Digital Commons Network^™

Seeking Treatment For Ptsd: The Post 9/11 Service Member's Experience, Stephanie A. Bowser

Antioch University Dissertations & Theses

Posttraumatic-stress disorder (PTSD) remains one of the most pervasive health conditions to affect the 2.7 million United States service members deployed to Iraq and Afghanistan since 2001. Untreated and/or inadequately treated PTSD can further lead to an array of health risks including anxiety, depression, substance abuse, social and occupational impairments, poorer quality of physical health, decreased overall perception of quality of life, and increase the risk of suicide. Considering these risks, the Department of Veterans Affairs (VA) and Department of Defense (DoD) created the VA/DOD Clinical Practice Guidelines (CPGs) for the Management of PTSD and Acute Stress Reaction (ASR), highlighting …

The Flourishing Trainee: Operationalizing Self-Care Education In Clinical Psychology Training Programs, Bonnie B. Zinn

Antioch University Dissertations & Theses

Evidence suggests that clinical psychology trainees may be vulnerable to stress, vicarious traumatization, secondary traumatic stress, compassion fatigue, and burnout. Research also indicates that engaging in self-care may help to protect clinical psychology trainees against those experiences and enhance their well-being. However, best available research suggests self-care education is not consistently incorporated into clinical psychology training or prioritized by program directors. This study provided a systematic review of existing literature on self-care for clinical psychology trainees, utilizing reflexive thematic analysis to identify the essential skills, knowledge, and attitudes of self-care which should be taught to trainees, and how to operationalize …

Both Sides Of The Coin: Sexual Minority Perspectives On Relationships, Quynh Tran

Antioch University Dissertations & Theses

This dissertation aimed to better understand sexual minority individuals’ perceptions of how various minority stressors affect their interpersonal connections. In this study, sexual minority identity was defined as a sexual identity that was not the heterosexual, and was defined to include lesbian, gay, bisexual, asexual, pansexual, and queer. Gender identity was not a criterion for either inclusion or exclusion in this study. This phenomenological study used semistructured interviews to explore the perspective of six participants who identify with sexual minority identities. Interpretative Phenomenological Analysis (IPA) of the data resulted in five main themes: (a) Growth-fostering relationships promote well-being, (b) Perceived …

Caregiver Experience Of Voice And Choice In Wraparound Systems Of Care, Kathryn O'Neil

Antioch University Dissertations & Theses

The following is a qualitative study of the caregiver’s experience of having voice and choice in the New Hampshire wraparound program, conducted through Keene State College’s Behavioral Health Improvement Institute (BHII). Wraparound systems of care emphasize the family’s role in directing the generation of a network of supports for intervening with a youth with Severe Emotional Disturbances (SED). Indeed, caregiver voice and choice are key principles of this service delivery model. There are many established benefits to encouraging family involvement in systems of care, but little research to date on the subjective caregiver experience. A review of literature covers the …

Love Outside Margins: Mental Health And Marginalization In Intercultural And Monocultural Couples, Tara Masseratagah

Antioch University Dissertations & Theses

As the number of intercultural couples increases in North America, the impact of perceived marginalization of these relationships on the mental health of individuals is an area that requires continued clinical understanding. This quantitative study sought to explore how anxiety and depression levels in intercultural and monocultural couples are associated with levels of perceived marginalization. Qualitative follow-up questions were used to understand the varying reasons for marginalization and support between couples. One hundred twenty-four individual participants in romantic relationships took part in this study; of this, 64 were in monocultural relationships and 60 were in intercultural relationships. This study found …

The Experiences Of Marriage And Family Therapists Balancing Relational Teletherapy And Self-Care During The Covid-19 Pandemic: An Interpretative Phenomenological Analysis, Elizabeth Dumayne

Antioch University Dissertations & Theses

The COVID-19 pandemic has brought many changes to the world of mental health, especially in the delivery that marriage and family therapists provide services to their clients and while balancing their own self-care. In order to provide therapists with a base from which to work through these changes, a thorough review of the literature is provided as well as an interpretative phenomenological analysis. Chapter one provides an introduction to the topic of relational teletherapy during the COVID-19 pandemic and self-care for therapists, defines the terms teletherapy and self-care, and clarifies the conceptual frameworks at use in the dissertation: ecological systems …

Locating Uncertainty In Hospital Leader Sensemaking And Sensegiving Of Organizational Change: A Single Case Study, Sara E. Barry

Antioch University Dissertations & Theses

Leaders planning strategic change face significant ambiguity and uncertainty due to the complex, fast-paced, and volatile nature of organizational life. What one leader sees as an opportunity, another may view as a threat depending on their past experiences, their existing mental models, and their perceptions of uncertainty. Sensemaking and sensegiving theories provide a framework for how leaders retrospectively make sense of new and disorienting information through recursive cycles of interpretation, action, and learning, and seek to influence the meaning-making of others towards a shared vision of the strategic change. Despite decades of research using these theories, studies have yet to …

The Diffusion Of A Discipline: Examining Social Marketing's Institutionalization Within Environmental Contexts, Liz Foote

Antioch University Dissertations & Theses

As a social change discipline, social marketing has demonstrated its effectiveness in addressing many types of wicked problems. However, despite its utility in environmental contexts, it is neither well known nor widespread in its uptake in these settings. This study’s purpose is to reveal opportunities to drive the adoption, implementation, and diffusion (“institutionalization”) of social marketing within the domains of environmental sustainability and natural resource conservation. This research considers the use of social marketing as an innovative practice within a diffusion of innovations framework and uses a systems lens to examine early adopter social marketing professionals and the institutional contexts …

Exploring The Needs Of Black Single Mothers In Therapy, Nompelelo Boucher

Antioch University Dissertations & Theses

This qualitative study of 6 Black single mothers utilizes a focus group format to explore their experiences in mental health treatment. The specific barriers they face to seeking treatment are reviewed, given that this particular population is substantially underrepresented in mental health therapy. The study seeks to gain a better insight of what factors contribute to attracting and retaining them in therapy for positive outcomes. Six emergent themes surfaced highlighting the fact that these women overcome numerous historical and cultural barriers to present for treatment to address serious issues of stress, grief, and loss, that they have a desire to …

Beyond The Controversy: An Exploration Of Cultural Socialization Behaviors In Transracial Adoptive Families, Karmen Smith

Antioch University Dissertations & Theses

The voices of the families that have successfully raised transracially adopted children with a positive cultural identity are missing from the literature: “Further research is needed on adoption from the perspective of the adoptee” (Clark et al., 2006, p. 192). There are methodological shortcomings that inhibit our ability to definitively determine adjustment outcomes for this population. Such shortcomings, combined with a failure to address additional variables that influence outcomes, have left identified gaps in the research unaddressed. The purpose of this grounded theory study is to identify the cultural socialization behaviors that contributed to the development of the participant’s positive …

Structural Family Therapy For Autism Spectrum Disorder: A Single Case Experiment, Anthony George Pennant Jr.

Antioch University Dissertations & Theses

This research study is an exploratory single case experiment which was conceptualized through the concept of change as outlined in structural family therapy (SFT). This family reported increases in their levels of cohesion, flexibility, and satisfaction with their relationships. The family reported decreases in the levels of disengagement, rigidity, chaos, and communication. Lastly, levels of anxiety increased over time and were generally rated divergently by parents and the child with autism spectrum disorder. Given the outcome of the study, SFT shows promise in being an appropriate clinical model in providing family-based therapy for families who have a child(ren) with autism …

Examining Face-To-Face And Online Supervisee Disclosure Within The Supervisory Alliance, Letitia D'Aria Unger Johnson

Antioch University Dissertations & Theses

The purpose of this research was to examine face-to-face and online supervisee disclosure within the supervisory alliance. Just as client care pivoted to online platforms, as a result of the COVID-19 pandemic, so did clinical supervision, which was uncharted territory for many, including those familiar with online counseling. The methodology used was consensual qualitative research (CSR). Eight participants were recruited as a sample of convenience, and semistructured interviews were conducted via Zoom. Results indicated domains such as important characteristics of the supervisory relationship, importance of communication, supervisor characteristics related to self-disclosure, positive aspects and negative aspects of online supervision, and …

Toward Socially Equitable Conditions: Change In Complex Regulatory Systems, Katherine A. Hoffman

Antioch University Dissertations & Theses

The purpose of this qualitative participatory action research was to explore how complexity is engaged and experienced in complex regulatory systems, and to understand how cannabis might be regulated in ways that lead to socially equitable conditions. This was accomplished by studying the lived experiences of governmental leaders charged with the responsibility of establishing regulatory frameworks for legalized cannabis where none previously existed. Using the learning history methodology, the study deeply explores the ways that complex systems coexist by capturing the lived experiences of research participants and enhance theoretical understanding of complex regulatory systems. Data collection occurred through reflective interviews, …

The Impact Of Creative Arts On Meaning Reconstruction And Loss Adaptation In Widowed Adults, Dani Baker-Cole

Antioch University Dissertations & Theses

In counseling, helping grieving clients find meaning after significant loss is a unique, multidimensional, and lengthy process. This is particularly true in Western societies, where antithetical linear grief models, supported by hegemonic expectations to move on after loss, add exhausting pressure to speed up an individual’s natural grieving process. For that reason, this study examined how creative arts interventions such as using traditional art media and expressive writing, combined with postmodern, nonlinear, culturally sensitive bereavement models, help individuals explore their loss narrative to make meaning and adapt to loss. Specifically, this study examined the impact of a switch from traditional …

Click-Enter-Send: The Relationship Experiences Of People Who Are Blind Or Visually Impaired In Text-Based Workspaces, Kelly Bleach

Antioch University Dissertations & Theses

Companies have increasingly turned to text-based communications to recruit, hire, and manage a distributed remote workforce. For people who are blind or visually impaired, this movement presents both challenges and opportunities for attaining and retaining employment. Does the potential isolation of telework have a negative effect on workplace relationships for people who are blind or visually impaired? Does participation in text-based workspaces mitigate stereotypes and stigmatization experienced by people with visible disabilities? Using a constructivist grounded theory framework, this study explored how people who are blind or visually impaired experience relationships in text-based workspaces. Building and maintaining social connections and …

Attachment And Creativity Focused Counseling Intervention For Parents And Adolescents Presenting With A Trauma History, Leah Merle Batty-Hibbs

Antioch University Dissertations & Theses

The central research question that informed this study asks: How do attachment and creativity focused counseling interventions encourage connection between an adolescent and their parent or caregiver? The research study centered on two mother and son dyads that participated in six weeks of a therapeutic intervention. The modality utilized an attachment and creativity focused approach created by the author. Data was collected through a post intervention semi-structured interview with the parent (adult). Data was transcribed and evaluated with an interpretive phenomenological approach. Six themes were identified by a team of researchers. The findings have implications for clinical practice with parents …

Developing The Diversity, Equity, Inclusion, Power, And Privilege Assessment In Cft/Mft: A Delphi Study, Carrie Hatch

Antioch University Dissertations & Theses

Marriage and Family Therapists (MFTs) and Couple and Family Therapists (CFTs) engage in clinical practice from a systemic framework. This framework positions MFTs to consider the impact of social systems on the MFT/CFT field and their clients. Issues related to diversity, equity, inclusion, power, and privilege (DEIPP) impact all of the systems in which we operate. Currently, there is no consensus on a tool measuring training clinicians’ competencies related to DEIPP beyond self-report. There is a need for a DEIPP competency measure because, currently, the most widely used measure is self or observer report, which may not provide a complete …

It Permeated Everything: A Lived Experience Of Slow Violence And Toxicological Disaster, Tara Jo Holmberg

Antioch University Dissertations & Theses

Impacts of disasters on individuals are dependent on numerous factors: local to international political dynamics, socioeconomics, geography, educational background, and outside support among others. Currently, much of disaster research focuses on those of natural origin, acute and large-scale environmental events, emergency management, and the ability of individuals, communities, and societies to prepare for, and recover from, likely known disasters in their region. However, there is a lack of data about individual experiences through ‘invisible’ anthropogenic disasters, especially those that fall under the umbrella of slow environmental violence (Davies, 2019; Rice, 2016). Through critical phenomenological autoethnography, I examine an individual experience …

Speaking Of Transformation: Discourse, Values, And Climate Adaptation Planning In San Antonio, Texas, Lindsay Ratcliffe

Antioch University Dissertations & Theses

As climate change accelerates and social inequity grows, adaptation planning and policy must respond to both problems. Adaptation scholars increasingly call for transformative solutions that not only address problems with the status quo but articulate ethical commitments to justice and equity. City climate action and adaptation plans (CAAPs) have begun to center these commitments, but little is known about how such responses become articulated and change as CAAPs are developed and passed. This dissertation, a critical case study of San Antonio’s first CAAP, SA Climate Ready, addresses this gap by focusing on changes to the discourse of climate equity during …

Social And Cultural Considerations In Accessing Mental Health Treatment In The Gambia, West Africa, Safiya Njai

Antioch University Dissertations & Theses

This study examines the social and cultural considerations in accessing mental health treatment in The Gambia, West Africa. Participants were recruited from The Gambia for a qualitative study that included semistructured interviews (N = 17). A team of analysts identified five themes. The results highlighted social and cultural conceptualizations of mental health and mental illness, sociocultural determinants of health, interventions, barriers to care, and the legal framework to support mental health change. These findings are important for counselors to understand different perceptions of mental health and mental illness and the associated stigma. Furthermore, several opportunities for advocacy in The Gambia …

It Takes Two: Professional Interconnections And Potential Collaborations Between Small-Town Family Attorneys And Couple/Family Therapists, Wendy Lenk Mcclary

Antioch University Dissertations & Theses

Attorneys who specialize in family practice may experience significant rates of mood disorders and substance reliance. Law schools typically do not provide supportive coursework or mentoring to help students learn to manage their feelings and those of crisis-impacted clients. Lawyers may well consider that understanding emotional needs and providing emotional support does not fall within their codes of practice. Societal stigma may prevent family attorneys and their clients from seeking therapy. Small-town attorneys may be particularly vulnerable to professional stress and safety concerns. The purpose of this study was to explore and understand the lived experiences of family attorneys practicing …

Impact Of A Multidisciplinary Nutritional Support Team On Quality Improvement For Patients Receiving Home Parenteral Nutrition, Michael Rothkopf, Mohan Pant, Rebecca Brown, Jaime Haselhorst, Francine Gagliardotto, Allison Tallman, Debbie Stevenson, Andrew Depalma, Michael Saracco, Dan Rosenberg, Vladimir Proudan, Kishwar Shareef, Nudrat Ayub

EVMS School of Health Professions Faculty Publications

Introduction Home parenteral nutrition (HPN) is essential for patients with intestinal failure requiring long-term nutritional support. The Amerita Quality Improvement Project for HPN Patients (QIP-PN) explored the effect of a physician nutrition expert (PNE)-led multidisciplinary nutritional support team (MNST) on HPN care for patients under its service.

Objective To determine an MNST effect on adherence to protocols, outcomes and quality of life (QOL) in HPN.

Methods The study was divided into three phases: data review (phases 1a and 1b), observation (phase 2) and intervention (phase 3). Seven Amerita locations were selected as ‘study branches’ (population), from which all study patients …

Sdrc Annual Report 2021-2022, Connie Jan Maraan

SDRC Publications

Despite the pandemic, our Center was still able to continue its operations. A manifestation of its agility and ingenuity, SDRC has managed a great number of projects and activities outnumbering the pre-pandemicyears. The Center has conducted capacity- building seminars, both paid and pro-bono,with our partners.

Virtual Currencies In The Eurosystem: Challenges Ahead, Rosa Maria Lastra, Jason Allen Grant

The International Lawyer

No abstract provided.

The Impact Of Perceived Manipulation, Motives, And Ethicality In Cause-Related Marketing: A Crm+ Model, Nathan W. Twyman, Sarah M. Stanley, Cassandra C. Elrod, Tamara M. Masters

Business and Information Technology Faculty Research & Creative Works

We Developed a CRM+ Model using Experimentation and Structural Equation Modeling Analysis. CRM+ Demonstrates Previously Unexplored Interrelationships among Consumer-Perceived Manipulation, Brand Motives, Perceived Ethicality of the Cause-Related Marketing, and Brand Attitude. CRM+ Reveals that Perceived Ethicality of the CRM Has a Significant Positive Effect on Brand Attitude, Though It is Not as Pronounced as the Effect of Perceived Altruistic Motives. Egoistic Motives Decrease Ethicality Perceptions But Has No Direct Effect on Brand Attitude. Altruistic Motive Perceptions Diminish Egoistic Motive Perceptions. CRM+ Suggests Marketing Managers Should Prioritize Emphasizing Altruistic Motives and Ethicality of the Partnership over Downplaying Egoistic Motives.

The Role Of Green Infrastructure In Pluvial Flood Management And The Legislation Surrounding It: A Case Study In Bristol, Uk, Dudley Saunders, John Martin

Professional Services

Surface water flooding is an issue which has required an increased level of addressment over the past two decades, with the methods used to combat flood events seeing an evolution. This evolution has been influenced heavily by multi-scale legislations and policies, which has pushed for more holistic methods for pluvial flood management. This review will analyse how Bristol City Council have implemented these multi-scale pieces and what has been put in place to encourage sustainable flood management. This will be done through a purposive review of the literature and an extensive review of legislation and policies on a national, European, …

Barangay Assembly: A Citizen-Led Reinvigoration Of Political Discourse And Civic Engagement In The Philippines, Michael Henry Yusingco

Ateneo School of Government Publications

The Filipino indigenous custom of collective action known as bayanihan is institutionalized in the Barangay Assembly; a community forum where citizens can directly influence local governance. However; it is not widely utilized because many barangay officials are co-opted by local political dynasties. Results of the 2019 elections reveal that political dynasties continue to dominate the electoral process; making genuine political competition virtually impossible. This piece will present the strategy of using the Barangay Assembly as a citizen-led reinvigoration of political discourse and civic engagement. It will expound on the inherent value of the Barangay Assembly as a venue for purposeful …

The 2018 Public Consultation On Standardized Packaging In Singapore: Analysis Of Policy Actors' Submissions, Gianna Gayle H. Amul

Ateneo School of Government Publications

After a public consultation in 2018, Singapore implemented standardized tobacco packaging as part of its portfolio of tobacco control policies in 2020, in compliance with Article 11 guidelines for implementing the World Health Organization Framework Convention on Tobacco Control. This study analyzed policy actors in opposition to standardized packaging in Singapore and their submissions to the public consultation. Policy actors were profiled, and their arguments were then coded and compared across submissions. Descriptive results were then summarized in a narrative synthesis. In total, 79 submissions were considered for final analysis that opposed plain packaging in Singapore. Thematic analysis shows that …

Una Solució, Si Us Plau: Self-Determination And The Catalan Crisis, Jared Skinner

Emory International Law Review

Nestled in the corner of Spain is the birthplace of a people and a political conflict as old as the history of the peninsula itself. Catalonia, long a bastion for independence movements around the world, is caught at the center of tensions between traditional regionalism and political centrality in Spain. As internal unrest continues to intensify, miring discussion and dialogue, the crisis creeps closer to a point of drastic political uncertainty. Exhausted with the enduring lethargy of domestic and European legal fora, the Catalans have often thought of turning to international law for a solution. This Comment draws upon decades …

I Can Still Hear You Saying You Would Never Break The Chain: How Higher Education Admissions Policies Put Law Firms At Risk Of Losing Corporate Clients, Jolie Abrams

Emory Business Law Review

No abstract provided.