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“There Was Nothing Left To Give”: Experiences Of Compassion Fatigue Among Former In-Patient Psychiatric Clinicians, Katie Ladner

Counseling and Psychology Dissertations

Compassion Fatigue (CF) is a state of emotional and physical exhaustion resulting from prolonged exposure to stressful or traumatic experiences, specifically among healthcare workers, and it negatively impacts their ability to provide care to their patients and perform their jobs effectively (Singh et al., 2020). The purpose of this qualitative study is to explore the lived experiences of compassion fatigue in mental health clinicians who previously worked in in-patient psychiatric hospitals and their subsequent resignations. This phenomenological research explored participants' understanding and descriptions of their CF experiences in their roles within psychiatric hospitals and how CF contributed to their leaving …

Proximal Stress And Gender Identity: The Role Of Internalized Transphobia In Future Expectations, Maribelle Almonacy

Student Theses and Dissertations

Transgender and non-conforming (TGNC) youth and young adults are more likely to experience symptoms of posttraumatic stress due to identity-specific abuse. Studies on the impact of trauma on negative expectations in high-risk youth show a high association between pessimism, nihilism, and instability. Internalized transphobia, similarly, is correlated with negative mental health outcomes, such as depression and anxiety, and the internalization of social messages and discrimination. These studies are not specific to the experiences of gender minorities and do not explore the intersections of internalized stressors or trauma in young adults. To address this gap in literature, this study sought to …

Exploring Direct Support Professionals' (Dsps) Attitudes Regarding Trauma Informed Care And Its Impact On Turnover Intention, Lorraine D'Sylva-Lee

Seton Hall University Dissertations and Theses (ETDs)

The relationship between Direct Support Professionals’ (DSPs’) attitudes toward trauma-informed care (TIC) and their turnover intention has remained empirically untested, despite DSPs’ exposure to primary and secondary trauma. An estimated 8.38 million Americans with intellectual and developmental disabilities (IDD) depend on this workforce, yet 2024 turnover rates reach 53.7%. This convergent mixed methods study examined TIC attitudes, turnover intention, and their relationship among 109 DSPs in IDD provider agencies in New Jersey. Grounded in the Theory of Planned Behavior (TPB), the cross-sectional design used the ARTIC-10, TIS-6, and two open-ended items. DSPs with more favorable TIC attitudes were significantly less …

Feasibility Of Staff Training In Facilitating Affirmative Moving With Unhoused Lgbtq+ Individuals, Sujin Ma

Expressive Therapies Dissertations

Homelessness-service environments require non-clinical frontline staff to manage frequent crises and provide relational support to sexual and gender minority (SGM) individuals with extensive trauma and minority stress histories. However, staff training often prioritizes didactic knowledge over embodied skills that support emotional regulation, attunement, and identity-affirming engagement. Grounded in trauma-informed care, minority stress theory, and somatic learning, this mixed-methods study examined the feasibility and preliminary patterns of change associated with an embodied staff training designed to prepare non-clinical workers to facilitate Affirmative Moving (AM), a brief movement-based, LGBTQ+-affirming support group model.

The study was conducted between July and September 2025 at …

Performatic Learning In Informal Education: A Mixed Methods Study Of Zine-Making As A Catalyst For Intentional Epistemic Claiming, Experiential Knowing, And Cultural Mediation In A Museum-Based Learning Environment, April Ursula Fox

UNLV Theses, Dissertations, Professional Papers, and Capstones

Informal learning environments are powerful sites of meaning-making when learners are invited to move from observer to author. This study positions zine-making as an effective educational tool capable of promoting that transformation. The study advances a new framework—Performatic Learning—to articulate how creative, multimodal practices can support learning as becoming. Developed through foundational pilot studies and an in-depth mixed-methods investigation in a natural history museum, the framework integrates five constructs: Intentional Epistemic Claiming, Experiential Knowing, Cultural Mediation, Performatic Space, and Learning as Becoming. Across cases, zine-making emerged as a generative learning space in which participants authored knowledge, navigated uncertainty, drew on …

Stalking Victimization Risk Factors Among College-Aged Men And Women: Does Relationship Type Matter?, Nicole Cebak

UNLV Theses, Dissertations, Professional Papers, and Capstones

Research assessing stalking—or a pattern of repeated, unwanted behaviors directed at a specific individual that causes fear, distress, or concern for their safety—has identified several factors that can increase a person’s vulnerability to this form of victimization (e.g., demographic predictors, lifestyle factors, individual characteristics) (Fissel et al., 2023; Fox et al., 2016; Reyns et al., 2016; Reyns & Scherer, 2016). However, stalking can manifest within a wide range of relational contexts, suggesting that risk factors identified for stalking victimization more broadly may be insufficient across different victim-offender relationship types (e.g., stranger, intimate partner) (Reyns et al., 2016; Strauss et al., …

Voices Under Constraint: College Students’ Self-Censorship, Empowered Resistance, And Solidarity, Richard Chang

UNLV Theses, Dissertations, Professional Papers, and Capstones

Self-censorship, empowered resistance, and solidarity are critical yet understudied phenomena that shape the lived experiences of college students from racially marginalized communities. The present research comprises three studies examining the interconnected roles of these constructs in the psychosocial well-being and collective action of racially marginalized college students in the United States, specifically in the context of students’ activism behaviors during the 2023 and ongoing genocide in Gaza. Chapter 2 will present findings from an online mixed-methods study that examines college students’ self-censorship and psychological distress factors that support or hinder open discussion during the ongoing genocide in Gaza. Results suggest …

Postpartum Depression Protocols In A Neonatal Intensive Care Unit: Benefits And Outcomes, Myrnnda Miller

UNLV Theses, Dissertations, Professional Papers, and Capstones

This capstone project aimed to reduce postpartum depression symptoms in mothers with infants admitted to the University Medical Center (UMC) of Southern Nevada’s neonatal intensive care unit (NICU) by integrating early screening with occupation-based, trauma-informed support. The intervention combined the Edinburgh Postnatal Depression Scale (EPDS) for early detection with occupational therapy–facilitated maternal support sessions, providing emotional validation, education, and strategies for coping and parent–infant bonding. Guided by Trauma-Informed Care and Backwards Design frameworks, the project prioritized maternal safety, empowerment, and confidence. A paired sample t-test was conducted to compare pre and posttest EPDS scores and showed that the participant’s EPDS …

Reducing Maternal Morbidity In Black Women In Massachusetts, Priya Thorat

Capstones

Racial disparities in severe maternal morbidity (SMM) represent a persistent and preventable public health crisis in Massachusetts. Black women experience SMM at two to three times the rate of White women, disparities driven primarily by structural racism, fragmented perinatal care, and unaddressed social determinants of health rather than individual clinical risk. This systematic review examines the evidence supporting Community Health Worker (CHW) home visiting programs as a targeted intervention to reduce racial disparities in SMM among Black MassHealth enrollees, and evaluates the policy mechanisms necessary to sustain this intervention at scale. For this systematic review, peer-reviewed literature published between 2020 …

Fallen Through The Cracks: The Experiences Of Dually-Involved Youth, Kaylee Dawn Faria

UNLV Theses, Dissertations, Professional Papers, and Capstones

Dually-involved youth (DIY) are a uniquely disadvantaged population, simultaneously involved with both the juvenile justice and child welfare systems. Information regarding the system experiences of DIY and how they compare to their single-system, juvenile justice-only involved (SSY) counterparts is sparse, particularly through a criminal justice lens. Additionally, no research on the within-individual differences between DIY pre- and post-DIY identification is currently available. The present study seeks to bridge current gaps in the literature by (a) establishing a baseline comparison of DIY and SSY in Clark County, Nevada, (b) assessing depth of system penetration differences via case processing outcomes, and (c) …

Púchica! Central American Students Navigating A Community College In The Southwest, Reina Ferrufino

UNLV Theses, Dissertations, Professional Papers, and Capstones

This qualitative study centers the lived experiences of U.S. Central American students at a large community college in the Southwestern United States. Guided by Latinx Critical Race Theory (LatCrit) and Garcia’s (2023) Servingness framework, the study examines how institutional structures—including classrooms, student support services, and co-curricular spaces—shape students’ experiences of belonging, access, and recognition. Grounded in LatCrit, particularly its attention to racist nativism, the study situates students’ experiences within broader racialized and migration-related contexts. Data were collected through semi-structured interviews with eight Central American students and recent alumni. Findings reveal patterns of misrecognition, generalized understandings of Latinidad, and navigational challenges …

Collaboration Between Non-Denominational Community-Based Support And Social Work Professionals For Substance Use-Related Family Crises, David Marcelo Siqueira

UNLV Theses, Dissertations, Professional Papers, and Capstones

Family social problems such as child maltreatment and domestic violence continue to impact vulnerable populations, despite societal progress. Evidence of negative results due to these factors is found not only in vulnerable populations in the United States but also throughout the world. These issues are often interconnected and cyclical, with substance abuse both contributing to and resulting from familial trauma. Addressing such issues requires interdisciplinary interventions and socioecological models that consider the broader environments influencing an individual's well-being.

One such environment is the non-denominational Christian church. While churches have traditionally offered community support, the professionalization of social work, including licensure …

Repetition Without Learning: Nine Years Of Safeguarding Adults Review Involving Acquired Brain Injury., Alyson Norman, Hannah Steed, Lucy Milliner, Mark Holloway, Joshua Deacon

School of Psychology

PurposeThe purpose of this paper is to produce an extensive review of safeguarding adult reviews (SARs) pertaining to individuals with acquired brain injury (ABI) since 2014. This review examines the lessons learned and recommendations arising from these reviews as they relate to health and social care practice in England.Design/methodology/approachThe review presented and discussed findings across multiple reviews and then applied narrative analysis to synthesise the findings and recommendations from the SARs reviews.FindingsThe authors identified 22 SARs relating to people with ABI that matched the inclusion criteria. Four main themes were identified: (1) ABI-responsive safeguarding policies and legal frameworks, (2) training …

Golden Steps: A Dance-Based Program To Improve Balance In Older Adults — A Feasibility And Acceptability Study, Ramyr Bognot, Sophia Botelho, Nolan Caberto, Lauren Valerio, Joshua Yu, Jason Zeidman

UNLV Theses, Dissertations, Professional Papers, and Capstones

Background

Falls are a leading cause of injury and loss of independence among older adults. Evidence-based programs such as Otago and Tai Ji Quan reduce fall risk, yet barriers to access and adherence remain. Dance-based interventions may offer a practical, enjoyable approach to engage older adults in balance training.

Purpose

This formative pilot study aimed to develop four dance routines grounded in evidence- based balance principles and evaluate their feasibility and acceptability among older adults, including factors influencing enjoyment and willingness to continue participation, to inform future clinical and community implementation.

Methods

Four routines (Polka, Country, Rockabilly, Salsa) were developed …

Associations Between Father–Mother Food Parenting Practices And Children’S Dietary Intake, Brian K. Lo, Natalie Grafft, Mariane Helen De Oliveira, Sebastien Haneuse, In Young Park, Alejandra Cantu-Aldana, Katherine W. Bauer, Rebekah Levine Coley, Jorge E. Chavarro, Kirsten K. Davison, Jess Haines

Human Genetics Publications

Objective: To examine whether the number of parents using high levels of structure or coercive control food parenting practices is associated with children’s dietary intake.

Design: Cross-sectional analysis of father–mother dyads from the Fathers & Families cohort study. Fathers and mothers independently reported their food parenting practices and child’s dietary intake. Multivariate logistic regression models estimated associations between the number of parents (0, 1 or 2) using high structure or coercive control practices and children’s intake of fruit, vegetables, fast food and sugar-sweetened beverages (SSB), adjusting for demographics and recruitment site.

Setting: United States

Participants: 474 father–mother dyads with a …

The Role Of Risk And Resilience In Psychological Distress: An Application Of The Minority Stress Model, Rachel Clair Franklin

Theses and Dissertations

LGBT individuals experience disproportionate levels of psychological distress compared to heterosexual populations, often attributed to minority stressors, including experiences of discrimination and victimization. Guided by the Minority Stress Model, the present study examined whether social and community support moderated the relationship between minority stress and psychological distress, and whether rejection sensitivity and fear of discrimination mediated these associations. Data were collected from a sample of 251 individuals who self-identified as lesbian, gay, bisexual, or transgender in the United States. Multiple regression, moderation, and mediation analyses using the PROCESS macro were conducted to examine relationships among experiences of discrimination, sexuality-based victimization, …

Comparison Of Degree Attainment Between Traditional And Nontraditional Community College Transfer Students From The Beginning Postsecondary Students Longitudinal Study, Diann Mills Nichols

Theses and Dissertations

Nontraditional students have been part of higher education for over a century, yet their enrollment has increased substantially in recent decades and is expected to continue rising. Many return to college to gain credentials and skills needed for career advancement or reentry into the workforce. Despite their growing presence, nontraditional students remain less likely than traditional students to complete a degree within six years, often due to competing responsibilities such as work, family obligations, and financial strain. The purpose of this study was to compare nontraditional community college students who transferred to four-year institutions with their traditional counterparts in terms …

Intersection Of Food Insecurity And Housing Among Veterans And Disabled Adults, Julie Anne Stepp

Theses and Dissertations

This study examines how housing tenure is associated with food insecurity (FI) among veterans and adults with disabilities, utilizing the housing-food insecurity nexus framework. Previous research documents elevated FI among veterans and individuals with disabilities, yet few studies assess housing tenure as a mechanism connecting these statuses to food hardship. Using data from the 2024 National Health Interview Survey Adult Sample (n=32,629), logistic regression models estimate the independent and interactive effects of renting, veteran status, and disability status on FI. Results suggest renters have significantly higher odds of FI than homeowners, even after adjusting for poverty status, SNAP participation, and …

Invitation

Lloyd Clark Papers

Invitation card to the 2004 Distinguished Alumni Gala, from the UTA Alumni Association.

Letter And Documents, Tamela Herczeg

Lloyd Clark Papers

Letter to Lloyd and Jean Clark from Tamela Herczeg, Interim Executive Director for Development at The University of Texas at Arlington, with an enclosed draft of the Century II Society Donor List for review.

Letters To James, Lloyd C. Clark

Lloyd Clark Papers

Letters to James D. Spaniolo, President of The University of Texas at Arlington, from Lloyd C. Clark, one regarding the Taylor Family UTA President's Scholarship, and the other complimenting his feature on the UTA Magazine. Attached copy of one of Lloyd C. Clarks columns, published on the Daily News-Sun, and copies of pages from the UTA Magazine, featuring James D. Spaniolo.

Signs Of Belonging: Community Identities Of Deaf Elders In Central And Coastal Massachusetts, Nelia Eaddy

Undergraduate University Honors Capstones

This study focuses on shared experiences and themes of community identities within the elder Deaf community of central and coastal Massachusetts. Lived experiences and linguistic journeys shape our overall senses of belonging and identities; subsequently, they profoundly affect our relationship to our communities (Eastaugh, 2019). This research study discusses how concepts of belonging shift as individuals age within their community and how that impacts their sense of belonging and experiences with language. Communities where individuals feel a sense of belonging encourage identity development. The experiences of elders who identify as “Deaf” (due to their language preference and cultural influences) within …

2026 Commencement Program For The School Of Nursing And Health Sciences And The School Of Engineering And Computational Sciences, Merrimack College

Commencement Programs

No abstract provided.

2026 Commencement Program For The School Of Nursing And Health Sciences And The School Of Engineering And Computational Sciences – Accessible Version, Merrimack College

Commencement Programs

No abstract provided.

2026 Commencement Program For The Girard School Of Business, Merrimack College

Commencement Programs

No abstract provided.

2026 Commencement Program For The Girard School Of Business – Accessible Version, Merrimack College

Commencement Programs

No abstract provided.

Underlying Mechanisms In The Relationship Between Ptsd And Irritable Bowel Syndrome, Jillian B. Heymann

Dissertations

Current bodies of knowledge support the relationships between posttraumatic stress disorder (PTSD) and irritable bowel syndrome (IBS), pain catastrophizing and PTSD, and pain catastrophizing and IBS. However, much less is known regarding how pain catastrophizing influences the relationship between PTSD and IBS. Additionally, while correlations between some demographic and trauma-related symptomatology have been elucidated in the relationship between PTSD and IBS, their impact as potential moderators on the relationship between PTSD and IBS has yet to be fully examined. Examining a student sample from a large midwestern university, the present study aimed to investigate the potential mediating and moderating roles …

Keeping Families Together: Companion Animals As A Public Health Imperative, Lori R. Kogan, Rebecca Niemiec

Journal of One Health Systems

Contemporary US public health frameworks emphasize social, economic, and environmental determinants of health, yet largely overlook the reality that most households include companion animals regarded as family members. This omission has tangible consequences during crises such as housing instability, illness, domestic violence, or disasters, when families are often forced to choose between their own safety and the safety of their animals. We argue that this represents a significant public health failure. Drawing on interdisciplinary evidence, we propose that companion animals function as a social determinant of health, that forced separation constitutes a public health harm, and that Human-Animal Support Services …

Exploring Play: Counselor Education Strategies, Online Community Fantasy Play, And Sexuality In The Counseling Space, Nattalie Wolff-Tseng

Dissertations, 2020-current

This dissertation examines the ways that play is constructed and understood in a variety of settings. Using Relational Cultural Theory as a guiding theoretical influence, each portion examines how play influences relationships and how engagement in play and conversations about play can enhance student–teacher relationships, social connection, and the therapeutic relationship. The first section of this dissertation, the conceptual article, explores how play can support counselor education as it encourages creative engagement and discourages perfectionism, which is often noticeable in novice counselors. Play may take many forms in the classroom and offers counselor educators the opportunity to tailor activity to …

Enhancing Access Through Integrated Behavioral Healthcare: Expanding Counselor Identity And Social Determinants Of Health Competency, Tiffany N. Snow

Dissertations, 2020-current

Abstract

The counseling profession has historically differentiated its identity by emphasizing a wellness-oriented approach. However, this has often led to the exclusion of counselors from integrated behavioral healthcare (IBH). With the 2024 enactment of the Mental Health Access Improvement Act, counselors now have unprecedented opportunities to serve as behavioral health providers in federal medical settings. This three-manuscript dissertation explores the intersection of counselor professional identity, social determinants of health (SDoH) competency, and interprofessional collaboration within IBH.

Manuscript 1 presents a conceptual framework for reconciling traditional counselor identity with the "medical model" of Primary Care Behavioral Health (PCBH), arguing that this …