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Reflecting On Psychotherapy In Adolescence: A Qualitative Analysis Of Processes Of Change, John Parigger May 2027

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 Dec 2026

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 …


Designing Inclusive Stem Curricula: A Design-Based Study Of Teacher Learning And A Queer Inclusive Framework, Kyle Nolting Aug 2026

Designing Inclusive Stem Curricula: A Design-Based Study Of Teacher Learning And A Queer Inclusive Framework, Kyle Nolting

Electronic Theses and Dissertations

STEM (Science, Technology, Engineering, and Mathematics) education has historically marginalized queer identities, shaping inaccurate curricula and fostering unwelcoming classroom environments. To address this, my research uses design-based research to investigate the design of queer-inclusive STEM curricular resources. I partnered with in-service secondary STEM teachers amidst a series of professional development courses to co-create curricular resources. My research is grounded in queer theory, using a Gender Inclusive Framework to collaboratively develop inclusive design principles. My findings revealed a strong desire by teachers for more authentic and fluid representations of gender and sexuality in STEM curricula, particularly beyond the biological science discipline. …


Disrupted Family Ecosystems: Intergenerational Estrangement, Nonnormative Events, And Perceptions Of Established Adults – A Case Study, Seth Wyncott Aug 2026

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 …


Becoming A Therapist In A Foreign Land: Narratives Of International Trainee Clinicians Of Color In The U.S., Prathma Sharma Aug 2026

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, …


Impact Of Taped Problems Intervention Modification On Children With Deafness, Clyniece Hodge Aug 2026

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 …


Integrating Naturalistic Developmental Behavioral Interventions In Inclusive Classrooms To Support Autistic Students, Paige J. Johnson Aug 2026

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. Aug 2026

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 …


The Narrative In The Algorithm: Storytelling, World Literature, And The Smartphone, Chad Szalkowski-Ference Aug 2026

The Narrative In The Algorithm: Storytelling, World Literature, And The Smartphone, Chad Szalkowski-Ference

Electronic Theses and Dissertations

In this dissertation, I interrogate the role algorithms, artificial intelligence, and smartphone technology play in contemporary world literature. My analysis begins with the post-truth condition, which speaks to the contemporary era’s embrace of alternative facts, authoritarianism, and conspiratorial thinking. I draw on narrative theory and paradigms of world literature to show how “algorithmic reasoning” has led to a state of paranoid persecution. This reasoning has forged new collectivities across traditional borders. Additionally, I show that these new collectivities and new technologies have produced new narrative points of view: the algorithmic first- and third-person, allowing narratives to retain the intimacy and …


Navigating Dual Standards: Secondary Educators Integrating English Language Standards To Achieve English Proficiency, Calleigh Herrell Aug 2026

Navigating Dual Standards: Secondary Educators Integrating English Language Standards To Achieve English Proficiency, Calleigh Herrell

Electronic Theses and Dissertations

English Learners represent one of the fastest-growing student populations in the United States, creating increased demands on secondary educators to support both language development and academic achievement. As accountability expectations continue to emphasize grade-level proficiency in English Language Arts (ELA), educators serving English Learners must navigate the intersection of English language proficiency standards and content-area instructional requirements. While English Language Proficiency Assessment for the 21st Century (ELPA-21) standards are intended to support language acquisition and access to academic content, educators often face challenges integrating language development goals with grade-level ELA expectations. As such, secondary educators play a critical role in …


Kindergarten Aimsweb Ela Composite As A Predictor Of Third-Grade Reading Proficiency In A Rural, High-Poverty School District, Christi J. Gentry Aug 2026

Kindergarten Aimsweb Ela Composite As A Predictor Of Third-Grade Reading Proficiency In A Rural, High-Poverty School District, Christi J. Gentry

Electronic Theses and Dissertations

Reading proficiency by the end of third grade is a critical milestone as students transition from learning to read to using reading as a tool for learning. In Tennessee, this proficiency is especially significant because promotion and retention decisions are linked to student performance on the Tennessee Comprehensive Assessment Program (TCAP) ELA assessment. This quantitative, longitudinal study examined the extent to which kindergarten readiness, operationalized as kindergarten AIMSweb ELA Composite scores, predicts third-grade reading proficiency status in one rural, high-poverty school district. Using archival student-level data, this study analyzed kindergarten AIMSweb ELA Composite scores and third-grade TCAP ELA proficiency. Logistic …


An Exploration Of The Psychological Impacts Of Code-Switching, Cristina Culler Aug 2026

An Exploration Of The Psychological Impacts Of Code-Switching, Cristina Culler

Electronic Theses and Dissertations

This dissertation is an interpretative phenomenological analysis of the lived experiences of four Black American adults who have frequently engaged in code-switching. Historically, code-switching has been perceived as a necessary skill that helps marginalized folx adopt the norms and practices of the dominant culture. As a result, code-switching has become a routine practice specifically for Black Americans who often occupy white spaces. Since code-switching has been perceived as a skill, the oppressive origins of code-switching often go unnoticed. Therefore, this dissertation examines code-switching through a critical lens that deems this practice a product of racist ideologies that prioritize whiteness. Through …


Predictors Of Pre-Service Teachers’ Strength-Based Teaching Practices With Els (English Learners), Stephany M. Panza Aug 2026

Predictors Of Pre-Service Teachers’ Strength-Based Teaching Practices With Els (English Learners), Stephany M. Panza

Electronic Theses and Dissertations

The increasing number of English learners (ELs) in U.S. school classrooms highlights the importance of utilizing pedagogical approaches that build upon their preexisting cultural and linguistic strengths. Strength-based teaching practices, grounded in positive psychology represent a systems-levels approach to promoting positive academic and socio-emotional outcomes for ELs. In this study, a sample of 21 pre-service teachers attending Northeastern teacher preparation programs completed a series of surveys identifying their EL teaching experience, EL coursework, multicultural attitudes, and intercultural self-efficacy. These predictors were examined to determine their cumulative impact and unique contributions to an adapted Strength-Based Practices Inventory (SBPI), which captured pre-service …


The Rending Of The Temple Curtain In The Gospel Of Luke: Its Relocation And Implications, Kim Kai Chan Aug 2026

The Rending Of The Temple Curtain In The Gospel Of Luke: Its Relocation And Implications, Kim Kai Chan

Electronic Theses and Dissertations

The rending of the temple curtain at Jesus’s death is recorded in all three Synoptic Gospels, yet Luke relocates the event from after to before Jesus’s death, creating interpretive challenges. While Mark connects the curtain’s tearing to the rending of the heavens at Jesus’s baptism through the verb σχίζω, this study argues that Luke reframes the tearing motif by linking the curtain’s rending to the tearing of the new garment in the parables of Luke 5:36–39, likewise employing σχίζω.

On the one hand, these parables in Luke 5 represent Jesus’s reasoning with his critics that to resist him and his …


Cultural Intelligence And Leadership: Examining School Principals’ Impact On Teacher Belonging, Retention, And Conflict Resolution, Quincy C. Commerford Aug 2026

Cultural Intelligence And Leadership: Examining School Principals’ Impact On Teacher Belonging, Retention, And Conflict Resolution, Quincy C. Commerford

Electronic Theses and Dissertations

The increasing diversity throughout the United States, especially reflected in the school system, has increased the need for school leaders who can effectively lead culturally diverse communities, and, specifically, for culturally diverse teachers. Cultural intelligence has gradually become a leadership competency alongside other intelligences, such as emotional and social, but little is known about how a school leader’s cultural intelligence affects culturally diverse teachers sense of belonging, their experiences with conflict, and overall teacher retention. In this study the researcher examined how a school leader’s cultural intelligence affects teachers’ sense of belonging in two culturally diverse secondary school settings. Using …


Making Sense Of Generative Ai: A Qualitative Single Case Study Examining How College Students Describe Its Use In Academic Coursework, Hollie L. Reese Aug 2026

Making Sense Of Generative Ai: A Qualitative Single Case Study Examining How College Students Describe Its Use In Academic Coursework, Hollie L. Reese

Electronic Theses and Dissertations

Generative artificial intelligence has become increasingly present in higher education, creating opportunities and challenges related to teaching, learning, academic integrity, and student preparation for future professional settings. The problem addressed in this study was the growing misalignment between students’ use of generative artificial intelligence tools and the guidance, expectations, and policies provided within college courses. The purpose of this qualitative case study was to explore how college students described their use of these tools in academic courses and to identify the benefits and challenges associated with integrating them into learning experiences. Data were collected through semistructured interviews with undergraduate students …


The Rise Of Emergent Bilingual Students In Texas School Districts: A Longitudinal Analysis Of Outcomes, Resources, And Conditions, Ashley Ivy Aug 2026

The Rise Of Emergent Bilingual Students In Texas School Districts: A Longitudinal Analysis Of Outcomes, Resources, And Conditions, Ashley Ivy

Electronic Theses and Dissertations

This study examined district-level changes associated with rapid growth in Emergent Bilingual (EB) enrollment across 53 Texas public school districts between the 2012-2013 and 2022-2023 academic years. Using a quantitative, nonexperimental, longitudinal descriptive-comparative design, secondary data from the Texas Education Agency (TEA) were analyzed to assess changes in district demographics, staffing patterns, bilingual/ESL expenditures, academic achievement, graduation rates, and college readiness outcomes. Paired-samples t-tests were conducted to determine statistically significant mean differences across the 10-year period. Findings revealed significant increases in EB enrollment, Hispanic enrollment, and economically disadvantaged enrollment, indicating that participating districts served increasingly diverse student populations with …


A Modest Proposal For Discourse Analysis In Nonbinary Communities: Method And Case Study, Nikoli Michael Daigneault Jul 2026

A Modest Proposal For Discourse Analysis In Nonbinary Communities: Method And Case Study, Nikoli Michael Daigneault

Electronic Theses and Dissertations

While linguists have long used discourse analysis to study language variation in binary and nonnormative gender groups, nonbinary people have often been excluded from analyses or treated without a nonbinary-informed framework. Nevertheless, nonbinary language use can provide key insights into the relationship between gender and language. In this thesis, I propose Nonbinary Discourse Analysis, a set of recommendations and best practices for conducting discourse analysis in nonbinary communities. These methods are informed by previous empirical research on nonnormative gender identities and theoretical work in trans linguistics (Zimman, 2020) and trans epistemologies (Nordmarken, 2019; Raclaw, in press). To demonstrate the methodology, …


Evaluating Special Education Teachers’ Competence In Inclusive Education: A Study Of Behavior Management, Level Of Confidence, And Training Needs, Kourtney Guthrie Jul 2026

Evaluating Special Education Teachers’ Competence In Inclusive Education: A Study Of Behavior Management, Level Of Confidence, And Training Needs, Kourtney Guthrie

Electronic Theses and Dissertations

The purpose of this mixed-methods study is to examine the competence of special education teachers in rural East Texas, focusing on their experiences, perceptions, and professional development needs related to behavior management and inclusive education. Quantitative data were gathered through questionnaires given to special education teachers and elaborated upon through focus group interviews, where themes emerged. An explanatory sequential mixed-methods design was used to develop a better understanding of teachers’ preparedness and the problems involved in the implementation of inclusive practices. The findings may inform more effective teacher training, policy-making, and support systems in rural educational settings by highlighting professional …


From Hashtags To Regime Change: How Ai-Driven Social Media Algorithms Fueled Youth Protests Against Authoritarianism In Bangladesh But Stalled In Pakistan (2020-2025), Rafia Nishan Abbasi Jun 2026

From Hashtags To Regime Change: How Ai-Driven Social Media Algorithms Fueled Youth Protests Against Authoritarianism In Bangladesh But Stalled In Pakistan (2020-2025), Rafia Nishan Abbasi

Electronic Theses and Dissertations

In this research, it has been investigated that how and why youth protests were amplified by AI based social media algorithms in Bangladesh; however, their impacts resulted in occasional and isolated resistance in Pakistan during 2022-25, taking in account the differences in state regulations, platform governance, and civil society networks. While utilizing Mixed-methods approach, this study employs comparative discourse analysis, a structured survey (N=466), semi-structured interviews, legal and policy tracing, and platform data. This research has proposed a novel theoretical framework of Algorithm Regime Mediation (ARM). ARM considers platform algorithms as politically intermingled intermediaries which can determine socio-political outcomes by …


Student-Faculty Pedagogical Partnerships Humanize Teaching And Learning: A Phenomenological Study, Kiersten Ann Hillkirk Jun 2026

Student-Faculty Pedagogical Partnerships Humanize Teaching And Learning: A Phenomenological Study, Kiersten Ann Hillkirk

Electronic Theses and Dissertations

This hermeneutic phenomenological study, guided by Gadamer’s (2004) ideas, explored the lived experiences of student consultants and faculty members participating in a student-faculty pedagogical partnership program. Framed by humanizing pedagogy (Freire, 1970; Salazar, 2013) and students as partners (Healey et al., 2014) as the conceptual foundation, the study examined how collaborative teaching and learning relationships can promote more equitable, dialogic, and transformative educational practices. Participants included three student consultants and three faculty members at a private research university in the western United States.

Data were collected through nine in-depth phenomenological interviews (Seidman, 2019) and supplemented with written reflections and entry/exit …


Disproportionality And Possibilities: State-Level Policy Recommendations For Special Education Oversight In A Shifting Federal Landscape, Amanda B. Roberts Jun 2026

Disproportionality And Possibilities: State-Level Policy Recommendations For Special Education Oversight In A Shifting Federal Landscape, Amanda B. Roberts

Electronic Theses and Dissertations

This study employed a convergent parallel mixed-methods design to explore how U.S. states identify and respond to disproportionality in special education within a shifting federal policy landscape. As uncertainty surrounds the future role of the U.S. Department of Education, questions have emerged about states’ capacity to safeguard educational equity. Without federal oversight, states would assume responsibility for maintaining protections for students with special needs, making it critical to strengthen safeguards for marginalized and underresourced populations.

This study analyzed the current special education governance structures nationwide to inform equity-oriented policy and practice recommendations. Quantitative data were collected from Individuals with Disabilities …


Otherness And The Trinity: Toward A Critical Reimagining Of Christian Divinity From A Postcolonial Ethos, Taylor Muma Jun 2026

Otherness And The Trinity: Toward A Critical Reimagining Of Christian Divinity From A Postcolonial Ethos, Taylor Muma

Electronic Theses and Dissertations

In this dissertation, I address the Trinity’s potential as an emancipatory relational archetype in the philosophy of religion, while at the same time recognizing the complicity of Christian doctrine in colonial conquest. My dissertation will be a reimagining of trinitarian theology as an ecotonal paradigm of multiplicity and alterity that provides a generative means of moving beyond the enmeshment of divinity with constructs of mastery.

The post-structuralist and postcolonial methodologies in this project emerge from the work of such scholars as Homi Bhabha, Jacques Derrida, Emmanuel Levinas and Gloria Anzaldúa. They foreground critical ideations of otherness and multiplicity in ways …


The Permanent Emergency: The Anti-Fascist And Anti-Colonial Intersections Of James Joyce’S Ulysses And Roberto Bolaño’S 2666, Lily V. Mcmanamy Jun 2026

The Permanent Emergency: The Anti-Fascist And Anti-Colonial Intersections Of James Joyce’S Ulysses And Roberto Bolaño’S 2666, Lily V. Mcmanamy

Electronic Theses and Dissertations

My thesis is going to explore the (Irish) Anti-Colonial and (Spanish) Anti-Fascist parallels between James Joyce’s Ulysses (1922) and Roberto Bolaño’s 2666 (2004). Using the major epic novels of two exiled authors, I hope to explore the intersections of poetic fiction and political resistance. I read these texts as bookends spanning the pre- and post-war periods, highlighting the continuities of colonialism, totalitarianism, and fascism, and the way these authors develop a post/modernist narrative that nods towards these themes. I plan to draw on Alberto Toscano’s LateFascism (2023) as a means of situating these authors’ novels with our own political moment …


Perceptions Of Giftedness: A Mixed Methods Study Of General Education Classroom Teachers And Gifted And Talented Specialists, Rachel J. Martino Jun 2026

Perceptions Of Giftedness: A Mixed Methods Study Of General Education Classroom Teachers And Gifted And Talented Specialists, Rachel J. Martino

Electronic Theses and Dissertations

This convergent mixed methods study examined similarities and differences in perceptions of giftedness held by general education teachers and gifted specialists in two suburban elementary school districts. Grounded in social constructivism and labeling theory, the study explored how educator role shapes understandings of giftedness and gifted education. Survey data from 70 educators and interviews with eight participants were analyzed and integrated. Findings revealed alignment regarding the multidimensional and social–emotional nature of giftedness, but statistically significant differences in perceptions were found related to instructional practices and differentiation, identification, autonomy, and service models. Findings also revealed a gap between belief and practice, …


A Case Study Of Principal Preparation In A Social Justice-Informed Principal Preparation Program, Katie Golieb Jun 2026

A Case Study Of Principal Preparation In A Social Justice-Informed Principal Preparation Program, Katie Golieb

Electronic Theses and Dissertations

This qualitative case study examined how a social justice-informed principal preparation program fostered the development of socially just school leaders and how graduates perceived their capacity for resilience as educational leaders in the contemporary PK–12 context. The Mountain Range Principal Preparation Program (MRP3), a university–district partnership designed to prepare educational leaders to be transformative leaders equipped to improve student achievement and address challenges in low-performing schools, served as the site of inquiry. The study explored how principals made meaning of their preparation experiences and how those experiences shaped their enactment of equity-focused leadership and their ability to sustain such work. …


African American Business Owners' Descriptions Of Experiences With Lending Practices, Wannika R. Muhammad Jun 2026

African American Business Owners' Descriptions Of Experiences With Lending Practices, Wannika R. Muhammad

Electronic Theses and Dissertations

Entrepreneurship has remained an influential and unfulfilled goal for African Americans from the 1800s until now. Due to barriers in lending practices, increased business retention rates for African American business owners still need to be achieved. The lack of credit and lending resources hinders business growth and retention. Although Black-owned firms contribute significantly to the U.S. economy, they remain classified as underutilized entities that benefit the least, without adequate access to financial services, such as banking and lending opportunities. This study’s participants consisted of 12–15 African American business owners in central Texas, through a qualitative descriptive exploration of their experiences …


The Illocutionary Constitution Of Second Nature: An Interpretive Reconstruction Of Hegel’S Philosophy Of Language, Roland William Carspecken May 2026

The Illocutionary Constitution Of Second Nature: An Interpretive Reconstruction Of Hegel’S Philosophy Of Language, Roland William Carspecken

Electronic Theses and Dissertations

This dissertation offers an interpretive reconstruction of Hegel’s philosophy of language. Rich reflections on the nature of language and its significance to human life can be found across Hegel’s works. Many of these reflections strongly suggest that language plays a vital role in Hegel’s philosophical project. Yet surprisingly, Hegel never set down a comprehensive account of his view of language. To this day, it remains a matter of dispute whether Hegel’s writings on language are consistent enough to amount to a single ‘philosophy of language’ and, if they are, what sort of philosophy of language they might offer. In the …


Navigating Barriers: The Career Challenges Of Chinese Non-Stem Graduates In The U.S. Job Market, Dilin Li May 2026

Navigating Barriers: The Career Challenges Of Chinese Non-Stem Graduates In The U.S. Job Market, Dilin Li

Electronic Theses and Dissertations

This qualitative phenomenological study explored the career challenges faced by Chinese international graduates from non-STEM fields as they transition from U.S. higher education to the job market. While prior research has largely focused on STEM graduates who benefit from favorable visa policies and high labor demand, limited attention has been given to non-STEM students navigating structural, cultural, and social barriers to employment. Guided by the intellectual capital framework—which encompasses human, cultural, and social capital—this study examined how Chinese non-STEM graduates experience and respond to these barriers within the intersecting contexts of immigration policy, labor market expectations, and cultural adaptation.

Five …


Values-Based Clinical Ethics: A New Model Of Health And Ethics Consultation For Patients Suffering In Extremis, Adam Trainer May 2026

Values-Based Clinical Ethics: A New Model Of Health And Ethics Consultation For Patients Suffering In Extremis, Adam Trainer

Electronic Theses and Dissertations

This dissertation argues that contemporary clinical ethics is inadequately equipped to support patients suffering in extremis because it relies on an insufficiently discriminating account of health and a constrained model of moral reasoning. Drawing on Bernard Lonergan, it reconceives health as an emergent, multi-layered, heuristic notion shaped by biological, psychological, social, and existential goods. On that basis, it critiques principlism’s global applicability thesis and the undergirding claim that its principles form part of the common morality, arguing that this justificatory structure is philosophically insufficient and practically limited for clinical ethics in cases marked by profound suffering, moral plurality, and normative …