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The Me [Unnamed]: Essays, Rebecca Ann Harris Jan 2022

The Me [Unnamed]: Essays, Rebecca Ann Harris

Graduate Theses/Dissertations

This creative thesis includes six flash nonfiction pieces and four essays exploring my relationships with my father, mother, and older sister; this exploration is filtered through the lenses of trauma and mental illness. Notably, five of the six flash nonfiction pieces are written in the literary mode of magical realism, which are analyzed in this thesis’ critical introduction. By evaluating magical realism’s origins in German surrealism and its development within Latin-America—as well as its theoretical correlation to Charles Baxter’s defamiliarization and Milan Kundera’s appeal of dream—I acknowledge magical realism’s literary techniques and cultural motivations within published fiction. I analyze magical …


To The Bone And Back, Noelle Christine Thomas Jan 2022

To The Bone And Back, Noelle Christine Thomas

Selected Full-Text Master Theses 2021-

To the Bone and Back, a memoir by Noelle Thomas explores Thomas’s college journey while struggling with mental health conditions. To the Bone and Back primarily focuses on how anxiety, depression, and eating disorders can impact friendships. Thomas documents her journey through college and grad school in four parts. In a way, Thomas’s memoir is a story of self-assembly.

Part one, made up of poems, narratives, letter excerpts, YouTube transcripts, and text messages, mirrors the clutter and chaos of Thomas’s brain at that time. Part one establishes the friendship between the main characters: Thomas and Jenna.

Part two begins to …


Investigation On How Access To Insurance And Different Mental Health Services Impact Stigmatized Beliefs On Mental Health, Ashley Rossi, Barbie Hubner, Jordan Sferrazza Jan 2022

Investigation On How Access To Insurance And Different Mental Health Services Impact Stigmatized Beliefs On Mental Health, Ashley Rossi, Barbie Hubner, Jordan Sferrazza

The Graduate Review

The current study aimed to investigate how access to insurance impacts mental health-related stigma and help-seeking attitudes, along with public and self-stigmatized views on seeking professional mental health services. Participants (N = 192) were recruited via Bridgewater State University Student Announcements and through convenience sampling. Individuals completed a survey consisting of five self-created questions and three different scales related to insurance coverage, mental health services, stigma, and help-seeking attitudes. We expected to find those with public insurance coverage would have higher self-stigmatized beliefs and lower help-seeking attitudes, but this hypothesis was not supported. We also expected that those with …


Stigma And Criminalization Of Mental Health In An Inpatient Versus Jail Setting, Zachary C. B. Dumay, Jessica T. Harnais, Christina M. Cerminara Jan 2022

Stigma And Criminalization Of Mental Health In An Inpatient Versus Jail Setting, Zachary C. B. Dumay, Jessica T. Harnais, Christina M. Cerminara

The Graduate Review

Stigmatization is the perceived, negative stereotype assigned to a group of individuals. This stigmatization has contributed to the criminalization of mental health, meaning that individuals with mental health issues are more likely to be arrested for behaviors that are not criminal. This project examines mental health stigma toward an individual in a psychiatric setting and a correctional setting. We hypothesized that when reading a vignette about an individual experiencing a mental health crisis, participants will stigmatize them more if they are incarcerated than if they are in a psychiatric facility. Results showed that participants exhibited a higher level of discrimination …


Momentary Energy Levels In Healthcare Professionals Working With Facility Dogs, Shania Sinha, Clare Jensen, Marguerite O'Haire Jan 2022

Momentary Energy Levels In Healthcare Professionals Working With Facility Dogs, Shania Sinha, Clare Jensen, Marguerite O'Haire

Discovery Undergraduate Interdisciplinary Research Internship

Past research has shown that pediatric healthcare professionals working with full-time therapy dogs (facility dogs) reported less work-related burnout and better mental health overall. However, specific in-the-moment effects of facility dogs on healthcare professionals have yet to be examined. The purpose of this study was to use Ecological Momentary Assessment (EMA) to assess the effects of facility dog presence on momentary energy levels of pediatric healthcare professionals. EMA data for the present study were collected from 122 healthcare professionals working in pediatric hospitals. Within the sample, participants working with a facility dog (handlers; n=61) were …


Inspiration On Social Media: Applying An Entertainment Perspective To Longitudinally Explore Mental Health And Well-Being, Sophie Janicke-Bowles, Arthur A. Raney, Mary Beth Oliver, Katherine R. Dale, Danyang Zhao, Dominik Neumann, Russell B. Clayton, Alysia A. Hendry Jan 2022

Inspiration On Social Media: Applying An Entertainment Perspective To Longitudinally Explore Mental Health And Well-Being, Sophie Janicke-Bowles, Arthur A. Raney, Mary Beth Oliver, Katherine R. Dale, Danyang Zhao, Dominik Neumann, Russell B. Clayton, Alysia A. Hendry

Communication Faculty Articles and Research

The conditions under which social media use impacts well-being and mental health are complex. The current 10-day longitudinal quasi-experiment (student sample, N = 111) applied an entertainment theory lens to explore the effects of active posting and engaging with hedonic or inspiring Facebook content (vs. passive browsing) on young people’s eudaimonic well-being (levels of connectedness to humanity, love, compassion, presence of meaning) and mental health (anxiety and depressive symptoms). The results provide tentative evidence that finding and sharing inspiring content to a Facebook group increased love and compassion toward others over time. It also led to more compassion at the …


The Expression Of Satanist Identity: Does Visible Identification Of Satanism Predict Discrimination And Depression?, Allyson Dudley Jan 2022

The Expression Of Satanist Identity: Does Visible Identification Of Satanism Predict Discrimination And Depression?, Allyson Dudley

All Graduate Theses, Dissertations, and Other Capstone Projects

The current research examines the relationship between visible expression of religion, identification within Satanism, experiences of discrimination, and depression in a sample of modern Satanists (n = 1,272). Historically, Satanism has been scrutinized as immoral and a threat to public safety. The current research attempts to challenge that viewpoint by employing culturally competent methods and understanding of modern Satanism. Findings indicate a negative relationship between expression of Satanism and discrimination, expression of Satanism and depressive symptoms, in-group ties and discrimination, and identification (in-group ties and in-group affect) and depressive symptoms. Results show a positive relationship between identification with Satanism and …


I’M Not A Tragedy: Speaking Up About Ableist Microaggressions, Kasandra Marguerite Colwell Jan 2022

I’M Not A Tragedy: Speaking Up About Ableist Microaggressions, Kasandra Marguerite Colwell

Communication Senior Capstones

Have you heard of ableist microaggressions? Let me tell you about them, as someone who has experienced them. I have a bi-lateral dislocating knee condition that I was born with. I can walk, but sometimes I need additional stability or reduction of pain while getting around, in which case I tend to use a cane. I have had many othering interactions while using a mobility aid in public, whether that be a knee brace, a cane, or crutches. While it often seemed the stranger didn’t mean any harm, the question is how many invasive questions and comments from strangers can …


Examining The Effects Of Instagram On Body Image And Eating Disorders Among Adolescent Girls, Ellie Cuoco Jan 2022

Examining The Effects Of Instagram On Body Image And Eating Disorders Among Adolescent Girls, Ellie Cuoco

Education Theses

Throughout the past decade, as social media begins to grow in popularity, individuals' mental health is being sacrificed. Therefore, providing others with the knowledge of the effects will tend to decrease these numbers. The purpose of this paper is to delve into the link between Instagram and body image and eating disorders in young adolescents. Women are more likely to suffer body dissatisfaction and develop an eating disorder when encountering Instagram body ideals. Implementing lesson plans, including parents, and engaging school personnel is an excellent way to start the conversation and address adolescent body dissatisfaction to counter the known negative …


‘A Learning Experience’: Disciplinary And Parenting Practices Among Native American Families, Catherine Mckinley, Hannah Knipp, Jenn M. Lilly Jan 2022

‘A Learning Experience’: Disciplinary And Parenting Practices Among Native American Families, Catherine Mckinley, Hannah Knipp, Jenn M. Lilly

Social Service Faculty Publications

Research indicates that effective disciplinary practices, such as offering praise and teaching acceptable versus non-acceptable behaviour, can act as protective factors against the social and behavioural health disparities experienced by Native Americans (NA). The purpose of this critical ethnographic study (n = 436 qualitative elder, adult, youth and professional participants) was to use the Framework of Historical Oppression, Resilience, and Transcendence (FHORT) to qualitatively examine participants' reported experiences of disciplinary practices. Thematic analysis of qualitative results indicated several approaches to disciplining children, which included the following themes: (a) Establishing Structure and Boundaries; (b) Taking Away Privileges and Rewarding Good Behavior; …


Virtual Learning And Its Impact On Belonging And Mental Health, Chelsey Highley Jan 2022

Virtual Learning And Its Impact On Belonging And Mental Health, Chelsey Highley

Murray State Theses and Dissertations

This dissertation examined virtual learning and the link between sense of belonging and mental health. Specifically, this qualitative study assessed the perceptions and opinions of 15 high school students from a rural high school setting who participated in virtual learning for at least one semester during the COVID-19 pandemic. The research questions that guided this study were: (a) How did high school students experience belongingness with teachers and peers when engaged in virtual learning; and (b) How did high school students experience mental health issues during virtual learning? The data was collected via individual interviews and analyzed. The category emerging …


Meeting The 24-Hour Movement Guidelines And Outcomes In Adolescents With Adhd: A Cross-Sectional Observational Study, Wei Wang, Justin A. Haegele, Yandan Wu, Chunxiao Li Jan 2022

Meeting The 24-Hour Movement Guidelines And Outcomes In Adolescents With Adhd: A Cross-Sectional Observational Study, Wei Wang, Justin A. Haegele, Yandan Wu, Chunxiao Li

Human Movement Studies & Special Education Faculty Publications

According to the 24-Hour Movement Guidelines, meeting daily recommendations for physical activity, sleep, and screen time is important for obtaining optimal health benefits. This cross-sectional observational study aimed to examine (a) the prevalence of meeting the movement guidelines; and (b) the associations between meeting the guidelines and selected outcomes in adolescents with attention-deficit/hyperactivity disorder (ADHD). Data from the 2018–2019 National Survey for Children’s Health dataset was used. Participants were adolescents (10–17 years) with ADHD and without other chronic conditions. Outcomes were flourishing, school engagement, and body weight status. Exposures of interest were adherence to the movement guidelines. The frequency of …


Psychosocial And Mental Health Challenges Faced By Emerging Adults Living With Hiv And Support Systems Aiding Their Positive Coping: A Qualitative Study From The Kenyan Coast, Moses K. Nyongesa, Carophine Nasambu, Rachael Mapenzi, Hans M. Koot, Pim Cuijpers, Charles R. J. C. Newton, Amina Abubakar Jan 2022

Psychosocial And Mental Health Challenges Faced By Emerging Adults Living With Hiv And Support Systems Aiding Their Positive Coping: A Qualitative Study From The Kenyan Coast, Moses K. Nyongesa, Carophine Nasambu, Rachael Mapenzi, Hans M. Koot, Pim Cuijpers, Charles R. J. C. Newton, Amina Abubakar

Institute for Human Development, East Africa

Background: In sub-Saharan Africa, there is little data on the challenges faced by young people living with HIV tran- sitioning into adult life. Adapting the socio-ecological framework, this qualitative study investigated the challenges faced by emerging adults living with HIV from a rural Kenyan setting. Additionally, the study explored support systems that aid positive coping among these young adults.

Methods: In April 2018, in-depth interviews were conducted with a convenience sample of 22 young adults living with HIV (12 females), 18–24 years old, from rural Kilifi, coast of Kenya. Data were analyzed thematically using NVIVO 11 software.

Results …


Cognitive Continuum Theory: Can It Contribute To The Examination Of Confidentiality And Risk-Actuated Disclosure Decisions Of Nurses Practising In Mental Health?, Darren Conlon, Toby Raeburn, Timothy Wand Jan 2022

Cognitive Continuum Theory: Can It Contribute To The Examination Of Confidentiality And Risk-Actuated Disclosure Decisions Of Nurses Practising In Mental Health?, Darren Conlon, Toby Raeburn, Timothy Wand

Nursing Papers and Journal Articles

Nurses practising in mental health are faced with challenging decisions concerning confidentiality if a patient is deemed a potential risk to self or others, because releasing pertinent information pertaining to the patient may be necessary to circumvent harm. However, decisions to withhold or disclose confidential information that are inappropriately made may lead to adverse outcomes for stakeholders, including nurses and their patients. Nonetheless, there is a dearth of contemporary research literature to advise nurses in these circumstances. Cognitive Continuum Theory presents a single-system intuitive-analytical approach to examining and understanding nurse cognition, analogous to the recommended single-system approach to decision-making in …


Sexual Abuse Of Children In The United States Foster Care System, Abigail Hessing Jan 2022

Sexual Abuse Of Children In The United States Foster Care System, Abigail Hessing

Ballard Brief

Foster care is a long-running and relatively commonplace system in the US: however, in 2019 there were an estimated 400,000 children in foster care, leaving the system overwhelmed and at its peak capacity. Of those children, it is estimated that up to 40% of them had experienced some type of abuse within the system. Looking at sexual abuse specifically, vulnerable children are often targeted by sexual predators, and when grouped together in a system underequipped to provide adequate protection, foster care children can become easily accessible targets for sexual abuse. Caretakers who are undersupported and households that are overfilled create …


Analyse Prospective De L’Adaptation Des Travailleurs En Centre De Protection De L’Enfance Et De La Jeunesse Exposés À Un Évènement Potentiellement Traumatique : Effets D’Une Intervention De Soutien Par Des Pairs, Stéphane Guay, Alexandre Lemyre, Josianne Lamothe, Steve Geoffrion Jan 2022

Analyse Prospective De L’Adaptation Des Travailleurs En Centre De Protection De L’Enfance Et De La Jeunesse Exposés À Un Évènement Potentiellement Traumatique : Effets D’Une Intervention De Soutien Par Des Pairs, Stéphane Guay, Alexandre Lemyre, Josianne Lamothe, Steve Geoffrion

Rapports de recherche scientifique

Problématique. Les travailleurs des services de protection de l’enfance sont exposés de manière répétée à des événements potentiellement traumatiques (EPT) dans le cadre de leur travail, notamment des actes de violence. Ils sont ainsi susceptibles de développer des problèmes de santé mentale tels que l’anxiété, l’insomnie, la dépression et des symptômes de stress post- traumatiques. Sur le plan professionnel, les EPT engendrent des coûts élevés pour l’individu et l’organisation : baisse de la satisfaction au travail, absentéisme, changement d’emploi, baisse de productivité, etc. Dans ce contexte, le Centre de la protection de l’enfance et de la jeunesse (CPEJ) du Centre-Sud-de-l’Île …


Covid Fears And Social Anxiety In College Students, Clayton Crozier Jan 2022

Covid Fears And Social Anxiety In College Students, Clayton Crozier

Masters Theses

The COVID-19 pandemic has been associated with numerous negative mental health outcomes such as social anxiety, and lead to a great deal of uncertainty. Intolerance of Uncertainty is a relatively new concept in the psychology literature and has begun to be studied in the context of anxiety. Literature has found a positive correlation between Intolerance of Uncertainty and several types of social anxiety. With these findings, researchers have begun to examine the COVID-19 pandemic to see how Intolerance of Uncertainty affects people’s mental health during the pandemic. Intolerance of Uncertainty may be a mediator between social anxiety and the fears …


Supporting The Mental Health Of Black Students: A Framework For Comprehensive School-Based Mental Health Systems, Shenita Williams Jan 2022

Supporting The Mental Health Of Black Students: A Framework For Comprehensive School-Based Mental Health Systems, Shenita Williams

Theses and Dissertations

School-based mental health is plagued with two primary challenges: (a) design and (b) service delivery. The design of school-based mental health is often comprised of fragmented, individual programs and services, and the delivery of mental-health services and support are culturally insensitive. The purpose of this Delphi study, grounded in African-centered thought (Afrocentricity), was to identify essential components of a comprehensive school-based mental-health system necessary to adequately address and support the mental health of Black students in K–12 public school settings. Through the cultural lens of Black experts, the needs of Black students along a continuum of mental health was highlighted. …


Racism Experiences And Mental Health: An Examination Of Direct, Vicarious, And Appropriated Racism Experiences On Mental Health Symptom Expression, Christina Barnett Jan 2022

Racism Experiences And Mental Health: An Examination Of Direct, Vicarious, And Appropriated Racism Experiences On Mental Health Symptom Expression, Christina Barnett

Theses and Dissertations

The current study aimed to corroborate existing models of racism-related experiences by creating an explanatory model that operationalized direct, vicarious, and appropriated racism experiences. This study explored whether the factors of direct and vicarious racism experiences influenced mental health outcomes via appropriated racism experiences in a sample of Black women. This association was not present. However, results showed a positive association between vicarious and direct racism experiences, as well as predictive relations between direct and vicarious racism experiences and depression and trauma symptoms. Results, limitations, implications, and recommendations for future research are included.

Keywords: vicarious racism, appropriated racism, direct racism, …


Out From Under: Wellness Design And Alternative Therapies For Anxiety And Depression, Emily J. Adams Jan 2022

Out From Under: Wellness Design And Alternative Therapies For Anxiety And Depression, Emily J. Adams

Theses and Dissertations

This study explores a facility that combines wellness design strategies with alternative therapies that are not commonly available in the U.S., with the goal of supporting adults with anxiety and/or depression who are not comfortable seeking traditional care.


Addressing And Evaluating Health Literacy In Mhealth: A Scoping Review, Margaret Emerson, Sydney Buckland, Maxwell A. Lawlor, Danae Dinkel, David J. Johnson, Maria S. Mickles, Louis Fok, Shinobu Watanabe-Galloway Jan 2022

Addressing And Evaluating Health Literacy In Mhealth: A Scoping Review, Margaret Emerson, Sydney Buckland, Maxwell A. Lawlor, Danae Dinkel, David J. Johnson, Maria S. Mickles, Louis Fok, Shinobu Watanabe-Galloway

Journal Articles: Epidemiology

BACKGROUND: Recent surveys have revealed many adults have basic or below basic health literacy, which is linked to medical errors, increased illness, and compromised public health. Health literacy as a concept is multi-faceted extending beyond the individual to include social structures and the context in which health information is being accessed. Delivering health information via mobile devices (mHealth) expands the amount of information available while presenting challenges to ensuring these materials are suitable for a variety of literacy needs. The aims of this study are to discover how health literacy is addressed and evaluated in mHealth app development.

METHODS: A …


Effect Of Living Arrangements On Cognitive Function In Chinese Elders: A Longitudinal Observational Study, Yanwei Lin, Qi Zhang, Tingxian Wang, Zhirong Zeng Jan 2022

Effect Of Living Arrangements On Cognitive Function In Chinese Elders: A Longitudinal Observational Study, Yanwei Lin, Qi Zhang, Tingxian Wang, Zhirong Zeng

Community & Environmental Health Faculty Publications

Objective To examine how living arrangement as a social contextual factor can affect Chinese elders’ cognitive function.

Setting and participants Our sample consists of 2486 Chinese elders from two waves (2014 and 2018) of the Chinese Longitudinal Healthy Longevity Survey (CLHLS) that was administered in 22 of China’s 31 provinces using a multi-stage, disproportionate, purposive random sampling method. The CLHLS aims to better understand the determinants of healthy longevity in China and collects extensive data on a large population of fragile elders aged 80–112 in China.

Outcome measures Cognitive function was measured by the Mini-Mental State Examination (MMSE). Living arrangement …


Dietary Considerations For Postmenopausal Women, Kara L. Marlatt, Linda A. Gilmore, Emily W. Flanagan, Leanne M. Redman Jan 2022

Dietary Considerations For Postmenopausal Women, Kara L. Marlatt, Linda A. Gilmore, Emily W. Flanagan, Leanne M. Redman

Clinical Research Faculty Publications

Midlife women commonly experience changes in cardiometabolic, physical, and psychosocial health because of menopause. Importantly, these health changes can negatively affect the overall quality of life. Specifically, women experience changes in metabolism and weight gain (particularly abdominal fat), bothersome vasomotor symptoms (i.e., hot flashes and night sweats), sleep disturbances, mood swings, and reduced bone health. Women may also experience social isolation, loneliness, and changes in gastrointestinal health, which can further reduce their quality of life. In this chapter, we summarize these important health changes and discuss various dietary and lifestyle considerations that healthcare professionals can employ to help their patients …


‘Mental Health And Self-Rated Health Among U.S. South Asians: The Role Of Religious Group Involvement’, Samuel Stroope, Blake Victor Kent, Ying Zhang, Donna Spiegelman, Namratha R. Kandula, Anna B. Schachter, Alka Kanaya, Alexandra E. Shields Jan 2022

‘Mental Health And Self-Rated Health Among U.S. South Asians: The Role Of Religious Group Involvement’, Samuel Stroope, Blake Victor Kent, Ying Zhang, Donna Spiegelman, Namratha R. Kandula, Anna B. Schachter, Alka Kanaya, Alexandra E. Shields

Faculty Publications

Objectives: Only one community-based study has assessed religious group involvement and health outcomes among South Asians in the U.S., with mixed results. Here, using a large, South Asian community-based sample, the effects of six religious group involvement predictors–religious tradition, attendance, group prayer, giving/receiving congregational emotional support, congregational neglect, and congregational criticism–were examined in relation to four health outcomes: self-rated health, positive mental health functioning, trait anxiety, and trait anger. Design: The study used a new religion/spirituality questionnaire in the Mediators of Atherosclerosis Among South Asians Living in America (MASALA), the largest study of mental and physical well-being among U.S. South …


Speak Up For Yourself, Mai Thy Quach Jan 2022

Speak Up For Yourself, Mai Thy Quach

First Year Composition Colloquium

Mental health issues are a common problem among college students today. Students must maintain good health on both a physical and mental level in order to study and perform effectively. Through this project, I want to illustrate why mental health is essential for A-state students to be aware of, suggest the solution for this problem, refer for help, and recognize the symptoms as soon as possible.


Time Management And Stress, Krisselle Nwokeji Jan 2022

Time Management And Stress, Krisselle Nwokeji

First Year Composition Colloquium

Stress is a very common element that affects many high school students today. The purpose of this project is to teach high school students of the importance of time management and how it can be used to reduce stress because stress is something that tends to run very prominently in the lives of adolescents, and if they could understand the importance of time management and why it’s needed, the more they can use it to reduce their stress and have more time for themselves.


Make Nursing Feel Great Again, Kristen Hawkins Jan 2022

Make Nursing Feel Great Again, Kristen Hawkins

First Year Composition Colloquium

Stress among nursing students are at an all time high. Mental health of our future nurses is on the decline and they need our help. Nursing peer support groups are a good way to give our students an outlet that will improve their mental health and overall abilities.


Efficacy Of The Theo-Therapeutic Modality Of Substance Abuse Treatment: A Case Study, Dora Rosita Krasucki, Gregory Keith Alex Jan 2022

Efficacy Of The Theo-Therapeutic Modality Of Substance Abuse Treatment: A Case Study, Dora Rosita Krasucki, Gregory Keith Alex

Doctor of Ministry Doctoral Projects

This case study explored the efficacy of a substance abuse treatment modality developed at Seattle’s Matt Talbot Center. The Theo-Therapeutic Method of treatment was created and has evolved throughout the 37 years of the Center’s existence, is dynamic by design, and continues to grow under the influence of the Holy Spirit and the implementation of appropriate “best practices” available via leading therapeutic and regulatory resources. Thus, this study incorporated aspects of participatory research, including: integrated continuous feedback and testimony from clients, ongoing input from a variety of experts in fields related to recovery, neuroscience, and specific theological/spiritual tools for assisting …


Impact Of Religion On Mental Health Care Use Among African Immigrants In The United States, Mary Nganga Jan 2022

Impact Of Religion On Mental Health Care Use Among African Immigrants In The United States, Mary Nganga

Walden Dissertations and Doctoral Studies

Mental health illnesses are the leading causes of disability worldwide with one in every five people suffering from mental illness in the United States. African Immigrants are the fastest growing immigrant group in the United States, yet their mental health care use remains relatively low. African immigrants face stressors that may lead them to be more prone to mental illness, yet they depend on religion and family support rather than formal mental health care. The purpose of this qualitative study was to understand the impact of religion on mental health care use among African immigrants in the United States. The …


Delusions, Moral Incapacity, And The Case For Moral Wrongfulness, E. Lea Johnston Jan 2022

Delusions, Moral Incapacity, And The Case For Moral Wrongfulness, E. Lea Johnston

UF Law Faculty Publications

Responsibility is a legal—not medical—construct. However, science can be useful in exposing faulty assumptions underlying current doctrine or practice, illuminating changes in practice or evidentiary standards to better effectuate the law’s animating purpose, and even suggesting updates to legal standards to account for modern understandings of functionalities of concern. This Article uses the science of delusions to assess the law regarding, and practice of establishing, criminal irresponsibility for defendants with psychosis. Over the last two decades, researchers from the cognitive sciences have compiled strong evidence that a host of cognitive and emotional impairments contribute to the origin and maintenance of …