Digital Commons Network^™

Act And Posttraumatic Growth In Military Veterans: Growth Through Flexibility After Adversity, Andrew J. Moller

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Military veterans are disproportionately exposed to potentially traumatic events across service eras. While much of the clinical and research literature has focused on posttraumatic stress disorder (PTSD) and symptom reduction, a growing body of work highlights the possibility of posttraumatic growth (PTG) following adversity. PTG refers to positive psychological changes that may emerge through engagement with traumatic experiences, including enhanced appreciation for life, renewed purpose, personal strength, deepened relationships, and reintegration into community roles. Importantly, PTG does not imply the absence of distress but may coexist alongside ongoing trauma-related symptoms. Understanding processes that facilitate growth alongside suffering may support more …

Identification, Validation, And Prediction Of Longitudinal Recovery Phenotypes In Degenerative Cervical Myelopathy: Analysis Of Prospective Cohorts And A Randomised Controlled Trial, Karlo Pedro, Mohammed Ali Alvi, Christopher Lozano, Vishwathsen Karthikeyan, Alex Bak, Benjamin Davies, James Harrop, Jetan Badhiwala, Jefferson Wilson, Wendy Lou, Zihang Lu, Kevin Thorpe, Michael Fehlings

Department of Neurosurgery Faculty Papers

BACKGROUND: Symptom evolution in degenerative cervical myelopathy (DCM) is traditionally characterized by severity of neurological deficit. A recent expert consensus challenged this view, proposing that DCM fluctuates across neurological, functional and health-related quality of life measures. We examined whether joint changes across these three domains define distinct recovery patterns in a clinic-based cohort of adult patients with DCM.

METHODS: Cohorts analysed were the Cervical Spondylotic Myelopathy-North America (CSM-NA, 2005-2007, N = 278), CSM-International (CSM-I, 2007-2011, N = 479) and the CSM-PROTECT Trial (2012-2017, N = 290). All participants were symptomatic adult DCM patients who underwent surgical treatment and completed at …

Family Systems And Cultural Adaptation In Psychosocial Cancer Interventions For Latinx Families: A Critical Review, Nicole M. Vélez Agosto, Gladys Stephanie Hernandez, Sarah Chavez Chacon, Danielle Moreno, Cecilia Montiel-Nava

Psychological Science Faculty Publications

Cancer creates significant distress to Latinx family dynamics. Research on family interventions has omitted critical aspects that could significantly improve mental health outcomes in this vulnerable population, including the development of interventions with a robust theoretical framework that are simultaneously culturally aligned with deeply rooted Latinx values. This critical review addressed existing psychosocial interventions for families with a cancer patient, their strengths, and limitations. It expanded on three major themes relevant to designing cancer psychosocial interventions for Latinx, while also reviewing nine intervention studies that consider system-family components in intervention design and research, two of them with the additional integration …

Examining Intimate Partner Violence After Pediatric Traumatic Brain Injury, Rebecca R. Suzuki

Electronic Theses and Dissertations

Pediatric traumatic brain injury (TBI) is linked with social problems in peer relationships that can last into adulthood. Little is known about how social problems impact the development of intimate relationships as pediatric TBI survivors grow up. This study addressed this gap by examining risk of intimate partner violence (IPV) in a sample of 50 young adult survivors of pediatric TBI prior to age 13 (M age = 22.96, SD = 1.70, 60% women) and tested social information processing (SIP) as a potential process through which TBI influences risk for IPV. Participants were recruited via Prolific and social media …

Social Well-Being In Pediatric Orthopedics: Predictors From Promis Peer Scores, Sally Ann Martens, Christine Rae Platt, Shima Salahshoor

International Nursing Research Congress (INRC)

Background: Children with orthopedic conditions often face social stigmatization, which can impair psychosocial development. Positive peer relationships are critical for emotional resilience, yet little is known about how demographic, diagnostic, and socioeconomic factors influence these relationships.

Purpose: To examine associations between peer relationship quality and age, race, gender, diagnosis, and socioeconomic status among pediatric orthopedic patients.

Methods: A cohort of 3,261 children treated at Shriners Hospital for Children Northern California completed the PROMIS Peer Relationship short form. Demographic and diagnostic data were extracted from medical records; socioeconomic status was estimated using the Area Deprivation Index (ADI). Analyses included descriptive statistics, …

Critical Policy Analysis Of Student School Board Members: From Symbolic Seats To Shared Power, Reina M. Cruz

Electronic Theses and Dissertations

The aim of this study was to critically examine student voice in school boards, specifically how student representation is enacted, negotiated, or constrained in public school board meetings across multiple states. This study used a critical political analysis, multi-site, multi-year case study, as I wanted to showcase the different forms of student board memberships and the enactment of policy. In total, three school years of public regular board meetings were observed across three different school districts. The study employed a critical policy analysis to examine state statutes, district bylaws, board policies, meeting recordings, agendas, minutes, and transcripts.

I examined variations …

Field-Like- And Self-Spin-Orbit Torques In Magnetic Multilayer Films, Kyle Jeffrey Peterson

Electronic Theses and Dissertations

Spin-orbit torques (SOTs) have been realized as an energy efficient mechanism to manipulate and drive magnetization dynamics in magnetic multilayer films. Their damping-like and field-like components provide distinct pathways for controlling the magnetization, enabling switching, sustaining magneto-oscillations, and driving domain-wall motion with potential applications in nonvolatile memory, spin-based logic, and microwave signal generation. However, the accurate quantification and interpretation of these torques remains complicated by experimental sensitivity, the co-symmetry of the Oersted field and the effective field due to the field-like torque, and assumptions regarding the material layers from which the torques originate. The body of work set forth in …

Exploring Foundations Of Animal Host-Microbe Interactions In A Freshwater Sponge, Jacob S. Pawley

Electronic Theses and Dissertations

The most ancient eukaryotic immune defense mechanisms evolved in unicellular species. Multicellular eukaryotes, however, expanded these mechanisms to meet challenges unique to multicellular life, including barrier formation, long-distance cell signaling, and coordinated responses that eliminate microbial threats while minimizing damage to the host. As such, animal immune signaling pathways are exceptionally intricate and diverse. Though, most of what is understood about animal host–microbe interactions stems from a small handful of model systems. Here, I evaluate host–microbe interactions and innate immunity in sponges using the highly tractable freshwater sponge, Ephydatia muelleri. I report the discovery of an external host-derived matrix …

Protest, Police, Peace, And Violence: Understanding Variation In Police Violence At Protests, Louis Pascarella

Electronic Theses and Dissertations

Why do police engage in violence at some protests but not others? Existing research highlights the importance of protest characteristics, political context, police culture, organizational incentives, and interactions between protesters and law enforcement. While these factors help explain patterns of repression, they provide limited insight into why police responses can shift rapidly from restraint to widespread violence during the course of a protest event.

This dissertation examines variation in police violence during the 2020 George Floyd Uprising through a comparative analysis of protest events in Denver, Colorado and Seattle, Washington. Drawing on original event reconstructions based on livestreams, helicopter footage, …

A Longitudinal Study Of Achilles Tendon Adaptation In Ncaa Division I Female Gymnasts: Associations With Menstrual Status, Birth Control Use, Pain, Limb Dominance, And Training Exposure, Mattie Jane Hyde

Electronic Theses and Dissertations

This longitudinal study evaluated Achilles tendon (AT) thickness in 22 NCAA Division I (DI) female gymnasts across three consecutive seasons in relation to menstruation, birth control use, pain, limb dominance, training week, and year of collegiate competition. Weekly ultrasound and athlete survey data were analyzed using mixed-effects models for absolute AT thickness and change in thickness from baseline measurements. Associations were primarily characterized by interactions rather than uniform effects of individual predictors. A Pain × Limb Dominance × Week × Year interaction was associated with both thickness outcomes across season-specific and combined analyses, with relationship directions varying by limb, season …

A Brief Self-Help Intervention For Anxiety And Depressive Symptoms Utilizing Cognitive Behavioral Therapy And Dialectical Behavior Therapy Within Correctional Settings, Genevieve L. Ray

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Individuals within incarcerated settings are far more likely to experience symptoms that meet criteria for a mental health disorder compared to the general population. This population is often underserved due to various financial and resource constraints. Self-help interventions have grown in popularity due to their proven effectiveness and accessibility for consumers, particularly for anxiety and depression symptoms. A self-help intervention for those in a correctional setting would not require extensive additional personnel amid financial constraints and would increase access to care. Many self-help interventions that are currently published apply to the community population, but readily accessible resources that reside in …

A Policy Analysis Of Higher Education Support For Foster Youth In The Colorado Child Welfare System, Krystal Robles

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

This policy analysis examines how two Colorado laws, House Bill 22-1374 (Foster Care Success Act), and Senate Bill 22-008 (Higher Education Support for Foster Youth), aim to improve educational outcomes and long-term stability for youth who age out of the foster care system. Critical Policy Analysis (CPA) and Resilience Theory are used in this paper to examine how these policies address systemic inequities, promote resilience, and offer protective factors that support educational attainment. Using policy review, state policy comparison, stakeholder interviews, and community perspectives, I evaluated how the implementation, effectiveness, and limitations of these bills shape real-world impact. The findings …

Disrupted Family Ecosystems: Intergenerational Estrangement, Nonnormative Events, And Perceptions Of Established Adults – A Case Study, Seth Wyncott

Electronic Theses and Dissertations

The issue of intergenerational family estrangement has gained increased exposure in research and popular literature; however, significant gaps remain in understanding the lived experience of adult-children who maintain separation from their parents. Complicating matters, the family is not a solitary unit but is intertangled within a macrolevel sociocultural ecosystem. This ecosystem includes normative and nonnormative stressors which are subject to diverse interpretations depending on the historic and evolving character of the family and its members. As such, it is important to examine the dynamic character of estrangement in familial and sociocultural context.

Utilizing a case study method with semi-structured phenomenological …

An Investigation Of Pelvic Kinematics And Implications For Total Hip Arthroplasty, Kathryn Holland Colone

Electronic Theses and Dissertations

Total hip arthroplasty (THA) is one of the most commonly performed orthopaedic procedures, with approximately 500,000 surgeries performed annually in the United States alone. Although THA is widely regarded as highly successful, postoperative complications persist, highlighting the multifactorial nature of THA outcomes. Previous studies have demonstrated the importance of implant positioning and soft tissue mechanics, yet challenges remain in optimizing surgical decisions on a patient-specific basis. Recent advances in surgical planning tools have shifted the focus of preoperative planning toward optimizing patient-specific outcomes, highlighting the need to better understand how patient anatomy, surgical technique, and joint mechanics interact to influence …

Well-Being Beyond The Binary In Perinatal Healthcare: An Application Of Reproductive Justice, Orphea D. Wright

Electronic Theses and Dissertations

Gender diverse birthing individuals face several systemic barriers to accessing affirming and empowering perinatal healthcare. The present study utilizes the term gender diverse and the abbreviation TGE to describe those who self-identify as broadly non-cisgender, an umbrella term for people whose gender identity differs from their sex assigned at birth. Gender identities that may be included in this definition include transgender/trans, gender expansive, non-binary, gender fluid, gender nonconforming, gender variant, gender queer/queer, and/or agender. Gender diverse individuals face unique barriers in perinatal healthcare due to the pervasiveness of cisnormativity in perinatal healthcare spaces. Research has documented the harm caused to …

The Invisible Poet: Stories Of Higher Education Professional Staff Program Experiences Via Poetic Inquiry Through A Wellness Dimensions Framework, Freyja Hofler

Electronic Theses and Dissertations

It is well documented that burnout and low levels of employee wellness have negative effects upon employees as well as the organizations that employ them (Gallup, 2019; Maurer, 2024; Wright & Bonett, 2007). This study was a program evaluation of the C2 Initiatives program via a constructivist paradigm, responsive evaluation approach, and summative outcome evaluation. The NWI’s Six Dimensions of Wellness model was utilized as the theoretical framework of the study and arts-based research was used as the conceptual framework.

Participants were given documents from the C2 Initiatives program as a text base to create blackout poetry, a type of …

The Resilient Mother: Exploring Factors That Buffer The Influence Of Early Childhood Trauma On Maternal Self-Efficacy, Brigid Magdamo

Electronic Theses and Dissertations

Childhood maltreatment and toxic stress pose significant risks to both individuals and communities, yielding negative outcomes that can perpetuate across generations— a phenomenon known as intergenerational trauma. Early intervention is imperative to disrupt this cycle of adversity and promote positive outcomes. One promising approach involves leveraging protective and promotive factors that cultivate resilience. Individuals with higher levels of benevolent childhood experiences (BCEs) and greater social support tend to exhibit enhanced self-efficacy, thereby potentially buffering the detrimental effects of childhood trauma. Furthermore, the perinatal period presents a critical juncture where maternal well-being significantly impacts both mother and child. The current study …

Examining The Effects Of Perceived Need, Suicidal Ideation, And Interpersonal Shame On Help-Seeking Attitudes In Asian Pacific Islander Desi Americans, Kristen Jiin Park

Electronic Theses and Dissertations

This study examined relationships among suicidal ideation, perceived need for mental health services, interpersonal shame, and help-seeking attitudes in a sample of APIDA adults (N = 175). Guided by Andersen's Socio-behavioral Model of Help- Seeking Behaviors (1968) and the Interpersonal Shame Inventory framework (Wong et al., 2014), the study investigated whether interpersonal shame moderated the relationships between suicidal ideation and help-seeking attitudes, and between perceived need and help-seeking attitudes. Participants completed an online survey assessing demographic and study variables. Results indicated that perceived need and gender were associated with more favorable mental health help-seeking attitudes among APIDA adults. These findings …

Trauma Processing And Sleep Inconsistencies In Firefighters: A Proposed Program To Bridge Gaps And Set Heroes Up For Success, Megan Griffin

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

This doctoral paper presents a comprehensive review of the literature supporting the need for an integrated training program addressing sleep disruption, trauma exposure and processing, and substance use as a self-medication strategy among firefighter populations. Drawing on empirical research, the paper examines the prevalence and interaction of posttraumatic stress disorder (PTSD), moral injury, sleep disturbances, and substance use within this occupational group. The introduction provides operational definitions of PTSD and moral injury and synthesizes existing research on trauma exposure, sleep impairment, and substance use functions among firefighters. The literature review also highlights evidence-based, exposure informed interventions to facilitate adaptive trauma …

Sober Curious: A Treatment Manual For A Semi-Structured Interpersonal Process Group Targeting Substance Misuse In Emerging Adults, Annalise G. Floody

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

This paper presents Sober Curious, an original treatment manual for an eight-session, semi-structured interpersonal process group for emerging adults ages 18–25 with mild-to-moderate substance misuse concerns. This group is designed for university counseling centers and outpatient treatment settings, particularly for individuals who experience substance-related distress, impairment, risk, or ambivalence but may not identify with abstinence-based recovery or formal diagnostic substance use disorder (SUD) language. The manual is grounded in epidemiological data, established substance use treatment guidelines, meta-analytic findings on group psychotherapy and substance use interventions, and the developmental theory of emerging adulthood. Key intervention elements include motivational interviewing (MI) to …

Diagnosis And Treatment Of Trauma In Adolescents: A Doctoral-Level Clinical Psychology Course, Jasmine M. Cervantes

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Adolescent trauma is a significant mental health concern that can profoundly disrupt emotional, cognitive, social, and developmental functioning. Although evidence-based interventions for adolescent trauma are well established, doctoral-level psychology training programs may provide limited instruction focused specifically on the unique developmental, cultural, and clinical considerations required when treating traumatized adolescents. This paper presents the development of a ten-week doctoral-level elective course designed to address this gap in clinical training. The curriculum provides foundational knowledge regarding the prevalence, developmental impact, diagnosis, and treatment of adolescent trauma, with an emphasis on posttraumatic stress disorder (PTSD) and complex posttraumatic stress disorder (CPTSD). Students …

Nurses’ Attitudes Towards Complementary And Alternative Medicine In Cancer Care – A Narrative Review, Saphir Davies, Patricia Eyres, Matt Carey, Kevin Hambridge

School of Nursing and Midwifery

Aims: This narrative review explored nurses’ attitudes towards complementary and alternative medicine (CAM) use in cancer care. Design: The study design was a qualitative narrative review with meta-aggregation. Data sources: Published studies were identified via searching the following databases: Medline, CINAHL, Pubmed and AMED.Review methods: Four papers that met the inclusion criteria were appraised using the Critical Appraisal Skills Program Tool. The qualitative data was extracted and meta-aggregated into three synthesised findings. Results: Four papers were included exploring nurses’ attitudes towards CAM in cancer contexts in four different countries. From these papers, 20 findings were extracted and formed into eight …

Ovid: Writing From Butler University's First Year Seminar 2025-2026, Ovid Staff

Ovid

No abstract provided.

Fitting The Pieces Despite The Curves In The Path, Eve Zaczepinski

Ovid

No abstract provided.

Coagulation, Eleanor Corbett

Ovid

No abstract provided.

The Quiet Geography Of Fear, Edgar Opsahl

Ovid

No abstract provided.

On The Universality Of Music, Rayna Moiz

Ovid

No abstract provided.

Earthly Alienization And Galactic Othering: How Star Wars Holistically Reimagines American History And Constructs A Pipeline To Christian-Imperial Humanitarianism, Taylor Valci

Effervescence: Yale Divinity School's Student Journal of Religion

A long time ago in a galaxy far, far away, the future of religion looks remarkably familiar. This essay argues that Star Wars offers a holistic reimagining of American racial formation in a speculative interstellar setting, translating historical practices of othering and alienization into the galaxy’s social and religious order. Across the Skywalker Saga (1977–2019), the Jedi Order functions as a galactic priesthood whose moral universalism authorizes intervention, governance, and salvation across the cosmos. Drawing on American religious history, critical race theory, migration studies, humanitarianism, and imperial studies, I show how alien species, racialized language, colorblind representation, and sacred bloodlines …

Theologians, Political Influencers, Organizers, Founding Mothers, White Feminists: Evangelicalism Recast As Revolution, Through The Life Works Of Hannah More And Phyllis Schlafly, Taylor Valci

Effervescence: Yale Divinity School's Student Journal of Religion

Nearly two hundred years and an ocean apart, Hannah More and Phyllis Schlafly occupied the same impossible set of roles: theologians, political influencers, organizers, founding mothers, and white feminists. What they shared most deeply, however, was evangelicalism. This essay argues that their life works require evangelicalism to be recast not as a stable denominational throughline, but as a reactionary religious revolution: a recurring form of conservative Christian mobilization that emerges when national security and Christian order are perceived as threatened by secularization, women’s expanding public authority, revolution, or global disorder. Read comparatively, More and Schlafly reveal how evangelical women turned …

Strengthening The Holy Athlete: Lay Ascesis And Athletics In The Works Of John Chrysostom, Stephanie R. Roston

Effervescence: Yale Divinity School's Student Journal of Religion

Contemporary fitness influencers often compel their audiences by appealing to the felt connection between physical and moral-spiritual conditioning, but this was also true for John Chrysostom and his attending congregations in late antiquity. Chrysostom believed that body and soul might be brought into healthy, transparent alignment through the cultivation of embodied training grounds for virtue, and he repeatedly utilized athletic imagery in his homilies and baptismal liturgy to emphasize that the cognitive attention necessary for such work is strengthened over time through repeated physical regimens such as fasting and vigils. Warning against hypocrisy, he looked to athletes and ascetics for …