Open Access. Powered by Scholars. Published by Universities.®

Digital Commons Network™

Open Access. Powered by Scholars. Published by Universities.®

Electronic Theses and Dissertations

Discipline
Institution
Keyword
Publication Year

Articles 1 - 30 of 3867

Full-Text Articles in Entire DC Network

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 …


Kinesiology Department Chairs’ Perceptions Of Their Training And Preparation, Kason O’Neil Dec 2026

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 …


Adolescent Depressive Symptoms And Adult Functioning Within Major U.S. Racial Groups, Summer N. A. Millwood Aug 2026

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 …


Asian American Men's Experiences Of Gendered Racism In Online Competitive Gaming, Calvin Weiting Lee Aug 2026

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 …


Behind Prison Walls: Unmasking The Victimization Experience Of A Transgender Inmate: A Narrative Study, Kevin E. Hemminger Aug 2026

Behind Prison Walls: Unmasking The Victimization Experience Of A Transgender Inmate: A Narrative Study, Kevin E. Hemminger

Electronic Theses and Dissertations

Transgender individuals experience disproportionately high rates of victimization within the U.S. criminal justice system, at rates some studies estimate as four times greater than those of cisgender individuals (Marchi et al., 2025). Victimization may occur at the hands of correctional officers, institutional staff, or fellow inmates. This narrative study focuses on the life story of a formerly incarcerated transgender woman, tracing her experiences before incarceration, throughout her time at two different correctional facilities in two different states, and her life following release. While Community Based Research (CBR) was not adopted as a formal methodological framework, its principles — centering lived …


Cultural Humility, A Salve For Romantic Relationship Conflict, Lena Blum Aug 2026

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 Aug 2026

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 …


Examining Intimate Partner Violence After Pediatric Traumatic Brain Injury, Rebecca R. Suzuki Aug 2026

Examining Intimate Partner Violence After Pediatric Traumatic Brain Injury, Rebecca R. Suzuki

Electronic Theses and Dissertations

Pediatric traumatic brain injury (TBI) is linked with social problems in peer relationships that can last into adulthood. Little is known about how social problems impact the development of intimate relationships as pediatric TBI survivors grow up. This study addressed this gap by examining risk of intimate partner violence (IPV) in a sample of 50 young adult survivors of pediatric TBI prior to age 13 (M age = 22.96, SD = 1.70, 60% women) and tested social information processing (SIP) as a potential process through which TBI influences risk for IPV. Participants were recruited via Prolific and social media …


Protest, Police, Peace, And Violence: Understanding Variation In Police Violence At Protests, Louis Pascarella Aug 2026

Protest, Police, Peace, And Violence: Understanding Variation In Police Violence At Protests, Louis Pascarella

Electronic Theses and Dissertations

Why do police engage in violence at some protests but not others? Existing research highlights the importance of protest characteristics, political context, police culture, organizational incentives, and interactions between protesters and law enforcement. While these factors help explain patterns of repression, they provide limited insight into why police responses can shift rapidly from restraint to widespread violence during the course of a protest event.

This dissertation examines variation in police violence during the 2020 George Floyd Uprising through a comparative analysis of protest events in Denver, Colorado and Seattle, Washington. Drawing on original event reconstructions based on livestreams, helicopter footage, …


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 …


Well-Being Beyond The Binary In Perinatal Healthcare: An Application Of Reproductive Justice, Orphea D. Wright Aug 2026

Well-Being Beyond The Binary In Perinatal Healthcare: An Application Of Reproductive Justice, Orphea D. Wright

Electronic Theses and Dissertations

Gender diverse birthing individuals face several systemic barriers to accessing affirming and empowering perinatal healthcare. The present study utilizes the term gender diverse and the abbreviation TGE to describe those who self-identify as broadly non-cisgender, an umbrella term for people whose gender identity differs from their sex assigned at birth. Gender identities that may be included in this definition include transgender/trans, gender expansive, non-binary, gender fluid, gender nonconforming, gender variant, gender queer/queer, and/or agender. Gender diverse individuals face unique barriers in perinatal healthcare due to the pervasiveness of cisnormativity in perinatal healthcare spaces. Research has documented the harm caused to …


Mystical Revelation And Knowledge Of God: Reclaiming Spirituality In Theology Through The Mystics, Elizabeth A. Merski Aug 2026

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 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, …


"Help Me Live It The Way You Do": Grounding Singaporean Responses To The Rorschach Situation, Casey Y. Lee Aug 2026

"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 …


The Decline Of Confidence In The U.S. Supreme Court: Evidence From The General Social Survey, 2004-2024, Lola Dragosavac Aug 2026

The Decline Of Confidence In The U.S. Supreme Court: Evidence From The General Social Survey, 2004-2024, Lola Dragosavac

Electronic Theses and Dissertations

This study examines public confidence in the United States Supreme Court and whether confidence has declined between 2004 and 2024. It also investigates whether demographic characteristics, political ideology, and confidence in other political institutions help explain the variation in confidence levels. Using data from the General Social Survey (GSS) for 2004, 2014, and 2024, this study employs a binary logistic regression approach to examine the predictors of confidence in the Court. The findings indicate that confidence in the Supreme Court declined significantly over the twenty-year period. Political ideology emerged as a strong predictor of confidence, with conservatives over three times …


Race And Trauma: An Analysis Of Trauma Symptomology Across Diverse Youth Populations, Mara J. Niccoli Aug 2026

Race And Trauma: An Analysis Of Trauma Symptomology Across Diverse Youth Populations, Mara J. Niccoli

Electronic Theses and Dissertations

The adverse effects of trauma, particularly among youth who identify as Black, is a critical issue. This study investigated the relationship between race and trauma symptomology among children and adolescents who received weekly trauma therapy. With the use of clinical assessment data, this study sought to determine whether Black youth presented to treatment with higher trauma acuity than non-Black youth and if there were disparate outcomes in symptomology after treatment. The results indicated that on average, Black youth presented to treatment with lower trauma acuity than non-Black youth, and there were disparate outcomes in trauma symptomology between the two racial …


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 Internet Did This To Me: Forms, Consequences, And Coping Strategies Of Cyberbullying, Isaac Oppong Aug 2026

The Internet Did This To Me: Forms, Consequences, And Coping Strategies Of Cyberbullying, Isaac Oppong

Electronic Theses and Dissertations

This study examined self-reported cyberbullying experiences recounted in a subreddit (r/cyberbullying) to identify forms of cyberbullying, its effects, and ways to cope with it. The findings indicate that there are several types of cyberbullying, such as verbal aggression, deceptive manipulation, privacy invasion, and coercive control. These experiences led to emotional, social, and behavioral consequences, including fear, anxiety, withdrawal, and decreased online activity. Based on concepts from Social Information Processing theory and Symbolic Interactionism, this study reveals how cyberbullying can produce the same or similar consequences as traditional bullying. People experienced disturbances in their self-presentation, contended with spoiled identities, and dealt …


Staying The Course: Community College Student Lived Experiences On Program Completion And Motivation, Jessica Leigh Mills Aug 2026

Staying The Course: Community College Student Lived Experiences On Program Completion And Motivation, Jessica Leigh Mills

Electronic Theses and Dissertations

The purpose of this phenomenological study was to explore the lived experiences of former community college students who successfully completed an associate degree, certificate, or program of study and to understand how they experienced the personal, institutional, and environmental factors that supported their persistence to completion. The study, guided primarily by Tinto’s (1975,1988) Model of Student Departure and was complemented by Bandura’s (1988) Social Learning Theory (SLT), and Maslow’s (1943) Hierarchy of Needs, explored the extrinsic and intrinsic motivations students attributed to their successful completion of their associate degree, certificate, or program of study. Twelve former community college students who …


Illuminating Sanja Matsuri: Lived Religion And Festival Practice In Asakusa, Caleb R. Merckle Jul 2026

Illuminating Sanja Matsuri: Lived Religion And Festival Practice In Asakusa, Caleb R. Merckle

Electronic Theses and Dissertations

This thesis examines Sanja Matsuri, a major Shintō and Buddhist festival in Asakusa, Tokyo, through the lenses of lived religion, participant observation, autoethnography, and anthropology. Departing from institution-centered approaches, it foregrounds the experiential dimensions of festival participation, showing how physical devotion, collective movement, and festive intensity function as expressions of spiritual meaning. Ethnographic fieldwork conducted in 2023 and 2025 included participant observation, informal interviews with local and foreign participants, and Reflexive Discourse Analysis of fieldnotes and bilingual transcripts. Analysis reveals a dynamic interplay between formal sacralization strategies — such as mitama-ire rituals and structured processions — and spontaneous, informal participant …


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 …


School Leader Implementation Of Transformative Social And Emotional Learning Professional Development, Alana Raybon Jun 2026

School Leader Implementation Of Transformative Social And Emotional Learning Professional Development, Alana Raybon

Electronic Theses and Dissertations

Despite the wide use of social and emotional learning (SEL) in schools, and some evidence of SEL positively impacting students of color, racially and ethnically marginalized students experience inequitable educational outcomes. Transformative SEL (tSEL), a justice-focused framework from the Collaborative for Academic, Social, and Emotional Learning (CASEL), provides students with the liberatory tools to dismantle systemic inequity through collaborative problem solving. More research is needed on the professional development of staff implementing justice-focused SEL in diverse school settings. This revelatory, qualitative, single case study examined how a school leader implemented tSEL professional development in a school setting that served racially …


Tracing The Flow Of Value In Ecotourism: A Case Study Of Lekki Conservation Center, Lagos, Nigeria, Queen Oluwatobi Olafadehan Jun 2026

Tracing The Flow Of Value In Ecotourism: A Case Study Of Lekki Conservation Center, Lagos, Nigeria, Queen Oluwatobi Olafadehan

Electronic Theses and Dissertations

This study examines the flow of value in ecotourism at Lekki Conservation Center (LCC) in Lagos, Nigeria, using a political ecology framework to analyze how economic benefits, participation opportunities, and environmental impacts are distributed among different community groups. Drawing on semi-structured interviews with 16 community members, participant observation, and photographic documentation, the study investigates how surrounding communities perceive and experience ecotourism, how revenue is understood to be distributed, and in what ways communities are included in or excluded from conservation decision-making. The findings reveal that ecotourism at LCC generates benefits that are unevenly distributed, that community participation in governance remains …


Who Tells Our Stories?: An Analysis Of Lgbtqia2s+ Community-Museum Collaboration In Northeastern Wisconsin, Frances Kerkhof Jun 2026

Who Tells Our Stories?: An Analysis Of Lgbtqia2s+ Community-Museum Collaboration In Northeastern Wisconsin, Frances Kerkhof

Electronic Theses and Dissertations

Traditionally, histories of LGBTQIA2S+ individuals have been excluded from mainstream conversations and censored from public records. This exclusion was evident in how LGBTQIA2S+ history is retold in museum spaces. Over the past few decades, public institutions have shifted how LGBTQIA2S+ histories are communicated, with efforts to include more diverse histories and perspectives. During the summer of 2025, I conducted a museum ethnography of the Neville Public Museum’s Telling Our Stories: LGBTQ+ Voices of Northeastern Wisconsin to answer the research question: How does community engagement enhance the representation of the LGBTQIA2S+ community in a local museum in Northeastern Wisconsin? Through this …


Defying Impossibility: Critical Qualitative Reorientations To Black Lgbtqia+ Sense Of Belonging, Olivia H. Hunte Jun 2026

Defying Impossibility: Critical Qualitative Reorientations To Black Lgbtqia+ Sense Of Belonging, Olivia H. Hunte

Electronic Theses and Dissertations

Belonging is a human need central to survival and can be cultivated within all spheres of life. Social environments are vital for experiencing a sense of belonging. In some social environments, Black LGBTQIA+ people encounter greater impediments to their daily lives with consequences for survival, including threatening their belonging needs. Within the United States, systems of oppression create and inform conditions within social environments that can potentially thwart pathways to belonging for Black LGBTQIA+ people. Thus, fulfillment of belonging needs for Black LGBTQIA+ people is one of nuance, pain, resilience, hope, harm, trauma, resistance, and healing; scant research is available …


Youth Worker Perspectives On The Measures Most Descriptive Of Student Progress In Philadelphia-Based Out-Of-School Time Programs, Jamillia Kamara Covington May 2026

Youth Worker Perspectives On The Measures Most Descriptive Of Student Progress In Philadelphia-Based Out-Of-School Time Programs, Jamillia Kamara Covington

Electronic Theses and Dissertations

For marginalized students, out-of-school time programs offer a host of academic and positive youth development benefits. However, perspectives from youth workers, front line staff who form trusted relationships with out-of-school time program participants and the Executive Directors that lead their organizations, are absent from the last three years of evaluation reports for the Pennsylvania Nita M. Lowry 21st Century Learning Center (21st CCLC) program. This missing perspective renders the observations, challenges and improvements youth workers may experience and desire invisible at a time when their labor is counted upon to supplement inequitable education opportunities due to systemic factors. This study …


"It Was Time To Go": A Case Study In Occupational Culture, Tiffany M. Kline Costa May 2026

"It Was Time To Go": A Case Study In Occupational Culture, Tiffany M. Kline Costa

Electronic Theses and Dissertations

Abundant examples of negative community-police interactions demonstrate strained relations between marginalized community members and police across the United States. Likewise, nationwide data demonstrates discrepancies in how officers interact with People of Color versus White citizens. To gain insight into influences on officer behavior, this research shines a spotlight on the occupational culture of the Pittsburgh Bureau of Police (PBP) and the ways this specific occupational culture informs officer thoughts and behaviors. Via the analysis of the experiences of four former PBP officers, this research explores how culture impacts officer perspective, thoughts, and behaviors. Utilizing an interpretative phenomenological approach, data analysis …


Expanding Regenerative Agriculture Practices In East Texas, Treasure Hance May 2026

Expanding Regenerative Agriculture Practices In East Texas, Treasure Hance

Electronic Theses and Dissertations

Regenerative agriculture has increasingly been referenced since 2015 for its ability to provide healthy food with less environmental and social impacts. Its basic premise/ideology is to follow a process whereby soil, biotic, and human communities are not just maintained but prepared to return to a better state. Soil health is a primary concern. Actions include no-till planting, composting to create more organic soil, less use of synthetic fertilizers and pesticides, along with better employment, animal care, and ecological outcomes/practices. Regenerative versions of other professions, such as regenerative medicine (e.g. gene/stem cell therapy) and regenerative architecture (design for surplus energy, restored …


The African American Pulpit And The Reconstruction Of Narrative Ground In The Black Community, Nathaniel Cox May 2026

The African American Pulpit And The Reconstruction Of Narrative Ground In The Black Community, Nathaniel Cox

Electronic Theses and Dissertations

This dissertation explores how the African American pulpit serves as a living wellspring for rebuilding stories, memory, and identity, a task made urgent by centuries of erasure, from the trauma of the Middle Passage to the ongoing reverberations of that violence. My central claim is that African American preaching, when viewed through the insight-rich frameworks of Gadamer, Burke, and Frankl, becomes not just a form of speech, but a lifeline. It helps reclaim "narrative ground": the deep roots of meaning, belonging, and shared purpose that nourish a wounded people and allow genuine flourishing.

The journey unfolds across six movements. Chapter …


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 …