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Camouflaging And Autism: An Examination Of Camouflaging’S Potential Association With The Clinical Assessment Of Autism And Subject Demographic Characteristics, James George Modico

PCOM Psychology Dissertations

Autism spectrum disorder (ASD) is a neurodevelopmental disorder characterized by social communication deficits and restrictive/repetitive behavior (American Psychiatric Association, 2022). The clinical assessment of ASD requires behavioral observation of the participant. Within the context of ASD, camouflaging refers to cognitive and behavioral strategies that a person with ASD can utilize to adapt to a non-autistic world (Cook et al., 2021). Camouflaging may influence an autistic person’s behavioral presentation to a more “neurotypical” state. Behaving in a less atypical manner may contribute to not being referred for testing, having a clinician assign lower ratings on diagnostic measures, and preventing issuance of …

Women’S Marital Surname Change: Adjustment & The Novel Concept Of Name Decision Match, Sarah E. Fox

PCOM Psychology Dissertations

Marriage is a significant, complex life event that most international and U.S. adults experience. Marriage offers numerous opportunities for decision-making, including the marital surname change choice. A woman may choose to adopt her husband’s surname (i.e., Changers), keep her birth surname (i.e., Keepers), or an alternative (i.e., Creatives). Enduring societal norms and traditions are reflected in most women who are Changers. Conversations surrounding marital surname change choice may offer insight into the couple’s agreement on the ultimate decision, referred to in this study as name decision match (NDM), a novel concept. The purpose of the study was to analyze women’s …

Body Dissatisfaction Among Sexual Minority Men: Examining Associations With Health Behaviors, Gay Identity Centrality, Physical Appearance Comparison, And Conformity To Masculinity Norms, Ithan Sokol

PCOM Psychology Dissertations

Introduction: Body image disturbance (BID), or poor body image encompasses dissatisfaction with one’s physical appearance, and is linked closely with disordered eating, depression, low self-esteem, and a compromised health-related quality of life. Although most research on BID has focused on women, this study examined its impact on men, specifically sexual minority men (SMM; cisgender men who identify as non-heterosexual). This subgroup notably exhibits heightened rates of BID compared to heterosexual men, shaped by sociocultural pressures and internalized appearance ideals.

Objectives: This study intends to examine potential determinants of BID in SMM as well as build upon existing insights that connect …

Navigating Motherhood: A Qualitative Study Of The Experiences And Challenges Of Non-Birthing Mothers In Queer Cisgender-Relationships, Anna Caravaggio

PCOM Psychology Dissertations

The present study explored the psychological experiences of non-birthing mothers in queer cisgender female relationships, a population that remains underrepresented in the parenting literature. Existing research has focused primarily on birthing mothers or same-sex couples as a unit, leaving the unique perspectives of non-birthing mothers insufficiently examined. Using a qualitative phenomenological design, eight non-birthing mothers participated in semi-structured interviews examining their transition to parenthood, maternal identity development, and experiences within relational, social, and systemic contexts. Data were analyzed using thematic analysis, resulting in five primary themes: pathways to parenthood and conception decision making; constructing maternal identity; bonding and attachment processes; …

The Covid-19 Pandemic: Predictors Of Inpatient Admission For People With Severe Mental Illnesses, Ashley Killoren

PCOM Psychology Dissertations

The purpose of the study was to identify differences in patterns of demographic and psychiatric symptoms among individuals with severe mental illnesses admitted to an inpatient psychiatric hospital 1 year before the quarantine shelter-in-place restriction order issued by a governor in the Northeastern United States, during the restriction order, and 1 year starting when all COVID-19 restrictions were lifted. A second goal of the study was to determine whether psychiatric admission rates changed by comparing admission rates before and during the quarantine order, and 1 year after all COVID-19 restrictions were lifted. This quantitative, retrospective, observational study was achieved by …

The Hidden Cost: Vicarious Trauma And Burnout In Professional Sex Offender Treatment Providers, Diazia Hughes

PCOM Psychology Dissertations

Professionals who provide treatment to individuals who have commuted sexual offenses are routine exposed to traumatic material, placing them at increased risk for both vicarious trauma (VT) and burnout. Despite growing recognition of these occupational hazards, limited research has examined the relationship between VT and burnout within this specialized population. The present study investigated the association between VT and the three dimensions of burnout (i.e. Emotional Exhaustion (EE), Depersonalization (DP), and personal Accomplishment (PA)) among licensed treatment providers working directly with individuals who have commuted sexual offenses. A cross-sectional correlational design was employed with a sample of 107 licensed providers …

Predicting Burnout Among Graduate Healthcare Students In Clinical Placements, Meghan E. Visek

PCOM Psychology Dissertations

Healthcare systems increasingly recognized provider burnout as an essential target for improving population health. Burnout, characterized by emotional exhaustion, depersonalization, and diminished personal accomplishment, has been linked to impaired clinical practice and poorer patient outcomes. Although burnout among healthcare professionals is well-studied, far less attention has been given to understand how burnout develops earlier in training among graduate healthcare students in clinical placements. Research has identified year of graduate study, self-care practice, social problem-solving ability, team resilience, and attitudes toward interprofessional collaborative practice as potential burnout predictors. This study examined these factors among graduate healthcare students in clinical placements. Findings …

Understanding Depression And Adl Decline In Dementia: The Impact Of Subtype And Social Frailty, Melanie C. Ventura

PCOM Psychology Dissertations

The interplay of depression and dementia alters the ability to complete activities of daily living (ADLs). When depression occurs concurrently with or because of dementia, it has a more significant link to disability than the impairment of depression or dementia. This occurrence often increases older adults’ risks and a faster progression of the disease. Patients with different types of dementia have varying experiences in the interplay among dementia, depression, and ADL impairment. Moreover, the dementia type can cause variations in awareness and symptoms, influencing different levels of ADL impairment, relative preservation of awareness, and depression levels.

The present study examined …

Neuropsychological Prediction Of Alzheimer’S Disease And Functional Abilities Using Brief Screeners, Ashley Bennett

PCOM Psychology Dissertations

Alzheimer’s disease (AD) is a neurodegenerative disease that is primarily characterized by memory impairment and decline in function. Patients often undergo lengthy neuropsychological evaluations that create testing fatigue and, ultimately, affect their validity. There are brief assessment options to assess probable AD that are not commonly explored in research and clinical settings. This study investigated the predictive ability of the Mini-Mental State Examination (MMSE) with the addition of a semantic fluency measure compared to the Montreal Cognitive Assessment (MoCA) and the Alzheimer’s Disease Assessment Scale-13-Item Cognitive Subscale (ADAS-Cog-13) in diagnosing AD. Additionally, this study examined the potential use of the …

First Steps: Supporting Infant Development And Family Bonding, Katana M. Evans

Entry Level Occupational Therapy Doctoral Capstone Projects Class of 2026

First Steps: Supporting Infant Development and Family Bonding is a capstone project that was developed to bring awareness to the importance of development within the first few months of life, as well as exploring occupational therapy’s role with this population. The project focused on areas of program development, education, and clinical skill development, which were all developed following the completion of a scoping review. Educational materials, including a video library, were created for families to continue to access materials following the completion of the experience. These videos covered topics including safe sleep, milestones, tummy time, and more. Additionally, two sessions …

Rheumatic Resilience: An Occupational Therapy Approach, Shannon N. O'Donnell

Entry Level Occupational Therapy Doctoral Capstone Projects Class of 2026

Rheumatic conditions affect nearly one in four adults in the United States (U.S. Department of Health and Human Services, n.d.) and are characterized by chronic, often progressive symptoms, requiring long-term self-management. Despite this need, accessible and non-pharmacological resources remain limited. The capstone project, Rheumatic Resilience: An Occupational Therapy Approach, was developed to address this gap by promoting sustainable symptom management strategies through programming and education, while increasing awareness of occupational therapy (OT)’s role in chronic pain management. This project focused on areas of program development, education, clinical practice, and advocacy. A 10-week, in-person program based on Lifestyle Redesign principles was …

Holistic Healing Through Horses: An Evaluation Of Interdisciplinary Collaboration In Equine-Assisted Services And Associated Pilot Program, Catherine M. Balestrini, Kathleen Hughes-Butcher

Entry Level Occupational Therapy Doctoral Capstone Projects Class of 2026

Holistic Healing through Horses: An Evaluation of Interdisciplinary Collaboration in Equine-Assisted Services and Associated Pilot Program was an occupational therapy doctoral capstone project conducted through Misericordia University. This project involved the implementation of equine-assisted services to improve occupational capabilities of physically disabled community-dwelling adults and research related to interdisciplinary collaboration in the equine-assisted service industry. The education component of this capstone disseminated information regarding safe techniques and procedures for volunteers involved in the Holistic Healing through Horses program. The program component of Holistic Healing through Horses involved 12 weekly sessions designed to target goal areas of the respective participants. Progress …

Let's Go Play: Creating Adaptive Play Opportunities For Children, Haleigh J. Merriman

Entry Level Occupational Therapy Doctoral Capstone Projects Class of 2026

Children experiencing chronic conditions or life-threatening diseases are at a significantly greater risk of having poor mental health, with symptoms including anxiety, depression, aggression, physical impairment, and problems with academics and socialization (Nijhof et al., 2018). The Let’s Go Play project focuses on program development and education to provide children with disabilities opportunities to play. Play is an important occupation that children engage in. Play is a way that children learn new things, including developing resiliency, overcoming challenges, cooperating, and negotiating with others in a social sense. This program includes weekly video modules on hospital play and switch-adapted toys. This …

Harmony In Health: Supporting College Students Through Multidimensional Wellness, Hannah Strong

Entry Level Occupational Therapy Doctoral Capstone Projects Class of 2026

Young adults entering college face a critical developmental transition in which they assume greater responsibility for managing their health and wellness, often without adequate guidance or supportive structures. National data indicate rising rates of mental health concerns, sleep deprivation, and food insecurity among college students, highlighting the need for holistic, context-specific wellness initiatives. The Harmony in Health doctoral capstone project was developed to address this gap by applying occupational therapy’s holistic, occupation-based perspective to promote balance across the Substance Abuse and Mental Health Services Administration’s (SAMHSA) Eight Dimensions of Wellness within the Misericordia University community. The purpose of this capstone …

Emerging Through The College Experience: Supporting The Role Of Occupational Therapy In Higher Education Institutions, Kaitlyn Dixon

Entry Level Occupational Therapy Doctoral Capstone Projects Class of 2026

Emerging Through the College Experience was a doctoral capstone project designed to support students during the pivotal transitions of college while substantiating the role of occupational therapy (OT) in higher education. Inspired by the Emerging statues by Dugan located on Misericordia University’s campus, this project focused on developing institutional resources to support college students as they adjust to the college lifestyle. A scoping review was conducted to explore the role of OT in supporting college students with emphasis on adult life skill training. Results from the scoping review identified life skills development as foundational for increasing confidence, academic success, and …

Aging With Mercy, Thriving In Place, Emma Layne Katzman, Karen Weis, Jennifer Rugletic Washko

Entry Level Occupational Therapy Doctoral Capstone Projects Class of 2026

Occupational engagement, spirituality, and quality of life are recognized as important dimensions of aging, however, these factors remain underexplored among older adults residing within faith-based communal living environments. This doctoral capstone experience, Aging with Mercy, Thriving in Place, consisted of two distinct but complementary components: an Institutional Review Board (IRB)-approved mixed methods research study and a quality improvement initiative. The purpose of the research study was to explore occupational engagement, occupational role transitions, spirituality, identity, and perceived quality of life among older adults residing within a faith-based communal living environment. Quantitative data were collected using the World Health Organization Quality …

Transformative Paths: Advancing Inclusive Healthcare Education, Morgan Young

Entry Level Occupational Therapy Doctoral Capstone Projects Class of 2026

Transgender individuals continue to experience significant healthcare disparities, provider bias, discrimination, and barriers to accessing affirming healthcare services (White Hughto et al., 2015; World Professional Association for Transgender Health [WPATH], 2022). Despite increasing awareness of these disparities, healthcare education often lacks comprehensive training related to gender-affirming care (American Occupational Therapy Association [AOTA], 2021; Office of Disease Prevention and Health Promotion [ODPHP], n.d.; White Hughto et al., 2015). A concurrent scoping review was conducted to answer the research question: Among healthcare providers, how do educational strategies grounded in transgender perspectives and lived experiences affect provider competence in transgender healthcare? The review …

Protecting The Debtor Across The Atlantic: A Comparative Analysis Of The United States And European Union Regulatory Frameworks Against Debt Collection Abuse And Harassment, Terin Michelle Tyson

South Carolina Journal of International Law and Business

Consumer debt is a long-standing global phenomenon, yet the regulation of debt collection practices remains fragmented across international borders. This lack of uniform standards leaves consumers vulnerable to debt collectors who exploit weak legal frameworks, resorting to abusive, harassing, and deceptive tactics to pressure repayment. Such practices not only undermine consumer trust in the financial services industry but also prove self-defeating; aggressive collection methods can destabilize a consumer’s financial footing and daily livelihood, ultimately impairing their capacity to repay.

This article provides a comparative evaluation of consumer protections against abusive and harassing debt collection practices in the United States and …

Parenting Without Pay Or Equal Partnership: Improving The Fmla Through Comparative Analysis, Courtney Jean Clavel

South Carolina Journal of International Law and Business

This article seeks to analyze ways to improve the Family and Medical Leave Act by comparing government-protected parental leave in the United States, Australia, Japan, and Norway. Section II will introduce the current fears around America’s birth rate, why women are important to the American workforce, why families often need two parents working, and, finally, how the Family Medical Leave Act has fallen short and a common suggestion for improvement.

Section II will analyze various countries’ national laws that govern parental leave. Each subsection will describe the country’s nationally protected parental leave policy. It will proceed as follows: the United …

Eeg And Imu Gait Signal Processing: A Comparative Assessment Of The "Reza" Exponential Filter And Classic Filters, Reza Pousti, Daniel M. Russell, Derek C. Monroe, Christopher K. Rhea

Rehabilitation Sciences Faculty Publications

Noise degrades both EEG and gait signals, and classical IIR filters (Butterworth, Chebyshev, elliptic) involve trade-offs between passband flatness, ripple, and roll-off. This study compared a novel exponential "Reza" filter with these designs for neural and locomotor data. We analyzed an open-source mobile brain-body imaging dataset with EEG and gait data from 49 healthy adults (EEG: 256-channel, 512 Hz; IMUs: six APDM Opals, 128 Hz). EEG channels were grand-averaged and band-pass filtered at 0.5-50 Hz, while IMU axes were averaged and band-pass filtered at 0.5-5 Hz. The outcomes were signal-to-noise ratio SNR (dB) and band-integrated Welch PSD (EEG:0.5-50 Hz; IMU:0.5-5 …

A Narrative Review Of Bertolotti's Syndrome: Etiology, Classification, Diagnosis, And Treatment, Matyas Abel Tsegaye, Andrea Muffly

Rehabilitation Sciences Faculty Publications

Bertolotti's syndrome is a congenital condition characterized by chronic low back pain stemming from a lumbosacral transitional vertebra (LSTV). Because the condition is frequently overlooked, patients often face years of delayed diagnosis before the true source of their pain is identified. Furthermore, current information regarding the biological origins and clinical management of the condition remain scattered. To address this knowledge gap, this narrative review aims to provide a comprehensive overview of Bertolotti’s syndrome by consolidating these disparate sources and suggesting new connections. We synthesize the latest understanding of this condition, ranging from its genetic origins to modern clinical management. We …

The Sequence (S) Index As A Marker Of Diminished Step-To-Step Transition Efficiency In Older Adults, Elham Alijanpour, Ashwini Kulkarni, Peter G. Adamczyk, Daniel M. Russell

Rehabilitation Sciences Faculty Publications

Introduction: Age-related declines in walking efficiency are often attributed to musculoskeletal and neuromuscular changes, yet the mechanisms underlying these inefficiencies remain poorly understood. One key contributor is the step-to-step transition (STST), during which the center of mass (CoM) is redirected between limbs. The Sequence (S) index quantifies the temporal overlap between push-off and collision forces during STST, with higher values indicating greater mechanical energy loss. This study investigated whether aging affects STST efficiency, as quantified by the S index, and examined the timing and impulse characteristics underlying observed differences.

Methods: Thirteen young and eleven older healthy adults walked at five …

Nonlinear Differences In Postural Sway Across Attentional Focus Conditions In Individuals With And Without Anterior Cruciate Ligament Reconstruction, Natalie L. Ferguson, Brian L. Cone, Christopher K. Rhea, Anne Beethe, Breanna Studenka

Rehabilitation Sciences Faculty Publications

BACKGROUND: The structure of variability in postural sway reflects the adaptability and health of the postural control system. Entropy quantifies this structure by measuring the regularity of repeated fluctuations over time. Although entropy has been used to examine sway in neurological populations, little is known about how sway complexity changes following anterior cruciate ligament reconstruction (ACLR). Attentional focus may also influence postural control, with external focus typically promoting more efficient and automatic regulation than internal focus.

AIM: To examine how attentional focus (internal vs. external) influences the structure of postural sway in individuals with and without ACLR.

METHODS: Forty-three participants …

Ultrasound-Based Assessment Of Talar Cartilage In Individuals With Chronic Ankle Instability: A Systematic Review, Amin Mohammadi, Saeed Eshghi, Iman Mohammadi, Patrick Wilson, Ryan Mccann

Rehabilitation Sciences Faculty Publications

Purpose

To systematically synthesize ultrasound (US) evidence on talar cartilage morphology and load-induced deformation in individuals with chronic ankle instability (CAI), and to map methodological approaches (acquisition, outcome definitions, loading paradigms, and normalization) to inform protocol standardization.

Methods

PubMed, Web of Science, and EBSCO were searched (March 31, 2025). Eligible studies reported quantitative US-derived talar cartilage morphology (e.g., thickness, cross-sectional area [CSA]) and/or deformation following standardized loading in CAI and comparison groups. Due to heterogeneity in imaging protocols, loading tasks, and outcome definitions, findings were synthesized narratively and organized by outcome domain.

Results

Across available cohorts, load-induced deformation was the …

Music-Based Storytelling For Older Adult Well-Being: An Adapted Multiple Case Study, Zachary Michael Palma

Theses and Dissertations--Music

Autobiographical storytelling can be a meaningful way for older adults to reflect on life experience and support social and emotional well-being. Music has been widely documented as a cue for autobiographical memory. Although the benefits of storytelling and music as a memory cue have been independently examined, limited research has explored its combination with older adults. The purpose of this study was to explore music-based autobiographical storytelling in the lives of older adults. There were three research questions: (1) How do older adults describe their experiences with music-based storytelling? (2) How do they describe the social experience with music-based storytelling? …

Contemporary Commercial Music: A Scoping Review With Implications For Music Therapy Practice, John A. Lawwill

Theses and Dissertations--Music

Contemporary Commercial Music (CCM) is an increasingly popular group of non-classical musical styles. Music therapists need to know how to sing a wide variety of CCM genres authentically, yet little information exists on effectively teaching vocal CCM techniques to music therapists. The purpose of this study was to conduct a scoping review on CCM singing instruction and to synthesize implications for music therapists. I used EBSCOhost and ProQuest to search for reports in English published after 2002 containing the terms “Contemporary Commercial Music” or “CCM,” and variations of the term “sing.” I identified 26 reports that met inclusion criteria, including …

Belting In Musical Theatre: Vocal Pathologies, Injuries, And Pedagogical Implications, Kaylee Piatt

Theses and Dissertations--Music

Belting has become one of the most defining and contested vocal styles in contemporary musical theatre. Valued for its dramatic immediacy, speech-like intensity, and ability to cut through amplified orchestration, belting is frequently associated with heightened injury risk and pedagogical controversy. This thesis examines the relationship between belting, vocal pathology, and pedagogy through an interdisciplinary lens that integrates voice science, clinical literature, and professional performance practice. Rather than framing belting as an inherently harmful or stylistically aberrant technique, this study conceptualizes belting as a functional vocal coordination shaped by physiological mechanisms, cumulative vocal load, and occupational demands.

Drawing on existing …

Reimagining The Reduction: A Pianist’S Guide To The Piano Reductions Of Korngold’S Violin Concerto And Vaughan Williams’S Tuba Concerto, Zhongyue Zhang

Theses and Dissertations--Music

Piano reductions are an essential medium through which collaborative pianists work with orchestral concertos. However, many existing reductions, particularly of 20th century works, hinder effective performance in terms of orchestral fidelity and feasibility of execution. The problem is twofold: reductions may contain technically cumbersome passages with diminishing musical returns; they may also omit or misrepresent important orchestral effects and textures. For these problematic situations, this work presents pianistic revisions that aim to preserve essential orchestral sound characteristics. Using the first movements of Erich Wolfgang Korngold’s Violin Concerto and Ralph Vaughan Williams’s Tuba Concerto as examples, this work demonstrates a systematic …

A Conductor's Guide To All-State Orchestra: An Overview Of Repertoire And Best Practices, Nicoletta Moss

Theses and Dissertations--Music

For over one-hundred years, all-state orchestras have served as the premier gatherings of high school musicians across the United States. These short-term events offer intensive ensemble experiences that bring together students from diverse musical and social backgrounds. While conductors play a central role in shaping these experiences, research is limited examining the areas of repertoire programming, pedagogical practices, and other logistical considerations associated with all-state orchestra leadership. In this dissertation, I address these gaps and develop a comprehensive resource for current and future all-state conductors. The present study employs a two-study design: 1) a content analysis of repertoire performed between …

Burnout And Mindful Self-Care Practices Among Bipoc Women Music Therapists: A Cross-Sectional Survey, Melissa V. Peters

Theses and Dissertations--Music

Music therapy as a profession has long acknowledged burnout as a significant occupational concern, yet the experiences of marginalized therapists remain understudied. In particular, little research has explored how burnout and self-care manifest for those who identify as Black, Indigenous, or People of Color (BIPOC) women in a field historically dominated by white women. Most of the existing literature on this topic is focused on the majority identity of music therapists, white women. The purpose of this thesis was to examine the reported levels of burnout among BIPOC women music therapists as well as their reported frequency of engagement in …