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Investigating The Impact Of Cross-Loadings On Model Fit And Mediation Inferences In The Latent Mediator Model, Qiulin Lu Jul 2025

Investigating The Impact Of Cross-Loadings On Model Fit And Mediation Inferences In The Latent Mediator Model, Qiulin Lu

Theses and Dissertations

Cross-loadings are a common phenomenon in psychological research. Extant studies have focused primarily on measurement models, like confirmatory factor analysis (CFA), and have shown that omitted cross-loadings can bias the inter-factor correlation. These results suggest that omitted cross-loadings might likewise bias structural paths in other structural equation models (SEMs), but this area remains under-investigated. Such an effect could impact the evaluation of third variable effects, like mediation, when estimated in a SEM framework.

This study addresses this gap by examining the effects of cross-loadings in single, latent mediator model in a simulation study. The performances of conventional SEM and Bayesian …


Developing Mathematical Thinking And Reasoning For Students With Disabilities Through Professional Learning Communities, Dawn Pilotti Jul 2025

Developing Mathematical Thinking And Reasoning For Students With Disabilities Through Professional Learning Communities, Dawn Pilotti

Theses and Dissertations

Professional learning communities (PLCs) are designed to improve learning outcomes for all students through educator collaboration. Guided by systems theory and supported by social cognitive, social practice and change theories, this longitudinal participatory action research study explored the development of an interdepartmental PLC, and its impact on mathematics teachers’ practices and students’ performance. Additionally, this study explored the relationship between participation in the PLC and participants’ collective efficacy. The study was conducted at a school for students with learning disabilities. The PLC included Grade 5 and Grade 6 mathematics teachers, occupational therapists, speech and language pathologists, a mathematics specialist, reading …


Navigating Survival: Trans Adults’ Information Practice In South Carolina, Rhys R. Dreeszen Bowman Jul 2025

Navigating Survival: Trans Adults’ Information Practice In South Carolina, Rhys R. Dreeszen Bowman

Theses and Dissertations

This community-based action research dissertation has two parts. First, through interviews with 25 trans adults in South Carolina, I asked how trans people use information to survive. The findings indicate that while trans people face significant financial, medical, legal, and social barriers, they are generally well-equipped to navigate them. I identified the following themes from the interviews: Identity practices shaped information outcomes. Participants' understanding of themselves as trans impacted how they evaluated and used information. 2) Participants preferred to find information from within trans communities. The internet was a popular place to seek information because it was a way for …


Democracy’S Sanctuary: Highlander Folk School’S Campaign For Justice From The Labor Movement To The Civil Rights Movement, 1932-1962, Alexandra Elizabeth Bethlenfalvy Jul 2025

Democracy’S Sanctuary: Highlander Folk School’S Campaign For Justice From The Labor Movement To The Civil Rights Movement, 1932-1962, Alexandra Elizabeth Bethlenfalvy

Theses and Dissertations

A sanctuary for political democracy, the Highlander Folk School was established in 1932 as a center for community activism, serving as the leading labor union organizing site in rural Tennessee during the Great Depression. With social unrest swelling in the 1930s, Highlander empowered workers, equipping them with the skills and knowledge needed to demand improved conditions and union representation across the anti-labor South. During World War II, however, as ranks of organized labor grew and civil rights activism in the South accelerated, Highlander convened interracial workshops, beginning in 1944, at a time when racial segregation was enforced by law and …


The Intersection Of Rurality And Wellness: A Multi-Manuscript Investigation Into Rural Well-Being, Lucas Perez Jul 2025

The Intersection Of Rurality And Wellness: A Multi-Manuscript Investigation Into Rural Well-Being, Lucas Perez

Theses and Dissertations

Rural communities face unique mental health and wellness challenges, including geographic isolation, provider shortages, and stigma surrounding help-seeking. This dissertation explores rural wellness through three interrelated studies, utilizing both qualitative and quantitative methods to examine disparities, perceptions of rurality, and demographic influences on well-being. The first study utilized the Five Factor Wellness Inventory (5F-WEL) to compare wellness scores between rural and non-rural individuals. The second study employed Interpretative Phenomenological Analysis (IPA) to explore rural definitions of wellness, as well as barriers and strengths related to mental health. The third study examined how perceptions of rurality and demographic factors predict wellness …


Help-Seeking, Motivation, And Partner Interactions In Couples Affected By Tramatic Brain Injury, Violet Hodge Jul 2025

Help-Seeking, Motivation, And Partner Interactions In Couples Affected By Tramatic Brain Injury, Violet Hodge

Theses and Dissertations

Traumatic brain injury (TBI) affects individuals and their romantic relationships, creating barriers to help-seeking and impacting relational health. Despite evidence supporting the benefits of couples counseling and relationship education, stigma and motivational factors influence engagement in these services. This dissertation examines the interdependent processes of help-seeking, motivation, and relationship satisfaction in couples where one partner has experienced a TBI. Using the Actor-Partner Interdependence Model (APIM), two studies explore (1) the role of self-stigma in help-seeking and motivation for completing a relationship education program, and (2) the influence of self-stigma for help-seeking on motivation in couples services, particularly in the context …


Reluctant Transitions: Place And Post-Extraction Politics In Southeastern Ohio, Jenna Lynn Haver Jul 2025

Reluctant Transitions: Place And Post-Extraction Politics In Southeastern Ohio, Jenna Lynn Haver

Theses and Dissertations

Based on a summer of ethnographic research in a subsection of Appalachian Ohio colloquially referred to as “The Valley,” this research challenges three narratives of this place that formulate a harmful Appalachian imaginary. The first narrative of industrycontrolled coal heritage is complicated by the way local people negotiate control over their own stories of coal and its existence outside of industry domain. The second narrative characterizes this as a space of extraction which is in tension with different social relations to varying types of energy – especially the discontinuity of the coal to fracking shift. The third narrative centers of …


Between Tajweed And Lenition: A Sociophonetic Investigation Of Pharyngealized Consonant Variation In Ammani Jordanian Arabic, Amenah Jehad Salman Jul 2025

Between Tajweed And Lenition: A Sociophonetic Investigation Of Pharyngealized Consonant Variation In Ammani Jordanian Arabic, Amenah Jehad Salman

Theses and Dissertations

Thіs dіssеrtаtіоn іnvеstіgаtеs the sосіоphоnеtіс vаrіаtіоn іn thе rеаlіzаtіоn оf phаryngeаlіzеd соnsоnаnts іn Аmmаnі Jоrdаnіаn Аrаbіс (АJА), іntrоduсіng Tаjwееd—thе study оf Qurаnіс phоnоlоgy—аs а sосіаlly sаlіеnt vаrіаblе іnfluеnсіng еvеrydаy spееch. А lеnіtеd-phаryngeаlіzеd (LP) vаrіаnt surfасеs аs аn аcоustіcаlly аnd pеrcеptuаlly іntеrmеdіаtе rеаlіzаtіоn, pоsіtіоnеd bеtwееn fully phаryngeаlіzеd (/sˤ, tˤ, dˤ, ðˤ/) аnd plаіn (/s, t, d, ð/) соnsоnаnts. Whіlе prеvіоus studіеs hаvе ехаmіnеd thе іmpасt оf mасrо-sосіаl fасtоrs suсh аs gеndеr, аgе, sосіоеcоnоmіс stаtus, аnd оrіgіnаl rеgіоnаl dіаlеct (ОRD) (Аl-Маsrі & Jоngmаn, 2004; Аlzоubі, 2017; Аbudаlbuh, 2010), nо rеsеаrch hаs examined thе rоlе оf Tаjwееd іn shаpіng sосіоphоnеtіс оutcоmеs.

Dаtа was …


Emotional Landscapes: St. Teresa Of Avila And The Spiritual Journey, Jillian Louise Breeden Jul 2025

Emotional Landscapes: St. Teresa Of Avila And The Spiritual Journey, Jillian Louise Breeden

Theses and Dissertations

This paper examines the writings of St. Teresa of Avila (1515-1582) through the methodological lens of the history of emotions, arguing that her mystical accounts represent a crucial yet understudied contribution to our understanding of early modern emotional frameworks. Through close textual analysis of Teresa's major works, this study demonstrates how her detailed articulations of spiritual ecstasy, divine love, and religious melancholy offer unique insights into both the religious and secular emotional landscapes of Counter-Reformation Spain. Teresa's innovative emotional vocabulary, which combined traditional Catholic devotional language with embodied metaphors and spatial conceptualizations, allowed her to navigate the complex ecclesiastical politics …


The Penn Center’S Impact On Rural Health Through Midwife Programming In 20Th Century South Carolina, Kathryn Addison Greenberg Jul 2025

The Penn Center’S Impact On Rural Health Through Midwife Programming In 20Th Century South Carolina, Kathryn Addison Greenberg

Theses and Dissertations

The Penn School of the Sea Islands provided an education to thousands of rural, Black South Carolinians over the twentieth century. Northern missionaries including the founders of the Penn School, Laura M. Towne and Ellen Murray, taught and provided healthcare to the residents of the Port Royal Experiment through the Civil War and into Reconstruction. With the arrival of Rossa Cooley and Grace House, the Penn School put emphasis on auxiliary programing including midwifery training institutes held in conjunction with Dr. Hilla Sheriff and the South Carolina Department of Public Health’s Division for Maternal and Child Health. With the goal …


Exploring The Holistic Wellness Of Black Women Counselors, Shanta A. Jerideau Jul 2025

Exploring The Holistic Wellness Of Black Women Counselors, Shanta A. Jerideau

Theses and Dissertations

Counselor wellness is crucial for clinician longevity and ethical practice. However, there is limited literature on the holistic wellness of Black women counselors. This manuscript probes into the lived experiences of Black women counselors, particularly in relation to the sociopolitical climate and racial injustices in the United States. Utilizing Consensual Qualitative Research, we examine the experiences of 15 Black women counselors working in counselor education, private practice, and community agencies within the Southeast Region of the United States. We anticipate this approach will enhance counselor education literature and foster increased peer support.


Breaking Barriers Exploring Guardianship & Public Administration Challenges Facing Egyptian Widows, Caroline Maher Jun 2025

Breaking Barriers Exploring Guardianship & Public Administration Challenges Facing Egyptian Widows, Caroline Maher

Theses and Dissertations

This thesis examines the influence of guardianship policies and the administrative infrastructure on the well-being of widows' families in Egypt. Widows in Egypt encounter significant challenges in exercising their guardianship rights due to patriarchal norms, bureaucratic hurdles, inefficient systems, and limited access to information. These obstacles can negatively impact their children's well-being, as well as economic and social stability. Despite social media activism, calls for administrative reforms, and legislative debates, no changes have occurred. This study aims to conduct in-depth exploratory qualitative research to analyze the challenges and limitations of current guardianship policies and administrative systems affecting widows’ families in …


Who's At Home?: Individual-And Family-Level Sociodemographic Characteristics Associated With Stay-At-Home Motherhood, Deegan Minchey Jun 2025

Who's At Home?: Individual-And Family-Level Sociodemographic Characteristics Associated With Stay-At-Home Motherhood, Deegan Minchey

Theses and Dissertations

In this study, I assess the relationship between various types of demographic variables, including individual, partner, and family-level information, and the likelihood of mothers staying at home. Using nationally representative data from the 2019,2021, and 2023 waves of the Annual Social and Economic Supplement (ASEC) to the Current Population Survey to account for differences across the COVID-19 pandemic, this analysis examines the likelihood of becoming a stay-at-home mother (SAHM) across three separate regression models. From the variables analyzed, I find that various individual, family, and partner demographic characteristics are significantly associated with the likelihood of becoming a SAHM. These results …


An Implementation Study Of A Brief, Online Sexual Mindfulness Intervention At The Individual Partner Level: The Impact Of Prompting Practice On Implementation, Alexyss Lange Jun 2025

An Implementation Study Of A Brief, Online Sexual Mindfulness Intervention At The Individual Partner Level: The Impact Of Prompting Practice On Implementation, Alexyss Lange

Theses and Dissertations

Prior research suggests frequent, scheduled, non-interactive text support enhances psychological outcomes and increases adherence to psychological interventions (Agyapong et al., 2020; Shalaby et al., 2022; Shim et al., 2017). Using a hybrid III implementation model, we recruited individuals in romantic relationships to test whether weekly reminders improved engagement with a sexual mindfulness intervention. We found no evidence that additional support increased intervention implementation. Although we aimed to assess acceptability, adoption, appropriateness, and feasibility as separate implementation outcomes, factor analysis indicated these variables cluster into two broader constructs: Readiness and motivation and discomfort and uncertainty. These factors did not differ between …


Unraveling The Relationship Between Sexual Shame And Father-Child Sex Communication, Hannah Mireya Brundage Jun 2025

Unraveling The Relationship Between Sexual Shame And Father-Child Sex Communication, Hannah Mireya Brundage

Theses and Dissertations

This study sought to understand the relationship between father’s sexual shame and children’s sexual shame. Parents play a role in shaping their children’s behaviors and perceptions in regard to sexuality. Most of this research analyzed data from the viewpoint of the mother, missing the potentially unique perspective and influence of fathers. Using longitudinal survey data from 361 fathers-adolescent dyads, I proposed to study the relations between father sexual shame and child sexual shame, and the possible mediating role of father-child sex communication. I predicted that quality of sex communication, including controlling and open communication, would mediate father sexual shame and …


The Social Standing Versus The Mind Standing Of Older Adults In Egypt: Cross-Sectional Analysis Of The Relationship Between Social Capital And Cognitive Functions, Shaza H. Shinaishen Dr Jun 2025

The Social Standing Versus The Mind Standing Of Older Adults In Egypt: Cross-Sectional Analysis Of The Relationship Between Social Capital And Cognitive Functions, Shaza H. Shinaishen Dr

Theses and Dissertations

Introduction: Egypt's population, much like that of other countries, is expected to age considerably over the course of the coming decades. Although biological and socioeconomic predictors of cognitive function have been studied widely, personal level social capital remains unexplored, especially in LMICs.

Purpose: This study primarily investigates the relationship between individual social capital and cognitive functioning among older adults aged 65 years and older in Egypt using the structural and cognitive components of social capital, including group membership, civic engagements, and caregiving roles.

Methods: A cross-sectional survey on 363 older individuals in different geographical and demographic segments of Egypt using …


Ways Of Living And Knowing, Reem El Hassan Mohamed Jun 2025

Ways Of Living And Knowing, Reem El Hassan Mohamed

Theses and Dissertations

After decades of sedentarization, the Muzeina tribe in South Sinai now has new generations born into sedentary lifestyles, never experiencing nomadism like their ancestors once did. This shift has impacted their knowledge system, traditionally shaped by interactions and kinship with nature. Exposure to social media is influencing younger generations' ways of living, raising the older generations’ concerns about their Bedouin identity. Despite being one of the largest tribes in South Sinai, the Muzeina are rarely represented in literature.

This ethnography explores the impact of sedentarization and contextual developments on the Muzeina's knowledge system, inherited from their ancestors. Muzeina’s relationship, and …


Finding Meaning In Loss: The Role Of Attachment Styles, Coping Strategies, And Resilience, Salma Seyam Jun 2025

Finding Meaning In Loss: The Role Of Attachment Styles, Coping Strategies, And Resilience, Salma Seyam

Theses and Dissertations

Grief is a deeply personal yet universal experience impacted by personal, social, and cultural factors. The present study examines how attachment styles, coping mechanisms, and resilience impact both grief intensity and the ability to find meaning after a loss, within an Egyptian sample. While previous studies have explored the experience of grief, few have looked at these factors within a Middle Eastern cultural context. A total of 140 bereaved Egyptians who experienced the loss of a loved one within the past three years completed standardized measures assessing grief intensity (Prolonged Grief Disorder-Revised; PG-13-R), coping strategies (Brief COPE), meaning-making (Grief and …


“Redefining The Fortress” Migrant Experiences, Adaptation And Connection Within Serbian Borderlands, Nicholas J. Leone Jun 2025

“Redefining The Fortress” Migrant Experiences, Adaptation And Connection Within Serbian Borderlands, Nicholas J. Leone

Theses and Dissertations

Abstract This thesis seeks to examine migrant experiences due to Serbia's geopolitical significance along the so-called Balkan route, and how this is specifically exemplified in the northern autonomous region of Vojvodina. Serbia’s position outside the external border of the European Union has caused it to be a strategic transit point for migrants en route to desired destinations, typically within Western and Northern Europe. However, the European Union’s externalization policies in partnership with Serbian authorities have played an extensive role in migration mobility patterns and humanitarian conditions for migrants traversing within the Serbian borderlands, specifically along the border with Hungary. The …


A Tragedy Of Incommensurability: Indigenous Rights And The Limits Of Human Rights Law, Zeina Ali Jun 2025

A Tragedy Of Incommensurability: Indigenous Rights And The Limits Of Human Rights Law, Zeina Ali

Theses and Dissertations

This thesis explores the tragedy of incommensurability between indigenous rights and international human rights law. Despite the emergence of frameworks like the United Nations Declaration on the Rights of Indigenous Peoples (UNDRIP), indigenous calls for sovereignty remain fundamentally unintelligible within a liberal order structured to preserve settler-state legitimacy. Tracing the historical and theoretical evolution of indigenous advocacy, this study critiques the strategic shift from demands for self-determination to claims of cultural rights. It argues that this shift offers no real alternative: self-determination and cultural rights are functionally equivalent, as both are ultimately filtered through legal and political frameworks that cannot …


Growing Pains: Relations Between Racial Discrimination And Body Esteem With Ethnic-Racial Identity By Pubertal Timing For Female Adolescents Of Color, Emily J. Takamasa Jun 2025

Growing Pains: Relations Between Racial Discrimination And Body Esteem With Ethnic-Racial Identity By Pubertal Timing For Female Adolescents Of Color, Emily J. Takamasa

Theses and Dissertations

Puberty is a near-universal experience among adolescents, and yet rarely have researchers considered the racialized contexts and salience it has, for girls of color. Using the phenomenological variant of ecological systems theory (PVEST), this study examines the relation between pubertal timing, body esteem, racial discrimination and ethnic racial identity (ERI) components (affirmation, exploration, resolution) among adolescent girls of color (n = 218, Mage = 15.7, U.S. sample). Results showed that higher body esteem predicted greater ERI exploration and resolution, particularly for girls with average or late pubertal timing. Additionally, racial discrimination was linked to higher ERI exploration and resolution only …


Veterans And Higher Education: How Military Service Affects The College Student Experience, Sean M. Berryman Jun 2025

Veterans And Higher Education: How Military Service Affects The College Student Experience, Sean M. Berryman

Theses and Dissertations

Higher education has, in the past, paved the road to success for many Americans. Since it currently seems to be the consensus in American society, in general, that a college degree is needed to secure a good job, which leads to a good income in order to provide for oneself and one’s family, college is the road most Americans choose in order to achieve these goals. Since World War II (WWII), veterans have increasingly sought college degrees post-service to bring them in line with their civilian counterparts: they obtained experience in the military, now the degree gives veterans the opportunity …


Elite Cohesion And Its Historical Sources: Analyzing Its Impact On Democratization In Nigeria And Botswana, Aliaa Magdy Aboutera Jun 2025

Elite Cohesion And Its Historical Sources: Analyzing Its Impact On Democratization In Nigeria And Botswana, Aliaa Magdy Aboutera

Theses and Dissertations

This thesis examines the divergent democratization trajectories of Botswana and Nigeria, focusing on the role of colonial legacies and post-colonial elites in shaping elite cohesion. While both countries experienced British colonial rule, their transitions to democracy in the post-independence period have differed significantly. This study argues that elite cohesion, although insufficient on its own, is a critical facilitating factor in democratic consolidation that warrants greater attention in the democratization literature. This cohesion is largely shaped by the sociology of political elites, with historical contexts influencing how elites organize. Through process tracing, the thesis argues that colonialism in Botswana did not …


Developing Indicators For Comprehensive Evaluation Of Equity In Transportation Systems, Ruqaya Emad Alfaris Jun 2025

Developing Indicators For Comprehensive Evaluation Of Equity In Transportation Systems, Ruqaya Emad Alfaris

Theses and Dissertations

Achieving transportation equity is essential for social inclusion, access to opportunities, and reducing disparities. However, traditional evaluation methods are often fragmented and fail to capture equity’s multidimensional nature. This dissertation develops a comprehensive framework for creating indicators to evaluate transportation equity effectively. It begins with a literature review to comprehend the theoretical background, followed by expert interviews highlight gaps in current evaluation practices. Statistical modeling and machine learning analysis was conducted to first explore indicators’ impact on transportation equity, and then investigate transportation safety disparities in underserved communities. Findings from literature review, interview with professionals, and analysis results are used …


Creativity And Crisis. Case Studies Of Bureaucracy Under Pressure – Determining Factors Affecting Creativity, Andrew Lee Carlson Jun 2025

Creativity And Crisis. Case Studies Of Bureaucracy Under Pressure – Determining Factors Affecting Creativity, Andrew Lee Carlson

Theses and Dissertations

I studied creativity and how it interacts with the crisis environment to devise a way of determining if future situations are amenable to creativity. Through studying creativity theories and crisis responses, I developed a framework and instrument that answers the following questions, semi-quantitatively and qualitatively: 1) Is the future situation or problem amenable to creativity? 2) How much “energy” needs to be expended in solving the problem or situation? 3) Where best can I use creative energy as it relates to the subject matter or process of the situation? I studied situations ranging from personal (pursuit of this PhD), critical …


Se Quema: Burnout In Undergraduate Latiné Students, Shirley Victoria Celi-Landeo Jun 2025

Se Quema: Burnout In Undergraduate Latiné Students, Shirley Victoria Celi-Landeo

Theses and Dissertations

Over the past five years, Latiné students have contributed most of the nation’s increase in college degrees earned. But even with more people enrolling in college, undergraduate retention remains a concern, raising critical questions about equity in higher education (The Pell Institute, 2023). This thesis examines burnout among Latiné undergraduates, who face financial strain, familial responsibilities, and lack of representation in resources, contributing to their underrepresentation in graduation rates. The study emphasizes the need to understand and address these stressors to support the success of Latiné students, who are under-represented in graduation rates compared to their counterparts (Excelencia in Education, …


Couples And Pornography: A Dyadic Latent Profile Analysis Of Romantic Partners And Pornography Use, Michelle E. Haddock Edwards Jun 2025

Couples And Pornography: A Dyadic Latent Profile Analysis Of Romantic Partners And Pornography Use, Michelle E. Haddock Edwards

Theses and Dissertations

Research on the outcomes of pornography use for romantic couples has been extensive yet inconclusive. Studies have examined pornography use in a wide variety of contexts, leading to a wide variety of outcomes and well-being. The current study uses latent profile analysis to account for many contextual factors at once, dyadic data to examine the perspective of both partners simultaneously, and a range of individual and relational well-being outcomes to understand how different relational pornography use patterns lead to well-being. Results provided evidence for six unique profiles of couples based on pornography use patterns (personal use frequency, perceived partner use …


The Development Of The Disclosed Reasons Of Partners' Premature Discontinuation In Couple Therapy Questionnaire (Dropped-Ct), Luca Codeca' Jun 2025

The Development Of The Disclosed Reasons Of Partners' Premature Discontinuation In Couple Therapy Questionnaire (Dropped-Ct), Luca Codeca'

Theses and Dissertations

Premature discontinuation from couple therapy presents a substantial challenge for clients, therapists, and society. Inconsistent data on the frequency and reasons for premature discontinuation may be attributed to a lack of methodological rigor in assessing the phenomenon. This study addresses this gap by developing the Disclosed Reasons Of PrEmature Discontinuation in Couple Therapy Questionnaire (DROPPED-CT), a comprehensive instrument designed to assess the reasons why couples prematurely discontinue therapy. Utilizing a mixed-method approach, the DROPPED-CT was developed through the integration of qualitative and quantitative data. The questionnaire demonstrates strong potential for enhancing the consistency of construct operationalization and improving the comparability …


The Influence Of Father Involvement On Early Childhood Outcome In China, Shuiyan Guo Jun 2025

The Influence Of Father Involvement On Early Childhood Outcome In China, Shuiyan Guo

Theses and Dissertations

Using a sample from China, this study examined the influence of father involvement on child outcome in early childhood in areas of internalizing problems, externalizing problems and prosocial behaviors. The participants were drawn from the larger PACIFIC project, a cross-cultural study of family processes in Asia. 479 families with a preschool or kindergarten child living in Beijing and Dalian, China were included in this study. Using multiple regression analysis, result indicated that father involvement was not significantly associated with child’s internalizing problems, externalizing problems, and prosocial behaviors. Moderation analysis was also conducted and found that the effect of father involvement …


Therapist Experience As A Moderator Of Therapeutic Alliance Across The Course Of Couple Therapy, Julia K. Christensen Jun 2025

Therapist Experience As A Moderator Of Therapeutic Alliance Across The Course Of Couple Therapy, Julia K. Christensen

Theses and Dissertations

Therapeutic alliance is a key predictor of successful couple therapy outcomes. Little research has explored how therapist experience may predict its development. This study was designed to examine whether initial therapeutic alliance scores differ between couple clients of training clinics versus couple clients of community clinics, and whether the rate of change in alliance across sessions varies between these groups. Additionally, I controlled for initial relationship distress. Using dyadic therapy process data for at least one partner of 1,330 couples, a multilevel growth curve model with therapist experience as a moderator was fit to determine the difference in initial therapeutic …