conducted to identify effective intervention strategies for improving mathematical outcomes among this population. As such, this study aimed to evaluate the …

Dialogic Communication Ethics As A Hopeful Response To Artificial Intelligence, Kristen Haldeman

Electronic Theses and Dissertations

Within the past five years, a new technology has dominated modern culture: artificial intelligence. With a multiplicity of ways to respond to this new environment, this dissertation situates a response to artificial intelligence by combining the media ecology and communication ethics perspectives. Media ecology explores historical roots and biases of technology to learn about their influence of humanity. A dialogic communication ethics seeks to find an opening for hope to emerge. Hope, grounded in the works of Jacques Ellul and the Christian tradition, offers a new rhetorical perspective by shifting focus away from technology and to our neighbor.

Integrating Naturalistic Developmental Behavioral Interventions In Inclusive Classrooms To Support Autistic Students, Paige J. Johnson

Electronic Theses and Dissertations

The current trend of an increasing prevalence rate of autism spectrum disorder creates a growing need for evidence-based interventions that can be accessed in the natural environments, such as within inclusive educational settings. Naturalistic Developmental Behavioral Interventions (NDBIs) integrate principles of applied behavior analysis and developmental psychology, and offer effective tools for increasing social communication behaviors in autistic children that align with the neurodiversity-affirming movement. The present study sought to evaluate the effectiveness of Behavior Skills Training (BST) in teaching core NDBI skills to a preschool teacher, examine changes in teacher self-efficacy related to supporting autistic students, and assess the …

A Philosophy Of Communication Response To Bullying In Corporate America, Chris A. Phillips Dr.

Electronic Theses and Dissertations

This philosophy of communication response to bullying in corporate America follows the structure of posing research questions, synthesizing relevant literature, and offering advice to practitioners. It invites the reader to have hope in continuing the conversation through a constructive hermeneutic approach to the problem. By building on literature in oppression, silencing, bullying, incivility, and communication ethics, this dissertation reveals how (rhetoric) and why (philosophy) the problem occurs in corporate America today. This dissertation offers a new angle to an old problem, or, a rhetoric and philosophy of bullying. It responds to the following questions:

RQ 1: As a destructive communication …