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USF Tampa Graduate Theses and Dissertations

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Modeling The Development Of Borderline Personality Disorder: A Formal Theory Approach, Alexandria M. Choate Jun 2024

Modeling The Development Of Borderline Personality Disorder: A Formal Theory Approach, Alexandria M. Choate

USF Tampa Graduate Theses and Dissertations

Borderline personality disorder (BPD) is a complex disorder characterized by instabilities in emotion regulation, impulse control, and interpersonal relationships. BPD affects adolescent and adult populations at similar rates, with traits often detectable in late childhood or early adolescence. Despite some progress in the understanding of BPD and its development, contemporary theories have yet to address several important questions in the literature. The present study suggests that many limitations associated with current theoretical models of BPD may be attributable to an overdependence on verbally specified, or weak theories. In most cases, weak theories are constructed using vague or imprecisely defined hypotheses …


Pyramidal Behavior Skills Training To Increase Behavior Specific Praise In Juvenile Residential Staff, Kyra E. Ludwiszewski Jun 2024

Pyramidal Behavior Skills Training To Increase Behavior Specific Praise In Juvenile Residential Staff, Kyra E. Ludwiszewski

USF Tampa Graduate Theses and Dissertations

Ensuring consistent and effective behavioral treatment services for youth in juvenile residentialfacilities remains a challenge. In recent years, behavioral skills training (BST) has been combined with pyramidal training to teach behavior analytic procedures to staff in various settings. This study aimed to examine the implementation of the pyramidal BST with supervisory and floor staff in a juvenile residential setting that serves high-risk youth exposed to various forms of trauma and victimization. The study employed a multiple baseline design across participants, involving one supervisory staff member and three floor staff members. The objective was to evaluate the impact of pyramidal BST …


The Use Of Proactive Progressive Muscle Relaxation To Increase Academic Engagement For Elementary School Students, Lillian G. Mccook Jun 2024

The Use Of Proactive Progressive Muscle Relaxation To Increase Academic Engagement For Elementary School Students, Lillian G. Mccook

USF Tampa Graduate Theses and Dissertations

Progressive muscle relaxation (PMR) has been shown to produce desired outcomes by decreasing disruptive behavior in the classroom and increasing academic engagement. The integration of technology into the educational setting alleviates some of the burden on educators and enhances the learning experience for students. This study evaluated the effectiveness of brief video-based PMR to increase academic engagement in the classroom with three elementary school students diagnosed with autism spectrum disorder (ASD). Additionally, this study assessed the feasibility and acceptability of video based PMR within a classroom setting. Results from this study show that PMR was a feasible, acceptable and effective …


Using Functional Communication Training For Students With Disabilities, Carey J. Walls Iv Jun 2024

Using Functional Communication Training For Students With Disabilities, Carey J. Walls Iv

USF Tampa Graduate Theses and Dissertations

When implementing functional communication training (FCT), a gradual reduction in the frequency of reinforcement becomes necessary to minimize the resurgence of problem behavior and systematically fade out the FCT intervention. This study evaluated the implementation of FCT combined with a delay-to-reinforcement procedure for children with disabilities who engage in problem behavior due to limited communication skills. The study participants were three elementary school students, ages 9 or 10 years old and their respective paraprofessionals and classroom teachers in two self-contained classrooms at two public schools. The intervention outcomes for functional communication response (FCR) and problem behavior were evaluated using a …


Transfer Students Matter: A Case Study On The Student Experience Of First-Generation Transfer Students At A Four-Year Public University In A Bridge Program, Quishaundra R. Harris Jun 2024

Transfer Students Matter: A Case Study On The Student Experience Of First-Generation Transfer Students At A Four-Year Public University In A Bridge Program, Quishaundra R. Harris

USF Tampa Graduate Theses and Dissertations

This qualitative study aims to establish a knowledge base and learn about the experience of first-generation transfer students who have completed their Associate in Art (AA) degree from a community college and have transitioned to a four-year public university. The study aims to examine first-generation transfer students' sense of belonging and transition at a four-year public university. A qualitative case study was conducted to learn about the experiences of first-generation transfer students who transferred from state community colleges and are currently enrolled at a four-year university in a bridge program. This study was driven by two theoretical frameworks: Schlossberg's transition …


The Power Of Class Consciousness: An Investigation Of Permeability Beliefs, Dehumanization, And Evaluations Of The Poor, Kirsten J. Lee Jun 2024

The Power Of Class Consciousness: An Investigation Of Permeability Beliefs, Dehumanization, And Evaluations Of The Poor, Kirsten J. Lee

USF Tampa Graduate Theses and Dissertations

Class consciousness, a theoretical construct from the Marxist tradition, promotes an understanding of class dynamics as a structural phenomenon. I hypothesized that class consciousness would moderate animalistic dehumanization of the poor. A total of 435 participants took an online survey containing self-report questionnaires. While a priori hypotheses related to animalistic dehumanization were not supported, exploratory analyses revealed that permeability beliefs—the degree to which an individual sees class boundaries as impermeable—moderate emotional tone when discussing the rich and the poor. Mirroring Marx’s theorizing, those with class consciousness spoke more positively of the poor and less favorably of the rich than their …


Evaluating The Prevent-Teach-Reinforce Secondary (Ptr-Sec) Model For Middle School Students With Disabilities Requiring Individualized Behavior Supports, Paris N. Thie Jun 2024

Evaluating The Prevent-Teach-Reinforce Secondary (Ptr-Sec) Model For Middle School Students With Disabilities Requiring Individualized Behavior Supports, Paris N. Thie

USF Tampa Graduate Theses and Dissertations

Prevent-Teach-Reinforce (PTR) is a manualized, team-based, function-based intervention model designed to prevent problem behavior from occurring (prevent), teach functional replacement behaviors or skills (teach), and promote the replacement and other desired behaviors (reinforce). The current study extends the literature on the PTR intervention model by further evaluating the PTR model for middle school students in a public middle school setting. In particular, the PTR Secondary (PTR-SEC) model was evaluated with three students with emotional and behavioral disorders (EBD) and other disabilities, involving their classroom teachers. A multiple baseline design across participants was used to evaluate the behavioral outcomes of the …


A Comparison Of Video Feedback And Video Self-Evaluation To Improve Tap Skills, Ellie Warmund Jun 2024

A Comparison Of Video Feedback And Video Self-Evaluation To Improve Tap Skills, Ellie Warmund

USF Tampa Graduate Theses and Dissertations

Within the research on behavioral interventions in sports, researchers have evaluated various feedback-based interventions to enhance performance of skills. Research has demonstrated the effectiveness of video feedback (VF) to improve performance across a variety of sports. Video self-evaluation (VSE), though less studied, is another feedback-based intervention that has been proven to improve sports skills. By using a multiple baseline across participants with an embedded alternating treatments design, this study compared VF to VSE to improve the performance of tap skills. We evaluated three skills for each dancer; one skill received VF, one received VSE, and one did not receive an …


Cues And Identity: Assessing Substance Use Cues, Life Experience, And Context, Katelynn Carlsen Jun 2024

Cues And Identity: Assessing Substance Use Cues, Life Experience, And Context, Katelynn Carlsen

USF Tampa Graduate Theses and Dissertations

This project employs Ecological Momentary Assessment (EMA) methods alongside semi-structured interviews to examine substance use cues, or “triggers”, in the everyday context. This includes repeated assessment of participants’ behaviors and thoughts over time. EMA allows researchers to sample phenomena the moment they occur within the context. These methods are most used in psychology and clinical science. Current research on substance use relies on lab-based assessments to understand cues and their relationship to consumption (Carter and Tiffany 1999, Conklin and Tiffany 2003, Witteman et al. 2015). This analysis uses data collected by the Cues in the Everyday (CITED) Team. The CITED …


Learning And Using Positive Psychology As An Intervention For Clients: Examining Changes In Mental Health Clinician’S Complete Mental Health, Frances Coolman Jun 2024

Learning And Using Positive Psychology As An Intervention For Clients: Examining Changes In Mental Health Clinician’S Complete Mental Health, Frances Coolman

USF Tampa Graduate Theses and Dissertations

Traditionally, mental health was viewed as the absence of illness or disorders, but over time it has increasingly become viewed as also holding the presence of positive factors (Keyes, 2003; Ryff & Singer, 1998; Suldo & Shaffer, 2008). The switch from only focusing on negative factors to incorporating positive factors as well brought more traction to the growing field of positive psychology, defined as “the scientific study of positive experiences and positive individual traits, and the institutions that facilitate their development” (Duckworth, Steen, & Seligman, 2005, p. 630). Inclusion of both positive indicators of wellness combined with negative indicators of …


Examining The Effectiveness And Acceptability Of A Single-Session Problem-Solving Teleconsultation Package With Caregivers, Tiara J. Rowell Jun 2024

Examining The Effectiveness And Acceptability Of A Single-Session Problem-Solving Teleconsultation Package With Caregivers, Tiara J. Rowell

USF Tampa Graduate Theses and Dissertations

This study implemented a single case concurrent multiple baseline design to examine the effects of a single-session problem-solving teleconsultation package for behavioral caregiver training. This study sought to address a gap in the Problem-Solving Consultation (PSC) literature regarding the treatment of children’s challenging behaviors. Participants included three caregivers who received a single-session PSC through teleconsultation. The session focused on creating a Behavior Intervention Plan (BIP) in order to address their child’s challenging behaviors. The BIP was developed based on baseline data, questionnaires, and emails exchanged between the consultant and the three caregivers. Results indicated that two of the three caregivers …


Disruptions In The Experiences Of First-Time Military Family Members, Ana C. Vidal Jun 2024

Disruptions In The Experiences Of First-Time Military Family Members, Ana C. Vidal

USF Tampa Graduate Theses and Dissertations

Military service members and their families encounter many obstacles throughout their time in the military (as well as before enlistment/commission and after service), ranging from those unique to the military community to those common within civilian families. Although how military families deal with these challenges/stressors and how to better support these families has been a salient research area, there is still room for expansion of knowledge. This study argues for expanding who is included in the definition of a “military family” to include a service member’s parents/parental figures and siblings, as well as enlarging the period of interest in military …


Music And Linguistic Semantic Anomalies: An Erp Study Of Integration And Expectancy On Predictive Processing Of Harmonic Music During A Self-Paced Reading Task, Jason Schmidt Avendaño Jun 2024

Music And Linguistic Semantic Anomalies: An Erp Study Of Integration And Expectancy On Predictive Processing Of Harmonic Music During A Self-Paced Reading Task, Jason Schmidt Avendaño

USF Tampa Graduate Theses and Dissertations

Music, like language, is widely known to communicate emotional meaning. Yet, much debate is still on whether musical information uses shared neural resources similar to language. Past experiments using only Reaction Time (RT) measures have found that when syntactic complexities in language coincide with harmonic music violations, enhanced processing difficulties suggest shared neurocognitive resources. However, researchers failed to find similar interactions in semantic word conditions. This experiment examined event-related potentials (ERPs) to index word recognition processes related to semantic expectancy generation (N400) and integration (LPC & FP) in musicians and nonmusicians. Unlike RT measures, ERP components allow us to understand …


Maturing Out Of Crime: A Test Of The Integrated Maturation Theory Of Desistance, Kelly E. Kortright Jun 2024

Maturing Out Of Crime: A Test Of The Integrated Maturation Theory Of Desistance, Kelly E. Kortright

USF Tampa Graduate Theses and Dissertations

This dissertation partially tested a newer integrated theory, the Integrated Maturation Theory (IMT) of desistance. IMT argues that as maturation increases across five maturation domains (social role, civic, identity, psychosocial, and neurocognitive) the likelihood of offending decreases. Using a sample of serious justice-involved juveniles spanning ages 14-24 from the Pathways to Desistance Study, the individual and simultaneous maturation domain development of the social role, civic, identity, and psychosocial maturation domains, were explored for heterogeneity. Using a group-based trajectory modeling approach, including multi-trajectory modeling, this study advanced the understanding of maturation development by identifying sub-groups following declining trajectories of maturation and …


Skinny And Curvy And Muscular, Oh My! Examining Co-Occurring Appearance Ideals And Associated Disordered Eating In College Women, Laura E. Boyajian Jun 2024

Skinny And Curvy And Muscular, Oh My! Examining Co-Occurring Appearance Ideals And Associated Disordered Eating In College Women, Laura E. Boyajian

USF Tampa Graduate Theses and Dissertations

Research examining appearance ideal internalization has primarily focused on the thin ideal, neglecting the growing importance of alternative appearance ideals (e.g., curvy, muscular). Qualitatively, women report that these ideals are not internalized in isolation, but instead, are internalized simultaneously. Importantly, the simultaneous internalization of appearance ideals may enhance the negative effects of appearance ideal internalization. The current study tested whether simultaneously internalizing diverse appearance ideals (i.e., thin, curvy, muscular) was associated with increased body dissatisfaction and disordered eating behaviors in a predominantly White (Study 1; N= 260) and racially/ethnically diverse (Study 2; N=264) samples of college-aged women. Participants reported the …


From Guns To Intimate Partner Violence: The Impact Of Power And Control, Meaghan E. Brown Jun 2024

From Guns To Intimate Partner Violence: The Impact Of Power And Control, Meaghan E. Brown

USF Tampa Graduate Theses and Dissertations

Gun violence and intimate partner violence are pervasive public health concerns across the globe. Notably, previous literature has shown a positive relationship between gun ownership and intimate partner violence (IPV), even when a gun is not used during acts of IPV. Despite this established link, few studies to date have explored psychological mechanisms, especially feelings of and desire for power, that could explain this relationship among young men. Given that college students remain one of the most at-risk groups for both victimization and perpetration of IPV, examining the relationship between actual or intended gun ownership and IPV could close vital …


Trajectories Of Well-Being: Results From The Americans’ Changing Lives Study, Cassondra M. Lyman Jun 2024

Trajectories Of Well-Being: Results From The Americans’ Changing Lives Study, Cassondra M. Lyman

USF Tampa Graduate Theses and Dissertations

There is considerable interest in elucidating the dynamics of well-being over long periods of time, including how well-being dynamics are influenced by depression. The Americans' Changing Lives (ACL) study has followed the health and well-being of a nationally representative sample of adults in the United States for 25 years (N1986 = 3,617; N1989 = 2,867; N1994 = 2,562; N2002 = 1,787, N2012 = 1,427). Leveraging data from the ACL study, the present investigation employed growth mixture models to identify unobserved subpopulations (i.e., latent classes) typified by change in well-being over time. Three predominant trajectories for well-being were identified: relative stability …


Improving Academic Engagement And Task Completion Using Antecedent Physical Exercise In An Elementary School Classroom, Grace N. Maxwell Jun 2024

Improving Academic Engagement And Task Completion Using Antecedent Physical Exercise In An Elementary School Classroom, Grace N. Maxwell

USF Tampa Graduate Theses and Dissertations

This study investigated the effectiveness of antecedent physical activity interventions in enhancing academic engagement and task completion among first-grade students displaying off-task behaviors. The research involved three student participants from a first grade general education classroom. An ABAB reversal design was used to assess the impact of the intervention. The intervention, implemented by the classroom teacher, consisted of short, structured physical activities conducted before targeted academic periods. Results revealed significant improvements in both academic engagement and task completion following the implementation of the physical activity interventions. The findings suggest that incorporating brief physical activities into daily classroom routines can lead …


Peritraumatic Distress And Dissociation In People With And Without Disabilities Utilizing Emergency Departments, Sydney C. Hart Jun 2024

Peritraumatic Distress And Dissociation In People With And Without Disabilities Utilizing Emergency Departments, Sydney C. Hart

USF Tampa Graduate Theses and Dissertations

To date the literature on peritraumatic distress and peritraumatic dissociation in individuals receiving emergency medical treatment has not examined people with disabilities or chronic health conditions as a specified population, despite these populations’ disproportional utilization of medical facilities and additional stressors faced in those environments. Thus, this study assessed and compared the prevalence and averages on the Peritraumatic Distress Inventory (PDI) and Peritraumatic Dissociative Experiences Questionnaire (PDEQ) in people with and without disabilities and/or chronic health conditions after Emergency Department (ED) visits. A sample of 138 participants 18 years of age or older, of which 109 reported disabilities and/or chronic …


The Relationship Between Rejection Sensitivity And Higher Order Cognitive Functions, Rachel Gaynor Jun 2024

The Relationship Between Rejection Sensitivity And Higher Order Cognitive Functions, Rachel Gaynor

USF Tampa Graduate Theses and Dissertations

Rejection sensitivity indexes individual differences in the expectation of, reaction to, and interpretation of possible rejection. Research on mechanisms underlying these individual differences have identified a reduction in top-down emotion regulatory processes in those exhibiting heightened rejection sensitivity. Most of these studies utilize rejection-specific affective stimuli. This study examined the relationship between rejection sensitivity score, calculated from the 18-question RSQ, and the recruitment of higher level inhibition resources, as indexed by the conflict N2, on three novel Flanker tasks. In order to further examine previously identified patterns in affective inhibition across differing levels of rejection sensitivity, and to determine whether …


A Transtheoretical Model Of Open Science Adoption: A Survey Among Researchers Within Psychology, Julia B. Mcdonald Jun 2024

A Transtheoretical Model Of Open Science Adoption: A Survey Among Researchers Within Psychology, Julia B. Mcdonald

USF Tampa Graduate Theses and Dissertations

Open science refers to practices that aim to improve the accessibility, transparency, inclusivity, and reproducibility of science. These practices can accelerate scientific innovation by increasing the accuracy and efficiency of the scientific process and by enhancing the translation of scientific knowledge beyond academia. However, inspiring researchers to adopt open science practices and make sustainable changes in their workflows remains a challenge. Even within psychology, a field that has been central to discussions of open science reform, there seems to be varying levels of readiness to adopt open science practices. This study aimed to support open science efforts by providing a …


Exploring The Enlightenment Function Of Thought Experiments: Unveiling An Underdeveloped Dimension Absent In Typologies, Dominique Greene-Sanders Jun 2024

Exploring The Enlightenment Function Of Thought Experiments: Unveiling An Underdeveloped Dimension Absent In Typologies, Dominique Greene-Sanders

USF Tampa Graduate Theses and Dissertations

Thought experiments (TEs) are imaginative tools used across various fields to explore theoretical and practical issues. This dissertation focuses on the application of TEs in ethics, specifically emphasizing the underdeveloped enlightenment function. The traditional use of TEs in ethics often aims to clarify, support, or refute specific claims through an argumentative structure. However, this work argues that TEs also play a key role in enhancing ethical competence by acknowledging the complexities of ethical dilemmas and fostering moral skills like critical thinking, moral reasoning, and ethical awareness through non-argumentative and non-theory-centric means.

The dissertation begins by explaining the nature and historical …


The Dialectics Of Faith: Kierkegaard, Irony, And Conversion, Douglas Zimmerman Jun 2024

The Dialectics Of Faith: Kierkegaard, Irony, And Conversion, Douglas Zimmerman

USF Tampa Graduate Theses and Dissertations

Kierkegaard, the 19th-century Danish philosopher, offers a profound perspective on conversion. According to him, conversion isn't a mere external change, but a deeply personal and internal transformation. It's about moving from a state of despair to faith. Kierkegaard believed that true conversion involves a passionate leap of faith, where an individual confronts their own subjectivity and makes a conscious, often paradoxical, choice to align themselves with their authentic values and spiritual beliefs. In his view, conversion is a constant process, requiring introspection, struggle, and a commitment to live authentically in the face of life's uncertainties. In order to communicate this …


A New Look At Consumer Responses To Certain And Uncertain Rewards, Aihui Ding Jun 2024

A New Look At Consumer Responses To Certain And Uncertain Rewards, Aihui Ding

USF Tampa Graduate Theses and Dissertations

Both certain rewards, which refer to incentives associated with a 100% probability of receipt, and uncertain rewards, which refer to incentives associated with probabilities of receipt that are less than 100%, are widely employed in marketing. Expected utility theory and prospect theory support the superiority of certain rewards over uncertain rewards. This research aims to investigate whether consumer aversion to uncertain rewards depends on the presence of consumer inference about firm immorality, which refers to the consumers’ belief that the firm could be engaging in unethical practices in promotions. Study 1 identifies two psychological mechanisms that explain why uncertain rewards …


Empirically Defining Healthy And Maladaptive Exercise: A Nomological Network Approach, Cody B. Staples Jun 2024

Empirically Defining Healthy And Maladaptive Exercise: A Nomological Network Approach, Cody B. Staples

USF Tampa Graduate Theses and Dissertations

Exercise is generally considered to be healthy and adaptive; however, for some individuals, engagement in exercise is maladaptive and can damage both physical and mental health. Currently, research regarding healthy and maladaptive exercise is siloed, and factors that may result in exercise being maladaptive are unclear. This gap in the research is fueled by the incomplete definitions of what constitutes “healthy” as compared to “maladaptive” exercise behavior. To address this gap, the current study aimed to develop empirical definitions of healthy and maladaptive exercise using a nomological network approach. Theoretically and empirically supported facets of exercise (e.g., frequency, motivation) were …


Personality Pathology As A Self-Regulating Dynamical System, Haya Fatimah Jun 2024

Personality Pathology As A Self-Regulating Dynamical System, Haya Fatimah

USF Tampa Graduate Theses and Dissertations

With mounting evidence that personality is both stable and variable, personality scientists have called for comprehensive approaches that integrate stability and dynamics. Dynamical systems theory offers concepts and tools to systematically integrate the stable and dynamic components of personality while identifying the relationship between these components. This study extends the dynamical systems approach to personality pathology and investigates how pathological personality states vary in a patterned manner in relation to their equilibria or attractors, as opposed to random noise. Furthermore, I test if these patterned dynamics may describe important individual differences and predict behavioral outcomes. Using daily data pertaining to …


Internalized Binegativity, Alcohol Consumption, And Expectancies Following An Experience Of Binegativity: An Experimental Study, Alexander P. Rivera Jun 2024

Internalized Binegativity, Alcohol Consumption, And Expectancies Following An Experience Of Binegativity: An Experimental Study, Alexander P. Rivera

USF Tampa Graduate Theses and Dissertations

Individuals who identify as bisexual have repeatedly been found to consume alcohol at higherrates than individuals who identify as heterosexual or homosexual and are at greater risk for developing AUD. Per the Minority Stress Model, this heightened risk for bisexuals’ poor alcohol outcomes may be attributed to experiences of bisexual-specific stressors (i.e., experienced binegativity) and beliefs about their own bisexual identity., which have previously been associated with increased alcohol use. To date, however, no studies have examined if experiences of binegativity are associated with changes in internalized binegativity and alcohol outcomes in an experimental design. The current study aimed to …


Classifying Traumatic Brain Injury: Associations With Executive Functioning And Externalizing Behavior, Lauren F. Fournier Jun 2024

Classifying Traumatic Brain Injury: Associations With Executive Functioning And Externalizing Behavior, Lauren F. Fournier

USF Tampa Graduate Theses and Dissertations

Traumatic brain injury (TBI) involves a head injury that is, for some individuals, associated with long-term behavioral difficulties, including externalizing behaviors. The literature on TBI and its links to externalizing is limited in several important ways. First, there is evidence that current classification system of mild, moderate, or severe is imprecise and contains important variation within TBI categories. Second, TBI and externalizing are understudied among high functioning individuals, such as undergraduate students, despite rates of TBI among this population that are similar to those of the general population. Third, while it is theorized that executive functioning deficits explain the association …


Confronting Sexism On Tiktok: Is Sarcastic Humor Effective?, Rebecca A. Upton Jun 2024

Confronting Sexism On Tiktok: Is Sarcastic Humor Effective?, Rebecca A. Upton

USF Tampa Graduate Theses and Dissertations

Confronting sexism is important but can be difficult because of the social backlash that is associated with it. However, many individuals have begun to call out sexism online. For example, the social media platform TikTok is an increasingly popular space for women to confront misogyny. In one current trend, creators target individuals who create sexist content by using sarcasm to humorously mock their original video. In this study, I examined the effectiveness of this trend in persuading observers and how the use of sarcastic and mocking humor influences perceptions of a woman confronting sexism. 492 participants were randomly assigned to …


Quality Of Life Factors In Children With Dual Diagnosis Stuttering And Autism Spectrum Disorder, Kristen N. Rollins Jun 2024

Quality Of Life Factors In Children With Dual Diagnosis Stuttering And Autism Spectrum Disorder, Kristen N. Rollins

USF Tampa Graduate Theses and Dissertations

Addressing quality of life is a critical part of speech-language pathology. Understanding quality of life deficits and challenges in our patients’ lives allows us to provide well-rounded treatment. Quality of life in children who stutter and children with autism spectrum disorder has been heavily researched (children with autism spectrum disorder to a lesser extent). However, despite approximately 1 in 1000 children being dually diagnosed with stuttering and autism spectrum disorder (Briley & Ellis, 2018), quality of life in this population has never been researched. This thesis aims to determine whether children diagnosed with both conditions experience similar quality of life …