Digital Commons Network^™

What Remains? An Interpretative Phenomenological Analysis Of Therapists’ Psychological Boundaries In Crisis Work, Dana Santiago

Electronic Theses and Dissertations

Little attention has been given to clinicians who work primarily with clients in crisis. The current study explored therapists’ psychological boundaries in crisis work. Qualitative data was collected from two semi-structured interviews with current mental health crisis professionals (n = 5). An Interpretative Phenomenological Analysis was used to gain access into participants’ perceptions and understandings of their experiences. Findings revealed 4 superordinate themes: Professional Self, Impacted Self, Relational Self and Evolving Self along with 11 subthemes that related to psychological boundaries. Results suggest psychological boundaries are fluid and closely tied with self-awareness and support from other professionals.

A Phenomenological Study Of The Lived Experiences Of Counselors In Training When Discussing The Existential Factors Of Death, Isolation, Freedom, And Meaning In Life With Their Clients, Sabina Musliu

Electronic Theses and Dissertations

Grounded in the theoretical framework of existential therapy, this study aimed to uncover the lived experiences of counselors in training when addressing existential factors of death, isolation, freedom, and meaning in life with their clients. To have a better understanding of this phenomenon and address the research questions, data was primarily collected via semi-structured interviews. The obtained data was analyzed using an interpretative phenomenological analysis (IPA). The data analysis process revealed six superordinate themes from the participants’ experiences: the emotional experience in the session and during the interview; transference/ countertransference; perspective on existential factors; factors that influenced counseling effectiveness in …

Poverty In The United States: An Analysis Of Its Measurement And The Long-Term Social And Economic Costs, Abby Magnus

Electronic Theses and Dissertations

This thesis examines the role of poverty in the United States and how it has impacted social and economic systems. It explores how U.S. poverty measurements developed in the 1960s may not be accurately measuring poverty now, and the ways in which these measures could be improved upon. This work also reviews literature on health and educational inequities stemming from socioeconomic class, and the role these play in long-term economic mobility. Finally, it analyzes how larger social institutions like mass incarceration and capitalism have developed around poverty, and the role they play in maintaining its prevalence today. This thesis finds …

Disrupting Disparity: A Critical Race Transformative Mixed Methods Examination Of School Discipline, Ceema Samimi

Electronic Theses and Dissertations

Racial disparities in school discipline are well-established in the United States’ public-school system. These disparities contribute to a phenomenon known as the school-to-prison pipeline. This phenomenon is a metaphor for the mechanisms that push students, especially students of color, out of school and into the justice system. While research has examined the causes and impacts racial disproportionality in discipline, no studies have focused on schools with no disparities. This study used Critical Race Transformative Mixed Methods to examine school-level quantitative data while employing phenomenological methods to interviews with 12 teachers using critical race theory as a lens. Findings revealed that …

Age Bias In Clinical Judgment: Moderating Effects Of Ageism And Multiculturalism, Kristin Pyne

Electronic Theses and Dissertations

The proportion of older adults in the United States is growing rapidly (U.S. Census Bureau, 2014) and mental health concerns in older adults are expected to increase rapidly (Choi, DiNitto & Marti, 2015). Despite increasing caseloads of older adults, few practicing psychologists have received specific training or specialization in geropsychology (American Psychological Association, 2016). Simultaneously, a growing body of literature demonstrates differential treatment of older adults in psychotherapy (Kessler & Bowen, 2015, Kessler & Schneider, 2016, Mejia et al., 2018). The present study aimed to examine the prevalence of clinical bias toward older adults among clinical trainees and to explore …

The Impact Of A High School Theatre Arts Program On Students’ Academic And Non-Academic Learning Outcomes: A Case Study, Grant H. Goble

Electronic Theses and Dissertations

Research suggests that theatre arts participation benefits students’ academic and non-academic learning outcomes. The purpose of this single case study was to explore the impact of a theatre arts program on academic and non-academic for high school students by addressing the following overarching research question: How does student participation in a theatre arts program impact students’ learning outcomes? The subquestions are: (a) how do students describe the impact of a theatre arts program in relation to academic learning outcomes?, (b) how do students describe the impact of a theatre arts program in relation to non-academic learning outcomes? The study follows …

“The Gates Are Closed Here”: A Mixed Methods Study Examining The Lived Experiences Of Black South African Township Youth, Jason St. Mary

Electronic Theses and Dissertations

South African Black township youth encounter immense risks within their environment, with little opportunity for perceived success. The Langa Township, the oldest established segregated community in Cape Town, South Africa, is enveloped in massive unemployment rates, substantial poverty, and violent gangsterism. Extensive literature exists in North America on the relationship between positive youth development (PYD) and successful outcomes for young individuals, although there is limited research examining the framework in an international context. Due to historical oppression forced on South African youth, postcolonial theory provides a critical foundational component to PYD in the study. This mixed methods study examined the …

Social Work, Social Justice, And The Causes To Which We Are Called: Attitudes, Ally Behavior, And Activism, Brittanie Atteberry Ash

Electronic Theses and Dissertations

As a profession, social work has codified within its ethical guidance and educational policies a commitment to social justice. While social justice is enumerated in several guiding documents, social work continues to lack consensus on both the meaning and merit of social justice (Abramovitz, 1993; Funge, 2011; Hong & Hodge, 2009; Specht & Courtney, 1995; Van Soest & Garcia, 2003). Due to the lack of agreement within the profession about the centrality and meaning of social justice, many educational practices, attitudes, and actions of those working within the profession may not align with socially just ideals that are codified in …

Early Adolescent Social Isolation, Hope, And Well-Being During A Pandemic, Alicen Hauck

Electronic Theses and Dissertations

Social isolation is often divided into two subcategories of objective and subjective. The COVID-19 pandemic has led to an increase in objective social isolation in the form of social distancing and fewer social events. Research delineating the relationship between social isolation and adolescent well-being utilize measures of subjective social isolation. Whereas, measures of objective social isolation are more commonly used with geriatric populations. Therefore, there is a lack of information specific to the impact of objective social isolation on adolescent well-being, particularly during a pandemic. The effects of social isolation due to COVID-19 will not be short lived. Deciphering the …

The Relationship Between Developmental Opportunities, Burnout, And Turnover Intentions: An Exploration Of Potential Moderating Effects, Derek Gravholt

Electronic Theses and Dissertations

Through the lens of the Job Demands-Resources (JD-R) Model, potential moderating effects of Self-Determination Theory (SDT) needs were investigated for the relationships between developmental opportunities and both turnover intentions and burnout in a sample of healthcare employees. SDT needs include the need for competence, the need for relatedness, and the need for autonomy, which are all theorized to be important pieces of optimal psychological functioning. Results indicated that developmental opportunities were negatively related to both turnover intentions and burnout, and these effects were moderated by the employee’s sense of relatedness, such that those with low relatedness appreciated even more reduction …

Integrated Psychological Services In Pediatric Primary Care: A Program Evaluation, Kristen Laprade Johnson

Electronic Theses and Dissertations

Many children and youth experience emotional and/or behavioral health difficulties and lack appropriate access to care. Access to care limitations are particularly relevant to rural populations such as Mississippi. Integrated care models could serve as an innovative solution to increasing access to care for children and youth. In particular, the Three World View model of integrated care asserts that attention should be given to the clinical world (i.e., provision of evidence based services), operational world (i.e., charting, scheduling, referrals, etc.), and the financial world (i.e., funding and reimbursement). The current study utilized program evaluation tools to develop and evaluate a …

Admission Officers' Perceptions Of Implicit Bias In The Admission Process, Christi Denise Hardy

Electronic Theses and Dissertations

Although they are not involved in the decision making process, admission officers at institutions of higher learning could have a significant effect on the admission process. For the purposes of this research, admission officers are defined as the primary personnel assisting applicants to complete their applications through the collection of applications, fees, essays, transcripts, test scores, and other supplemental documents required by the institution for admission consideration. More specifically, their implicit biases could significantly affect the admission process. Research on implicit biases is on the rise, and studies investigating this issue in health care and hiring practices are abundant. Implicit …

Race, Sense Of Belonging, And The African American Student Experience At Predominantly White Institutions, Anthony Kane

Electronic Theses and Dissertations

This research study utilized a critical race theoretical framework and methodology to explore the lived experiences of African American students at a predominantly White institution. The purpose of this study was to identify how race impacts the sense of belonging of African American students at predominantly White institutions (PWIs). This study highlighted the racialized experiences of African American students at a predominantly White institution and how these experiences impacted their sense of belonging. Additionally, this study sought to understand the type of support African Americans students preferred and needed in order to develop a positive sense of belonging.

Six African …

Exploring Appreciative Advising As An Equity Approach For African American Students: A Grounded Theory Study Of Academic Advisors At Predominantly White Institutions (Pwis), Valerie Harper

Electronic Theses and Dissertations

ABSTRACT

EXPLORING APPRECIATIVE ADVISING AS AN EQUITY APPROACH FOR AFRICAN AMERICAN STUDENTS: A GROUNDED THEORY STUDY OF ACADEMIC ADVISORS AT PREDOMINANTLY WHITE INSTITUTIONS (PWIs)

By

Valerie J. Harper

October 28, 2019

Dissertation supervised by Professor Gretchen Givens Generett

African American matriculation into postsecondary education continues to rise, but degree conferral remains low (Hoston, Graves, & Fleming-Randle, 2010). Arguably, Harper and Hurtado’s (2007) research, as far back as 1992, stated black students and other students of color have dealt with alienation, isolation, and stereotyping at PWIs; this continues to persist today (Lee, 2018), which may interrupt the academic success of African …

Childhood Abuse, Religiosity, And Opioid Use: Findings From The National Epidemiologic Survey On Alcohol And Related Conditions Data, James E. Lewis

Electronic Theses and Dissertations

Religiosity is adopting a belief system surrounding concepts of purpose, meaning, and value through an institution that has already defined these concepts prior to the individual member attending and that member’s degree of participation. Religiosity does have protective factors against negative health outcomes. This protective influence was evaluated in this study. Data from Wave 2 of the National Epidemiologic Survey on Alcohol and Related Conditions were examined to learn about the relationship between protective effects of religious participation on substance abuse, and whether this association weakened for individuals who have experienced higher levels of childhood abuse. A binary logistic regression …

Differences In Socialization Factors In Relation To Prescription Drug Misuse Between Rural And Urban Juveniles, Gabriela Smith

Electronic Theses and Dissertations

Juvenile misuse of prescription drugs in the United States has continuously increased over the last few decades, especially within rural regions of the country. Despite continuous increase in rates of misuse, limited research exists on elements of socialization that may function to prevent drug use. The current study utilized the Monitoring the Future Survey data to explore prescription drug misuse between different populations of juveniles. While using Hirschi’s (1969) theory of social bonds as a theoretical framework, different elements of socialization were explored to determine whether they work to contribute or prevent prescription drug misuse among rural and urban juveniles. …

Adverse Childhood Experiences, Familial Emotion Socialization, And Adult Emotion Regulation: A Moderation Model, Rebecca Otwell-Dove

Electronic Theses and Dissertations

Adverse childhood experiences (ACEs) have been associated with maladaptive outcomes, including difficulties with emotion regulation (ER). ER difficulties, in turn, increase risk for experiencing physical and mental health problems. Parental emotion socialization is one factor that has been associated with ER skills across development. No known studies, however, have examined whether parental emotion socialization moderates the relationship between ACEs and ER difficulties. In the current study, undergraduates (N = 678) completed questionnaires about their history of ACEs, parental emotion socialization experiences, and current ER difficulties. Correlational results indicated a positive correlation between ACEs and ER difficulties. Results of the hierarchical …

Preservice Teachers Knowledge Of Adolescent Suicide, Annette N. Johnson

Electronic Theses and Dissertations

Teacher preparation programs have a responsibility to prepare future teachers to teach

and mentor students through their academic years. With the rise of suicide in school age children, responsibility has fallen to teachers to better recognize and understand students who may be suicidal. This study sought to answer the question: to what degree does teaching certification, teaching experience, and suicide awareness embedded coursework predict preservice teachers’ knowledge of suicide awareness and prevention? Data from the Adolescent Suicide Behavior Questionnaire and a demographic survey which asked about participants’ preservice training was sent to universities and colleges in Texas with an undergraduate …

A Power Man’S Theology: Marvel’S Luke Cage And Black Liberation Theology, Diarron B. Morrison

Electronic Theses and Dissertations

Netflix released Marvel’s Luke Cage in 2016 to critical acclaim. Born from a 1970s comic book, the series features Luke Cage, an African-American superhero. Cage is a big, bald, bulletproof black man. Instead of tights and a cape, Cage wears a hoodie calling the audience to remember Trayvon Martin and other victims of white racism. Theologian James Cone created Black Liberation Theology in the 1970s. As a result of Cone’s work, Black Liberation Theology addresses the issue of white racism from a theological standpoint. In this thesis I present a close reading of Marvel’s Luke Cage using Black Liberation Theology …

Conspiracy Theories And The Quest For Truth, Rachel Runnels

Electronic Theses and Dissertations

Conspiracy theories are deeply embedded in American culture, especially in current American society. The popularity of conspiracy theories in general reveals that society is becoming increasingly skeptical of authoritative organizations. Because of “fake news” and the availability of information and connection on the internet, people feel as though they must question everything, even sources they previously viewed as unquestionable authorities.

My analysis looks at how online conspiracy organizations create and defend their arguments in an attempt to understand why conspiracy theories are so persuasive. I analyze the rhetoric of three online conspiracy theory organizations: the Flat Earth Society, the Mutual …

Using Behavior Economic Nudges To Facilitate Client Follow-Through In Financial Coaching, Charlene Hurst

Electronic Theses and Dissertations

While benevolence-based programs have been a large part of meeting immediate financial needs of the poor, they lack the relational aspect needed to facilitate long-term behavior change. Recently many social service organizations have adopted financial coaching as a promising replacement for benevolence programming. The field of coaching has dealt with its own challenges. Most coaching practitioners surveyed in 2016 and 2019 acknowledged lack of client follow-through as their number one challenge. Behavior economics offered nudges as a solution. Nudges are cues placed within the physical environment to prod clients toward behavior change. A quantitative field study was conducted to evaluate …

The Nurse As The Facilitator Of Patients' Narration: An Educational Intervention, Petra Stockman

Electronic Theses and Dissertations

More than one million resident patients live and receive care at certified long-term facilities in the United States, many of whom suffer from depressive symptoms and anxiety. Prior research recommended storytelling as a vibrant nursing intervention to assist long-term care residents in overcoming challenges and emotional pain. However, nurses frequently lack knowledge of successful planning and implementation of narrative reminiscence. This scholarly project was designed to increase nursing competence and confidence in using storytelling as a clinical tool to improve mental health in long-term care, using a quasi-experimental, nonrandomized pretest, intervention, and posttest study design. A convenience sample of 10 …

Emergency Department Nursing Psychological Care (Early Crisis Intervention) For Adult Victims Of Violent Crime: A Quantitative Study, Barbara Conn

Electronic Theses and Dissertations

Recognition of the significance of early interventions and the importance of addressing psychological trauma for the victim of violence is of utmost importance for quality of life and the victim’s future. The serious impact of psychological trauma on victims of violent crime supports further study to determine whether Emergency Department (ED) nurses assess this trauma and initiate early interventions and referral for ongoing psychological care. Nursing care, assessment and early intervention with victims of violent crime was the focus of this dissertation study.

A quantitative study, with a non-experimental, descriptive design employed retrospective chart reviews to determine whether ED nurses …

Opioid And Stimulant Use Among A Sample Of Corrections-Involved Drug Users : Seeking An Understanding Of High-Risk Drug Decisions Within A System Of Constraint., Kirsten Elin Smith

Electronic Theses and Dissertations

In the United States, high-risk drug use remains a significant social problem. Opioids and stimulants are two drug classes that have contributed to substantial recent increases in drug-related arrests, overdose, and mortality. Kentucky has been particularly devastated by high rates of opioid and stimulant use. Opioid and stimulant effects, while highly rewarding, can result in adverse consequences. Still, some people choose to use these drugs, and choose to continue using even after experiencing adverse consequences, such as incarceration. The aim of this study was to explore high-risk drug use among a sample of corrections-involved adults in Kentucky and to identify …

Predictors Of Empirically-Supported Interventions Following Structured Functional Assessment., Alton Nathaniel Verbist

Electronic Theses and Dissertations

Assessment is foundational to the process of evidence-based practice yet has received little research attention. Project SAFESPACE has recently initiated screening and assessment for all children entering out of home care in Kentucky with the goal of providing assessment-driven, evidence-based treatment. The Child and Adolescent Needs and Strengths (CANS) assessment—the instrument adopted in this service system—is designed to link the assessment process with the selection of appropriate interventions. Informed by naturalistic decision making, this dissertation sought to investigate the relationship between responses on the CANS assessment and the empirically supported interventions subsequently prescribed by the assessing clinician. Using secondary data …

"We've Been Here All Along" : The Standpoint And Collective Resilience Of Transgender U.S. Service Members., Jacob R. Eleazer

Electronic Theses and Dissertations

The 2010 repeal of the Don’t Ask, Don’t Tell (DADT) policy ended the ban on open lesbian, gay, and bisexual (LGB) military service (Alford & Lee, 2016). However, prior to 2015 transgender military personnel were still considered medically and psychologically unfit for service (Kerrigan, 2012; Yerke & Mitchell, 2013). From 2015 through 2017, the Department of Defense (DoD) researched the implications of policy change, developed new policies and trainings, and implemented open service for transgender persons (Belkin, 2016; Carter, 2015). The purpose of this study was to explore the experiences of transgender military service members prior to this transition in …

Comparative Spending Of Medicaid Dollars On Child Participants Of Kentucky’S Sobriety Treatment And Recovery Teams Program Versus A Matched Comparison Group., Matthew Thomas Walton

Electronic Theses and Dissertations

Child protective services agencies have long observed the complicating role that parental substance use and addiction plays in cases of child maltreatment. Families who struggle with these problems present unique challenges for child welfare professionals. These families are typically more difficult to engage, more likely to have children removed from the home, and have poorer outcomes when compared to other families. These poorer outcomes often include health problems. Addiction has well-known effects on health, and the specific manifestations of these problems for parents have been documented for years in child protection casework. However, what has been less investigated are the …

Professional Ethics, Decision-Making, And Interdisciplinary Collaboration: An Exploration Of Teacher Preparation Programs And Practice, Brittany Mccreary

Electronic Theses and Dissertations

The first purpose of this research was to explore the prevalence, methods of instruction, and perceived value of professional ethics, ethical decision-making, and interdisciplinary collaboration in teacher preparation programs throughout the U.S. These factors were addressed using the Ethics Training and Curriculum Survey (ETCS). Participants for the ETCS included teacher educators (n = 977) from CAEP accredited preparation programs. Survey results suggest that professional ethics is widely addressed throughout CAEP accredited programs, but that instruction in ethical decision-making varies considerably. To connect these findings with practice, a second purpose of this study was to explore how educators make ethical …

A Population-Based Study On The Correlates Of Trauma And Non-Suicidal Self-Injury Behaviors Among Adolescents Aging Out Of Foster Care., Jennifer Artis

Electronic Theses and Dissertations

Children in foster care are confirmed victims of maltreatment who may suffer from chronic trauma. These adverse childhood experiences will often increase the risk of physical and psychological adversities such as self-harm (SH), substance abuse, anxiety, post-traumatic stress disorder (PTSD), heart disease, depression, etc. Based on previous and current research studies, youth in foster care are less likely to receive adequate treatment for their self-harm behaviors and mental health needs. Failing to provide proper treatment could lead to harmful activities such as deliberate self-harm and potential suicide. This population-based study focuses on the prevalence of SH among youth in foster …

Students With Disabilities In Higher Education And Implementation Of Section 504: A Historical-Comparative Analysis, Midge Simmons

Electronic Theses and Dissertations

Section 504 is a civil rights law that prohibits discrimination against individuals with disabilities by programs or activities receiving or benefiting from federal assistance (Rehabilitation Act, 1973). Specifically, Subpart E of the rules and regulations for Section 504 addresses postsecondary educational services and prohibits discrimination in the areas of recruitment and admissions, academic and athletic programs and activities, student evaluations, housing, financial aid, counseling, and career planning and placement.

Using a historical-comparative research method, the purpose of this study was to identify, analyze and compare cases of case law and Office of Civil Rights decisions since 1973 that have shaped …