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Articles 61741 - 61770 of 61994
Full-Text Articles in Entire DC Network
Effects Of Parent-Implemented Interventions On Outcomes For Children With Developmental Disabilities: A Meta-Analysis, Tina Taylor, Timothy B. Smith, Byran B. Korth, Barbara Mandleco
Effects Of Parent-Implemented Interventions On Outcomes For Children With Developmental Disabilities: A Meta-Analysis, Tina Taylor, Timothy B. Smith, Byran B. Korth, Barbara Mandleco
Faculty Publications
A large body of literature exists related to parent-implemented interventions for children with disabilities, so it is helpful to synthesize the results of outcome-based interventions for children with developmental disabilities. Specifically, what are the effects of parent-implemented interventions intended to improve children’s (1) social behaviors, (2) life skills/adaptive behavior, and (3) communication skills? Using meta-analytic aggregation of effect sizes across 30 studies with a total of 1,356 participants, this review examined the association between parent-implemented interventions and intended outcomes for young children with developmental disabilities. Across all 30 studies comparing children’s outcomes to control groups, the random-effects-weighted average effect size …
Statistical Abstract, Fiscal Year 2018, Tennessee. Department Of Correction
Statistical Abstract, Fiscal Year 2018, Tennessee. Department Of Correction
Annual Statistical Abstract
This document is the annual statistical report for the Tennessee Department of Correction during the fiscal year.
Appalachian Bariatric Surgery Population Descriptive Analysis, Surgical Outcomes, And Food Accessibility, Makenzie Leanne Barr
Appalachian Bariatric Surgery Population Descriptive Analysis, Surgical Outcomes, And Food Accessibility, Makenzie Leanne Barr
Graduate Theses, Dissertations, and Problem Reports (ETD)
Introduction. Overweight and obesity, diabetes, mental health issues, and lack of access to healthcare resources are frequent burdens among the Appalachian region of the United States. With morbid obesity, conventional behavioral interventions tend to fail. Bariatric surgery has been deemed the most successful treatment for morbid obesity and is performed regularly worldwide, however, the Appalachian population with the highest proportions of obesity and related co-morbidities has been poorly studied.;Aims. This dissertation aims to (1) provide a systematic review of the literature surrounding obesity and food access among Appalachian residents, (2) address the void in research of characterizing Appalachian bariatric surgery …
Effects Of Topography On Near-Roadway Particulate Matter Concentrations And Diesel Emissions, Andrew D. Epperly
Effects Of Topography On Near-Roadway Particulate Matter Concentrations And Diesel Emissions, Andrew D. Epperly
Graduate Theses, Dissertations, and Problem Reports (ETD)
The purpose of this study is to examine the effects of topography on the concentrations of particulate matter near heavily trafficked roadways. Particulate matter is an attractive tracer for diesel emissions and these emissions have been linked to a variety of negative health effects. Much research has been conducted to characterize particulate matter emissions near roadways, however this work has been conducted on relatively flat terrain. This study was conducted within a valley in the Appalachian Mountains to see if the alternate terrain influenced the size of the particulate matter plume near a roadway.;Particulate matter concentrations were collected and compared …
Effect Of Natural Gas Fuel Composition On Gaseous And Particle Numbermass Emissions From A Heavy-Duty Natural Gas Engine Used In Unconventional Well Development Operations, Sashank Jammalamadaka
Effect Of Natural Gas Fuel Composition On Gaseous And Particle Numbermass Emissions From A Heavy-Duty Natural Gas Engine Used In Unconventional Well Development Operations, Sashank Jammalamadaka
Graduate Theses, Dissertations, and Problem Reports (ETD)
Natural gas (NG) reserves have been discovered in abundance with the aid of various technological advancements in the field of directional drilling and hydraulic fracturing. Prime movers of unconventional well development were previously identified to be over-the-road (OTR) trucks, drilling engines, and hydraulic stimulation engines. The increased NG reserves have driven the industry to shift from using diesel fueled engines to natural gas engines. This allows the industries to take advantage of the produced natural gas to be directly used as energy source to fuel the prime movers involved with unconventional well development.;The primary objective of this study is to …
An Analysis Of The Extinction-Induced Response Burst, Brian Katz
An Analysis Of The Extinction-Induced Response Burst, Brian Katz
Graduate Theses, Dissertations, and Problem Reports (ETD)
Although the extinction burst is a frequently reported generative effect of extinction, there are few experimental analyses of the phenomenon. The purpose of the present series of experiments was to examine the occurrence, time course, and repeatability of extinction bursts. Six experimentally naive pigeons were exposed to at least five cycles of 5-sessions block of baseline followed by 8-session blocks of extinction. Depending on the condition, baseline sessions were either a fixed-ratio (FR) or variable-ratio (VR) schedule, and transitions from the last baseline session in each cycle to the first extinction session were conducted either between or within sessions. Within …
Signal Fusion And Semantic Similarity Evaluation For Social Media Based Adverse Drug Event Detection, Hameeduddin Irfan Khaja
Signal Fusion And Semantic Similarity Evaluation For Social Media Based Adverse Drug Event Detection, Hameeduddin Irfan Khaja
Graduate Theses, Dissertations, and Problem Reports (ETD)
Recent advancements in pharmacovigilance tasks have shown the usage of social media as a resource to obtain real-time signals for drug surveillance. Researchers demonstrated a good potential for the detection of Adverse Drug Events (ADEs) using social media much earlier than the traditional reporting systems maintained by official regulatory authorities like the United States Food and Drug Administration (FDA). Existing automated drug surveillance systems have used various types of social media channels and search query logs for monitoring ADE signals.;In this thesis, we address two key performance issues related to automated drug surveillance systems. The first is to improve the …
Creating The Need To Serve: How West Virginia Spontaneous Disaster Relief Volunteers' Motivations And Experiences Influence Their Willingness For Continued Volunteerism*, Erin Hudnall
Graduate Theses, Dissertations, and Problem Reports (ETD)
Spontaneous volunteerism, or emergent volunteer behavior, is characterized by an individual's actions of impulsively offering volunteer services immediately following the occurrence of a natural disaster or community tragedy, such as a flood or terrorist attack. This type of volunteerism differs from traditional volunteer activities that are usually preplanned and not related to a recent tragedy. It is unclear what types of motivations spur individuals to volunteer after a disaster, whether spontaneous volunteers' experiences lead to willingness for continued volunteerism in the future, and whether motivations and experiences differ significantly by context. To study this phenomenon, spontaneous volunteers who offered help …
Transforming Undergraduate Stem Education: Reforming Classrooms By Training Current And Future Faculty, Karen E. Bailey
Transforming Undergraduate Stem Education: Reforming Classrooms By Training Current And Future Faculty, Karen E. Bailey
Graduate Theses, Dissertations, and Problem Reports (ETD)
In the absence of formal pedagogical training, educators tend to teach the way they were taught, using traditional lecturing. Numerous studies have shown that engaging students in active learning improves student learning and retention of knowledge. Reforming STEM education has become a national imperative. Since the turn of the millennium, many initiatives have sprung forth in response to a growing awareness of the need for reform in post-secondary biology education. The National Academies Summer Institutes (NASI) is one such initiative. The Summer Institutes provide training in evidence-based strategies for biology educators from primarily research universities where lecture-based teaching in large …
Impact Of Inquiry-Based, Question-And-Answer Instruction In High-Enrollment Classes, Matthew R. Schraeder
Impact Of Inquiry-Based, Question-And-Answer Instruction In High-Enrollment Classes, Matthew R. Schraeder
Graduate Theses, Dissertations, and Problem Reports (ETD)
Lecturing is a common way to teach large classes, especially in mathematics. Other styles of instruction have been proven to be more effective in small classroom settings, but those styles are not always practical (or even feasible) in classes with 200+ students. The lecturing dialogue primarily exists at the intersection of Spectrum Theory and the Socratic Method, utilizing inquiry-based learning within the realm of active learning, experiential learning, and constructivism to appeal to learners with various learning styles, which helps students to discover new information (specifically, why things occur in the way that they do) and make connections between old …
Annual Report, Fiscal Year 2018, Tennessee. Department Of Correction
Annual Report, Fiscal Year 2018, Tennessee. Department Of Correction
Annual Reports
This document is the annual report for the Tennessee Department of Correction during the fiscal year.
Anatomy Of Online Hate: Developing A Taxonomy And Machine Learning Models For Identifying And Classifying Hate In Online News Media, Joni Salminen, Hind Almerekhi, Milica Milenkovic, Soon-Gyu Jung, Haewoon Kwak, Haewoon Kwak, Bernard J. Jansen
Anatomy Of Online Hate: Developing A Taxonomy And Machine Learning Models For Identifying And Classifying Hate In Online News Media, Joni Salminen, Hind Almerekhi, Milica Milenkovic, Soon-Gyu Jung, Haewoon Kwak, Haewoon Kwak, Bernard J. Jansen
Research Collection School Of Computing and Information Systems
Online social media platforms generally attempt to mitigate hateful expressions, as these comments can be detrimental to the health of the community. However, automatically identifying hateful comments can be challenging. We manually label 5,143 hateful expressions posted to YouTube and Facebook videos among a dataset of 137,098 comments from an online news media. We then create a granular taxonomy of different types and targets of online hate and train machine learning models to automatically detect and classify the hateful comments in the full dataset. Our contribution is twofold: 1) creating a granular taxonomy for hateful online comments that includes both …
Development And Validation Of The College Mental Health Perceived Competency Scale, Michael T. Kalkbrenner, Christopher A. Sink
Development And Validation Of The College Mental Health Perceived Competency Scale, Michael T. Kalkbrenner, Christopher A. Sink
Counseling & Human Services Faculty Publications
College counselors provide training to their campus constituents on various mental health issues, including the identification of warning signs and the referral of students to appropriate resources. Though extensive information on these topics is available in the counseling literature, college counselors lack a psychometrically sound screening instrument to support some of these educational efforts. To meet this need, the present researchers developed and validated the College Mental Health Perceived Competency Scale (CMHPCS). Based largely on self-determination theory, the measure appraises college student and faculty members’ perceived competence for supporting student mental health. Reliability and construct validity of the CMHPCS are …
Identifying Barriers To Attendance In Counseling Among Adults In The United States: Confirming The Factor Structure Of The Revised Fit, Stigma, & Value Scale, Michael T. Kalkbrenner, Edward S. Neukrug
Identifying Barriers To Attendance In Counseling Among Adults In The United States: Confirming The Factor Structure Of The Revised Fit, Stigma, & Value Scale, Michael T. Kalkbrenner, Edward S. Neukrug
Counseling & Human Services Faculty Publications
The primary aim of this study was to cross-validate the Revised Fit, Stigma, & Value (FSV) Scale, a questionnaire for measuring barriers to counseling, using a stratified random sample of adults in the United States. Researchers also investigated the percentage of adults living in the United States that had previously attended counseling and examined demographic differences in participants’ sensitivity to barriers to counseling. The results of a confirmatory factor analysis supported the factorial validity of the three-dimensional FSV model. Results also revealed that close to one-third of adults in the United States have attended counseling, with women attending counseling at …
Marital Satisfaction Of Turkish Individuals: The Role Of Marriage Type, Duration Of Marriage, And Personality Traits, Gökçe Bulgan, Gülşah Kemer, Evrim Çetinkaya Yıldız
Marital Satisfaction Of Turkish Individuals: The Role Of Marriage Type, Duration Of Marriage, And Personality Traits, Gökçe Bulgan, Gülşah Kemer, Evrim Çetinkaya Yıldız
Counseling & Human Services Faculty Publications
The aim of the present study was to investigate the role of marriage type (family-arranged versus self-choice), duration of marriage, and personality traits (i.e., agreeableness, conscientiousness, extraversion, openness, and neuroticism) in predicting married Turkish individuals’ marital satisfaction levels. Participants were 288 (147 female and 141 male) married Turkish individuals living in urban cities in Turkey. Hierarchical regression analyses revealed significant results for the linear combination of marriage type and duration of marriage as well as personality traits in explaining individuals’ marital satisfaction levels. More specifically, duration of marriage, agreeableness, conscientiousness, and neuroticism were found to have individual significant contributions to …
The Failure Of “Sorry”: An Empirical Evaluation Of Apology Laws, Health Care, And Medical Malpractice, Benjamin J. Mcmichael
The Failure Of “Sorry”: An Empirical Evaluation Of Apology Laws, Health Care, And Medical Malpractice, Benjamin J. Mcmichael
Lewis & Clark Law Review
As part of the effort to contain the size and frequency of medical malpractice claims, many states have adopted apology laws. These laws make apologies from physicians to patients inadmissible in any subsequent court proceedings. The basic rationale behind apology laws is that meritless malpractice claims are less likely to be filed when a physician can apologize to his or her patient without risking those statements being used in court. Through the use of a unique dataset, this Article corrects several misunderstandings concerning this new generation of tort reform.
First, it shows that while apology laws may reduce the frequency …
J Mich Dent Assoc Jan 2018
The Journal of the Michigan Dental Association
Archival issues of the Journal of the Michigan Dental Association may include reports on the activities of the association and its members, clinical articles, information on legal and ethical practice considerations, and perspectives of interest to MDA members and those in the oral health profession.
Geometroneurodynamics And Neuroscience, Keun-Hang Susan Yang, Menas Kafatos
Geometroneurodynamics And Neuroscience, Keun-Hang Susan Yang, Menas Kafatos
Mathematics, Physics, and Computer Science Faculty Articles and Research
The Orthodox Interpretation of quantum mechanics, as developed by many physicists, particularly John von Neumann, addresses the role of measurement, available choices and response of the quantum system to questions posed by an observer in specific quantum laboratory experiments. As such, it is, more consistent and clearer than other interpretations of quantum mechanics and it provides an account of the interactions of observers with the external world. However, in order to explore whether quantum mechanics plays a role in the brain, which is the primary issue, one has to examine the applicability of Hilbert space structure as a valid geometric …
The Participating Mind In The Quantum Universe, Menas Kafatos, Keun-Hang Susan Yang
The Participating Mind In The Quantum Universe, Menas Kafatos, Keun-Hang Susan Yang
Mathematics, Physics, and Computer Science Faculty Articles and Research
The Orthodox interpretation of quantum mechanics, which followed the Copenhagen Interpretation but was enhanced by primarily Werner Heisenberg and John von Neumann into a fully developed theory, brought in, among others, the role of measurement, available choices and response of the quantum system. It is, more consistent and clear than other interpretations of quantum mechanics as it provides account of the interactions of observers with the external world. As such, the Orthodox interpretation does a lot more than just account for physical interactions in the atomic world, which was the original goal of quantum mechanics in the early part of …
Teaching Students To Teach Patients: A Theory-Guided Approach, Lori Candela, Linda B. Piacentine, Kathleen L. Bobay, Marianne E. Weiss
Teaching Students To Teach Patients: A Theory-Guided Approach, Lori Candela, Linda B. Piacentine, Kathleen L. Bobay, Marianne E. Weiss
College of Nursing Faculty Research and Publications
Nurses in every setting provide patient teaching on a routine basis, often several times a day. Patient teaching skills are essential competencies to be developed during pre-licensure nursing education. While students learn what to teach for specific conditions, they often lack competence in how to teach in ways that individualize and optimize patient learning. The ultimate goal of patient teaching is to arm patients with the knowledge and skills, and the desire and confidence in their ability to reach their targeted health outcomes. We describe the creation of a theoretical framework to guide development of patient teaching skills. The framework, …
Sexual Risk Behaviors Of African American Adolescent Females: The Role Of Cognitive And Religious Factors, Safiya George Dalmida, Natasha Aduloju-Ajijola, Dora L. Clayton-Jones, Tami Thomas, Ricardo J. Erazo Toscano, Rashunda Lewis, Terri Fleming, Shirley Taylor, Macie Lunyong
Sexual Risk Behaviors Of African American Adolescent Females: The Role Of Cognitive And Religious Factors, Safiya George Dalmida, Natasha Aduloju-Ajijola, Dora L. Clayton-Jones, Tami Thomas, Ricardo J. Erazo Toscano, Rashunda Lewis, Terri Fleming, Shirley Taylor, Macie Lunyong
College of Nursing Faculty Research and Publications
Introduction: African American (AA) high school-age girls are more likely to have had sex before age 13 years and have higher rates of all sexually transmitted infections. Cognition and religion/spirituality are associated with adolescent sexuality, therefore, the purpose of this study was to identify cognitive and religious substrates of AA girls’ risky sexual behaviors. Method: A descriptive study was conducted with 65 AA girls aged 15 to 20 years using computerized questionnaires and cognitive function tasks. Results: Average age was 17.8 ± 1.9 years and average sexual initiation age was 15.5 ± 2.6 years. Overall, 57.6% reported a history of …
A Narrative Approach To Helping Families And Their Children Who Identify As Transgender Or Gender Nonconforming, Samantha Klassen-Bolding
A Narrative Approach To Helping Families And Their Children Who Identify As Transgender Or Gender Nonconforming, Samantha Klassen-Bolding
College of Education Faculty Research and Publications
Counselors can help families of transgender or gender nonconforming youth adjust after a child or adolescent expresses differences in gender identity. We propose a community based narrative group therapy which may increase family cohesion and acceptance within the changing family dynamic. The program is psychoeducational and experiential, lasting eight sessions, and begins with psychoeducation about transgender individuals and heteronormative societies. It culminates in re-authoring and witnessing the family’s story in a manner which honors the youth’s gender identity. We propose this program as a strategy for helping practitioners connect diverse LGBTQ+ families with other families experiencing similar transitions.
Pomona Large Vessel Occlusion Screening Tool For Prehospital And Emergency Room Settings, Kessarin Panichpisal, Kenneth Nugent, Maharaj Singh, Richard Rovin, Reji P. Babygirija, Yogesh Moradiya, Karen Tse-Chang, Kimberly A. Jones, Katrina J. Woolfolk, Debbie Keasler, Bhupat Desai, Parinda Sakdanaraseth, Paphavee Sakdanaraseth, Alimohammad Moalem, Nazli Janjua
Pomona Large Vessel Occlusion Screening Tool For Prehospital And Emergency Room Settings, Kessarin Panichpisal, Kenneth Nugent, Maharaj Singh, Richard Rovin, Reji P. Babygirija, Yogesh Moradiya, Karen Tse-Chang, Kimberly A. Jones, Katrina J. Woolfolk, Debbie Keasler, Bhupat Desai, Parinda Sakdanaraseth, Paphavee Sakdanaraseth, Alimohammad Moalem, Nazli Janjua
College of Nursing Faculty Research and Publications
Background: Early identification of patients with acute ischemic strokes due to large vessel occlusions (LVO) is critical. We propose a simple risk score model to predict LVO. Method: The proposed scale (Pomona Scale) ranges from 0 to 3 and includes 3 items: gaze deviation, expressive aphasia, and neglect. We reviewed a cohort of all acute stroke activation patients between February 2014 and January 2016. The predictive performance of the Pomona Scale was determined and compared with several National Institutes of Health Stroke Scale (NIHSS) cutoffs (≥4, ≥6, ≥8, and ≥10), the Los Angeles Motor Scale (LAMS), the Cincinnati Prehospital Stroke …
Who Believes In A Male God? Ideological Beliefs And Gendered Conceptualizations Of God, Simon Howard, Debra L. Oswald, Mackenzie S. Kirkman
Who Believes In A Male God? Ideological Beliefs And Gendered Conceptualizations Of God, Simon Howard, Debra L. Oswald, Mackenzie S. Kirkman
Psychology Faculty Research and Publications
Recent studies have explored whether certain conceptualizations of God are associated with various attitudes and beliefs. In the current study, we examined the relationship between gendered God concepts and the belief that God is involved in one’s life and religious-related rigid ideologies (i.e., religious fundamentalism and right-wing authoritarianism [RWA]). Across two studies, one conducted with religious students at a Jesuit university and the other with a national sample, we found that individuals who believed God to be male were more likely to believe that God had more control and involvement in their life, had higher levels of religious fundamentalism and …
Benchmarking Treatment Response In Tourette’S Disorder: A Psychometric Evaluation And Signal Detection Analysis Of The Parent Tic Questionnaire, Madeline M. Rasch, Douglas W. Woods, Matthew W. Specht, John T. Walkup, Lawrence Scahill, Sabine Wilhelm, Alan L. Peterson, John Piacentini
Benchmarking Treatment Response In Tourette’S Disorder: A Psychometric Evaluation And Signal Detection Analysis Of The Parent Tic Questionnaire, Madeline M. Rasch, Douglas W. Woods, Matthew W. Specht, John T. Walkup, Lawrence Scahill, Sabine Wilhelm, Alan L. Peterson, John Piacentini
Psychology Faculty Research and Publications
This study assessed the psychometric properties of a parent-reported tic severity measure, the Parent Tic Questionnaire (PTQ), and used the scale to establish guidelines for delineating clinically significant tic treatment response. Participants were 126 children ages 9 to 17 who participated in a randomized controlled trial of Comprehensive Behavioral Intervention for Tics (CBIT). Tic severity was assessed using the Yale Global Tic Severity Scale (YGTSS), Hopkins Motor/Vocal Tic Scale (HMVTS) and PTQ; positive treatment response was defined by a score of 1 (very much improved) or 2 (much improved) on the Clinical Global Impressions – Improvement …
Stress And Quality Of Life Among Parents Of Children With Congenital Heart Disease Referred For Psychological Services, Astrida S. Kaugars, Clarissa Shields, Cheryl Brosig
Stress And Quality Of Life Among Parents Of Children With Congenital Heart Disease Referred For Psychological Services, Astrida S. Kaugars, Clarissa Shields, Cheryl Brosig
Psychology Faculty Research and Publications
Objective
The study examined parent stress and health‐related quality of life (HRQOL) among families of children with congenital heart disease (CHD) referred for psychological services.
Methods
Parents of 54 children (85% boys) aged 3 to 13 (Mage = 7.48, SD = 2.38) completed measures to assess parenting stress (Parenting Stress Index – Short Form; Pediatric Inventory for Parents) and the PedsQL Family Impact Module. Medical information was retrieved from medical record review.
Results
Half of parents of children with single ventricle anatomy had clinically significant levels of parenting stress. Parents of children with single ventricle anatomy reported more …
Memory And Executive Functions In Alexithymia, Nicolas Vermeulen, Irena Domachowska, Kristy A. Nielson
Memory And Executive Functions In Alexithymia, Nicolas Vermeulen, Irena Domachowska, Kristy A. Nielson
Psychology Faculty Research and Publications
No abstract provided.
Intersectionality Research Within Latinx Mental Health: Conceptual And Methodological Considerations, Lucas Torres, Felicia Mata-Greve, Claire Maria Bird, Erick Herrera Hernandez
Intersectionality Research Within Latinx Mental Health: Conceptual And Methodological Considerations, Lucas Torres, Felicia Mata-Greve, Claire Maria Bird, Erick Herrera Hernandez
Psychology Faculty Research and Publications
Intersectionality considers the meaning and consequences associated with multiple identities along interlocking systems of disadvantage and inequality (Cole, 2009; Crenshaw, 1991). In recent years, there has been increasing attention on examining the mental health outcomes associated with membership in multiple marginalized groups. Unfortunately, intersectionality research examining the unique experiences of Latinx groups remains scarce. The current article reviews theoretical and methodological considerations regarding intersectionality research within Latinx mental health. From a theoretical perspective, intersectionality brings a series of questions regarding the epistemological approaches to studying psychological phenomena. This, in turn, influ- ences the methodological strategies used to examine these processes. …
Selection And Implementation Of Skill Acquisition Programs By Special Education Teachers And Staff For Students With Autism Spectrum Disorder, Tiffany Kodak, Tom Cariveau, Brittany A. Leblanc
Selection And Implementation Of Skill Acquisition Programs By Special Education Teachers And Staff For Students With Autism Spectrum Disorder, Tiffany Kodak, Tom Cariveau, Brittany A. Leblanc
Psychology Faculty Research and Publications
The present investigation examined special education teachers’ selection and use of teaching strategies for receptive identification training with children with autism spectrum disorder (ASD) in their classrooms. Teachers first responded to a survey in which they provided examples of receptive identification tasks taught in their classrooms, rated the efficacy of teaching strategies, described how they determined whether skills were mastered, listed any assessments they conducted to identify relevant prerequisite skills prior to receptive identification training, described how they selected teaching strategies for use in their classrooms, and listed their years of experience as a teacher and working with children with …
Therapist Self-Disclosure And Immediacy: A Qualitative Meta-Analysis, Clara E. Hill, Sarah Knox, Kristen Pinto-Coelho
Therapist Self-Disclosure And Immediacy: A Qualitative Meta-Analysis, Clara E. Hill, Sarah Knox, Kristen Pinto-Coelho
Psychology Faculty Research and Publications
We review definitions and provide case examples of therapist self-disclosure (TSD) and immediacy (Im). We then present a qualitative meta-analysis of 21 studies that examined the subsequent process following TSD and Im in psychotherapy (excluding analogue and correlational studies). Across the 21 studies, the most frequent subsequent processes were enhanced therapy relationship, improved client mental health functioning, gains in insight, and overall helpfulness, suggesting that most often TSD and Im were followed by positive and beneficial therapeutic processes. In additional analyses, TSD was associated more often with improved mental health functioning, overall helpfulness, and enhanced therapy relationships, whereas Im was …