Digital Commons Network^™

State Social Benefit Schemes For Women In Continuity Of Psychiatric Care: A Case Report, Mathumitha A, Kishor M. Manohar Rao Professor

Digital Journal of Clinical Medicine

Mental health disorders are a major global public health challenge. The disorders affect over a billion people worldwide, while depressive and bipolar spectrum disorders also contribute substantially to disability and reduced quality of life. According to the World Health Organization, major depression alone affects more than 300 million people globally and is considered a leading cause of years lived with disability. Beyond clinical morbidity, mental illnesses exert a profound economic impact, with depression and anxiety accounting for an estimated USD 1 trillion annually in lost productivity worldwide, while the overall global economic burden of mental disorders is projected to reach …

Psychometric Evaluation Of The Treatment Integrity Instrument For Elementary School Classrooms - Observer Report: Preliminary Evidence For Construct And Discriminative Validity, Cristian J. Rivera Nales

Theses and Dissertations

Treatment integrity is the degree to which a program and its practices are delivered as intended. Treatment integrity measures are critical for evaluating the effectiveness of evidence-based programs (EBPs) in effectiveness research, but few are designed for research conducted in community settings, such as schools. The Treatment Integrity Instrument for Elementary School Classrooms – Observer Report (TIES-O) is an observational measure used to assess the treatment integrity of teachers implementing EBPs in their classrooms. This study evaluated the psychometric properties of the TIES-O, which captures Adherence (frequency and thoroughness of delivery) Competence (skillfulness of delivery), and Differentiation (the extent to …

Staging Violence With Intentionality, Toby O'Brien

Theses and Dissertations

This thesis examines the role of the fight choreographer in the theatre while addressing the potential issues staged violence has in distracting an audience from the intended narrative of the play. Avoiding the instruction manual approach of stage combat in favor of expounding on the theory of violent entertainment, I have constructed a thesis that informs the reader of certain types of violence found in both classical and modern productions and have researched the psychological ramifications of violent spectatorship and the necessity for content acknowledgements as well as consideration for the performer’s well-being. By exploring the history of violent entertainment …

Your Left Or Mine: A Journey To Accessibility For Learning Disabilities And Neurodivergence In Stage Combat Pedagogy, Ambria Campbell

Theses and Dissertations

This thesis examines stage combat pedagogy from its inception to the present day through the lens of accessibility for learning disabilities and neurodivergence. Relevant research in education as it relates to disability is analyzed and applied to the field of stage combat pedagogy. What follows is a deconstruction and reconstruction of beginning level stage combat pedagogy to increase accessibility. These ideas are then tested and the results reflected on. This thesis focuses on college level and aged students who are the most likely demographic for beginning stage combat students. The completion of this thesis does not represent an endpoint in …

Student Centered Approaches To Analyzing Engagement And Discourse, Kamil Hankour

Theses and Dissertations

Student engagement and participation in classroom discourse are widely recognized as powerful predictors of meaningful science learning, yet students’ own perspectives on the factors that shape their engagement and participation are currently underexamined. Prior research has established strong links between engagement, discourse and outcomes such as academic achievement (Bae & DeBusk-Lane, 2019; Fredricks et al., 2004; Sedova et al., 2019), but less is known about how students understand and interpret their experiences across individual, group-level and classroom contexts, particularly within historically marginalized populations (Cook-Sather, 2013; Schaefer et al., 2024). This three paper dissertation advances a line of inquiry integrating a …

Psychological Richness From Shared Experiences In Romantic Relationships: The Moderating Role Of Attachment, Sae Y. Kim

Theses and Dissertations

Psychological richness, defined by experiences that are novel, complex, and perspective changing, has been proposed as a third dimension of the good life alongside satisfaction and meaning. Although prior work has focused on richness at the life level, romantic relationships may be an important context in which psychologically rich experiences occur. In Study 1, a correlational study, adult attachment was associated with psychological richness in life, such that secure attachment was positively related to psychological richness, whereas anxious and avoidant attachment were negatively associated. Informed by the results of this study, I designed Study 2 to be a 4-day daily …

There Is A Puddle In Stonehenge, Nathaniel Newcomb

Theses and Dissertations

I began by making what I called "furniture": finding discarded logs and using a chainsaw, I milled out slabs of wood far larger than any normal board or beam, and gave them the function of chair, table, shelf. Sometimes it was a "shelf" in name only, and was commentary on furniture. In my practice, using discarded wood is necessary for the sake of the earth; making original pieces is necessary for the sake of my soul. I am reminded of megaliths when I erect these enormous forms in wood. I make intuitively, and like the meaning of megaliths, obscured by …

Sensory Constellations, Madaline K. Gardner

Theses and Dissertations

This thesis situates neurodiversity within the field of fine arts by integrating disability studies, institutional critique, and material practices in painting and printmaking. Through visual analysis and studio-based research, the project examines how tactile engagement, color relationships, and repetitive mark-making can articulate embodied experiences of neurodivergence. It challenges dominant institutional frameworks that pathologize neurodivergent behaviors by reframing stimming as a generative and communicative practice. The resulting body of work includes both image-making and the creation of tactile objects designed to facilitate sensory interaction. The thesis proposes alternative ways of understanding artistic practice and accessibility within art institutions.

Between The Veins: Materializing Memory In The Age Of Digital Storage, Alice Mohammed Aslem

Theses and Dissertations

What happens to a childhood stored behind a password? This thesis began with a simple moment of scrolling through my son’s photographs on my phone. As the images multiplied, they began to lose clarity, turning into an overwhelming digital archive. This made me ask: What kind of memories am I preserving for him?

Having grown up between analog and digital worlds, Between the Veins explores how I navigate memory through material objects and digital archives. Using weaving, images are transferred onto screw pine and palm leaves. In this process, digital files of his childhood are translated into organic fibers of …

Examining Mental Healthcare Underutilization Among Latino Immigrants: Healthcare Providers’ And Community Health Workers' Perspectives, Geovani Muñoz

Theses and Dissertations

Latinos continue to experience many logistical and systemic barriers to professional mental health services (Derr, 2016) despite being the second-largest racial-ethnic group in the United States (U.S.). With a community of 65 million people (U.S. Census Bureau, 2024), Latinos experience mental healthcare inequalities (Cook et al., 2019) due to structural, cultural, and systemic barriers. Although prior research has emphasized culturally responsive care as a pathway to reducing disparities (Nagy et al., 2025), much of the literature has focused on Western medical models, with limited attention to community-based perspective. Guided by the Knowledge, Attitude, and Practices (KAP) framework, the present study …

The Transition From School To Work For Students With Emotional And Behavioral Disorders: Examining The Lived Experiences Of Students In Private Day Schools, Gabrielle S. Pickover

Theses and Dissertations

This qualitative phenomenological study examined the lived experiences of young adults with Emotional and Behavioral Disorders (EBD) as they transitioned from private day school settings into sustained employment. Guided by Schlossberg’s Transition Theory, the study explored participants’ perceptions of the barriers, supports, and strategies that shaped their transition experiences. Data were collected through twelve semi-structured interviews with six participants who maintained at least one year of continuous employment following high school. Analysis revealed four primary themes: structure as a stabilizing force, resilience developed through adversity, experiential learning as a pathway to employment, and employment as identity and independence. Findings suggest …

Comorbid Psychosis In The General Population, Mariam Sankoh

Theses and Dissertations

Psychosis is a complex psychiatric phenotype characterized by substantial heterogeneity in symptom presentation, psychosis diagnosis, comorbidity patterns, and genetic architecture across diverse populations in the general population. Despite advances in psychiatric epidemiology and genomics, important gaps remain in understanding how psychosis symptoms and psychosis-related diagnoses manifest across racial and ethnic groups and how evolutionary genomic factors may contribute to disease risk and cross-ancestry genetic prediction. This dissertation, Characterizing Comorbidity in Psychosis in the General Population, integrates epidemiological, psychometric, and evolutionary genetic approaches to examine psychosis across diverse populations.

Aim 1 examined racial and ethnic differences in psychosis comorbidity patterns …

Cb1 Allosteric Modulation: Preclinical Insights Into Therapeutic Potential And Misuse Liability, Mohammed A. Mustafa

Theses and Dissertations

Cannabinoid type-1 (CB1) allosteric modulators represent a promising approach to modulate CB1 receptor signaling by binding to distinct receptor sites, without producing adverse cannabimimetic and dependence-related effects associated with Δ9-tetrahydrocannabinol (THC) and other CB1 agonists. This dissertation investigates the pharmacological, behavioral, and dependence-related profiles of CB1 allosteric modulators for their therapeutic potential and misuse liability. Presented here, the chiral CB1 positive allosteric modulator (PAM) ZCZ011 was resolved into its R- and S-enantiomers and characterized across in vitro and in vivo assays. Both enantiomers enhance CB1 agonist activity and produce intrinsic effects in vitro. Behaviorally, they produce antinociceptive effects in the …

Munajat: Design As A Dialogue With The Divine, Shawky Abdalla

Theses and Dissertations

Contemporary design discourse remains grounded in functional, seemingly user-centered paradigms, often neglecting what lies beyond the tangible within a human experience. This research challenges such frameworks by positioning design as a dialogue with what exceeds the physical, moving toward the experiential, where meaning precedes and informs form. Drawing on Islamic philosophy, particularly the relationship between zahir and batin (outward form and inward meaning), the study repositions design as a medium for remembrance (dhikr) rather than mere utility.

Through a critique of modernist and postmodernist principles, the research proposes a series of objects that engage with memory, introspection, and transcendence in …

Algorhythm: Commodification Of Hobbies On Social Media Platforms, Fariha Ahmed

Theses and Dissertations

Forcing the world online, the COVID-19 pandemic appeared to turn social-media-based hobbies into income-generating cash cows. Digital creative spaces became sites of capitalist logic where hobbyists came to operate as both laborers and commodities. Profit-focused algorithms operate imperceptibly, shaping creative behavior and decision-making in ways that are difficult to recognize, and even harder to resist. This thesis asks how algorithmic participation on platforms such as Instagram conditions a hobbyist, and how that conditioning can be made legible to audiences who inhabit such platforms without always seeing them. Using autoethnography, I position myself as both researcher and subject to document the …

From Cultural Binaries To Coexistence: A Graphic Autoethnography Of Individualism And Collectivism In An International Context, Shahad Alsubaie

Theses and Dissertations

This arts-based autoethnographic study investigates individualism and collectivism, specifically through my study-abroad experience traveling from Saudi Arabia to the United States. Through arts-based reflective practice, I depicted the diasporic experience of being ontoepistemologically collectivistic while navigating a primarily individualistic society. I use the medium of a graphic memoir to illustrate and develop frameworks of confluence that embrace the two distinct cultural orientations simultaneously. This arts-based self-study not only contributes to the body of transnational scholarship but also serves as a reference for international students, researchers, and educators to use arts-based subgenres and data analysis methods to gain better insights into …

Dietary Acculturation, Dietary Inflammatory Potential, And Metabolic Syndrome Among Immigrants In The United States: A Mixed-Methods Approach Using Nhanes And Qualitative Data, Esse G. Foka Nzaha

Theses and Dissertations

Background and Objectives: Immigrants in the United States undergo acculturation — a process of sociocultural and behavioral adaptation to the host country. Increasingly, behavioral adaptations have been associated with cardiometabolic health and chronic disease risk. Metabolic syndrome (MetS), a cluster of conditions including abdominal obesity, elevated blood pressure, impaired fasting glucose, elevated triglycerides, and reduced HDL cholesterol, is a major risk factor for type 2 diabetes mellitus, cardiovascular diseases and other chronic diseases, including cancer. Despite the growing immigrant population in the U.S., the role of diet and dietary acculturation in MetS development remains poorly understood in this population. This …

24-H Circadian Rest-Activity Rhythms And Physical Frailty In Older Adults: A Biopsychosocial Perspective On Sex Differences And Social Capital, Jisu Kim

Theses and Dissertations

Physical frailty is a prevalent geriatric syndrome characterized by age-related decline across multiple physiological systems. Physical frailty is associated with an elevated risk of adverse health outcomes, including chronic disease progression and all-cause mortality, representing a significant and growing public health concern. Disrupted circadian rest-activity rhythms (RARs) are increasingly recognized as clinically meaningful markers of physical frailty in older adults. However, the extent to which biological sex and social determinants of health (SDoH), particularly social capital, contribute to or modify the associations between RARs and physical frailty remains underexplored.

Therefore, this dissertation summarizes the existing literature on age-related changes in …

Mediator: Ornament As A Visual Language Of The Transcendent, Selma Fejzullaj

Theses and Dissertations

Adolf Loos’s declaration that “ornament is a crime” defined modernist design, establishing a legacy that dismisses ornamentation as wasteful and regressive. This research questions that legacy by repositioning aesthetics as a divinely grounded value, inspired by the Qur’anic vision of Paradise. In this celestial realm, beauty is not wasteful but a manifestation of divine perfection. Conceptually, the project reclaims ornament as a vital tool for contemplating metaphysical themes. Materially, it reimagines glass, shifting it from modernist "radical honesty" to a medium of layered depth. Recombining traditional Islamic ornamentation practices such as Girih and Chaharbagh, the project evokes the Qur’anic vision …

Centering Individual Well-Being In Learning Environments: Academic Stress, Psychological Safety, And Digital Discourse, Rachel Niemira Namboodri

Theses and Dissertations

Statement of Problem

How do we guide students through school while supporting their emotional and psychological health? This question lies at the heart of contemporary educational psychology research, as growing evidence demonstrates that students’ academic achievement and psychological well-being are deeply intertwined with their experiences in learning environments (Baumeister & Leary, 1995; Edmondson & Lei, 2014; Gopalan & Brady, 2020; Song et al., 2024; Spencer, 1995; Walton & Cohen, 2011). Decades of scholarship affirm that students’ academic achievement and psychological well-being are deeply intertwined with how they experience schools, classrooms, peers, teachers, and institutional structures (Baumeister & Leary, 1995; Edmondson …

Waxing And Waning: Hidden Interiors Of Grassroots Expression, Asmita Baskar

Theses and Dissertations

Concealed interiors historically emerged from necessity in response to dominant systems around surveillance, control, and visibility. These hidden spaces carefully regulated access, cultivated intimacy, and enabled self-expression within grassroots groups and marginalized communities. Operating free from surveillance and in contrast to surrounding architectural and urban systems, these concealed spaces were not formally “interior designed”, yet they reveal how communities activate the interiors they encounter to retain agency.

Scholarship on grassroots resistance is largely examined through sociology, anthropology, psychology, or political science, with limited literature directly linking interiority, interior design, and resistance within covert spaces. This thesis addresses the gap in …

To Put It Simply, Men Are Like Kites., Yangyang Zhang

Theses and Dissertations

This thesis explores the performative professionalization of So-called “emotional mentors” on mainstream Chinese social media platforms, specifically Douyin (the Chinese version of TikTok). and its impact on the contemporary Chinese emotional landscape. Through a series of undercover investigations in livestreams, I analyze the rhetorical tactics and professional jargon used by these “Gurus” to attract and monetize vulnerable audiences.

The research highlights a critical paradox: while promising emotional clarity, these methods from “Love Gurus” often corrupt the sincerity of intimate bonds, resulting in significant emotional labor and self-doubt for Female. The project aims to demystify this predatory industry and its role …

Internalizing Symptoms In Lgbtq+ Young Adults: Understanding The Roles Of Social Support And Resilience To Social Stigma, Chloe M. Sobolewski

Theses and Dissertations

LGBTQ+ young adults are at increased risk of adverse mental health outcomes including internalizing symptoms. The current study seeks to better incorporate strengths when modeling internalizing symptoms outcomes in LGBTQ+ young adults. The present study is secondary analysis of data collected as part of a three-wave longitudinal study. LGBTQ+ young adults (N = 250) completed baseline questionnaires assessing resilience to social stigma, types of perceived social support (i.e., family, friend, significant other), and internalizing symptoms. Moderation models were not practically or statistically significant; however, covariates (i.e., age, socioeconomic standing, and childhood basic needs) stood out in their significant contribution in …

Vitality: Wellness For Female Collegiate Athletes, Kristin Beach

Theses and Dissertations

Vitality is a wellness center for female collegiate athletes. It is rooted in female oriented design strategies for comfort, recovery, and wellbeing. This project aims to provide an inclusive environment in which women within the VCU athletics department can come and support their health and wellbeing.  Spaces include physical therapy, academic support, movement studios, gathering lounge, locker room, private therapy, and grab and go food options. This program aims to provide spaces that support the busy schedule of a collegiate athlete, while using design strategies that enhance social, mental, and physical wellbeing while visiting. Located in a historic sauers building, …

Not Just Cheap Labor: A Critical Mixed Methods Assessment Of Working Learner Supervision To Advance Equitable Work-Integrated Learning, Jonathan D. Fuller

Theses and Dissertations

This study examines how supervisory relationships shape the quality of on-campus student employment (OCSE) as a work-integrated learning (WIL) experience, with particular attention to the experiences of working learners (i.e., student employees). Situated in response to growing student demand for meaningful, career-relevant work opportunities in college, the study investigates how universities can leverage existing OCSE roles to expand access to WIL. Using a mixed methods explanatory social justice design, the research integrates working learner responses (N = 478) to the Student Supervisor Support Measure with interviews of students and supervisors in relationships characterized as both supportive and cross-identity.

Survey …

Maintaining Legitimacy While Managing Competition: Do Transplant Survival Ratings Affect Kidney Transplant Waitlisting?, Andrew Placona

Theses and Dissertations

Statement of problem and objectives: Waitlisting is an essential step towards kidney transplantation among people with end-stage kidney disease (ESRD). There are no universal standards for waitlisting ESRD patients and how waitlists are managed in kidney transplant programs is opaque and under-studied. This study investigated whether the quality ratings of kidney transplant programs based on their one-year survival rates were associated with waitlist outcomes, including the number of waitlist additions, waitlist removals, the risk profiles of patients added or removed from a kidney transplant program’s waitlist, and whether market competition among kidney transplant programs attenuated these relationships.

Procedure followed: …

Examining Youth Ethnic Identity And Parental Familismo As Protective Factors Against Bicultural Stress And Internalizing Symptoms In Latino Youth, Daniella Olivares

Theses and Dissertations

Adolescence is a critical developmental period marked by increased vulnerability to mental health challenges. For Latino adolescents living in the U.S., experiences of bicultural stress may heighten the risk for adverse mental health outcomes. However, cultural strengths–such as youth ethnic identity and parental familismo–may serve as protective factors. The current study examined whether youth ethnic identity and parental familismo moderated the relationship between bicultural stress and internalizing symptoms among a diverse sample of Latino youth in central Virginia. Latino adolescents (n = 60) completed measures assessing bicultural stress, ethnic identity, and internalizing symptoms, while parents (n = 60) reported on …

"It's The People, Not The Place:" Queering Shared Space In Richmond, Virginia, Kathleen Brown

Theses and Dissertations

The intersection of queerness and planning is an understudied subject area that has implications for equity and access. Queer communities face real barriers to equitable access of resources that stem from a long history of legal, cultural, and economic marginalization. Experiences of shared spaces for queer groups and organizations is important to understand, as outward expressions of queerness are not always welcome in shared spaces, depending on sociopolitical context. Richmond, Virginia has a rich queer history both filled with challenges as well as examples of queer success and joy that makes it a prime case study selection.

This thesis utilizes …

Loved Right: Encouraging The Responsible Adaptive Reuse Of Historic Buildings In The Information Age, Christie Chirinos

Theses and Dissertations

This research contributes to interior design scholarship by situating immersive virtual reality (VR) as an efficiency tool and an architectural visualization tool within adaptive reuse and historic preservation practice. Interior designers are increasingly tasked with mediating between cultural heritage, community stakeholders, regulatory constraints, and economic feasibility, in buildings that already exist. By positioning VR as a tool with utility across every stage of the design process, this study expands interior design research beyond material and spatial interventions to include storytelling and technological innovation as drivers for design decision-making. The work bridges interior design, preservation, and participatory planning, demonstrating how immersive …

What’S Sleep Got To Do With It? A Mixed Methods Exploration Of The Feasibility, Acceptability, And Initial Outcomes Of Group Cbt For Insomnia In Parkinson’S Disease, Claire M. Williams

Theses and Dissertations

Parkinson’s disease is a progressive neurodegenerative disease that is commonly associated with sleep disturbances, affecting up to 80 percent of individuals with Parkinson’s. Effective and accessible treatments for sleep problems in Parkinson’s disease remain limited. Cognitive Behavioral Therapy for Insomnia (CBTi) is a well-established, non-pharmacological treatment for insomnia but has been minimally studied in Parkinson’s populations. This study evaluated the feasibility, acceptability, and preliminary outcomes of a group-based CBTi intervention adapted for individuals with Parkinson’s disease. Participants engaged in a six-week group intervention that incorporated Parkinson’s-specific adaptations. Preliminary findings indicated that the adapted group CBTi intervention was generally feasible and …